Mock National Exam 16 Flashcards
1
Q
When an asset can be quickly converted to cash without appreciable loss, it is said to be
A
Liquid
2
Q
The minimum staffing level required by CMS is
2.0 PPD
2.5PPD
3.0PPD
Determined by the individual states
A
2.5 PPD
3
Q
Under which circumstance may the DON serve as charge nurse
- The average census is less than 60
- A waiver has been obtained from the state health department
- No other licensed nurses are willing to serve as charge nurse
- The DON may never serve as charge nurse
A
-The average census is less than 60
4
Q
Which of the following is NOT an indicator of inadequate nurse staffing
- Staff responding slowly to resident requests for help
- residents cannot locate staff quickly
- Nurse staffing information is not posted as required
- Residents have to make repetitive calls for help
A
-Nurse staffing information is not posted as required
5
Q
The most important aspect of resident care is
-staff attitudes towards residents
-prevention and treatment of pressure ulcers
-a well rounded activities program
prompt attention to incontinence episodes
A
staff attitudes towards residents
6
Q
Which of the following is NOT recommended as part of an infection control program
- Infection log
- antibiotic log
- infection record individualized for each resident
- facility floor plans used to track outbreaks
A
Antibiotic log
7
Q
Which type of incontinence is characterized by urine leakage with coughing or laughing
- stress
- urge
- overflow
- functional
A
stress
8
Q
Which type of vision problem is characterized by seeing straight lines as crooked
- glaucoma
- legal blindness
- macular degeneration
- cataracts
A
macular degeneration
9
Q
Which type of behavioral intervention may not be appropriate for demented individuals
- remotivation
- reality orientation
- validation therapy
- sensory training
A
Sensory training
10
Q
Door locks that are engaged by wandering residents can only work for how long
- 15 seconds
- 30 seconds
- 1 minute
- doors are never allowed to be locked
A
15 second
11
Q
The single best preventative measure for pressure ulcer is
- prompt incontinence care
- adequate hydration
- use of ‘donut’ cushions when in a wheelchair
- frequent turning and repositioning
A
Frequent turning and repositioning
12
Q
Which model of care attempts to use the presence of plans, pets, and children to combat boredom, loneliness, and helplessness in nursing facility residents
A
Eden Alternative
13
Q
PASSAR is a process for
A
screening for mental illness or developmental disablities
14
Q
Which of the following is permissible as part of an admission contract
- third party guarantee of payment
- waiver of the right to receive medicaid
- mandatory charitable contributions
- requirement of arbitration to resolve legal conflicts
A
Third party guarantee of payment
15
Q
Under which situation would a MDS not need to be completed
- a residents payor source is private pay
- a resident on insurance only stays for 21 days
- a resident on Medicare stays for 12 days
- a resident on medicaid stays for 12 days
A
a resident on medicare stays for 12 days
16
Q
Which of the following does not constitute a significant change for MDS purposes
- a resident has a stroke that causes dysphasia and aphasia
- a resident required IV therapy but has run out of available skilled days
- a resident has fallen and broker her hip
- a resident has mild case of pneumonia but is expected to recover within a week
A
A resident has a mild case of pneumonia but is expected to recover within a week
17
Q
Who is required to coordinate the RAI process
A
any registered nurse
determines skill level/coding; directions for MDS
18
Q
How soon after the MDS is completed must the care plan be developed
A
7 days
19
Q
If state law does not say otherwise how long should clinical records be retained after the resident has been discharged
A
5 years
20
Q
Which of the following is universally regarded as the best way to reduce food wastage
- utilize buffet lines in the dining room
- reduce meal portions to the smallest feasible amount
- provide more snacks in between meals
- prepare and serve attractive and tasty food
A
prepare and serve attractive food
21
Q
OBRA 87 requires what of dietary managers
- licensure as a registered dietician
- certification as a certified dietary manager
- completion of a state approved course
- the ability to communicate with qualified dietician
A
The ability to communicate with a qualified dietician
22
Q
Which of the following indicates a significant weight loss
- 5% over three months
- 7.5% over three months
- 7.5% over six months
- 10% over twelve months
A
-7.5% over three months
23
Q
At what temperature must hot foods leave the kitchen
A
135
24
Q
After a resident has been in the facility for 3 months, how often must they see a physician
A
every 60 days
25
How often must a pharmacist conduct a drug regimen review
monthly
26
Which of the following would not constitute a significant medication error
