Mock National Exam 10 Flashcards
Which is NOT the correct food storage temperature
- Milk at 50F
- Dry cereal at 52F
- Fish at -5F
- Hamburger at 40F
Milk at 50F
Procedures to prevent loss or theft of supplies or assets in a facility are called
Inventory control
Laws passed by a state legislature are known as
Statutes
Laws passed by a municipality are known as
Ordinances
Regulations are published in a set of books called
Codes
The quality assurance committee must be composed of
DON, a physician and at least 3 staff members
The ___ must review the medications taken by each resident in the facility
Consultant pahrmacist
A facility is now required to report to state licensing agency when the ___ leaves or when the position is refilled
Social Worker
A mechanically altered diet is where the
Texture of the food is altered mechanically
Which is NOT the correct dietary staffing requirement
- FT dietary manager who holds the qualifications of a registered dietician
- FT registered dietician with a dietary managers certification
- FT dietary manager and part time registered dietician
- Part time dietary manager
Part time dietary manager
The ___ approves and supervises union elections
National Labor Relations Board
The ___ recognized the right of workers to bargain collectively
Wagner act
Which requirement must facilities meet to participate in Medicare and Medicaid
Disclosure of ownership
___ is not a revenue center
Maintenance
HIPAA is amended in 2001
Prohibited insurers from charging individuals a higher premium than other individuals based on health problems
If a resident wants to bring in their own bed, the facility
Must allow them to do so
Holistic medicine pertains to
Attending the whole person and treating the underlying disease and not just the symptoms
The ___ is the most comprehensive way to measure a job applicant’s skills
Aptitude test
The ___ is the best tool to evaluate an applicant’s interpersonal skills and personality
Interview
The ___ is responsible for quality of medical care in a facility
Medical director
___ is a major cause of decubitus sores
Incontinence
___ would cover an indigent individual residing in a skilled nursing home
Medicaid
___ is the first task for surveyors when conducting an annual survey
Offsite preparation
The ___ survey is used for a complaint survey
Abbreviated standard survey
A resident who had a cerebral vascular accident would benefit most by
Anti-coagulant
The ___ survey is the annual survey
Standard
A facility that practices universal precautions can admit residents with HIV/AIDS. However a resident with HIV could not be isolated if
The resident had been restricted from participating in teh activities program but the infectious disease has since been resolved
A facility must provide residents adequate space in dining, health services and recreation. That requirement WOULD NOT BE ET if
A resident at the dining table in a wheel chair was not able to back away from the table without assistance from staff
The primary objective of utilization review for Medicare is to ensure
Quality of care
Overhead expenses such as depreciation are considered an ___ cost
Indirect
The major purpose of a maintenance program is to
Extend the useful life of building s and equipment
A ___ fire extinguisher would be used for a kerosene fire
Class B
A ___ fire extinguisher would be used for an electrical fire
Class C
The ___ journal would be used to record a transaction that did not fit in any of the other journals
General
Workers 16 or under must get a work permit from
The department of labor
An employer must have ___ in teh workplace regarding chemical hazards
MSDS sheets
The governing body’s main function is the ___ function
Governance
TID means
Three times a day
___ is an ancillary expense
Laboratory tests
Ultimate financial and operational control of a facility belongs to the
Governing body
___ is not a nosocomial disease
HIV
___ IS NOT a chronic disease
Pneumonia
___ is a sentinel event
Fecal impaction
When expenses equal revenues and there is no net loss or gain, this is called the
Break even point
When census increases or decreases tehn
Variable costs will increase or decrease
Procedures are a step by step guide to
Attain a goal
Standardize patterns of required behavior developed by the facility to enable staff to accomplish necessary work are called
Norms
“Treating all residents with respect” is described as a
Value
A statement which broadly defines the purpose and values held by a facility is called a
Mission statement
Per OBRA dignity is caring for residents in a manner that maintains full recognition of a resident
Individuality
The minimum data set is a ___ requirement
Federal
A resident who enters a facility with an indweling catheter can be catheterized when
