April Supplement 2019 Flashcards
what does an income statement or profit and loss statement tell an investor
it details operating income and expenses and how efficiently the NHA is managing the facility
What is the purpose of an anticoagulant medication
it is a blood thinner used to prevent blood clots and reduce clots
what is the main medical condition that would be treated with anti coagulants
CVA, TIA, strokes
what is a union shop steward
an employee who works for the company and is a union member who acts as the local union rep
what is the minimum length of a telephone cord
29 inches
a current asset or liability must be sold or paid within how many months
12 months
A non current asset or liability must be sold or paid within how many motns
within more than 12 months
what is a physicatrist
a sports doctor who specializes in musculoskeletal injures and woks closely with PT & OT
What are the three budgets we work with
operating, cash, capital
what are the 2 main strategic budgets we work with
operating and capital
what is the main benefit of a limited liability partnership or limited liability corporation
if sued can only collect against the assets of the partnership or corporation and not individuals
what is the key to an effective emergency management plan
must identify all potential disasters and dangers that may threaten the facility and plan of action to address those threats
what is deposit of money to ensure the performance of an obligation
a surety bond or performance bond
who must be on a surety bond
the residents and the state
what is an ADL
an ADL is personal care, showering grooming eating dressing and transferring
what is an instrumental ADL
housekeeping, managing finances by writing checks, going to doctor appointment, going tot he store to buy food, going to the mall
What does Hyper mean such as hyperglycemia, hypertension, hyperactivity
hyper means high or elevated
what doe hypo mean
low
overhead expense such as depreciation or insurance are classified s what type of expense
indirect expenses cannot be charged to a particular department
holding employers responsible for acts of their employees is called
respondent superior
what are 2 other names for respondent superior
strict liability
vicarious liability
Which of the following is not capital asset or capital expense
- building
- land
- furnishings
- computer equipment
- paving the parking lot
- physical plant
- machinery or equipment
- building a privacy wall in the dining room
- weekend overtime
weekend overtime
Planned purchase of physical assets or capital assets is accomplished through which budget
capital budget
What is the impact of the failure to record or account for depreciations
the facility will overstate its assets
A minimum wage is imposed by which law
the Fair Labor Standards Act which requires a federal minimum wage and overtime
Who enforces the FLSA
department of labor
What is a swing bed in a rural hospital
a hospital in rural area with 100,000 or fewer or fewer people can swing from acute to subacute
Which Medicare program allows a patient to receive skilled care once acute hospital care is no longer required and they are transferred to a nursing home
a patient will transferred from the hospital to a nursing home to be skilled under Medicare part A sub acute care
What is the Hazard Communication Standard under OSHA
Inform employees of chemicals in the work place MSDS or SDS
What is carcioma
cancer
what is an eye doctor called
ophthalmologist
what is an ear doctor called
audiologist
what does OIG stand for
Office of Inspector General
What does the IOG do
the OIG investigates medicare and medicaid fraud and is under the US department of health and human services
What is the primary focus of the Life Safety Code
Fire safety in buildings and structures
What does the code for federal regulations require regarding minimum staff requirements for dietary staff
must staff sufficient staff to meet the needs of residents
which survey type is the complaint survey
an abbreviated standard survey-used for all surveys other than annual survey and changes in NHA DON owner of corporate officers can trigger a complaint survey
What is over medication
- when a patient takes unnecessary or excessive medications
- when consumers take more medication than is prescribed or directed by their doctor or is prescribed
what is diathermy
a modality used by PTs to generate heat inside the body to reduce pain and inflammation that shortwave microwave and ultrasound
What is resident centered or person centered care
organize resident services and daily life that are meaninful to each resident
if a resident or the facilyt determines an attending physician is not performing their duties properly and want to change a doctor, what is the legal obliation of the facilyt to make such a change
assist the resident to choose a new physician. we do not choose one for them
Which departmetns generate revenue
skilled therapy
- nursing
- dietary
can generate revenue from billing for therapy and nursing, and also for the beauty salon, dietary
keep in mind that all departments are cost centers but not revenue centers
what is the main purpose of risk management
minimize money losses
buy lots of insurance
what is Primary or Essential hypertension
high blood pressure due to nonspecific lifestyle and genetic factors such as diet, excess body weight, smoking and alcohol use
What is secondary hypertension
high blood pressure due to an identifiable cause such as kidney disease, arrowing of the kidney arteries, and endocrine disorder, or the use of birth control pills
what is hypostatic hypertension
low blood pressure
a nurse is with a resident when a visitor enters the room. what should the nurse do without being asked
leave the room and close the door to provide the resident absolute privacy
Which part of medicare pays for the skilled care provided by PPOs and HMOs
Med A