- two multivitamin tablets were administered when only one was ordered
- three ounces of water were given with a laxative
- twelve units of insulin were ordered and fifteen units were administered
- the licensed nurse failed to obtain an apical pulse before administering digoxin
-two multivitamin tablets were administered when only one was ordered
27
Which is not an OBRA approved indication for antipsychotic usage
- Hiccups
- Itching
- Schizophrenia
- wandering
itching
28
Which therapist would be able to best help a post stroke resident with aphasia who needs to improve her ability to use her hands (for buttoning and fastening clothing, turning on/off water faucets, etc)
Occupational therapists
29
Which individual is required to serve on the facility QAA committee
DON
30
Residents do NOT have which of the following rights
- Immediate access to the secretary of the US dept of health
- refuse to participate in research which consists only of aggregated statistics
- The right to work for a facility
- the right to self administer medications
Immediate access to the secretary of the US department of Health and Human Services
31
A person diagnosed with dementia usually
- complains a lot
- stresses failures
- displays a loss of intellectual capacity
- appears to be completely unconcerned
displays a loss of intellectual property
32
Gerontology is best defined as the study of the
aging process
33
One of the current proposals regarding the developmentally disabled stresses changing the emphasis in active treatment to
- independent living
- occupational therapy
- acquiring social skills
- individuals operating as sole proprietors
acquiring social skills
34
The most important factor in the treatment and care of the developmentally disabled is
- the process
- the end result
- documentation
- record keeping
the end result
35
A resident cannot be discharged or transferred if the
-resident contracts HIV
-residents needs cannot be met
0residents health has improved significantly
-resident has failed to pay after reasonable notice
resident contracts HIV
36
Assume that 150 doses of medication were prescribed by the residents physician to be administered in a given time period. however 2 doses ordered were not given and 3 doses were incorrectly administered as prescribed. What was the medication error rate
3.3
37
It is standard operating procedure to
- monitor restraints every 2 hours
- monitor restraints every 30 minutes
- release patients from restraints every two hours and leave them out of the restraint for at least one hour
- release patients from restraints every hour and leave them out of the restraint for at least 10 minutes
-release patients from restraints every hour and leave them out of the restraint for at least 10 minutes
38
The DON may serve as charge nurse only if the facility
- has applied for a waiver
- is licensed for less than 100 beds
- has an average daily occupancy of 60 residents or less
- accepts only residents requiring minimal nursing services
-has an average daily occupancy of 60 residents or less
39
The OBRA outcome oriented survey is focused on the
- review of physical resources
- quality of care actually provided
- monitoring of management procedures
- compliance with state and federal regulations
quality of care actually provided
40
When a new resident is admitted the social worker should help the family during the initial separation period by
- maintaining family contact regarding the residents condition
- telling the family that the facility will handle the residents condition
- advising the family not to visit until the resident has adjusted to the facility
- advising the family to have someone visit each day until the resident is adjusted
-maintaining family contact regarding the residents condition
41
Empathy may be the best defined as the
- capacity to share the interest of another person
- process whereby one strives to be like an other person
- unconscious conferring of undesirable traits or tendencies on another person
- ability to comprehend the meaning and relevance of the thoughts and feelings of another
-ability to comprehend the meaning and relevance of the thoughts and feelings of another
42
In most states which of the following cannot be appointed as the agent under an advance directive
- friend
- attorney
- family member
- attending physician
attending physician
43
The resident self determination act should be
- enforced by the social service department
- discussed during the resident assessment
- mailed out annually to all residents and families
- given to the resident and family at the time of admission
-given to the resident and family at the time of admission
44
To be effective a resident council should
- be controlled by the administrator
- have the participation of the residents and employees
- be given the opportunity to control the activities of the facility
- have continued support by the administrator and the residents
