question

Education and training programs.

answer

To obtain more accurate cost estimates and more control over costs (participatory budget making process - others are more likely to consider the budget legitimate).

question

A change in which one of the following is not likely to be the cause of a budget variance?

answer

The personal needs allowance.

question

"Assets are always equal to the sum of liabilities plus owners' equity" is the basic concept in the organization of the:

answer

Balance Sheet.

question

The financial success or failure of a nursing facility is usually measured by its:

answer

Return on Equity (net income - i.e., revenues in excess of expenses) and divides it by owners' equity).

question

If a facility has a current ratio greater than 1, which of the following statements is most likely to be true?

answer

It will be able to pay its bills on time (current ratio greater than 1 means that the organization's current assets exceed its current liabilities, and this indicates a good ability to pay short-term liabilities as they come in).

question

A check should generally be issued only when which one of the following is available and properly signed?

answer

Purchase Order.

question

The importance of matching revenue with the expenses incurred in generating those revenues is the reason for recording which one of the following?

answer

Depreciation (the purpose of recognizing depreciation is to satisfy the Matching Principle (GAAP) stated in this question).

question

Using the straight-line method, what would be the annual depreciation expense for a piece of equipment having a cost of $6,000.00, a manufacturer's warranty for 2 years, and an estimated useful life of 6 years?

answer

$1,000.

question

Which of the following is a current asset?

answer

Accounts Receivables.

question

Under the accrual basis of accounting, revenues are recorded when _______ and expenses are recorded when ______________.

answer

Revenues are earned - expenses are incurred.

question

A generally accepted accounting principle (GAAP) would be violated if a company:

answer

Used in its balance sheet an optimistic estimate of the current market value of its building (the use of current market value rather than historical costs would not be consistent with the Objectivity GAAP, and the use of an optimistic rather than conservative estimate would violate the Conservatism GAAP).

question

Last year's food costs for a 100-bed facility were $146,820. The facility had an average occupancy rate of 85% that year. What was this facility's food cost per patient day (PPD)?

answer

$4.73

question

The Medicare benefit period ends when a beneficiary

answer

Has had 60 straight days with neither any hospital days nor SNF days

question

Medicare Part A coverage of skilled nursing facility (SNF) care entails out-of-pocket payment by the patient of a daily amount for which days of SNF care in a benefit period?

answer

21st through 100th

question

Which of the following statements is NOT true regarding the Medicare Prospective Payment System for Skilled Nursing Facilities?

answer

There are separate prospective rates for capital-related costs (Medicare does not make separate reimbursement to SNFs for capital-related costs. The RUG rate that the facility receives is expected to cover all types of costs).

question

A RUG is a:

answer

Category in a resident classification system.

question

Completion of the Medicare cost report requires carrying out all except which one of the following tasks?

answer

Aging of accounts receivable.

question

The term for unintentional improper or excessive use of benefits of a health insurance program is:

answer

Abuse.

question

The process by which an individual becomes eligible for Medicaid by incurring medical expenses until personal resources fall below a specified ceiling is called:

answer

Spend Down

question

Which of the following statements regarding budgeting procedure is correct?

answer

A cash budget may provide advance warning of months when cash outlays fall short of cash receipts.

question

An example of a variable cost is:

answer

Nursing supplies.

question

If the facility's occupancy increases from 94% to 98%, the fixed cost per resident

answer

Decreases slightly (Fixed cost per resident is calculated by dividing total fixed costs by number of residents (currently-occupied beds). If the occupancy rate increases slightly, fixed costs do not change (by definition), and number of residents increase, resulting in a decreased fixed cost per resident. Another way of saying this is that the fixed costs are spread over a larger number of residents.

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 (with no salvage value). It is estimated that the machine will reduce annual operating costs by $800 over each of the next ten years. What is the payback period?

answer

7.50 years.

question

What happened in this scenario that should not have happened if financial recording and internal control principles were followed? A facility receives a check by mail for services rendered to a resident. A staff member in the business office immediately stamps the check as "For deposit only" in the name of the facility. She then makes entries in the cash receipts journal and in the resident's account for later posting to the cash account and the accounts receivable account. Later in the day, this staff person goes to the bank, deposits the check in the facility account, and picks up a deposit receipt. Upon her return to the facility, then files the deposit receipt in the file for this purpose.

answer

The person who recorded the check should not have been the same person who made the bank deposit (segregation of duties was violated).

question

The type of insurance that would cover the facility if it were sued by a resident who was injured as the result of a medication error by a nurse employee is:

answer

Professional Liability (Malpractice).

