Mock National Exam 13 Flashcards

1
Q

A ___ can serve as the activity director of a nursing home

A

Occupational therapist

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2
Q

Which of the following contains guidelines fo rthe determination of monetary damages regarding billing practices

  • HIPAA
  • False claims acts
  • MMA (Medicare modernization)
  • Sarbanes-Oxley act
A

False claims act

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3
Q

Which of the following has PRIMARY responsiblity for developing comprehensive psychosocial treatment plans for new residents

A

Social Worker

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4
Q

If a resident requests copies of records from their clinical chart on friday when is the soonest staff must provide them those copies

A

Tuesday

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5
Q

PT, OT, SLP must be

A

licensed

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6
Q

Must keep the resident contract for ___ years

A

5

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7
Q

True or False a job applicant can be asked if htey were ever arrested

A

False

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8
Q

A nruse aide cannot work more than ___ months without comleting their state certification

A

4

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9
Q

Bylaws are defined as

A

Rules and regulations that govern a corporations internal management

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10
Q

A facility must have ___ fire drills each year

A

12

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11
Q

In order to ensure a homelike environment and assist the resident’s orientation of time of day, weather, and general location, a resident room must have a

A

window

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12
Q

The comprehensive assessment must be completed within ___ days of admission

A

14

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13
Q

How often must the comprehensive care plan be reviewdd

A

Quearterly

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14
Q

FMLA stands for

A

Family medical leave act

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15
Q

The family medical leave act allows employees ___ weeks of unpaid leave each year

A

12

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16
Q

Under FLSA minors under 16 years of age

A

Must obtain a temporary work permit from the DOL

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17
Q

Which document is the governance of a corporation

A

bylaws

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18
Q

what is the mission statement

A

the purpose of a corporation

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19
Q

Which organization provides research to OSHA

A

NIOSH

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20
Q

Which organization developed the standards for the Life Safety Code

A

NFPA

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21
Q

According to CMS requirements a resident has the right to access copies of his/her medical record upon

A

submission of an oral or written request 24 hours before needed

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22
Q

At a staff meeting the dietician proposes new snack times for residents. The plan would eliminate the bedtime snack and replace it with a mid afternoon dessert and fruit cart. Should the administrator approve the proposal

A

No because federal regulations mandate a daily bedtime snack

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23
Q

With regard to facility staffing levels, the facility must staff according to

A

Acuity levels in the facility

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24
Q

How often must the comprehensive assessment plan be reviewed

A

Quarterly

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25
Q

Who must certify the comprehensive assessment

A

The RN

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26
Q

Which of the following management styles provides least direction and support to staff

A

Delegating

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27
Q

A facility is cited for several deficiencies that were not cited as immediate jeopardy. The facility must submit a plan of correction within

A

10 days after notice of the deficiency

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28
Q

A Nursing facility must file a request for formal dispute resolution within how many days of receiving deficiencies

A

20

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29
Q

The most significant cost for a nursing facility is

A

Labor

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30
Q

A nursing facility fire protection standards are specified by

A

Life safety code

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31
Q

Reality orientation is most appropriate for residents who

  • are blind
  • are depressed
  • have late stage dementia
  • have early stage dementia
A

have early stage dementia

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32
Q

Managemetn of communications between the nursing facility and the public is called

A

Public relations

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33
Q

Which of teh following nutritional interventions is considered the lst resort to ward off significant weight loss

  • supplements with meds
  • larger than normal or double portions
  • feeding artificially such as a peg tube
  • enriched meals and milk shakes as snacks
A

Feeding artificially such as a PEG tube

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34
Q

The BEST investment vehicle for funds that must remain liquid is usually a

A

Money Market Fund MMF

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35
Q

The OSHA General Duty Clause requires employers to

A

Provide a safe workplace

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36
Q

In long term care the method of depreciation used for building improvements land improvements and fixed assets is

A

Straight line

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37
Q

In conducting an objective appraisal of an employees current job performance, which of the following should be done FIRST

  • compare employees performance with standards
  • gather opinions from supervisor
  • solicit opinions from coworkers
  • assess interpersonal skills
A

Compare employee’s performance with standards

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38
Q

Which therapist can serve as the activities director

A

Occupational therapist

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39
Q

Must have an RN how many hours each day

A

8

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40
Q

A quality assurance committee must meet at least

A

quarterly

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41
Q

Excluding weekends and holidays a resident has the right to access clinical records within

A

24 horus

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42
Q

Emergency electrical power systems are required to provide enough power to illuminate

A

Exits

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43
Q

The responsibility to provide services that respect an individuals dignity and uniqueness relates most directly to the ethical principle of

