Bed Mobility
After reviewing the care plan you went to Mrs. Gordon's room to help her position in bed. You went in, woke her and provided her a cue to turn to her side.
What is Supervision? 1/1
According to the care plan, Mrs. Long needs guided maneuvering for positioning her hands on the dining room chair when transferring from the chair to the standing position. At breakfast, you guided Mrs. Longs hands to the arms of the dining room chair so she could push herself up to the standing position.
What is limited assist. 2/2
According to her care plan, Mrs. Elliot is able to transfer herself to the toilet, clean herself but she needed your help to pull up and fasten her pants.
What is Extensive assistance of one? 3/2.
Mrs. Green's care plan say she needs assistance with food placement on her plate, cutting meat and cues to guide her to her utensils throughout the meal. How is this coded for the ADL of eating?
What is supervision, set-up only? 1/1
In order to document someone as Independent, the resident completed the activity with no help or oversight. True or False
What is True? 0/0
After reviewing the care plan you and another CNA enter Mr. Mallow's room. He has slid down in his bed and needs repositioned. He is able to assist by bending his knees and pushing his legs. You and the other CNA need to physically pull him up in bed.
What is extensive assist of two? 3/3
According to the care plan, Mr. Austin has Parkinson's and needs weightbearing assist of 2 staff to transfer using the sit/stand lift. During your shift, you and another staff transferred Mr. Austin from his bed to his wheelchair using the sit/stand lift. He was able to hold on to the hand grips during the transfer. What is the appropriate coding for transfers?
What is extensive assist. 3/3
During your shift, Mr. Stone needed toileting assist to pull up and zip his pants and handing him a washcloth to wash his hands. How do you code toileting?
What is extensive assist? 3/2
The care plan for Mr. Black states he needs assist with lifting his fork to his mouth during eating. At breakfast, you sat with Mr. Black and lifted his right arm to his mouth each time he took a bite. The correct coding in the ADL book is.
What is extensive assist? 3/2
To code someone as Supervision, only oversight, encouragement or cueing was provided. If you touch the resident, supervision would not be the accurate documentation. True or False.
What is True, this is limited assistance of one? 2/2
Mr. Bird favors lying on his right side. An intervention on his care plan to prevent skin breakdown is to rotate from his side to his back, and vice versa every 2 hours. You go to his room and guide his hand to the repositioning bar and he turns to his left side.
What is limited assist of one? 2/2
According to the care plan, Mrs. Davis has right sided weakness due to her recent stroke and needs assist of 2 staff to transfer using the mechanical lift. During your shift, you and another staff transferred Mrs. Davis from her bed to her wheelchair using the mechanical lift. She provided no assistance during the transfer. What is the appropriate coding for transfers?
What is Total dependence of two people's assistance? 4/3
Mrs. Rubble is a post right ankle fracture and has orders for non-weightbearing to her right foot. During your shift you took her to the bathroom, physically transferred her from the wheelchair to toilet and then back from the toilet to the wheelchair. She was able to do her peri care, wash her hands and adjust her clothing herself. How do you code toileting based on the assistance you provided?
What is extensive assist of one for toileting? 3/2
It is lunch time and you are the only CNA in the dining room as Mr. Moore comes to his table. You bring him his plate, cup of coffee and provide him no other assistance during the meal. When you document the ADL of eating, you document supervision with set up. Is this the correct documentation? Yes or No
What is NO. (Independent with no set up) 0/0
In order to code an ADL as limited assistance, you only provided non-weight bearing assistance for the resident such as guided maneuvering of limbs during the ADL activity. True or False.
What is True? 2/2
Mrs. Cook is on hospice and is at the end of her life. She is unable to assist with any of her adls. Her care plan indicates to physically turn her in bed approx. every 2 hours. At 2pm you go to her room, her family member is there and wants to help, the 2 of you physically turn her to her right side.
What is total dependence, with one person assistance? 4/2
As a CNA, you are working the overnight shift. Mrs. Christensen was asleep each time did your hourly checks, and is not on a toileting plan. What is the appropriate coding for transfers for your shift?
What is Activity did not occur. 8/8
Mrs. Terry has a supra pubic catheter that she is able to manage on her own. During your shift, she emptied her catheter into a graduated cylinder and asked you to dispose of it in the toilet for her. She did not have a bowel movement on your shift. How do you code for toileting?
What is independent? 0/0
As the CNA, you are documenting the ADLs at the end of your shift. For eating, Mrs. Reynolds has a g-tube and takes nothing by mouth. She did not come to the dining room for the meal. What do you document for eating?
What is Activity did not occur? 8/8
To code an ADL as extensive assistance, you must provide weight bearing assistance for the resident. Examples include: lifting the residents hand to place on a repositioning bar, lifting a residents hand to their mouth while eating or lifting a residents legs into bed. True or False.
What is True? 3/2
Mr. Kline prefers to sleep in his recliner as stated in his care plan. During your shift, he asked you to remove the pillow from under his feet which required you to lift both of his legs up to remove the pillows. He is able to lean forward so you can place a pillow behind his back. How do you code this ADL?
What is extensive assist of one, for bed mobility? 3/2
During your shift, Mrs. Jones transferred from her bed to her wheelchair. She needed you to bring the wheelchair next to the bed and remind her to hold the chair and to position her body slowly. You provided this reminder one time on your shift.
What is supervision w/set up? 1/1
Mrs. White has an end stage cancer diagnosis and is unresponsive. She is unable to get up to toilet and is incontinent of bowel and bladder. During your shift you were required 3 times to provide incontinence care for her. How code do you document for toileting?
What is Total dependence? 4/2
Mrs. Reynolds has a g-tube and takes nothing by mouth. She also does not participate in any aspect of her tube feeding. As the NURSE what do you document for eating?
What is total dependence? 4/2
The term "Late loss ADLs" means that residents retain their functional ability in these four areas the longest. Only these 4 specific ADLs, which are coded on the MDS, influence the reimbursement rate. What are the four late loss ADLs that staff provide documentation on?
What are Bed mobility, Eating, Toileting, and Transfers.