question

Business interruption insurance covers:

answer

Loss of revenue from having to keep beds empty while a unit undergoes repairs due to wind damage to a building

question

A W-4 form shows each employee's:

answer

Number of claimed exemptions for withholding purposes.

question

To obtain maximum reimbursement under the Medicare Prospective Payment Systems a skilled nursing facility should do all except which one of the following?

answer

Have physical therapists who serve Part A-covered residents bill Medicare directly (the consolidated billing rules prohibit separate billing for physical therapy (and occupational therapy and speech-language pathology therapy) provided to a Medicare beneficiary on a Part A-covered stay).

question

Which of the following practices is illegal for a Medicaid-certified facility?

answer

Requiring the payment of a facility's private-pay rate for a certain number of months as a condition for admission.

question

Which of the following is most likely to be part of the responsibilities of a compliance officer?

answer

Investigating and acting on certain kinds of problems that employees report regarding claims submissions to third-party payers.

question

Which of the following is not true? Individuals involved in strategic planning should include:

answer

Residents and Families (while input from these should be considered on selective initiatives, they are not part of the facility strategic planning process).

question

When addressing an identified problem with facility policy it is most important for the administrator to first:

answer

Discuss with the appropriate department manager (discuss problem with dept. manager and jointly determine fact gathering steps).

question

Which of the following responsibilities of the governing body of a facility is not true?

answer

Selecting and hiring the director of nursing (administrator hires DON)

question

When examining employee retention the administrator should first examine:

answer

Employee turnover (current status of staff turnover to measure the effectiveness of policy and procedural changes aimed at retention)

question

Person-centered care is best described as:

answer

The wishes of the residents (and desires of the residents - those who reside in long-term care, is the most important aspect).

question

All but one of the following abbreviations for administrators to be familiar with relates to quality of resident care and the survey process:

answer

RUGS (are part of the Medicare Prospective Payment System and not the certification process).

question

Which of the following is not a true statement related to the Advancing Excellence in America's Nursing Homes campaign?

answer

The campaign is mandatory for all facilities participating in Medicare (participation is not mandatory).

question

Certified facilities are subject to surveys every 9 to 15 months. The survey process begins with:

answer

Off-site preparation.

question

Which category of the following would best describe the ownership of a Veteran's Nursing Facility?

answer

Public (facilities owned by government entities are public owned)

question

Which of the following is not true about an extended survey?

answer

Is conducted based on past survey citations.

question

The following are immune from a personal liability or criminal lawsuit:

answer

None of the above (all staff are vulnerable to personal liability).

question

Which of the following is the best answer? An administrator prepares managers for decision making by:

answer

Ensuring they are clear about the vision and expectations.

question

Which of the following is not part of collaborative management and shared leadership in the implementation of culture change?

answer

Developing self-directed work teams and staff self-scheduling (part of the staff empowerment construct).

question

Which of the following statements is correct?

answer

Employees who decline the Hep B vaccination may change their mind, and request the vaccination at a later date at no cost.

question

Which one of the following is most descriptive of the movement toward a more social model of care within nursing facilities?

answer

A focus on resident choice and resident rights (The social model of care addresses residents' rights and choice, which may not fit the traditional schedule of activities within the facility nor fit the medical staff's plan of care for the resident).

question

__________ is the process of defining an approach or direction for an organization, making decisions about how to move toward that direction in very definitive terms and allocating resources to accomplish the plan.

answer

Strategic planning.

question

Which one of the following is not a required member of the QA Committee?

answer

The administrator

question

___________ is the most significant federal administrative agency regulating nursing facilities. It has the power to enforce and formulate rules and regulations governing the nursing home industry by controlling reimbursement for patient care.

answer

CMS

question

According to federal certification standards, the square footage for a single resident room is _________ and the square footage for a multiple resident room is __________ square feet per bed.

answer

100/80

question

The document that describes hazardous chemicals in a product, describes the product, and provides precautions for safe handling is the:

answer

MSDS

question

In public buildings, signage that depicts a human figure in a wheelchair is an international symbol that indicates entry into:

answer

An area of accessibility for the handicapped.

question

Which one of the following statements is NOT required with respect to fire safety? The facility must have:

answer

A coded word or phrase as a means of notifying staff of a fire event (recommended and not required)

question

According to the federal standards, which one of the following items is NOT required in/for resident rooms?

answer

Partial privacy for each resident (FULL privacy).

question

While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to fire safety and construction information, the actual provisions in those areas are specified by the:

answer

Life Safety Code (LSC)

question

Which one of the following is not a required measure to prevent the spread of infection?

answer

Use of alcohol-based hand hygiene rubs (allowable but not required).

