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LNHA > Mock National Exam 21 > Flashcards

Mock National Exam 21 Flashcards

1
Q

Nephritis is a disease of the

A

kidneys

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2
Q

The major objective of the applicant interview is to encourage the applicant to reveal as much information as possible regarding all of the following except his or her

  • ability
  • attitude
  • reliability
  • political and religious beliefs
A

political and religious beliefs

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3
Q

Patients are most easily encouraged to participate in those activities that

A

are personally satisfying

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4
Q

the primary advantage to an 8/80 scheduling is that it helps with

A

assignment of duties

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5
Q

Performance evaluations should be done at least how often

A

annually

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6
Q

the social work designee should be expected to

A

assist residents and family to use community resources

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7
Q

When an employee makes a mistake, he or she should be corrected

A

immediately and in private

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8
Q

To find the amount paid for salaries on a complete financial report the administrator should look at the

  • sales journal
  • balance sheet
  • statement of funds
  • income and expenses
A

income and expenses

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9
Q

isolation rooms must be designed to accommodate all of the following except

  • private bath or shower
  • call bell system
  • private toilet and hand washing facilities
  • single occupancy
A

private bath or shower

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10
Q

supervisors contribute most effectively to good morale in their department when they

A

discipline consistently and fairly

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11
Q

Posting means to

A

transfer entries from journal to ledger

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12
Q

A licensed registered nurse must be on duty

A

8 consecutive hours a day/7 days a week

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13
Q

Overtime pay must be at least

A

one and one half times base pay

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14
Q

A long term liability is an obligation that must be met

A

usually beyond the end of the year

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15
Q

The most important value of complete personnel records on attendance, performance, discipline, and evaluations is that they

A

provide a basis for objective evaluations of employees performance

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16
Q

The diversity of needs within a specified market is correctly referred to as

A

market segmentation

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17
Q

The nursing home services often used for public image building that involves short term stay of patients when the family needs a break is called

A

respite care

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18
Q

Before sitting down at the collective bargaining table the administrator shoudl

A

determine possible demands and how far you will go towards meeting them

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19
Q

The minimum amount of square footage per bed in a multi resident room is

A

80

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20
Q

Work orders are very important in the maintenance program and should include all of the following except

A

The instructions how to repari

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21
Q

Which of the following statements is true

  • every department in the nursing home should have goals and objectives
  • only major departments in the nursing home should have goals
  • only the owners of the facility should be concerned with objectives
  • since goals are important there is no need to review them periodically
A

Every department in the nursing home should have goals and objectives

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22
Q

The number of those who need and will purchase the services offered by a facility can be determined by a

A

Market opportunity analysis

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23
Q

A facility decides to install a new more efficient central air conditioning/heating systems that will save $2000 a year on utilities. useful life of the equipment is 10 years and it will be depreciated using the straight line method. the cost fo the new equipment is $18000 the depreciation expense will be

A

$1800 per year for 10 years

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24
Q

The function of management called organizing is best described as

A

process of grouping people and activities the assigning of roles and delegating authority for their supervision in a way that prevents friction and other unsought consequences

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25
Q

Fringe benefits are usually outlined in the

A

Personel policies

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26
Q

When accidents to employees or patients occur the accident reports should be

A

reviewed by the safety committee and measures set to prevent reoccurrence

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27
Q

Policies are general statements that guide thinking in decision making in the nursing facility and are

A

always worded so that the staff can exercise some judgement when executing them

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28
Q

A program that involves regular monitoring of all equipment and systems in a nursing facility is called

A

Preventative maintenance

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29
Q

Relative to setting objectives which task listed below would be of primary importance for the administrator to be accomplished

A

Constant review and reassess objectives of the nursing home

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30
Q

A nursing home is considering the purchase of a dishcwasher that costs $6000 and has a useful life of 10 years (with no salvage value) it is estimated that the machine will reduce operating cost by $800 over each of the next ten years. What is the payback period

A

7.5 years

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31
Q

Where a resident believes that their thoughts are controlled by others and is based on beliefs that are not based in reality, this is called

A

delusions

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32
Q

The infection control committee should hold a meeting at least

A

quarterly

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33
Q

In using radio and TV for marketing the facility should emphasize

A

Unique components of its services

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34
Q

When an asset can be quickly converted to cash without appreciable loss, it is said to be

A

liquid

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35
Q

To insure compliance with the Civil Rights Act of 1964 at the time of admission the facility should

A

assign a new resident to a room or ward without regard to the residents race color or national origin

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36
Q

What is meant by part A of the medicare health insurance program

A

it is the reimbursement section of the law

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37
Q

Costs that do not change when the occupancy rate or volume of services changes are known as

A

Fixed cost

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38
Q

The kidneys

A

filters the blood

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39
Q

In developing a good public relations program it is not necessary to

A

Hire a public relations specialist

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40
Q

The process of selling a services or goods in the market is

A

marketing

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41
Q

as a function of management organizing involves

A

developing and impelling a formal structure in the facility that facilitates the allocation of authority and resources

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42
Q

In order to involve department heads in the budget process what should the administrator ask them to do