have continued support by the administrator and the residents
45
A curator as used in civil law equates to a
- payee
- guardian
- next of kin
- family member
guardian
46
the most common cause of food poisoning is
- infected food handlers
- communication with sick persons
- contamination of food by insects
- improper refrigeration fo perishable foods
improper refrigeration of perishable foods
47
nursing personnel should encourage a resident to eat in the dining area unless the resident
- is incontinent
- cannot eat unassisted
- is confined to a wheelchair
- Ha been contraindicated to do so by physician's orders
has been contraindicated to do so by physicians orders
48
According to research studies the most indispensable mineral found to be lacking in the diet of the elderly is
iron
sodium
potassium
magnesium
iron
49
To maximize the destruction of bacteria on dinnerware the temperature of rinse water in dishwashers should be
180
50
Proper food storage is very important. of the following problems listed which is usually the most significant
- dented cans
- temperature control
- labeling of cans and leftovers
- utensils left in large containers
temperature control
51
An unplanned and/or undesired weight loss would be classified as significant if the percentage of loss during a si month interval was ___%
10%
52
Carcinoma is the medical term for
cancer
53
the physician who is primarily involved with the causes and histories of diseases is
- internist
- pathologist
- geriatrician
- general practitioner
pathologist
54
Who is responsible for implementation of the resident care policies in the facility
medical director
55
The physician must write, sign, and date progress notes
- each month
- at each visit
- as deemed necessary
- monthly for the first 90 days
At each visit
56
The social security act provides that a facility must have a written transfer agreement with one or more hospitals that are
- equipped with CAT scan and MRI
- within a radius of 5 miles of the facility
- able to provide ambulance transportation
- approved for participation under both Medicare and Medicaid
Approved for participation under both Medicare and Medicaid
57
Under OBRA the quality improvement committee is required to meet at least
Quarterly
58
Under OBRA the implementation of which of the following policies is not the responsibility of the medical director
- dietary
- admission
- personnel
- infection control
Personnel
59
A remotivation program as applied to the senile resident generally refers to a
group therapy program designed to stimulate the residents interest in the real world around them
60
Care plans address activities that are appropriate for each resident based on which of the following
- age and sex of the resident
- comprehensive assessment
- former lifestyle of the resident
- recommendations of the nursing staff
comprehensive assessment
61
Which of the following would not usually be a primary interdisciplinary team member
- activity director
- rehabilitation staff
- nursing facility administrator
- therapeutic recreation staff
Nursing facility administrator
62
A resident spends most of his time in his room alone and he has few interests except he watches the news on television. Which of the following activity approaches would perhaps be the most beneficial?
- take him on group walks in the community
- enroll him in male craft projects like building bird houses
- invite him to participate in current events including small group discussions
- suggest to the attending physician that antidepressant medication be considered
-invite him to participate in current events including small group discussions
63
The resident activity director has many roles and duties. However the first responsibility should be
- maintaining adequate records
- planning and organizing activity programs
- preparing care plans and writing progress notes
- completing the assessments and identifying the interests and needs of the residents
-completing the assessments and identifying the interests and needs of the residents
64
Activity coordinators must plan, coordinate, and direct the resident activity programs, and in addition must do which of the following
- supervise therapeutic programs
- record notes in the residents medical record
- conduct the interdisciplinary assessment program
- conduct in service training programs for all employees
supervise therapeutic programs
65
Medical records are also referred to as clinical records and are utilized by various members of the staff however the person ultimately responsible for accurate and adequate medical records is the
Medical records librarian
66
Medical records may be released by written permission fo the resident and if required by any of the following except
- a court order
- an attorney as law
- a third party contract including medicare
- another nursing home to which the resident is being transferred
an attorney at law
67
In cases in which facilities have created the option for an individual's record to be maintained by computer rather than hard copy
