question

Which psychological factor is normally not a problem with the aging? Which psychological factors is normally a problem with the aging?

answer

Self-actualization. Paranoia, Depression, Feelings of worthlessness.

question

Which statements concerning the needs of the elderly is true?

answer

Relationships are need to combat loneliness. The need for closeness is never lost by most of the elderly. Independence to do their "own thing" is very important

question

To assure that the residents assessment is accurate and reflects the resident's current status, the nursing facility must give each resident a physical examination as deemed appropriate, but no less than once every:

answer

Three Months

question

Discharge planning for a resident should be initiated when the resident is:

answer

Admitted

question

Which of the following would be most likely to increase the number of infections in a nursing facility? 1. Invasive Devices 2. Exposure to employees and visitors 3. Presence of multiple chronic diseases 4. Increase of incidents of immobility and incontinence

answer

2. Exposure to employees and visitors

question

Assume that 130 doses of medication were prescribed by the residents physician to be administered in a given time period. However, 2 doses ordered were not given and 3 doses were incorrectly administered as prescribed. What was the medication error rate? 1. 1.5 2. 2.3 3. 3.8 4. 5.0

answer

3. 3.8%

question

Under OBRA (F115), the term bedfast means that, except to be moved for treatment, a resident has been in bed all of the time during the past: 1. 24 hours 2. 48 hours 3. 5 days 4. 7 days

answer

4. 7 days

question

The legal vehicles used to control nursing activities are termed:

answer

Nurse-practice acts

question

After a comprehensive assessment has been made, comprehensive care plans must be completed within:

answer

7 days

question

The social worker in a long-term care facility is primarily concerned with:

answer

Developing an in-depth relationship with the resident to maintain an accurate and current social record

question

Resident councils allow:

answer

Residents a sense of some control over their lives and desires

question

Procedures and directives concerning resident privacy and dignity would include:

answer

The use of curtains around the bed. Knocking before entering the room. Remember that the residents beliefs or concepts of privacy and dignity may differ from that of the employee

question

A legal document that specifies a person's preference concerning life sustaining treatment is referred to as a:

answer

Living will

question

A testator is one who:

answer

Dies leaving a living will

question

When a resident is angry, it is best to:

answer

Let him/her express the anger

question

Name symptoms of diabetes: What is not a symptom of diabetes:

answer

Itching. Excessive thirst. Excessive sugar in the urine. Weight loss

question

Food service is a major cost center and the dietary manager should submit weekly/monthly reports to the administrator that include what: What do they not include:

answer

Total raw food costs. Number of meals served. Raw food cost per resident per day. Costs of meals not eaten.

question

When developing a nutrition-risk protocol, the provider should:

answer

Include guidelines on weight-tracking and weight-loss interventions

question

To clean utensils, a three-compartment sink is need to wash, rinse, and:

answer

Sanitize utensils

question

The percentage of weight loss for a resident who previously weight 150 pounds and now weighs 142 pounds is:

answer

5.3% Solution: Original weight - Current weight = weight loss weight loss X 100 / Original weight = % of weight loss

question

The dietary department is required to maintain various adaptive feeding equipment. However, the training needed for utilization of the equipment is usually provided by:

answer

Occupational Therapists

question

Incontinence means:

answer

Involuntary passage of urine and/or feces

question

An oncologist is a specialist in the area of:

answer

Cancer and malignant diseases

question

If an administrator becomes aware of a noticeable deterioration in a residents condition, the administrator's most appropriate action would be to:

answer

Request the nurse to evaluate the resident's overall condition and report it to the physician if necessary

question

According to OBRA regulations, the resident's physician is required to visit the resident and conduct all of the following activities: Except:

answer

Sign and date all orders. write, sign, and date progress notes. Review all medication and treatment. Review all consultant reports

question

If dental work is planned for a resident, the facility should be aware of the impact on any of the following except: 1. Artificial hips. 2. Heart Valve. 3.Kidney Conditions. 4. Knee Replacements

answer

3. Kidney Conditions

question

The sum of all activities which create the desired and needed changes in quality care is the definition of:

answer

Quality improvement

question

Under the 1992 Final Rules, who determines if it is unsafe for a resident to self-administer drugs?

answer

Interdisciplinary team

question

Activities needs to: Activities needs not:

answer

Needs: Provide stimulation or solace. Promote physical, cognitive, and emotional health. Enhance the mental and physical status of the resident. Not: Involve useful service to the facility

question

Resident activities should not be designed to emphasize:

answer

The finished product

question

The policies and procedures for activity programs should also include:

answer

Volunteers

question

In addition to their services to the residents in the facility, volunteers should be recognized for their:

answer

Strengthening of the bond between the facility and the community

question

When only posters and mounted calendars are utilized for various programs, the major communication problem created is that:

answer

The signs cannot be seen by the non-ambulatory residents

question

The evaluation of the activity program should be aimed at:

answer

Meeting the needs and desires of all residents

question

Sometimes, when the staff thinks of medical records, only the resident's chart is considered to be confidential. In reality there are other records that may also be considered confidential. Which of the following would not be considered confidential? 1. Audios 2. Videos 3. Computer information 4. Activity Attendance Records

answer

4. Activity Attendance Records

question

If a resident requests to see his or her chart and medical records but there is a letter from the physician indicating that the records cannot be given to the resident or family, the facility should?

answer

First call the physician

question

The frequency of documentation of resident progress is determined by the:

answer

Facility

question

Surveyors are usually less concerned with how often information is gathered than:

answer

Sufficient progress information

question

It is the responsibility of the RN Assessment Coordinator (RAC) to assure an admission assessment is completed within:

answer

8 hours

question

All of the following goals should be addressed for residents who use antipsychotic drugs except: 1. Drug Holidays. 2. Drug Elimination. 3. Gradual dose reduction. 4. Behavioral programming

answer

2. Drug Elimination

question

Residents who use antipsychotic drugs:

answer

Must be taken off the drugs as soon as possible? Check this answer

question

The Physician's Desk Reference relates to:

answer

Drugs

question

If the pharmacist feels a certain laboratory test is needed to determine blood level of a resident, the physician is involved but:

answer

neither the DON nor the physician must agree with the pharmacist

question

Abbreviations are used by nurses in completed charts and other medical records. The abbreviation p.r.n. means?

