California State Exam Prep Flashcards
The Resident has the right to _____________ his/her physician.
Choose
A SNF bed hold may last ____________ days?
Seven (7)
Do restraints require recording the time of application and removal?
Yes
At Least ____________ weeks supply of staple foods are required to be maintained on the premises.
One (1)
Does a nursing facility have to submit to the Department of Health a written plan for its CNA orientation program?
Yes
A 187 bed skilled nursing facility shall have at least one _________ , awake and on duty in the facility at all time, day and night, in addition to the director of nursing service.
Registered Nurse (RN)
In an Intermediate Care Facility (ICF) designated smoking areas will be under ___________ observation when patients are smoking.
Periodic
A Social Work aide is under the ____________ of a Social Worker.
Supervision
Perishable Foods must be maintained at ___________ degrees farenheit or below, or at 140 degrees farenheit or above, at all times except during necessary periods of preparation and service.
Forty Five (45)
Each application for approval of renewal of an in-service program shall include a three month in-service __________ .
Schedule
Approval from the Department of Health for program flexibility, or a true copy thereof, shall be posted immediately adjacent to the facilities ___________ .
License
Does a clean bed with an adequate mattress satisfy the bed requirement for a patient room?
No
A CNA certification program shall consist of at least __________ hours of clinical training.
One Hundred (100)
In an ICF emergency, automatic restoration of power must be restored within __________ seconds after a normal power failure.
Ten (10)
For a CNA program, a renewal request must be submitted every __________ years.
Two (2)
How soon must the Department of Health be notified if patient records are defaced or destroyed before the retention period is over?
Within three business days
Does supervision require the immediate presence of the supervisor?
No
Employees must have a physical exam every _________ ?
Year
Medications brought by or with the patient on admission to the facility shall not be used unless the contents of the containers have been examined and positively identified after admission by the patient’s _________ .
Physician or a pharmacist retained by the facility
Physicians available to furnish emergency medical care if the attending physician, or designee, is unavailable must have their telephone numbers posted _____________ .
Conspicuously
Who is responsible for determining what information is material for a decision to be made to accept or refuse a proposed treatment or procedure?
The Attending Physician
A written __________ __________ must be in place prior to transferring a patient to a nearby health facility.
Transfer Agreement
The infection control committee must meet ___________ .
Quarterly
How often must the therapeutic diet manual be revised?
At least every five (5) years
Each toilet area must have __________ readily accessible for patient use.
Grab Bars
In an Intermediate Care Facility a ___________ thermometer must be used in the refrigerator at all times.
Reliable
What is the minimum floor area required for physical therapy space?
Twenty Eight (28) Square Meters
How soon must the Department of Health be notified that the patients records in an Intermediate Care Facility are defaced or destroyed before the retention period is over?
Immediately
Single resident rooms approved by the Department of Health shall have a minimum floor area of __________ square feet.
One Hundred (100)
Is physical therapy considered an optional service unit or a required service unit?
Optional
In a skilled nursing facility with a special treatment program, each patient shall have an initial evaluation and assessment by the facility staff (Medical, nursing, dietetic, social, etc.) within __________ days of admission.
Fifteen (15)
The Director of nursing service shall have at least _________ year(s) of experience in supervision within the last __________ years.
One (1), Five (5)
The Department of Health must be notified within _________ days if there is a change in the mailing address of the license.
Ten (10)
In a special treatment program, the attending physician may, for good cause, deny or limit a patient his or her rights, except the right to refuse _________ or ________ _________.
Lobotomy, Shock Treatment
The professional credential of a PA is ____________
Certification
In a skilled nursing facility is a telephone required to be provided for each licensed bed?
No
Does immediate supervision require the supervisor to be present in the same building as the person being supervised, and available for consultation and assistance?
No
The pharmacist is required to review the drug regimen of each patient at least __________.
Monthly
The minimum floor area of an occupational therapy service unit is ___________ square feet, no dimension of which shall be less than 12 feet.
Three Hundred (300)
Electronic Thermometers shall be cleaned according to __________ __________.
Manufacturer’s Instructions
The diet manual shall be reviewed ___________ and revised at least every ___________ years.
annually, Five (5)
I an Intermediate Care Facility menus must be written at least __________ in advance.
One Week
In an Intermediate Care Facility a single room minimum floor area is ____________.
One Hundred and Ten Square Feet (110)
What is the minimum daily average nursing hours per patient day for a patient certified for a special treatment program?
Two Point Three (2.3)
Temperatures for refrigerators in nursing stations should be _____________.
Forty Five (45) Degrees Fahrenheit
Does the facilities actual license have to be posted?
