Mock National Exam 5 Flashcards

1
Q

The minimum qualification for a social worker in a 120 bed facility is a

A

Bachelors degree with 1 year as a social worker assistant

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2
Q

The MDS is transmitted by

A

Computer or Modem

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3
Q

The proper procedure for mopping the stairwell and corridor is to

A

Mop one side and have a safe side for people to walk on

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4
Q

If a court determines a resident is incapable of making their own decisions, the court would appoint a ___ to handle their affairs

A

Guardian

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5
Q

A resident’s medical or financial information may be given to ___ without the resident’s consent

A

a third party payor pursuant to a contract

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6
Q

The lighted display board that indicates the zone or location of a fire is called an

A

Enunciator panel

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7
Q

Lighting of the means of egress must be CONTINUOUS with exit floor surfaces illuminated at the level of ___foot candle light from the ___

A

1 foot

floor

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8
Q

In case of a fire the primary purpose of closing doors is to

A

Contain the smoke

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9
Q

___ is the most effective to increase occupancy

A

Word of mouth

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10
Q

A facility must provide planned activities for residents. Residents are

A

Entitles to participate in activities that meet their personal interests

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11
Q

The administrator is informed a staff member from the Philippines speaks her native language to other staff members in the presence of residents who do not speak her language. The administrator should

A

Tell the staff member she is violating resident rights

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12
Q

If an employee accidentally drops a resident, the facility is covered under

A

Professional Liability insurance

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13
Q

All deaths related to a medical device must be reported to the

A

Food and Drug Administration

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14
Q

A clergyman enters a residents room to visit with her. The nurse finished giving the resident her morning meds just as the clergyman entered the room. The nurse should now

A

Pul the privacy curtain shut and leave the room

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15
Q

Which is the correct method to calculate a medication error

A

The number of medications not administered plus the number improperly administered divided by the opportunities for error

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16
Q

Which is considered a fatal error

  • Giving doxidan to the wrong resident
  • Giving 1 dose tylenol to the wrong resident
  • Giving the wrong amount of insulin to a resident
  • Giving the wrong amount of doxidan to a resident
A

Giving the wrong amount of Insulin to a resident

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17
Q

The DON comes to the administrator and says she going to put a resident on a psychotropic drug because the nursing staff cannot control her behavior. The resident has early stage Alzheimer’s. What should the administrator tell the DON

A

Reprimand the DON

Cannot use chemical restraint for staff convenience. Need a rationale to use the drug

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18
Q

A resident had a stroke and suffered paralysis to the left side of her body. The rehab department shoudl

A

Work to get resident back to highest functional ability

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19
Q

The designated parking space for the handicapped must be at least

A

13 feet wide

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20
Q

A resident room is required to have

A

Direct access to an exit corridor

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21
Q

Communication would get lost along the way if it were

A

Horizontal

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22
Q

Respondent superior would not apply to

A

A private duty nurse

A private duty nurse is not a facility employee. They are hired by the family

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23
Q

An organized and effective maintenance program emphasis

A

Preventative maintenance

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24
Q

General liability insurance provides the facility protection against

A

Injuries sustained by visitors on the facility property

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25
Q

A resident is being kept up at night by a cart that has a squeaky wheel. What should you do?

A

Fix the wheel

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26
Q

A nurse, while using a lift, notices that it is not working properly. The nurse should

A

Immediately pull the lift form service and fill out a work order and do not use it until it is fixed

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27
Q

The secretary of DHHS has the same authority to impose penalties on nursing facilities as the

A

State

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28
Q

The final step before you can be approved for a nursing home is to

A

Secure a certificate of need

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29
Q

___ would require extra special handling to dispose of properly and safely

  • A trash can with an AIDS patients waste
  • An empty vaccine bottle
  • Drinking paper cups
  • Dry paper towels
A

A trash can with an AIDS patient’s waste

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30
Q

A resident is restrained without physicians orders and has not had a bath today. How many resident rights were violated

A

1

A bath is not a resident right. Most facilities only provide a shower due to infection issues