A

review the materials and supplies normally used and then estimate what will be needed next year

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43
Q

Planning is primarily concerned with

A

use of facts to determine the course of action for the future

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44
Q

What is the main purpose of the Life Safety Code

A

to ensure that there is a reasonable degree of safety from a fire in all buildings used by the public

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45
Q

A ledger is a

A

List of debits and credits

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46
Q

In storage areas provided with a sprinkler system a minimum vertical distance of __ _inches must be maintained between the top of stored items and the sprinkler heads

A

18

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47
Q

What is the most costly employee benefit

A

vacation

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48
Q

What is the basic aim of a nursing home marking plan

A

change attitude of potential user

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49
Q

The mission statement of a nursing facility

A

explains the purpose of the facility and why is is doing what its doing

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50
Q

Ultimate authority in a private corporate nursing home is with the

A

Board of directors

51
Q

Cash or other assets that can be easily converted to cash and expected to be sued in the course of the years operation are

A

Current assets

52
Q

When labor representatives indicate that they plan to organize your facility the first thing to do is

A

confer with a labor relations specialist and develop an appropriate plan of action

53
Q

A line authority position is characterized by which one of the following

  • decision making vested in the supervisor
  • supervisor performs advisory functions
  • supervisor disciplines employees
  • the individual assists the department head
A

Decision making vested in the supervisor

54
Q

A person who has problems with verbal communication would normally be referred to

A

a speech therapist

55
Q

Responsibility for education of employees in the nursing home on matters of various rules and regulations falls to

A

The nursing home administrator

56
Q

Which of the following would not be considered discrimination if placed in a job advertisement

  • a female 5 feet tall or less to model children’s dresses
  • a single male or female who work late hours and weekends
  • a healthy college student to do light typing
  • a thin female to wait restaurant tables
A

A female 5 feet tall or less to model children’s dresses

57
Q

Which of the following cannot be used in pest control

  • underground poisoned baits
  • open traps
  • spray pesticides
  • non aerosol pesticides
A

Open traps

58
Q

Today nursing homes are becoming more involved in

A

marketing

59
Q

The water temperature at resident fixtures should be __ F

A

110

60
Q

The method used to decrease the value of building and equipment at a greater rate during the early years of tan assets life is

A

Accelerated depreciation

61
Q

The minimum width of a corridor in a nursing facility of new construction is

A

8 feet

62
Q

What is the purpose of workers compensation

A

provides coverage for an employee only on the job

63
Q

The purpose of an audit is to

A

Verify the accounting to determine accuracy

64
Q

The temperature of water supplied to resident fixtures should be between ___ and ___ F

A

100-110

65
Q

The civil rights act of 1964 Title VII and subsequent related acts are concerned with

A

Discrimination in hiring and firing practices, distribution of benefits and other employment practices

66
Q

If a drug is received from the pharmacy with a marred label, what should you do

A

return to the pharmacist for relabeling

67
Q

A pay plan that provides for periodic increases in pay is called

A

an increment plan

68
Q

The occupancy rate is calculated by

A

Dividing empty beds by total beds

69
Q

The physician for a nursing home resident should be chosen by

A

The patient and his/her designee

70
Q

Each resident would be examined by the attending physician every __ days for the first 90 days following admission

A

30

71
Q

The difference between marketing and public relations is

A

Marketing involves attracting patients, public relations involves people who may never need the service

72
Q

Newly hired employees should receive ___ upon hire

A

an employee handbook

73
Q

The primary value of a sound accounting system is that the management can

A

Measure performance against an established standardized budget

74
Q

The major reason accidents must be reported is

A

to investigate causes and prevent recurrence

75
Q

Standards on the use of chemicals and the notification to employees of chemicals in the work place are established by

A

OSHA

76
Q

The best inventory system is one that

A

Frequently counts the amount of goods and materials on hand

77
Q

The administrator finds an employee strongly supporting a union effort to organize in his facility . What can an administrator legally do

A

Describe collective bargaining to the employee

78
Q

A budget is best defined as a

A

Plan by which the administrator can accurately predict the financial conditions at the end of the year

79
Q

The primary purpose of a job description fo reach employee is to

A

Outline the functions of each job

80
Q

In bookkeeping terms, the initial recording of transactions is called

A

A journal entry

81
Q

When regulations are in conflicting always use the

A

Most stringent

82
Q

Which of the following holds little promise for improving job satisfaction technical and professional personnel

A

Job rotation

83
Q

When working with a resident with severe hearing loss, it is best to

A

Face the resident, maintain eye contact and speak clearly

84
Q

Which of the following forms of business is considered the oldest form of ownership

A

sole proprietorship

85
Q

The basic function of management called staffing is concerned with

A

Recruiting, selecting, orienting, training, developing and promoting demoting and retaining

86
Q

All of the following interview statements are true except

  • obese applicants cannot be asked about their ability to keep u with other staff
  • a mentally handicapped person can only be judged on their ability to do the job
  • questions regarding a conviction are allowed
  • questions regarding sex, race, age, marital status and number of dependents are allowed
A

