WI NHA State Exam; Completely solved (GRADED A+)
Advanced Practice Nurse Prescriber correct answers A person who has been granted a certificate
to issue prescriptino orders.
Authorized prescriber correct answers A person licensed in this state to prescribe medications,
treatments, or rehabilitative therapies.
Department correct answers Wisconsin Department of Health Services
Developmental Disability correct answers Mental retardation or a related condtion, such as
cerbral palsy, epilepsy or autism, but excluding mental illness and infirmities of aging (which is
manifested before the ind. reaches age 22, likely to continue indeinitely, and results in substantial
functiona limitations in 3 or more of major life activities.
Major life activities include.... correct answers self-care, understanding and use of language,
learning, mobility, self-direction, and capacity for indpendent living
Dietitian means... correct answers a person who is certified under statues 448.78, licensed or
certified as a dietitian in another state.
Facility means... correct answers a nursing home subject to the requirements of chapter DHS 132
Full Time means... correct answers at least 37.5 hours each week devoted to facility business.
IMD means... correct answers Institution for mental diseases-- a facility that meets the defention
of an institution for mental disesease under 42 CFR 435.1009
Intenstive skilled nursing care means... correct answers care requiring specialized nrusng
assessment skills and the prformance of specific services and procedures taht are complex
becasue of the resident's condition or the type or number of procedures that are necessary
Intensive skilled nursing care includes... correct answers Direct patient observation or montioring
or perfomance of complex nursing proedures by registered nurses and licensed practial nurses on
a continuing basis, repeated application of complex nursing procedures or services every 24
hours, or frequent montioring and documentaiton of the residnet's condition and response to
theraputic measures.
Intermediate care facility means... correct answers a nursing home which is licensed by the
department as an intermediate care facility to provide intermediate nursing care.
Intermediate nursing care means... correct answers basic care consisting of physical, emotion,
social, and other rehabilitative services under periodic medical supervision. This nursing care
requires the skill of an RN for oservaion and recording of reactions and symptoms, and for
supervision of nursing care. Most of the resident have long term illnesses or disabilities which
,may have reached a stable plateau. Other indiviuals may require nursing care to maintain a
stabality. Essential supportive consultant services are provided
Involuntary administration of psychotropic medication includes any of the following... correct
answers Placing psychotropic medications in and ind. food or drink with knowledge that the ind.
protests receipt of the psychotropic meds, forcibly restraining an ind. to enable administration of
psychotropic meds, requiring an ind. to take psychotropic medication as a condition of receiving
privleges or benefits.
License practical nurse means... correct answers A person licensed as a licesend practical nurse
under ch. 441 stats.
Limited nursing care means... correct answers Simple nrsing care procedures required by
residents with long term illnesses or disabilities in order to maintain stability and which can be
provided safetly only by or under the supervision of a person no less skilled than licensed
practicual nurse who works under he direction of an RN. Supervision of the physicial, emotional,
social, and rehabilatative needs o the resident is the responsibility of the appropriate health care
provider serving under the direction of a physician.
Neglect means... correct answers does not include an act or acts of mere inefficiency,
unsatisfactory conduct or failure in good perormance as the result of inability, incapacity,
inadvertency or ordinary negligence in isolated instances, or good faith errors in judgement or
discretion.
Nurse means.... correct answers a registered nurse or licensed practical nurse
Nurse practioner means... correct answers a registered professional nurse wh meets the
requirements of DHS 105.20(1)
Nursing assistant means... correct answers A person who is employed primarily to provide direct
care services to residents but is not registered or licensed under ch. 441 stats.
Pharmacist means... correct answers A person registered as a pharmacist under ch. 450 stats.
Physician means.... correct answers A person license to practice medicine or osteopathy under
ch. 448 stats.
Physical therapist means.... correct answers a person licensed to pracice physical therapy under
ch. 448 stats.
Physician extender means... correct answers A person who is a phsycian's assistant or a nurse
practioner acting under the general supervision and direction of a physician.
Physician's assistant means... correct answers A person certified under ch. 448 stats. to perform
as a physician's assistant.
