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Infection Control in Nursing Homes: A Guide with Q&A, Exams of Medicine

A comprehensive overview of infection prevention and control (ipc) practices in nursing homes. It covers key concepts, policies, procedures, and best practices for preventing and managing infections. A series of questions and answers that test understanding of ipc principles and practices, making it a valuable resource for students and professionals in healthcare.

Typology: Exams

2024/2025

Available from 01/23/2025

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What's |the |primary |purpose |of |an |infection |prevention |and |control |policy |-
|correct |answer |To |instruct |staff |on |hiw |to |protect |both |themselves |and
|residents |from |developing |a |healthcare |associated |infection
How |does |an |infection |prevention |and |control |program |benefit |nursing |homes |-
|correct |answer |Helps |prevent |pathogen |transmission |and |protects |residents
|and |staff |from |developing |infections
What |is |the |primary |purpose |of |the |facility |infection |prevention |and |control |risk
|assessment |- |correct |answer |To |set |priorities |and |goals |for |preventing
|infections |and |improving |resident |outcomes
Which |of |the |following |are |core |activities |of |an |IPC |program? |- |correct |answer
|A. |performing |infection |surveillance. |B. |Identifying |recording, |and |collecting
|IPC |incidents. |D. |Conducting |an |annual |review |and |update |based |on |IPC |risk
|assessments.
What |is |an |IPC |policy? |- |correct |answer |An |IPC |policy |defines |and |provides
|evidence |and |rationale |for |a |required |IPC |practice, |including |guidance |about
|practice |implementation
What |is |an |IPC |procedure? |- |correct |answer |An |IPC |procedure |outlines |the
|specific |steps |or |actions |for |performing |an |IPC |practice
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What's |the |primary |purpose |of |an |infection |prevention |and |control |policy |- |correct |answer |✔To |instruct |staff |on |hiw |to |protect |both |themselves |and |residents |from |developing |a |healthcare |associated |infection How |does |an |infection |prevention |and |control |program |benefit |nursing |homes |- |correct |answer |✔Helps |prevent |pathogen |transmission |and |protects |residents |and |staff |from |developing |infections What |is |the |primary |purpose |of |the |facility |infection |prevention |and |control |risk |assessment |- |correct |answer |✔To |set |priorities |and |goals |for |preventing |infections |and |improving |resident |outcomes Which |of |the |following |are |core |activities |of |an |IPC |program? |- |correct |answer |✔A. |performing |infection |surveillance. |B. |Identifying |recording, |and |collecting |IPC |incidents. |D. |Conducting |an |annual |review |and |update|based |on |IPC |risk |assessments. What |is |an |IPC |policy? |- |correct |answer |✔An |IPC |policy |defines |and |provides |evidence |and |rationale |for |a |required |IPC |practice, |including |guidance |about |practice |implementation What |is |an |IPC |procedure? |- |correct |answer |✔An |IPC |procedure |outlines |the |specific |steps |or |actions |for |performing |an |IPC |practice

What |are |your |first |two |resources? |- |correct |answer |✔CDC |infection |control |website |and |CDC |infection |control |guidelines |library The |language, |"steps |to |clean |and |disinfect |a |blood |glucose |meter |" |fits |best |in |which |content |section |of |a |IPC |policy |and |procedure? |- |correct |answer |✔Procedure The |language, |all |staff, |who |insert |or |handle |indwelling |urinary |catheter's |fits |best |in |which |Contant |section |of |an |IPC |policy |and |procedure? |- |correct |answer |✔Responsibility You |are |assessing |your |facilities |readiness |to |prevent |C |diff, |infections |as |part |of |your |IPC |risk |assessment. |Which |of |the|following |factors |would |influence |your |score |in |this |category? |- |correct |answer |✔Availability |of |gowns |and |gloves, |and |the |process |to |monitor |antibiotic |use Which |of |the |following |is |a |best |practice |for |policy |development? |- |correct |answer |✔Revise |policy |when |standards |or |practices |change. |Review |annually |for |clinical |relevance. |Allow |staff |review |and |feedback. The |risk |for |developing |an |infection, |or |transmitting |pathogens |are |based |on |which |of |the |following |- |correct |answer |✔Adhering |to |IPC |policies |and |procedures. |Population |served. |Care |and |service |provided. |Infections |that |are |occurring |in |the |community.

