SMQT Comprehensive Care Plan Process 5

Question 1

A facility's policy states care plans are updated 'as needed.' A surveyor would find this policy deficient primarily because:

Accepted Answer

Regulations mandate minimum review frequencies that cannot be replaced by discretionary language

Answer

Federal rules require quarterly review at minimum; a policy permitting updates only 'as needed' creates a gap where mandatory reviews could be skipped.

Question 2

A resident with dementia is assessed as having high fall risk but refuses to use a bed alarm or call light. The care plan should:

Accepted Answer

Document refusal, offer alternatives, and include all feasible interventions the resident will accept

Answer

Even when a resident refuses specific interventions, the facility must document the refusal, provide education, and implement all other feasible safety measures.

Question 3

Which scenario best demonstrates a systemic care planning deficiency versus an isolated individual deficiency?

Accepted Answer

Multiple residents' care plans lack psychosocial goals despite documented depression diagnoses

Answer

A pattern of missing psychosocial goals across multiple residents with identified depression indicates a systemic failure rather than an isolated error.

Question 4

Under the OBRA framework, which document provides the foundation for identifying care planning 'triggers' that require further assessment?

Accepted Answer

The Care Area Assessment (CAA) process initiated by MDS triggers

Answer

The CAA process, triggered by specific MDS items, guides the interdisciplinary team in deciding which areas to address in the care plan.

Question 5

A resident's care plan goal reads: 'Resident will express satisfaction with meal choices by next review.' This goal is problematic because:

Accepted Answer

It lacks a measurable baseline or criterion for success

Answer

Without a measurable criterion (e.g., 'rates meals ≥7/10 on satisfaction scale'), progress toward this goal cannot be objectively evaluated.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Comprehensive Care Plan Process 5