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WorksheetsDementia Care and QAPI Worksheet
Total questions: 20
Worksheet time: 3mins
Which statement BEST reflects CMS’s view of dementia-related behaviors?
Behaviors should be eliminated to maintain unit order
Behaviors are expected and unavoidable in dementia
Behaviors are a form of communication indicating unmet needs
Behaviors require medication if they disrupt care
A resident with dementia strikes out during bathing. Which action is MOST consistent with CMS expectations?
Document refusal and complete care later
Assign two staff to finish care quickly
Stop, reassess triggers, and modify the approach
Administer PRN medication to prevent recurrence
Which factor would MOST likely trigger distress in a resident with dementia?
Consistent caregivers
Quiet, well-lit environment
Being rushed during care
Familiar routines
Which action could place a facility at risk for an F600 citation?
Encouraging independence during dressing
Speaking loudly due to hearing loss
Ignoring a resident’s refusal of care
Offering choices during bathing
Person-centered care requires staff to FIRST:
Follow facility schedules
Review the resident’s life history and preferences
Complete tasks efficiently
Focus on safety above all else
A CNA reports that a resident becomes agitated every evening shift. What is the MOST appropriate next step?
Increase supervision
Start a behavior log and review patterns
Request medication
Transfer the resident to another unit
Which communication technique is LEAST appropriate for residents with dementia?
One-step instructions
Calm, slow speech
Explaining care while providing it
Correcting the resident’s reality
Which situation BEST demonstrates balancing safety and dignity?
Using alarms for all dementia residents
Restricting ambulation to prevent falls
Adapting activities to match abilities
Completing ADLs for residents to save time
Who is responsible for dementia care in LTC according to CMS?
Nursing staff only
CNAs only
Administration only
The entire interdisciplinary team
Which intervention should be attempted FIRST for dementia-related behaviors?
Chemical restraints
Physical restraints
Non-pharmacological interventions
Physician notification
QAPI differs from traditional Quality Assurance because it is:
Reactive and incident-based
Leadership-driven only
Proactive and systems-focused
Survey-focused
Which situation BEST represents a Performance Improvement Project (PIP)?
Re-educating one CNA after an incident
Investigating a single fall
Analyzing trends in dementia-related agitation and testing interventions
Writing an incident report
Which data source is MOST valuable for QAPI in dementia care?
Staff opinions
One-time complaints
Trend data over time
Informal conversations
A facility implements changes but does not monitor outcomes. This MOST likely violates which F-Tag?
F600
F684
F689
F865
Which action BEST demonstrates respect for resident rights?
Completing care on schedule
Explaining care after it begins
Offering choices and honoring refusal
Encouraging compliance
Forcing a resident to shower because “it’s shower day” could result in which citation?
F689
F550
F867
F740
Cultural respect in LTC means:
Treating all residents the same
Following facility customs
Honoring individual beliefs and preferences
Avoiding discussions about culture
Which behavior by staff could be considered psychological harm?
Redirecting a resident
Speaking calmly
Yelling or arguing with a confused resident
Offering reassurance
A respectful culture in LTC is MOST influenced by:
Written policies
Survey preparation
Leadership behavior and expectations
Staffing ratios
Which statement BEST summarizes CMS expectations across dementia care, QAPI, and respect?
Compliance prevents citations
Efficiency improves outcomes
Individualized, respectful, data-driven care improves quality of life
Medication reduces behaviors
