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LNHA > April Supplement 2019 > Flashcards

April Supplement 2019 Flashcards

1
Q

what does an income statement or profit and loss statement tell an investor

A

it details operating income and expenses and how efficiently the NHA is managing the facility

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2
Q

What is the purpose of an anticoagulant medication

A

it is a blood thinner used to prevent blood clots and reduce clots

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3
Q

what is the main medical condition that would be treated with anti coagulants

A

CVA, TIA, strokes

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4
Q

what is a union shop steward

A

an employee who works for the company and is a union member who acts as the local union rep

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5
Q

what is the minimum length of a telephone cord

A

29 inches

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6
Q

a current asset or liability must be sold or paid within how many months

A

12 months

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7
Q

A non current asset or liability must be sold or paid within how many motns

A

within more than 12 months

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8
Q

what is a physicatrist

A

a sports doctor who specializes in musculoskeletal injures and woks closely with PT & OT

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9
Q

What are the three budgets we work with

A

operating, cash, capital

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10
Q

what are the 2 main strategic budgets we work with

A

operating and capital

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11
Q

what is the main benefit of a limited liability partnership or limited liability corporation

A

if sued can only collect against the assets of the partnership or corporation and not individuals

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12
Q

what is the key to an effective emergency management plan

A

must identify all potential disasters and dangers that may threaten the facility and plan of action to address those threats

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13
Q

what is deposit of money to ensure the performance of an obligation

A

a surety bond or performance bond

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14
Q

who must be on a surety bond

A

the residents and the state

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15
Q

what is an ADL

A

an ADL is personal care, showering grooming eating dressing and transferring

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16
Q

what is an instrumental ADL

A

housekeeping, managing finances by writing checks, going to doctor appointment, going tot he store to buy food, going to the mall

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17
Q

What does Hyper mean such as hyperglycemia, hypertension, hyperactivity

A

hyper means high or elevated

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18
Q

what doe hypo mean

A

low

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19
Q

overhead expense such as depreciation or insurance are classified s what type of expense

A

indirect expenses cannot be charged to a particular department

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20
Q

holding employers responsible for acts of their employees is called

A

respondent superior

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21
Q

what are 2 other names for respondent superior

A

strict liability

vicarious liability

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22
Q

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
A

weekend overtime

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23
Q

Planned purchase of physical assets or capital assets is accomplished through which budget

A

capital budget

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24
Q

What is the impact of the failure to record or account for depreciations

A

the facility will overstate its assets

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25
Q

A minimum wage is imposed by which law

A

the Fair Labor Standards Act which requires a federal minimum wage and overtime

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26
Q

Who enforces the FLSA

A

department of labor

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27
Q

What is a swing bed in a rural hospital

A

a hospital in rural area with 100,000 or fewer or fewer people can swing from acute to subacute

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28
Q

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

a patient will transferred from the hospital to a nursing home to be skilled under Medicare part A sub acute care

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29
Q

What is the Hazard Communication Standard under OSHA

A

Inform employees of chemicals in the work place MSDS or SDS

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30
Q

What is carcioma

A

cancer

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31
Q

what is an eye doctor called

A

ophthalmologist

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32
Q

what is an ear doctor called

A

audiologist

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33
Q

what does OIG stand for

A

Office of Inspector General

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34
Q

What does the IOG do

A

the OIG investigates medicare and medicaid fraud and is under the US department of health and human services

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35
Q

What is the primary focus of the Life Safety Code

A

Fire safety in buildings and structures

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36
Q

What does the code for federal regulations require regarding minimum staff requirements for dietary staff

A

must staff sufficient staff to meet the needs of residents

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37
Q

which survey type is the complaint survey

A

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

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38
Q

What is over medication

A
  • when a patient takes unnecessary or excessive medications

- when consumers take more medication than is prescribed or directed by their doctor or is prescribed

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39
Q

what is diathermy

A

a modality used by PTs to generate heat inside the body to reduce pain and inflammation that shortwave microwave and ultrasound

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40
Q

What is resident centered or person centered care

A

organize resident services and daily life that are meaninful to each resident

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41
Q

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

A

assist the resident to choose a new physician. we do not choose one for them

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42
Q

Which departmetns generate revenue

A

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

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43
Q

what is the main purpose of risk management

A

minimize money losses

buy lots of insurance

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44
Q

what is Primary or Essential hypertension

A

high blood pressure due to nonspecific lifestyle and genetic factors such as diet, excess body weight, smoking and alcohol use

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45
Q

What is secondary hypertension

A

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

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46
Q

what is hypostatic hypertension

A

low blood pressure

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47
Q

a nurse is with a resident when a visitor enters the room. what should the nurse do without being asked

