Mock National Exam 2 Flashcards
A mission statement is created and adopted by the
Governing body
The ___ has authority to make critical decisions regarding operation of a facility
administrator
___ concerns torts and disputes between private individuals
Civil law
The ___ is the fundamental law of the US that establishes the responsibilities and rights of the federal courts
US Constitution
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
Be hired but the facility must check the state registry periodically to confirm certification
A nurse aide certification is valid
Indefinitely
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
12 hours, 24 months
Before hiring a nurse aide, the facility must check the ___ to check the registries of other states for record of abuse or misconduct
multistate nurse aide registry
Must do a performance review of nurse aides a least every ___ by law
12 months
A reimbursement system where the provider is paid after services are rendered based on acuity is called
Retrospective payment system
A general statement about the behavior employees are expected to conform to is called
Value
A specific description of expected employee behavior is called a
Norm
A ___ is more powerful than a goal or plan
Vision
___ is responsible to maintain resident clinical records
Medical records
__ helps residents adjust to facility life and counsels residents and families regarding psychosocial and financial issues
Social services
___ is NOT REQUIRED on the labeling of drugs and biologicals
The name of the prescribing physician and manufactures name
___ keeps the facility clean and odor free
Housekeeping
___ keeps sheets gowns tablecloths clean and in good condition
Laundry
The medical records position must be
Full time
Residents do not have the right to
- a dignified existence
- self determination
- communicate with individuals inside and outside a facility
- smoke anywhere they want
smoke anywhere they want
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
Share a room with a spouse if only one spouse agrees
they both must agree
Any action taken by a facility to punish or penalize residents is called
Discipline
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
Physical restraint
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
-advise the resident of their rights within fourteen days of admission
must be done prior to or upon admission
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
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
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
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
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
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
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
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
The development and testing of clinical treatments such as an investigational drug or therapy is called
Experimental research
Written instructions relating to the provision of health care when an individual is incapacitated is called
An advanced directive
A resident who has capacity and withholds consent to treatment either directly or through an advanced directive
may not be treated
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
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
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
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
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
Medicare A does not pay for
a television
Care provided to a resident to relieve pain is
palliative care
The registered dietitian must be registered with the
American Dietic Association
Cold food must be served at ___ or below
41
Written preferences regarding the use of artificial life prolonging measures is called
A living will
Giving a care giver a break from caring for an individual they are caring for who needs constant care is called
Respite care
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
PAS or PASRR stands for
Pre admission screening, pre admission screening and resident review
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
Potentially hazardous food does not include
- raw meats
- raw eggs
- raw poultry
- cured meats and cheese
cured meats and cheese
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
Under federal rules, nursing homes may be referred to as
skilled nursing facility or nursing facility
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
Medicaid resident funds totaling in excess of $___ must be deposited in an interest bearing account
$50
___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
The facility must provide residents a full accounting of all monies held in trust
Quarterly
The facility must refund any monies held in trust within ___ days fo a residents death or discharge
30 days
Medicare resident funds totaling in excess of $___ must be deposited in an intrest bearing account
$100
Abuse is defined as
a willful infliction of injury, unreasonable confident, intimidation or punishment resulting in physical harm or pain or mental anguish
Facility staff must immediately notify the ___ of an allegation of abuse of a resident
administrator
___ are a chemical restraint
- diuretics
- analgesics
- psychotropic drugs
- antihypertensives
psychotropic drugs
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
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
A facility with ___ is required to have a full time social worker
121 beds or more
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
Per OBRA 1987 a facility is required to provide a residents a physical environment that is
Home like that deemphasized institutional appearance