If a facility that has been cited for violation of G and the CMS plans to impose a monetary fine the facility can get a discount of ___ percent if they do not challenge the monetary fine
35%
If a facility that has been cited for violation of G and the CMS plans to impose a monetary fine; the fine will not be imposed if the facility waives their right to an administrative hearing appeal the citation within___ days
60
What is an instrumental ADL
cleaning and maintaining the house, managing money, moving within the community, shopping, doctor appointments, laundry, medication management
which of the following is not an activity of daily living
- meal prep
- shower/bath
- personal care /grooming
- paying bills
- mobility
- transferring from a chair
paying bills
mandatory reports plans of corrections and formal and informal dispute resolution requests must be filed with the state within what time frames
calendar days
the ambient atmospheric temperature range in a nursing home is ___ to ___
71-81
If a son who is POA is not able to serve as the POA who would be able to make decisions for the resident
the resident himself or herself
An individual needs a diagnosis of death within how many months to go on hospice
6 months
on which shift do you need an RN in a 24 hour day
-you only need 8 rn hours a day
the regulation does not specify you need an RN on any one shift
If the resident council wants to change the breakfast to a late morning. What is the latest they an set the time for breakfast
no more than 14 hours with a snack from dinner
** i thought it was 16 with snack?!
What is the formula for working capital
current assets-current liabilities
which type of bond ensures a specific service will be ensure performance of an obligation
- treasury bond
- surety bond
- bail bond
- fidelity bond
surety bond
what is an anticoagulant
prevents clots by thinning blood
the survey team exited an annual survey on Monday Jan 1, the facility must receive the 2567 by which date
Jan 11
year end OSHA report must be posted on between which dates
Feb 1 to Apr 30
the NHA must report any injuries to staff or residents from medical devices to which of the following
- FDA and Manufacturer
- FDA
- OSHA
- DOL
FDA and manufacturer
The NHA must report injuries to staff and residents within how many days
10 days
*** 5 business days for injury??
A comprehensive assessment must be done within how many days of admission
14 days
The care plan must be done within what time frame of admission fo the resident
7 days
***previous said 21 days???
The care plan must be done within how many days fo admission
21 days
**previous question said 7 days???
During a hurricane the NHA makes the decision to evacuate all residents to a receiving facility to hundreds miles away per the cooperative agreement executed between the facility is. En route buses being used to transport the residents reaches a bride that has been washed out and impassable. The residents are trapped. what should the NHA have done to anticipate this in the emergency management plan evacuation section?
do proper risk assessment
The facility must check which registry before hiring a nurse aide
nurse aide registry or abuse registry
what is the main goal of skilled therapy
to get residents back to their highest functioning or highest level of functioning post recovery from an injury. how many ADLs they can perform for themselves
What is an example of an ADL
- doing light housekeeping
- writing a check to pay bills
- travel to a doctors appointment
- to feed oneself
to feed oneself
Placing an individual in a nursing home or inpatient facility for as short period of tie to give the caregivers a short vacation is called
respite care
resident must be provided inspection of records within what timeframe
24 hours
residents must be provided inspection of records within what timeframe
24 hours
residents must be provided copies of records within what timeframe
48 hours
you must have an rn on which shift
8 consecutive hours a day on the day shift
** specified elsewhere shift is not important
You must have an RN work which days of the week
every day
do you need an RN on each shift
no
you need a charge nurse on which shift
all three shifts or on each unit
Which law requires a minimum wage and overtime
Fair Labor standards act
What can an NHA say to employees about a union
express their personal opinion of the value of the union
Can the NHA threaten to fire employees trying to organize a union
no
Can the NHA question employees about what is said about union meetings or try to attend meetings
no
can the facility contribute money to the union
no
Can the NHA tell an employee they do not need to file a grievance with their union rep
No
to hire a certain number of nursing aides
no
A union must give how many days advance notice of a strike
10 days
The union or management must give how many das advance notice if they want to change a union contract
90 days
If a union employee has a grievance with the employer they must file their grievance with which of the following
- NLRB
- CMS
- DOL
- OSHA
NLRB
What is the definition of substandard care
a violation that is actual harm where an individual suffered a fracture, eloped, or was abuse
To be placed on hospice an individual MUST have a diagnosis that they not survive longer than
6 months
Care provided to a resident that is limited to just comfort care and pain management is called
palliative care
Which survey is the complaint survey
the abbreviated standard survey
Which survey would be triggered fi surveyors found substandard care during a complaint survey
Partial extended survey
Which law requires the facility to protect residents and staff from the inadvertent discharge of electricity
lock out tag out
If a family member complained that their mothers roommate had visitors late at night that keeps form sleeping. what can the NHA do
offer the roommate and their guests another room to meet
What percentage of employees must sign a union interest card
30%
-i thought it was 50%+1?!?!!?