- electronic signatures are acceptable
- electronic signatures are acceptable only for the medical staff
- signatures must be recorded both electronically and on hard copy
- electronic signatures can only be used by full time employees of the facility
electronic signatures are acceptable
68
The person designated as the clinical record clerk must be
- certified
- licensed
- a consultant
- a full time staff member
a full time staff member
69
according to Medicare and Medicaid requirements upon an oral or written request the residents must have access to all records, including clinical records, pertaining to himself/herself within
24 hours
70
Which of the following types of drugs are for external use only
- topical
- diuretic
- laxative
- sedative
topical
71
Stop order procedures were formerly developed by the pharmaceutical service committee but are now developed by the
- pharmacist
- medical director
- pharmacist and the medical director
- pharmacist and the DON
Pharmacist and the medical director
72
IF a medication has an automatic stop order the nurse must
- notify the pharmacist
- never renew the medication
- notify the physician before the last dose is administreed
- notify the physician at the time the drug is the last administred
notify the physician before the last does is administered
73
Drugs prepared (poured) for administration at 8am should be administered and recorded before subsequent does are prepared and administered before
- 9am
- 10am
- 11am
- 12noon
9am
74
Abbreviations are used by nurses in completing charts and other medical records. the abbreviation stat means
immediately
75
the 1987 OBRA regulations changed the role of the pharmacists in nursing facilities and greatly increased their responsibility. Therefore, today the pharmacist must performa ll of the following duties except
- destroy all unused prescriptions
- determine that drug records are in order
- conduct a review of each resident drug regimen
- determine that an account of all controlled drugs is maintained and periodically reconciled
-destroy all unused prescriptions
76
If a resident wants to self administer medication who is responsible for drug storage and recording the self administered does
the nursing staff
77
According to OBRA the facility is required to offered therapeutic activities that
- must include games and crafts
- support, maintain and empower
- are first approved by the medical staff
- are based upon past interests and hobbies
are based upon past interests and hobbies
78
Flexion, rotation, abduction, and adduction are all terms referring to
exercies
79
which of the following statements relative to range of motion is correct
- passive ROM is performed by the resident
- Active ROM is performed by the resident
- Adequate preventative care must include ROM
- Active assistive ROM exercise are performed by the resident ant the staff
passive ROM is performed by the resident
80
If specialized rehabilitation services are required int he residents comprehensive plan of care the facility must provide the services or
- dismiss the resident
- transfer the resident
- obtain the required services from an outside resource
- utilize the services available in the nursing department an din the activity department
obtain the required services from an outside resource
81
The administrator may want to ensure that a rehabilitative team approaches being implemented for a resident and that
- some family members assist
- the staff including nursing is involved
- the physician observes the process and follows up
- therapy has its own department and dedicated room
the staff including nursing is involved
82
Which of the following is not considered a life sustaining treatment
- physical therapy
- dialysis treatment
- use of ventilators
- cardiopulmonary resuscitation
PT
83
In monitoring work performance, the most essential activity for the administrator is to
- hold individual conferences with department heads
- review written reports from all department heads and consultants
- visit each department and observe daily activities and the environment
- conduct staff meetings and secure verbal reports form each department
-visit each department and observe daily activities and the environment
84
Placing a message in an oral form or in written words, a diagram, picture, or chart is called
- encoding
- decoding
- formatting
- transmitting
encoding
85
the key to understanding communication is
listening
86
Which of the following relationships is not regarded as having 'privileged communication'
- husband/wife
- attorney/client
- physician/patient
- administrator/family
administrator/family
87
The lack of adequate communication creates a vacuum which will cause the staff to
- listen to rumors
- reject any information
- cease communication
- ignore all communication
listen to rumors
88
It is very important that staff meetings do not become a
- time to complain
- learning situation
