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Test Your Knowledge Answers:

1) Infection 

2) Page N-9 of the RAI Manual: Medications that have more than one therapeutic category and/or pharmacological classification should be coded in all categories/classifications assigned to the medication, regardless of how it is being used. For example, Prochlorperazine is dually classified as an antipsychotic and an antiemetic. Therefore, in this section, it would be coded as an antipsychotic, regardless of how it is used. All drug class types must be coded on the MDS regardless of the reason it is prescribed

3) This was a change CMS snuck in last year, added to section X and more fully in Chapter 5 to align with the new guidance from last year in the Chapter 5 flow chart (on page 5-15). So technically this would apply to any ARDs 10/1/2023 and later.

4) The RAI Manual clearly states that this should be assessed with a multidisciplinary approach. Information from all sources should be used, including nursing, therapy, and resident interview. Per the RAI Manual page GG-40, Assess the resident’s mobility performance based on direct observation, incorporating resident self-reports and reports from qualified clinicians, care staff, or family documented in the resident’s medical record during the assessment period. CMS anticipates that a multidisciplinary team of qualified clinicians will be involved in assessing the resident during the assessment period.