Mock National Exam 13 Flashcards
A ___ can serve as the activity director of a nursing home
Occupational therapist
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
False claims act
Which of the following has PRIMARY responsiblity for developing comprehensive psychosocial treatment plans for new residents
Social Worker
If a resident requests copies of records from their clinical chart on friday when is the soonest staff must provide them those copies
Tuesday
PT, OT, SLP must be
licensed
Must keep the resident contract for ___ years
5
True or False a job applicant can be asked if htey were ever arrested
False
A nruse aide cannot work more than ___ months without comleting their state certification
4
Bylaws are defined as
Rules and regulations that govern a corporations internal management
A facility must have ___ fire drills each year
12
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
window
The comprehensive assessment must be completed within ___ days of admission
14
How often must the comprehensive care plan be reviewdd
Quearterly
FMLA stands for
Family medical leave act
The family medical leave act allows employees ___ weeks of unpaid leave each year
12
Under FLSA minors under 16 years of age
Must obtain a temporary work permit from the DOL
Which document is the governance of a corporation
bylaws
what is the mission statement
the purpose of a corporation
Which organization provides research to OSHA
NIOSH
Which organization developed the standards for the Life Safety Code
NFPA
According to CMS requirements a resident has the right to access copies of his/her medical record upon
submission of an oral or written request 24 hours before needed
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
No because federal regulations mandate a daily bedtime snack
With regard to facility staffing levels, the facility must staff according to
Acuity levels in the facility
How often must the comprehensive assessment plan be reviewed
Quarterly
Who must certify the comprehensive assessment
The RN
Which of the following management styles provides least direction and support to staff
Delegating
A facility is cited for several deficiencies that were not cited as immediate jeopardy. The facility must submit a plan of correction within
10 days after notice of the deficiency
A Nursing facility must file a request for formal dispute resolution within how many days of receiving deficiencies
20
The most significant cost for a nursing facility is
Labor
A nursing facility fire protection standards are specified by
Life safety code
Reality orientation is most appropriate for residents who
- are blind
- are depressed
- have late stage dementia
- have early stage dementia
have early stage dementia
Managemetn of communications between the nursing facility and the public is called
Public relations
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
Feeding artificially such as a PEG tube
The BEST investment vehicle for funds that must remain liquid is usually a
Money Market Fund MMF
The OSHA General Duty Clause requires employers to
Provide a safe workplace
In long term care the method of depreciation used for building improvements land improvements and fixed assets is
Straight line
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
Compare employee’s performance with standards
Which therapist can serve as the activities director
Occupational therapist
Must have an RN how many hours each day
8
A quality assurance committee must meet at least
quarterly
Excluding weekends and holidays a resident has the right to access clinical records within
24 horus
Emergency electrical power systems are required to provide enough power to illuminate
Exits
The responsibility to provide services that respect an individuals dignity and uniqueness relates most directly to the ethical principle of
Autonomy
When a resident who is not covered by Medicare places money in a resident trust fund, the facility is
Required to pay interest only if contains more than $50
The best way to prevent the spread of infection in the storage and transportation of linens should
implement procedures that reduce cross contamination
Must store pots and pans how may inches off the floor
6
A nursing facility must offer its employees
- health insurance
- unemployment insurance
- life
- personal liability
unemployment insurance
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
-institutionalization typically results in feelings of guilt and anger by family members
Which one of the following statements is correct with regard to nurse aid regular in service education
It should be based on areas of weakness identified in evaluations
The facility kitchen must be open a minimum of __ hours a day
12
No more than ___ hours can pass between the evening meal and breakfast
14
No more than ___ hours can pass between the evening meal and breakfast with a snack
16
The INITIAL comprehensive assessment must be transmitted to the state within ___ days of completion of the assessment
7
The INITIAL comprehensive assessment must be transmitted to the state no more than ___ days of admission of the resident
21
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
30
The consultant pharmacist must check the drug regimen of each resident how ofetn
monthly
ABC union is planning a strike on November 1. The union must give notice to the facility administrator by which date
