Mock National Exam 18 Flashcards
The ___ is the fundamental law of the US that establishes the responsibilities and rights of the federal courts
US Constitution
How often does the quality assurance committee have to meet per OBRA 1987
quarterly
Patient care plans MUST be reviewed, evaluated, and updated
Quarterly
How often must the comprehensive care plan be reviewed
Quarterly
The Family Medical Leave Act allows employees ___ weeks of unpaid leave each year
12
Which document is the governance of a corporation
the bylaws
How do you calculate the acid test ratio
Cash + accounts receivables + money market account / current liabilities
Working capital = current assets___
minus current liabilities
The comprehensive assessment must be completed within___ days of admission of a resident to a facility
14
The comprehensive care plan must be completed within ___ days of completion of the comprehensive assessment
7
Title XVII (17) of the social security act is
medicare
Title 19 of the social security act is
Medicaid
Title 8 of the social security act is
medicare
title XIX (19) of the social security act is
medicaid
Hot food must be served at minimum temperature of ___F
135
Cold foods should be stored or served at ___ F and below
41
___ mandates that policies in nursing homes must be approved by the governing body
OBRA
Facility policies must be updated how often
Annually
If a resident is declared mentally incompetent by a court, the rights of the resident would be assigned to
a court representative or guardian
When must residents be informed of their resident rights
prior to or at the time of admission
How must residents be informed of their resident rights
Both orally and in writing
A nurse from the Philippines is overheard talking in her native language around facility residents. One of the residents claims to the administrator. What should the administrator do
Explain to the nurse that speaking a language a resident does not understand is a violation of their resident rights
Controlled drugs MUST be stored in their original containers and placed where
under double lock protection
Controlled drugs MUST be stored in their original containers and stored where
In a separate compartment
Which is the BEST method of quickly increasing a facility’s cash position
collecting accounts receivables
If surveyors find substandard care during a compliant survey, the facility will be then subject to a ___ survey
partial extended survey
Subpoena duces tecum means
An order to appear with evidence
A violation cited at a severity of G would correspond to which severity level per OBRA 1987
Level 3
If you had the choice to eliminate a resident snack from one of the following times which one would you choose to eliminate
noontime stack
If you had the choice to eliminate a resident snack from one of the following times which one would you not have the option to eliminate
- morning snack
- noontime stack
- late afternoon snack
- bed time snack
Bed time snack
If a resident is prescribed an antipsychotic drug or a catheter the prescribing physician must do which of the following
- Ensure there is a written order in the file
- ensure the resident is seen by psychiatrist every 30 days
- ensure there is a diagnosis and written rationale for the use the medication
- ensure the consultant pharmacist approves the use of the medication
-ensure there is a diagnosis and written rationale for the use the medication
Aside form the required annual standard survey which of the following conditions would not trigger an abbreviated standard survey?
- change of ownership
- change of medical director
- change of administrator
- change of DON
- change of management
-change of medical director
Which therapists use heating pads
occupational therapist
Which therapist focuses on the upper body
occupational threapist
Which therapist can serve as the activities director
occupational therapist
Which type of lines on an organizational chart would show line authority and staff authority
straight lines and dotted lines
What is the first stage of a survey
offsite preparation
a facility must conduct activities ___days of the week
7
A DON can push a cart in a facility with ___ beds or less
60
Weight loss of ___% or more within 1 month is significant
5
Weight loss of ___% or more within 6 months is significant
10
how do you calculate the average percent of occupancy
divide the number of occupied bed days by the total number of days in the period and then divide by the total number of beds and then multiply by 100
How do you calculate the approximate percentage of gross profit
add the fixed expenses and the variable expenses and subtract from the gross income. divide the differences (net profit) by the gross income
ANSI establishes teh
width of a parking space for the handicap
The ___ must sign a notice of involuntary discharge based on a resident posing a threat to themselves or others, or no longer requires the services of a skilled nursing facility
A licensed physician
The ___ must sign a notice of involuntary discharge based on a residents failure to pay their bills
Administrator
How do you calculate a monthly depreciation amount using straight line depreciation
subtract the salvage value from the cost of the equipment and divide by the number of years to be depreciated and then divide by the number of months per year
Where money is borrowed for an agreed upon purpose between a lender and a borrower, this is called a __
