Hand Written Cards Flashcards
All Domains/CORE
1
Q
A Tag
A
No actual harm or potential for minimal harm
-isolated
-this deficiency is never given
2
Q
If marked IM a medication should be given by which route?
A
Intramuscularly
3
Q
How long can non-certified aides work before they become certified?
A
4 months
120 days to be exact
Have to actively enroll in a class & do competencies within that time frame.
4
Q
Prospective Payment System
(PPS)
A
Current MCR option for SNF that furnish fewer than 1500 days of MCR utilization in the prior year. Such SNF’s can elect a predetermined fixed reimbursement for routine service and capital costs & file an abbreviated cost report.
5
Q
Generic Substitution
A
Unbranded drug products are substituted by the pharmacist for a name-brand drug prescribed. These drugs have the same chemical makeup and dosage but are distributed by different companies.
-Much cheaper
6
Q
Air temperature should be measured how many feet above the floor in resident rooms and dining areas?
A
3 feet
7
Q
Who determines if it is safe/unsafe for a resident to self-administer drugs?
A
IDT
8
Q
Five basic drug actions?
A
-Blocking nerve impulses
-Stimulating nerve impulses
-Working directly on living cells
-Working to replace body deficiencies
-Any of these in combination
9
Q
Diuretic
A
Stimulates elimination of urine, often used with medications prescribed to reduce hypertension.
(diazide/lasix/diuril)
10
Q
antero-; for example,
anteromedian
A
In front of
11
Q
What must be completed to reply to the 2567?
A
Plan of Correction
(POC)
12
Q
cata-; for example,
catabolism
A
Downward, against
13
Q
What is issued when a facility is found to be in substantial compliance; a POC is not required, but a facility is expected to correct the deficiencies?
A
Notice of Isolated Deficiencies
14
Q
The emergency generator must be run under full load for __ every __?
A
30 minutes every month
15
Q
Severity level 2 tags?
A
Letters D,E,F
-Cited when there is a noncompliance issue that results in no more than minimal physical, mental, or psychosocial discomfort to a resident
-Has the potential to compromise their ability to maintain their highest level of well-being w/o causing immediate harm or jeopardy.
16
Q
The number of residents potentially or actually affected?
A
Scope Level
Determining whether the problem is considered isolated, pattern, or widespread
17
Q
An admission assessment is to be completed w/in how many hours of admission?
A
24 Hours
18
Q
Pulmonologist
A
Physician specializing in the treatment of the lungs
19
Q
What are the 5 levels of Maslow’s Hierarchy?
A
BOTTOM to TOP
-physiological needs (air water, food, shelter, sleep, clothing, reproduction)
-safety needs (personal security, employment, resources)
-love and belonging (friendship, intimacy, family)
-esteem (respect, self-esteem, status, recognition)
-self-actualization (fulfilling potential)
20
Q
Antispasmodic
A
Relieves smooth muscle spasm
(valium, diazepam)
21
Q
TO
A
Telephone Order
22
Q
When can the DON act as a charge nurse or floor nurse?
A
When under 60 residents
-59 and below
23
Q
Chronic
A
Continuing over a long period of time or recurring frequently.
______ conditions often begin inconspicuously & symptoms are less pronounced than in acute conditions.
24
Q
Chronic Care
A
Care for residents who enter a nursing facility typically because they have ______ illnesses that require more assistance than they have available in their own home.
These residents tend to remain in the facility for several months to years.
25
When must emergency power come on & how long must it last should a power failure occur?
Within 10 seconds & 1 1/2 hours
26
A method of establishing wage rates for jobs, based on comparing all jobs in the organization to a touchstone job in the facility, such as nursing?
Key Job Comparison
27
To make a financial plan, or a budget, the administrator must be able to?
Predict both the costs of running the facility & the money it can expect to earn in the coming year(s).
Knowledge of the facilities past financial performance & insight into the reason for earlier budget shortfalls or successes.
28
When meat is cooked too high, it can shrink by what factor?
Up to 25%
29
To be disadvantaged for fulfilling customary roles is termed?
Handicap
30
What is the purpose of smoke proof towers?
Limit infiltration of heat, smoke, and fire gases.
31
What document establishes the fire rating of building materials?
-National Fire Protection Association (NFPA) 99
-Health Care Facilities Code
-Life Safety Code- NFPA
32
The nosing of a stair must project no more than?
1 inch according to the Americans w/ Disabilities Act (ADA)
This projection is designed to enhance safety by making the edge of the step more visible and providing a surface for users to step into.
33
Net Resident Account Receivables from all sources/ (Net Patient Revenue/365)
Days in Resident Accounts Receivable
34
Everyone receiving social security is automatically covered under?
Part A Coverage
35
What does Theory Y advocate?
Promotes a positive view of human nature and emphasizes creating an environment where employees can thrive and contribute effectively to the organization.
36
Pro Forma Statement
The organizations expected financial condition if the budgeted amounts are realized?
___ _______ ____________
Which is a financial projection or forecast presented as if the budgeted amounts had already been realized.
37
Practice by health care providers of changing private pay residents more than actual costs of their care in order to compensate for shortfalls in reimbursement for patients covered by MCD & other government programs when those programs pay less than actual costs.
Cost-Shifting
38
Favoring ones family members in the hiring practice?
Nepotism
39
bi-; for example,
bilateral
Two
40
Under COBRA, an employee has how many days to elect to continue coverage?
At least 60 days
41
What are the minimum letter height and width requirements for exit signs?
Height: 6 inches
Width: 3/4 inch
Applies to the word EXIT
42
VO
Verbal Order
43
A type of lease that is a rental or usage agreement which is not shown on the balance sheet. Rentals are treated as an expense & ownership does NOT transfer to the lessee.
Operating Lease
44
According to Medical Device Reporting, user facilities must keep records for how long?
2 years
-after submission to FDA or device manufacturer.
45
Equal Employment Opportunity Commission (EEOC) enforce which three acts?
-Equal Pay Act (EPA
-Title 7 of the Civil Rights Act of 1964
-Age Discrimination in Employment Act (ADEA)
46
An advisory role not having line authority?
Staff Authority
47
The Safety Medical Devices Act requires that a serious injury or death be reported to whom & when?
Must be reported to SMD w/in 24 hours & to the FDA w/in 10 days
48
The acid test ratio is?
(Cash + Short-term Securities)/Current Liabilities
49
What is the minimum number of exits?
2 Exits
50
A fixed-daily payment?
Per diem
51
How many layers of management are in a 120-bed facility?
3 Layers
-Upper
-Middle
-Lower
52
What do Case Mangers assist with?
Helping older adults get assistance from available community resources and agencies
53
Analgesic
This reduces pain but does not cure an illness.
-Opiates (codeine, morphine)
-Non-Opiates (aspirin, Tylenol, Advil)
54
ST
Speech Therapy
55
Elderly or elder refers to a person over what age?
65
56
The use of 9 or ore medications for a given resident is?
Polypharmacy
57
If marked IV, a medication should be given by which route?
Intravenously
58
Liabilities that may or may not be incurred by a facility depending on the outcome of a future event?
Contingent Liabilities
-court case
59
Physical restraints must be monitored?
At least every 15 minutes
60
What is the Great Leadership Theory of History?
Suggests that influential leaders throughout history are born with inherent qualities that naturally predispose them to leadership roles.
Possess unique traits like charisma, intelligence, and courage, allowing them to rise to power and shape historical events when needed.
61
A ramp with a slope of 7-20 degrees is a ?
A ramp with a slope of 7-20 degrees, or more specifically, a slope of approximately 1:2.4 and 1:10 is considered wheelchair accessible in many countries, as it is within the standard guidelines for accessibility ramps.
62
What is the maximum allowable distance between any point in a room and the exit from that room?
50 Feet
63
CNA's must undergo retraining & testing if they have been out of a paid aide position for how long?
2 years
64
Under OSHA guidelines, what is the max penalty for each "serious violation"?
$15,625
65
They give advice that does not have to be taken. They do have the power or the liability of the law behind them?
Advisory Board
66
A ramp with a slope of under 7 degrees is a?
Ramp
67
Problems with skin can lead to?
Issues with immunity as it breaks down and becomes less efficient over time.
68
How often must dental services be provided?
At least once a year.
69
A coordinated and aggregated series of work elements used to produce and output?
Work process or Process flow
70
What is an Internist?
A physician who specializes in diagnostic procedures & treatments of nonsurgical cases.