A

Autonomy

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44
Q

When a resident who is not covered by Medicare places money in a resident trust fund, the facility is

A

Required to pay interest only if contains more than $50

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45
Q

The best way to prevent the spread of infection in the storage and transportation of linens should

A

implement procedures that reduce cross contamination

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46
Q

Must store pots and pans how may inches off the floor

A

6

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47
Q

A nursing facility must offer its employees

  • health insurance
  • unemployment insurance
  • life
  • personal liability
A

unemployment insurance

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48
Q

Most long term care services in the US are provided by the family. Which of the following statements describes family dynamics in regard to care giving and institutionalization

  • In most cases it is the individual who decides on institutionalization
  • role of the family in LTC typically ends with admission of dependent elderly person into nursing facility
  • most families find that time goes on it gets easier
  • institutionalization typically results in feelings of guilt and anger by family members
A

-institutionalization typically results in feelings of guilt and anger by family members

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49
Q

Which one of the following statements is correct with regard to nurse aid regular in service education

A

It should be based on areas of weakness identified in evaluations

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50
Q

The facility kitchen must be open a minimum of __ hours a day

A

12

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51
Q

No more than ___ hours can pass between the evening meal and breakfast

A

14

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52
Q

No more than ___ hours can pass between the evening meal and breakfast with a snack

A

16

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53
Q

The INITIAL comprehensive assessment must be transmitted to the state within ___ days of completion of the assessment

A

7

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54
Q

The INITIAL comprehensive assessment must be transmitted to the state no more than ___ days of admission of the resident

A

21

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55
Q

After the initial comprehensive assessment is transmitted to the estate, the comprehensive assessments for all residents must be transmitted to the state every ___ days thereafter

A

30

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56
Q

The consultant pharmacist must check the drug regimen of each resident how ofetn

A

monthly

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57
Q

ABC union is planning a strike on November 1. The union must give notice to the facility administrator by which date

A

October 22

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58
Q

A union must secure what percentage of workers in a facility to vote to establish a union

A

50% plus 1

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59
Q

Heating and cooling systems should be monitored to ensure temperature are between

A

71-81

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60
Q

With regard to budget preparation which is true

  • projected income and operating expenses should be established so that operating expenses remain within the amount established for income projections
  • income projections should always be increased to at least the projections of expenses
  • when projecting expenses one must make a careful review of liabilities
  • income and expense budgets have no relations to one another
A

-income projections should always be increased to at least the projections of expenses

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61
Q

To ensure all essential mechanical, electrical, and resident care equipment are maintained in safe and working condition, the facility must have an effective

A

Preventative maintenance program

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62
Q

Which federal law requires employers. to bargain collectively with the union

A

Wagner act

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63
Q

To reduce the risk of a UTI, catheters should be changed aseptically every

A

month

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64
Q

The consultant pharmacist must report any drug irregularities to the

A

Attending physician and/or DON

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65
Q

Which federal law governs union elections

A

Taft Hrtley

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66
Q

Title 18 of the Social security act is the ___ program

A

Medicare

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67
Q

Which program would pay for the nursing home stay of an indigent person

A

Medicaid

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68
Q

An individual cannot make more than $___ in income each month to qualify for medicaid

A

$1860

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69
Q

When an administrator communicates what is to be accomplished by each employee and helps them accomplish these goals this is called

A

Directing

70
Q

Controlled drugs MUST be stored in their original containers and placed

A

Under double lock protection

71
Q

Controlled drugs MUST be stored in their original containers and placed

A

Under double lock protection

72
Q

If a union wishes to renegotiate a contract with an employer it must notify the employer within how many days of the expiration date

A

90

73
Q

An individual cannot have more than $___ in assets and still qualify for medicaid

A

$2000

74
Q

Which of the following determines the number of fire drills required each year in a nursing home

A

Life safety code

75
Q

The emergency electrical generators must switch on within ___ seconds of a loss of power

A

10

76
Q

When an administrator projects future trends and needs this is called

A

Forecaseting

77
Q

When an administrator compares actual results to projected results this is called

A

Evaluating

78
Q

When and administrator takes steps to resolve a deficit situation this called

A

Controlling Quality

79
Q

A handicap parking space must be a minimum of __ feet wide

A

13

80
Q

A full time social worker is required in certified nursing facilities with more than __ beds

A

120

81
Q

Occupational therapy is focused PRIMARILY on

A

functional performance in ADLs

82
Q

Which facility committee can the infection control program be assigned to

A

Quality assurance committee

83
Q

According to the Omnibus Budget Reconciliation Act OBRA a plan of care for a resident receiving psychotropic meds must include