Lip smacking and facial grimacing are symptoms of which of the following
Tardives dyskenesia
Pressure in the eye is called
glaucoma
loss of central field of vision is called what
macular degeneration
tremors and shuffling gait are symptoms of what
parkinsons
if an employee received an injury on the job that did not require medical treatment or lost time, which of the following forms they would fill out
- form 300
- form 300a
- form 301
- form 302
- none of the above
none of the above
OSHA non fatal injuries must initially be recorded on which form of the following forms
form 300
Diathermy is which of the following
- DRG
- Diagnosis
- modality
- prognosis
modality
resident centered activities program must provide activities that are which of the followign
meaningful activities
physicians must visit their residents in a nursing home how often
every 30 days for the first 90 days
what is the main advantage of resident centered ‘neighborhood’ model for nursing homes
allow residents to interact with and get to know their fellow residents
If the medical asset limit is $840 the resident will reach the amount at which they need to spend down when their trust account reaches___
$640
Skilled therapists must provide therapy services per which of the following
- the attending physicians order
- a therapy program designed by the director of therapy
- DON
- OT
the attending physicians odrder
If a third party request copies of a residents medical records what should the facility do
secure the residents written consent to the release
True or False
a local long term care ombudsman per federal regulation can request copies of the residents medical records without the residents consent
false
Bacteria grows within which of the following temperature ranges
42 degrees to 134 degrees
What is the turnover rate if a facility 100 beds had the following employees days from August to October
- Aug 198 employee days
- Sept 200 employee days
- Oct 196 employee days
20 employees resigned or terminated during this three month period
3 percent
If a power of attorney cannot make decisions for a resident, which of the following can
- NHA
- resident
- family member
- long term care ombudsman
resident
if a nurse aide has worked for the facility for 5 years then resigns to start a family the nurse must return to work within how many months
24 months
If a family member wants to see the survey findings for a facility which form would they want to look at
Form 2567
Which of the following is responsible to enforce nursing home federal regulations
- INS
- NASA
- OIG
- NAFTA
OIG
What is the acceptable atmospheric temperature range in a nursing home
71-81
Nursing aides must complete a minimum of how many inservice hours a year
12
nurse aide must have a performance review how often
12 months
A nurse aide must be certified within how many days of hire
120 days
Who is responsible to provide social services to a resident
a facility staff member
What does the quick ratio and acid test ratio tell the NHA
identifies assets that can be sold immediately to raise money-within days as opposed to months
What is the formula to calculate food PPD
total food costs divided by total resident days + cost per day
Weight change in 1 month is ___ percent
5 percent
Which of the following that are COGNITIVE SYMPTOMS OF ALZHEIMERS
- mental decline
- difficulty thinking and understanding
- confusion in the evening hours
- delusions
- disorientation
- forgetfulness and mental confusion
- making things up
- difficulty concentrating
- inability to create new memories
- inability to recognize common things
all of the above
What are BEHAVIORAL SYMPTOMS OF ALZHEIMER
- aggression
- agitation
- difficulty with self care
- irritability
- repetition of own words
- personality changes
- wandering and getting lost
all of the above
What are MOOD CHANGE SYMPTOMS OF ALZHEIMERS
- anger
- apathy
- general discontent
- loneliness
all the above
What are PSYCHOLOGICAL SYMPTOMS OF ALZHEIMERS
- depression
- hallucination
- paranoia
all the above
What does SWOT stand for
strengths
weaknesses
opportunities
threats
What is clear access for a wheelchair
36 inches
What is clear width for a wheelchair
36 inches
What document summarizes the debits and credits
general ledger
How often do we do a comprehensive assesment
12
A life safety code violation would be cited as which of the following
- F
- N
- NF
- K
- L
K
Medication errors must not exceed ___ percent
4.9
The ___ must approve a resident to self administer drugs
- attending physician
- medical director
- interdisciplinary team
- the DON and consultant pharmacist
interdisciplinary team
An individual to be approved to self administer medication must be oriented
x3