The resident’s clinical condition demonstrates a need for one
A catheter must be changed
Every month
Resident water temperature should not exceed ___ F
110
Food poisoning is most often caused by
Salmonella
The primary difference between Title XVIII (18) and Title XIX (19) of the Social Security Act is
Title XVIII is an insurance program and Title XIX is an assistance program based on need
The consultant pharmacist is responsible to
Check all resident medication records
The Title XIX fiscal intermediary is selected by the
State
___ IS NOT a major function of a governing board
- Hiring facility staff
- Stewardship
- Approving budgets
- Approval of policies and procedures
Hiring facility staff
The main objective of utilization review for Medicare is
High quality care
The Social Security Act was enacted in
1935
The main purpose of the job interview is to
Determine if the applicant is suitable for the job
Which is true
- The governing body should be equally concerned about the administrators management techniques and effectiveness
- the governing body not only hires the administrator but should review and approve his/her management techniques
- the administrator is responsible fo managing the facility, and the governing body is responsible to determine the effectiveness of the administrators management efforts
- The governing body is concerned with management techniques that the administrator uses and the administrator is concerned with effectiveness
-the administrator is responsible fo managing the facility, and the governing body is responsible to determine the effectiveness of the administrators management efforts
Strategies are plans of action that largely focus on
Long range goals
Nursing home administrators need to understand how case mix determines Medicare reimbursement rates. The higher the case mix or RUG score is
The higher the acuity and the higher the reimbursemetn
Resident acuity levels determine the
Severity of care and types of services required
Food preparation equipment should be
Air dried
Excess cash on hand should be invested in
Money market accounts
Internal and external meds must be kept
In separate rooms
Fire drills must be conducted
Quarterly on each shift
Fringe benefits do not include
- vacation
- sick leave
- life insurance
- overtime
Overtime
___ is the largest source of funding for nursing home beds
Medicaid
Under Title XVII and XIX ‘mandatory’ means
- may
- shall
- could
- should
Shall
Nursing homes are required to transmit MDS data to the state MDS data system as part of their Medicaid and Medicare services agreement that is overseen by HCFA. If a state wants to subcontract administration to their state MDS data system to a private contractor, the state would need to have provisions in their contract to provide which of the following
- a provision as to who will maintain and update the system
- a provision that protects confidentiality of the MDS data
- a provision that provides the state real time access
all the above
Which would not meet federal requirements for lab and radiological tests
-tests must be timely and accurate
0test results must be documented and filed in the resident chart
-the attending physician must be notified within 72 hours of all test results
-only a licensed physician can order lab or radiological test
-the attending physician must be notified within 72 hours of all test results
A device that uses radio waves to detect abnormalities in the brain is called an
EEG
A device that measures the electrical functioning of the heart muscle is called an
EKG
A device that uses magnetic waves to diagnose abnormalities in the body is called a
MRI
A device that uses radiation to produce images of the body is called an
XRAY
Feeding assistants must be supervised by a
Registered nurse and licensed practical nurse
With respect to dental care for Medicaid residents the facility must pay for
Emergency dental care if the resident cannot pay for it
___would have the most adverse impact if administered to the wrong resident
- coumadin
- tylenol
- motrin
- colace
coumadin
___ would not be a significant error if administered in the wrong dosage
- mellaril (AP)
- insulin
- dilantin(AntiSeiz)
- colase
Colase
An indwelling catheter should be changed every ___ days
30
Ramp handrails must extend horizontally ___ inches beyond the top and bottom of ramp runs
12
___ is not an antipsychotic drug
- Seroquel
- Haldol
- Risperiodal
- Ativan
Ativan
When administering anti psychotic drugs to residents which of the following is correct
-A physicians order is sufficient to demonstrate the need for medication
-a lab test is sufficient to demonstrate need for the medication
-the physician must document an adequate rationale for the need for the medication
