Mock National Exam 2 Flashcards
1
Q
A mission statement is created and adopted by the
A
Governing body
2
Q
The ___ has authority to make critical decisions regarding operation of a facility
A
administrator
3
Q
___ concerns torts and disputes between private individuals
A
Civil law
4
Q
The ___ is the fundamental law of the US that establishes the responsibilities and rights of the federal courts
A
US Constitution
5
Q
An individual who completed a state approved training program and the evaluation program (exam) for certified nursing aide but their name does not yet appear on the state registry may
A
Be hired but the facility must check the state registry periodically to confirm certification
6
Q
A nurse aide certification is valid
A
Indefinitely
7
Q
To maintain certification requirements, a CNA must complete ___ hours of in services each year, and must not go more than ___ consecutive months without working in capacity of providing nursing assistant services for pay
A
12 hours, 24 months
8
Q
Before hiring a nurse aide, the facility must check the ___ to check the registries of other states for record of abuse or misconduct
A
multistate nurse aide registry
9
Q
Must do a performance review of nurse aides a least every ___ by law
A
12 months
10
Q
A reimbursement system where the provider is paid after services are rendered based on acuity is called
A
Retrospective payment system
11
Q
A general statement about the behavior employees are expected to conform to is called
A
Value
12
Q
A specific description of expected employee behavior is called a
A
Norm
13
Q
A ___ is more powerful than a goal or plan
A
Vision
14
Q
___ is responsible to maintain resident clinical records
A
Medical records
15
Q
__ helps residents adjust to facility life and counsels residents and families regarding psychosocial and financial issues
A
Social services
16
Q
___ is NOT REQUIRED on the labeling of drugs and biologicals
A
The name of the prescribing physician and manufactures name
17
Q
___ keeps the facility clean and odor free
A
Housekeeping
18
Q
___ keeps sheets gowns tablecloths clean and in good condition
A
Laundry
19
Q
The medical records position must be
A
Full time
20
Q
Residents do not have the right to
- a dignified existence
- self determination
- communicate with individuals inside and outside a facility
- smoke anywhere they want
A
smoke anywhere they want
21
Q
Residents do not have the right to
- inspect their own records within 24 hours of request
- share a room with a spouse if only one spouse agrees
- self administer medication if the interdisciplinary care planning team determine it is safe
- a written notice of discharge within 24 hours of transfer to an acute care facility
A
Share a room with a spouse if only one spouse agrees
they both must agree
22
Q
Any action taken by a facility to punish or penalize residents is called
A
Discipline
23
Q
A manual or physical method or mechanical device, material or equipment attached or adjacent to a resident’s body that restricts movement is called a
A
Physical restraint
24
Q
A facility is not required to
- inform the resident of their rights both orally and in writing in a language they understand
- advise the resident of all their rights and obligations under facility rules
- advise the resident of their rights within fourteen days of admission
- have a resident acknowledge written notice of their rights and any amendments
A
-advise the resident of their rights within fourteen days of admission
must be done prior to or upon admission
25
A facility is not required to provide ___ to residents who do not understand the predominant language in the facility
- an interpreter
- a written translation of the required notice of rights
- a roommate who speaks their native language
- a written translation in the language most commonly spoken in the family
-a roommate who speaks their native language
26
A facility may provide a resident just an oral summary and a written copy of the statement of rights when
the resident speaks the predominant language and fully understands their rights
27
Which is not true regarding storage of drugs and biologicals
- all drugs and biologicals must be stored in locked compartments and under proper temperature controls
- schedule I drugs must be stored in a locked compartment
- A facility may only permit authorized personnel to have keys to locked drug compartments
- Schedule II controlled drugs must be stored in permanently affixed compartments with separate locks from the main compartment door
-schedule I drugs must be stored in a locked compartment
schedule one drugs are illegal and not allowed int he facility. Schedule 2 drugs are narcotics
28
A physician does not need to be notified when
- a significant change in physical or cognitive condition
- a change in roommate or room assignment
- a transfer or discharge from the facility
- a resident expires or dies
A change in roommate or room assignment
29
A facility cannot
- charge a reasonable fee for copying the statement of residents rights
- provide a resident access to review their records within 24 hours of an oral or written request