Surveillance |- |correct |answer |✔is |the |ongoing |systematic |collection, |analysis, |interpretation, |and |dissemination |of |data. |It |is |conduct |into |identify |infections |in |monitor |performance |of |ABC |practices |to |reduce |infection |risk |and |prevent |spread |of |pathogens |in |my |residence |staff |and |visitors. Common |infectious |diseases |- |correct |answer |✔Infections |occur |because |a |pathogen |such |as |a |bacteria, |virus |or |fungus |is |able |to |invade |a |susceptible |host |in |cause |clinical |disease Pathogen |transmission |- |correct |answer |✔The |transmission |of |infectious |agents |or |pathogens |within |a |nursing |home, |requires |three |elements, |a |source |or |reservoir |of |infectious |agents |with |a |portal |of |exit |for |the|agent, |susceptible |host |with |a |portal |of |entry, |receptive |to |the|agent, |and |a |motor |transmission |for |the |infectious |agent Diagnosis |of |infectious |disease |- |correct |answer |✔Culture-based |diagnostic |tests. |Nucleic |acid |amplification, |diagnostic |tests, |(NAAT) |polymerase |chain |reaction |tests.(PCR) Antimicrobials |- |correct |answer |✔Are |drugs |used |to |treat |infections Which |of |the |following |is |not |a |consideration |when |interpreting |diagnostic |test |results? |- |correct |answer |✔Cost |of |the |diagnostic |test Five |skills |needed |to |effectively |perform |as |an |IP |- |correct |answer |✔Communicator, | Leader, |educator, |critical |thinker, |and |data, |interpreter, |and |collaborator

Which |role |is |an |IP |showing |when |he |or |she |adapts |information |to |address |different |backgrounds |and |learning |needs |- |correct |answer |✔Educator Which |role |is |an |IP |demonstrating |when |he |or |she |advocates |for |IPC |program |- |correct |answer |✔A |liter Which |of |the |following |are |true|statements |about |the |QIN-QIO |program? |- |correct |answer |✔Provides |consultation |services |to |nursing |homes |at |no |cost. |Works |with |nursing |homes |on |variety |of |IPC |program |projects. Which |of |the |following |are |important, |infectious |disease |concepts |for |an |IP |to |understand |- |correct |answer |✔Evaluating |patterns |and |the |distribution |of |infections. |Common |classes |of |antibiotics |and |how |they |vary |in |spectrum |an |activity. |Relationship |between |anti-microbial |use|and |the |emergency |of |resistance. |All |of |the |above. |All |of |the |above. Collaboration |in |the |role |of |IP |might |look |like |which |of |the |following |- |correct |answer |✔Working |with |the |environmental |services, |housekeeping |staff |to |improve |workflow |for |terminal |room |cleaning With |which |of |the |following |with |the |state |HAI |prevention |program |offer |support |- |correct |answer |✔Assisting |during |the |response |to |outbreaks |in |other |IPC |practice |breaches. |Conveying, |healthcare |facilities |within |a |community |to |work |on |preventing |the|spread |of |antibiotic |resistant |pathogens. |Offering |training |for |nursing |homes |about |an |HSN.

Design |and |scope |- |correct |answer |✔Evaluating |the |effectiveness |of |the |IPC Governance |and |leader |ship |- |correct |answer |✔Ensure |in |adequate |resources, |exist |to |support |IPC |program |activities |and |creating |a |facility |culture |where |staff |feel |comfortable |identifying |IPC |concerns |and |opportunities |for |improvement Feedback, |data |systems, |and |monitoring |- |correct |answer |✔Reviewing |IPC |surveillance |data |to |identify |infection, |events, |and |monitoring |adherence |to |recommended |IPC |practices Performance, |improvement |projects |- |correct |answer |✔Conducting |focused |activities |to |examine |and |address |ICC |incidence, |such |as |new |or |increased |infection, |events, |or |IPC |practice |failures Systematic |analysis, |and |systemic |action |- |correct |answer |✔evaluating |IPC |incident, |using |a |structured |approach, |such |as |root |cause |analysis |in |order |to |identify |improvement |opportunity |and |implement |sustainable |practice |changes |to |prevent |future |event Which |of |the |following |are |examples |of |how |the |QA|a |committee |supports |the |IPC |program? |- |correct |answer |✔Approved |a |cleaning |and |disinfecting |procedure |revised |to |address |practice |gaps |following |an |outbreak. |Develop |some |action |plan |to |improve |the |acceptance |of |influenza |vaccines |among |Frontline |staff.