the medical director must approve administration of antipsychotic medication
-the physician must document an adequate rationale for the need for the medication
The percentage of weight loss is calculated as
(Usual weight- actual weight)/usual weight x100
Where a resident was admitted without a decubitis sore and developed an avoidable state IV decuibitis sore the facility would be cited for
Level 4 citation- immediate jeopardy
Where a resident was admitted with a state IV decubitis sore and it became infected because the facility failed to provide adequate care, the facility would be cited for
Level 4 citation immediate jeopardy
Where a resident was not admitted with a decubitis sore but shortly afterward developed an avoidable state III decubitis sore the facility would be cited for a
Level 3 actual harm but not immediate jeopardy
If surveyors find substandard care during an annual survey the facility will be subject to
An extended survey
If a nursing home holds a licensee in good standing it will have a ___ license
Standard
___ is a sentinel event
- dehydration
- scabies
- pneumonia
- fecal impaction
fecal impaction
An RN is required to complete
A college course in nursing an da nursing license
The RAI consists of the
RAPs, Utilization guidelines and MDS
___ is not a survey task
-facility tour
-information gathering
-reviewing budget and financial records
0analyzing information gathered to determine deficiencies
reviewing budget and financial reports
___ is the least contributing factor to high employee turnover
- limited orientation
- inadequate in services
- lack of policies and procedures
- incomplete background checks and hiring policies
lack of policies and procedures
The first person who should attempt to resolve an employee grievance is the
immediate supervisor
The need for continued restraints should be reevaluated and documented every
2 hours
___ uses the social environment as treatment
Mileu therapy
Metastasis is defined as
Movement of bacteria or body cells from one part of the body to another
A plan of care where a resident is receiving psychotropic drugs must document
an acceptable diagnosis and rationale
OSHA
protects worker safety
___ limits the time in which a lawsuit can be filed
Statute of limitations
A contractor hired by a nursing home ot input MDS data into the MDS data system would be bound by
Medicare and Medicaid Rules
Per teh IRs employee tax records must be kept for
4 years
The national standard to budget housekeeping staff to clean a facility is one hour of staff time per
1000 sqft
Cash flow will be improved if there is
-an increase in census
-an increase in inventory
0a decrease in accounts payable
-a decrease in accounts receivables
A decrease in accounts receivables
___ requires specific employee training
FLSA
The single indicator of a job applicant’s success in a job is
Past job performance
Standard precautions relate to
Handling bodily fluids
A maintenance program should emphasize
Preventative maintenance
The NFPA does not
Enforce the life safety code
When the supervisor and the employee jointly set goals this is called
Management by objectives
A detailed plan of action of what each employee is to do when the fire alarm sounds is called
Procedures
The administrator begins work when the owners or governing body set forth the ___ for the organization
Mission statement
The charge nurse functions at the ___ level of management
Lower
The overarching consideration in deciding what level of staffing is required is
The medical complexity of care required
The person responsible for resident rights is teh
Nursing home administrator
Activities such as empowering dept heads, setting the tone and settling territorial disputes are associated with teh
Administrators office
Federal requirements for the Medical Director are
Brief and vaguie
A podiatrist is an important component of foot care in a nursing home because
Diabetics need podiatrists for special food care needs
Resident characteristics are assessed in the
Comprehensive assessment
A facility must clean a minimum of ___ lbs of clothing, bedding and linen per resident per day
10 lbs
A facility with 120 beds and an average daily census of 112 residents has an occupancy rate for a 30 day period of
93.3
If $80,000 is borrowed at 9% common interest for 10 years and only interest paid for the first year, he first monthly interest payment would be approximately
$600
Section 1902 of the Social Security Act amended 1965 provides that
Nursing home administrators must be licensed by the states
An accurate measurement of net income is obtained when accrued income for each resident is allocated to the period of
Expenditures related to resident care was incurred