71
What space must be provided below automatic sprinkler heads?
18 inches vertical clearance from the sprinkler deflector to allow for proper water distribution in case of fire.
72
ad-; for example,
additive
To, Toward, At
73
Each floor of fire section of the facility shall have at LEAST ___ located ___ from each other?
Two Exits located Remotely
74
Palliative Care is defined as?
Management and support provided for reduction or abatement of pain. Doesn't include treatment to cure medical condition or to artificially prolong life.
75
In accounting, what is a time period?
The interval covered by the financial reports, usually one year.
Should be consistent from 1 year to the next; that is the fiscal year (12 month period)
Also known as the accounting period
76
A system of accounting in which revenues are recorded when cash is received & expenses are recorded when cash is paid out.
Cash Basis Accounting
-Not allowed w/ MCR & MCD
77
It is mandatory that every health care facility offer the Hepatitis B Vaccine (HBV) to whom?
Nursing, Housekeeping, and Laundry Staff
-All healthcare workers who have a reasonable expectation of being exposed to blood or other potentially infectious materials (OPIM) on the job
78
In Generally Accepted Accounting Principles (GAAP), what are the 4 reports?
-Income statement (P & L statement)
-Balance Sheet (Statement of financial position)
-Statement of changes in financial position
-notes to the financial statements
79
Factors that may influence the choice of an open versus closed medical staff?
Physician availability
Residents preference
Contractual arrangements
State & national regulations
80
What is Days Cash on Hand (DCOH)?
Financial metric that estimates how many days a company can continue to operate using its current cash reserves.
81
What is the formula for Days Cash on Hand (DCOH)?
(cash + marketable securities)/
(total operating expenses-depreciation)/365)
82
What are MCR Part C plans?
Alternatives to traditional MCR and are offered by private insurance companies that MCR approves
83
The administrator of a nursing facility must organize the ______ and _____ available to best meet the needs of the residents?
Resources & Finances
84
What is the Routine Charge?
The charge for "room and board" services which usually includes basic nursing care, room, and meals
85
What is the minimum door width of a horizontal exit?
36 inches
86
A ramp with a slope of 20-50 degrees is a?
A ramp with a slope of 20-50 degrees is considered a steep ramp, which may be used for various purposes such as loading and unloading vehicles or as an access point for individuals with mobility challenges. The specific angle can affect the ramp's usability and safety, with steeper angles generally making it more challenging to ascend or descend.
87
Changes in collagen can result in?
The loss of elasticity in the body & for biomechanical and structural changes which may occur with aging.
88
What is the maximum allowable distance between any point in a patient room and an exit door?
150ft in a building w/o sprinkler systems
200ft in a building with a sprinkler system
89
In T accounts- increases in expense accounts are?
Debits
90
Horizontal Exit
How many doors are required?
Single doors may be permitted provided the exits serves one direction.
Two doors are required if the exit serves both directions.
91
Fringe benefits are defined as?
A form of compensation that an employer provides to an employee in addition to their regular salary.
Ex: health insurance, retirement plans, workers comp & FMLA
92
In civil law, a curator is?
A guardian
93
Depreciation is an expense associated w/ the use of?
An asset-
Is included both as an expense on the income statement & a contra asset on the balance sheet.
94
Activities such as ensuring quality of care for all residents, advocating for all residents, and developing and managing the budget are normally associated most closely with the?
Administrator's office
95
A financial statement that provides information for planning short-term cash needs?
Cash Flow Statement
96
What type of fires involve electrical equipment?
Class C Fires
ex: appliances, wiring, circuit, breakers, and outlets
97
The income of a proprietary corporation remaining after all costs, taxes, & dividends is defined as?
Retained Earnings
98
Gives an idea of the funds available to purchase needed equipment?
Working Capital
99
What does a chart of accounts compare to?
Table of Contents:
A Chart of Accounts (COA) is an index of a companies financial accounts that's compared to a general ledger, which is a record of all financial transactions.
100
What are the two most important risk management tools?
Risk Identification: proactively identifying potential risks
Risk Monitoring: Continuously tracking & assessing the effectiveness of mitigation strategies against identified risks
101
A financial statement that treats hypothetical events as though they had actually happened and hence includes fictitious data in whole or in part?
Pro Forma Financial Statement
102
What terms are used to refer to inventory?
LIFO- last in, first out
FIFO- first in, first out
Physical
Perpetual- type of inventory system that automatically tracks inventory in real time
103
If marked QID a medication is administered?
4 times a day
104
Soiled linen carts should be decontaminated how often?
Whenever visibly soiled
*or at the end of every shift*
-weekly at a minimum
105
PT
Physical Therapy
106
What are the maximum forward & side reaches for switches and controls?
Forward: 48 inches
Side: 54 inches
107
FUTA refers to?
_______ _____________ ___ ___
-With state unemployment systems, provides for payments of unemployment compensation to workers who have lost their jobs.
-Most employees pay both Federal & State unemployment tax
108
Funds that have been put into the facility by the owners or others & retained earning that have been put back into the facility are usually included when calculating the?
Net Worth
109
What are Schedule 3 drugs?
Abuse potential: intermediate, (ie less than schedule 2 but more than schedule 4 meds)
Ex: includes anabolic steroids, testosterone, and ketamine
110
The operating budget is composed of what two categories?
Revenue (income) & Expenses (costs)
111
A resident who dies without leaving a will is said to have died how?
Intestate
112
OSHA is under which department?
United States Department of Labor
113
Explains how the cash balance has changed between the beginning & end of a fiscal period. It reports cash receipts & cash disbursements in 3 categories of activities:
operating investing & financing?
Cash Flow Statement
114
The Social Security Administration (SSA) prepared sets of extensive rules or minimum conditions required for any nursing facility receiving federal funds is known as the?
Conditions of participation
115
The type of budget that reflects long-term capital decisions?
Capital Budget
-allocating funds for investments in assets, infrastructure, and major projects
116
A toilet seat for the disabled must be how high?
17-19 inches from the floor to the top of the seat.
"comfort height" toilets
117
Quality improvement is defined as?
The development & maintenance of quality care programs
The framework used to systematically improve care
118
What are the maximum and minimum riser heights of interior stairs?
Max Height: 7 inches
Minimum Height: 4 inches
119
Immediate Jeopardy to resident health or safety is what level?
Level 4
Situation in which the facility's noncompliance with one or more requirements of participation has caused/is likely to cause serious injury, harm, impairment, or death to a resident.
-suicidal ideation/attempt- fear/anxiety
-self-harm - expressions of hopelessness
- isolation
120
Can emergency lighting be battery powered?
If it meets the candlelight requirements for a period of 1 1/2 hours
121
How much light must a reading light at the bed yield in illumination?
100-300 lux
122
Review of job descriptions and activities essential for performing each job?
Task Analysis
123
Employees returning from military leave must apply to return to work within how many days of discharge?
90 days of their discharge if the service lasted more than 180 days
*Uniformed Services Employment and Reemployment Rights Act (USERRA)
124
Transferring entries from a journal to an account in a ledger at the end of an accounting period?
Posting
125
Decongestant
Constricts blood vessels in the nose and relieves nasal congestion
126
In what 3 areas does the statement of Cash Flows show receipts and disbursements?
Operating, Investing, & Financing Activities
127
Payroll deductions are subtracted from ___ pay to arrive at the employees ___ pay.
Gross and Net
128
The sum of all the activities which create the desired and needed changes in quality care are?
Quality Improvement
129
URI
Upper Respiratory Infection
130
A statement of the tasks to be done based on the job analysis, usually including a list of duties & responsibilities of the position in order of importance?
Job Description
131
Net Operating Margin
The proportion of revenues earned to the amount of expenses used to earn those revenues.
A low operating margin may indicate that rates for services should be raised, or expenses reduced
132
Bathroom and toilet doors must be how wide?
32 inches
133
What is the high forward reach for a wheelchair?
48 inches
-minimum low forward reach height
-15 inches
134
What is a sedative?
Relieves anxiety and emotional tension
Calms a person down, helps them sleep, or relieves anxiety
135
Employees must receive their W-2 no later than what date each year?
January 31st
-it is okay if its a few days late as long as its post dated no later than January 31st
136
Under OBRA (Omnibus Budget Reconciliation Act), the medical director is responsible for the implementation of?
Resident care policies and the coordination of medical care in the facility.