answer

When needed? or as prescribed?

question

Drug interaction means that:

answer

Two or more drugs taken simultaneously can produce an unwanted effect

question

Who is responsible for ensuring that contractual rehabilitation specialists are fully qualified to perform services?

answer

The Administrator

question

A physiatrist:

answer

Works with physical and occupational therapists

question

ROM Means:

answer

The extent of movement of a joint

question

Heat and Hydrotherapy are used primarily by:

answer

Physical therapists

question

Flexion, rotation, abduction, and addiction are all terms referring to:

answer

Exercises

question

The person who has the most contact with the resident should be properly trained in the area of communication and that person is usually the:

answer

CNA

question

All of the following are essential elements of counseling except: 1. Listening. 2. Being Personal. 3. Being nonjudgmental. 4. Avoidance of criticism.

answer

2. Being Personal

question

An administrator using the "open door" policy of communication will be:

answer

Dealing with too much detail and destroying lines of communication and authority.

question

Which of the following cannot be negotiated? 1. Salaries. 2. Promotions. 3. Grievances. 4. Quality of Resident Care

answer

4. Quality of Resident Care

question

On the job training and in service training are two common types of teaching techniques used in facilities. Which of the following best lends itself to on the job training? 1. Policies. 2. Confidentiality. 3. Proper Bed Making. 4. Accident Prevention

answer

3. Proper Bed Making

question

Every new employee must complete the I-9 form within:

answer

3 Business days

question

Which of the following topics is not required but may be recommended as an annual in service training program? 1. Confidentiality. 2. Resident Rights. 3. Infection Control. 4. Accident Prevention

answer

1. Confidentiality

question

If a certified nursing assistant has a grievance, the final step in the grievance procedure will usually be the?

answer

Administrator

question

The most frequent encoding barrier for communication is?

answer

Poorly Worded Messages

question

The use of labor pools can many times:

answer

Decrease continuity of care

question

When employees attempt to organize a labor union, there are various things the administrator can and cannot do. Which of the following can an administrator not do? 1. Ask employees if they have signed a union card. 2. Tell employees that if they strike, they will lose their job. 3. Discipline employees who discuss the union during working hours. 4. Conduct employee meetings to discuss the disadvantages of a union.

answer

1. Ask employees if they have signed a union card.

question

OBRA requires that all nursing assistant annually receive in service training of at least:

answer

12 hours

question

People:

answer

Prefer to communicate with someone on a higher status

question

In helping staff to understand resident needs and resident care, administrators often run into stereotyped attitudes on the part of employees. They say "well you know how old folks are," as if they were all the same. To combat this attitude the administrator should:

answer

Organize an on-going in service training program that teaches all employees to individualize residents and try to meet individual needs.

question

The best method used to obtain information regarding a potential employee is the:

answer

Interview

question

No nursing employee should be assigned any housekeeping duties other than:

answer

Bed Making

question

Of the following, which is considered the best type of recruiting practice? 1. Job posting. 2. Newspaper ads. 3. Employment agencies. 4. State department of employment.

answer

1. Job posting

question

Which statement is one of the most important principles in delegation of authority and one that should guide administrators in their work? 1. Keep all authority centralized. 2. Personally confirm all decisions. 3. Delegate as much authority as is effective. 4. Make certain all administrative details clear through the administrator

answer

3. Delegate as much authority as is effective.

question

What is the average daily absentee rate for a facility with a total of 102 full time employees and 420 lost workdays or during a 90 day period?

answer

4.6 420/102x90 = 4.6 Workdays Lost due to Absences / Average employee population X # of work days available per employee.

question

The results of all investigations regarding abuse must be reported to the administrator or his representative and the administrator must ensure that it is reported to the proper state authority within:

answer

5 Working days.

question

During a performance appraisal, the supervisor or administrator should:

answer

State well-defined job expectations

question

Coordination deals primarily with:

answer

unifying the efforts of people

question

Sexual advances, request for sexual favors, and other verbal or physical conduct of sexual nature constitute sexual harassment when:

answer

Submission to such conduct is made a term or condition of employment or continued employment

question

Based upon recent cases of sexual harassment in the workplace, it has been determined that the best method of preventing this problem is to:

answer

Provide the repetitive in-service training programs

question

The period of insurance continuation under COBRA (Consolidated Omnibus Budget Reconciliation Act of 1985) shall begin on the date coverage would otherwise have ended and may continue up to a maximum of:

answer

18 months

question

The ADA (Americans with Disabilities Act) has five titles. Of those five titles, which most affects the health-care facility administrator?

answer

Title I

question

The total cost of fringe benefits usually averages about:

answer

15 to 30% of wages

question

Which of the following forbids the employment of any employee who has been found guilty of resident abuse or neglect? 1. OBRA. 2. Title XIX. 3. Title XVIII. 4. Insurance companies offering professional liability

answer

1. OBRA (The Omnibus Reconciliation Act of 1987)

question

Sitters and private duty nurses are usually classified as:

answer

Independent contractors

question

Because orientation programs for employee are both an important and complex task, a valuable technique is to:

answer

Use a checklist

question

There are many different types of insurance programs that may be made available and some of these may require the employee to contribute. Which of the following would not be included? 1. Dental insurance. 2. Disability insurance. 3. Long-term care insurance. 4. Workers compensation insurance.

answer

4. Workers compensation insurance

question

The Wagner Act of 1935

answer

Established a workers right to organize unions and bargain collectively

question

"Respondeat Superior" is a Latin term meaning:

answer

Let the employe answer for the acts of his/her employee. Latin phrase meaning "let the master answer," legal doctrine that places responsibility on physicians for actions by their employees (vicarious liability).