- sharing experience
- time to share challenges
Time to complain
89
The 1996 Health Insurance Portability and Accountability Act
- encourages all employees to elect the option of participating ing COBRA
- caps health care plans preexisting condition limitation of exclusion at 12 months
- provides for insurance coverage for children and spouses at the time of death of the employee
- allows for divorced parents to continue insurance coverage for the former spouse and children up to age 21
-caps health care plans preexisting condition limitation of exclusion at 12 months
90
Under FMLA if paid leave is provided by the employer
- company rules apply in lieu of FMLA
- the employee is not eligible for coverage under FMLA
- the rate paid to the employee must equal the employees current salary
- the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the act
-the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the act
91
The diversity of needs within a specified market is correctly referred to as
market segmentation
92
Which of the following determines the tasks the employee behavior and the knowledge and skills necessary to carry out a certain job
job analysis
93
Pay scales are required for
- only wage employees
- only salaried employees
- only non-adminstrative personnel
- Both salaried and wage employees
both salaried and wage employees
94
During an employee interview you may ask
- for a photograph
- about child care plans
- about willingness to work religious holidays
- about willingness to work a required schedule
about willingness to work a required schedule
95
Over 75% of the administrators problems relate to
employees
96
'job' is a term that refers to
- a collection of tasks that can be performed by an employee
- the behavior, knowledge and skill necessary to performa. duty
- the duties, authority, and qualifications of each employees classification
- a classification of employees such as secretaries, housekeepers, and nurses
-a collection of tasks that can be performed by an employee
97
Affirmative action relates to
hiring practices
98
to develop effective staff rapport, an administrator should
- establish a program of peer review
- discourage all formal and informal grapevines
- promote employees from within the organization
- establish clear line of authority and responsibility
establish clear lines of authority and responsibility
99
What is the average daily absent rate for a facility with a total of 80 ft employees and 184 lost workdays or absences during a 60 day period
3.8
100
The primary function of disciplinary action is to
- extract compliance
- impose punishment
- effect a desired behavior change
- ensure that the behavior will never be tolerate in the future
Effect a desired behavior change
101
EEOC enforces all of the following laws except the
- equal pay act
- fair labor standards act
- title VII of the civil rights act
- age discrimination in employment act
fair labor standards act
102
The 'employment at will relationship' provides that employer may
- discharge and employee without cause
- not discharge an employee without due notice
- discharge an employee only with a valid reason
- not discharge an employee if the employee is following the job description
-discharge and employee without cause
103
Any effective sexual harassment policy should contain all of the following essential elements except
- the establishment of complaint procedure
- a statement clearly prohibiting sexual harassment
- a description of conduct that constitutes sexual harassment
- a warning that anyone who violates the policy will be immediately dismissed
-a warning that anyone who violates the policy will be immediately dismissed
104
Under COBRA continuation of employee group medical insurance must be offered except if the
- employee retires
- employees marriage is dissolved
- employees work hours are reduced
- employee is fired for gross misconduct
employee fired from gross misconduct
105
In planning a budget is most important to know
- assets and liabilities
- net profit and net worth
- past cost and future cost
- past experience and projected expectations
past experience and projected expectations
106
After liquidity the second major objective of financial management is usually
- payroll
- inventory
- profitability
- rate structure
Profitability
107
The accrual method of accounting is required by medicaid and medicare and therefore income and expenses are recorded
- on a monthly basis
- as they are capitalized
- when they are incurred
- when they are paid or received
when they are incurred
108
Depreciation is correctly defied as
- a declining balance
- a cost allocation of equipment
- the change in value over a stipulated period
- the decrease in value due to obsolescence, wear, and tear
The decrease in value due to obsolescence, wear, and tear
109
Working capital equals the current assets
- minus fixed assets
- minus current liabilities
- divided by current assets