137
Foundations of Dignity
Each person has a unique identity and personhood
-Respect
-Privacy
-Communication
-Personal Hygiene
-Food
-Social Inclusion
-Pain Management
-Practical Assistance
-Zero Tolerance for abuse
138
Cash Receipts Journal
Records all cash received for services provided, for example, sales by refreshment machines.
139
If marked PRN, a medication is administered?
As needed
140
When is recordkeeping of occupational illness and injuries required.
Facilities with more than 10 employees at any time during the previous calendar year.
Must keep records of serious work-related injuries & illnesses excluding minor injuries requiring first aid
141
What is the 2567
The official document used by surveyors to detail any deficiencies or noncompliance issues found during a nursing home inspection
142
What is the maximum allowable distance between exit signs?
100 feet
143
What are some common problems facing nursing homes?
-Low satisfaction ratings among family members
-Outdated hierarchical leadership strategies
-Difficulty in supplying & maintaining adequate staffing
-Materials and equipment
144
Antipsychotic
Given for mental disorders
(thorazine, loxatine, mellavil)
145
The degree to which a test, interview procedure, or any other selection tool measures the skills, knowledge, or performance requirements needed to fill the position for which the applicant applies
Content Validity
146
What medicine helps neutralize the acid in the stomach?
Antacid
147
The person responsible for performing most of the personnel functions, who is delegated authority by the administrator to make decisions on his/her behalf and authority to commit facility resources. Often defined as the lowest level of management which has only workers under its direction?
Supervisor or Line Manager
148
Vitamins
Nutrients that the body needs in small amounts to function and stay healthy
-can be used in replacement therapy
149
No actual harm w/ potential for minimal harm
Level 1
-Is not an option because any facility practice that results in reduction of psychosocial well-being diminishes the quality of life.
Deficiencies are at least a level 1
150
*Survey
The effect on resident outcomes?
Severity Levels
Refers to the level of harm or impact a deficiency in care has on the residents
151
How much space must be between beds in multibed rooms?
3 feet (36 inches)
& 3 feet off any wall (foot of the bed & sides)
152
Progressive stiffening in the muscles, tendons, and ligaments that surround the joints?
Contractures
153
Under COBRA when does coverage begin?
Coverage begins on the day your previous employer-sponsored health coverage ends
154
When a surveyor demands a list of all residents/room numbers indicating each resident's case mix category & special care needs, the facility must supply this within what time frame?
4 hours
155
American College of Health Care Administrators (ACHCA)
The only professional organization specifically for nursing facility administrators
156
What is the minimum head room of interior stairs?
6 feet 8 inches
157
Diaphoretic
Used to induce perspiration
158
What benefits does FMLA provide?
12 weeks unpaid leave
159
Who is most affected by Title 1 of the ADA?
health care facility administrator
160
Antitoxin
Neutralizes bacterial toxins in infections
-tetanus antitoxin
161
Hypnotic
A class of psychoactive drugs that are used to induce sleep, treat insomnia, or cause surgical anesthesia
-sleeping pills, sedatives, or tranquilizers
162
Astringent
Used to constrict skins and mucous membranes by withdrawing water
-Helps cleanse the skin
-Can dry out the skin
163
One of the main advantages of a closed medical staff is that?
One of the staff can be on call at all times.
164
In T accounts, increases in revenue accounts are?
Credits
165
Frail Elderly refers to persons over what age?
75
166
Current assets include?
(tangible)
Cash
Cash equivalents
Other assets that can be converted to cash (accounts payable), inventory, prepaid expenses
167
Under double entry rules, decrease in assets and expenses are recorded as?
Credits
-Recorded on the right side of an account, credits increase liabilities, equity, and revenue, while decreasing assets and expenses.
168
What are the requirements for illumination of the means of egress for an exit?
The illumination must be continuous.
Have at least 1 foot candle measured at the floor of the exit access, the exit, and the exit discharge.
169
What is a patterned interview approach?
Allows the least amount of freedom to both the interviewer and the applicant.
All questions are sequential and highly detailed.
Allows a similar interview for each candidate for the job, allowing for easier comparison.
170
The 3 ratios that measure the liquidity (ability to pay off short-term obligations) of a business entity?
Current Ratio, Quick Ratio, Cash Ratio
171
(Cash + Current Receivables) / Current Liabilities+
Quick Ratio
-also known as the acid ratio
-used to determine if a company has enough cash to pay off its short term liabilities
172
A facility must give how many days' notice to a union for a desired contract change?
90 days for a healthcare employer
173
If marked R, a medication should be given by which route?
Rectally
174
Expectorant
Used to induce coughing, an agent that increases bronchial secretion and facilitates its expulsion through coughing
175
The quick ratio is?
(Current assets-inventories)/Current Liabilities
176
Long-acting benzodiazepines (cat. 4) are only used when?
Short acting ones have failed
177
How often must a physician visit a patient after the first 90 days?
Every 60 days
-10-day grace period if late
178
Entity Concept
Basic concept of accounting, under which the nursing facility is regarded as whole entity, separate from the affairs of the owners, managers, or the employees.
If funds are taken out, they have to be recorded to accurately reflect facility finances.
179
Quality control relates to policies and procedures designed to?
Maintain quality care.
Ensure that products or services consistently meet a predetermined standard of quality by monitoring systems
180
LBWA Technique
Leadership by Walking Around
Great way to keep a finger on the pulse of the facility.
Not used to provide on the spot corrections, more used to see what attitudes are and delegate on the spot training to the managers
181
Liquid assets include?
Cash (cash on hand), short term notes, accounts receivable, inventory, securities
182
A minimum of a ___ day emergency menu must be written and kept readily available in the kitchen?
3
183
What nutrients cause concern w/ decreased intake in the elderly population?
Vitamin B12
Vitamin D
Calcium
184
Safe food service & storage temps?
Less than 41 degrees for cold foods
Greater than 135 degrees for hot foods
185
A resident's nutritional status is a part of the quarterly review assessment that must be completed not less frequently than?
Once every 3 months or with a significant change
186
What is a significant change?
A major decline or improvement a resident's status that will not normally resolve itself w/o further intervention by staff or by implementing standard interventions.
Has an impact on one or more areas of resident health status
187
An infection control program is effective for?
Investigating, controlling, and preventing infections.
Must be periodically reviewed and revised
188
The foundation of a facilities infection and prevention program?
Policies and procedures that are reviewed and revised periodically.
Training
Surveillance and monitoring
189
OT specializes in?
The adaptive use of the upper extremities for performing various tasks
190
ST specializes in?
Evaluation of:
-speech
-language
-cognitive disorders
191
PT specializes in?
The lower body:
-ambulating
-musculoskeletal disorders
-joint mobility
192
Consistently giving high ratings to all employees in an attempt to avoid conflict?
Leniency Bias or Central Tendency Error
193
Who is eligible for MCR?
Automatic for those over 65 eligible for social security cash benefits and enrolled in a program
ESRD
Disability
194
A group of two or more jobs that have similar duties?
Job Family
195
In the end, it can be said that the administrator's responsibility to meet resident care needs and facility financial needs are?
Both about equal
One cannot provide care w/o making money and one cannot make money w/o providing high-quality resident care.
Finances and resident care go hand in hand
196
EEG
Electroencephalogram
197
tab.
Tablet
198
A federal agency that administers MCR as well as federal guidelines for MCD?
Centers for MCR and MCD services
(CMS)
199
Anticonvulsant
This is used to prevent or control convulsions
200
If marked TID, a medication is administered?
3 times a day
201
Herzberg's satisfaction equates to?
Motivators
Achievement, recognition, and the nature of the work contribute to higher levels of satisfaction
202
Process of selling a/r as a means of short-term financing. When this is done "w/o recourse" the seller transfers not only the receivables, but also the risk of default?
Factoring of receivables
203
Vertical Opening
Stairways, elevator hoist ways, service and utility shafts
-Can be a factor in the spread of fire and smoke
204
Perpetual Inventory System
Used to maintain a precise count of inventory on hand; that is, an accurate count of supplies used and those remaining in the storeroom
205
Where must sharps containers be provided?
Med carts, patient rooms, med rooms, treatment areas, nurses' stations
-a visible location, w/in easy horizontal reach and below eye level
206
What is the maximum allowable distance b/w the entrance door into any room and an exit?
150 feet for a building w/o a sprinkler system
200 feet for a building w/ a sprinkler system
207
Establishment of pay grades and rates by employers to both achieve equity and offer some flexibility to supervisors in setting an employee's wage?
Wage Class
208
The simplest account structure in accounting is the?