-questions regarding sex, race, age, marital status and number of dependents are allowed

87
Q

The hazard communication program does which of the following

A

educates staff as to the chemicals they work with

88
Q

The main elements in universal precautions is

A

Use of gloves and handling techniques

89
Q

Every bedroom must have an outdoor window or a door with a window. What is the reason for this requiremetn

A

To provide light in the room in the day

90
Q

An individual employed by the facility but cannot give direction to others has which type of authority

A

Staff authority

91
Q

An individual who is retained by a facility as a consultant and cannot give direction to others has which type of authority

A

Advisory authority

92
Q

The first step in planning is

A

Setting the objectives of the organization

93
Q

When marketing a nursing home, radio and television ads, as opposed to printed material, should stress

A

Differences

94
Q

Accrual refers to

A

An accounting system

95
Q

The primary advantage of an effective resident council is that is

A

Gives residents a sense of control over their lives

96
Q

A facility would be considered out of compliance with the Civil Right Acts of 1964 if

A

The facility maintains as a matter of policy separate dining facilities for residents of different races

97
Q

Which of the following is not necessary fo ra facility to be certified in the Medicare Program

A

A full time medical director

98
Q

A procedure is

A

A detailed statement to accomplish a task

99
Q

A marginal return is when

A

Income is no more than 5% over expenses

100
Q

Which of the following situations is an example of Respondeat superior

  • a private duty nurse on contract carelessly dumps a resident from a wheelchair causing injuries to the resident
  • a physician prescribes a medication for a resident without consulting the medical hart, causing the resident to become hospitalized due to an allergy to the medication
  • A nurse carelessly leave the side rail down when changing an occupied bed causing the resident to roll onto the floor and become injured
  • A nurse aide hurries down the hall to answer a call light and knocks down a resident who is not injured
A

A nurse carelessly leave the side rail down when changing an occupied bed causing the resident to roll onto the floor and become injured

101
Q

Which of the following situations is an example of Respondeat superior

  • a private duty nurse on contract carelessly dumps a resident from a wheelchair causing injuries to the resident
  • a physician prescribes a medication for a resident without consulting the medical hart, causing the resident to become hospitalized due to an allergy to the medication
  • A nurse carelessly leave the side rail down when changing an occupied bed causing the resident to roll onto the floor and become injured
  • A nurse aide hurries down the hall to answer a call light and knocks down a resident who is not injured
A

A nurse carelessly leave the side rail down when changing an occupied bed causing the resident to roll onto the floor and become injured

102
Q

Which activity uses clocks, calendars, and current events

A

Reality orientation therapy

103
Q

When a medication is discontinued it should be

A

Removed from the nursing unit

104
Q

Walls in a smoke compartment must be rated

A

ABC

105
Q

The travel distance in a smoke compartment is ___ feet

A

200

106
Q

A medicare provider who has been terminated under 42 CFR 489.53 wishes to be reinstated. Which of the following must be used to verify that the provider is capable of achieving and maintaining substantial compliance with all applicable participation requirements

A

The use of surveys verify compliance

107
Q

The commonly used formula to calculate the employee turnover rate is

A

Total number of employee terminated divided by total full time employees x 100

108
Q

The best way to ensure that an employee understands an order is to

A

Ask what the employee is going to do

109
Q

The minimum width of an interior door in the smoke compartment is __ _feet wide

A

44 inches

110
Q

Doors on a fire exit corridor should not have which of the following features

A

Have vent grills to provide ventilation into the room

111
Q

Which of the following would cause a resident to feel light headed upon standing to quickly

A

Hyopstatic hypertension

112
Q

Debt to asset ratio is calculated by which of the following

A

Current liabilities+ non current liabilities divided by total assets

113
Q

A facility must maintain a minimum of clearance of ___ inches below the fire sprinkler head

A

18

114
Q

What is ‘ramp treatment’ for an incline 1/2 and inch or more

A

installing handrails on both sides

115
Q

Which of the following is not part of historic costs

  • sales tax
  • installation costs
  • delivery costs
  • salvage costs
A

Salvage costs

116
Q

A facility must conduct fire drill show often

A

Quarterly

117
Q

Where a door has a vent or grill but into the door the NHA should do which of the follwign

A

Cover the vent or grill and seal it

118
Q

Which of the following describes a ‘claims made policy’

  • only pays claims for claims that are submitted for losses while they policy is in effect
  • pays for any claims which occurred during the period the policy was in effect, even if submitted after expiration of the policy
  • pays for all claims regardless of when the loss occurred
A

-only pays claims for claims that are submitted for losses while they policy is in effect

119
Q

High forward reach form a wheelchair is

A

48 inches

120
Q

Slicing potential market into subgroups by age, income, social standing and religion is alled

A

Market segmentation

121
Q

True or False

hand sanitizes may be used in a skilled nursing facility

A

True

122
Q

Cubicle curtain must have a mesh panel ___ inches form the ceiling

A

18

123
Q

Cubicle curtains must be made of ___ material

A

Fire retardant

LNHA (26 decks)

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