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31
Q

Resident rehabilitation is a process that

A

Is an interdisciplinary responsibility

All staff are involved in helping residents achieve their rehab goals

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32
Q

No soliciting on facility premises would be contained in teh

A

Employee handbook

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33
Q

___ fire drills are required in a facility per year

A

3

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34
Q

You must test the generator ___ for ___

A

Every month, 30 minutes

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35
Q

When a resident is admitted to a facility, an attending physician must visit and examine them

A

Once every 30 days for the first 90 days and then every 60 days therafter

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36
Q

A curtain or decoration that does not burn easily is called

A

fire resistant

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37
Q

Emergency generators are checked

A

Weekly

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38
Q

Residents do not have the right to a

  • Vinyl chair in their room
  • window to the outside
  • closet
  • dresser
A

vinyl chair in their room

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39
Q

How do you calculate the average percent of occupancy

A

Divid 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

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40
Q

How do you calculate the approximate percentage of gross profit

A

Add the fixed expenses and the variable expenses and subtract from the gross income. Divide the differences (net profit) by the gross income

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41
Q

How do you calculate a monthly depreciation amount using straight line depreciation

A

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

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42
Q

Bedrooms are required to have

A

80 square feet per resident in multi resident rooms

Need 80 sq ft per resident and not a total of 80 sq ft for the entire room

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43
Q

The minimum width of a resident bedroom is determined by

A

The state

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44
Q

The role of developing and implementing a written hazard communication program is the responsibility of teh

A

Facility

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45
Q

___ is the most important way to prevent the spread of disease and infection

A

Hand washing

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46
Q

___ is considered a comfortable atmospheric temperature range for a facility

A

71-81

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47
Q

What is the temperature of a hot rinse dishwasher

A

180 degrees

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48
Q

ANSI establishes the

A

Width of a parking space for the handicap

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49
Q

The best marketing program is

A

A tour of the facility

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50
Q

To assure an accurate resident assessment each resident must be examined by a physician as deemed appropriate but no less than every

A

Quarter

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51
Q

Discharge planning begins

A

Upon admission

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52
Q

The best method to obtain information regarding a potential employee is the

A

Interview

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53
Q

___ is/are the best method to recruit new employees

A

A job posting

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54
Q

A key principle in delegation of authority by administrators to staff is to

A

Delegate as much authority as possible

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55
Q

An abuse allegation must be reported to the administrator and the administrator must do an investigation and report the investigation results to the proper state authorities within

A

5 working days

Initial submission is 2 hours and final report is 5 working days

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56
Q

The ADA has 5r titles. The title that affects administrators most is title

A

I

Title I prohibits private employers, state and local governments, employment agencies and labor unions from discriminating against qualified individuals with disabilities in applying for jobs, hiring, firing and job training.

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57
Q

OSHA requires all non fatal accidents to be recorded within

A

7 days

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58
Q

Sound financial management dictates that approving the annual facility budget is the responsibility of the

A

Governing body

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59
Q

The value of financial management is to provide accounting information enabling the administrator to

A

make decisions

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60
Q

___ is not a revenue center

A

Social services

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61
Q

___ is a non cash expense

A

Depreciation

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62
Q

Labor costs in a nursing home usually total approximately

A

50 to 60 percent

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63
Q

Hazardous areas must be protected by fire barriers with a fire resistance rating of 1 hour or a completely automated extinguishing system. The ___ would usually not be considered a hazardous area

A

Resident dining room

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64
Q

___ is not a correct hand washing procedure

A

Filling a bowl with warm water

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65
Q

Work orders should be simple written requests indicating

A

The problem and its location

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66
Q

The minimum amount of square footage in a private room is

A

100 sqft

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67
Q

Under OBRA the responsibility of the safety committee may e assigned to the

A

Quality Improvement Committee

68
Q

The minimum square footage per person in a resident room would include the

A

Bed

69
Q

An isolation room is not required to have

A

A bathtub or shower

70
Q

Under OSHA the hazards of a product are determined by the

A

Manufacturuer

71
Q

To determine the comfortable and safe air temperature in resident rooms and public spaces the air temperature is measured

A

3 feet above the floor

72
Q

Per ANSI the telephone cord on a public telephone must be at least

A

29 inches

73
Q

The EEOC does not enforce the

A

Fair Labor Standards Act

74
Q

Under the Equal Pay Act an employee wages cannot be adjusted based on

A

Gender

75
Q

According to the FMLA an employee cannot take leave for

A

Divorce or seperation

76
Q

The best source of new employees is usually

A

Current employee referrals

77
Q

Well capitalized companies should have a equity to debt ration of

A

More than 2.0 to 1.0

78
Q

___ percent of resident accidents occur in resident bedrooms

A

70

79
Q

Lighting of the means of egress must be CONTINUOUS with exit floor surfaces illuminated at the level of ___ foot candle from the ___

A

1 foot

from the floor

80
Q

The written fire plan must address

  • The use of alarms
  • transmitting an alarm to the fire department
  • procedures to respond to an alarm
A

all the above

81
Q

The written fire plan does not need to include

A

A maintenance schedule to clean air dampers

82
Q

When extinguishing a fire, aim the extinguisher at the ___ of a fire

A

Base

83
Q

Which is not a key objective of the Life Safety Code

  • Closing as many doors as possible to prevent the spread of fire
  • Confining a fire to the room of origin
  • Evacuating all residents from a building as quickly as possible
  • To protect residents and staff with smoke and fire barriers
A

-Evacuating all residents from a building as quickly as possible

Nursing homes are designed to protect residents in place and quickly contain a fire

84
Q

Soiled linen and trash containers must be limited to ___ gallons within any ___ square foot area

A

32 gallons, 64 sqft

85
Q

Mobile soiled linen and trash containers larger than 33 gallons or more need to be

A

Stored in a protected hazardous area when unattended

86
Q

A smoke proof enclosure must have a __ hour fire resistance wand a door with ___ hour fire protection rating

A

2 hour fire resistance

1.5 hour fire protection rating

87
Q

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

88
Q

which is not true of egress

  • Every patient room must have a door leading directly to an exit access corridor
  • the travel distance within a residents room to an access corridor cannot exceed 50 feet
  • The travel distance from a residents door in an access corridor to an exit door cannot exceed 150
  • The travel distance within any patient room to an exit door cannot exceed 250
A

-The travel distance within any patient room to an exit door cannot exceed 250

The max is 200 feet

89
Q

___ do not need both 1 hour fire resistance rating and a completely automatic extinguishing system

A

Employee locker rooms

90
Q

___ would not be a goal for residents who use psychotropic drugs

  • Drug holidays
  • abrupt drug elimination
  • gradual dose reduction
  • behavioral programming
A

Abrupt drug elimination

the goal is to use the lowest effective dose and reduce dosages if possible

91
Q

A nasogastric tube is many times referred to as an NG tube or as a

A

Stomach tube

92
Q

A hematoma is a

A

Darkened area under the skin containing blood

93
Q

Individuals over the age of 65 take an average of ___ different drugs

A

7.2

94
Q

Anorexia is

A

The loss of apetite

95
Q

A person with depression usually

A

Makes little effort to perform simple tasks

96
Q

A weight loss of ___ within 6 months would be considered significant

A

10%

97
Q

Fringe benefits (vacation and sick leave, health insurance, 401k plan) are

A

Considered a right by workers

98
Q

The responsibility for initially explaining resident rights to residents is the responsibility of the

A

Social worker

99
Q

___do not have line authority

A

Accoutnatns

100
Q

An employment application can request an applicants

A

Citizenship

101
Q

A subjective measurement of an employees performance would. be based on

A

Personality

102
Q

___ is/are not an intangible asset

  • Trademarks
  • goodwill
  • copyrights
  • accounts receivables
A

Accounts receivables

the other choices cannot be seen, felt, or touched

103
Q

Budgets are usually prepared

A

annual

104
Q

The ___ should approve a facility budget

A

Governing body

105
Q

___is a capital expense

  • restocking the kitchen pantry
  • leasing a car
  • replacing the electrical generator
  • the cost of replacing light bulbs
A