- minus inventories divided by current liabilities
minus current liabilities
110
Which paid fringe benefit is usually the most costly
vacations
111
If an employee works 40 hours in a one week period and worked 10 hours per day at a rate of $8.00 per hour, what would be the total salary before deductions and including overtime pay if required
$320
112
When a facility is being sold, which of the following is an intangible asset that is very marketable
- supplies
- goodwill
- buildings
- equipment
goodwill
113
in which of the following areas will an employed nursing home administrator usually have the most input
- budget
- benefits
- salary schedules
- mission statement
budget
114
The income of a proprietary corporation remaining after all costs, taxes, and dividends have been paid is known as
- profit
- net profit
- gross income
- retained earnings
retained earnings
115
Which of the following is not a primary source of health care malpractice suits
- breach or violation of a contract or promise
- rendering substandard or poor quality care
- failure to obtain effective consent before intervening in the life of a resident
- agreeing to withhold prescribed treatment at the request of a competent resident
-agreeing to withhold prescribed treatment at the request of a competent resident
116
Risk management is identifying and solving problems
- as soon as possible
- before they get out of hand
- that only involve a legal risk
- to adhere to federal guidelines
that only involve a legal risk
117
Workers compensation insurance premium rates depend upon the claim experience, state regulations, and ___
- are discount based upon volume
- the risk class of the occupations involved
- safety programs provide fort he employees
- the number of eyars insured by the same carrier
The risk class of the occupations involved
118
The key to purchasing supplies is to
standardize the products and vendors used, organize a central purchasing department, and minimize the people authorized to purchase
119
Which of the following ratios will reflect the facility's ability to meet obligations
- ROI
- equity ratio
- current ratio
- acid test ratio
current ratio
120
The best way to maintain an inventory is to
limit access to supplies and requisitioning to specified individuals
121
A fiscal intermediary is usually
an insurance company
122
The percentage of gross profit for a facility with a gross income of $555,000 fixed expenses of $195,000 and variable expenses of $305,000 is approximately
9.9%
123
Employees pay only 50% of the cost of
- FICA
- FUTA
- workers comp
- federal withholding tax
FICA
124
Which of the following financial statements includes assets and liabilities
- balance sheet
- statement of cash flow
- statement of revenues and expenses
- statement of changes in fun balances
balance sheet
125
payroll checks should include all of the following information except
- gross pay
- fica deductions
- income tax with holdings
- federal unemployment tax
federal unemployment tax
126
An administrator has been advised that utility costs far exceed those of comparable facilities. The first action should be to
- arrange for an energy audit
- determine whether excessive hot water is being used
- have all lights and equipment turned off when not in use
- check all heating and air conditioning units for efficiency
arrange for an energy audit
127
When two agencies or governmental bodies do not agree on interpretations relative to requirements and standards it is prudent to comply with the order that is
more stringent
128
According to surveyors to determine the comfortable and safe levels oft he air temperature in resident rooms and in dining areas the air temperature should be measured
3 feet above the floor
129
An administrator determines that his laundry is slightly understaffed but the shortages not enough to hire a full time employee. what would be the least economical solution
- hire a part time employee
- allow laundry employees to work overtime
- stagger employee schedules to provide extended daily laundry service
- assign underutilized personnel in another department to the laundry on a part time basis
-allow laundry employees to work overtime
130
According to OSHA all contaminated sharps must be discarded in sharp containers when?
immediately after used
131
The principal cause of odors in an NF is
incontinent residents
132
The major advantage in contracting with a professional pest control company is that
contractors are generally ore knowledgeable than staff about rotating appropriate pesticides to ensure effectiveness
133
The most common accident occurring to employees in a health care facility is caused by
lifting
134
the handrails in stairwells must extend beyond the firs and last steps by
12 inches
135
according to safe medical device reporting user facilities must keep records for
2 years
136
The safety program should include which of the following policies regarding the personal electrical appliances residents bring to the facility?