October 22
A union must secure what percentage of workers in a facility to vote to establish a union
50% plus 1
Heating and cooling systems should be monitored to ensure temperature are between
71-81
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
-income projections should always be increased to at least the projections of expenses
To ensure all essential mechanical, electrical, and resident care equipment are maintained in safe and working condition, the facility must have an effective
Preventative maintenance program
Which federal law requires employers. to bargain collectively with the union
Wagner act
To reduce the risk of a UTI, catheters should be changed aseptically every
month
The consultant pharmacist must report any drug irregularities to the
Attending physician and/or DON
Which federal law governs union elections
Taft Hrtley
Title 18 of the Social security act is the ___ program
Medicare
Which program would pay for the nursing home stay of an indigent person
Medicaid
An individual cannot make more than $___ in income each month to qualify for medicaid
$1860
When an administrator communicates what is to be accomplished by each employee and helps them accomplish these goals this is called
Directing
Controlled drugs MUST be stored in their original containers and placed
Under double lock protection
Controlled drugs MUST be stored in their original containers and placed
Under double lock protection
If a union wishes to renegotiate a contract with an employer it must notify the employer within how many days of the expiration date
90
An individual cannot have more than $___ in assets and still qualify for medicaid
$2000
Which of the following determines the number of fire drills required each year in a nursing home
Life safety code
The emergency electrical generators must switch on within ___ seconds of a loss of power
10
When an administrator projects future trends and needs this is called
Forecaseting
When an administrator compares actual results to projected results this is called
Evaluating
When and administrator takes steps to resolve a deficit situation this called
Controlling Quality
A handicap parking space must be a minimum of __ feet wide
13
A full time social worker is required in certified nursing facilities with more than __ beds
120
Occupational therapy is focused PRIMARILY on
functional performance in ADLs
Which facility committee can the infection control program be assigned to
Quality assurance committee
According to the Omnibus Budget Reconciliation Act OBRA a plan of care for a resident receiving psychotropic meds must include
Acceptable diagnoses
Which of the following enforces the Life Safety Code
The state licensing agency
All meals are prepared in accordance with the orders of the
Attending physician
What are the best types of questions to ask in a job interview
Open ended questions
When a resident develops an active communicable infection which of the following will be required
Specific isolation techniques
A nursing facility’s fire protection standards are specified by
NFPA life safety code
Which is the BEST method of increasing a facility’s cash position
Collecting accounts receivables
Anyone receiving social security is automatically covered under
Medicare Part A
Subpoena duces tecum means
An order to appear with evidence
A nursing home is required to employ a licensed social worker full time with how many beds
More than 120
Unless superseded by state law, a facility MUST maintain medical records that include clinical, medical, and psychosocial information on every resident until
5 years after date of discharge/death of the resident
The facility must refund to the resident or legal representative any money held by the facility belonging to a discharged resident within ___ of discharge
30
The facility must provide a resident notice of intent to involuntary discharge the resident at least ___ days in advance of the proposed discharge date
30
When must resident be informed of their rights
Prior to or at the time of admission
Which of the following is the management style associated with leaders who value their workers and solicit their participation
Management by objectives
Equity theory states
Employees seek an exchange in which their wages and benefits equal their effort
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
-surveyors can request that all resident interviews be conducted privately
The policies of a nursing facility must be approved by the
Governing body
The ___ was organized in 1935
CIO
The ___ is the largest union in the US
AFL-CIO
The ___ represents most worker in the nursing home industry
SEIU
he initials SEIU stand for
Service Employees International Union
Non fatal employee injuries must be recorded in the OSHA 300 log within ___ days of the incident
7
Which part of Medicare do you have to enroll in and pay a monthly premium
Part B
The ___ is responsible to develop and implementing policies
Governing body
The ___ is responsible to make critical decision for the facility
Governing body
The ___ has ultimate legal responsibility for the care provided in the facility
Governing body
The ___ is responsible for the day to day management of the facility
Nursing home administrator
OSHA form 300A must posted during what time frame each year
Feb 1-April 30
Which taxes fund the social security program
FICA
Which document is the governance of a corporation
