Mock National Exam 12 Flashcards
Normal psychological aging in the elderly would not include
- slowed memory retrieval
- difficulty handling change
- loss of memory
- depression
Loss of memory
Normal aging in the elderly would not include
- loss of skin elasticity
- glaucoma and cataracts
- depressed immune system
- dementia
Dementia
With respect to restraints the CMS wants nursing facilities to ultimately
be restraint free
What is a nursing home initially required to do when an incontinence resident is admitted or develops incontinence after admission
Assess the resident to see if they are appropriate for an incontinence training program
Which of the following would most likely go unnoticed by staff
- incontinence
- irritable bowel syndrome
- depression
- slight strokes
slight strokes
What is a facility’s primary responsibility for a resident with hearing and vision problems
ensure residents receive proper treatment and assistive devices
which is more effective for residents with depression
- spending 2 weeks in a psychiatric program in a hospital
- medications, family involvement and staff attention
- counseling, activities and medications
- treatment in a local mental health center
-counseling, activities and medications
Which of the following has not proven to be effective for residents with Dementia
- remotivation
- reality orientation
- validation therapy
- sensitivity training
Sensitivity training
Most effective way to plan for a resident who has a tendency is to wander is
- identify the potential to wander through an immediate assessment
- determine at or before admission if an individual has the tendency or potential to wander
- plan a program that all residents must adhere to if they tend to wander
- place all wanderers into some type of restraint
determine at or before admission if an individual has the tendency or potential to wander
If a resident complains they have trouble sleeping because of cold or odd feelings in their legs, this is most likely caused by
A neurological disorder called restless leg syndrome
A resident admitted for a fractured leg with no history of cognitive problems would not need which of the following
- a physicians order for therapy
- a chest x ray
- a level 2 preadmission screening
- verification of hospital admission and discharge dates
A level 2 permission screening
A Medicaid resident must have an assessment how often
days 5, 14, 30, 60
upon any significant change
An advantage of a PEG tube over nasogastric tube is
PEG tubes are better tolerated
A long term resident is readmitted to the facility after treatment for a hip fracture. She will need physical therapy. The RN must document care assessments according to which schedule
days 5,14,30,60
Once an MDS is completed which of the following statements is correct
- The MDS is electronically sent to the Medicaid Agency, Medicare is sent to the CMS and the completed forms are kept in resident chart for 15 months
- Both Medicaid and Medicare forms are sent to the CMS and the completed forms are kept in resident chart for 15 months
- Both the Medicaid and Medicare forms are sent to the State Medicaid Office and the completed forms are kept in resident chart for 15 months
- Both Medicaid and Medicare forms are filed in the resident records and only sent to the state upon request
-The MDS is electronically sent to the Medicaid Agency, Medicare is sent to the CMS and the completed forms are kept in resident chart for 15 months
HIPPA requires resident records be maintained per the following requirements except for
- they be complete
- they be readily accessible
- they be systematically organized
- they be maintained by a MRA
They be maintained by a MRA
If a resident requests a copy of their records on Friday, the facility must comply with the request by
Tuesday
Who is responsible for implementation of resident care policies
The medical director
Which activity would be most effective for Alzheimer residents
- morning walks
- bingo
- an activity involving music
- physical exercise
An activity involving music
which of the following is not an OBRA requirement
- The pharmacy must label medications with an appropriate cautionary statement
- the pharmacy must label medications with the name of the resident and the prescribing physician
- Labels must identify the expiration date
- The name and strength of the medication must be listed
The pharmacy must label medications with an appropriate cautionary statement
An antipsychotic drug may be prescribed when a resident is
- wandering
- delusional
- experiencing anxiety
- restless
-delusional
If families want to form a family council the administrator is not required to do which of the following
- provide space and needed materials
- provide a resource person for the group
- implement recommendations when possible
- periodically attend the meetings
Periodically attend the meetings
Which is most effective to prevent pressure sores
- egg crate overlay
- massage pressure points on residents body
- bandage all pressure points to prevent a pressure sore
- provide a pressure relieving mattress
Provide a pressure relieving mattress
Which committee is responsible to identify any issue that affects quality of care
- infection control committee
- quality assurance committee
- risk management committee
- safety committee
quality assurance committee
What is the first thing a nurse should do if a resident refuses to take his medication
