400s Flashcards
401 The maximum in assets in you can have and qualify for Medicaid is $_______.
The maximum in assets in you can have and qualify for Medicaid is $2000
402 Care plans address activities appropriate for each resident based on the ______.
Care plans address activities appropriate for each resident based on the comprehensive assessment.
403 Main job of the activity director is to ___________.
Main job of activity director is to complete assessments and identify interests
404 What three things must the facility written fire plan address?
The use of an alarm; transmission of an alarm; a procedure to isolate and extinguish a fire; a plan to remove any persons in proximity to a fire and a fire evacuation plan. Just remember R-A- C-E.
405 _____ mandates that the governing body approve all facility policies.
OBRA 1987
406 Requests by a resident to see their medical records can be submitted _____.
Request to see their medical records can be either orally or in writing
407 Topical drugs are for ______ use.
Topical drugs are for external use only
408 Drugs should be administered _______ after they are prepared.
Drugs should be administered within one hour after they are prepared
409 STAT means _______.
STAT means immediately
410 The sum of all activities to create desired changes in quality care is the definition of _____.
Quality Improvement
411 Who is responsible to ensure drug records are in order and accounted for?
Consultant pharmacist is responsible to ensure drug records are in order and accounted for
412 Who must store and record drugs self administered by residents?
Nursing staff must store and record drugs self administered by residents
413 Residents have the right to self administer drugs if approved by the ________.
Residents have right to self administer drugs if approved by inter disciplinary team
414 If a medication has a stop order – when must the nurse notify the physician?
If a medication has a stop order – the nurse must notify the physician before the last dose is administered.
415 Must offer therapeutic activities based on a resident’s _____.
Must offer therapeutic activities based upon resident interests and hobbies
416 Management by walking around would not involve _____.
Management by walking around would not involve taking corrective action.
417 The primary purpose of a safety program is to ______.
Prevent or minimize accidents and injuries
418 Administrator communication with family is or is not privileged communication (protected from disclosure by law).
Administrator communication with residents and family is not privileged (protected from disclosure by law) (Attorneys; doctors and clergy do have confidential privilege and cannot be forced to disclose what you reveal to them).
419 HIPAA limits the exclusion period for pre existing conditions to ___ months.
HIPAA limits the exclusion period for pre existing conditions to 12 months
420 Under the Family Medical Leave Act; an employee can or cannot be required to use up leave time as part of the 12 weeks of FMLA they are entitled to each year.
Under the family leave act; the employee can be required to use up leave time for the 12 weeks of FMLA they are entitled to each year.
421 Under the ADA; employees can or cannot be required to submit to a fitness for duty.
Under the ADA; employees CAN be required to submit to a fitness for duty exam relevant to their job after being hired.
422 True or False - Can you require medical exams prior to an offer to hire.
FALSE - You can only require medical exams post hire
423 The process of determining job tasks; employee behavior and skills necessary for a job is called a ________.
A job analysis determines job tasks; employee behavior and skills necessary for a job
424 A collection of tasks that can be performed by one person is called a ____.
A job is a collection of tasks that can be performed by one person
425 Affirmative action relates to ______.
Affirmative action relates to hiring practices
426 What is the difference between a leader and a manager?
A manager maintains the status quo and resists change whereas a leader is forward thinking and understands the need to innovate; adapt and change.
427 True or false – Employees not formally evaluated by their supervisor can be expected to make good progress.
False - Employees not formally evaluated by their supervisor cannot be expected to make good progress.
428 Which entity enforces the Fair Labor Standards Act?
The Dept of Labors enforces the Fair Labor Standards Act
429 Employment at will allows an employer to _____.
Employment at will provides an employer can fire an employee without cause
430 Budgets are based on _______________.
Budgets are based on past experience and future expectations
431 Under GAAP; what is the entity principle?
The owner of a public corporation is separate from the company and cannot take cash from the cash register and not record the transaction.