Bylaws
Which of the following taxes fund the social security program
Federal income taxes
How often must the facility send a statement to each resident of the balance of their resident funds in the resident trust fund
Quarterly
A facility must submit a plan of correction within ___ days of receiving the 2567
10
2567 is survey results from the state
Surveyors must send a facility cited during a survey the form 2567 within ___ days of the exit conference 10
10
Which document would a family member be reading if they were reviewing the results of your facility survey
2567
A statement of a job that specified job title, required qualifications, who the job reports to, duties and performance expectations is called a
Job description
An increase in pay to adjust incomes for inflation and maintain workers purchasing power is called
COLA
___ measures the purchasing power of worker paychecks and is used to determine the cost of living adjustments to worker paychecks
CPI
Must provide a resident a notice of involuntary discharge a minimum of ___ days in advance of the date or planned discharge
30
Which of the following must sign a notice of discharge due to non payment of the residents bills
Nursing home administrator
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
The resident changes payor source from Medicare to Medicaid
Medicare/Medicaid would pay for which of the following
- bed side phone
- private room
- television
- wheelchair
- liver transplant
wheelchair
Hot food must be held or served at a minimum temperature of ___ degrees F or higher
135
Cold food must be stored or served at a minimum temp of ___ degrees F or lower
41
Exit signs must be placed no more than ___ feet from each other
100
A worker is entitled to COBRA benefits for ___ months
18
The final rinse cycle of a hot water dishwasher is ___ degrees F
180
The high forward reach from a wheelchair is __ inches
48
The side reach from a wheelchair is between ___ and ___ inches
9-54
A worker is entitled to __ weeks of unemployment benefits
26
A worker is entitled to ___ months of HIPAA benefits
12
A facility must report any injuries resulting from a medical device to the ___ and ___
Manufacturers and the FDA
Which OSHA program relates to protecting staff and residents from the inadvertent discharge of electricity from an electrical appliance or outlet
Lock out Tag Out
Fire extinguishers cannot be more than how many feet from each other
50 feet
Which insurance policy would cover your facility if the roof was damaged from a storm
Property insurance
Diabetes that requires insulin to regulate sugr levels in teh blood is called TYPE ___ diabetes
Type 1
Which of the following would investigate Medicaid/Medicare fraud
OIG
A statement of a job that specified job title, required qualifications, who the job reports to, duties and performance expectations is called a
Job description
How soon must the emergency medication kit be refilled once opened
As soon as possible
The length of a smoke compartment cannot exceed ___ feet
150
The resident contract and the medical chart must be kept for ___ years
5
Which federal survey is the compliant survey
Abbreviated standard survey
OSSHA records other than OSHA medical records must be kept for ___ years
5
The ___ must audit the facility financial statemetns
A CPA
What is the absentee rate for a facility with 200 full time employees and 120 lost work days in a 30 day period
2 percent
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
$416
A phone cord must be a minimum length of ___ inches
29
The comprehensive care pan and the comprehensive assessment must be reviewed every ___ days
90
A significant change must be completed within ___ days
14
A stage 2 decubitus sore is characterized by which of the following
A blister filled with pus
Which advanced directive specifically states the wishes of an individual regarding the provision of artificial life prolonging measures
Living will
A facility has ___ days to file for a formal administrative hearing
20
Which financial document would tell the administrator the net worth of the company
Balance Sheet
Which document summarizes the debits and credits
General Ledger
What is the main cause of a decubitus sore
Immobility
Which federal agency oversees Medicare/Medicaid contracts and is responsible for oversight of compliance surveys for nursing homes
CMS
Adverse impact occurs wen the hiring rate of minority applicants is less than ___ % of the hiring rate of the majority group
80%
The facility must follow the Life Safety Code of
2012
Which organization sets the fire safety standards of building materials
NFPA
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
20%
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
$3.01
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
$3.12
If you invest $200,000 and expect to receive $50,000 in return annually. what is the payback period
4 years
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
The eden alternative
Which GAAP principle prohibits a shareholder or employee rom taking money or assets form a company without recording those transactions
Entity principle
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
Risk management program
How many square feet do you need for 2 people in a semi private room
160
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
Medical Record Practitioner