- call the physician
- document refusal
- explain the consequences to the resident
- contact the family for help
Explain the consequences to the resident
Which type of change in resident condition would not require the facility to notify the family
-resident appears to have a chill
-a injury with potential for physician intervention
-A slight bruise on the leg
Any type of injury that may occur
Resident appears to have a chill
A resident wants to volunteer to work for the facility to performa. specific task. What must the facility do
If he does work for the facility make sure it is noted in his plan of care
True or False
A facility can discharge a resident without advanced written notice if they have not resided in the facility for the prior 30 days
True
The Patient Self Determination Act requires the facility to
Recognize a residents living will or power of attorney as their advance directive
Which is considered the first priority isn an employee training program
- resident care policies and procedures
- fire prevention and control
- resident rights
- prevention and control of affections
Fire prevention and control
What is the key to a good employee pay scale
Starting with a fair wage standard fo the community
What is the primary purpose of developing policies procedures and rules
Explain to employees what is expected of them and what they can expect from the facility
Does FMLA provide leave for a sick brother or sister
No
Why does the OIG recommend facilities have a corporate compliance program
Corporations can now be held liable for criminal acts of employees
Why is face to face communication considered the most effective form of communication
Can more readily obtain feedback to determine level of understanding
What is the difference between the states role in medicare and medicaid
The state licenses and certifies and monitors medicaid facilities
Which of the following must surveyors invite to the facility exit interview
- medical director and ombudsman
- medical director and key staff members
- resident council representative and ombudsman
- interested family members and DON
resident council representative and ombudsman
Which of the following are basic things a leader does
- get employees to do what they are paid to do
- set goals and then initiate and monitor actions that attain desired results
- develop plans and motivate staff to carry them out
- serve as a boss who keeps employees in lien and are productive
set goals and then initiate and monitor actions that attain desired results
Which of the following are two types of management methods that effective managers use
TQM and MBWA
Which of the following is not one of the 5 key functions of management
- planning
- organizing
- directing/leading
- staffing
Staffing
As soon as plans are developed explaining what needs to be done and how the task will be accomplished and when and by whom what must a leader do
Determine what activities will be needed, group them and set up the organizations structures
In order to promote good relationships among all departments which approach has proven most successful
- hold regular department head meetings
- make departmental goals an integral part of the facility goals
- have department heads dine together on a regular basis
- allow no changes in any one department until all other departments have time to prepare for any impact on them
-allow no changes in any one department until all other departments have time to prepare for any impact on them
What is the primary duty of the governing body
Develop guidelines for management and operations
An individual who leases a nursing home to a management company needs a large amount of money to meet their retirement goals. Consequently the individual decides to double the lease payments which are much higher than lease payments in the area. Which law has been violated
Safe harbor regulations
Upward of communication has some drawbacks that an administrator must be aware concerning employees that report to them. What do supervisors tend to do most often
Filter out information that may reflect badly on themselves or someone else they may be protecting
Which of the following would be considered immediate jeopardy
- stage 2 sore on heel
- staff not identifying themselves before entering a resident room
- an inoperative nurse call system
- dietary staff not wearing a hairnet
An inoperative nurse call system
What is considered communication in a nursing home
- putting the message in a language the resident understands
- obtaining immediate feedback on what was said
- recognizing that employees normally have poor retention
- listening which should be 40% of ones time
-putting the message in a language the resident understands
Under Medicare’s consolidated billing, which of the following services to residents may a facility not bill for
- PT
- non emergency medical transportation
- durable medical equipment
- physician visits to ehe resident
physician visits to the resident
the physician must bill medicare separately
When building a new nursing home, doors must be a minimum width of ___ inches wide
44
What is the main purpose of a risk management program
To reduce occurrences that result in legal action against the facility
Which agency promulgates the widest range of standards for nursing homes
CMS
Which form is used to bill for Medicare services
UB04