432 The accrual method of accounting is required by ______.
The accrual method of accounting is required by Medicare and Medicaid
433 Income and expenses are recorded in the accrual method when _____.
Income and expenses are recorded in accrual method when incurred
434 Depreciation is correctly defined as the decrease in value due to ______.
Depreciation is correctly defined as the decrease in value due to wear and tear and obsolescence.
435 An amortization is a schedule showing _______.
Amortization is a schedule showing interest and principal owed to a creditor
436 Working capital is calculated by ________.
Working capital equals current assets minus current liabilities
437 Which law requires overtime?
Vacation is most costly fringe benefit
438 Identifying and solving problems before they get out of hand is called _____.
Risk management is identifying and solving problems before they get out of hand. Purchasing insurance decreases your risks.
439 Workers compensation premiums are based on ________.
Workers compensation premiums on based on how many employees are collecting workers compensation benefits.
440 The key to inventory control is to ________.
The key to inventory control is to standardize supplies; organize a central purchasing department and control number of people authorized to purchase.
441 A fiscal intermediary is an _______ who processes Medicare and Medicaid claims.
A fiscal intermediary is an insurance company
442 Employees pay ____of their FICA tax.
Employees pay 50% of their FICA tax and the employer pays the other half
443 When is a transaction recorded in the cash accounting system?
In the cash basis of accounting a transaction is recorded when a bill is actually paid or cash is actually received. In the accrual system the transaction is recorded when incurred or the date of the invoice.
444 How does a business pay its payroll taxes? Which form?
Employers pay payroll taxes quarterly on form 941
445 Which federal law requires written policies and procedures to protect patient info.
HIPAA requires written policies and procedures to protect patient info
446 Principal cause of odors in nursing homes is _____.
Principal cause of odors in nursing homes is incontinence
447 Most common accident in nursing homes to employees is ______.
Most common accident in nursing homes to employees is lacerations/cuts
448 All personal appliances brought into a facility must be inspected by the ______ ensure it is safe before it can be plugged in.
All personal appliances brought into a facility must be inspected by maintenance ensure it is safe before it can be plugged in.
449 Egress is _____.
Egress is outward
450 Ingress is ____.
Ingress is inward
451 In GAAP; what is the Conservatism principle?
The Conservatism principle states that you must use the lower valuation when deciding which depreciation schedule to use calculate the value of your assets.
452 In GAAP; what is the Objective Evidence Principle?
The Objective Evidence Principle states you must use source documents to evidence your transactions.
453 Disclosure of ownership requires facilities to ______.
Disclosure of ownership requires licensees to notify the state licensing agency of changes in corporate officers; administrator and director of nursing.
454 Which form of doing business provides the most limited liability?
Corporations provide the most limited liability
455 True or False – Non profit corporations own most nursing homes.
False – For profit corporations own most nursing homes
456 Which document contains rules; regulations and a mission statement?
Bylaws contain rules; regulations and mission statement
457 Other than an emergency; must give a resident ____days advance notice of transfer or discharge.
Other than an emergency; must give resident 30 days notice of transfer
458 A resident can work for the facility provided it is recorded in the ________.
A resident can work for the facility provided it is in the plan of care
459 What are source documents under GAAP?
Source documents include invoices; receipts and cancelled checks
460 True or False – the Governing body creates or implements procedures.
Governing body does not create or implement procedures
461 The conscientious use of assets is called ____________.
A key role of the governing body is stewardship which the conscientious use of assets
462 Who hires most staff in a nursing home.
The governing body does not hire staff – that is mostly done by dept heads
463 What is Time Period Principle under GAAP?
The Time Period Principle states that you must use the same time period from year to year (calendar or fiscal year).
464 A person who dies without a will is ________.
A person who dies without a will is intestate
465 What is the Consistency Principle under GAAP?
The Consistency Principle states that you must use the same accounting system year from year – can’t use accrual one year and cash system the next year.