- personal appliances should not be allowed in the facility
- personal appliances should be inspected prior to initial use and a regular intervals
- personal appliances should always removed from the residents room and stored when not in use
- personal appliances must be inspected and certified as a safe by an outside appliance technician
-personal appliances should be inspected prior to initial use and a regular intervals
137
The fires that involve energized electrical equipment are classified as
class c fires
138
Hazardous communication programs hepatitis b virus, hiv immunization, and universal precautions are all enforced by
OSHA
139
Chemical manufacturers and importers must convey the hazard information to employers by means of labels and
material safety data sheets
140
All exit doors must swing
to the egress
141
according to the life safety code there must be at lease one class a fire extinguisher for every travel distance of
50 ft
142
OSHA accident reports must be posted
every year from feb 1 through april 30
143
The primary advantage of the fire detection systems isT
that the fire department is always notified immediately
144
backup batteries for generators must provide light for certain areas in a nursing home during emergency situations, however waivers may be obtained for all areas except
Exits and doors
145
A medicaid agency need not be notified if a change occurs in the
- facilities stock value
- ownership of the facility
- facilities nursing home administrator
- offices of the managing company of the facility
Facility's stock value
146
HIPPA requires nursing homes to
- give hospitals immediate access to a residents records
- employ a person who handles all HIPAA requirements
- Have written policies and procedures to ensure the protection of clinical records
- Have a family member or legal representative approve all transfers of resident clinical information
Have written policies and procedures to ensure the protection of clinical records
147
Which of the following is paid for under Part B of Medicare
- Dentures
- Prosthesis
- Eye glasses
- Hearing aids
Prosthesis
148
Which of the following does not license, register or certify professionals such as nurses and therapists
- associations
- state boards
- state agencies
- federal govt
Federal government
149
Disclosures of ownership is not required of
governmental agencies
150
in which type of business entity does the owner have the most limited liability
corporation
151
Bylaws usually contain all of the following except
- rules
- regulations
- job descriptions
- mission statement
job descriptions
152
it is not the role of the ethics committee to
- make decisions
- evaluate alternate solutions
- renew policies and procedures form an ethical perspective
- educate the residents, families, and staff about ethical decision making
make decisions
153
When a facility wishes to transfer a resident for reasons other than the health of the resident being in danger generally the notice to transfer must be provided at least
30 days prior
154
A resident has the right to work in a facility under certain circumstances except when the
- position replaces a full time employee
- resident agrees to the wok arrangement
- compensation is at or above prevailing wage rates
- plan of care specifies the nature of the service performed
position replaces a full time employee
155
Which of the following may not be considered abuse
- threats
- hand mitts
- deprivation
- voluntary seclusion
voluntary seclusion
156
Which of the following is seldom handled by the governing board
- hiring all staff
- practicing stewardship
- establishing goals and objectives
- appointing the licensed nursing home administrator
hiring all staff
157
the primary purpose of departmentalization is to
promote efficient operation
158
All fo the following are usually functions of the governing body of a health care facility except the
- funding sources
- organizational structure
- creation of a mission statement
- creation and implementation of procedures
creation and implementaion of procedures
159
a resident who dies without leaving a will is said to have died
intestate
160
it is considered a good administrative practice in a nursing facility to adopt regulations covering emergency nursing care for residents who may suffer acute coronary attacks. which one of the following approaches to assuring such care is likely to be most effective
- obtain signed standing cardiac orders for all residents in advance
- frequently review standing orders for a procedure to be followed in the event of such an emergency
- institute an ongoing in service training program to teach the nursing personnel the use of cardiac monitoring equipment
- Insist that all physicians who admit residents with histories of cardiac disorders write cardiac orders at the time of admission
-Insist that all physicians who admit residents with histories of cardiac disorders write cardiac orders at the time of admission
161
The ombudsman cannot
issue citations against a facility
162
The goals of providing resident support and increasing public awareness may be accomplished by the
resident council
163
Demographic information relates primarily to
statistics regarding populatin
164
The number of those who need and who will purchase the services offered by a facility can be determined by
a market opportunity analsis
165
marketing is orient to
consumers wants and needs
166
which of the following marketing efforts its perhaps the least effective to increase occupancy
- supplementing the work
- meeting the personal needs of the resident
- changing attitudes toward the physically disabled
- ringing the nursing facility and the community closer together
supplementing the work of the nursing staff
167
Effective delegation has been established when decisions are made
at the lowest level authorized to make them
168
When comparing leadership with management leadership
inspires
169
when a resident feels that everyone is against him/her it is best to
be logical and explain everything
170
Conflict is best resolved by
Problem solving
171
Which of the following is not a type of authority
- line
- staff
- functional
- span of management
span of management
172
A basic management principle is to put one person in charge when there are
Three or more employees working together
173
A governing body or designated persons is required by
OBRA
174
Goal orientation focuses on
future accomplishment
175
Purpose or mission is the basic task assigned to an enterprise by
the board of directors
176
The maximum number of shareholders in a closely held corporation is
50
177
Employees are primarily concerned with which three plans
policies, budgets, and programs
178
Laissez faire autocratic and paternal are all forms of
leadership styles
179
Before attempting to improve its public image, it is mandatory that the nursing facility
provide good resident care
