Illinois Nursing Home Administrators (NHA) Practice Exam

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Why is it important to have a record of TB screening for new employees?

  1. To monitor overall employee health

  2. To avoid staffing shortages

  3. To prevent outbreaks of communicable diseases

  4. To comply with insurance regulations

The correct answer is: To prevent outbreaks of communicable diseases

Having a record of tuberculosis (TB) screening for new employees is crucial primarily for preventing outbreaks of communicable diseases within the nursing home environment. Nursing homes care for vulnerable populations, including elderly individuals and those with compromised immune systems, who are particularly at risk for severe complications from infections like TB. By ensuring that all staff members are screened and cleared for TB, facilities can significantly reduce the risk of introducing this contagious disease into the community. This is not just a preventative health measure but also an ethical responsibility to safeguard residents’ health. The records serve as documentation that appropriate steps have been taken to manage and protect against potential health threats. Monitoring employee health does play a role in overall wellness, but the primary focus for TB screening records is on infection control and public health safety. Staffing shortages, while a concern, are not directly linked to TB screening in the same way that ensuring a healthy environment for residents is. Lastly, while compliance with regulations is important, the core reason for TB screening records is to actively prevent disease transmission, which directly impacts resident safety.