466 True or False – The ombudsman can review a resident’s records without the resident’s consent.
The Ombudsman cannot see resident records without the resident’s consent
467 Demographic information relates to ______.
Demographic information relates to population statistics
468 What is the Continuing Concern Principle under GAAP?
That a company will still be in business next year and the year after that
469 Marketing is concerned with _____.
Marketing is concerned with filling your beds
470 When decisions are made at lowest level authorized to make them this called _____.
Effective delegation is where decisions are being made at lowest level authorized to make them.
471 Becoming neurotic is a psychological or physiological change.
Becoming neurotic is a psychological change
472 Slowed reflexes is a psychological or physiological change.
Slowed reflexes is a physiological change
473 Becoming incontinent is a psychological or physiological change.
Becoming incontinent is a physiological change
474 Autism is or is not a developmental illness.
Autism is a developmental illness
475 What percentage of residents selected to be interviewed during a survey must be interviewable?
50% of those residents selected to be interviewed during a survey must be interviewable (cognitive or able to speak).
476 The purpose of a transfer agreement between facilities is to provide ______.
The purpose of a transfer agreement between facilities is to provide an interchange of medical information.
477 A resident to be admitted to a nursing home must have a physical evaluation or examination done ___ days prior to admission or ___ hours after admission.
A resident to be admitted to a nursing home must have a physical evaluation or examination done with 5 days prior to admission or 48 hours after admission.
478 Adaptive feeding equipment must be prescribed by a ______ or an_______.
Adaptive feeding equipment must be prescribed by a physician or the occupational therapist
479 An ophthalmologist is a medical doctor that treats _______.
Ophthalmologist treats visual disorders and is a medical doctor
480 A professional who grinds lenses for glasses is called ______.
An optician grinds lenses for glasses
481 The main purpose for a resident council is _______.
Resident councils give residents a sense of control over their lives.
482 The RAPs has __ triggers.
The MDS has 18 triggers.
483 The ____ is responsible to check resident drug regimens monthly.
The pharmacist consultant is responsible to check resident drug regimens monthly
484 The ____ consultant is responsible to verify facility drug records.
The pharmacist consultant is responsible to verify drug records
485 The pharmacist consultant is or is not required to dispense or dispose of drugs.
The pharmacist consultant does not administer; dispense or dispose of drugs The pharmacy under contract does that.
486 A private room; television and phone are or are not covered by Medicare or Medicaid.
A private room; television; phone; reading materials; hair salon are not covered by Medicare or Medicaid.
487 PRN means ______.
As requested
488 STAT means ______.
Immediately
489 P.O. – means ______.
By mouth
490 NPO – means ______.
Nothing by mouth
491 True or False - Internal and external meds may kept in the same drawer or area.
False - Internal and external meds must be kept in separate areas. They are stored in different drawers on med cart.
492 True or False - Sexuality drastically diminishes with age.
False - Sexuality does not drastically diminish with age
493 A resident must be given a physical examination at least ______.
A resident must be given a physical examination at least every 3 months to keep assessment accurate (MDS).
494 Discharge planning is started ____.
Discharge planning is started upon admission
495 The most common cause of infections in a nursing home is ______.
Exposure to visitors and employees is most common cause of infections
496 Bedfast means being confined to a bed all of the time within the past __ days.
Within the past 7 days. Resident councils give residents a sense of control over their lives.
497 Privacy considerations include privacy curtains; knocking on doors and understanding each individuals need for privacy.
Privacy considerations include privacy curtains; knocking on doors and understanding each individuals needs for privacy.
498 Calculate percentage of occupancy where you have 120 beds and 87 are occupied?
Approximately 73% 87/120 = 87
499 Which document specifies an individuals preference for the use of life prolonging measures such as tube feedings and ventilators?
Living will specifies an individuals preference for the use of life prolonging measures such as tube feedings and ventilators.
500 A person who makes a will is called a ________.
A testator makes a will