A

Acceptable diagnoses

84
Q

Which of the following enforces the Life Safety Code

A

The state licensing agency

85
Q

All meals are prepared in accordance with the orders of the

A

Attending physician

86
Q

What are the best types of questions to ask in a job interview

A

Open ended questions

87
Q

When a resident develops an active communicable infection which of the following will be required

A

Specific isolation techniques

88
Q

A nursing facility’s fire protection standards are specified by

A

NFPA life safety code

89
Q

Which is the BEST method of increasing a facility’s cash position

A

Collecting accounts receivables

90
Q

Anyone receiving social security is automatically covered under

A

Medicare Part A

91
Q

Subpoena duces tecum means

A

An order to appear with evidence

92
Q

A nursing home is required to employ a licensed social worker full time with how many beds

A

More than 120

93
Q

Unless superseded by state law, a facility MUST maintain medical records that include clinical, medical, and psychosocial information on every resident until

A

5 years after date of discharge/death of the resident

94
Q

The facility must refund to the resident or legal representative any money held by the facility belonging to a discharged resident within ___ of discharge

A

30

95
Q

The facility must provide a resident notice of intent to involuntary discharge the resident at least ___ days in advance of the proposed discharge date

A

30

96
Q

When must resident be informed of their rights

A

Prior to or at the time of admission

97
Q

Which of the following is the management style associated with leaders who value their workers and solicit their participation

A

Management by objectives

98
Q

Equity theory states

A

Employees seek an exchange in which their wages and benefits equal their effort

99
Q

Which of the following is true of a facility survey process

  • surveyors can request that all resident interviews be conducted privately
  • management can insist on their presence during all interviews as an observer
  • residents must participate int eh interviews
  • management is encouraged to speak on behalf of resident who are not able to speak and be interviewed
A

-surveyors can request that all resident interviews be conducted privately

100
Q

The policies of a nursing facility must be approved by the

A

Governing body

101
Q

The ___ was organized in 1935

A

CIO

102
Q

The ___ is the largest union in the US

A

AFL-CIO

103
Q

The ___ represents most worker in the nursing home industry

A

SEIU

104
Q

he initials SEIU stand for

A

Service Employees International Union

105
Q

Non fatal employee injuries must be recorded in the OSHA 300 log within ___ days of the incident

A

7

106
Q

Which part of Medicare do you have to enroll in and pay a monthly premium

A

Part B

107
Q

The ___ is responsible to develop and implementing policies

A

Governing body

108
Q

The ___ is responsible to make critical decision for the facility

A

Governing body

109
Q

The ___ has ultimate legal responsibility for the care provided in the facility

A

Governing body

110
Q

The ___ is responsible for the day to day management of the facility

A

Nursing home administrator

111
Q

OSHA form 300A must posted during what time frame each year

A

Feb 1-April 30

112
Q

Which taxes fund the social security program

A

FICA

113
Q

Which document is the governance of a corporation

A

Bylaws

114
Q

Which of the following taxes fund the social security program

A

Federal income taxes

115
Q

How often must the facility send a statement to each resident of the balance of their resident funds in the resident trust fund

A

Quarterly

116
Q

A facility must submit a plan of correction within ___ days of receiving the 2567

A

10

2567 is survey results from the state

117
Q

Surveyors must send a facility cited during a survey the form 2567 within ___ days of the exit conference 10

A

10

118
Q

Which document would a family member be reading if they were reviewing the results of your facility survey

A

2567

119
Q

A statement of a job that specified job title, required qualifications, who the job reports to, duties and performance expectations is called a

A

Job description

120
Q

An increase in pay to adjust incomes for inflation and maintain workers purchasing power is called

A

COLA

121
Q

___ measures the purchasing power of worker paychecks and is used to determine the cost of living adjustments to worker paychecks

A

CPI

122
Q

Must provide a resident a notice of involuntary discharge a minimum of ___ days in advance of the date or planned discharge

A

30

123
Q

Which of the following must sign a notice of discharge due to non payment of the residents bills

A

Nursing home administrator

124
Q

Which of the following is not a legal reason to involuntarily discharge a resident

  • resident is a danger to themselves/others
  • resident changes payor source from Medicare to Medicaid
  • resident did not pay bill
  • facility cannot meet their needs
  • resident no longer requires skilled nursing care
A

The resident changes payor source from Medicare to Medicaid

125
Q

Medicare/Medicaid would pay for which of the following

  • bed side phone
  • private room
  • television
  • wheelchair
  • liver transplant
A

wheelchair

126
Q

Hot food must be held or served at a minimum temperature of ___ degrees F or higher

