Mock National Exam Flashcards
A resident was admitted to a facility on November 10. The comprehensive assessment was completed on November 27th. Per OBRA 1987 the comprehensive assessment was completed
Late
A comprehensive assessment is due 14 days after admission or by Nov 24th. It was late
The ___ has ultimate legal responsibility for the operation of a nursing facility
Governing body
The governing body has ultimate responsibility for management of the facility
Per OBRA 1987 air temperature is measured
Just above the floor
Air temperature is measured just off the floor
The ___ requires employers to give worker time off for illness or to care for a sick family member
Family Medical Leave Act
The ___ hires supervises and can fire the administrator
Governing body
he administrator discovers the DON has been giving nursing aides 6 months to complete their state certification requirements. The administrator should
Reprimand the DON
120 days they can work after completing the course before getting their license
The rights of an individual determined by a court to be incompetent would be exerciesd by a
A person appointed by a court or court guardian
The maintenance director submitted a request for a family leave to care for his ailing mother. He has worked 1350 hours in the nine months he has worked for the facility. The administrator should
Inform the maintenance director he must have worked 12 months to be eligible for FMLA
Employee must work both 1250 hours and 12 months to use FML; and must continue to pay for insurance premiums while employee is on leave
Per OBRA 1987 a resident has the right to review all their records within ___ of an oral or written request (excluding weekends and holidays)
24 hours
The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed ___
Timely
Care plan must be done within 7 days of comprehensive assessment or by June 8th
The comprehensive assessment must be signed by
Registered Nurse
The ___ has legal responsibility or the day to day operation of a skilled nursing home
Administrator
The governing board has ultimate responsibility for resident are and managing the facility. The administrator is responsible for day to day operation
The ___ is responsible for the day to day management of the facility’s nursing program
DON
The DON is a registered nurse is responsible to manage the nursing staff to follow physician order to adhere to professional standards
CMS stands for
Centers for Medicaid and Medicare Services
HHS stands for
Health and Human Services
The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7 2007., June 21 2007, and November 15 2007. The administrator should
Change the meeting dates to the first Tuesday of January, April, July, October to bring the facility into compliance with OBRA 1987
The quality assurance committee must meet at least quarterly per OBRA 1987
A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was not given a bath as requested. Per OBRA 1987 how many resident rights were violated
3
A bath is not a resident right.
RULE OF THUMB. If they give two examples then the answer is one right was violated. If they give you three examples then 2 rights were violated. If they give you 4 examples then 3 rights were violated
A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27 2007, July 29, and sept 4. With respect to required physician visits per OBRA 1987 the facility
Was in compliance and would not be cited
With the 10 day grace period, the physician has 40 days to visit and examine resident the first 3 months and they have 70 days to visit the resident from 4th month on. The facility will be cited if the physician visits are not timely
The ___ has legal responsibly to adopt an implement facility policies
Governing body
A resident was admitted on June 1. The addending physician charted a visit and physical examination of the resident on June 27, July 29, Sept 4, and November 17 2007. Per OBRA 1987 with respect to required physician visits, the facility
Would be cited for a late visit in November
Physician had 70 days to visit resident. The next visit after Sept 4 was due Nov 3 and with the 10 day grace period the last day was Nov 13. The visit occurred on Nov 17
A state surveyor learns in interviews with residents that when residents are admitted they were provided with a written list of names of physicians who cared for residents in the facility in their admission packet. The facility assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987 the facility
Was out of compliance and would be cited
Facility must inform residents both orally and in writing that they have a right choose physician and must provide them with the names, addresses, and phone numbers of attending physicians. Their personal physician can see them if they agree to
A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the residents door, identifies herself as a housekeeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. Te housekeeper should be
In-serviced