T account
Account name on top of the T, debits on the left side, and credits on the right side
209
A union must give how many days' notice before a strike?
10 days
National Labor Relations Act
210
How many hours of state approved training are required for a CNA?
Idaho/Montana- 120hours
80 hours classroom
40 hours clinical
211
Adverse Events
This term describes harm to a patient or resident as a result of medical care including the failure to provide needed care
-medical errors
-infections caused by contaminated equipment
-Not always preventable: involving errors, negligence, or poor quality of care
212
A balance sheet is made up of which 3 items?
Assets, Liabilities, and Owners' Equity
(all on a particular date)
213
Annual Net Income/Total Shareholders' Equity=
Return on Equity (ROE)
-a means of assessing a companies profitability
214
Severity level 1 tags?
Letters A,B,C
-Deficiencies in this range are not serious
-No actual harm or potential to cause harm
-Minor, negative impact on residents
215
What is a Remedy Category?
A group of enforcement actions that are applied to a facility based on the seriousness of its noncompliance w/ federal requirements
216
Antitussive
Given to control coughing
(Robitussin, Phenergan, expectorant)
217
Under double entry rules: decreases in liability revenue, and capital accounts are recorded as?
Debits
Recorded on the left side of a ledger account and represent increases in assets and expenses, or decreases in liabilities and equity
218
The Civil Rights Act, Title 7 and the Equal Employment Act of 1972 apply to employer of ___ or more employees?
15
219
Proctologist
A physician specializing in the diagnosis and treatment of the large intestine, particularly the rectum.
220
Determination of wage rates by considering the labor market, prevailing wage rates, cost of living, ability to pay, collective bargaining agreements, and value of the job?
Wage Mix
221
Under double entry rules: Increases in liability, revenue, and capital accounts are recorded as?
Credits
Recorded on the right side of a ledger account and represent increases in revenue, liabilities, and equity, or decreases in assets and expenses.
222
How often must a physician visit a patient during the first 90 days?
Every 30 days, visits are considered timely if they occur no later than 10 days after the due date.
223
Rx.
Prescription
224
Antidepressant
Given to relieve depression
(Prozac, Zoloft, Paxil)
225
A drug (ex. aspirin) that reduces or eliminates pain w/o affecting consciousness?
Analgesic
226
Resident funds in excess of what amount must be kept in an interest-bearing account?
Medicaid: $50
Medicare: $100
227
At a minimum, nursing facilities must provide 24-hour licensed nursing services which are ___ to meet the nursing needs of each of its residents?
Sufficient
228
If an applicant isn't hired, how long must their application be kept on file?
At least one year after the hiring decision date
-Federal contractors need to retain these records for 2-3 years, depending on which laws apply to them.
229
Cathartic
-A laxative medication that is stronger than a laxative, inducing bowel movements
-causes entire colon to empty, watery, unformed stool
230
Minimum area in a single (private) resident room?
100 square feet
231
Vasoconstrictor
A drug, agent, or nerve that causes blood vessel walls to narrow, or constrict
-can cause an increase in blood pressure
232
Under COBRA, how long may coverage be extended?
18 months
233
An I-9 must be retained for how long?
3 years after the date of hire, or one year after the date employment ends, whichever is later
234
Charged w/ identifying and eliminating fraud, abuse, and waste in MCR, MCD, and other DHHS programs?
Office of Inspector General (OIG)
Department of Health and Human Services
235
A violation with no more than minimal physical, mental, or psychological discomfort is a ____ deficiency?
Level 2
-Indicates noncompliance that results in a resident outcome of no more than minimal discomfort and/or has the potential to compromise the resident's ability to maintain or reach his or her highest practicable level of well-being.
236
What entity must decide questions involving the mission, organizational structure, personnel, budget and future directions of the facility. They have the power and the liability of the law behind them?
Governing Board/Board of Directors
237
What are the 5 steps of the grieving process?
Denial
Anger
Bargaining
Depression
Acceptance
238
What is the minimum tread depth of interior stairs?
10 inches when including nosing and 11 inches if the stairs do not have a nosing
239
Outstanding Accounts Receivable/ (3 months net revenue/total days in a 3 month period) =
Daily Sales Outstanding
240
Schedule 1 Drugs
High abuse potential w/ no accepted medical use; medications w/in this schedule may not be prescribed, dispensed, or administered
-marijuana, heroin, peyote, LSD, MDMA
241
Emollient
Substance that moisturizes the skin by softening, soothing, and increasing moisture
242
Funds regularly set aside by a firm to redeem its bond periodically?
Sinking Funds or Amortizations Funds
243
D Tag
No actual harm with potential for more than minimal harm that is not immediate jeopardy
-isolated
244
When a resident has been in bed all of the time during a 7-day period, other than treatment, they are deemed to be?
Bedfast
245
A form of business that is incorporated under the laws of one of the states. There may be a single stakeholder or thousands. It is a separate legal entity from its owners and therefore the owners are not personally responsible for the corporate debts?
Corporation
246
Theory X advocates?
The use of fear of punishment to motivate
(assumes employees are inherently lazy and dislike work)
247
For profit organizations are governed by?
Board of Directors
-represent the interests of the shareholders, or owners of the company
248
Quality Indicators (QI) will be flagged at what percentage?
90% percentile
(the higher the %, the worse the flag)
249
The current ratio is?
Current Assets/Current Liabilities
250
surg.
Surgery
251
Vasodilator
-Expands or dilates blood vessels
-Allows more blood flow to various organs in the body which can help enhance blood flow to areas that are lacking oxygen or nutrients
252
A facility must be free of med errors greater than what percent?
5% or greater
-observed during a med. pass administration
253
Drugs w/ low potential for abuse and limited addictive properties and a current accepted medical use?
Schedule 4
254
Parenteral
This is a drug or solution given by subcutaneous or intravenous injection
255
Illegal hiring practices regarding interview questions?
Questions should be avoided regarding age, sex, race, national origin, education, religion, arrest & conviction, records, marital status, credit rating (Title 7), or disabilities (ADA & Title 7)
(Civil Rights Act)
256
The type of budget that projects cash inflows and outflows?
Cash Budget
257
If marked PC, a medication is administered?
After meals
258
In T-accounts- decreases in revenue accounts are?
Debits
259
A comprehensive care plan must be completed within how many days once the comprehensive assessment is made?
7 days
260
In MOST nursing facilities of 100 to 200 beds. there is __________ medical staff?
Usually no organized
261
Remedy Category 1 includes?
Directed Plan of Correction (POC)
State monitoring
Directed in-service training
262
How often must individual resident financial reports be given to residents or their designated party?
Quarterly
(every 3 months)
263
What must be provided to a resident prior to a transfer?
30-day notice
Reason for transfer
Location they are being transferred
Date of transfer
Info about their right to appeal
Contact for local/state ombudsman
264
How is oldest-old defined?
Over 85 + years
265
Laxative
Used to relieve constipation
266
Non-profit organizations are governed by?
A board of trustees, also often referred to as a board of directors
267
Things owned by the facility are normally referred to as?
Assets
268
Title 14 or MCD recipients must meet the following requirements?
Aid to families with dependent children (AFDC)
Supplemental Security Income (SSI)
-covers the aged and disabled
269
Severity Level 4 tags
Letters J, K, L
-Indicates "immediate jeopardy"
-Noncompliance w/ regs has caused or is likely to cause serious harm, injury, impairment, or death to a resident
-Requiring immediate corrective action
270
L Tag
Immediate Jeopardy to resident health or safety
-widespread
271
What does FMLA stand for?
Family & Medical Leave Act
272
Horizontal Exit
A path that allows people to safely move from one area of the building to another on the same level, or through or around a wall or partition, w/o the need for vertical travel
273
Closed Medical Staff
A model where the nursing home employs a set number of medical staff and limits their privileges.
274
A financial statement that shows cash receipts and disbursements leading to a net change in cash in a given period?
Cash Flow Statement
275
Must a totally private pay health care facility be licensed?
Yes
276
After interruption of normal power, the emergency generator must start and transfer power within?
10 seconds
277
What water temperature is required when rinsing dishes?
180 degrees F- Dishwasher
171 degrees manually w/ hot immersion for at least 30 seconds
278
Open Medical Staff
Allows the facility to accept a variety of medical staff providers to care for residents
279
How often must form 941 be filed by employers?
Quarterly
Form 941 is the Employers Quarterly Federal Tax Return
280
Theory Z advocates?
Participation in nature.
