Mock National Exam 3 Flashcards
Profit and Loss Statement (PILAR)
Profit Income Loss Expenses Revenue
-Income statement money made
Balance Sheet (LANCE)
Liabilities Assets Net worth Capital Equity
-Financial well being
General Ledger
Summarizes the debits and credits
Which of the following is not on the income statement
Income
Revenue
Profit
Capital
Capital
___ uses rewards to shape specific employee behaviors
Operant Conditioning
The ___ requires employers to document employee performance
EEOA
New employees should ___ to learn how to do their jobs
Be paired with experienced co-workers
After initial orientation, all further training sessions in a nursing home are called ___
In-services
Attending physician visits are timely per federal regulation if completed___
Every thirty days for the first 90 days
After the initial visit, the physician cannot alternate visits with a ___
Nurses aide
The attending physician is not required to ____
Re-sign facsmile orders transmitted to the facility
the faxed order was signed by the physician prior to transmission to the facility
Specialized rehabilitative services do not include___
Restorative Nursing
Specialized rehabilitative therapy must be provided under written order of the___
The attending physician or a licensed physician
A facility is not required to ___
Pay for all dental care
The ___ is responsible to determine if a facility’s drug records are in order and all controlled drugs are accounted for and maintained and reconsiled
Consultant pharmacist
The consultant pharmacist must review each resident’s drug regimen___
Monthly
Under HIPAA when a worker moves from one job to another, their new employer’s health plan can exclude coverage for a preexisting health condition for no more than ___ months
12
The first step in formulating a marketing strategy is to do a
Market audit
The consultant pharmacist must report any irregularities to the DON and the
ADON
Salmonella is found in
Chicken
Most common contributing factor for food-borne illness is
Improper storage
Hot foods should leave the kitchen at ___F
135F
Cold foods should be kept at ___F and below
41 F
The freezer temperature should be set at ___F
20F
Raw meats should be stored on/in the ___ in the refrigerator
Bottom shelf
Raw meats should be separated from other foods
Vegetables and fruits should be stored in the refrigerator
12 inches
Food should be stored ___ inches off the floor
6 inches
A three compartment sink has ___ compartments
wash, rinse, sanitize
A dishwasher that uses hot water wash and rinse cycles have a wash cycle at ___ F and final rinse cycle at __ F
150, 180
A low temperature dishwasher uses hot water at ___F and bleach at 50 PPM of bleach
120
Which is true?
- Must keep refuse container in good repair/no leaks
- Must keep dumpsters and compacter with lids covered
- Must keep garbage storage areas clean and odor free
All the above
The ___ has authority to make critical decisions regarding operation of a facility
Governing body
___focus on torts and disputes between private individuals
Civil laws
The ___ protects US worker health and safety in the work place
Occupational Safety and Health Act
The ___ develops safety and infection control standards in nursing homes
Occupational Safety and Health Administration
The facility safety committee must meet at least ___ to discuss unsafe practices and behaviors, analyze reports and identify prevention measures
Monthly
Under the universal precautions required by OSHA, ___ would not be considered a bodily fluid
Saliva
The main objective of OSHA’s Hazard Communication Standard does not include
Reporting worker injuries
____ protects workers from injury from unexpected hazardous energy discharge by the use of energy isolating devices
Lockout/Tag out Program
The OSHA compliance and regulatory program does not include
Assessing multimillion dollar fines for willful violations
OSHA administers the
Occupational Safety and Health Act
Employers must provide new workers initial training on the MSDS and other OSHA safety rules
Upon Hire
Employers must provide worker training in NEW OSHA standards within ___ days of implementation of a new law
90
Employers must record all worker related injuries and illness 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 illnesses and injuries
11
Occupational illnesses would not include
A sprained ankle resulting from a fall at home
Employers must report to OSHA fatal or seriously injuries involving three or more employees within ___
8 hours
The ___ department helps residents adjust to facility life and counsels residents and families regarding psychosocial and financial issues
Social services
A drug label is not required to ___
The physicians name and manufactures name
___ keeps the facility clean and odor free
Housekeeping
___ keeps sheets, gowns, tablecloths clean and in good condition
Laundry
Specific standards of behavior are called
Norms
Residents do not have the right to
A bath
Residents do not have the right to
Share a room with a spouse if only one spouse agrees
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 residents body that restricts movement is called
Physical restraint
A facility is not required to
Advise the resident of their rights within fourteen days of admission
A facility is not required to provide residents who do not understand the predominant language in the facility
A roommate who speaks their native language
A facility may provide a resident jus 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
- All drugs and biologicals must be stored in locked compartments and under proper temperature controls
- Schedule 1 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 1 drugs must be stored in a locked compartment
A physician does NOT NEED to be notified if a resident ___
Has a change in roommate or room assignment
A facility is not required to
Charge a reasonable fee for copying the statement of resident’s rights
A facility may
Charge for clerical time to copy resident records
A facility must ensure residents understand theri rights and is required to inform residents
Verbally and in writing
In a language the resident understands
In jargon free language
Which is NOT TRUE
- Residents do not have the right to refuse treatment
- Residents have the right to refuse to participate in experimental research
- Residents have the right to formulate an advanced directive
- Residents have the right to eat at any hour they want
-Residents do not have the right to refuse treatment
The development and testing of clinical treatments such as an investigational drug or therapy is called
Experimental research
Written instructions realating 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
Food being ‘attractive’ refers to the ___ of the food served
Visual presentation
A facility must provide all new employees training on how to use the MSDS (materials data safety sheets) within what time frame
Upon hire
When the facility completes its investigation of an abuse allegation, the administrator would do which of the following next
File a 5 day report to the state
In the event of an allegation of abuse, the ___ must be immediately notified
Administrator
The staff member most likely to handle resident grievances is the
Social worker
The facility must notify Medicaid residents when their trust fund is within ___ of the ___ asset limit
$200 SSI
___ is not a carbohydrate
Protein
An eye condition where fluid causes increase pressure in the eye, potentially damaging the optic nerve is called
Glaucoma
An eye condition where a thin layer of tissue covers the lens of the eye, causing vision problems is called
Cataract
An eye condition where the macula is damaged in the retina and the individual has a loss of vision in the central field of vision and they can only see left of center and right of center but not the central point of what they’re looking at is called
Macular degeneration
A respiratory condition where bacteria damage the functional ability of the lungs is called
Tuberculosis
A respiratory condition where the bronchial tubes are irritated and produce large amounts of mucus and a cough is called
Bronchitis
A respiratory condition where the bronchial tubes constrict, causing difficulty breathing is called
ASthma
A respiratory condition where the lung tissues loses elasticity and the lungs cannot properly expand and deflate, causing breathing problems, is called
Emphysema
COPD stands for
Chronic Obstructive Pulmonary Disease
The ___ must determine if a resident requires isolation
Physician
Standard or universal precautions does not include
Sharps containers
A facility that utilizes universal precautions can do which of the following regarding an individual with HIV requesting admission to your facility
Admit the individual
The PAS or PASRR assessment is used to determine the level of services required for an individual with mental retardation and stands for
Pre admission Screening and Resident Review
A condition where fluid buids up in the heart muscle and the ljungs is called
Congestive heart failure
Risk of falls for all residents over 65 in a nursing home is approximately
70%
The percentage of residents who are chair bound in a nursing home is
50%
The most effective way to reduce the spread of germs in a nursing home is
Hand washing
Nursing homes are surveyed
Every 15 months
Which is NOT TRUE
- A facility must have policies prohibiting mistreatment, abuse and misappropriation of resident property by staff
- A facility must not use verbal, mental, sexual or physical abuse, corporal punishment or resident involuntary seclusion
- A facility must not employ individuals who have been found guilty of abusing, neglecting, or mistreating residents
- A facility has no obligation to investigate allegations of abuse
-A facility has no obligation to investigate allegations of abuse
A facility may not ___
Only do a criminal background check for job applicants suspected of having prior convictions
In a fire drill, the fire alarm does not have to be sounded between the hours of
10PM-6AM
In a fire drill, residents
Do not need to be removed from their beds
All exit doors to the outside in a nursing home must
Swing outward
All employee injuries that require medical attention or loss of time
Must be entered into the OSHA injury log within 7 days
Employee injuries that only require first aid and no loss of time
Do not need to be reported
OSHA year end summary and illnesses must be posted by the time clock between
Feb1-April 30
All facility survey reports must be posted in the
Front lobby
If blood is spilled on the floor, staff must
Immediately clean and sanitize the area thoroughly
If a resident was injured from a defective wheelchair, the administrator must
Notify the FDA and the manufacturer within 10 days
A___ is not a chemical restraint
Diuretic
A ___ Is not a physical restraing
Sleeping pill
A resident restraint must be checked every
30 minuets
A resident must be freed from restraints every
2 hours
A resident must be freed from a restraint for
10 minutes
The inability to control the bowel and bladder is called
Incontinence
Validation therapy works best with residents who are
Severely demented
Reality therapy would work best for residents who are
Exhibiting signs of senile dementia
A low fat diet would be prescribed fro a person with
High cholesterol
A low salt diet would be prescribed for a person with
High blood pressure
Specialized therapy does not include
Restorative nursing
The dietary department must staff
Sufficient staff to provide necessary services
___ deals with lower body weight bearing muscles
Physical therapy
___ deals with upper body strength and activities of daily living
Occupational therapy
___ deals with speech and swallowing problems
Speech therapy
___ involves nursing aides providing resident range of motion exercises and walking them
Restorative nursing
ROM stands for
Range of motion
An expense that does not change with the census is called a
Fixed expense
An expense that changes with the census is a
Variable expense
The administrators salary is an example of a
Fixed expense
Food and medical supplies are an example of a
Variable expense
An OSHA violation must be posted at the site of the violation for a minimum of ___ working days or until corrected
3
If the administrator wanted to know the net worth of the facility, the administrator would look at the
Balance sheet
The ___ are the books of original entry
Journals
Nursing homes use the
Accrual basis of accounting
An accounting system where transactions are recorded when they actually occur is called
Accrual basis of accounting
An accounting system where transactions are recorded when cash actually changes hands is called
Cash basis of accounting
A facility must provide a resident ___ days of advance notice of an involuntary discharge due to non payment-or non emergency medical reasons
30
If a resident is transferred to a hospital for emergency care, the facility must provide the resident notice of their bed hold rights by
By verbally informing the resident of there rights and sending a written copy of the notice with their transfer papers to the hospital
Per OBRA 1987 which payor source will pay to hold a bed while a resident is on therapeutic leave or is in the hospital
Medicaid
A Medicaid resident goes out to the hospital and requests to return to the facility after their bed hold expired. Which is true
- The facility does not have to readmit the resident to the facility
- The facility can readmit the resident and require a security deposit in advance
- The facility must readmit the resident to the next available bed
- The resident loses their right to return to the facility upon expiration of their bed-hold
-The facility must readmit the resident to the next available bed
An individual on Medicare must have a qualifying ___ day stay in the hospital before they can be admitted to a skilled nursing center
3
NPO means
Nothing by mouth
Per OBRA 1987 a facility is required to provide residents an environment that is
Homelike and deemphasizes the institutional appearance of the facility
Linen carts must be sanitized
Weekly
A resident who refused the planned meal must be provided
A nutritionally equivalent meal
A facility must maintain a _ day emergency food supply per OBRA 1987
3 day
Per the Taft Hartley Act, the only thing a manager may do with respect to a union is
Express their personal view about the benefits of a union to their workers
___ was the first major union to form in 1935
CIO
Associated Federation of Labor (AFL) is/is not spelled correctly
Is not
American Federation of Labor
Provides medial assistance to the elderly and the poor based on financial need
Medicaid
___ is an insurance program for individuals over 65 and certain disabled persons
Medicare
Medicare part A does not cover
Televisions and telephone
Medicare part A pays for
Semi private room
Title 19 of the social security act is
Medicaid
Under Medicare part A a patient must have a qualifying ___ day hospital stay, must not have used up ___ allowable days of skilled care and must be admitted to a nursing home with ___ days of discharge from the hospital
3 day qualifying
100 allowable skilled days
10 days of dc from hospital
Medicaid (Title 19) of the social security act does not cover
Intensive rehabilitation/therapy
Medicaid (Title 19) of the social security act will not pay for
Skilled nursing
The main objective of OSHAs hazard communication standard is not to
Report worker injuries
OSHAs blood borne pathogen control program primarily requires an employer to
Have a written control program for control blood borne pathogens
OSHA’s color is
Green
The ___ prohibits discrimination on the basis of disability
Americans with Disabilities Act
Under the American with Disabilities Act an employer can ask a job applicant prior to hire
If the applicant has the ability to perform the functions of the job
Each floor or fire section in a facility must have at least ___ located ___ from each other
Two exits-remotely
Aisles, corridors and ramps must be a minimum of ___ feet or more wide
8
Exit signs must be placed so a person is never more than ___ feet from any fire exit sign
100
Travel distance within any resident room to an exit access door must not exceed
200
In implementing management by walking around MBWA an administrator would not
Make correction on the spot
If a resident was unable to swallow, a physician would not order which
Nectar
Honey
Thickeners
Low salt diet
Low salt diet
A skilled nursin gfacility cannot provide
Acute care
A nursing hoe must have a ___ agreement signed and in place with local hospitals
Transfer
What is the approximate weight loss for a person previously weighing 175 pounds and now weighs 150 pounds
14%
175-150=25 25/175
150 doses were prescribed. 2 were not given and 3 were administered incorrectly. what is the approximate medication error rate
3%
In this equation you are given 2 numbers 150 and 5 (3+2) Divide 5 by 150 = 0.333x100= 3.33 number 3 is the best answer
An employee with an hourly rate of $8 works 48 hours in a 40 hour week. What is the workers gross salary per the Fair Labor Standards Act
$416
You know that any time over 40 hours a week is overtime paid at 1.5 times regular rate.