question

Death in building fires is mainly caused by:

answer

Smoke inhalation

question

In order to ensure a comfortable environment, Medicare/Medicaid regulations require that nursing facilities provide:

answer

Adequate lighting levels.

question

Which one of the following is not correct about the Material Safety Data Sheets (MSDS)?

answer

The MSDS relate to hazardous chemicals, isolated residents with contagious infections, and high powered electrical mechanisms

question

Certified facilities must meet the requirements of which edition of the Life Safety Code?

answer

The 2000 edition.

question

________ Contracts are those established each time a need arises then terminated upon completion.

answer

Job-unit.

question

According to the Life Safety Code requirements, a corridor in a new nursing home must be:

answer

8 feet.

question

All certified nursing home facilities must have a sprinkler system by the year:

answer

2013

question

"Means of egress" can best be described as:

answer

A path of exit for safety.

question

The MSDSs are required by which agency?

answer

Occupational Safety and Health Administration (OSHA)

question

Nosocomial infections are those that

answer

Are facility acquired.

question

_________ hazardous chemicals are ones in which an acute or chronic health effect may occur to exposed employees or residents.

answer

Health

question

Health Which one of the sets of letters below describes the Fire Safety Code recommendation for fire drills and real-life fire events should a fire occur?

answer

RACE

question

The Life Safety Code requires at least _______ testing of certain emergency systems, such a fire doors, automatic doors, and emergency generators.

answer

Monthly (minimum

question

Which one of the following is not a step used by management to deal with unexcused absences or excessive absenteeism by an employee?

answer

Recognizing the worker's positive work performance as a means of encouragement.

question

Nurses chatting casually about nursing matters in the nurses' lounge is an example of :

answer

Informal communication.

question

Which one of the following is a key factor in managing cultural diversity in the workforce?

answer

Education and training programs.

question

An abnormal condition or disorder caused by exposure (inhalation, absorption, ingestion, or direct contact) to environmental factors associated with employment is:

answer

An occupational illness.

question

To establish job descriptions, the work the facility seeks to accomplish must be broken down into sets of activities that can be

answer

Performed by one person

question

The age discrimination act as amended:

answer

Prohibited mandatory retirement in most lines of work.

question

The practice of giving verbal warnings, followed by written warnings is known as:

answer

Progressive discipline

question

Which level of employees are most at risk for potential personal injury in the nursing home?

answer

CNA

question

What is the discipline that addresses musculoskeletal disorders (MDS) and is directly related to staff that provide resident care?

answer

Ergonomics.

question

In the typical facility, staff turnover is greatest among:

answer

CNAs.

question

Which term below is descriptive of a third party who makes a decision related to resolving a dispute and that decision is binding on both the union and the facility

answer

Arbitration.

question

Which one of the following is a critical component of a human resource professional or department?

answer

Communicating.

question

Within the spirit of OBRA and culture change, which one of the following is most descriptive of the movement?

answer

Resident rights and resident centered care.

question

Which one of the following is most descriptive of the personnel policy handbook (human resources handbook)?

answer

A compilation of facility policies and procedures that directly relate to work conditions (rules and terms under which the employee was hired and the benefits)

question

For interviewing a potential employee, a good technique is to:

answer

Let the interviewee do most of the talking in order to gain as much information as possible.

question

Which one of the following is not an employee benefit?

answer

Compensation (considered a reward given to employees in exchange for their work).

question

Which one of the following is the best approach for a supervisor to use with an employee who is clearly distracted and upset by a personal problem?

answer

Discuss the problem with the employee as it relates to his/her job performance (the employee needs to understand how the personal problem is impacting his/her work performance and seek help outside the facility to resolve the problem).

question

Which one of the following is not a mechanism for overcoming barriers in communication?

answer

Depend on key persons in each department/unit to interpret the information.

question

___________ communication occurs between peers or persons of equal rank or status.

answer

Horizontal.

question

Which type of employee counseling should not be done between the administrator/department manager and an employee?

answer

Personal non-work problems being experienced by an employee (trained professionals should assist the employee for there is potential to cause additional problems down the road).

question

Which one of the following is the most important step in developing clearly defined job descriptions?

answer

Careful analysis of the job content.

question

Which one of the following is a most significant factor related to employee retention?

answer

Orientation and supervision of employees (employees who are fully oriented to their job and well supervised are more likely to remain with the facility).

question

The requirement that all employers, including government agencies, must verify that employees hired are either US citizens or authorized to work in the US, is part of the:

answer

Immigration Reform and Control Act (requires employers to fill out an I-9 form for every employee).