No, it can be a copy
Narrative notes are __________.
Written
CNA hour means _________ minutes of participating in an organized learning experience acceptable for certification training, in service training or continuing education.
Fifty (50)
Must all licensed nurses have training in CPR?
Yes
A class A citation must be prominently posted until the violation is corrected up to a maximum of _________ days.
One Hundred Twenty (120)
Consumer information must be posted __________.
Conspicuously, Prominently and Accessible to the Public
Name one method of cleaning, disinfecting and sterilizing bedside equipment.
Gas Sterilization, Boiling Water for 30 Minutes, Autoclaving Under 15lbs of Water Pressure @ 250 Degrees. Absolutely, No Chemicals
Menus must be approved by the __________.
Dietician
The _________ of the violation is considered when fixing the amount of the civil penalty to be imposed for a class “A” violation.
Gravity
The Department’s median time frame for processing a program flexibility request from the day a compete request is received is _________
Forty Five (45) Days
In a 59 bed or less skilled nursing facility does a registered nurse or LVN need to be on duty day and night?
Yes
How often are activity plans reviewed?
Quarterly
Occupational therapy requires __________ orders for treatments.
Signed
When using autoclaving equipment a recording thermometer chart must be kept on file for _________.
One (1) Year
In an Intermediate Care Facility can a person with a communicable disease be admitted?
No
How often must the patient care policy committee meet?
At Least Annually
Alterations to an existing building must be in conformance with Title
Twenty Four (24)
A Skilled Nursing Facility must have _________ supply of staple food on the premises.
One (1) Week
May a Music Therapist be a program director in a special treatment program service unit?
Yes
A program director must be available ___________ hours per week in a Special Rehabilitation Program.
Forty (40)
In a Skilled Nursing Facility . . . after a normal power failure, automatic restoration of power for emergency circuits should occur within _________ _________.
Ten (10) Seconds
Is the nature of a crime considered when determining a conviction of a crime?
Yes
Can a psychiatric technician receive verbal orders for drugs and treatment?
Yes
A Nursing Assistant has _________ months from employment to complete his/her competency evaluation.
Four (4) Months
The attending physician must be notified when there is a ________ change in weight within _________ days unless otherwise ordered.
Five pounds or more, Thirty (30) Days
Are PRN orders for restraints ever allowed?
No
Are hand washing facilities with hot and cold water required in optional service units?
Yes
Should an employees social security number be included in his/her personnel record?
Yes
Does the Medical Director act as a consultant to the Director of Nursing Services?
Yes
A public telephone shall be installed according to Title ________.
Twenty Four (24)
Is one of the duties of the Medical Director to approve the dietetic service manual?
No
The Director of Nursing must be a ___________.
Registered Nurse (RN)
In an Intermediate Care Facility vaporizer bottles of oxygen equipment shall be sterilized __________?
After Each Use
Licensee shall notify the __________ for a change of address.
Department of Health
In an Intermediate Care Facility can gas sterilization be used to wash basins and bed pans?
Yes
In an Intermediate Care Facility does an application for plan review include a signature by the person designing the work or the owner of the work?
May be either the person designing the work or the owner of the work.
In an Intermediate Care Facility menus must be posted at least ____________ in advance.
Three (3) days
Facilities must accept and retain only those patients for whom _________ care can be provided.
Adequate
Discontinued drugs must be disposed of within __________ days of the date the drug order was discontinued unless the drug is reordered within that time.
Ninety (90) Days
Can laundry chutes be used to transport soiled linens?
Yes
When may an exit door, corridor door or perimeter door be locked to egress?
With written approval of the California Department of Health Services
Does direct supervision require the supervisor to be physically present while a task is being performed by the person being supervised?
No
What is the name of the only committee in an Intermediate Care Facility?
Patient Care Policy Committee
Name one responsibility of the Medical Director in a Skilled Nursing Facility.
Consultant to the Director of Nursing Services
A certified program shall consist of at least __________ hours of classroom instruction conducted in either a nursing facility, an agency or a public educational institution.
Fifty (50)
What does ASHRAE stand for?
American Society of Heating, Refrigeration and Air Conditioning Engineers
Mop heads shall be changed at least ___________.
Daily
Patient monies not kept in the facility must be deposited in a __________ trust account.
Demand
Is ventilation to the outside required when caring for a patient with an infectious disease?
Yes
Speech Pathologists are licensed by ____________.
California Board of Medical Examiners
An 87 bed skilled nursing facility shall have at least one _________, awake and on duty in the facility at all times, day and night, in addition to the Director of Nursing Services
Registered Nurse (RN) or a Licensed Vocational Nurse (LVN)
The attending physician must be notified promptly of a change in weight of _________ or more within a 30-day period unless a different stipulation has been stated in writing by the patients physician.
Five (5) Pounds
I Physical Therapist is ___________ by the California Board of Medical Quality Assurance.
Licensed
How long must employee records be maintained after termination of employment?
Three (3) Years
Are Rehabilitation services optional service units in an Intermediate Care Facility?
Yes
How many complete bed changes must be for the facilities licensed capacity?
Not Less Than Three
Does a patient room have to be labeled?
Yes
Can bathtubs, lavatories or laundry sinks be used for cleaning bed pans?
No
Does the description of the daily routine for patients and demonstration of the use of equipment occur in the first or second eight (8) hours of orientation?
First
How often must a physician evaluate the patient?
Every Thirty (30) days and as needed unless there in an alternate schedule.
The professional credential of a dietician is ___________.
Registered or eligible for registration by the American Dietetic Association.
In addition to general staffing requirements, how many hours per week of interdisciplinary staff time is required in a special treatment program for 70 - 99 patients seen per week?
Forty Eight (48)
Water used to clean utensils must have a temperature of ___________.
One Hundred Ten (110) Degrees Fahrenheit
In an Intermediate Care Facility what is the minimum daily average nursing hours per patient per day?
One Point One (1.1)
Drug order records must be kept for ____________ years.
One
Can an Independant Care Facility exist within a Skilled Nursing Facility?
Yes
Is the Skilled Nursing Facility required to maintain a bed hold for a patient if the attending physician, in writing, notifies the Skilled Nursing Facility that the patients stay in the acute care hospital is expected to exceed seven days?
No
May restraints be used for the protection of the patient during treatment and diagnostic procedures?
Yes
Corridors shall be equipped with ____________ handrails.
Firmly Secured
When planning menus __________ __________ and food habits of patients should be considered.
Cultural Background
Controlled drugs are listed in schedules _________, __________ and ___________ of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970.
II, III & IV
Who can admit a patient to an Intermediate Care Facility?
Physician
Within __________ days of filing the complaint, any attempt to expel a patient will raise a rebuttable presumption that such action was taken in retaliation.
One Hundred Twenty (120) Days
An orientation program plan submitted to the Department of Health must include: ___________.
An Orientation Schedule, Core Curriculum and a Lesson Plan
May married couples reside in the same room?
Yes
During a citation review conference can legal council represent a licensee?
Yes
What are three required committees in a SNF?
(1) Patient Care Committee, (2) Infection Control and (3) Pharmaceutical Services
Health records may be stored off-site ___________.
With prior department approval
Preparation of doses for more than __________ scheduled administration time shall not be permitted.
One (1)
A physical restraint shall only be used with a __________ order.
Written
Patient money and/or valuables cannot be __________ with that of a licensee or facility.
Co-mingled
Can a patient be allowed not to wear a name tag or identification?
Yes, with physician documentation
How many hours of CNA orientation must be done before direct patient care is given.
Eight (8)
Pesticides and other toxic substances and drugs shall not be stored in the kitchen area or in storerooms for ________ or _________ ___________ equipment and utensils.
Food, Food Preperation
How often must individual progress notes for services provided in a social work service unit be written.
Weekly
Can milk only be served in it’s original container?
No
What posting requirements are necessary for all services and special programs provided by the facility?
Conspicuously posted in a prominent location accessible to the public.
In an intermediate care facility, standing orders for medications and treatments are __________ allowed in any facility.
Never
Must cleaning supplies and equipment be stored in rooms for housekeeping only?
Yes
Outpatient access to optional service units must not ___________ nursing units.
Traverse
Moveable bins must have __________ fitting covers.
Tight
Linens shall not be ____________ .
Threadbare
Under a unit dose medication system, a ___________ hour supply must be maintained unless the medication is discontinued within __________ hours.
Twenty Four (24) / Twenty Four (24)
The disaster plan shall be reviewed at least ___________ and revised ___________ ___________ .
Annually, As Necessary
Are separate licenses required for skilled nursing facilities which are maintained on separate premises and under the same management?
Yes
Written assessment to determine if patient can participate in a bowel and bladder program shall commence within _________ days after the admission of an incontinent patient.
Fourteen (14)
Does the Director of Nursing get his/her own office or other suitable space?
Yes
If a physical therapy service unit room is 15 feet by 15 feet, is this acceptable?
No, they must be at least 300 square feet.
What is the civil penalty for retaliation?
No more than $500
