Illinois State Nha Exam

ILLINOIS STATE NHA EXAM REVIEW COURSE

„ Illinois State Exam ◘ MODULE 3

Resident Rights

Speed Reader ▶ Examination 1

Stan Mucinic, LNHA

Students enrolled in the “the “Illinois Laws and Rules Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the Illinois State Licensure Exam administered by the State of Illinois . This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely. THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM. An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation. A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.

HOW TO USE THE STUDY GUIDES

Step 1 – VERY IMPORTANT - The personalized test organizer that comes with the program is the key to your success and sets this program apart from any other. It is critical you follow the instructions and score each exam, and file the completed exams into your binder. Try to keep to the schedule and email your test results to the instructor to stay focused.

Step 2. - Speed Reader – Read the speed reader for each module once or twice before taking the module exam(s). Read the speed reader over and over again until you familiarize yourself with its contents. THE MORE TIMES YOU LOOK IT THE MORE LIKELY YOU ARE TO REMEMBER IT. Step 3 – Exam Packet - The exam packet contains questions designed to measure your comprehension and retention of the material you read. Take each exam over and over again until you score 100%. Make sure you score each exam and record the results in your organizer or you will not be able to gauge your progress.

CONTACT INFORMATION

Email Stan Mucinic at [email protected] with any questions and after you score each practice exam

1 True or False - A facility cannot be held responsible for the loss or theft of resident property if they provide the resident a disclaimer in writing before or upon admission

1. True 2. False

2 Which of the following is not true?

1. Clothing provided to residents by the facility must fit properly 2. Must provide adequate storage space for resident personal property 3. Must safeguard resident property stored in their room 4. A resident may wear their own clothing only if authorized by their attending physician

3 Which of the following would be appropriate in minimizing the loss or theft of resident personal property:

1. Staff training and monitoring 2. Labeling resident property with their name 3. Frequent property inventories 4. All of the above.

4 Married residents do or do not have the right to share a room if they both request to do so

1. Do 2. Do not

5 True or False – A resident room cannot be used as a public pathway to access other parts of a facility

1. True 2. False

A resident may or may not be required to perform labor for a facility as part of a therapeutic program 6 ordered by their attending physician

1. May 2. May not.

7 Which is not true?

1. A resident must be permitted the free exercise of religion. 2. The facility must make arrangements for a resident's attendance at religious services outside the facility 3. The facility must pay for the expense for a resident attending outside religious services 4. No religious beliefs or practices, or attendance at religious services, may be imposed upon any resident

8 True or False – A facility must make arrangements for absentee voting for all residents

1. True 2. False

1. The resident's next of kin 2. The resident’s legal representative 3. The attending physician 4. All of the above

10 The facility must immediately notify ______whenever unusual circumstances such as accidents, sudden illness, disease, unexplained absences, extraordinary resident charges, billings, or related administrative matters arise

1. Resident's family 2. Guardian 3. Any private or public agency financially responsible for the resident's care 4. All of the above

11 True or False - A resident must be permitted to retain the services of his own personal physician at his own expense under an individual or group plan of health insurance, or under any public or private assistance program providing such coverage.

1. True 2. False

12 Each resident must be informed by their attending physician of which of the following:

1. Medical diagnosis 2. Treatment 3. Prognosis 4. All of the above

13 True or False – A resident with Alzheimer’s should not be encouraged by staff to attend a care plan meeting

1. True 2. False

14 True or False - No resident may be subjected to experimental research or treatment without first obtaining his informed, written consent.

1. True 2. False

15 The conduct of any experimental research or treatment must be authorized and monitored by the _____

1. Medical Director 2. State licensing agency 3. Institutional review committee appointed by the administrator 4. Director of Nursing

16 All medical treatment and procedures must be administered as ordered by ______

1. The medical Director 2. A licensed physician 3. The long term care ombudsman 4. The Director of Nursing

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 4 of 19 17 All new physician orders must be reviewed by the facility's Director of nursing or charge nurse designee within ____ hours after such orders have been issued to assure facility compliance with such orders

1. 24 2. 48 3. 72 4. 96 18 True or False – A resident has the right to refuse medical treatment.

1. True 2. False 19 An explanation of resident rights must be given at the time of admission but in no event later than ____ hours after admission, and again at least annually thereafter.

1. 24 hours 2. 48 hours 3. 72 hours 4. 96 hours

20 True or False - If a resident is unable to read a written explanation of their resident rights, it must be read to the resident in a language the resident understands.

1. True 2. False

21 A facility which discriminates against an individual who is a recipient of the medical assistance program is guilty of a business offense and would be fined not less than $_____ nor more than $1,000 for the first offense 1. $150 2. $250 3. $450 4. $500

22 The ___ must acknowledge in writing the receipt from the facility of a copy of all resident rights and a copy of all facility policies implementing such rights.

1. Resident 2. Resident’s representative 3. Guardian 4. All of the above

23 True or False - A facility must return to the resident, or the person who executed the written authorization, upon written request, all or any part of the resident's funds given to the facility for safekeeping, including the interest accrued from deposits.

1. True 2. False 24 Which is not true?

1. Every resident must be permitted unimpeded, private and uncensored communication of his choice by mail, public telephone or visitation. 2. Must ensure that correspondence is conveniently received and mailed, and that telephones are reasonably accessible. 3. Must ensure that residents may have private visits at any reasonable hour unless such visits are not medically advisable for the resident as documented in the resident's clinical record by the resident's physician 4. Must provide each resident a private phone. Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 5 of 19 25 The facility must allow daily visits for residents between ______

1. 7:00 A.M. and 7:00 P.M. 2. 8:00 A.M. and 9:00 P.M. 3. 9:00 A.M. and 5:00 P.M. 4. l0:00 A.M. and 8:00 P.M.

26 True or False - Unimpeded, private and uncensored communication by mail, public telephone, and visitation may be reasonably restricted by a physician only in order to protect the resident or others from harm, harassment or intimidation provided that the reason for any such restriction is placed in the resident's clinical record by the physician and that notice of such restriction is given to all residents upon admission.

1. True 2. False

27 A facility must not examine or open letters received from which of the following:

1. The Governor 2. Members of the General Assembly 3. Attorney General 4. A judges 5. A state's attorney 6. The Department 7. A licensed attorney at law 8. All of the above

28 A visitor may or may not enter the immediate living area of any resident without first identifying himself

1. May 2. May not

29 The facility must at the time of admission provide each resident a written statement explaining which of the following:

1. Medicaid and Medicare benefits 2. Rights to manage personal funds 3. A listing the services which the resident will be charged 4. All of the above

30 Which is true?

1. A resident must be permitted to manage their own financial affairs 2. The facility must obtain a signed acknowledgement from each resident of notification of their resident rights 3. The written acknowledgement of notification of resident rights does not need to be witnessed by an individual not connected with the facility 4. The facility may accept funds from a resident for safekeeping pursuant to written authorization from the resident

31 Must provide residents a written itemized statement of their trust account at least ____

1. Weekly 2. Monthly 3. Quarterly 4. Annually

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 6 of 19 32 The facility must purchase a resident trust fund surety bond equal to or greater than _____ managed by the facility,

1. 10% of all resident funds 2. 40% of all resident funds 3. 70% of all resident funds 4. 100% of all resident funds

33 The facility resident trust fund surety bond must designate ______as oblige (beneficiary)

1. The facility 2. The resident council 3. The Illinois Department of Health 4. The nursing home administrator

34 True or False - A facility may commingle facility and resident funds in a facility account

1. True 2. False

35 The facility must deposit any funds received from a resident in excess of $_____ in an interest bearing account

1. $50 2. $100 3. $500 4. $1000

36 The facility may keep up to ____ of a resident's money in a non-interest bearing account or petty cash fund, to be readily available for the resident's current expenditures.

1. $25 2. $50 3. $100 4. $500

37 The interest earned on the resident trust fund account accrues to the benefit of the _____

1. Facility 2. The Department 3. The administrator 4. The resident

38 True or False - The facility must upon the death of a resident provide the executor or administrator of the resident's estate with a complete accounting of all the resident's personal property, including any funds of the resident being held by the facility.

1. True 2. False

39 True or False - If an adult resident is incapable of managing his funds and does not have a resident's representative, guardian, or an immediate family member, the facility must notify the ______.

1. The Department 2. Office of the State Guardian of the Guardianship and Advocacy Commission. 3. Long Term Care administrator 4. Clerk of the Courts Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 7 of 19

40 Which is true?

1. Must place any monthly allowance to which a resident is entitled in that resident's personal account 2. Must ensure that a personal needs allowance that is placed in a resident's personal account is used exclusively by the resident or for the benefit of the resident. 3. If a resident’s monthly allowance funds are withdrawn by any person other than the resident, the facility must require such person to execute an affidavit that such funds will be used exclusively for the benefit of the resident 4. All of the above

41 The ______is/are liable to a resident residing in a facility for any intentional or negligent act or omission of their agents or employees which injures the resident.