- provide copies of resident records within 48 hours of oral or written request
- charge a reasonable fee for clerical time to photocopy records
charge a reasonable fee for copying the statement of residents rights
there cannot be any charge for a copy of resident rights
30
A facility may not
- charge a reasonable fee per clerical time to copy resident records
- charge a reasonable fee per page copy charge to copy resident records
- charge a reasonable fee for clerical time to copy resident records
- charge a reasonable fee for clerical time to type a bill to copy resident records
charge a reasonable fee for clerical time to type a bill to copy resident records
31
A resident does not have the right to
- be informed about their health status
- be informed in a language they understand
- be informed in jargon free language
- to a private room
To a private room
32
A facility can
- condition admission upon a resident signing an advanced directive
- use its own advanced directive form
- refuse to honor an advanced directive which it has ben provided a copy of
- inform a resident orally and in writing of their right to make a n advanced directive
Inform a resident orally and in writing of their right to make an advanced directive
33
The development and testing of clinical treatments such as an investigational drug or therapy is called
Experimental research
34
Written instructions relating to the provision of health care when an individual is incapacitated is called
An advanced directive
35
A resident who has capacity and withholds consent to treatment either directly or through an advanced directive
may not be treated
36
Resident shave the right to reuses medical treatment , food, bathing etc. if a resident refuses treatment the facility is not required to
Discontinue all other treatment until the resident withdraws their earlier refusal of treatment
37
Per OBRA 1987 a facility has an obligation to provide the resident care that
allows the resident to attain the highest practicable physical, mental and psychosocial well being
38
Residents do not have the right to
- withdraw form an experimental research project if they wish
- refuse to participate in an experimental research project
- to be compensated by the facility for participating in experimental research
- be informed of possible risks fo participation in an experiment
Be compensated by the facility for participating in experimental research
39
Which is NOT true
- must provide residents notice of all available services prior to or upon admission
- must inform residents of all covered and non covered services under Medicare and Medicaid
- must advise residents with 21 days in advance of any changes in charges
- must advise residents of the cost of all services in the facility prior to or upon admission to the facility
must advise residents within 21 days in advance of any changes in charges
-must provide 14 days prior notice of any changes in resident contract or charges
40
A medicare beneficiary who requests services that are. not covered by medicare can
- be denied admission or transferred to another facility that can meet their needs
- be required to deposit money with the facility to cover those expenses
- be offered a supplemental insurance policy offered by the facility
- be provided all other services reimbursed by medicare
-be required to deposit money with the facility to cover those expenses
41
Medicare A does not pay for
a television
42
Care provided to a resident to relieve pain is
palliative care
43
The registered dietitian must be registered with the
American Dietic Association
44
Cold food must be served at ___ or below
41
45
Written preferences regarding the use of artificial life prolonging measures is called
A living will
46
Giving a care giver a break from caring for an individual they are caring for who needs constant care is called
Respite care
47
A document which sets for an individuals preferences for the use of life prolonging measures (tube feeding, ventilator) if they are incapacitated is called a
Living will
48
PAS or PASRR stands for
Pre admission screening, pre admission screening and resident review
49
Medicaid resident funds totaling less than $50 in funds may be maintained in
- interest bearing account
- petty cash fund
- non interest bearing account
- all the above
Non interest bearing account
50
Potentially hazardous food does not include
- raw meats
- raw eggs
- raw poultry
- cured meats and cheese
cured meats and cheese
51
The DON and the attending physician ___ the consultant pharmacist reports
- are required to agree with and respond to
- are not required to agree with but must respond to
- may defer to the medical director to accept or reject
- may override
-are not required to agree with but must respond to
52
Under federal rules, nursing homes may be referred to as
skilled nursing facility or nursing facility
53
Per OBRA 1987 a facility must serve food that is ___ and prepared in a form that meeds residents individual needs
- attractive, palatable and at appropriate temperature