promissory note
The air temperature in a nursing facility is measured
3 feet above the floow
Which of the following is an increase in worker salaries to adjust for inflation
COLA
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 receipt of the notice of the deficiency
Nursing facilities must file a request for formal dispute resolution within how many days of receiving deficiencies
20
____ measures the purchasing power of workers paychecks and is used to determine a cost of living adjustment for workers
CPI
How would the NHA know if there was inflation
The NHA would consult the consumer price index
One time costs of acquiring an asset (purchase price, taxes, shipping and delivery) are called ___ costs
Historic Costs
A three compartment sink has ___ compartments
Wash, rinse, sanitize
Medicare part ___ pays for drugs outside of an inpatient setting
Medicare Part D
The ___ prohibits paying for medicare referrals
Ethics in patient referrals
A ___ tag would indicate substandard care was found
F377 J
Medicare part D plan provides coverage for
Prescription drugs
NPO means
nothing per orally
A car purchased for $20,000 would be depreciated using straight line depreciation at $4000 a year for how many years
5
A handicap parking space must be a minimum of ___ feet wide
13
A charge nurse is
- lower management
- upper management
- middle management
- both 2 and 3
lower management
The DON is
- lower management
- upper management
- middle management
- both 2 and 3
middle management
Accounts receivables over 60 days past due must not exceed ___% of all accounts receivables
5%
___ pays for long term care for indigent nursing home residents
Medicaid
Ading baking soda to food will primarily affects its
Nutritive value
Weight loss of __% or more within 3 months is significant
7.5%
Per OBRA 1987 a facility must have a REGISTERED nurse on duty at least ___ hours a day for ___ days a week
8 consecutive hours a day, 7 days a week
The ___ recognized the right of workers to bargain collectively
Wagner Act
Prepaid insurance is what type of expense
An indirect expense
How do you calculate the average percent of occupancy
Divide the number of occupied bed days by the total number of days in the period and then divide by the total number of beds and then multiply by 100
How do you calculate the approximate percentage of gross profit
Add the fixed expenses and the variable expenses and subtract from the gross income. Divide the differences (net profit) by gross income
Maximum number of residents in one bedroom
4
___ uses the social environment as treatment
Millieu therapy
Fire extinguishers cannot be more than how many feet from each other
50
A general statement that guides thinking is a
Policy
The accounting equation is
Assets= liabilities + capital
Revenues - Expenses =
income
Employers must record all worker related injuries and illnesses in OSHA log ___ which is the summary of employee illnesses and injuries
300
OSHA protects primarily. ___ from workplace injuries and death
Wage earners
OSHAs general duty clause requires employers to
Provide a workplace free of recognizable hazards that can cause injuries
Most often cited OSHA violation is
Failure to post materials safety data sheets
Employers must post year end summary of injuries and illnesses between ___ and ___ of each year
Feb 1, April 30
Employers post year end summary of illness and injuries on OSHA form
300A
Employers with ___ or more employees must maintain a record of occupational illnesses and injureis
11
A facility must keep OSHA medical records for a minimum of ___years
30
Which document would record non-recurring entries that do not fit into any of the journals
General journal
A smoke proof enclosure must have a __ hours fire resistance and a door with ___ hour fire protection rating
2 hour fire resistance
1.5 hour fire protection
Except for the bathroom door, all other doors in a facility must be a minimum of ___ inches wide
44
Every patient room must have a door leading directly to which of the following
Exit access cooridor
The travel distance within a residents room to an access corridor cannot exceed __ feet
50
The travel distance from a residents door on an exit access corridor to an exit door cannot exceed
150
The travel distance within any patient room to an exit door cannot exceed
200
The percentage of weight loss for a person previously weighing 150 lbs and now weights 142 pounds
5.3
The bathroom door in the resident room must be a minimum of ___ inches wide
32
Influenza vaccinations for all residents AGE 65 AND OVER must be offered between ___ and ___ of each year
October 1 and March 31
A facility must provide or arrange for pneumococcal vaccination fo residents )pneumonia vaccine) to each resident who is age 65 prior to or upon admission to the facility between ___ and ___
November 1 and February 28
which requirement must facilities meet to participate in Medicare and Medicaid
Disclosure of ownership
The allowable medication error rate in a facility is ___%
5%
Calculate the medication error rate where 120 doses of medication were prescribed and 5 doses were not given and 4 doses were administered incorrectly
7.5 %
Which is the correct method to calculate a medication error
The number of medications not administered plus the number improperly administered divided by the opportunities for error
Anti psychotic medication would not cause which of the following side effects