question

As a safety precaution, which of the following cannot be painted or varnished? 1. Handrails. 2. Storage Shelves. 3. Wooden Ladders. 4. Medicare Cabinets

answer

3. Wooden Ladders

question

Under OSHA, the maximum mandatory penalty for each "serious violation" is:

answer

$7,000

question

Under OSHA, accidents and illnesses do not have to be reported if:

answer

They do not result in work time lost

question

Sound financial management dictates that approving the annual facility budget is the responsibility of the:

answer

Governing body

question

The primary value of financial management is to provide adequate accounting information enabling the administrator to:

answer

Make decisions

question

Which of the following is usually not a revenue center? 1. Social Services. 2. Dietary Services. 3. Nursing Services. 4. Beauty shop

answer

1. Social Services

question

Which of the following is a non cash expense? 1. FICA. 2. Payroll. 3. Insurance. 4. Depreciation

answer

4. Depreciation

question

Which one of the following would be generally considered an operating expense? 1. Purchase of a computer. 2. Weekend overtime wages. 3. Cost of paving a parking lot. 4. Well partitions installed in resident areas.

answer

2. Weekend overtime wages

question

Labor cost in a long term care facility usually totals about:

answer

50% to 60%

question

Which of the following is a payroll tax? 1. Social Security. 2. Workers compensation. 3. State unemployment insurance. 4. Federal unemployment insurance.

answer

1. Social Security

question

The most effective area to reduce and control costs in food service concerns:

answer

Menus

question

The primary purpose for maintaining an operating budget is to:

answer

Provide a method of ongoing study and control

question

Financial statements are needed to determine if the business is meeting its primary financial goals of:

answer

profitability an solvency

question

Department heads should be involved in the budget process and the administrator should ask them to:

answer

Review the materials and supplies normally used and estimate what will be needed next year

question

The terms FIFO and LIFO refer to:

answer

Inventory valuing methods

question

If the Medicaid regulations of a given state require that a resident in a non skilled nursing facility must have 3.0 hours of nursing care per day, excluding care given by the DON, and the facility is licensed for 180 beds and currently has a 98% occupancy rate, how many full time nursing employees would be required if each employee worked 7.5 hours per 8 hour shift?

answer

71 180x.98=176.4 176.4x3=529.2 529.2/7.5=70.56 or 71 Total beds X % of occupancy rate = Occupancy Occupancy X 3 hours of care per day = total hours of care Total hours of care / 7.5 hours worked for an individual employee = Total staff needed

question

The primary purpose of perpetual inventory is to:

answer

Reflect costs based upon actual usage

question

Generally all cost reports are due:

answer

90 days after the end of the fiscal year

question

Liquidity refers to the:

answer

ability to convert assets into cash

question

A facility purchased a piece of equipment at a cost of $40,000. However the equipment will reduce operating cost, including salary and supplies, by at least $7,000 per year. What is the pay back period?

answer

5.71 years $40,000/$7,000 = 5.71 years Equipment cost/savings per year = pay back period

question

Cash in excess of that required in the near future should be properly invested in short-term investments as:

answer

Money Markets

question

The cash flow is only valid:

answer

For a specific time period

question

When salaries are listed by departments they usually do not include: 1. FICA. 2. FUTA. 3. Payroll tax. 4. Health insurance

answer

4. Health Insurance

question

A W-2 form contains all of the following except: 1. Gross earnings. 2. Number of dependents. 3. State income tax withheld. 4. FICA income tax withheld.

answer

2. Number of dependents

question

The primary duties of the fiscal intermediary do not include: 1. Determining allowable costs. 2. Processing Medicare claims. 3. Licensing a skilled nursing facility. 4. Conducting a pre-certification survey.

answer

3. Licensing a skilled nursing facility

question

Each facility has its own system of journals. Which of the following is not a journal? 1. Payroll. 2. Investment. 3. Cash receipt. 4. Depreciation schedule

answer

4. Depreciation schedule

question

Accounts payable, accounts receivable, and general are all examples of:

answer

Ledgers

question

Work orders are simple written requests indicating:

answer

The problem and its location

question

The minimum amount of square footage in a priavet room with one single bed is:

answer

100 square feet

question

Under OBRA, the responsibilities of the safety committee may be assigned to the:

answer

Quality improvement committee

question

Many nursing facilities tag each item or piece of equipment primarily for the purpose of:

answer

Maintenance programs

question

The minimum square footage per person of a room excludes all of the following except: 1. bed. 2. toilet. 3. closets. 4. wardrobe

answer

1. Bed

question

Hazardous areas must be protected by fire barriers with a fire resistance rating of one hour or a completely automated extinguishing system. Which of the following would usually not be considered a hazardous area? 1. Laundry room. 2. Dinning room. 3. Handicraft shop. 4. Employee locker areas

answer

2. Dinning room

question

The travel distance between Class B or C fire extinguishers cannot be more than:

answer

50 feet

question

All of the following are correct procedures in handwashing except: 1. using liquid soup. 2. using paper towels. 3. filling the bowl with warm water. 4. using paper towels to turn the water faucet on and off.

answer

3. Filling the bowl with warm water

question

In a nursing facility situation, the most effective means of preventing the spread of infection is:

answer

Hand washing

question

To personalize a residents room can become very difficult due to available space, infection control, and life safety codes. However, all of the following are required to assist the resident except: 1. Private closets. 2. Private drawers 3. .Suitable illumination. 4. Personal Telephones

answer

4. Personal Telephones

question

ANSI regulations are not designed for the:

answer

Mentally Disabled

question

The foot candle power of a reading light at a bed should yield an illumination of:

answer

30 foot candle

question

The lighted display board that indicates the affected zone or area in case of fire is called:

answer

An enunciator panel

question

Under OSHA, the hazards of each product are determined by the:

answer

Manufacturer

question

The designated parking space for the handicapped must be on a hard surface and at least:

answer

13 feet wide

question

The fire rating of building materials is established by:

answer

The Life Safety Code

question

The National Fire Protection Association does not:

answer

Enforce Life Safety standards

question

Nationally the monitoring and enforcement of ANSI standards is the responsibility of:

answer

An agency within the state

question

All deaths resulting from a medical device must be reported to the:

answer

Food and Drug Administration

question

According to OSHA, the color for safety and first aid is:

answer

Green

question

Which of the following is not a primary purpose of the National Board of Examiners for Nursing Home Administrators (NAB)? 1. Offering employment opportunities. 2. Establishing a uniform code of ethics. 3. Recommending educational standards. 4. Obtaining uniformity of laws, rules and regulations.

answer

1. Offering employment opportunities

question

One of the major functions of a board of directors is stewardship, which is defined as:

answer

Conscientious use of assets

question

Regulations have affixed the primary responsibility for utilization review with the:

answer

Medical staff or medical profession

question

Which of the following is not an advantage of the Program Evaluation and Review Technique (PERT)? 1. Forcing managers to plan 2. Eliminating feedback control. 3. concentrating on critical activities. 4. Taking possible action at the right place and time

answer

2. Eliminating feedback control

question

The managerial function of influencing usually results in:

answer

Reducing morale

question

A resident who dies without leaving a will is said to have died:

answer

Intestate

question

The ombudsperson cannot:

answer

Issue citations against a facility

question

Medicare is a federally operated program and Medicaid is a program that provides federal grants to states to assist persons in various categories, but it does not include: 1. the aged. 2. the blind. 3. families with dependent children. 4. individuals who are temporarily disabled.

answer

4. Individuals who are temporarily disabled

question

The chief factor in an effective fire and safety program is:

answer

The support and participation of the administrator

question

Nursing facility administrators need to be aware of the field of sexuality in the aged because:

answer

The need for closeness, affection , and intimacy usually continues unabated throughout life

question

Which of the listed resident rights is sometimes very difficult for the resident to accomplish? 1. choosing a pharmacy. 2. receiving fair treatment. 3. refusing to perform work. 4. self administration of medication

answer

1. Choosing a pharmacy

question

Each resident receiving medical assistance under the Medicaid program state plan must be notified by the facility when the amount in the residents account reaches an amount, less the dollar amount of resources allowed under SSI policy, that equals:

answer

$200

question

If there is a significant change in the residents physical, mental, or psychosocial status, the facility must immediately notify all of the following except the: 1. Resident. 2. Physician. 3. Ombudsperson. 4. Residents legal representative, if known

answer

3. Ombudsperson

question

Before a resident is transferred, a written notice is required specifying all of the following except: 1. the right to refuse the transfer. 2. the location to which the resident is transferred. 3. a statement that the resident has the right to appeal the action to the state. 4. the name, address, and telephone number of the state nursing home association

answer

4. The name, address, and telephone number of the state nursing home

question

Resident rights are not derived from:

answer

Criminal Law

question

Any event or process that can lead to actions which result directly or indirectly in economic losses or damage to the facility is defined as:

answer

A risk

question

Risk Management is identifying and solving problems:

answer

Before they get out of hand

question

an effective marketing campaign should create:

answer

A favorable image, visibility, and exposure in the community

question

To be successful, the tour of a facility by potential residents should be:

answer

Planned and involve staff members

question

Payments for adult day care cannot be made by:

answer

Medicare

question

OSHA Reports

answer

*OSHA 200 Log - Log all injuries + Illnesses -11 or more employees -within 6 days of incident *Form 101 - Supplemental details to entries made in 200 Log *Form 102 - year end report - must post between Feb. 1 + March 10th

question

A residents Active record must contain all resident assessments completed within the past _______

answer

15 Months

question

______ specifies the functions and compositions of the governing board

answer

By Laws

question

Medicare certified facilities must use the ________ basis of accounting

answer

Accrual

question

A facility must disclose all persons (or corp.) holding a direct or indirect ownership of _______ or more

answer

5%

question

A system of accounting in which revenues are recorded when cash is received and expenses are recorded when cash is paid.

answer

Cash basis of accounting

question

A measure of a facility's ability to pay current debts. Current assets/current liabilities = _________

answer

Current Ratio

question

Responsible for developing the Life Safety Code

answer

National Fire Protection Association (NFPA

question

What percentage, according to CMS regulations, of residents selected to be interviewed during a quality survey must be interviewable?

answer

50%

question

The ombudsperson program is funded by __________

answer

The Administration on Aging

question

Stop order procedures are developed by ______ & ______

answer

Pharmacist and the Medical Director

question

If medication has an automatic stop order, the nurse must notify the __________ before the _________ is administered

answer

Physician & Last dose

question

OBRA requires that specialized Rehabilitation Services must be prescribed by a __________

answer

Physician

question

A physical restraint must be removed from the resident every__________

answer

2 hours

question

Must train new employees in OSHA safety upon hire and then every ___________ thereafter

answer

12 Months

question

The Fire Safety Plan must be reviewed by the fire department _____________

answer

Annually

question

Emergency Management Plan must be updated _________ and reviewed by __________

answer

Annually & Local emergency management agency

question

Hot foods should be kept at ____________

answer

140°

question

Cold foods should be kept at ____________ and below

answer

41°

question

Begins with initial inventory and then monitor monthly Most precise system or inventory method

answer

Perpetual Inventory

question

Involves an annual physical inventory

answer

Periodic Inventory

question

-Health Insurance Portability & Accountability Act of 1996 -Established principles of patient privacy regarding use + misuse of their medical records -Protects pre-existing medical conditions -enforced by Department of Labor

answer

HIPAA

question

The handrails in stairwells must extend beyond the first and last steps by:

answer

12 inches

question

Universal Precautions were developed by:

answer

Center for Disease Control (CDC)

question

According to Medical Device Reporting user facilities must keep records for:

answer

2 years

question

OSHA accident reports must be posted every year during the entire month of __________

answer

February

question

Wood for fire stopping must be ___________ thick

answer

2 inches

question

Pharmacist must notify the _____________ if any controlled drugs are missing

answer

Director of Nursing (DON)

question

The consultant pharmacist must report any irregularities to the __________ and the ____________

answer

DON & Attending Physician

question

MSDS MUST contain the following sets of information about hazardous chemicals:

answer

-Odor -Signs + symptoms of exposure -Emergency + First aid procedures

question

Must provide residents ____________ notice of changes in state + federal laws, facility rules + the resident contract

answer

14 Days

question

Medicare method of payment for skilled nursing facilities that make fixed payments for days or episodes of care covering most or all services provided during a Med A stay. Rates vary according to the acuity-level class and are not adjusted for actual costs incurred.

answer

Prospective Payment Systems (PPS)

question

Commercial insurer or other private or public entity which pays for all or part of the changes for a resident

answer

Third Party Payer

question

Earning Before Interest, Depreciation, Amortization, and Taxes

answer

EBIDAT

question

Report #3 - Facility compliance history Report #4 - Last survey report

answer

OSCAR (Online Survey Certification Reports)

question

LT residents should be interviewed ________ for Resident Satisfaction

answer

Annually

question

All potential customers who express some interest in a product offering.

answer

Potential Market

question

Intentional touching of another person without their consent

answer

Battery

question

-Responsible to implement Resident Care Policies -Must ensure residents medical needs are met -Can substitute for an attending Physician in an emergency -Must council physicians not meeting federal, state, and professional responsibilities -Assists the DON in providing care

answer

The Medical Director

question

-Must have the DON, a physician and 3 members of staff -The administrator is not required -Must meet at least quarterly -Must identify deficiencies with respect to resident care and resident services

answer

Quality Assessment and Assurance Committee

question

Intentional act or threat causing fear in another with reasonable expectation of harm

answer

Assault

question

CNA's must have a minimum of ___________ of in-service training each year to maintain certification

answer

12 hours

question

CNA's employed 12 months or longer must submit to a performance review every ____________

answer

12 months

question

State CNA certification must be completed within ________ after initial employment

answer

4 months

question

Under the Civil Rights Act of 1964, employers with ________ or more employees are subject to its provisions

answer

15 employees

question

Which government agency oversees enforcement of the Occupational Safety and Health Act?

answer

OSHA

question

Accidental deaths must be reported to OSHA within ___________

answer

8 hours

question

-Occupational Health and Safety Administration -Under Department of Labor -Administers the Occupational Health & Safety Act of 1970

answer

OSHA

question

Purpose is to inform employers & employees of hazardous chemicals in the workplace *MSDS (Minimum Safety Data Sheets) -Manufacturers must provide hazardous information to employers in the form of MSDS

answer

OSHA Hazard Communication Standard

question

Hazardous areas must have _____________ fire protection and __________ system areas include mechanical equipment room, laundry, kitchen.

answer

1 Hour & Auto Extinguishing

question

The need for the continuation of restraints should be re-evaluated and documented every ___________

answer

8 hours

question

Chutes designed for linen or trash use must be sealed by _____________ or shall be provided with a _____________ having a protection rating of _____________ if that chute opens directly onto a corridor.

answer

- Fire Resistant - Fire Door - 1 Hour

question

Combustible decorations are _____________ allowed unless they are _____________

answer

- NOT -Flame - Retardant

question

A nursing home cited for several Level 4 Deficiencies has how many days after the findings by the Survey Team to correct the situation?

answer

23 days

question

A forced air ventilation system should change the ai at least once every _____________

answer

6 minutes

question

Emergency Generators must be checked _____________

answer

Weekly

question

Waste Management is monitored by _____________

answer

OSHA

question

What should be the Temperature range in the dry storage area?

answer

50° to 70°

question

All facility policies should be reviewed _____________

answer

Annually

question

Auxiliary alarms are required in _____________ and must be connected to an emergency alarm system and visible to all areas of the room.

answer

Sleeping Rooms

question

Is done to determine if treatment provided to patients was effective and cost efficient. Primary objective is to assure high quality resident care

answer

Utilization Review

question

The two most important risk management tools are _____________ and _____________

answer

-Education -Quality Control

question

*Also known as Labor Management Reporting and Disclosure Act *Protects members from their Unions *Outlaws sweetheart deals between management & Unions at members expense

answer

Landrum Griffin Act 1959

question

*Limits the amount a creditor can garnish (deduct) from a workers paycheck each week *Limits deduction to the lesser of 25% of disposable income or 30 times the federal minimum wage *Enforced by Department of Labor

answer

Consumer Credit Protection Act

question

*Created the National Labor Relations Board (NLRB) *Enacted to regulate the growing power of Unions *1974 Amendment: a) union cannot strike a nursing home without 10 days prior notice b) nursing homes & unions must give the other 90 days notice of intent to change an existing contract

answer

Taft Hartley Act of 1947

question

*Created by the Taft Hartley Act of 1947 Responsible: 1. Determine union bargaining unit 2. Conduct elections by Secret Ballot 3. Investigate unfair labor practices 4. Stop illegal strikes

answer

National Labor Relations Board (NLRB)

question

*Also known as National Labor Relations Act *Established a workers right to organize Unions and bargain collectively

answer

Wagner Act of 1935

question

*Limited the power of the federal courts to stop union strikes *Outlawed Yellow Dog Contracts - prevented workers from unionizing

answer

Norris LaGaurdia Act of 1932

question

*Provides funding for services needed by the elderly that are not provided medicare & social security *Pays for senior centers, housekeeping, meals, activities, meals on wheels *Created the long term care ombudsman *For individuals 60 years and older *Administered through Area on Aging Agencies

answer

Older Americans Act of 1965

question

*Immigration form to verify legal U.S citizenship status *Must retain 3 years or 1 year from termination *Must be completed within 3 days of hire

answer

From I-9

question

Applies to employers with 50+ workers *Provides 12 weeks of unpaid leave each year *Must work 12 months or 1,250 hours prior to leave *Employer must continue to pay health insurance while on leave *Employer can require worker to use up all paid leave (Vacation/Sick time)

answer

FMLA

question

*Applies to employers with 20+ employees *Protects workers 40+ years old *Cannot force an employee to retire based on age *Prevents employers from replacing older workers with younger ones *Complaints filed with the EEOC + enforced by the courts.