Step 1 calculate regular time= $8x40 +$320
Step 2 calculate your OT dollars which is 8 hours x $12 an hour (1/2 of $8=$4 +$8) yields $12 an hour. $8x$12 =$96. the total paid is $320+$96=$416
What is the absentee rate for a facility with 200 FT employees and 120 work days in a 30 day period
2.0 %
You cannot touch the number of lost days
Multiply the number of FT employees by teh time period or 30 days whic is 200x30+6000
Divide 120 by 6000 = 2 %
Using straight-line depreciation, calculate the annual depreciation for a 5 year period for an electrical generator costing $10,000 with a. $2000 salvage value
$1600
Subtract $2000 (salvage value) from $10000 (cost of generator) = $8000 (depreciated value). Divide $8000 by 5 (number of years you can depreciate asset) =$1600
What is the cost per resident per day if the operating cost is $250,000 and the total number of resident days is $10,000
$25.00
Simply divide $250000 by 10,000 resident days =$25
If $60,000 is borrowed at 10% common interest for ten years and only interest is paid for the first year, the first month’s payment would be approximately
$490
$60,000 x .10 =6000. Divide 6000 by 12 =500
the closest answer in the range is $490
What is the approximate percentage of gross profit with an income of $400,000 and $175,000 in fixed expenses and $135,000 in variable expenses
19%
Add the total expenses $175,000+$135,000=$310,000
Next $400,000 - $310,000= $90,000
$90,000 divided by $400,000 = 22% so the closest answer is 19 %
What is the payback period for an investment of $60,000 with an annual savings of $3000
30 years
Payback period is when you make your money back
$60,000 divided by $3000 = 20 years
Choice 3 is the best answer
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 %
The error rate is 9 doses (5+4)
9/120=7.5 percent
What is the percentage of weight loss for a person previously weighing 160 pounds and who now weighs 141 pounds
12%
160-141=19 pounds
19/160=11.8 percent
The closest answer is #1 12 percent
How many nurse aides would you need to schedule for a facility with 120 residents if you need 3 hours of care per resident? each aide works 8 hours per shift
45
120 residents x 3 hours each = 360 hours
360/8=45 aides
A facility employed 150 employees throughout the year. At the end of the year, 15 employees had been discharged and 5 resigned. What was the approximate annual turnover rate
13%
15+5=20 employees left
20/150=13.3 percent the answer is 13% or choice #1
A nursing home has $300,000 in gross income and $110,000 in fixed expenses and $135,000 in variable expenses. What is the approximate percentage of gross profit
20%
$300,000-$245,000 (110,000+135,000)=$55,000
$55,000/$300,000=18.3%
The closest answer is 20%
A 100 bed facility averages 95% occupancy and during a 30 month period had total expenses of $200,000. What is the average cost per resident
$70
100x.95=95 residents daily occupancy
$200,000/30 months=$6666 for one month
$6666/95 = $70.16 per day per resident
What is the average daily absentee rate with a total of 100 full time employees and 120 lost work days during a 60 day period
2%
100x60=6000
120/6000=2%
2% is answer 1
A new dryer costs $1500 with a useful life of 10 years. How much depreciation expense is deducted on a yearly basis using the straight line method
$150
$1500/10 years = $150 a year
A nursing home with 100 beds pays the administrator $90,000 a year. The current occupancy rate is 80%. what is the administrators approximate fixed salary cost per resident day
$3.01
100x.80=80 residents per day
80x365=29,200 = $3.08 per resident per day
answer 2 is the best
A 200 bed facility spent $15,000 on food in June with an average daily occupancy of 80%. How much did the facility spend per resident per day?
$3.12
200x.80=160 resident days
160x30 days= 4800 total resident days
$15,000/4800=$3.12 per resident
If you invest $200,000 an expect to receive $50,000 in return annually. what is the payback period
4 years
$200,000/$49,000=4 years. the answer is an approximation