A

leave the room and close the door to provide the resident absolute privacy

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48
Q

Which part of medicare pays for the skilled care provided by PPOs and HMOs

A

Med A

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49
Q

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

A

35%

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50
Q

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

A

60

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51
Q

What is an instrumental ADL

A

cleaning and maintaining the house, managing money, moving within the community, shopping, doctor appointments, laundry, medication management

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52
Q

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
A

paying bills

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53
Q

mandatory reports plans of corrections and formal and informal dispute resolution requests must be filed with the state within what time frames

A

calendar days

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54
Q

the ambient atmospheric temperature range in a nursing home is ___ to ___

A

71-81

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55
Q

If a son who is POA is not able to serve as the POA who would be able to make decisions for the resident

A

the resident himself or herself

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56
Q

An individual needs a diagnosis of death within how many months to go on hospice

A

6 months

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57
Q

on which shift do you need an RN in a 24 hour day

A

-you only need 8 rn hours a day

the regulation does not specify you need an RN on any one shift

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58
Q

If the resident council wants to change the breakfast to a late morning. What is the latest they an set the time for breakfast

A

no more than 14 hours with a snack from dinner

** i thought it was 16 with snack?!

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59
Q

What is the formula for working capital

A

current assets-current liabilities

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60
Q

which type of bond ensures a specific service will be ensure performance of an obligation

  • treasury bond
  • surety bond
  • bail bond
  • fidelity bond
A

surety bond

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61
Q

what is an anticoagulant

A

prevents clots by thinning blood

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62
Q

the survey team exited an annual survey on Monday Jan 1, the facility must receive the 2567 by which date

A

Jan 11

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63
Q

year end OSHA report must be posted on between which dates

A

Feb 1 to Apr 30

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64
Q

the NHA must report any injuries to staff or residents from medical devices to which of the following

  • FDA and Manufacturer
  • FDA
  • OSHA
  • DOL
A

FDA and manufacturer

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65
Q

The NHA must report injuries to staff and residents within how many days

A

10 days

*** 5 business days for injury??

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66
Q

A comprehensive assessment must be done within how many days of admission

A

14 days

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67
Q

The care plan must be done within what time frame of admission fo the resident

A

7 days

***previous said 21 days???

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68
Q

The care plan must be done within how many days fo admission

A

21 days

**previous question said 7 days???

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69
Q

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?

A

do proper risk assessment

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70
Q

The facility must check which registry before hiring a nurse aide

A

nurse aide registry or abuse registry

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71
Q

what is the main goal of skilled therapy

A

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

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72
Q

What is an example of an ADL

  • doing light housekeeping
  • writing a check to pay bills
  • travel to a doctors appointment
  • to feed oneself
A

to feed oneself

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73
Q

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

A

respite care

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74
Q

resident must be provided inspection of records within what timeframe

A

24 hours

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75
Q

residents must be provided inspection of records within what timeframe

A

24 hours

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76
Q

residents must be provided copies of records within what timeframe

A

48 hours

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77
Q

you must have an rn on which shift

A

8 consecutive hours a day on the day shift

** specified elsewhere shift is not important

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78
Q

You must have an RN work which days of the week

A

every day

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79
Q

do you need an RN on each shift

A

no

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80
Q

you need a charge nurse on which shift

A

all three shifts or on each unit

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81
Q

Which law requires a minimum wage and overtime

A

Fair Labor standards act

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82
Q

What can an NHA say to employees about a union

A

express their personal opinion of the value of the union

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83
Q

Can the NHA threaten to fire employees trying to organize a union

A

no

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84
Q

Can the NHA question employees about what is said about union meetings or try to attend meetings

A

no

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85
Q

can the facility contribute money to the union

A

no

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86
Q

Can the NHA tell an employee they do not need to file a grievance with their union rep

A

No

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87
Q

to hire a certain number of nursing aides

A

no

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88
Q

A union must give how many days advance notice of a strike

A

10 days

89
Q

The union or management must give how many das advance notice if they want to change a union contract

A

90 days

90
Q

If a union employee has a grievance with the employer they must file their grievance with which of the following

  • NLRB
  • CMS
  • DOL
  • OSHA
A

NLRB

91
Q

What is the definition of substandard care

A

a violation that is actual harm where an individual suffered a fracture, eloped, or was abuse

92
Q

To be placed on hospice an individual MUST have a diagnosis that they not survive longer than

A

6 months

93
Q

Care provided to a resident that is limited to just comfort care and pain management is called

A

palliative care

94
Q

Which survey is the complaint survey

A

the abbreviated standard survey

95
Q

Which survey would be triggered fi surveyors found substandard care during a complaint survey

A

Partial extended survey

96
Q

Which law requires the facility to protect residents and staff from the inadvertent discharge of electricity

A

lock out tag out

97
Q

If a family member complained that their mothers roommate had visitors late at night that keeps form sleeping. what can the NHA do

A

offer the roommate and their guests another room to meet

98
Q

What percentage of employees must sign a union interest card

A

30%

-i thought it was 50%+1?!?!!?