Root |cause |analysis |- |correct |answer |✔Is |a |comprehensive |review |of |an |infection, |event |or |practice |failure |to |determine |all |the |potential |factors |leading |to |its |occurrence What's |the |purpose |of |a |root |cause |analysis |- |correct |answer |✔To |find |out |what |happened |why |it |happened |and |determine |what |changes |need |to |be |made |to |prevent |future |events Which |of |the |following |is |the |best |description |of |an |RCA|- |correct |answer |✔Evaluating |an |event |to |identify |the |underlying |contributing |factors Which |of |the |following |should |the |IP |consider |when |identifying |an |ICC |performance |improvement |project? |- |correct |answer |✔Practice |concerns |identified |by |staff. |Findings |from |surveillance |data. |Input |from |the |QA |a |committee. |Scores |on |the |IPC |risk |assessment. Please |consider |the |following |scenario |and |select |the |best |answer. |A|nursing |home |identifies |an |average |of | 0 |to | 1 |formally |known |infection |cases |per |month |among |residence. |When |reviewing |monkeys |are |valence |data |the |IP |notices |at |three |C. |difficile |infection |cases |have |been |identified |for |the |month. |PIP |is |very |concerned |about |this |increase |in |the |impact |upon |resident |safety, |should |the |IP |wait |for |the |next |QA |committee |meeting |to |take |action? |- |correct |answer |✔No Which |of |the |following |statements |about |a |facility |surveillance |plan |are |true |- |correct |answer |✔The |plan |should |be |based |on |the |results |of |the |annual |facility, |infection, |prevention |and |control |risk |assessment. |The |Plancha |defined |the |methods |of |surveillance. |The |Plancha |defined |how |data |collection |will |occur.

Which |of |the |following |are |outcome |measures? |- |correct |answer |✔Monthly |number |of |C |diff |infection. |Rate |of |catheter |associated |urinary |tract |infections. Which |of |the |following |are |data |sources |that |could |be |used |to |confirm |infection |event |meet |surveillance |criteria |- |correct |answer |✔Resident |medical |chart. |Microbiology |laboratory |results. Numerator |- |correct |answer |✔Number |of |infections |occurring |during |a |define |timeframe Denominator |- |correct |answer |✔Number |of |days |of |risk |each |resident |contributes |during |that |time |frame During |January |there |were |four |residents |with |indwelling |urinary |catheter's |for |a |total |of | 100 |urinary |catheter |days. |There|were|six |admissions, |three |discharges, |and | 3000 |resident |days |for |the |month. |There |were |two |cauti |episodes. |What |is |the |CAUTI |rate |for |the |month |- |correct |answer |✔ 20 |say |a |caUTI |per | 1000 |catheter |days Tracking |process |and |outcome |surveillance |measures |overtime |about |the |IPC |program |to |do |which |of |the|following |- |correct |answer |✔Establish |a |baseline |rate. |Identify |changes |in |rates |that |may |require |an |intervention. |Understand |weather |in |intervention |is |effective. |All |of |the |above. |All |of |the |above. During |the |previous |influenza |vaccine |season | 50 |residents |receive |the |influenza |vaccine | 35 |residence |declined |the|vaccine |for |these |resident |stated |that |they |may |change |their |mind |later |which |of |the |following |is|the |correct |resident |influenza |vaccination |acceptance |rate |- |correct |answer |✔59.

Which |of |the |following |statements |about |surveillance |definitions |are |true |- |correct |answer |✔They |allow |for |standardize |collection |of |data. |They |allow |for |comparison |over |time. The |CDC, |NHS, |and |webpage |surveillance |system |can |offer |which |of |the |following |to |your |IPC |program |- |correct |answer |✔Structured |surveillance |procedures, |and |definitions. |The |ability |to |track |certain |infection |events. |Resources |to |analyze |data. What |is |the |most |important |reason |to |monitor |your |infections |before |an |outbreak |occurs |- |correct |answer |✔To |establish |a |baseline |infection |rates If |you |have |three |Residence |report |new |onset |of |loose |stools |in |your |facility. |What |is |your |first |step? |- |correct |answer |✔Gather |additional |details |about |the |symptoms |loose |stool, |including |when |and |where |the |occurred |and |potential |causes Of |the |following |options, |which |are |most |important |to |consider |when |determining |whether |an |outbreak |is |over |- |correct |answer |✔Incubation |period, |and |date |of |most |recent |case Which |of |the |following |are |reasons |early |recognition |of |an |outbreak |is |important |- |correct |answer |✔Preventing |resident |illness |and |hospitalization. |Preventing |staff |illness. |Preventing |closure |of |units. |All |of |the. |All |of |the |above. Which |of |the |following |is |the |definition |of |a |lion |list? |- |correct |answer |✔A |summary |of |cases