,Practioner means... correct answers a physician, dentist, podiatrist, or other person permitted by
Wisconsin law to distribute, dispense, and administer a controlled substance in the course of
professional practice.
Protest means... correct answers Make more than one discernible negative respone, other than
mere silence, to the offer of, recommendation for, or other proffering of voluntarry receipt of
psychotropic medication. Protest does not mean a discernible negative response to a proposed
method of administration of the psychotropic medication.
Psychotropic medication means... correct answers A precription drug defined in s. 450.01(20)
stats. that is used to treat or manage a psychiatric symptom or challenging behavior.
Recuperative care means... correct answers care anticiapted to be provided for a preiod of 90
days or less for a resident whose physcian has certified that he or she is convalescin or
recuperating from an illness or a medical treatment.
Registered Nurse means... correct answers A person who holds certification of registration as a
registered nurse under ch. 441 stats.
Resident means... correct answers A person cared for or treated in any facility on a 24-hour basis
irrespective of how the person has been admitted to the facility.
Reispite Care means... correct answers Care anticipated to be provided for a period of 28 days or
less for the purpose of temporarily relieving a family member or other caregiver from his or her
daily caregiving duties.
Short-Term Care means... correct answers recuperative care or respite care
Skilled Nursing Facility means... correct answers A nursing home which is licensed by the
department to provide skilled nursing services.
Skilled Nursing Services means... correct answers Services furnished pursuant to a physcian's
order which require the skills of professional personnel such as RN/LPN, and are proivded either
directly by or under the supvision of these personnel.
For a service to be skilled, the following criteria should be used... correct answers the service
would constitute a skilled service where the inherent complexity of a service prescribed fo a
resident is such that it can be safely and effectively performed only by or under the supervision
of professional personnel, and the restoration potential of a resident is not the deciding factor in
determining wheather a service is to be considered skilled or unskilled. Even where full recovery
or medical improvement is not possible, skilled care may be needed to prevent, to the extent
possible, deterioration of the condition or to sustain current capacitis, and a service that is
generally unkilled would be considered skilled becasue of special medical complications, its
performance or supervision or observation of the resident necessitates the use of skilled nursing
peronnel.
, Supervision means... correct answers at least intermittent face to face contact between supervisor
and assistant, with the supervisor instructing and overseeing the assistant, but does not requie the
continuous presene of the supervisor in the same building as the assistant.
Tour of duty means... correct answers portion of the day during which a shift of resident care
personnel are on duty
Unit dose drug delievery system means... correct answers A system for the distribution of
medications where single doses of medications are individually packaged and sealed for
distribution to residents.
Nursing homes shall elect one of the following categories of licensure... correct answers Skilled
nursing facility or intermediate care facility
Licensure as an institution for mental diseases requirements... correct answers 1. Conversion of
all or soe of the beds within the facility will result in a physicially identifiable unit of the facility,
which may be a ward, contiguous wards, a wing, a floor or a building, and are separeately
staffed;
2. The IMD shall have a menimum of 16 beds;
3. conversion of beds to or from an IMD should not increase the total number of beds within the
facility;
4. and the facility has submitted an application to convert all or a portion of its beds to an IMD
and the department has determined the facility is in substantial compliance with this chapter.
A facility may not submit an application for conversion of beds to or from an IMD more than
___ times a year. correct answers 2
Exclusion -- an existing facilit applying to be licensed in whole or part as an IMD is not subject
to prior review under ch. 150 stats.
Application for a license for an IMD shall be made on a ________ provided by the department
correct answers form
Requirements for licensure: In every application the license applicant shall provide all of the
following .... correct answers 1. identities of all persons/business entities having authority,
directly or indirectly, to direct or cause the direction of the management or policies of the facility
2. identities of all persons/business entities having any ownership interest whatsoever in the
facility, whether direct or indirect, and whether the interest is in the profits, land or building,
including ownsers of any buisness entity which owns any part of land or building.
3. idntities of all creditors holding a security interest in the premises, whether land or building
