Illinois Nursing Home Administrators (NHA) Practice Exam

During the physical examination of a newly-admitted resident, which of the following is not required?

1. results of a TB skin test (or documentation that the person has had TB or treatment for TB)

2. written permission by the physician if the resident participates in the activity program

3. orders on the frequency of weighing the resident

4. results of a bone density screen

The correct answer is: results of a bone density screen

The reasoning behind stating that the results of a bone density screen are not required during the physical examination of a newly-admitted resident stems from the regulatory framework governing nursing homes. Typically, while nursing homes must adhere to certain standards regarding admissions and assessments, specific tests and screens vary based on the state laws and facility policies. In many cases, the requirements for new resident admissions include tests that are deemed critical for the immediate health and safety of the individual, such as tuberculosis skin test results, which help prevent the spread of TB within the facility. Additionally, documentation or permissions related to participation in program activities and directives regarding the resident's care, like weighing frequencies, are foundational to ensuring individualized care and compliance with health protocols. Bone density screenings, however, are often conducted as a part of specific health evaluations or targeted assessments rather than a universal requirement for every new admission. They are most relevant for particular populations, such as those at increased risk for osteoporosis, and thus do not apply broadly to all residents. Therefore, while they may offer valuable health insights, they are not mandated in the same way as the other assessments listed.