1. The department 2. The CMS 3. The facility owner and licensee 4. The long term care ombudsman

42 If a licensee violates a resident’s rights, the licensee must pay _____ the actual damages, or $500, whichever is greater, and costs and attorney's fees to a facility resident violated.

1. 2 times 2. 3 times 3. 4 times 4. 5 times

43 True or False - A waiver willingly signed by a resident of their right to sue a facility is legally enforceable

1. True 2. False

44 The _____ must ensure that married residents residing in the same facility be allowed to reside in the same room.

1. Director of Nursing 2. Social Worker 3. Administrator 4. Dietary manager

45 The ______must ensure that resident correspondence is conveniently received and mailed, and that telephones are reasonably accessible.

46 The _____ must ensure that residents have private visits at any reasonable hour unless such visits are not medically advisable for the resident as documented in the resident's clinical record by the resident's physician.

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 8 of 19 Unimpeded, private and uncensored communication by mail, public telephone and visitation may or may 47 not be reasonably restricted by a physician to protect the resident or others from harm, harassment or intimidation

1. May 2. May not

48 The administrator of a facility may or may not refuse access to the facility to any person who is a threat to the health and safety of a resident or the security of the property of a resident, or if the person seeks access to the facility for commercial purposes.

1. May 2. May not

49 Any person refused access to a facility may within _____ days request a hearing

1. 5 2. 10 3. 15 4. 20

50 A facility is or is not required to provide at admission a written statement explaining to each resident their spousal impoverishment rights and the resident's rights regarding personal funds and listing the services for which the resident will be charged

1, Is 2. Is not

51 True or False - The facility personnel are not required to knock before entering a resident's room.

1. True 2. False

52 A resident must be permitted to present grievances on behalf of himself and others without threat of discharge or reprisal in any form or manner whatsoever to which of the following:

1. The administrator 2. The Long-Term Care Facility Advisory Board, 3. The residents' advisory council 4. State governmental agencies or other persons 5. All of the above

53 True or False - The facility administrator must provide all residents or their representatives with the name, address, and telephone number of the appropriate State governmental office where complaints may be lodged.

1. True 2. False

54 A complaint may be filed against a facility with the Department ______

1. In writing 2. By telephone 3. By personal visit 4. Any one of the above.

1. True 2. False

56 True or False - The Department may disclose the name of a complainant if the complainant did not consent in writing to such disclosure

1. True 2. False

57 The Department must investigate all complaints received from nursing home residents, with the exception of allegations of abuse, within ____ working days

1. 5 2. 15 3. 30 4. 60

58 The Department must investigate complaints that allege abuse but the life or safety of a resident is not in imminent danger within ____ days

1. 3 2. 7 3. 14 4. 30

59 The Department must investigate complaints that allege abuse or neglect where the life or safety of a resident is in imminent danger with ____

1. 24 hours 2. 48 hours 3. 72 hours 4. 96 hours 60 A complaint would not be classified by the department as a(n) ______.

1. Valid report 2. Invalid report 3. Pending report 4. Undetermined report 61 For any complaint classified as "a valid report," the Department must determine within ___ working days if the facility violated any licensing requirements

1. 3 2. 7 3. 14 4. 30

62 True or False - The Department may not permit the resident or complainant or a representative of the complainant to accompany the person making the on-site inspection of the facility pursuant to their complaint.

1. True 2. False

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 10 of 19 63 A facility is or is not required to obtain a signed acknowledgment from each resident that such person has received a written statement of their spousal impoverishment rights and rights regarding personal funds and a listing of the services the resident will be charged.

1, Is 2. Is not

64 The facility may keep up to $_____ of a resident's money in a non-interest bearing account or petty cash fund, to be readily available for the resident's current expenditures.

1. $25 2. $50 3. $100 4. $200 65 True or False - A facility must place any monthly allowance for a resident into that resident's personal account, or give it to the resident, unless the facility has written authorization from the resident handle it differently,

1, True 2. False

66 True or False – A facility must take all steps necessary to ensure that a personal needs allowance that is placed in a resident's personal account is used exclusively by the resident or for the benefit of the resident 1. True 2. False 67 If funds are withdrawn from a resident's personal account and released to a person other than the resident, and those funds constitute any part of a resident's personal needs allowance, that individual is or is not required to execute an affidavit that such funds will be used exclusively for the benefit of the resident 1. Is 2. Is not

68 How often must a nursing facility provide a written record of all financial transactions involving a resident's funds?