question

Regulations related to payment for overtime for nursing staff employed by a skilled nursing facility are guided by the:

answer

Fair Labor Standards Act. (which also sets minimum wage, overtime, standard workweek definitions, equal pay, child labor, and record keeping requirements for over 50 million employees, including those in nursing facilities).

question

Which Act is directly related to questions that the administrator or HR representative can ask in an interview with a client?

answer

Civil Rights Act (seeks to protect applicants for a position from discrimination in being considered for a position).

question

Written policies and procedures are used by the facility for all of the following except:

answer

To establish the management style for operating the facility.

question

When admitted to the nursing home, which of following is not required to be given to the resident::

answer

The federal standards and state licensing rules for nursing facilities.

question

In the case of non-Medicare Part A residents, the initial resident assessment must be completed:

answer

Within 14 days of admission.

question

According to the federal certification standards, the QA committee is required to meet:

answer

At least quarterly.

question

A resident is admitted to a nursing home that has been certified as a (Medicare) SNF only. Which of the following is not required to be adhered to by the facility:

answer

State Medicaid standards for payment.

question

Unless a waiver has been secured, a registered nurse is required to be in the facility:

answer

At least eight consecutive hours a day, seven days a week.

question

Restorative care must be provided:

answer

By nursing staff based on a comprehensive assessment.

question

The facility staff will determine what the needs of the resident are based on:

answer

The MDS assessments

question

Physician visits are required:

answer

Every 60 days after the initial required visit

question

Which one below is an exception to when a facility may release resident identifiable information under the HIPAA Privacy Standard without the resident's permission?

answer

When a resident is transferred to another health care institution.

question

Standard precautions (previously referred to as universal precautions) are to be issued when providing personal care to:

answer

All residents.

question

All of the following are barriers regarding the recognition of chronic pain except for:

answer

Staff who are utilizing valid tools to screen for pain.

question

Which of the following does not support resident centered care concepts?

answer

Upon admission the resident indicates a preference to bather at night; the facility policy requires all baths to be given on the day shift.

question

Facilities are expected to provide a pleasant dining experience for all residents. This includes all except:

answer

Serving residents without attempting to honor resident food preferences.

question

Which one of the following is not a correct policy for dietary services?

answer

Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a nutrition problem exists

question

One specified reason for a "significant change" comprehensive reassessment is an unplanned weight loss of either ___________% over 30 days or __________% over 180 days.

answer

5%;10%

question

Which one of the following statements is true for the medical director?

answer

May also serve as an attending physician.

question

Which one of the following statements is true regarding a facility providing medically-related social services in the facility?

answer

A facility's qualified social worker's bachelor's degree can be in a human services field or in another degree with on year of supervised social work experience in a health care setting working directly with individuals.

question

Nurse aids must have a minimum of _____ hours of in-service training annually.

answer

12

question

Which one of the following statements is true?

answer

Paid feeding assistants must successfully complete a state-approved training course

question

Which of the following changes in the dietary department would most closely reflect the principles behind culture change?

answer

Liberalizing therapeutic diets to provide more food choices to residents.

question

Which one of the following is not a function of the activities director within a facility?

answer

Develops the restorative therapy program for each resident.

question

If a resident refuses to consume all of a meal initially given to him/her, the nursing staff should:

answer

Offer a suitable meal replacement or nutrition supplement to provide adequate calories.

question

Which one of the following statements is correct regarding activities provided through the activities department of a facility?

answer

Manicures/pedicures, hair styling, and makeovers may be considered part of the activities program.

question

Which one of the following statements is correct about naso-gastric tube feeding while in a facility?

answer

The initial assessment demonstrates that the resident's clinical condition indicates he/she can't eat by himself/herself.

question

According to federal certification standards, when a nourishing snack is provided at bedtime, up to ______ may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span.

answer

16 hours

question

______________ refer to any endeavor in which a resident participates that is intended to enhance his/her sense of well-being and to promote or enhance physical, affective, spiritual, cognitive, and emotional health.

answer

Activities.

question

How many hours a day must the facility provide a resident with access to physician services or with transportation to a hospital emergency room?

answer

24

question

In the event of an error in administration of medication, which of the following should be notified first?

answer

Report to the attending physician.

question

A valid court order directing that medical records be made available to a given third party, or revealed in a given circumstance, must be honored:

answer

The resident's consent is not required.

question

Medications not given as intended by the prescriber, as required by the drug manufacturer, or according to acceptable professional standards is:

answer

Medication error.

question

Facility employees are allowed to serve as feeding assistants during meal time as long as they meet certain requirements. Which of the following statements is not true?

answer

Feeding assistants can assist residents who are at risk for aspiration.

NAB Study Guide Questions – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards