Mock National Exam 15 Flashcards
The facility must make available to surveyors during a survey residents who are ___ and ___ to participate in resident interviews
Capable and incapable
A resident was admitted to a facility on June 1. The initial comprehensive assessment was completed on June 21. The comprehensive was
Late
the legal principle that requires an employer to be responsible to third parties injured by an employee is called teh
Respondent superior
If a residents’ wants to see the facility citation history she would look at which form
CMS 2567
A resident was admitted to a facility on June 5th. Her attending physician documented a visit on July 15th. The physician visit was
Timely
A resident was served dinner at 5pm and was then served breakfast at 9am was the breakfast meal timely
No
Which of the following is responsible to schedule the disposition of medications
The consultant pharmacist
How often must the consultant pharmacist review resident medication
Monthly
A facility must have a ___ day emergency supply of food
7
The emergency generator must switch on automatically within ___ seconds of loss of power from the main power source
10
The timeframe to report the results of an abuse investigation to the state licensing agency is
5 working days
What is the permissible ambient temperature for a nursing home
71-81
A resident has visitors after hours who are apparently being very loud when they come and disturbing his roommate. The roommate complains to the NHA. What is the best course of action for the NHA to take
Offer the resident and his guests a private room in the facility to meet and not disturb bother residents
Where would a license violation be posted in the nursing facility
In a public area like the lobby
Which of the following is not a nosocomial infection
- MRSA
- Pneumonia
- AIDS
- UTI
- CDIFF
AIDS
An employee cannot take family medical leave for which of the following reasons
- sick parents
- a sick spouse
- a sick brother or sister
- adoption of a child
a sick brother or sister
Which form is used to bill Medicare
UB04
Which of the following is promulgated by an agency
A regulation
Which of the following is passed by a legislature
A statue
Which of the following is passed by a town or city
An ordinance
A rule is the same as which of the following
- statute
- regulation
- ordinance
- bylaw
regulation
If a resident loses money in their resident trust fund, which of the following would compensate them for their loss
A surety bond
Where an individual makes a verbal statement that hurts another person’s reputation which is called
Slander
Where an individual makes a written statement that hurts another persons reputation this is called
Libel
Reckless disregard of another persons welfare that results in injury to that person that was foreseeable is called
Negligence
Workers compensation would not cover which of the following
- lost time
- medical bills
- work related disability
- unemployment benefits
Unemployment benefits
What is the difference between restorative nursing and skilled therapy
nursing aides provide restorative nursing and licensed therapists provided skilled therapy
Which of the following would not have the power to make health care decisions for a resident who lacks capacity
- a durable power of attorney
- a power of attorney
- a conservator
- a guardian
power of attorney
Where are schedule 2 drugs stored
Under double lock and key
narcotics
A resident who is not a Medicaid resident must have their resident funds deposited in an intrest bearing account when theres funds total $___ or more
$100
Which survey is the compliant survey
- standard survey
- abbreviated standard survey
- extended survey
- partial extended survey
Abbreviated standard survey
Liabilities that will be paid within 16 months are called
Non current liabilities
Which of the following forms is the CMS resident census form
- HCFA Form 801
- HCFA Form 804
- HCFA Form 672
- HCFA Form 2566
-HCFA Form 672
Hot food must be served at ___ degrees F
135
Cold food must be served at ___ degrees F or below
41
Which of the following would be correct per OBRA 1987
- 2 hot meals and 1 cold meal
- 2 cold meals and 1 hot meal
- 3 hot meals per day
- 2 hot meals per day
3 hot meals a day
Which of the following has ultimate responsibility for car provided in a nursing home
The governing body
What does palatable eman
Food is tasty
If a union had a complaint against an employer, it would file the complaint with which of the following
- department of labor
- NLRB
- OSHA
- EEOC
NLRB
True or false the long term care ombudsman cannot visit a resident after hours on a Saturday night
False
Which federal law requires a union and management to bargain collectively
Wagner act
Which entity must supervise and approve a union election
- Department of labor
- OSHA
- NLRB
- Taft Hartley Act
NLRB
Which federal program pays for the long term care ombudsman program
Older americans act
What is the main function of the long term care ombudsman
To investigate and resolve resident concerns
If a nurse works 50 hours in a 40 hour pay period and makes $7 an hour what would be her gross pay
$385
How do you calculate current ratio
Current assets divided by current liabilities
What is acid test ratio
cash plus accounts receivables plus money market account divided by current liabilities
Which of the following is a facility not required to do
- display information on how to apply for medicaid
- notify residents when their trust funds reach $500 of the SSI limit
- honor resident requests to manage their trust funds
- arrange private space for residents to meet with family and friends
-notify residents when their trust funds reach $500 of the SSI limit
it is $200
A newly admitted resident has their personal property inventoried upon admission by the social worker. A few days. later the resident’s ring is reported missing. Who should be responsible to compensate the resident for the missing property
the facility
What is the PPD for food for the month of June where the facility spent $12000 on food and the average daily census is 100 residents per day
$4.00
Which of the following management types would not ask in put from employees
- dictatorial
- paternal
- laizze faire
- progressive
dictatorial
Which of the following is funded depreciation
- The facility charges each resident a set amount in the facility per diem rate for the cost of depreciation
- medicaid reimburses the facility for total depreciation costs at year end
The facility deducts their depreciation costs from their income at the end of the year and sets that money aside for future capital costs
-the facility depreciates the full value of an asset in the first year
Which of the following describes resident centered care
- allowing the resident council to play a large role in determining the provision of services in the facility
- making key decisions regarding the quality of life for residents in the facility based on how it would affect each resident
- making key decisions regarding the quality of life fo residents in the facility based on profitability
- involving the long care ombudsman in making key decision as to what service to provide residents
-making key decisions regarding the quality of life for residents in the facility based on how it would affect each resident
How would the NHA know if there was inflation
the NHA would consult the consumer price index
What type of pay increase would the NHA have to give employees if there was an increase in inflation
COLA
If a chlorine sanitizer is in a three compartment sink the concentration of chlorine must be at least ___ ppm
125
Soiled linens must be washed in hot water at ___ degrees F minimum for at least 25 minutes
160
Which federal law prohibits a medicare provider from paying for referrals
Ethics in Patients Referrals
True of False Soiled and Clean linens can be processed in the same area
False
Which of the following would have the key for equipment that has been locked out or tagged for safety reasons
- NHA
- DON
- Maintenance director
- medical director
Maintenance director
What is echelon
levels of management in a company
Which entity must the NHA report a fire to
State medicaid agency and the state fire marshal
Must have emergency battery power for at least ___ hours
1 1/2 hours
a manager who sets larger goals to be achieved and then delegates responsibility to achieve those goals to staff is using the ___ management style
Laizze fare
Which federal law prohibits a medicare provider form self referring patients to diagnostic center they own or fixing prices for services provides to medicare beneficiaries
robinson patman act
how many hours of nursing time do you need per resident per day
3
which of the following does not need to be on drug label
- name of drug
- dosage and route of administration
- administration time
- manufacturer name and physician name
manufacturer name and physician name
Which of the following is best suited for residents with mild dementia
- re-motivation therapy
- reality orientation
- validation therapy
- sensitivity training
reality orientation
Which of the following is the correct footage for a semi private room
320
Which of the following is the best investment to keep facility funds liquid
money market account
Which of the following would be sued as a log to report employee injuries to OSHA
-OSHA300
-OSHA 300A
-OSHA301
OSHA801
OSHA 300
A recipient can collect unemployment benefits for ___ weeks
26
True or False damp linen may be left in the washing machine overnight but not longer than 12 hours
false
Must report the death or hospitalization of 3 or more employees to OSHA by which of the following methods
- by recording the injuries in Form 300 within 8 hours
- calling osha within 6 hours
- faxing osha within 24 hours
- by calling osha within 8 hours
-faxing osha within 24 hours
What reports do surveyors look at from OSCAR before they conduct a facility survey
CASPER reports 3 and 4 and the QI report
When hiring a new nursing aide the facility must do which of the following
- check the nurse aide registry
- check the nurse aid abuse registry
- perform a criminal background check
- call former employers and check references
All the above
If a resident has a. significant change in condition the facility must notify family and the attending physician within what time frame
24 hours
If a resident refuses treatment the facility cannot do which of the following
- advise the resident of the consequences of not receiving treatment
- offer the resident an alternative form of treatment
- notify the attending physician of the refusal
- withhold all other treatment
withhold all other treatment
The activity department must be open ___ days per week
7
Which of the following may not be discarded in a trash basket
- a paper cup that was used to administer water to a resident
- discarded paper towels
- discarded soiled briefs from a resident with AIDS
- a discarded package of crackers
Discarded soiled briefs from a resident with AIDS
With Everify and employer can verify a job applicants citizenship status within
Seconds
Employee time cards must be retained for
2 years
The air in a nursing home must be changed every ___ minutes
6
The dietary section of MDS 3.0 is found in section
K
Under OBRA 1987 a medicaid resident is entitled to ___ days of paid leave for hopstalization
14
Under OBRA 1987 a medicaid resident is entitled to ___ days of paid leave for therapeutic leave
5
A job application must be kept for ___ months at a minimum
6 months
Which therapy uses clocks, calendars, and current events
Reality therapy
Which of the following indicates proper range of motion
- economic
- streamlined
- ergonomic
- all the above
ergonomic
Euthanasia is a ___ death
- easy or good
- bad death
- criminal
- painful
easy or good
Which of the following is the main cause of a UTI
- ecoli
- MRSA
- immobility
- poor dentition
e coli
The wash cycle of a hot water dishwasher is ___ degrees F
150
Pots and pans sanitized using just hot water is sanitized in a 3 compartment sink then must be submerged in how water at a minimum temperature of ___ degrees F for 30 seconds
171
A low temperature dishwasher may use bleach as a sanitizer provided the concentration of bleach is at least ___ parts per million
50
Must have a full time social worker in a facility with ___ beds or more
121 beds or more
A decubitus sore with apparent loss of the skin and dermis is a stage
Stage 2
If a resident in rehab is not walking the resident would be
Offered a walker
Side reach from a wheelchair is ___ to ___ inches
9-54
The final rinse cycle of a hot water dishwasher is ___ degrees F
180
The legal principle that requires an employer to be responsible to third parties injured by an employee is called the
Strict Liability
A residents daughter wants to see her moms medical chart who is not cognitive. what should the NHA do
provide the daughter access to the chart
The attending physician must visit their nursing home patients how often
30 days from the date of admission for the first 90 days and then 60 days thereafter
Which of the following would have an interest in the financial well begin of a company
A shareholder
Which of the following would be permitted in advertisement for an open position
- female under 5 feet to model children dresses
- heavy lifting required only men apply
- hospice nurse wanted, compassionate female only may apply
- holiday, nights and weekends required-single males and females only need apply
Female under 5 feet to model children dresses
knee clearance is
19 inches
toe clearance is ___ inches
9
if a resident is prescribed an antipsychotic drug the prescribing physician must do which of the folowing
Ensure there is a diagnosis and written rationale for the sue the medicaation
A fire exit sign must be spaced no more than ___ feet apart
100
A medicaid resident went to the hospital and the medicaid bed hold expired 10 days ago The resident is being discharged from the hospital and has requested to be admitted to the nursing home but there are no Medicaid beds available. what should the NHA do
Admit the resident into the next available medicaid bed
True or false house keepers are expected to clean the kitches
false
Accounts receivables over 60 days past due must not exceed ___% of all accounts receivables
5%
If an individual is referred to a nursing home for admission the facility must do which of the following first
Determine if the facility can meet the residents needs
Which of the following provides the tasks of a job, who the job reports to , salary and job title
Job description
Which of the following must determine if a resident can self administrator drugs
the IDT
Which of the following is an intangible asset
- A hospital bed
- good will
- facility van
- office furniture
Good will
Grab bars and railings must support a minimum of ___ pounds
250
Which of the following is the best method to control monetary risks in a nursing home
- provide good outcomes
- purchase insurance
- form a risk management team
- discharge troublesome residents
Purchase insurance
Managing monetary risks is called
risk management
A violation affecting a limited number of residents is a scope fo
isolated
A violation affecting more than a limited number of residents is a scope of
patterned
which of the following is most effective management styles
- MBWA and autocratic
- MBO and MBWA
- MBO and TQM
- Laizze fare and autocratic
MBO and MBWA
If you have an outbreak of a communicable disease in a nursing home which of the following must you notify first
- CMS
- State fire marshal
- LLTC ombudsman
- Local health dept
Local health dept
Must notify residents within ___ days of any change in laws, facility policies or changes in charges
14
Which of the following is the correct percentage of weight loss
- 5% in 90 days
- 7.5% in 90 days
- 10% in 120 days
- 15% in 6 months
7.5% in 90 days
The cost report is due within ___ days of the end of the facility fiscal year
90 days
Which of the following is the tag for a life safety violation
K
Job applicants must file a Form ___ to indicate their citizenship status
I-9
Which federal law requires the I-9 form
Immigration reform act
What is the fire rating of walls in a smoke compartment
2 hours
A resident takin ___ or more drugs needs a quarterly evaluation
9
What is the main purpose of the facility disaster plan
To be prepared for all potential emergencies and disasters and assure resident safety
Repairs to the parking lot are what type of expense
Capital expense
Which of the following management types would be most effectively used by physicians, nursing, social workers
- paternal
- autocratic
- laizze faire
- progressive
paternal
The facility must make available to surveyors during a survey residents who are ___ and ___ participate in resident interviews
Cognitive and cognitively impaired
What percentage of residents must be interviewable to participate in surveyors interview of facility residents
50%
If a CEO or a director is sued which of the following would cover the facility
- professional liability
- officers and directors insurance
- business interruptions insurance
- a surety bond
- property insurandce
officers and directors insurance
Where an individual makes verbal statements that hurt another persons reputation this is called
slander
how often does the QA meeting have to meet per OBRA 1987
Quarterly
