Illinois Nursing Home Administrators (NHA) Practice Exam

The record for an initial health evaluation for a new employee must include documentation of which one of the following?

1. Administration of a TB skin test using the Mantoux method

2. Administration of a TB screening test, or a record of having received treatment for TB

3. Every communicable disease that the employee has had

4. That the employee is currently free of disease

The correct answer is: Administration of a TB screening test, or a record of having received treatment for TB

The correct choice emphasizes that the initial health evaluation for a new employee must include documentation of a TB screening test or a record of having received treatment for TB. This requirement is crucial in ensuring the safety and health of both the employee and the residents in a nursing home setting, where vulnerable populations are at higher risk for communicable diseases. Tuberculosis (TB) is a significant concern in healthcare environments, especially in facilities such as nursing homes where close contact among individuals is common. By requiring documentation of a TB screening or treatment, the organization can ensure that employees are not carriers of TB, thus minimizing the risk of transmission in the facility. While other options touch on relevant health concerns, they do not align with the specific requirements related to TB. The focus on TB screenings is based on public health guidelines that prioritize identifying potential cases before they can affect the well-being of others in the nursing home environment. This approach underscores the importance of preventive measures and the role of initial health evaluations in protecting resident health.