Employees have input into how their work is done and how decisions are made.
Employee development, involvement, loyalty, and well-being
281
Antiseptic
Slows down the growth of bacteria but does not kill all of it
(Hydrogen peroxide)
282
How is young-old defined?
65-74 years old
283
What is the typical cost of fringe benefits for employees?
15-30%
Exact cost can vary significantly depending on the industry, location, and specific benefits offered
284
Emetic
-Substance that causes vomiting
-Agent that induces vomiting
-Also called emetogenic
285
What items must be provided to MCR & MCD residents without cost?
Basic personal hygiene items:
Soap, shampoo, toothpaste/toothbrush, deodorant, combs, incontinent supplies, tissues
286
How is old-old defined?
75-84 years old
287
Examples of schedule 2 drugs?
Morphine (hydromorphone), fentanyl, methadone, meperidine, oxycodone, dextroamphetamine, pentobarbital, methamphetamine
288
Smoke detectors must be located no further than ___ feet apart & no more than ___ inches from any wall?
30 feet & 4 inches
289
If marked OU, a medication should be given by which route?
Both Eyes
290
Walks must be how wide?
5 feet
291
Generally, cost reports are due w/in how many days of the end of the fiscal year?
150 Days (or roughly 5 months)
Primarily based on MCR regulations
292
Employees pay what percentage of the Federal Insurance Contribution Act (FICA) cost?
Employer: 6.2% of their earnings for Social Security and 1.45% for MCR, totaling 7.65%
293
If marked AS, a medication should be given by which route?
Left Ear
294
If marked AU, a medication should be given by which route?
Both ears
295
Diaphoretic
Known to increase perspiration.
Used to treat cardiovascular, pain, endocrine/hormonal, neurophchiatrics, and immunosuppressed conditions.
296
An unincorporated business owned by an individual. The owner is responsible for both personal and business debts?
Sole Proprietorship
297
In T accounts, increases in liability accounts are?
Credits
298
A passenger loading zone must be at least ___ wide and ___ long?
8 feet wide
20 feet long
299
Chemotherapeutics
Chemicals used to treat illnesses like cancer either by killing cancer cells or preventing them from dividing
300
The freezer should be kept at or below what temperature?
0 degrees F or -18 degrees C
301
What fire resistance is required for stairwells?
1 hour fire rating: connecting fewer than 4 stories
2 hours fire rating: connecting 4 or more stories
302
Total expenses are subtracted from total revenue (TR) to compute the?
Net income or Profit Loss
303
What is a significant weight loss?
5% in a month (30 days)
7.5% in 3 months (90 days)
10% in 6 months (180 days)
304
A Pre-Admission Screening and Resident Review (PASRR) and annual review determines whether what type of patients may be admitted to the facility?
Patients' w/ a serious mental illness (SMI) or intellectual disability (ID) are appropriate for admission to a facility. It assesses their needs to ensure appropriate placement and care, ensuring they do not have unmet behavioral health needs that require alternative settings or services
305
A form 1099-MISC must be issued when an independent contractor is paid more than this amount during a single year?
$600 or more
306
OT
Occupational Therapy
307
What temp is required when washing dishes?
Dishwasher: 150-degree wash, 180-degree rinse
Chemical Dishwasher: 120-degree wash
Manual: After washing and rinsing, dishes are sanitized by immersion in either:
171 degree or more for 30 seconds
Chemical sanitizing solution
308
Which federal agency mandated the Resident Assessment Instrument (RAI)?
Centers for Medicare and Medicaid Services (CMS)
Previously known as the Health Care Financing Administration (HFCA)
309
Schedule 5 drug Class
Meds with the least potential for abuse.
310
A document that enables a manager to understand what kind of applicant would be best suited for a job.
Job Description
311
When must OSHA accident reports be posted?
Each February through April
312
Investments that have a maturity of over one year from the balance sheet date?
Long-Term Investments
313
Act intended to cover all employment of 15 or more persons and numerous other groups and educational institutions?
Equal Employment Act of 1972
-An amendment to Title 7 of the Civil Rights Act of 1964
314
What temperature should dishwasher rinse be?
180 degrees F
-should not exceed 200 degrees F
315
If installed on the wall, smoke detectors should not be more than how many inches from the ceiling?
12 inches
316
Mydriatic
Drugs that cause the pupil of the eye to dilate or widen.
317
The minimum square footage calculation in a room excludes the following area?
Closet/wardrobe, bathroom, vestibule entry
318
The travel distance between Class B or C fire extinguishers may not be more than how many feet?
No more than 50 feet
319
Sedative hypnotic drugs are used for?
Sleep induction
320
Anti-psychotic drugs are used for?
Primarily used to manage and treat symptoms of psychotic disorders.
Schizophrenia, schizoaffective disorder, and bipolar disorder
321
Title 15 of the Social Security Act is an?
An assistance program (based on need)
Unemployment Compensation for Federal Employees
322
What act established the position of long-term care ombudsman?
The 1978 Amendments to the Older Americans Act (OAA)
323
E Tag
No actual harm w/ potential for more than minimal harm that is not immediate jeopardy
-Pattern
324
In T accounts, decreases in liability accounts are?
Debits
This is because liabilities represent amounts owed, and when a liability decreases, it indicates the obligation has been reduced, thus requiring a debit entry to reflect this decrease
325
Palliative Care
Specialized medical care that helps people with serious illnesses manage pain and other symptoms.
326
K Tag
Immediate Jeopardy to resident health or safety
Pattern
327
An income statement shows?
Revenue: the amount earned from selling products or services
Expenses: The amount spent to generate revenue and manage the business
Net Income: The amount of money left after expenses
328
Hypertensive
A type of drug used to treat high blood pressure
Also known as a diagnosis for high blood pressure. Pressure in the arteries is consistently high
329
During what hours may fire drills be announced by code message rather than an audible alarm?
9:00 pm - 6:00 am
2100-0600
330
C Tag
No actual harm with potential for minimal harm
Widespread
331
Thresholds may not rise over?
1/4 inch
332
What is a threshold?
A strip of wood, metal, or stone framing the bottom of a doorway and crossed in entering a house or room
333
How long must vegetables be boiled to kill off Botulism causing bacteria?
10 minutes
Consult dietary staff
334
A ___ tag would indicate substandard care was found?
F 377 J
335
How many hours of in-service training must CNAs have each year?
12
336
A residents room must have at least how much useable space?
80 sq. ft of useable living space in a semi-private room
100 sq. ft of useable living space in a private room
337
A fire that is out of control is referred to as a?
Flashover
338
Type of authority characterized by advisory capacity?
Staff Authority
339
What is Staff Authority?
Type of authority that involves advisors who provide assistance and advice to managers in order to help them make decisions
340
Drugs with less potential for addictions and have a currently accepted medical use?
Schedule 3
341
Shipping arrangements under which the buyer of the goods pays a separate charge for the transportation costs. The goods while in transit are the property of the buyer, who thus bears financial liability for the goods if they are lost in transit?
Freight on Board (F.O.B) Shipping Point
342
Doors must be how thick?
1 3/4 inches w/ self-closing or automatic closing devices
Made of solid wood (bonded core) or materials that can resist fire for at least 20 minutes
Gap between the bottom of the door and the floor covering must be no more than 1 inch
343
Has management responsibility for providing comprehensive health care services on a pre-payment basis
Health Maintenance Organization
(HMO)
344
What is the maximum height difference between landings in interior stairs?
12 feet and 7 inches
345
Food should be served at what temperatures?
135 degrees for hot food
41 degrees for cold food
346
When must a continuation of employee insurance be offered under COBRA?
When a "qualifying event" occurs
-employee termination (voluntary or involuntary
-reduction in work hours
-goes through a divorce
-experiences the death of a covered employee
347
The percentage of accounts outstanding for more than 60 days should never exceed?
5%
-Industry standards , financial impact, and monitoring & management
348
What is the acceptable air temperature range in a facility?
Between 71 & 81 degrees
For the comfort and well-being of the residents
349
A hazard posed by medication is a?
Chemical Hazard (Health)
350
What is a Chemical Hazard?
Toxic chemicals, carcinogens, and chemicals that can cause infertility or birth defects. Exposure can occur through skin contact, inhalation, or injestion.
351
To avoid retraining and a competency evaluation program a CNA must work continuously for how long?
24 consecutive months
352
What are the 5 functions of management?
Planning
Organizing
Staffing
Leading (directing)
Controlling
353
List the two types of leases?