- tasty and well proportioned
- low fat and sugar free
- diabetic appropriate
attractive, palatable and appropriate temperature
54
Medicaid resident funds totaling in excess of $___ must be deposited in an interest bearing account
$50
55
___does not have an unrestricted right of access to residents at any time
- law enforcement
- state and federal inspectors
- long term care ombudsman
- family and visitors who the resident what instructed they do not want to see
-family and visitors who the resident what instructed they do not want to see
56
The facility must provide residents a full accounting of all monies held in trust
Quarterly
57
The facility must refund any monies held in trust within ___ days fo a residents death or discharge
30 days
58
Medicare resident funds totaling in excess of $___ must be deposited in an intrest bearing account
$100
59
Abuse is defined as
a willful infliction of injury, unreasonable confident, intimidation or punishment resulting in physical harm or pain or mental anguish
60
Facility staff must immediately notify the ___ of an allegation of abuse of a resident
administrator
61
___ are a chemical restraint
- diuretics
- analgesics
- psychotropic drugs
- antihypertensives
psychotropic drugs
62
Resident councils do not have the right to
- form and operate in a facility
- meeting space in the facility
- have a staff member assigned to them to assist them
- demand the administrator implement their recommendations
demand the administrator implement their recommendations
63
An administrator should not
- provide space tot he resident council for meetings
- respond to recommendations from the resident council
- respond only to resident suggestions he/she intends to implement
- have a staff member prepare minutes of each meeting
respond only to resident suggestions he/she intends to implement
64
A facility with ___ is required to have a full time social worker
121 beds or more
65
The activities program director does not need to
- complete a state approved training course
- have 2 years experience in a social or therapeutic program in the last 5 years, 1 year of which must have been employed full time in a patient activity program
- be a qualified speech therapist
- be a qualified therapeutic specialist or activities professional
-be a qualified speech therapist
66
Per OBRA 1987 a facility is required to provide a residents a physical environment that is
Home like that deemphasized institutional appearance
67
Per OBRA 1987 a facility must have a registered nurse on duty at least ___ for ___ a weeek
8 consecutive hours a day 7 days a week
68
The human resources department
- ensures employment policies are consistently followed
- supervises all facility employees
- interviews and selects all new employees
- administers most human resource policies
ensures employment policies are consistently followed
69
Nursing homes with 100-150 beds usually ___ a full time HR person
- do not employ
- have the administrator fill the function of
- employ
- none of the above
do not employ
70
A statement of a job that specifies job title required qualifications, who the job reports to, duties and performance expectations is called a
Job description
71
A STATEMENT of skills, education and experience required to do a job is called
job specification
72
A ___ distinguishes one job from another
- job title
- job description
- job specification
- job analysis
job description
73
Locating prospective staff is called
recruitment
74
The DON can serve as a floor nurse in a facility with __ or fewer residents
60
75
The best way to fill a job vacancy is by
employee search firms
76
The order to admit a resident to a nursing home must be signed by
a physician
77
The ___ must certify the accuracy and completion of the resident assessment
Registered nurse
78
Any individuals seeking admission to a skilled nursing facility must be screened for mental illness or retardation per the PAS or PASRR that is completed by ___ to determine if the individuals needs can be met by a facility
The state mental health agency
79
A significant weight loss within 3 months would be ___%
7.5
80
A facility must designate a nurse to serve as a charge nurse on
all three shifts
81
A facility can recruit workers from the outside using all of the following methods except
- employee referrals
- newspapers ads
- career ladder
- facility website
a career ladder
82
Deciding which applicant best fits a job is called
Personnel selection
83
The director of nursing must be a
registred nurse
84
Which is NOT TRUE
- the facility must employ a registered dietician on a full time part time or consultant basis
- only a registered dietician can be prescribe a therapeutic diet
- a food services director must be employed if a dietician is not employed full time
- the food services director must receive frequent and regularly scheduled consultations with a registered dietician if they are not a registered dietician
only a registered dietician can prescribe a therapeutic diet
-only a physician can prescribe a therapeutic diet
85
Which is NOT true