Which |of |the |following |are |recommended |cautions? |- |correct |answer |✔Donning |a |gown |and |gloves |for |all |interactions |with |resident |and |environment Which |of |the |following |are |categories |of |transmission |based |precautions |recommended |by |the |Centers |for |Disease |Control |and |Prevention |- |correct |answer |✔Droplet |and |contact True |or |false |signage |at |the|entrance |to |a |residence |room |and |being |the |type |of |transmission |based |precautions |that |should |be |used |in |caring |for |the |resident |are |not |allowed |in |nursing |homes |resident |confidentiality |- |correct |answer |✔False Which |of |the |following |is |true |about |placement |within |the|facility |of |residence |on |transmission |based |precautions |- |correct |answer |✔If |a |limited |number |of |single |person |rooms |are |available, |highest |priority, |should |be |given |to |residents |who |are |known |or |suspected |to |be |infected |with |Haley |communicable |pathogens Which |of |the |following |should |you |apply |contact |precautions? |- |correct |answer |✔Scabies |cliff Which |of |the |following |are |true|about |the |development |and |spread |of |MDRX |nursing |homes |- |correct |answer |✔Colonization |pressure |contributes |to |transmission |and |presence |of |indwelling |medical |device |increases |the |risk |of |acquiring |an |empty |arrow As |a |result |of |lessons |learned |from |outbreaks |of |MDR, |which |of |the|following |situation |should |warrant |use |a |contact |precautions |in |consideration |of |a |single |person |room |for |MDR |oh, |nice|residence |- |correct |answer |✔Residence |with

|difficulty |containing |secretions |from |sites |of |M |Deorro, |colonization |and |potential |for |extensive |environmental |contamination |and |new |residence |on |the |unit, |our |phone |to |be |colonized |with |MDRO's |evidence |of |ongoing |transmission |despite |efforts |to |control |the|spread Which |of |the |following |is |true |about |the |appropriate |time |to |initiate |contact |precautions |when |caring |for |resident |with |new |unexplained |diarrhea |- |correct |answer |✔Contact |precaution |should |be |initiated |at |the |onset |of What |information |should |be |included |in |communicating |that |the |resident |has |been |placed |on |transmission |based |precaution? |- |correct |answer |✔Category |of |precautions |PPE |required |for |staff, |caring |for |residents |and |instructions |for |visitors Which |of |the |following |is |the |best |practice |regarding |decisions |to |restrict |residents |to |the |rooms |while |and |transmission Residence |with |active |signs |and |symptoms |of |an |infection |from |a |highly |communicable |pathogen |should |be |restricted |to |the |room |- |correct |answer |✔ Before |performing |wound |care, |if |the |hands |are |not |visible, |which |method |of |hand |hygiene |by |staff |members |is |preferred |- |correct |answer |✔Alcohol-based |hand |rub True |or |false |and |hygiene |should |be |performed |when |moving |from |a |contaminated |bodyside |to |a |clean |body |site |on |a |resident |- |correct |answer |✔True

Which |of |the |following |is |a |required |feature |of |an |OSHA |compliant |sharps |container |- |correct |answer |✔Closable, |leak |proof |on |sides |and |bottom, |puncture |proof. True |or |false |respiratory |hygiene |and |Coppic |at |a |part |of |standard |precautions |- |correct |answer |✔True True |or |false |respiratory |hygiene |and |etiquette |only |apply |during |periods |of |increased |respiratory |infections |in |the |community |- |correct |answer |✔False Which |of |the |following |groups |should |follow |respiratory |hygiene |and |etiquette |- |correct |answer |✔All |of |the |above Which |of |the |following |statements |are |true |- |correct |answer |✔A |film |developed |on |the. |Asymptomatic |bacteriuria |should |not |be |treated |with |antibiotics. Which |of |the |following |statements |about |the |CDC |and |SHEA |surveillance |criteria |for |see |a |UTI |are |cracked |- |correct |answer |✔A |positive |urine |culture |with |at |least | 10 |CFU |per |milliliter |of |an |organism |is |not |sufficient |to |define |AC |a |UTI |a |Cody |can |be |identified |in |a |residence |who |is |urinary |catheter, |was |removed |the |day |before |symptoms |began During |which |of |the |following |situation |should |use |it |again |be |considered |in |addition |to |gloves |during |care |of |a |resident |with |an |indwelling |urinary |catheter |- |correct |answer |✔As |a |strategy |to |prevent |spread |of |them |draws |when |handling |the |enroll |in |urinary |catheter, |if |there |is |potential |for |splash |or |spills