Capital Lease (financing)
Operating Lease
354
A primary reason for the increased number of the 65+ population is?
Increased Life Expectancy
355
A lease that is recorded by the lessee on the balance sheet as an asset and a corresponding borrowing of funds. Depreciation is treated as an expense and interest payments are deductible. At the end of its term, the lessee becomes the owner of the assets or has the option to purchase it for a nominal amount of money?
Capital Lease (finance)
356
Drugs that have a high tendency for abuse, may have an acceptable medical use, and can be available by prescription?
Schedule 2
357
A modality is?
A method of treatment
358
In which type of accounting are revenues recorded when they are earned and expenses recorded when they are incurred, regardless of when cash is received or paid out?
Accrual Basis Accounting
359
The finding of substandard care requires the survey team to have evidence of?
Immediate Jeopardy to resident care that has or likely will cause serious injury or death
360
In T accounts, decreases in asset accounts are?
Credits
361
The second most common type of arthritis?
Rheumatoid
362
Suppository
A semisolid substance for introduction into the rectum, vagina, or urethra where it is dissolved and absorbed into the bloodstream
363
In regards to survey, what does Remedy Category 2 include?
Denial of payment for new admissions
Denial of payments for all individuals, imposed only by CMS
Civil monetary penalties of $50-$3,000 per day, adjusted annually
Civil monetary penalty of $1000-$10,000 per instance of noncompliance adjusted annually.
364
The handrails in stairwells must extend beyond the 1st and last steps by?
12 inches
365
The Employee Retirement Income Security Act (ERISA) is enforced by which agency?
The Employee Benefits Security Administration ( EBSA)
366
In T accounts, decreases in capital accounts are?
Debits
367
A resident centered outcome oriented inspection?
OBRA Survey
368
Will MCR pay for adult day care?
No
369
What does QAC stand for
Quality Assurance Committee
370
What is the primary source of payment in a nursing home?
MCD
371
Type of leadership known as Top Down leadership?
Autocratic (Command & Control)
372
What is Autocratic leadership?
Management style where senior leaders make decisions that filter down through hierarchical structure
373
Managed Care Organizations are asking for this level of accreditation prior to contracting w/ the facility
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Preeminent accreditation agency for acute care hospital providers
374
Antibiotic
This destroys microorganisms in the body
(penicillin, doxycycline, keflex)
375
A current trial balance includes?
Debits, Credits, Names of Accounts
Can help identify errors in a company's accounting system before critical financial statements are issued
376
Use of A/R as security or collateral for a loan. When this is done "with recourse" the borrower remains responsible for collecting the receivables but promises to use the proceeds for repaying the debt?
Pledging of Receivables
377
F Tag
No actual harm with potential for more than minimal harm that is not immediate jeopardy
-widespread
378
What is the required height of handrails in regards to stairs?
34 inches to 38 inches above the surface of the tread measured vertically to the top of the rail from the leading edge of the tread
379
What fire protection rating is required for doors entering or exiting stairwells?
1 hour fire rating
2 hour fire rating: more than a few stories
380
How are controlled substances rated?
The schedules range from 1 to 5
-Schedule 1 are highest risk
-Schedule 5 are lowest risk
381
How are American National Standards Institute (ANSI) standards enforced?
-Not enforced by law
-Can be made mandatory through a process called "incorporation by reference"
-Enforcement occurs through various mechanisms, including state and federal regulations, industry-specific requirements, and contracts between businesses and clients.
382
In regards to survey, Remedy 3 Category includes?
Temporary Management
Immediate Termination
Civil Monetary penalties of $3,050-$10,000 per day
383
A phrase meaning let the employer answer for the acts of his/her employees?
Respondeat Superior
384
The QAPI committer meeting must include who?
Medical Director (designee), DON, and 3 additional members of the facility
One of the three members must be:
-the administrator
-the owner
-a board member of some else who holds a leadership role
385
Disinfectant
-Destroys pathogenic organisms
-A chemical or ultraviolet light agent that destroys, inactivates, or reduces the concentration of pathogens, such as bacteria, viruses, and fungi
386
Unemployment is paid to laid off workers for how many weeks?
Up to 26 weeks
-Can vary depending on state and individual circumstances.
387
A Comprehensive Care Plan must be developed within how many days of MDS completion?
Within 7 days (MCR)
Within 14 days (MCD)
-No more than 21 days after admission
388
Drugs that have a high tendency for abuse and no medical use?
Schedule 1
389
What does Herzberg's Two Factor Theory teach regarding employees positive feelings about work?
When employees feel good about work they associate it with the work itself. Both must be acknowledged for success
Arise from two factors:
Hygiene Factors: salary/job security help prevent dissatisfaction but don't guarantee job satisfaction
Motivators: Recognition and opportunities for growth enhance job satisfaction and create positive feelings
390
How often must fire drills be performed?
Quarterly (4 times a year) for each shift
391
What are 3 typical types of ledgers?
Accounts Payable
Accounts Receivable
General
392
The practice of posting available jobs on bulletin boards and encouraging employees to apply for openings?
Job Bidding
393
The key consideration in determining the minimum level of staffing in a nursing facility is?
Patient Acuity Levels
394
What is the minimum width of egress doors?
32 inches which is wide enough for wheelchairs to pass through
395
Type of authority characterized by direct supervision over a subordinate?
Line Authority
396
What is Line Authority?
Refers o the power to make decisions and give orders directly to subordinates within a clear chain of command, essentially meaning a manager has direct control over the work of their employees
397
All corridors doors must have a solid banded-wood core or an equivalent with what fire protection rating?
20 minutes
398
Topical
Medication applied to an area of the skin, as ointments and lotions
399
What clearance is required from the wall in regards to handrails?
1 1/2 inches
-more if the surface is rough
400
The Fair Labor Standards Act requires overtime to be computed at what rate?
One and a half times the employees regular rate of pay for all hours worked beyond 40 hours in a week
401
What is a drug holiday?
A temporary break from taking medication
402
In T-accounts, increase in asset accounts are?
Debits
403
The authority of government agencies to review facility recruitment sources, advertising & statistics on the number of applicants, and persons hired by category stems from?
The Civil Rights Act
404
Stimulant
Used to stimulate body activity
-Increases the levels of certain chemicals in the brain and increases alertness, attention, energy, and physical activity
405
Two entities that have established regulations relative to requirements for emergency electrical power.
NFPA: National Fire Protection Association
CMS: Centers for MCR & MCD Services
406
Reasons for adjusting journals include?
Entries for depreciation
Prepaid expense
Inventory usage
407
If marked QOD, a medication is administered?
Every other day
408
What are QI indicators?
Standardized, evidence-based measures of health care quality that can be used with readily available hospital administrative data to measure and track clinical performance and outcomes.
409
What is the national standard for budgeting the time required for cleaning a facility?
One hour per day per housekeeping employee per 1,000 sq. ft
410
A temporary disorder?
Acute or short-term
411
What is the MCR definition of hospice?
Defines hospice care as a range of services that provide support for individuals with terminal illnesses, focusing on comfort and quality of life rather than curative treatment.
412
In T accounts, decreases in expense accounts are?
Credits
413
If marked OD, a medication should be given by which route?
Right Eye
414
Useable Living Space
Considered the floor's measurements exclusive of toilet/bathing areas, closets, lockers, wardrobes, alcoves, or vestibules (unless the alcove/vestibule provides useful living area)
415
Book which summarizes all the entries in the each of the journals for an accounting period, for the purpose of keeping a continuous record of account balances and arriving at a trial balance.
General Ledger
416
Can a pharmacist order that a certain lab be taken?
Yes, but typically only under a collaborative practice agreement (CPA) with a physician.
417
Each level or story of a building that houses patients sleeping & treatment areas must be divided into __ smoking compartments?
Two
This is a safety measure mandated by building codes and standards for healthcare facilities.
418
To decrease unemployment costs, what must an administrator do?
Have documentation of progressive discipline steps to terminate employees.
419
Adult Day Care includes?
PT/OT/ST
Personal care and supervision
420
A hazard posed by surroundings is an?
Environmental Hazard
This type of hazard can include natural elements such as weather conditions, as well as human-made factors like pollution, toxins, and unsafe infrastructure, all of which can pose risks to health and safety.
421
Mean of egress in health care inpatient treatment areas must be adequate for one person per how many square feet?
240 Sq. Ft
422
The refrigerator should be kept below what temperature?
41 degrees f
423
What are the qualifications of an Activities Director?
