According to the OBRA regulations

1What is the assessment reference date (ARD)?

The beginning of the observation period for items on the MDS.

The endpoint of the observation period for items on the MDS.

Not related to the observation period for items on the MDS.

The endpoint of a Medicare Part A stay, known as the last covered day.

2 What is the minimum number of assessments due in one year?

One, as long as it is a comprehensive assessment.

Two, a comprehensive and a Quarterly.

Three, a comprehensive and two Quarterlies.

Four, a comprehensive and three Quarterlies.

3 After completing the MDS, when must it be encoded?

7 days

14 days

21 days

31 days

4 The assessment reference date (ARD) for a Significant Change of Status Assessment (SCSA) is set for March 20. What is the date range for the 7-day “look-back” observation window?

March 14 through March 20

March 14 through March 21

March 20 through March 27

March 27 through April

5 When signing at V0200B1 and entering the date at V0200B2, the registered nurse assessment coordinator is indicating which one of the following items?

Verifying that the CAAs are complete.

Attesting to the accuracy of the MDS.

Certifying that the care planning is complete.

Verifying that the MDS is complete.

6 The Activities Director completed the items assigned to her for a resident’s Admission assessment on February 25. She was off the next day when the assessment was printed and ready for signatures verifying accuracy at Z0400. When she returned to work on February 27, what was the appropriate course of action for her?

Sign Z0400A and enter February 27 at Z0400B.

Ask a staff member who was present the previous day to verify the accuracy of her work and sign and date Z0400 for her items.

Sign Z0400A and enter February 25 at Z0400B.

Review the work she did on February 25 and attest to the accuracy on February 27.

7 The Activities Director completed the items assigned to her for a resident’s Admission assessment on February 25. She was off the next day when the assessment was printed and ready for signatures verifying accuracy at Z0400. When she returned to work on February 27, what was the appropriate course of action for her?

Sign Z0400A and enter February 27 at Z0400B.

Ask a staff member who was present the previous day to verify the accuracy of her work and sign and date Z0400 for her items.

Sign Z0400A and enter February 25 at Z0400B.

Review the work she did on February 25 and attest to the accuracy on February 27.

8 The regulation indicates which of the following for when the look-back period extends into the preadmission period?

Permits capturing the information for coding on the MDS as long as the preadmission period captured does not exceed 7 days.

Permits capturing the information for coding on the MDS as long as the preadmission period captured does not exceed 14 days.

Does not permit capturing the information for MDS coding.

Does not permit capturing the information for MDS coding unless the RAI User’s Manual instructions state otherwise.

9 If you complete the MDS and CAAs for an Admission assessment on day 7 of the stay, by what day must the care plan be completed?

Day 7

Day 12

Day 14

Day 21

10 According to the OBRA regulations, the Admission assessment must be completed (CAA completion, V0200B2) by the end of what day?

Day 7

Day 12

Day 14

Day 21

11 Which of the following is true about scheduling an Annual assessment?

There should be no more than 366 days from the assessment reference date of the previous comprehensive assessment to the assessment reference date of the Annual.

There should be no more than 366 days from the completion date of the previous comprehensive assessment to the completion date of the Annual.

The number of days since the ARD of the previous quarterly is irrelevant.

If the resident meets criteria for a Significant Change in Status Assessment, it is acceptable to just complete the Annual instead since it is exactly the same assessment.

12 If the resident discharges return anticipated prior to completion of the initial Admission assessment, and the nurse assessment coordinator elected not to complete the Admission assessment that was in progress, what is the appropriate choice upon return?

Schedule a Significant Change in Status Assessment, because this is required upon readmission following any hospitalization.

Schedule a start of therapy OMRA.

Schedule an Admission assessment that must be completed by day 7 of the current stay.

Schedule an Admission assessment that must be completed by day 14 of the current stay.

13 Comprehensive assessment is distinguished from an assessment that is not comprehensive by what characteristics?

A comprehensive assessment does not include section V.

A comprehensive assessment requires care planning; all other assessment types do not.

A comprehensive assessment always requires CAAs.

A comprehensive assessment must be supported by chart documentation.

14 If the assessment reference date for an Admission assessment is September 12, when must the registered nurse assessment coordinator sign off that the assessment is complete at V0200B2?

By September 12.

No later than the 14th day after admission.

No later than the 14th day after the assessment reference date (ARD).

No later than the 21st day after Admission.