1. At least quarterly 2. At least monthly 3. At least semi-annually 4. At least annually

69 How often must a nursing facility provide a written record of all financial transactions involving a resident's funds?

1. At least quarterly 2. At least monthly 3. At least semi-annually 4. At least annually

70 True or False - A facility participating in the medical assistance program may refuse to retain as a resident an individual who is a Medicaid recipient or has applied for Medicaid

1, True 2. False

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 11 of 19 71 A recipient or applicant for medical assistance must be considered a resident in the facility during any hospital stay totaling _____ days or less following a hospital admission.

1. 3 days or less 2. 5 days or less 3. 7 days or less 4. 10 days or less

72 The day on which a resident is discharged from the facility and admitted to the hospital is or is not considered the first day of the required ten-day hospital stay.

1. Is 2. Is not

73 All medical treatment and procedures must be administered as ordered by ______

1. The Director of Nursing 2. The assistant director of nursing 3. The Medical director 4. A physician

74 All new physician orders must be reviewed by the facility's director of nursing or charge nurse designee within __ hours after such orders have been issued to assure facility compliance with such orders.

1. 8 2. 12 3. 24 4. 48

75 True or False - Every resident, resident's guardian, or parent if the resident is a minor must be permitted to inspect and copy all of the resident's clinical and other records concerning the resident's care and maintenance kept by the facility or by the resident's physician.

1. True 2. False 76 True or False - Resident medical records are confidential

1. True 2. False 77 Per state law, The Illinois Department of Health has the right to do which of the following:

1. Enter any facility at any hour 2. Communicate privately and without restriction with any resident who consents to the 3. communication; 4. Seek consent to communicate privately and without restriction with any resident; 5. Inspect the clinical and other records of a resident with the express written consent of the 6. resident; 7. All of the above

78 The ____means a person who represents the rights and interests of an individual as though they were the person's own, in order to realize the rights to which the individual is entitled, obtain needed services, and remove barriers to meeting the individual's needs.

1. Dietician 2. Administrator 3. Social worker 4. Advocate

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 12 of 19 79 The degree to which an individual meets the standards of personal independence and social responsibility expected of his age and cultural group is called ______..

1. Mental retardation 2. Mental illness 3. Adaptive behavior 4. Age appropriate 80 The full-time administrator, or an individual on the professional staff in the facility, who is directly responsible for the coordination and monitoring of the residents' overall plans of care in an intermediate care facility is called the ______. 1. Monitor 2. Health Services Supervisor 3. Nursing Assistant 4. Resident Services Director 5. Dietary supervisor 81 A person who is physically and mentally capable of walking without assistance, or is physically able with guidance to do so, including the ascent and descent of stairs is called _____.

1. Flexible 2. Remedial 3. Ambulatory 4. Independent

82 A registered professional nurse or a licensed practical nurse in charge of the nursing activities for a specific unit or floor during a tour of duty is called a ______.

1. Director of nursing 2. Assistant director of nursing 3. MDS coordinator 4. Charge nurse

83 ______means any drug that is used for discipline or convenience and is not required to treat medical symptoms or behavior manifestations of mental illness.

1. Corporal punishment 2. Chemical restraint 3. Physical restraint 4. Discipline

84 A painful stimuli inflicted directly upon the body is called ______.

1. Corporal punishment 2. Chemical restraint 3. Physical restraint 4. ______

85 A Dietetic Service Supervisor needs to meet which of the following requirements:

1. is a dietitian; or 2. is a graduate of a dietetic technician or dietetic assistant training program, corresponding or classroom, approved by the American Dietetic Association 3. has successfully completed a Dietary Manager's Association approved dietary managers course 4. is certified as a dietary manager by the Dietary Manager's Association 5. has training and experience in food service supervision and management in a military service position 6. All of the above

1. Substantial compliance 2. Substantial failure 3. Immediate jeopardy 4. Constructive compliance

87 The full release of any resident from a facility is called _____..

1. Admission 2. Transfer 3. Discharge 4. All of the above

88 A facility that provides basic nursing care and other restorative services under periodic medical direction is called a ______

1. Skilled Nursing facility 2. Assisted Living Facility 3. Intermediate Care Facility 4. Acute Care Facility

89 A facility that provides skilled nursing care, continuous skilled nursing observations, restorative nursing, and other services under professional direction with frequent medical supervision is called a ______1. Skilled Nursing facility 2. Assisted Living Facility 3. Intermediate Care Facility 4. Acute Care Facility 90 A person appointed by a court to represent the rights of resident determined to lack capacity is called a ______. 1. Monitor 2. Health Services Supervisor 3. Nursing Assistant 4. Guardian 5. Health Information Management Consultant 91 A person who is certified as a Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) by the American Health Information Management Association; or is a graduate of a school of health information management that is accredited jointly by the American Medical Association and the American Health Information Management Association is called a ______.

1. Monitor 2. Health Services Supervisor 3. Nursing Assistant 4. Guardian 5. Health Information Management Consultant

92 A full-time Registered Nurse who is directly responsible for the immediate supervision of the health services in an Intermediate Care Facility is called a ______.

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 14 of 19 93 Where a licensing authority determines that a facility had serious deficiencies requiring a correction, this variance in requirements is called ______

1. Substantial compliance 2. Substantial failure 3. Immediate jeopardy 4. Constructive compliance.

94 A person placed in a facility by the Department to observe operations of the facility, advise it on how to comply with the State regulations, and reports periodically to the Department on the operations of the facility is called a ______

95 The principle of helping individuals to obtain an existence as close to normal as possible is called ______.

1. Stabilization 2. Recalibration 3. Normalization 4. Re-direction

96 A person who provides nursing care or personal care to residents of licensed long-term care facilities is called a ______

97 Nursing assistants must function under the supervision of _____

1. Medical director 2. MDS coordinator 3. Licensed nurse 4. Administrator.

98 A complex of activities that carries out the diagnostic, therapeutic, and rehabilitative plan as prescribed by a physician is called ______.

1. Nursing care 2. Dietary care 3. Social services 4. Pharmacy services

99 A nursing unit cannot have more than ____ beds

1. 40 2. 50 3. 60 4. 75 5. 80

1. 100 2. 120 3. 140 4. 150

101 “Provisional Admission Period” means the time between the admission of an identified offender and ____ following the admitting facility's receipt of an Identified Offender Report and Recommendation

1. 1 day 2. 2 days 3. 3 days 4. 5 days

102 Reasonable Visiting Hours” means any time between the hours of ______daily.

1. 7am to 7 pm 2. 8 am to 5 pm 3. 6 am to 4 pm 4. 10 am to 8 pm

Quest # Answer Explanation

1 2 2 4 3 4 4 1 5 1 6 2 7 3 8 1 9 4 10 4 11 1 12 4 13 2 14 1 15 3 16 2 17 1 18 1 19 2 20 1 21 4 22 4 23 1 24 4 25 4 26 1 27 8 28 2 29 4 30 3 31 3 32 4 33 3 34 2 35 2 36 3 37 4 38 1 39 2 40 4 41 3 42 2 43 2 44 3 45 3 46 3 47 1 48 1 49 2 50 1 51 2

52 5 53 1 54 4 55 1 56 2 57 3 58 2 59 1 60 3 61 4 62 2 63 2 64 3 65 1 66 1 67 1 68 1 69 1 70 2 71 4 72 1 73 3 74 3 75 1 76 1 77 7 78 4 79 3 80 4 81 3 82 4 83 2 84 1 85 6 86 1 87 3 88 3 89 1 90 4 91 5 92 2 93 2 94 1 95 3 96 2 97 3 98 1 99 4 100 3 101 3 102 4

Module 3 - Resident Rights Copyright © 2010 by Stan Mucinic. All rights reserved. 18 of 19 Module 4 – Resident Rights – Exam 1 - Answer Sheet 36 73 110 147 1 37 74 111 148 2 38 75 112 149 3 39 76 113 150 4 40 77 114 151 5 41 78 115 152 6 42 79 116 153 7 43 80 117 154 8 44 81 118 155 9 45 82 119 156 10 46 83 120 157 11 47 84 121 158 12 48 85 122 159 13 49 86 123 160 14 50 87 124 161 15 51 88 125 162 16 52 89 126 163 17 53 90 127 164 18 54 91 128 165 19 55 92 129 20 56 93 130 21 57 94 131 22 58 95 132 23 59 96 133 24 60 97 134 25 61 98 135 26 62 99 136 27 63 100 137 28 64 101 138 29 65 102 139 30 66 103 140 31 67 104 141 32 68 105 142 33 69 106 143 34 70 107 144 35 71 108 145 72 109 146