Meet state regulations and requirements
National Certification Council for Activity Professionals (NCCAP)
424
Carminative?
An agent that reduces flatulence (gas) in the stomach and intestinal tract.
(ginger, nutmeg)
425
To become certified, a facility must?
Complete a Life safety Code Survey and a Standard Survey
426
What does Herzberg's Two Factor Theory teach regarding employees negative feelings about work?
They are generally associated with the environment in which they are working
427
The Age Discrimination in Employment Act (ADEA) protects employees in what age group?
40 years of age and older.
428
A condition continuing over a long period of time or recurring frequently?
Chronic
429
cf.
Compare
430
When calculating staffing requirements, what is the general guide for CNA's and licensed nurses?
2.8 Hours- CNA
1.3 Hours- Licensed Nurses
431
If marked OS, a medication should be given by which route?
Left Eye
432
What does the Wagner Act guarantee?
The ability to:
Form and join unions
Bargain collectively with unions
Take collective actions, such as strikes
433
A job is defined as?
A collection of tasks assigned to an employee
434
What entity establishes the resident to bathroom/toilet ratio?
The state
435
Subacute care is a comprehensive inpatient program designed for individuals with 3 attributes?
Experienced an acute event (illness, injury, exacerbation)
Have a defined treatment plan
Do not need intensive diagnostic or invasive procedures
436
Antidote
Used to counteract poisons
437
Fringe benefits are typically outlined in?
Personnel Policies
438
What must be done after entering a transaction in the journal and posting it to the ledger?
Prepare a trial balance to verify that the total debits equal the total credits across all accounts in the ledger.
439
Vertical openings must have a minimum fire protection rating of at least?
1 hour
2 hours if the building is more than 3 stories
440
To be eligible for FMLA (Family Medical Leave Act) an employee must have worked how many hours in the last 12 months?
1250 hours prior to the start of leave
441
The failure to function at a "normal" level is termed?
Disability
442
List the type of journals a facility may keep?
Cash receipts
Cash disbursements
Billings
Accounts payable
Purchases
A general ledger is used for entries that do not properly belong in any of the other journals, and for adjusting entries
443
Placebo
An inactive medicine having no physical healing effect and is usually given to satisfy a resident
444
A document that shows the details of a sale and usually includes (or implies) a request for payment?
Sales Invoice
445
The degree to which a test interview procedure or other selection tool measures the skills, knowledge, or performance requirements actually needed in the position for which the applicant is considered?
Content Validity
446
Actual organ loss or failure is termed?
Impairement
447
An account that is debited and credited due to the transactions in chronological order?
Journal
448
The Pregnancy Discrimination Act is an amendment to what other act?
Title 7 of the Civil Rights Act of 1964
449
What controls are necessary for #2 scheduled substances?
Must have a separate locked storage and must be accounted for each shift
450
The fire alarm can be silenced during a fire drill conducted between the hours of?
9pm and 6am
451
Class A fire extinguishers must be located every?
75ft of travel distance at any given point in the facility
452
Schedule 4 drugs
Abuse potential less than schedule 3 but more than schedule 5 drugs
453
The morning meal must be served within how many hours after the previous meal?
14 hours
If the required evening snack is substantial and the resident approves, 16 hours may elapse
454
Non-current (intangible) assets include?
Long-term investments, property, plan and equipment (PPE)
455
Under the ADA (Americans with Disabilities Act), what item is not a disability?
Illiteracy- not having learned to read
456
How often are physicians required to visit their patients?
Each resident must be seen by a physician within the first 30 days of admission:
At least once every 30 days for the first 90 days after admit and at least once every 60 days thereafter
457
Input/Output
Efficiency
458
If marked HS, a medication is administered?
At bedtime
459
The Comprehensive Drug Abuse Prevention and Control Act established?
The 5 Schedules of drugs based on their potential for abuse and accepted medical use
460
A full time social worker is required if the facility has more than how many beds?
120
461
Under double entry rules, increases in assets and expenses are recorded as?
Debits
Recorded on the left side of an account, debits increase assets and expenses, while decreasing liabilities, equity, and revenue
462
If marked QD, a medication is administered?
Every day
463
_______ _____ has the least impact on influencing a resident or their family member in choosing a facility.
Media Ads
464
Hot foods should be served at what temperature?
135 degrees F or higher on the steam table
465
To what does the Physicians Desk Reference relate? (PDR)
A reference guide that contains information about prescription drugs
466
A principle that teaches anytime a higher paid employee makes a decision, a lower paid employee can make out as well or better?
The principal of equal work for equal pay, or simply, equal pay for equal work
467
How often must the QAPI committee meet?
At least quarterly but more if needed
468
In T accounts, increases in capital accounts are?
Credits
469
The extent to which a selection tool measures a trait or behavior believed important to performing a job?
Construct Validity
470
Interior stairs, what is the minimum clear width of the stairs?
44 inches
-except for handrails not to exceed 3 1/2 inches at or below handrail height on each side
471
Residents paying in this manner may be billed in advance?
Self Pay/Private Pay
(3rd party programs may not be billed in advance)
472
Drugs with the lowest potential for abuse, current accepted medical use, and often don't require a prescription?
Schedule 5
473
All residents must receive a physical exam how often?
According to federal regulations, all nursing home residents must receive a physical exam at least once a year, with additional exams if there is a significant change in health.
474
What agency prepared "standard precautions" procedures?
Centers for Disease Control and Prevention
(CDC)
475
Under the civil rights act, this occurs when the selection rate for any protected group is less than 80% of the rate of the non-protected group?
Adverse Impact
"4/5 rule" or 80% rule
476
The interdisciplinary team must include?
Physician, nurse, social worker, physical therapist, occupational therapist, dietary staff, and recreational therapist, among others. This team collaborates to develop and implement individualized care plans that address the medical, emotional, and social needs of each resident.
477
Shipping arrangement under which the seller of the goods bears the costs of transportation to the buyer's location?
Freight on Board (F.O.B) Destination
478
What is the minimum travel distance to class A, B, and C extinguishers?
Class A: 75 feet
Class B: 50 feet
Class C: 50 feet
479
An accidental death must be reported to OSHA within what time frame?
Within 8 hours
-Any work related fatality
480
Under OSHA guidelines, what are other reportable incidents that are not death?
Hospitalization, amputation, or loss of an eye which must be reported within 24 hours.
481
NFPA
National Fire Protection Association
482
How many days notice must an employee give to go out on FMLA?
30 days
If they can't give 30 days notice, they should provide it ASAP
Can be given by phone, fax, or email
483
What should an FMLA notice include?
The expected start date and the duration of leave
484
When must the admission medical evaluation (physical exam) be performed?
Must be performed within 48 hours of admission to a long-term care facility, but not later than 14 days after admission, by a physician or other qualified medical professional.
485
Antianemic
This is used in the treatment of anemia.
486
A report from the state surveyors which shows recent survey deficiency trending for that facility?
OSCAR Report
(Online Survey, Certification, and Reporting System)
487
Handrails, where must they be placed?
Corridors, stairways, and ramps, and should be installed on both sides of staircases and in areas with changes in elevation.
488
Sub acute medical and rehabilitative programs in nursing facilities may include specialty programs for?
Post-operative recovery
Stroke recovery
Wound Care
Ventilator support
Brain injury care
Rehab
Complex Medical Care
Respiratory and Pulmonary Management
489
Determining the means of egress requirements based on building use and square footage?
Occupant Load
490
An error made by supervisors using rate scales who value one particular type of job behavior and permit the presence or absence of that one trait to color several or most other trait ratings?
Halo Effect
491
A disease that happens suddenly and lasts a short time?
Acute
492
A parking lot with 100 parking spaces would require how many handicap accessible parking spots?
4
493
What are the ratios for handicap spaces in a parking lot?
1-25= 1 space
26-50= 2 spaces
51-75= 3 spaces
76-100= 4 spaces
101-150= 5 spaces
151-201= 6 spaces
500+= 2% of spaces
494
What may an administrator ask if employees attempt to organize a labor union?
Questions about the reasons behind the unionization effort, who is involved, what specific concerns employees have, how they are gathering support, and may even inquire about the potential impact on the company's operations
495
When must I-9 forms be completed for new employees?
Within 3 business days of start of employment
496
Building additions must be separated by a fire barrier with at least the following rating?
2 hour fire resistance rating
497
Residents must be notified when their account rises to w/in what amount of the resource limit the state has established?