- drowsiness
- dizziness
- disorientation
- allergic reactions
- tardive dyskenesia
- itching
itching
Medical records belong to the
facility
PRN means
Pro re nata
A gradual loss of hearing in the elderly resulting in total hearing loss is called
presbycusis
A colostomy bag is attached to the
Stomach wall
The administrator receives a phone call at 2am from the facility that a team of state surveyors are outside the front entrance to the facility requesting to enter the building to begin the annual survey. What should the administrator instruct all staff to do
allow them to enter the facility and to start the survey immediately
A 200 bed facility spent $15000 on food in June with an average daily occupancy of 80%. how much did the facility spend per resident per day
$3.12
___ publishes and promotes the life safety code
NFPA
Which of the following provides the tasks of a job, who the job reports to, salary and job title
- job statement
- job description
- job analysis
- job group
job description
___ is hypertension abbreviated
HTN
Low blood pressure is called
hypotension
high blood pressure is called
hypertension
which of the following would be considered severe hypertension
140 and above
Fire drills must be conducted ___ on all three shifts for a total of ___ drills a year
quarterly, 12
The main criteria for a lawful selection process is whether
an adverse impact occured
A physician who specializes in diagnostic procedures and treatment that do not involve surgical procedures is called an
internist
Management by walking around MBWA does not involve
Taking action on the spot
FLSA does not
Require employers to provide employees 12 weeks of unpaid family leave
Under FLSA minors under 16 years of age
Must obtain a temporary work permit from the DOL
Under FLSA a worker cannot accrue more than ___hours of compensatory time in a single year
240
___ is an operating expense
weekend overtime wages
an adverse impact occurs if the employee selection rate is less than __% of the selection rate of the majority group
80%
Which of the following is not a capital expense
- purchasing a new computer
- raw food purchases
- repaving the parking lot
- installing wall partitions
raw food purchases
Two housekeepers chatting while on break in the freak room about a patients status is using which type of communication
horizontal
A physician specializing in diagnostic procedures and treatment of non surgical cases is which type of physiian
internist
Diag means
diagnosis
stat means
immediate
___ induces vomiting
an emetic
The director of housekeeping asks an applicant her age and religious beliefs. This is
illegal
NPO stands for
nothing passed orally
A resident who is classified as ‘not responsible’ may smoke when
under direct supervision of facility staff
Hallways used for exiting must be a minimum of ___ wide and unobstructed
8 feet
Illumination of the means of egress must be continuous and must provide at least ___ foot candle measured at the
1 foot from the floor
Hallways throughout the resident sleeping area must have a/an
automatic smoke detector system
The minimum passing width for two wheel chairs is
60 inches
Every story used y residents must be divided into
two smoke compartments
The Fair Labor Standards Act requires that the overtime rate of ___ times the hourly rate to be paid for all hours over ___ during the week
1.5 times the hourly rate
40 during the week
The suffix ‘otomy’ means
incision
Current assets divided by current liabilities =
Current ratio
Current assets minus current liabilities =
working capital
An example of a fixed cost would be which of the following
Salary of the administrator or DON
Bills from supplier or office supplies are classified as among
Current liabilities
Depreciation is an expense associated with the use of an
asset
Organizing is the first step in implementing a
plan
responsibility to maintain the facility medical records must be assigned to a
full time employee
prohibiting discrimination on the basis of race color religion gender and national origin is the
Civil rights act
People who have only moderate achievement needs, are less competitive and more satisfied with moderation are characterized as ___ personality
Type B
People who are hard driven and achievement oriented, who strive constantly to achieve higher levels are characterized as ___ personality
Type A
A written statement given under oath before a notary public is an
affidavit
Statutes and regulations are collected int eh
Code
A physician specializing in the treatment of older people are called
Geriatrician
A resident with a blood pressure consistently greater than 160/95
Hypertensive
A resident with a blood pressure of ___ over ___ is considered to have hypertension
140/90
Psychotropic drugs affect the
Brain
a DON can serve as the charge nurse in a facility with ___ beds or less
60
Therapeutic diets are prescribed by a ___ and approved by a __
physician and dietitian
The time between dinner and breakfast cannot exceed ___ hours
14
If given a bed time snack, what is the time allowed between dinner and breakfast
16
The temperature of the final rinse cycle of hot water dishwasher is __ _degrees F
180
Assets, liabilities, capital and equity would be found on the
Balance sheet
If a nursing aide drops a resident which insurance policy will cover the facility
profesional liability
if the administrator wants to see the journals he/she wants to see
The books of original entry
