SMQT Nursing and Physician Services 3

Question 1

Under SMQT-tested standards, which professional is primarily responsible for coordinating overall nursing services and ensuring compliance with care policies in a SNF?

Accepted Answer

Director of Nursing (DON)

Answer

The Director of Nursing is responsible for planning, organizing, and directing nursing services and ensuring they comply with professional nursing standards and facility policies.

Question 2

A resident refuses to see the facility's assigned physician and requests her own personal physician. Under SMQT standards, the facility must:

Accepted Answer

Accommodate the request and ensure the personal physician meets facility participation requirements

Answer

Residents have the right to choose their own physician; the facility must accommodate this choice as long as the physician agrees to comply with applicable requirements.

Question 3

When reviewing medication administration records, a surveyor finds that a licensed practical nurse administered IV push medications in a state where LPNs are not authorized to do so. This is a deficiency in:

Accepted Answer

Nursing services — practice beyond licensed scope

Answer

Nursing staff must practice within their state-authorized scope; an LPN performing IV push medications prohibited by state law constitutes a nursing services deficiency.

Question 4

A surveyor observes that nursing aides are performing wound care without documented nurse supervision and the wound care policy requires RN oversight. What is the most appropriate deficiency tag area?

Accepted Answer

Nursing services — supervision of nurse aides

Answer

Facilities are required to ensure nurse aides perform tasks within facility policy under appropriate nursing supervision; unsupervised wound care by aides violates this standard.

Question 5

Which scenario demonstrates compliant physician delegation to a physician assistant in a nursing facility under federal regulations?

Accepted Answer

PA performs required interval visits with written physician collaboration agreement per state law

Answer

PAs may perform required physician functions when state law permits and a written collaborative agreement with the supervising physician is in place.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Nursing and Physician Services 3