answer

Age Discrimination in Employment Act

question

*Also known as Ethic in Patient Referrals Act *Governs the Referral of patients by providers for goods + Services

answer

Stark Law

question

*Funded construction of hospitals and nursing facilities

answer

Hill Burton Act of 1946

question

1) Must report incidents of medical devices causing injury or death to a resident (Wheelchairs, walkers, electric beds contact lenses, dentures) 2) Must report incidents within: a. 24 hours to FDA but no later than 10 days b. Must report incident to manufacturer within 10 days

answer

Safe Medical Devices Act

question

-Extends health coverage upon discharge - up to 18 months -Employees have 60 days to decide whether to continue coverage -Employees pay full cost of coverage -Employees must provide a certificate of coverage upon termination

answer

The Consolidated Omnibus Budget Reconciliation Act (COBRA)

question

*Title VII (7) of Civil Rights Act *Expands coverage to employers with 15 or more employees *Enforced by the EEOC

answer

Equal Employment Opportunities Act (EEOA)

question

Enforces the following laws: a. Civil Rights Act of 1964 b. Age in Discrimination Act c. Rehabilitation Act of 1973 d. Americans with Disabilities Act E. Equal Pay Act

answer

Equal Employment Opportunities Commision (EEOC)

question

-Protects people with handicaps from discrimination in hiring and employment and requires equal access for all handicap persons to public places and worksite by special construction standards. -Enforced by the Architectural + Transport Barriers Compliance board and EEOC *Rules modified: Developed by ANSI + CABO

answer

Americans with Disabilities Act (ADA)

question

*Wage and Hour Act - Sets minimum wage, overtime, standard workweek definitions, equal pay, child labor, and record keeping requirements *Administered by the Department of Labor *Hours and Payroll data must be kept for 2 years

answer

Fair Labor Standards Act of 1938

question

*Prohibits discrimination on the basis of age, sex, race, religion or national origin *Applies to employers with 15 or more workers *Complaints filed with the EEOC *Prohibits: Disparate treatment & Disparate Impact

answer

Civil Rights Act of 1964 - Title VII(7)

question

*Limits amount a creditor can deduct from a workers paycheck each week pursuant to a court order requiring payment of a debt *Limits deduction to up to 25% of disposable income or 30 times the federal minimum wage *Enforced by Department of Labor

answer

Consumer Credit Protection Act

question

1. _________ in _________ age 65+ will spend some time in a nursing facility 2. _________in _________ between 65-74 reside in an institution 3. _________ in _________ between 75-84 reside in an institution 4. Average size of a nursing facility is _________ beds

answer

1. 1 in 5 2. 1 in 20 3. 1 in 10 4. 104 beds

question

Residents clinical records contain what:

answer

-Progress notes -Assessments -Plan of care

question

Medicare Part A + B does not pay for the following:

answer

-Routine physical + related tests -eyeglasses or eye exams -hearing aides or examinations -immunizations (except for pneumococcal shots) -Routine foot care -orthopedic shoes or other supportive foot devices -custodial care -preventive care, filling removal or replacement of teeth

question

-Estimate of inflows + outflows of cash of cash for the next 12 months -Is prepared from expense + revenue budgets -Needed to ensure adequate cash flow to pay bills

answer

Cash Budget

question

-Summarize all anticipated capital expenditures -Has a useful life of more than 1 year and costs more than $500

answer

Capital Budget

question

Preliminary Financial statements based on Budgeted amounts derived from operating budget

answer

Pro Forma Financials

question

Transactions are organized + recorded in the journals by _______ and by _______ in the general ledger

answer

-Transaction date -Dollar amount

question

The accounts in the general ledger are arranged __________________________________________

answer

In the order they appear in financial statements

question

If the administrator wants to know if the facility made money, he would look at the __________ and the __________

answer

-Profit/Loss Statement -Income Statement

question

The valuation of a non-current asset is determined by its __________

answer

Cost at time of purchase

question

A system of accounting in which revenues are recorded in the period earned, expenses are recorded in the period incurred, even if cash is received or paid in a later or earlier time period.

answer

Accrual Basis of Accounting

question

Used to calculate funds available in a few days to pay current liabilities and is expressed as: Cash + Current Receivables / Current Liabilities

answer

Acid Test Ratio

question

An administrator would refer to the following to determine if revenues were sufficient to cover expenses?

answer

-Profit/Loss Statement -Income Statement

question

-The time in years for the next cash inflow from a capital investment to be equal to its costs -Does not consider total profitability of the project + the time value of money Total Investment: Annual Savings or increased net cash flow Example: $60,000/$20,000 = 3 yars

answer

Payback Period

question

Category 1: a. Directed Plan of Correction b. State Monitor c. Required in-service Category 2: a. Denial of payment of new admissions b. Denial of payment for all residents c. Daily fine of $3,000 - $5,000 Category 3: a. Temp management b. Termination c. Daily fine of $3,050 - $10,000

answer

Remedies for Non-Compliance

question

Liquidity is the ability of current assets to meet the financial obligations of ___________ ___________

answer

Current Liabilities

question

To calculate the Payback period:

answer

Divide the cost of the item by the yearly savings

question

The director of nursing in a 200 bed facility receives $60,000 salary. The facilities current occupancy is 80%. What is the DON's approximate salary fixed cost per resident day?

answer

$1.03 200 x .80 (80%) = 160 160 x 365 (days/year) = 58,400 $60,000 / 58,400 = $1.03

question

A facility is licensed for 135 beds and has an occupancy of 120 residents. In a 30 day month, $11,700 is spent on food. What is the per resident day raw food cost for food?

answer

$3.25 $11,700 / 30 (days in a month) = $390 $390 / 120 = $3.25

question

How many full time employees do you have if you have 2 employees who work 2,080 hours per year and 4 employees who work 1,040 hours per year?

answer

4 FTE 2,080 x 2 = 4,160 1,040 x 4 = 4,160 4,160 + 4,160 = 8,320 52 (weeks/year) x 40 (hours per week) = 2,080 (FTE) 8,320 / 2,080 = 4 FTE

question

A facility had $98,000 worth of food on hand as of June 30th. It had $107,000 as of July 31st. During the month of July, a total of $165,000 was spent on food purchases and 100,000 meals were served. What was the food cost per meal?

answer

$1.56 per meal 98,000 + 165, 000 = 263, 000 263,000 - 107, 000 = 156, 000 156, 000 / 100 = $1.56 per meal

question

Under the straight - line method, what would be the annual depreciation expense for a piece of equipment having a cost of $6,000, a manufacturers warranty for 2 years and an estimated uselife life of 6 years?

answer

$1,000 $6,000 (cost) / 6 ( years) = $1,000 Warranty is irrelevant

question

What is the average daily absentee rate for a facility with a total of 120 full time employees per day and 144 lost work days/ absences during a 60 day period?