15 What do you do if a private pay resident is discharged within 14 days of admission, and you’ve completed only a portion of the Admission assessment?

You must complete the assessment with the day of death or discharge as the ARD.

Completion of the assessment is not required, but you must file the incomplete assessment in the discharge record.

Completion of the OBRA discharge is not required.

You complete the assessment, including CAAs, to the best of your ability.

16 Mr. J.’s Annual assessment is in progress. The assessment reference date (ARD) is October 10. Which option represents an acceptable sequence of events?

Team members completed their sections, several attesting to their accuracy at Z0400 on October 11, others signed off on October 12. The registered nurse assessment coordinator signed at Z0500B, verifying MDS completion on October 11 and V0200B2, (CAA completion), on October 14.

Team members completed the behavior items in section E and signed them off, attesting to their accuracy at Z0400 on October 9. All other sections were signed off by October 12 at Z0400. The registered nurse assessment coordinator signed at Z0500B, verifying MDS completion on October 12 and at V0200B2, (CAA Completion), on October 13.

Several team members completed their sections and signed them off, attesting to their accuracy on October 11. All other sections were signed off at Z0400 by October 12. The registered nurse assessment coordinator signed at V0200B2, (CAA completion), on October 12 and at Z0500B, (MDS completion), on October 13.

Team members completed the sections with interview items signed on October 10. Other non-interview items were signed off on either October 11 or October 12. The registered nurse assessment coordinator signed at Z0500B, (MDS completion) on October 12 and V0200B2 (CAA completion)

17 June 5 was the assessment reference date (ARD) for Mrs. K’s Admission assessment. Her first Quarterly assessment had an ARD of September 3. In October, she had a significant change in status, and the significant change of status assessment (SCSA) had an ARD of October 15. When is the next Quarterly due at A2300 and her next Annual assessment due at A2300?

Quarterly due no later than December 1, Annual due no later than June 5

Quarterly due no later than December 1, Annual due no later than October 15

Quarterly due no later than January 15, Annual due no later than June 5

Quarterly due no later than January 15, Annual due no later than October 15

18 The interdisciplinary team has identified a change in a resident’s status. After assessing the resident and ensuring that follow-up care is provided, what is the nurse assessment coordinator’s next step?

Determine if this change meets criteria listed in Chapter 2 of the RAI Manual for a Significant Change in Status Assessment (SCSA).

Document that the resident has had significant change in status requiring an SCSA.

Complete a Significant Change in Status Assessment.

Schedule an Annual Assessment.

19 The interdisciplinary team has identified a change in a resident’s status. After assessing the resident and ensuring that follow-up care is provided, what is the nurse assessment coordinator’s next step?

Determine if this change meets criteria listed in Chapter 2 of the RAI Manual for a Significant Change in Status Assessment (SCSA).

Document that the resident has had significant change in status requiring an SCSA.

Complete a Significant Change in Status Assessment.

Schedule an Annual Assessment.

20 When is a comprehensive assessment not required?

The resident is admitted to the facility for the first time and remains beyond 14 days.

The resident has a significant change in status by MDS definition.

The resident returns after a five-week hospital admission.

A resident’s significant weight loss is her only change in health status.

21 Today is October 21. Mr. E., a private pay resident, was admitted on October 10. The assessment reference date (ARD) for his Admission assessment is October 20. It is clear today that he has suffered a significant change in status related to extension of his stroke. The physician does not want to admit him to the hospital because the nursing facility can provide the necessary care and services. From an MDS standpoint, what is the correct course of action?

Complete the Admission assessment as planned.

Complete a Significant Change in Status Assessment, because it will replace the Admission assessment.

Dually code the assessment as both the Admission and PPS 5 Day.

Dually code the assessment as both the Admission and SCSA.

22 On December 1, a long-term care resident was again readmitted from a six-day hospital stay. She is not Medicare eligible. The nurse assessment coordinator (NAC) completed a Significant Change assessment with an assessment reference date (ARD) of December 9. On December 30, the resident was readmitted to the hospital again and the NAC completed an OBRA Discharge return anticipated assessment. The resident returned to the skilled nursing facility on January 5. In this situation, which of the following is the most likely assessment to be completed next?

A significant change assessment

A quarterly assessment

A care area assessment

A care plan

23 After completing the Quarterly MDS, when must it be transmitted to the national QIES ASAP system?

Within 7 days

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