- must provide residents nutritionally balanced and palatable meals
- must staff sufficient dietary personnel to competently cary out dietary services
- must prepare meals at the proper temperature and appropriate times
- registered dietician must be registered with the American Association of Dieticians
-registered dietician must be registered with the American Association of Dieticians
it is the american dietic association
86
Menus must be retained for
1 month
87
The care plan is completed by an interdisciplinary team that dose not need to include
administrator
88
The care plan must be reviewed ___ and completely reassessed___
quarterly annually
89
A resident must be reassessed prior to the next scheduled review or annual assessment if the ___
- resident experiences a significant change in physical and mental condition
- resident is discharged or transferred from the facility
- medical director order the evaluation
- resident tries to organize a resident group
resident experiences a significant change in physical and mental condition
90
A full comprehensive assessment must be done every ___ or since the last assessment if there was a significant change in status
12 months
91
The ___ must sign an involuntary discharge for non payment of resident bills
administrator
92
A facility must provide a resident ___ days of prior notice of an involuntary discharge
30
93
___ uses promotion to retain employees
A career ladder
94
Seeing feeling, hearing or tasting something that is not there is called a
Hallucination
95
The main criteria for a lawful employee selection process is
whether an adverse impact occurred
96
An unlawful selection process exists if the employee selection rate is less than ___ of the selection rate of the majority group
80%
97
An order admitting an individual to a nursing home is not required to include
- dietary needs
- medication needs
- routine care instructions
- therapeutic activity schedule
Therapeutic activity schedule
98
An order admitting an individual to a nursing home must e signed by
a licensed physician
99
Menus must be prepared in ___ advance
4 weeks
100
Per OBRA 1987 food must be prepared
- by methods that conserve nutritive value, flavor and appearance
- in the most cost effective means practicable
- with sufficient spices and salt to provide flavor
- in the quickest manner possible
by methods that conserve nutritive value flavor an d appearance
101
If a resident refuses to eat a planned meal, the facility must serve
- a substitute meal equivalent to the nutritive value of the planned meal
- a nutritious snack instead
- ice cream
- fortified cake
-a substitute meal equivalent to the nutritive value of the planned meal
102
Palatable refers to the ___ of the food served
tastiness
103
asking applicants short questions and briefly talking with them about a job is a
preliminary interview
104
The Myer Briggs personality test consists of 100 questions that measure
extroversion/introversion
105
Eliciting information on the phone from a job applicant requesting an interview is called a
telephone interview
106
Letting an applicant talk about their experience and background without any structure is called a
non directive interview
107
which is TRUE
- unstructured interview are more reliable than structured interview
- interviews provide the interviewer information why an applicant would be a good employee
- physical appearance is more important than factual data
- an interviewer can learn more from listening than talking in an interview
an interviewer can learn more from listening than talking in an interview
108
Which is NOT TRUE
- the interviewers race affects the behavior of the person being interviewed
- interpersonal skills and motivation is best evaluated in a n interview
- open ended interviews are more reliable than structured interviews
- the facility must display an EEOC poster
open ended interviews are more reliable than structured interview
109
Which would NOT ADVERSELY AFFECT the nutritive value, flavor and appearance of food
- properly seasoned food
- the addition of baking soda
- holding food on the steam table for an extended period of time
- cooking food in a large volume of water
properly seasoned food
110
A diet ordered by a physician as part of a treatment for a disease of clinical condition is called a
Therapeutic diet
111
When the texture of food is altered (puree) this is called a
mechanically altered diet
112
each resident must be served ___ meals each day
3
113
No more than ___ hours may bypass between a substantial evening meal and breakfast time
14
114
Which is NOT TRUE of the performance evaluation process
- working expect a manager to be familiar with their work
- workers expect an evaluator to understand what they do
- workers expect an evaluator to be objective
- the evaluation focuses on future performance
-the evaluation focuses on future performance
| performance reviews focus on past performance
115
An evaluation tool where the manager rates an employees traits on a scale is called a
rating scale
116
Where a supervisor consistently rates employees as average although their performance is far superior or below expectation is called