answer

2 144 / (120 x 60) = 2 Total Lost workdays / Total FTE x # of days in the period

question

Formula to determine the percentage of body weight loss:

answer

Solution: Original weight - Current weight = weight loss weight loss X 100 / Original weight = % of weight loss

question

The formula to calculate the average cost per resident day:

answer

Total Monthly expenses / # of resident days in the month = Total cost for residents Total cost for residents / average # of residents per day =Cost per resident day

question

A facility has 90 residents and it requires preparation time of 12 labor minutes per meal. How many labor hours are required per week?

answer

378 (hours) 12 (Labor minutes) x 3 (Meals/day) = 36 36 (minutes) x 90 (residents) = 3,240 (minutes) 3,240 (minutes) x 7 (days/week) = 22,680 22,680 / 60 (minutes/hour) = 378 (hours)

question

A nursing home administrator earns $82,000 a year in a 10 bed facility. The current occupancy is 90%. what is the administrators approximate Salary fixed cost per resident day?

answer

$1.39 .90 (90%) x 180 = 162 82,000 / 365 (days in a year) = 224/day 224 / 162 (beds) = $1.39

question

The ratio of actual # of resident days to the total possible resident days related to capacity, usually expressed as a percentage. Example: a facility has a 100 beds and 80 are occupied for a day, the occupancy rate is 80/100 on 80%

answer

Occupancy Rate

question

The time in years for the net cash in-flow from a capital investment to be equal to its cost. -Does not consider total profitability of the project and the time value of money. Example: a machine is purchased for $60,000 to replace a worker earning $20,000/year $60,000 / $20,000 = 3 years

answer

Payback Period

question

A new over is purchased for $3,456 and has a useful life of 8 years. Using the straight-line method of depreciation what tax deduction is available to the facility each year?

answer

$432 $3,456 / 8 (years) = $432

question

A nursing home is considering the purchase of a new dish washing machine that costs $6,000 and has a useful life of 10 years. It is estimated that the machine will reduce annual operating costs by $800 over each of the next 10 years. What would be the payback period?

answer

7.5 years $6,000 / $800 = 7.5

question

Submitted to the Medicare intermediary at the request of a beneficiary when the facility determines that the beneficiary does not qualify (or no longer qualifies) for Medicare coverage but the beneficiary believes they are entitled to covered services.

answer

Demand Billing

question

According to the IRS, records of employment taxes must be kept for at least _________

answer

4 years

question

The agency that monitors proper storage and destruction of scheduled drugs is the _________ _________ _________

answer

Drug Enforcement Administration

question

The resident assessment protocol (RAP) process impacts current alert documentation systems from ________

answer

Changes in resident status (conditions)

question

The admission medical evaluation of a resident (physical exam) must be done within ___________ of admissions unless it was performed ____________ prior to admission.

answer

-48 hours ( 2 days) -5 Days

question

Mental Changes in Elderly Residents are usually caused by _________

answer

Arteriosclerosis

question

Emergency management plan must be updated _________ and reviewed by _________

answer

-Annually -Local Emergency Management Agency

question

OSHA Safety guidelines are _________ only and focus mainly on _________, _________, _________

answer

- Advisory -Ergonomics, Exposure to blood, Decreasing falls

question

ADA rules are developed and modified by:

answer

Council of American Building Officials (CABO) American National Standards Institute (ANSI)

question

A quality assessment and assurance committee is required to meet _________ and must include the _________ , _________ , and _________

answer

-Quarterly -Administrator, RN, and Physician

question

A low temp dishwasher uses hot water at _________ and bleach at _________

answer

120° 25 ppm

question

A dishwasher that uses hot water must have a wash cycle at _________ and a rinse cycle of _________

answer

140° 180°

question

Electrical switches must be located on _________ at a minimum of ________ above the floor

answer

-Walls - 15 inches

question

Phone volume level between ________ and ________ decibels

answer

12 and 18 decibels

question

Table tops must be between ________ to _________ above the floor

answer

28" to 34" (inches)

question

Letters must have a width to height ratio between ________ and _________ and a stroke width to height ratio of between _________ and _________

answer

3:5 & 1:1 1:5 & 1:10

question

The consultant pharmacist must reconcile drug records _________

answer

Quarterly

question

Results of an abuse investigation must be reported to the ________ and _________ within ________ of the incident

answer

-Administrator -State -5 days

question

Form that is proof of receipt / disposition of a controlled drug

answer

Medication Administration Record (MAR)

question

Recommended policies are reviewed every ________

answer

Six month

question

Phones need to be mounted between ________ and _________ Highest Reach _________

answer

- 15" - 48" - 54"

question

A law passed by Congress or a state legislature:

answer

Statute

question

Laws passed by local government:

answer

Ordinances

question

Rules adopted by government agencies that interpret laws passed by a legislature

answer

Regulations

question

Employers with __________ or more employees must maintain a record of occupational illnesses and injuries

answer

11

question

The administrative simplification provisions of the 2001 Amendment to The Health Insurance Portability and Accountability Act of 1996 (HIPAA)

answer

Guarantees confidentiality of patient information

question

Facilities must report deaths and injuries to The Food and Drug Administration within _________

answer

10 days

question

Employers must record non-serious accidents that involve lost work time and medical treatment by a doctor within __________ days of occurrence or when the employer learns of the incident

answer

6 days

question

Which act requires federal Contractors to have an affirmative action program to recruit disabled workers?

answer

Rehabilitation Act of 1973

question

Employers must provide workers training in OSHA Bloodborne Pathogen control safety rules when _______________

answer

An employee's task are modified and increases exposures to pathogens

question

1. Imminent danger (can close a facility) 2. Non-Serious violation (no harm, fine) 3. De-minimus violation (no harm, fine) 4. Most often cited deficiency - Failure to post MSDS

answer

OSHA Compliance Categories

question

Managing through reports:

answer

Quantitative Management Method

question

Management style that emphasizes motivating, empowering, and challenging staff

answer

Qualitative Management Method

question

Authority that is conferred by statute or law:

answer

Express Authority

question

Authority that is conferred by corporate by laws:

answer

Implied Authority

question

1. Span of control - the maximum # of people one manager can manage 2. Short chain of command - the maximum levels of command 3. Balance of concept - The balance between departments (standardized policies, scope of duties) 4. Unity of Command - each worker should be responsible to only one supervisor

answer

Command Concepts

question

Act that requires a certificate of need before building a hospital or nursing home:

answer

National Health Planning and Resources Act

question

Prospective payment is a fixed amount based on _________

answer

Acuity

question

Independent credentialing professional group that focuses on centers providing nursing and therapies. Reviews adult day services, assisted living, behavioral health, employment and community services and medical rehabilitation.

