Answer the following question based on the following scenarioYou ask for a guest tray but all the plates have been used. The diet aide takes a dirty dish and washed it off in the sink and hands it to the cook to plate the food on. You follow the tray cart down to the unit which leaves the kitchen at 11:30am. As you wait for all the trays to be delivered so you can take your guest tray, you notice no one is available to start serving the trays. At 11:50, a nurse aide begins passing out trays. As you observe her passing out trays, you notice she set up a tray in a room where the patient was not back from therapy yet. In the next room, she set up the tray on the bedside table which was not in reach of the patient and in the third room the patient was given the wrong tray. When the patient made the nursing aide aware it was the wrong tray, she took the tray out and delivered it to the right patient across the hall. At 12:30, all the trays were delivered and you take your guest tray to audit it. The tray is a pureed diet, temperature of the meat and vegetable were under recommendations for serving. The consistency was too thin and food was dripping off the plate onto the tray. No beverages were on the tray and there was a large chip in the plate ware. 18. Which of the following tags would most likely be issued upon inspection? a. F552 – lack of drinksb. F550 – menu not followedc. F802 – inadequate nursing staff to pass traysd. F362 – chemicals next to food

Answer the following question based on the following scenarioPatient with recent stroke, aphasic (unable to communicate) has been losing weight. The patient was taken to the dining room for main dining and placed at a table in front of the TV which was turned up. Patient’s diet is pureed with a scoop plate, and long handled spoon. Pt is served a regular tray. After 20 minutes, the staff asked the patient why he hasn’t eaten much food and laugh at how much food he has spilled on his clothes. Staff took him back to his room and marked his intake of 20% on the graphics. About 2 hours later, patient’s family arrives and complains that he didn’t eat lunch as is was still sitting in his room. As is turns out the correct tray was sent to his room for lunch instead of taken to the dining room where the patient actually ate. The nurse then heats the food on the lunch tray up, mixes it all together and proceeds to feed the patient since the correct utensils are not present. The family inquires as to what the resident is being served and the nurse replies “I don’t know, this pureed stuff all looks the same, that’s why I just mix it all together, maybe something in there will have some taste”. 27. Which of the following tags would most likely be issued upon inspection? a. F880 – inadequate tray appearanceb. F811 – patient unable to reach foodc. F908 – sound level too loud from TVd. F550 – nursing staff laughed at patient

Answer the following question based on the following scenarioPatient with recent stroke, aphasic (unable to communicate) has been losing weight. The patient was taken to the dining room for main dining and placed at a table in front of the TV which was turned up. Patient’s diet is pureed with a scoop plate, and long handled spoon. Pt is served a regular tray. After 20 minutes, the staff asked the patient why he hasn’t eaten much food and laugh at how much food he has spilled on his clothes. Staff took him back to his room and marked his intake of 20% on the graphics. About 2 hours later, patient’s family arrives and complains that he didn’t eat lunch as is was still sitting in his room. As is turns out the correct tray was sent to his room for lunch instead of taken to the dining room where the patient actually ate. The nurse then heats the food on the lunch tray up, mixes it all together and proceeds to feed the patient since the correct utensils are not present. The family inquires as to what the resident is being served and the nurse replies “I don’t know, this pureed stuff all looks the same, that’s why I just mix it all together, maybe something in there will have some taste”. 27. Which of the following tags would most likely be issued upon inspection? a. F880 – inadequate tray appearanceb. F811 – patient unable to reach foodc. F908 – sound level too loud from TVd. F550 – nursing staff laughed at patient

Answer the following question based on the following scenarioYou ask for a guest tray but all the plates have been used. The diet aide takes a dirty dish and washed it off in the sink and hands it to the cook to plate the food on. You follow the tray cart down to the unit which leaves the kitchen at 11:30am. As you wait for all the trays to be delivered so you can take your guest tray, you notice no one is available to start serving the trays. At 11:50, a nurse aide begins passing out trays. As you observe her passing out trays, you notice she set up a tray in a room where the patient was not back from therapy yet. In the next room, she set up the tray on the bedside table which was not in reach of the patient and in the third room the patient was given the wrong tray. When the patient made the nursing aide aware it was the wrong tray, she took the tray out and delivered it to the right patient across the hall. At 12:30, all the trays were delivered and you take your guest tray to audit it. The tray is a pureed diet, temperature of the meat and vegetable were under recommendations for serving. The consistency was too thin and food was dripping off the plate onto the tray. No beverages were on the tray and there was a large chip in the plate ware. 18. Which of the following tags would most likely be issued upon inspection? a. F552 – lack of drinksb. F550 – menu not followedc. F802 – inadequate nursing staff to pass traysd. F362 – chemicals next to food

Answer the following question based on the following scenarioYou ask for a guest tray but all the plates have been used. The diet aide takes a dirty dish and washed it off in the sink and hands it to the cook to plate the food on. You follow the tray cart down to the unit which leaves the kitchen at 11:30am. As you wait for all the trays to be delivered so you can take your guest tray, you notice no one is available to start serving the trays. At 11:50, a nurse aide begins passing out trays. As you observe her passing out trays, you notice she set up a tray in a room where the patient was not back from therapy yet. In the next room, she set up the tray on the bedside table which was not in reach of the patient and in the third room the patient was given the wrong tray. When the patient made the nursing aide aware it was the wrong tray, she took the tray out and delivered it to the right patient across the hall. At 12:30, all the trays were delivered and you take your guest tray to audit it. The tray is a pureed diet, temperature of the meat and vegetable were under recommendations for serving. The consistency was too thin and food was dripping off the plate onto the tray. No beverages were on the tray and there was a large chip in the plate ware. 12. Which of the following tags would most likely be issued upon inspection? a. F810 – chip in plateb. F811 – chip in platec. F812 – chip in plated. F813 – chip in plate