99
Q

Lip smacking and facial grimacing are symptoms of which of the following

A

Tardives dyskenesia

100
Q

Pressure in the eye is called

A

glaucoma

101
Q

loss of central field of vision is called what

A

macular degeneration

102
Q

tremors and shuffling gait are symptoms of what

A

parkinsons

103
Q

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
A

none of the above

104
Q

OSHA non fatal injuries must initially be recorded on which form of the following forms

A

form 300

105
Q

Diathermy is which of the following

  • DRG
  • Diagnosis
  • modality
  • prognosis
A

modality

106
Q

resident centered activities program must provide activities that are which of the followign

A

meaningful activities

107
Q

physicians must visit their residents in a nursing home how often

A

every 30 days for the first 90 days

108
Q

what is the main advantage of resident centered ‘neighborhood’ model for nursing homes

A

allow residents to interact with and get to know their fellow residents

109
Q

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___

A

$640

110
Q

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
A

the attending physicians odrder

111
Q

If a third party request copies of a residents medical records what should the facility do

A

secure the residents written consent to the release

112
Q

True or False
a local long term care ombudsman per federal regulation can request copies of the residents medical records without the residents consent

A

false

113
Q

Bacteria grows within which of the following temperature ranges

A

42 degrees to 134 degrees

114
Q

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

A

3 percent

115
Q

If a power of attorney cannot make decisions for a resident, which of the following can

  • NHA
  • resident
  • family member
  • long term care ombudsman
A

resident

116
Q

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

A

24 months

117
Q

If a family member wants to see the survey findings for a facility which form would they want to look at

A

Form 2567

118
Q

Which of the following is responsible to enforce nursing home federal regulations

  • INS
  • NASA
  • OIG
  • NAFTA
A

OIG

119
Q

What is the acceptable atmospheric temperature range in a nursing home

A

71-81

120
Q

Nursing aides must complete a minimum of how many inservice hours a year

A

12

121
Q

nurse aide must have a performance review how often

A

12 months

122
Q

A nurse aide must be certified within how many days of hire

A

120 days

123
Q

Who is responsible to provide social services to a resident

A

a facility staff member

124
Q

What does the quick ratio and acid test ratio tell the NHA

A

identifies assets that can be sold immediately to raise money-within days as opposed to months

125
Q

What is the formula to calculate food PPD

A

total food costs divided by total resident days + cost per day

126
Q

Weight change in 1 month is ___ percent

A

5 percent

127
Q

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
A

all of the above

128
Q

What are BEHAVIORAL SYMPTOMS OF ALZHEIMER

  • aggression
  • agitation
  • difficulty with self care
  • irritability
  • repetition of own words
  • personality changes
  • wandering and getting lost
A

all of the above

129
Q

What are MOOD CHANGE SYMPTOMS OF ALZHEIMERS

  • anger
  • apathy
  • general discontent
  • loneliness
A

all the above

130
Q

What are PSYCHOLOGICAL SYMPTOMS OF ALZHEIMERS

  • depression
  • hallucination
  • paranoia
A

all the above

131
Q

What does SWOT stand for

A

strengths
weaknesses
opportunities
threats

132
Q

What is clear access for a wheelchair

A

36 inches

133
Q

What is clear width for a wheelchair

A

36 inches

134
Q

What document summarizes the debits and credits

A

general ledger

135
Q

How often do we do a comprehensive assesment

A

12

136
Q

A life safety code violation would be cited as which of the following

  • F
  • N
  • NF
  • K
  • L
A

K

137
Q

Medication errors must not exceed ___ percent

A

4.9

138
Q

The ___ must approve a resident to self administer drugs

  • attending physician
  • medical director
  • interdisciplinary team
  • the DON and consultant pharmacist
A