A

135

127
Q

Cold food must be stored or served at a minimum temp of ___ degrees F or lower

A

41

128
Q

Exit signs must be placed no more than ___ feet from each other

A

100

129
Q

A worker is entitled to COBRA benefits for ___ months

A

18

130
Q

The final rinse cycle of a hot water dishwasher is ___ degrees F

A

180

131
Q

The high forward reach from a wheelchair is __ inches

A

48

132
Q

The side reach from a wheelchair is between ___ and ___ inches

A

9-54

133
Q

A worker is entitled to __ weeks of unemployment benefits

A

26

134
Q

A worker is entitled to ___ months of HIPAA benefits

A

12

135
Q

A facility must report any injuries resulting from a medical device to the ___ and ___

A

Manufacturers and the FDA

136
Q

Which OSHA program relates to protecting staff and residents from the inadvertent discharge of electricity from an electrical appliance or outlet

A

Lock out Tag Out

137
Q

Fire extinguishers cannot be more than how many feet from each other

A

50 feet

138
Q

Which insurance policy would cover your facility if the roof was damaged from a storm

A

Property insurance

139
Q

Diabetes that requires insulin to regulate sugr levels in teh blood is called TYPE ___ diabetes

A

Type 1

140
Q

Which of the following would investigate Medicaid/Medicare fraud

A

OIG

141
Q

A statement of a job that specified job title, required qualifications, who the job reports to, duties and performance expectations is called a

A

Job description

142
Q

How soon must the emergency medication kit be refilled once opened

A

As soon as possible

143
Q

The length of a smoke compartment cannot exceed ___ feet

A

150

144
Q

The resident contract and the medical chart must be kept for ___ years

A

5

145
Q

Which federal survey is the compliant survey

A

Abbreviated standard survey

146
Q

OSSHA records other than OSHA medical records must be kept for ___ years

A

5

147
Q

The ___ must audit the facility financial statemetns

A

A CPA

148
Q

What is the absentee rate for a facility with 200 full time employees and 120 lost work days in a 30 day period

A

2 percent

149
Q

An employee with an hourly rate $8 works 48 hours in a 40 hour week. What is the workers gross salary per the fair labor standards act

A

$416

150
Q

A phone cord must be a minimum length of ___ inches

A

29

151
Q

The comprehensive care pan and the comprehensive assessment must be reviewed every ___ days

A

90

152
Q

A significant change must be completed within ___ days

A

14

153
Q

A stage 2 decubitus sore is characterized by which of the following

A

A blister filled with pus

154
Q

Which advanced directive specifically states the wishes of an individual regarding the provision of artificial life prolonging measures

A

Living will

155
Q

A facility has ___ days to file for a formal administrative hearing

A

20

156
Q

Which financial document would tell the administrator the net worth of the company

A

Balance Sheet

157
Q

Which document summarizes the debits and credits

A

General Ledger

158
Q

What is the main cause of a decubitus sore

A

Immobility

159
Q

Which federal agency oversees Medicare/Medicaid contracts and is responsible for oversight of compliance surveys for nursing homes

A

CMS

160
Q

Adverse impact occurs wen the hiring rate of minority applicants is less than ___ % of the hiring rate of the majority group

A

80%

161
Q

The facility must follow the Life Safety Code of

A

2012

162
Q

Which organization sets the fire safety standards of building materials

A

NFPA

163
Q

A nursing home had $300,000 in gross income an $110,000 in fixed expenses and $135,000 in variable expenses. What is the approximate percentage of gross profit

A

20%

164
Q

A nursing home with 100 beds pays the administrator $90,000 a year. the current occupancy rate is 80% what is the administrators approximate fixed salary cost per resident day

A

$3.01

165
Q

A 200 bed facility spent $15,000 on food in June with an average daily occupancy 80% How much did the facility per resident per day

A

$3.12

166
Q

If you invest $200,000 and expect to receive $50,000 in return annually. what is the payback period

A

4 years

167
Q

Where the nursing home administrator provides residents an environment with lots of plants and flowers and resident can be responsible to care for facility pets and set the table at meal times and fold napkins, this is called

A

The eden alternative

168
Q

Which GAAP principle prohibits a shareholder or employee rom taking money or assets form a company without recording those transactions

A

Entity principle

169
Q

Developing and implementing facility specific programs that help ensure safety of employees is a responsibility of the NHA. The safety program in the nursing home would fall under which program

  • risk management program
  • material safety data program
  • accident reporting program
  • life safety code
A

Risk management program

170
Q

How many square feet do you need for 2 people in a semi private room

A

160

171
Q

A ___ is a person who is certified as a registered records administrator RRA or a health information technologies or accredited record technician by the American Health Information Management Association AHIMA

A

Medical Record Practitioner