Although the housekeeper knocked an announced who she was, the resident had to acknowledge her presence and giver permission to enter the room and it did not happen
____ is not n element of a Total Quality Management TQM program
Centralize decision making to improve customer service
The main focus of TQM is to train front line workers to make decisions
The ___ is responsible to prepare and serve nutritious meals under sanitary conditions
Dietary Department
All furniture, equipment, boxes and supplies must be elevated ___ inches above the floor to allow the floor directly underneath to be cleaned
6
____ is the most comprehensive and effective improvement model
Total Quality Management
The ___ coordinates all work activities in the facility and resolves conflict between departments
Administration department
HCFA stands for
Health Care Financing Administration
Telephone cords must be a minimum of
29 inches
To safe money the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should
Reprimand the administrator
Must employ a dietary manager full time. The administrator should be reprimanded
Adding baking soda to food will primarily
affect its
Nutritive value
Overcooking food in boiling water, adding baking soda and poorly storing food diminishes the vitamin and mineral content of food
The residents quality of life and physical condition is the focus of
Outcomes are focused o actual results and not processes
___ is not typical of a TQM program
Minimal training of staff
Extensive staff training so residents do need to wait for the NHA to come in for a bed pan
A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the ___ to help her
Social Services director
Social services provides emotional support and interventions for psychosocial and financial problems
Electrical switches must be located at a minimum of ___ inches above the floor
15
Stooped posture, shuffling gait, garbled speech and tremors are symptoms of
Parkinsons Disease
Nursing homes must have hearing aid compatible phones with volume between a minimum of ___ and a maximum of ___ decibels above normal
12,18
Any public telephones or other phones available to residents shoudl be hearing aid compatible with volume controls
Grab bars and railings must support a minimum weight of ___ pounds
250
The emergency generator must be visually inspected and checked
Weekly
Federal resident care standards are now ___ and ___ and are not longer considered minimal standards
State of art, maximal
The largest payor source for long term care is
Medicaid
The average short term stay for a Medicare resident is
30 days, they leave after 21-20 days when their $124 a day copay kicks in or $3000 a month
ANSI stands for
American National Standards Institute
Non compliance affecting a limited number of residents and locations would be assigned a scope of
Isolated
TQM is not characterized by
Minimal involvement of upper management
TQM involves engagement by upper management
Administrators consult ___ to compare outcomes to expectatons
Policies and plans of actions
A resident with Parkinsons would not benefit by
Bed rest
Parkinsons involves muscle rigidity and cognitive impairment resident benefit by exercise programs and reality orientation and memory exercised
The states cannot ___ to compel facilities to correct class 1 deficiencies found during inspections
Impose civil or criminal penalties
A___ violation is where the severity of negative outcomes that compromises a resident’s ability to maintain the highest physical, mental and psychosocial well being
Level 3
Parking spaces must be at least ___ wide with an accessible handicap aisle at least ___ wide
96” 60”
A broad statement of goals is a ___
Policy
Long term residents should be surveyed regarding satisfaction with services
Annually
Which is not true of the Joint Commission on Accreditation of Healthcare Organizations JCAHO
JCAHO can impose civil fines
Communication occurs when
A message is transmitted by one person and received an decoded and understood by the other person
NFPA stands for
National Fire Protection Association
The emergency generator must run under full load for ___ every___
30 minutes, month
The fire alarm can be silenced during a fire drill conducted between the hours of
10pm and 6am
The ___ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use
Quality assurance committee
___ publishes and promotes fire safety in nursing homes
NFPA
Listening intently, acceptance, empathy and understanding the message descries
Active listening
Patients and family look for ___ when selecting a nursing home
Variety and quality of food
The Americans with Disabilities act construction standards are enforced by
Architecture and Transportation Barriers Compliance Board
The Americans with Disabilities Act construction standards were developed by
ANSI
ANSI is a private organization that researches and publishes the ADA
A mechanism to monitor consumer satisfaction and address other concerns is called the
Strucure
The nursing home survey/inspection process focuses on
Outcomes
All nursing facilities must be licensed by the
State