interdisciplinary team

139
Q

An individual to be approved to self administer medication must be oriented

A

x3

140
Q

How must medications be stored

A

under double lock and key

141
Q

How must narcotics be stored

A

in a separate locked compartment

142
Q

who must restock the emergency medication kit once opened

A

the pharmacy or pharmacist

143
Q

what is the federal employer liability act

A

employer is responsible for on the job injuries of employees

144
Q

what is the general duty clause

A

must provide a safe workplace free of health hazards

145
Q

which federal law requires employers to pay overtime

A

FLSA

146
Q

What is FLSA

A

fair labor standards act

147
Q

which entity enforces the FLSA

A

DOL

148
Q

What is PILER

A 
profit
income
loss
expenses
revenue
149
Q

what is LANCE

A 
liabilities
assets
net worth
capital
equity
150
Q

What is significant wight loss for 3 months

A

7.5 percent

151
Q

who is the corporate compliance officer for a nursing home

A

NHA

152
Q

Physical environment that affects resident comfort include

A

Lost-lighting, sound, temperature

153
Q

We follow the life safety code of which year

A

2012

154
Q

Employee medical records must be kept for __ years

A

30

155
Q

Must record non fatal employee injuries within __ hours

A

8 hours

156
Q

Employee right to know pertains to which OSHA regulation

A

the hazard communication policy

157
Q

what is hazard communication policy

A

the MSDS or SDS that details the chemicals in the workplace

158
Q

Must report SMDA incidents within ___ days

A

10 days

159
Q

what does SMDA stand for

A

Safe Medical Devices Act

160
Q

Must report SMDA incidents to whom

A

the FDA and Manufacturer

161
Q

Must request and IDR within __ days in WRITING

A

10 days

162
Q

Must request an FDR within how many days

A

20 days

163
Q

What is the CMS form 671

A

facility application or renewal

164
Q

Must record employee injuries in form 300 within __ days

A

7 days

165
Q

Must secure what percent of fellow workers to sign a union interest card

A

30%

166
Q

Who must be on the QA committee

A

DON physician and 3 others

167
Q

Who has ultimate legal responsibility for the care in the building

A

governing board

168
Q

Who approves the budget

A

governing body

what does this mean

169
Q

Who makes policies

A

governing body

170
Q

Who is responsible for day to day management of the facility

A

NHA

171
Q

The prospective payment system affects which payment source to a nursing home

A

Medicare

172
Q

Title 18 is which program

A

Medicare

173
Q

Title 19 is which program

A

Medicaid

174
Q

what is a hallucination

A

hearing, feeling, tasting and touching something that is not there

175
Q

what is delusion

A

believing something that is not based in reality

176
Q

What is teh purpose of the company

A

mission statemtn

177
Q

what is the governance of a company

A

bylaws

178
Q

who makes the policies

A

governing body

179
Q

what is COPD

A

chronic obstructive pulmonary disease

180
Q

what is CHF

A

congestive heart failure

181
Q

What is HS

A

Hour of sleep or nighttime

182
Q

What is BID

A

2 times a day

183
Q

Which survey is used where there is a lot of turnover of the NHA or DON

A

abbreviated standard survey

184
Q

What is the formula for current ratio

A

current assets divided by current liabilities

185
Q

Acid test ration is

A

cash+accounts receivable+money market funds/current liabilities

186
Q

What is the form 671

A

the facility license

187
Q

what is form 672

A

the staffing and census form

188
Q

what is form 802

A

matrix of resident condition

189
Q

which form do we bill medicare

A

UB04

190
Q

What does MDS stand for

A

minimum data set

191
Q

Unions must give ___ days notice of a strike when

A

10 days in advance

192
Q

To change a union contract requires ___ days notice in advance

A

90 days

193
Q

What does EEOC stand for

A

equal employment opportunity act

194
Q

Which letter is a state violation

A

N tag

195
Q

What is the CAA

A

care area assessment

196
Q

What is the CAT

A

care area triggers

197
Q

How many triggers are there

A

20

198
Q

What is the PBJ

A

payroll based journal

transmit data quarterly

199
Q

Who enforces the Wagner Act

A

NLRB

200
Q

What is the Wagner act

A

requires management to sign a collective bargaining agreement

201
Q

What is PPE

A

Personal protective equipment

202
Q

What is Adverse Impact

A

80%

203
Q

The consultant pharmacist must check the facility receipt and disposition records how often

A

Quarterly

204
Q

OSHA medical records must be kept for how many years

A

30 years

205
Q

Cannot store anything more than how many inches below the ceiling

A

18 inches

206
Q

How many inches above the floor to store anyting

A

6 inches

207
Q

What 3 people determine the contents of the emergency medication kit

A

DUMP-DON,MD,Pharmacist

208
Q

What 3 elements determine a residents COMFORT in their room

A

LOST- lighting, sound, temperature

209
Q

What does HHS stand for

A

Health and human services

210
Q

Which entity enforces the equal pay act

A

EEOC

211
Q

which entity enforces the EEOA

A

EEOC

212
Q

Which entity enforces the Civil Rights Act

A

EEOC

213
Q

Which entity enforces the Age in Discrimination Act

A

EEOC

214
Q

What is ergonomics

A

proper movement of the body to reduce stress on the body and repetitive injuries

215
Q

Which activity uses clocks, calendars, and current events

A

Reality orientation

216
Q

must prepare menus how far in advance

A

1 month or 4 weeks

217
Q

Must keep menus for how long

A

1 month or 4 weeks

218
Q

What are CASPER reports 3 and 4

A

5 years of survey history

2567 and plans of correction

LNHA (26 decks)

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