Within $200 of the limit
498
As a minimum, what should the resident admission order include?
Dietary needs
Drugs used
Routine care orders
499
An invoice is usually a?
List
-generally used to document products or services sold and delivered to a customer, so it is a bill
500
There must be at least how any windows in a resident room?
At least ONE
501
A decrease in density of bones causing structural weakness throughout the skeleton?
Osteoporosis
502
The most common form of arthritis?
Osteoarthritis
503
According to OSHA, what is the color for safety and first aid?
Green
504
Herzberg's dissatisfaction factor equates to?
If these factors are absent, then their may be dissatisfaction: factors include policies, supervision, working conditions, salary, and relationships with coworkers.
505
The error by supervisors using rating scales when consistently giving only moderate scores to employees on performance appraisals, regardless of whether the employee is a poor or an outstanding performer?
Central Tendency Error
506
Expenses that have been incurred but not yet paid?
Accrued Expenses
507
When must all investigations of abuse be reported to the proper state authorities?
Within 2 hours of suspicion
-Final report: 5 business days
508
What is a substantial weight loss or gain?
5% in 30 days
7..5% in 90 days
10% in 180 days
509
The organization created by the Civil Rights act of 1964 to carry out the provisions of the act?
Equal Employment Opportunities Commission (EEOC)
510
Under OSHA, what is the maximum penalty for falsifying records?
$10,000
511
What information is included in Form 941?
Amount withheld for federal income taxes and the employers and employees share of FICA and MCR taxes
512
What qualifications are required of a full time social worker?
Bachelor's degree (of science) in social work, psychology, or rehabilitation counseling.
Also 1 year of supervised social work experience in a health-care setting
513
What are the minimum requirements/dimensions for a ramp?
Clear Width: Minimum of 36 inches
Maximum rise per run: 30 inches
Slope: 1:12 maximum
Surface requirement: must be slip resistant
514
If marked PO, a medication should be given by which route?
Orally
515
Dry skin, cracked lips, poor skin turgor or fever can be related to?
Dehydration
516
Current Assets - Current Liabilities =
Working Capital
517
Each resident must have a private closet which includes?
Accessible clothing racks and shelves
518
Soiled linen and trash containers must be limited to a capacity of?
32 gallons within a 64 square foot area
-density in space shouldn't exceed 0.5 gallons per sq. ft
519
The force required to open all doors, flush toilets, and operate water fountains cannot exceed __ lbs of pressure.
5 lbs
520
B Tag
No actual harm w/ potential for minimum harm
-Pattern
521
In regards to survey, a severity level 3 tag is?
Letters G, H, I
-Actual harm has occurred
-Harm can include bruise, skin tear, upsetting a resident
-Not life threatening or causing immediate jeopardy
522
Benzodiazepine or anxiolytic/sedatives drugs are used for?
Controlling anxiety or agitation
523
Portable heating devices are prohibited except or use in?
Nonsleeping staff areas
Heating element cannot exceed 212 degrees F
524
How must discontinued drugs be destroyed?
In nursing homes, the disposal of discontinued drugs must comply with federal and state regulations to ensure safety and prevent misuse. This typically involves returning medications to a pharmacy, using a licensed reverse distributor, or employing a medical waste disposal service. Proper documentation of the disposal process is required, and staff must follow established protocols to maintain compliance and safety.
525
(required staff/provided staff)* 100 =
"(output/input) x 100" =
Employee Productivity
526
One who dies leaving a will?
Testator or testatrix
527
noct.
At night
528
Records all purchases that will be paid within the next few months, not years?
Accounts Payable Journal
529
Handicap parking must be at least how wide?
8 feet wide
530
Exam.
Examination
531
Accelerated Depreciation
Attributes most of the depreciation expense to the first years of the asset's life, enabling a facility to write it off more quickly, thereby gaining a tax advantage through earlier tax recognition of the investment
532
Who regulates the retention period of the medical records at a nursing facility?
The state in which the facility is located
533
Organization providing accreditation for medical rehabilitation programs?
Commission on Accreditation of Rehabilitation Facilities
(CARF)
534
When must a residents account balance be turned over upon their death?
Within 30 days after death
535
A facility is required to maintain an emergency drug kit which must be approved by whom?
State Pharmacy Boards, the medical director, and qualified medical staff
536
Title 18 of the Social Security Act (MCR) is a social insurance program administered by who?
Centers for MCR and MCD Services
(CMS)
537
Suspension
Medicine is mixed with a liquid, usually water, in which it cannot dissolve and therefore remains intact in the form of small particles
538
Activities of Daily Living (ADLs) include?
Personal Hygiene/ grooming
Dressing
Toileting
Transferring or ambulating
Eating
539
Antihistamine
Used for allergies to dry out nasal passages reducing postnasal drip
540
Caustic
This destroys tissue by local application
Chemicals that can burn or corrode skin, eyes, and mucus.
Can cause serious burn or injuries
541
Title 18 of the Social Security Act is basically an?
Insurance Program
-commonly known as MCR
542
If marked BID, a medication is administered?
Twice a day
543
A declining proration of asset cost is defined as?
Amortization
544
Is the administrator typically a primary interdisciplinary team (IDT) member?
Yes, the administrator is a key member of the interdisciplinary team (IDT), responsible for coordinating efforts, ensuring regulatory compliance, and fostering communication among team members to improve patient care and operational efficiency.
545
Minimum wage, overtime, standard workweek definitions, equal pay, child labor, and record keeping requirements are set by?
Fair Labor Standards Act
546
If marked AC, a medication is administered?
Before meals
547
According to the Life Safety Code, no room shall be more than what distance from an exit?
100 feet to access door
200 feet to final exit (sprinklered)
150 feet to final exit (unsprinklered)
548
How many hours must an employee work to be full time?
Average of 30 hours per week
549
Coagulant
Chemical compound or agent that is added to a vessel to help thicken something, like blood
550
Assets are generally classified into what two groups?
Current (tangible) and Non-Current (intangible)
551
Current Assets/Current Liabilities=
Current Ratio
-important indicator of a company's ability to pay its debts as they come due
552
The first step in personnel management is?
Developing personnel policies, procedures, and rules
553
Assets can be found in which financial document?
Balance Sheet
554
What is the maximum allowable sill height of a window?
36 inches
555
If marked AD, a medication should be given by which route?
Right Ear
556
J Tag
Immediate jeopardy to resident health or safety
-Isolated
557
Who regulates MCD benefits and eligibility requirements?
CMS
State and Federal legislation
558
Means of egress in health care sleeping areas must be adequate for person per how many square feet?
120 square feet
559
When are locks permitted on patient sleeping rooms?
Locks are not permitted on patient sleeping room doors.
Except for a lock that would prevent patients from accidentally wandering into an isolation room, the patient in the isolation room would be able to exit the room without use of a key or tool
560
The process of defining a position in term of the tasks or behaviors required, specifying the qualifications of the employee assigned those duties?
Job Analysis
561
A group of systems that occur together?
A syndrome
562
What is a syndrome?
A collection of signs and symptoms that indicate a specific disease or abnormal condition
563
How long must medical records be maintained?
Depends on:
-federal law
-HIPPA
-State law
7 years in Idaho
564
Anticoagulant
The depresses (slows) the clotting of blood or heparin
565
Miotic
A drug that causes the pupil of the eye o constrict or contract
-used to treat glaucoma and are applied as eye drops two or four times daily
566
The governing board has what two required duties?
Strategic planning
Financial oversight
567
A _____ ______ violation is where the severity of negative outcomes that compromises a residents ability to maintain the highest physical, mental, and psychosocial well-being.
Level 3
-indicates noncompliance that results in actual harm and can include but may not be limited to clinical compromise, decline, or the residents inability to maintain and/or reach their highest practicable well-being
568
Revenues that have been earned but not yet billed?
Accrued Revenues
569
Information in this statement can be useful in assessing the entities ability to generate positive future net cash flows, meet it financial obligations and pay dividends?
Statement of cash flows
570
Smoke detectors should be located no more than how many feet apart?
30 feet
571
Type of business where partners are personally liable for all of the business debt?
General partnership
572
Schedule 2 drugs
High potential for abuse with severe psychological harm or physical dependence, have an accepted medical use, and my be prescribed, dispensed, or administered
-May not receive a refill at the pharmacy
573
Services which are not generally provided to most residents and which may be separately billable?
Ancillary Services
-labs, radiology, pharmacy services, and rehab therapies (PT,OT, ST)