Error of Central Tendency
117
Hot food must be served at a minimum temperature of ___F
135
118
Where a manager rates an employee across an entire range of traits based on one behavior this is called teh
Halo effect
119
Reassigning an employee within a company is called a
transfer
120
moving an employee down the career ladder based on a performance review is called
demotion
121
temporary dismissal of an employee is called
layoff
122
an administrator would be classified for overtime purposes as
salaried employee, exempt
123
an increase in pay to adjust incomes for inflation and maintain workers purchasing power is called
COLA
124
___ measures the purchasing power of worker paychecks and is used to determine a cost of living adjustment for workers
CPI
125
When an administrator compares salaries of all employees to nurses salaries this is called
Benchmarking salaries
126
Size and frequency of pay increases tied to performance is called
merit pay
127
___ is the correct order of actions in a progressive discipline process
verbal warning written warnings, discharge
128
Discharged employees have the right to present their case to
employment security commission
129
The daughter of a resident who has POA over her mothers assets was persuaded by the admissions director to sign an agreement to pay either mothers bills from her mothers assets. the administrator should
commend the admissions director for her initiative
the facility should have an individual with control of a residents assets to sign an agreement to ensure payment from the residents assets to the facility
130
___ would have the highest priority in deciding whether to repair or replace a piece of equipment
resident safety
131
___ develops and publishes the Life Safety Codes
- ANSI
- EEOC
- NFPA
- OSHA
NFPA
NFPA i a private organization that develops fire safety standards. NFPA does not enforce the LSC that is done by state surveyors as part of an annual survey
132
___ monitors compliance with the ADA construction standards
Architectural and transportation barriers compliance board
133
Which is NOT TURE
- each facility must have a standardized procedure to document maintenance requests
- a timely response to a maintenance request is 7 days
- the maintenance director must prioritize maintenance needs
- a good maintenance program extends the life of the equipment and buildings
a timely response to a maintenance request is 7 days
-as son as possible in order of priority as determined by the maintenance director
134
The main elements of a residents physical environment does not include
- space heaters and shag rugs
- elevated toilet seats
- grab bars
- clocks with large numbers
space heaters an shag rugs
135
Which is NOT TRUE
- a resident has the right to reside in a facility and receive services
- the facility must accommodate individual needs and preferences except if other residents would be endangered
- residents must be allowed and encouraged to use their own clothes to the extent practicable
- residents can bring in asa much clothing and furniture as they want regardless of space consequences
residents can bring in as much clothing and furniture as they want regardless of space considerations
a facility can impose reasonable limitations
136
A facility is not required to provide residents
- closet space
- dresser
- clean bed
- television
a television
137
A facility must maintain a comfortable atmospheric temperature of between
71-81
138
A weight loss of ___ in 6 months is significant
10%
139
An infection control program is responsible for which of the following
- track trends and types of infection in facility
- investigate control and prevent infections
- decide required resident isolation emasures
- maintain records of all incidents and corrective action regarding infections
- all the above
all the above
140
Medicare part D plan provides coverage for
prescription drugs
141
in an emergency corporate representatives have ___ authority and can give staff direction
- advisory authority
- line authority
- staff authority
- implied authority
line authority
142
A resident was a admitted with a post operative wound on her left leg. Physicians orders were to clean the wound BID and change bandage QD. A state surveyor on an abbreviated survey notes that the facility failed to follow treatment orders and there is no record of the wound being cleaned or the bandage changed. The wound was observed to be severely infected and the resident was immediately transferred to an acute care facility for emergency treatment. The facility will most likely be cited for
risk of injury, harm or death to resident; immediate jeopardy
143
The gastrointestinal tract is known as the
Digestive tract
144
A facility may no
- deposit resident funds into an interest earning account
- deduct monies form a resident account for monies owed the facility
- commingle trust funds with facility funds
- provide residents trust account statements quarterly
-commingle trust funds with facility funds
145
___ is not a basic need of workers
- food and water