answer

Commision on Accreditation of Rehabilitation Facilities (CARF)

question

1. Structure - staff, building, equipment 2. Process - Policies and Procedures 3. Outcome - Quality of life of residents (pressure sores, dehydration)

answer

Measure of Quality

question

-Determine the structure of the organization and ensure work is done without duplication -Breaks work into tasks to be handled by one person

answer

Organizing

question

Projects trends and needed resources and services

answer

Forecasting

question

-Identify objects and desired outcomes -Expresses organizational goals -involves an integrated decision system -Aides managers with coping with uncertainty

answer

Planning

question

-systems that identify problems when they occur -designed to discourage and detect employee theft

answer

Financial controls

question

Law that penalizes anyone who knowingly and willfully solicits, receives, offers, or pays remuneration in cash or in kind to induce, or in return for referring an individual to a person for services to be paid for by medicare or medicaid programs

answer

Anti-Kickback Law

question

Medicare claims must be submitted to a _________

answer

Fiscal Intermediary

question

Payroll taxes withheld from paychecks (FICA, Medicare, Income taxes) are deposited __________ into a bank account in the name of the federal government

answer

Quarterly

question

-Payment system where the per diem rates for each nursing facility are determined in part by some measure of the acuity, and thus the likely resource consumption, of each resident -Assessments are conducted primarily on function disability scores -The per diem rates vary for each group, with high rates paid for residents with great needs

answer

Case mix based payment systems

question

Systems used by state Medicaid programs under which the per diem rates are determined in part by some measure of acuity of each covered resident. -Assessments are conducted primarily on functional disability scores

answer

Case mix based payment systems

question

Compare actual to projected results pat of operating budget

answer

Variance Analysis

question

Isolation is required if a resident: 1. __________ 2. __________ 3. __________

answer

1. Has poor hygiene 2. Contaminates the environment 3. Cannot assist in preventing the spread of infection

question

Linen carts and containers must be decontaminated ___________

answer

Weekly

question

As art of the quality assurance program. The __________ plan should include a __________ and the ___________

answer

-Corrective Action -Record of Incidents -Corrective Action Steps

question

Rules established by OSHA to assure that all workers are familiar with Hazardous materials with which they may come into contact:

answer

Hazard Communication Standard

question

Under medicare, to be eligible for inpatient nursing facility care, 4 conditions need to be met: 1. Patient needs to have spent ________ in a hospital (not including day of discharge) 2. Be transferred to facility for original cause of hospitalization 3. Be admitted within __________ of hospital discharge 4. Be certified by a _________to be in need of nursing case or rehabilitation on a _________basis

answer

- 3 consecutive days - 14 days - Physician & daily

question

Match revenues to expenses that generate the revenue (accrual)

answer

Matching Principle

question

Do not recognize revenues until earned (cash basis)

answer

Realization Principle

question

Financial data that is relevant to investor decisions must be disclosed

answer

Materiality Principle GAAP

question

Transaction documents (bills, receipts, cancelled checks-source documents) are the best evidence

answer

Objective Evidence Principle GAAP

question

Reporting periods must be the same from year to year a. financials are updated monthly (books closed) b. financial reports are distributed to management monthly c. quarterly and annual reports are distributed to owners/managers d. calendar year - jan 1 to Dec 31 e. Fiscal year - oct 1 to sept 30th

answer

Time Period Principle GAAP

question

The average number of days to collect money is __________

answer

58 days

question

Sets revenue targets and limits on expenses -includes both an expense budget and a revenue budget

answer

Operating Budget

question

List expenses and capital needs for the coming year -Part of the operating budget

answer

Expense Budget

question

Projects revenue for the coming year -Part of the operating budget

answer

Revenue Budget

question

Ethics in patient referrals act of 198 which prohibits the practice of "self-referral" by physicians (referrals of medicare patients to clinical laboratories on facilities in which the physician hes a direct or indirect ownership or investment interest. Applicable to medicaid residents as well.

answer

Stark Act

question

Level 1 - no more than mirion negative impact Level 2 - minimal physical, mental or psychosocial discomfort Level 3 - Compromised the resident's ability to maintain highest practical level of functioning Level 4 - Risk of immediate injury, harm or impairment or death to a resident

answer

Severity Levels of Non-compliance (4 Levels)

question

1. Facility characteristics 2. Facility quality indication profile 3. Resident level summary

answer

Quality Indicator Reports from CMS

question

1. Task 1 - offsite prep (review OSCAR, complaints, ombudsmen reports, waivers) 2. Task 2 - entrance conference 3. Task 3 - Initial Tour 4. Task 4 - Sample Selection 5. Task 5 - Info gathering (collect findings) 6. Task 6 - info Analysis 7. Task 7 - Exit conference

answer

Survey Process ( 7 Tasks)

question

Act that holds employers directly financially responsible for injuries to employees

answer

Federal Employer Liability Act

question

-Main focus is to prevent injury, theft, malpractice, and negligence -Events that could lead to financial loss or damage

answer

Risk Management

question

Short term residents should be surveyed of resident satisfaction with _________ after discharge

answer

30 days

question

Actual customers who have bought your products:

answer

Penetrated Market

question

Those who a facility made an effort to attract to the facility:

answer

Served Market

question

Those who have an interest but lack the money to buy your product:

answer

Available Market

question

those who have an interest but additionally the money and access to product offering:

answer

Qualified Available Market

question

- Act of taking corrective action after evaluating expected to actual results -modifying policies and processes -provide clear and accurate info to employees -corrective action must be taken consistently and timely must be seen as legitimate and relevant

answer

Controlling

question

Involves communicating to employees what needs to be done -Developing policies and procedures that allow employees to make the same decisions give the same circumstances

answer

Directing

NAB Exam Review – Finance/HR/Environment/Regulatory Agencies/Medical terms/Staffing/Labor laws/etc. – Flashcards

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