|on |empty |the |collection |bag, |to |prevent |the |spread |of |pathogens |drink, |care |of |residence, |place |in |contact |precautions, |all |of |the |above. |All |of |the |above. Which |of |the |following |are |CVC |- |correct |answer |✔Hemodialysis |catheter |pick |line Which |of |the |following |are |true|about |Koskis? |Please |select |all |that |apply |- |correct |answer |✔Surveillance |criteria |for |CLABS |I |include |a |requirement |that |a |CVC |be |in |place |on |the |day |of |infection, |or |the |day |before|the |longer |a |CVC |is |in |place |the |higher, |the |risk |of |developing |a |CLABSI |maximal, |sterile |barrier |precautions |during |insertion |decrease |the |risk |of |developing |a |CLABSI Which |of |the |following |are |true|about |dressing? |- |correct |answer |✔Assessment |of |dressings |should |be |performed |daily |CVC |dressings |should |be |labeled |with |the |date |of |dressing |change True |or |false |presence |of |bacteria, |cultured |from |a |wound |surface |is |diagnostic |of |a |wound |infection |- |correct |answer |✔False Which |of |the |following |are |modes |of |transmission |for |group |a |streptococcus? |- |correct |answer |✔Direct |contact, |indirect |contact |droplet Reusable |wound |care |equipment |that |can |be |used |on |more |than |one |resident |should |be |cleaned |and |disinfected |- |correct |answer |✔False Which |of |the |following |describes |ways |that |one's |increase |the |risk |of |infections |and |pathogen |transmission |in |nursing |homes |- |correct |answer |✔Provide |a

Your |phone |is |not |coming |direct |contact |with |the |residence |fingerstick |wound. |It |is |not |need |to |be |cleaned |and |disinfected |between |residence. |- |correct |answer |✔False Disease, |control |and |prevention. |Recommend |that |whenever |possible |an |individual |resident |and |not |share. |- |correct |answer |✔True After |performing |a |fingerstick |procedure |on |one |resident, |a |staff |member |at |your |facility |to |see |moving |to |the |resident |in |the |next |bed |and |preparing |to |use |the |same |fingerstick |device |on |the |resident |which |of |the |following |is |the |most |appropriate |next |step |- |correct |answer |✔Intervene |and |stop |the |use |of |the |fingerstick |device True |or |false |because|they |are |easier |to |use |your |facility |should |select |and |use |black |glucose |meters |intended |for |self-monitoring |by |Les |users |to |perform |blood |glucose |monitoring |on |residence |- |correct |answer |✔False |your |facility |should |select |and |use |meters |intended |for |use |in |a |professional |healthcare |setting |per |FTA |guidance |makers |of |these |devices |should |have |considered |design |features |and |capacity |for |cleaning |and |disinfecting |of |the |meters, |and |the |population |upon |which |the |device |will |be |used |which |is |often |different |than |the |Lee |user |using |the |meter |at |home Which |of |the |following |statements |about |single |use |auto |disabling |fingerstick |devices |are |true |- |correct |answer |✔They |cannot |be |used |for |more |than |one |resident. |They |decrease |the|risk |of |sharps |injuries True |or |false |the |Spaulding |classification |scheme |identifies |the |level |of |reprocessing |resident |care |equipment, |based |on |the |number |of |residents |who |will |be |exposed |to |that |equipment |- |correct |answer |✔False

How |often |should |a |non-critical |equipment |that |will |be |used |for |more |than |one |resident |be |cleaned |and |disinfected |- |correct |answer |✔After |each |use Which |of |the |following |factors |should |be |considered, |when |selecting |a |low |or |intermediate |level |disinfectant |facility |pathogens |against |which |the |disinfectant |is |effective |contact |time, |compatibility |of |the |product |with |common |surfaces |and |equipment |in |the |facility |- |correct |answer |✔ True |or |false |when |cleaning |and |disinfecting |surfaces |in |a |room |it |is |a |best |practice |to |start |with |the |dirtiest |surface |to |ensure |that |they |are |adequately |- |correct |answer |✔False Which |of |the |following |statements |regarding |evaluation |of |the |cleaning |and |disinfecting |of |environmental |surface |is |true |- |correct |answer |✔Fluorescent |markers |are |a |good |way |to |identify |surfaces |that |are|mystery |cleaning Which |of |the |following |services |in |a |resident |room |should |be |cleaned |and |disinfected |on |a |daily |basis |- |correct |answer |✔Call |Bill |toilet |bedrail True |or |false |treated |municipal |water |should |be |free |of |all |water |borne |pathogens |when |entering |healthcare |facilities |- |correct |answer |✔False Which |of |the |following |are |potential |hazards|to |water |quality |in |a |nursing |home |plumbing |system? |- |correct |answer |✔Low |temperature |in |water, |pipes, |debris |and |sediment |in |pipes |low |flow |in |water |pipes |all |of |the |above. |All |of |the |above.