How must medications be stored
under double lock and key
How must narcotics be stored
in a separate locked compartment
who must restock the emergency medication kit once opened
the pharmacy or pharmacist
what is the federal employer liability act
employer is responsible for on the job injuries of employees
what is the general duty clause
must provide a safe workplace free of health hazards
which federal law requires employers to pay overtime
FLSA
What is FLSA
fair labor standards act
which entity enforces the FLSA
DOL
What is PILER
profit income loss expenses revenue
what is LANCE
liabilities assets net worth capital equity
What is significant wight loss for 3 months
7.5 percent
who is the corporate compliance officer for a nursing home
NHA
Physical environment that affects resident comfort include
Lost-lighting, sound, temperature
We follow the life safety code of which year
2012
Employee medical records must be kept for __ years
30
Must record non fatal employee injuries within __ hours
8 hours
Employee right to know pertains to which OSHA regulation
the hazard communication policy
what is hazard communication policy
the MSDS or SDS that details the chemicals in the workplace
Must report SMDA incidents within ___ days
10 days
what does SMDA stand for
Safe Medical Devices Act
Must report SMDA incidents to whom
the FDA and Manufacturer
Must request and IDR within __ days in WRITING
10 days
Must request an FDR within how many days
20 days
What is the CMS form 671
facility application or renewal
Must record employee injuries in form 300 within __ days
7 days
Must secure what percent of fellow workers to sign a union interest card
30%
Who must be on the QA committee
DON physician and 3 others
Who has ultimate legal responsibility for the care in the building
governing board
Who approves the budget
governing body
what does this mean
Who makes policies
governing body
Who is responsible for day to day management of the facility
NHA
The prospective payment system affects which payment source to a nursing home
Medicare
Title 18 is which program
Medicare
Title 19 is which program
Medicaid
what is a hallucination
hearing, feeling, tasting and touching something that is not there
what is delusion
believing something that is not based in reality
What is teh purpose of the company
mission statemtn
what is the governance of a company
bylaws
who makes the policies
governing body
what is COPD
chronic obstructive pulmonary disease
what is CHF
congestive heart failure
What is HS
Hour of sleep or nighttime
What is BID
2 times a day
Which survey is used where there is a lot of turnover of the NHA or DON
abbreviated standard survey
What is the formula for current ratio
current assets divided by current liabilities
Acid test ration is
cash+accounts receivable+money market funds/current liabilities
What is the form 671
the facility license
what is form 672
the staffing and census form
what is form 802
matrix of resident condition
which form do we bill medicare
UB04
What does MDS stand for
minimum data set
Unions must give ___ days notice of a strike when
10 days in advance
To change a union contract requires ___ days notice in advance
90 days
What does EEOC stand for
equal employment opportunity act
Which letter is a state violation
N tag
What is the CAA
care area assessment
What is the CAT
care area triggers
How many triggers are there
20
What is the PBJ
payroll based journal
transmit data quarterly
Who enforces the Wagner Act
NLRB
What is the Wagner act
requires management to sign a collective bargaining agreement
What is PPE
Personal protective equipment
What is Adverse Impact
80%
The consultant pharmacist must check the facility receipt and disposition records how often
Quarterly
OSHA medical records must be kept for how many years
30 years
Cannot store anything more than how many inches below the ceiling
18 inches
How many inches above the floor to store anyting
6 inches
What 3 people determine the contents of the emergency medication kit
DUMP-DON,MD,Pharmacist
What 3 elements determine a residents COMFORT in their room
LOST- lighting, sound, temperature
What does HHS stand for
Health and human services
Which entity enforces the equal pay act
EEOC
which entity enforces the EEOA
EEOC
Which entity enforces the Civil Rights Act
EEOC
Which entity enforces the Age in Discrimination Act
EEOC
What is ergonomics
proper movement of the body to reduce stress on the body and repetitive injuries
Which activity uses clocks, calendars, and current events
Reality orientation
must prepare menus how far in advance
1 month or 4 weeks
Must keep menus for how long
1 month or 4 weeks
What are CASPER reports 3 and 4
5 years of survey history
2567 and plans of correction