- company car
- financial security
- social acceptance
company car
146
Terminating an employee based on poor performance is called
discharge
147
a worker who punches in and out on a time clock is a
hourly worker
148
an employee who is paid the same regardless of hours worked is a
salaried employee, exempt
149
an employee background check would not normally include
- references
- criminal background check
- consumer credit check
- lie detector test
lie detector check
150
Which is not TRUE
- CDROMS are cost effective to train workers
- paper records systems are more efficient than electronic systems
- GroupWise allows employees to work on same document at same time
- Imaging/scanning allows HR to scan and store records electronically
paper record systems are more efficient than electronic systems
electronic records are far more efficient
151
The ___ requires an applicants consent to do a consumer credit check
Fair credit act of 1991
152
Which is NOT TRUE
- the preemployment physical establishes and applicants physical abilities to do a job
- the pre employment physical establishes a baseline for later physical exams (workers compensation claim)
- Lab results can detect drugs
- an applicant can be told after the job offer that a physical examination is required
-an applicant can be told after the job offer that a physical examination is required
must inform applicants up front that physical exam is required
153
Under the ADA a facility is required to make special accommodations for a worker when
- a physician determines an applicant cannot meet physical demands of job and has a covered physical disability
- a physician determines an applicant cannot meet physical demands of job but does not have a covered physical disability
- a physician determines an applicant can meet physical demands of job and has no physical disability
- an applicant who never learned to read and requests a special accommodation
-a physician determines an applicant cannot meet physical demands of job and has a covered physical disability
154
The ___ does most of the hiring in a nursing home
- administrator
- governing body
- corporate office
- department heads
department heads
155
A hiring approach where a decision maker reviews all information on an applicant and then decides whether to hire is called
- clinical approach
- statistical approach
- selection process
- statistical method
clinical approach
156
The purpose of providing new employees a tour of the facility on the first day would not include which of the following
- orient new employees to the physical location of offices and supplies
- meet managers and coworkers
- identify safety features and systems
- to provide mandated training
To provide mandated training
mandated training is done during orientation
157
Which is NOT TRUE
- a checklist ensures nothing is missed during orientation
- orientation training in most topics are legally mandated
- both supervisor and employee should initial each topic covered on a checklist
- more than one person should be responsible to conduct orientation and keep the documentation
-more than one person should be responsible to conduct orientation and keep the documentation
158
Which is true
- orientation communicates to employees the needs of the facility
- employees who are not provided orientation ware more likely to stay with a company
- orientation is usually 1 day
- most orientation in service topics are not legally mandated
orientation communicates to employees the needs of the facility
159
___ is not part of an employees first day
- performance review
- introduction to staff
- tour of facility
- official welcome
Performance review
160
Which is not true
- individuals completing orientation should sign the orientation check list
- orientation creates a reservoir of good will
- employees not oriented are not a legal liability
- new employees receive critical training during orientation before starting new jobs
-employees not oriented are not a legal liability
161
The primary measure of effectiveness of a training program is whether
- employee behavior was changed
- the number of lawsuits went down
- the number of grievances went down
- customer satisfaction surveys improved
employee behavior was changed
162
A hiring approach where a decision maker rates an applicant on a scale of different traits and dimensions and assigns a numerical score is called
- clinical approach
- statistical approach
- selection process
- performance appraisal
-statistical approach
163
Workers do not need ___ to motivate them
- social approval
- financial security
- strict instructions on how to do their job
- positive feedback form managers
strict instructions on how to do their job
164
the ___ states that workers expect raises and promotion and rewards if they work hard
- expectancy theory
- reinforcement theory
- operant conditioning
- positive reinforcement
expectancy theory
165
the ___ states that negative or positive outcomes will either encourage or discourage an employee from repeating a specific behavior
reinforcement theory