Answer the following question based on the following scenarioYou are observing the kitchen as they prepare for lunch service. There are 2 employees preparing everything. Upon questioning, the cook tells you there are typically four staff in the kitchen. You observe the cook cutting raw meat on the counter top to put in the oven. As she is putting the prepared meat in the oven, the prep cook begins to cut up vegetables on the same counter top for the salad to be served in the dining room. The prep cook who is wearing gloves to cut up the vegetables then put the unusable portions of the vegetables in the garbage, knife in the sink, and then scoops the veggies for the salad into the serving bowl. The dining room is scheduled to start serving residents at 12:00. The cook puts food on the line at 11:00 and puts regular spoons in the pans for serving. As they begin the tray line you inquire about why the plate warmer is not turned on. The cook tells you it has been broke for a few weeks now. The menu for lunch service states “meatloaf, mashed potatoes/gravy, green beans, and cinnamon apples.” On the plate you notice the green beans were left off. The staff states the patient does not like green beans. As you walk out into the dining room at 12:15, there is no staff in the dining room yet. As the trays come out at 12:30, nursing staff enters the dining room and starts serving the residents. Prior to serving the resident, a clothing protector is put on each resident to prevent spilling food on their clothes. As you walk around and talk to residents. They consistently tell the food tastes pretty good, but is not hot enough. After the trays are passed, cupcakes that a staff member prepared at home are given out to the residents for monthly birthdays’. 44. Which of the following tags would most likely be issued upon inspection? a. F913 – plate warmer brokeb. F920 – plate warmer brokec. F925 – plate warmer broked. F908 – plate warmer broke  

Answer the following question based on the following scenarioState surveyors are in the building and are performing the annual kitchen sanitation evaluation. Upon entering the kitchen, everyone puts on hair nets but you notice one of your kitchen aides does not have a beard cover on thus you hand him one. The surveyor washes her hands but is unable to get any hot water. As the temperatures of the food is being taken, the staff places the thermometer in one food item and then the next until all food items are tested. At the end she sanitizes the thermometer and places it back in its holder. You hand the surveyor the menu for the day which states meatloaf, mashed potatoes, green beans, roll, chocolate chip cookies, tea for lunch today. On the line, the cook is serving meatloaf, mashed potatoes, brussel sprouts, roll, chocolate pudding, tea. The cook on the line has puffy eyes and appears miserable. She states she is feeling under the weather today. After lunch the surveyor observes staff washing dishes. She notices the wrong test strips are being used which test for iodine instead of chlorine. After the dishes go through the machine the employee puts the dishes away, stacking the wet dishes on top of each other. The employee is wearing gloves as they scrape the dishes, run them through the dish machine, and then put them away. On the way through the kitchen, the surveyor notices a container of butter packets setting under the serving line table. She also notices a bottle of bleach on the counter next to the microwave and several flies in the kitchen.   5. Which of the following tags would most likely be issued upon inspection? a. F802 – menu not followedb. F803 – menu not followedc. F804 – menu not followedd. F805 – menu not followed

Answer the following question based on the following scenarioDuring a kitchen inspection you observe the following. A dietary worker eating food off the line which hasn’t started yet. The dietary aide states they are taste testing the food. You review the temperature logs, all the temps are acceptable, but there are none recorded for the pureed or ground foods. The staff states they took the temps but there is no place to put the results on the form. As you observe the line, you notice they are using appropriate sized scoops, but are putting heaping amounts on each plate of the macaroni and cheese. Per the written menu the regular diet should receive apple pie and the cardiac diet should receive cinnamon apple slices. You notice everyone is receiving the apple pie. As you walk through the rest of the kitchen, you notice the washed dishes being dried with a towel, and you feel one of the pans which is greasy on the outside. In the walk in refrigerator, there is no thermometer present, several lids are not securely on the containers, the zucchini is moldy, and there is an open undated bag of cheese. As you are finishing your inspection, the foodservice director informs you they have had a roach problem. She has the staff pull apart the tray line where a large outlet is located. When she kicks the outlet, several small roaches run out. She tells you, pest control has been out twice now and this is still an issue 31. Which of the following tags would most likely be issued upon inspection? a. F803 – no thermometer in fridgeb. F805 – inadequate appearance, attractive, tasty foodc. F802 – food substitutions not offeredd. F812 – staff eating off line

Answer the following question based on the following scenarioPatient with recent stroke, aphasic (unable to communicate) has been losing weight. The patient was taken to the dining room for main dining and placed at a table in front of the TV which was turned up. Patient’s diet is pureed with a scoop plate, and long handled spoon. Pt is served a regular tray. After 20 minutes, the staff asked the patient why he hasn’t eaten much food and laugh at how much food he has spilled on his clothes. Staff took him back to his room and marked his intake of 20% on the graphics. About 2 hours later, patient’s family arrives and complains that he didn’t eat lunch as is was still sitting in his room. As is turns out the correct tray was sent to his room for lunch instead of taken to the dining room where the patient actually ate. The nurse then heats the food on the lunch tray up, mixes it all together and proceeds to feed the patient since the correct utensils are not present. The family inquires as to what the resident is being served and the nurse replies “I don’t know, this pureed stuff all looks the same, that’s why I just mix it all together, maybe something in there will have some taste”. 25. Which of the following tags would most likely be issued upon inspection? a. F812 – food substitutions not offeredb. F807 – patient spilling food on clothingc. F908 – sound level too loud from TVd. F812 – food sitting out too long before served to patient

The function of the muscle indicated with an arrow in the image is: