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Title 22 Practice Exam > Exam 1 > Flashcards

Exam 1 Flashcards

0
Q
  1. In addition to a patient care policy committee & infection control committee, what other committee is required in SNF?
A

Pharmaceutical

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1
Q
  1. For which members of SNF is CPR required?
A

All licensed nurses

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2
Q
  1. How often do accounting of financial transaction on patients’ behalf need be made?
A

Quarterly

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3
Q
  1. When Nursing Home Admin allowed to act as patient’s authorized rep with money or valuables?
A

Close Blood Relative (consanguinity)

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4
Q
  1. Per title 22, how long should a record of hours and dates worked by employees be kept on file?
A

Most recent 12 month period

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5
Q
  1. How long must perm. log of temporary health services workers (registry) be kept?
A

3 years

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6
Q
  1. What minimum amount of light is required by Title 22 for corridors, storerooms, stairways, ramps and exits?
A

20 foot candle

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7
Q
  1. Which conditions exempt facility from installing a public telephone?
A

6 beds or fewer and restricted to ambulatory patients

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8
Q
  1. Title 22 requires each bed to be clean & comfortable & _________
A

Adequate mattress, sheets, pillow case and blankets

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9
Q
  1. What is min foot-candles in rooms for reading and work services?
A

30 foot candles

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10
Q
  1. According to title 22, which condition is not a requirement of non-movable solid waste container?
A 
Clearly Labeled (is not req.)
(external handles, leak proof, rodent proof, tight fitting lids in good repair are req.)
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11
Q
  1. With in how many seconds of power failure must emergency lighting & power systems provide auto restoration of power for emergency circuits?
A

10 seconds

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12
Q
  1. What systems must be covered in written maintenance manual?
A

HVAC

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13
Q
  1. Where should soiled linen be sorted?
A

A separate room

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14
Q
  1. In general emergency, who is authorized to allow nursing facility to take more patients/have more beds than licensed for?
A

Director of DHS

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15
Q
  1. How often water for human consumption from independent source be tested for bacteria analysis?
A

3 months

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16
Q
  1. When must piped in O2 or NO2 be tested & written report maintained
A

When initially installed, integrity breach, or changes made.

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17
Q
  1. What documentation must be provided by SNF when maintenanced is performed by equipment service company?
A

Certification that req. work completed in accordance with accepted standards.

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18
Q
  1. When may facility convert utility room to an office?
A

When DHS approves conversion.

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19
Q
  1. Which pieces of 110-120 volt equipment must be equipped with a 3-wire ground cord with a hospital grade 3-prong plug?
A

Concentrator

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20
Q
  1. Required hours of orientation of NA’s during first 40 hours of employment
A

16 hours

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21
Q
  1. How large supply of food must be maintained?
A

1 wk staple & 2 days perishable

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22
Q

23 Who is responsible for standards, surveillance, coordination and improvement of medical care?

A

Medical Director

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23
Q
  1. When must initial assess of patient need commence?
A

At time of admission

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24
Q
  1. After issuance of B citation with penalty of $200, what action must you take if you do not wish to contest?
A

Transmit sum of $50 within 4 business days to DHS

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25
Q
  1. ICF- which is a patient right?
A

Privacy for visits, established daily visiting hrs from clergy, reimburse for personal property lost.

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26
Q
  1. With in a special rehab. program for mentally disabled, what min. avg. number of groups or individual program hrs for each resident per week?
A

27 hours

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27
Q
  1. How frequently is every drug supply checked by pharmacist in ICF?
A

Monthly

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28
Q
  1. Who assumes overall care of residents in ICF?
A

Physician

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29
Q
  1. With in how many months of date of issuance, provisional license of ICF expire?
A

6 months

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30
Q
  1. What is minimum required ration of isolation rooms to ICF beds?
A

1:35

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31
Q
  1. When can authorized officers of DHS enter ICF to examine DC’d resident’s records?
A

At any time

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32
Q
  1. Under what circumstances can bedside nursing care be provided in ICF?
A

Temporary or minor

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33
Q
  1. From whom approval required if infections waste is stored w/ other solid waste?
A

Local Health Dept

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34
Q
  1. What part of CA code of reqs of H2O delivered to plumbing fixtures used by ???? Which part gives req for max. water temp?
A

Title 24

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35
Q
  1. How long results of patient bact. testing be kept of file?
A

12 months

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36
Q
  1. In addition to dietician, who approves therapeutic diet menus?
A

Patient Care Policy Committee

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37
Q
  1. Min temp by title 22, utensils not washed by mechanical means
A

110 degrees F

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38
Q
  1. Temp range drugs @ room temp stored?
A

59-86 degrees

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39
Q
  1. What max # hrs allowed for signed order for drugs to be transmitted to issuing pharmacy?
A

48 hrs

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40
Q
  1. Who must examine and ID meds brought by patient at admission?
A

Patient’s physician or pharmacist retained by facility

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41
Q
  1. Who must review each patients’ activity care plan and approve in writing as not being in conflict w/ patient treatment plan?
A

Attending physician

42
Q
  1. With in what max period of time after admission, bowel and bladder program indicated.
A

2 weeks

43
Q
  1. Temp perishable foods and beverages stored
A

45 or below or 140 degrees

or above

44
Q
  1. With the unit dose medicical system, how many hours worth of meds must they keep on hand for all patients
A

24 hrs

45
Q
  1. When patient changes attending physician evaluation required. What else?
A

Review of orders for care and treatment

46
Q
  1. Which of the following conditions is not req. for Non Legend drugs to be kept at bedside.
A

Specifically ordered by prescriber

Conditions for non-legend drugs to be kept at bedside:

  1. Limit access
  2. record useage
  3. record qty originally supplied
47
Q
  1. Temperature needed to maintain readily perishable foods and beverages
A

45 deg and 140 deg

48
Q
  1. Which item does a refrigerator need to have according to pharmacy services if storing meds?
A

Accurate Thermometer

49
Q
  1. When can standing physician’s orders be used in a facility?
A

They cannot be used

50
Q
  1. Which optional service unit maybe operated in a NF?
A

Audiology

51
Q
  1. How are glass thermometers disinfected?
A

Submersion for 10 min in 70% Ethyl Alcohol

52
Q
  1. Size (#of beds) of NF RN on duty day and night in addition to DON?
A

100 Beds

53
Q
  1. Which duties require responsibility of Medical Director?
A

Liaison between Admin and Attending physicians.

Consultant to DON

54
Q
  1. When DHS notified of change in administrator?
A

Within 10 days of change

55
Q
  1. What amount of bond is required for facility handling $750 or less patients?
A

$1000

56
Q
  1. In addition to the PCP committee, who reviews the diet manual?
A

Dietician

57
Q
  1. Which med can unlicensed persons administer with training and demonstration of competence?
A

Laxative Suppositories.

58
Q
  1. Under what circumstances can a facility provide properly labeled and ordered medications to a patient upon discharge?
A

When the docs discharge order does not specify provisions for drug disposition.

59
Q
  1. Unit dose medication system, min supply of meds to be on hand at all times?
A

24 hrs

60
Q
  1. Facility must ensure free of med error rates of ?
A

5% or more

61
Q
  1. DON may serve as a charge nurse only when ADC is lower than ?
A

60 residents

62
Q
  1. 3 QI reports discussed with Admin during entrance conference of Survey are know as ___________,______________,____________
A

Quality Indicator Profile
Oscar (not reviewed)
Facility Characteristics
Resident Level Summary?

63
Q
  1. Facility not found to be in Sub Comp w/in 3 months of last day of survey, what happens?
A

Denial of pmt for new admissions

64
Q
  1. Facility considered out of sum comp. with deficiencies at or above ____.
A

No actual harm with potential for more than minimum harm not IJ

65
Q
  1. Resident being DC’d must receive at least a __________.
A

30 day notice

66
Q
  1. Who is responsible for disclosing of material info & obtaining informed consent?
A

Attending MD

67
Q
  1. Which committee not req’d by title 22?
A

QA

68
Q
  1. After 90 days of admission, resident must be seen at least every ______.
A

60 days

69
Q
  1. Clinical records of residents, not minors, retained for ??
A

7 years after DC date

70
Q
  1. Survey that evaluates additional participation req’s subsequent to find substandard care known as _____
A

Extended Surveys

71
Q
  1. Informal opportunity at facility request to dispute survey findings upon receipt of written deficiency (CMS-2567) is known as an __________ ________ ____________.
A

Informal Dispute Resolution

72
Q
  1. What happens when a facility is not found in Sub comp w/ in 6 months of last day of survey
A

Terminated provider agreement

73
Q

74, Ind. who willfully or knowingly certifies or causes cert. in res. assess ____

A

Civil $ penalties

74
Q
  1. Must use RN for at least?
A

8 hours/day

75
Q
  1. Which not red’d to be posted?
A

HCFM Admin, Res Office

76
Q
  1. Res. Has accident w/ injury. Who must be notified?
A

Res. Physician, Fam member, Legal Rep.

77
Q
  1. Res. self admin drugs if approved by ?
A

IDT

78
Q
  1. Who conducts preadmission screening interviews to ensure admission of pts who it can provide adequate care?
A

Admin or designee

79
Q
  1. Max period of time after DC $ returned?
A

2 wks

80
Q
  1. Mingling of pt funds w/ funds of another facility?
A

They may not be

81
Q
  1. What is one component of fac. Org. chart?
A

Major programs of facilities

82
Q
  1. Topics included in personnel P&P manual?
A

Employee Benefits

83
Q
  1. W/ in ____ days prior to admission TB screening completed?
A

90 days

84
Q
  1. Who approves in writing, admin P&P after revised each year?
A

Governing Board or Licensee

85
Q
  1. In add to DON, Pharm, Act Leader & reps of req’d services, who is a member of PCP committee
A

Administrator & one physician.

86
Q
  1. W/ in ___ hours unuausal occ. reported to DHS?
A

24 hrs

87
Q
  1. When pts rights denied or limited?
A

Only as auth’d by law

88
Q
  1. Mr A suddenly w/o provoke punches B, both have dementia. Both Mr. A and resp. party have refused medication and pschy eval. Other than notify responsible party what to do you do?
A

Notify Mr. A and responsible party that he will be transfered if behavior does not change.

89
Q
  1. When may heath records be removed from the building?
A

After DC for outside storage

90
Q
  1. External disaster, mass casualties, programs- what is the frequency of review?
A

Annually

91
Q
  1. Limit on # of facilities/beds admin responsible
A

3 facilities/200 beds

92
Q
  1. Requirement of PT unit w/ out patient services?
A

Separate handwashing facility

93
Q
  1. Groups required to establish and implement SNF P&P for optional units?
A

PCP committee

94
Q
  1. In consult w/ PT, who establishes and implements P&P governing PT unit?
A

PCP committee

95
Q
  1. Title 22, task may be performed by L.C. psych tech or special TX program?
A

Admin meds & services as charge nurse.

96
Q
  1. Min avg nursing hrs ppd – each ICF req’d to employ?
A

1.1

97
Q
  1. Unless health record indicates otherwise, at what level is ICF responsible to patient encouraged to participate in social/ rec activities?
A

10 hrs/week

98
Q
  1. Within _____ hrs telephone order for meds in ICF signed by prescriber?
A

48

99
Q
  1. Min period log retained by ICF for drugs returned to facility?
A

3 years

100
Q

Anti-infectives and drugs used to treat severe pain, nausea, agitation, diarrhea or other severe discomfort shall be available and administered within _____ hours of the time ordered.

A

4 hours

101
Q

Drugs requiring refrigeration shall be stored in a refrigerator between 2 C (__ F) and 8 C (__ F)

A

2 C (36 F) and 8 C (46 F)

102
Q

Storage of non-legend drugs shall be limited to ______ or _______ forms of emergency drugs.

A

sublingual or inhalation forms of emergency drugs.

Title 22 Practice Exam (1 decks)

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