Replacing the electrical generator

106
Q

___ is an operating expense

  • purchasing of a new computer
  • weekend overtime wages
  • paving the parking lot
  • installing wall partitions
A

weekend overtime wages

107
Q

___is the largest expense in a nursin ghome

A

Labor

108
Q

The key to purchasing supplies is to

A

Standardize all products, implement a central purchasing process, and minimize people authorized to purchase goods

109
Q

Employees only pay 50% of

A

FICA

110
Q

Depreciation is

A

The decrease in value due to obsolescence, wear and tear

111
Q

___ is covered by Medicare part A and B

A

home health

112
Q

the main protective elements in a nursing home in the event of a fire are

A

smoke barriers, corridor walls, and resident doors

113
Q

The minimum period of insurance coverage under COBRA is

A

18 months

114
Q

COBRA covers employees who have been separated from an employer for a maximum of __ months

A

36

115
Q

A resident who is ‘bedfast’ remains in their bed all of the time for the past

A

7 days

116
Q

___ mandates that policies in nursing homes must be approved by the governing body

A

OBRA

117
Q

The ___ does not need to be notified of a significant change in a residents clinical status

A

Ombudsman

118
Q

A written notice of involuntary discharge does not need to include a notice of the

A

Name, address and telephone number of the state nursing home association

119
Q

When there is a change of ownership, the administrator or the director of nursing, a facility may be subject to a

A

Abbreviated standard survey

120
Q

Any event that can lead to a loss, injury or damage is called a

A

risk

121
Q

a ‘Resource Utilization Group’ is a

A

residen classification system

122
Q

The chief factor for an effective fire safety program is

A

The support and involvement of the administrator

123
Q

The Long Term Care Ombudsman program was established by

A

Older Americans Act

124
Q

What requirement must a facility meet to participate in the Medicare/Medicaid programs

A

Disclosure of facility ownership

125
Q

___ is not a primary purpose for the ombudsman program

A

Investigating a decision made by a provider

126
Q

The open market ruling of 1977 related to

A

Advertising health services

127
Q

A tour of a facility should be

A

Comprehensive and involve the entire facility

128
Q

An effective public relations campaign should create

A

A favorable image and exposure in the community

129
Q

A marketing plan should not be

A

A democratic process

130
Q

To ensure a residents assessment is accurate, the facility must ensure each resident is given a physical examination at least

A

Every 3 months

131
Q

___ accounts for most infections in a facility

A

The exposure by residents to employees and visitors

132
Q

Which is not true regarding the elderly

  • the elderly require relationships to offset loneliness
  • the need fo independence is still very strong in the elderly
  • sexuality greatly diminishes as we age
  • the need for closeness and intimacy is still very strong in the elderly
A

sexuality greatly diminishes as we age

the need for intimacy and physical contact does not diminish in the elderly

133
Q

___ is normally not a problem with the elderly

A

Self actualization

134
Q

Assume 130 does of medication were ordered for a resident. Two doses were not given and 3 doses were incorrectly administered as prescribed. What is the approximate medication error rate

A

3.8 percent

135
Q

The laws which control nursing activities in each state are called

A

Practice control acts

136
Q

The social workers primary function in a nursing facility is to

A

develop a close relationship with the resident to enable accurate and current social assessments and progress notes

137
Q

Resident councils allow

A

Residents a sense of control over their lives

138
Q

A __ is a legal document that specifies a persons preference concerning artificial life sustaining measures

A

Living will

139
Q

A testator is one who

A

Dies leaving a will

140
Q

The percentage of weight loss for a person previously weighing 150 pounds and now weighs 142 pounds

A

5.3 %

141
Q

To clean utensils a three compartment sink is used to wash, rinse, and

A

Sanitize utensils

142
Q

The dietary department maintains the various adaptive feeding equipment to assist residents in eating. which of the following trains residents how to use adaptive equipment

A

Occupational Therapists

143
Q

Incontinence means

A

Involuntary passage of urine and feces

144
Q

An oncologist specializes in

A

Cancer

145
Q

The administrator notices a deterioration in ia residents condition. The administrators most appropriate action would be

A

Request the nurse to evaluate the residents condition and report it to the attending physician if necessary

146
Q

If dental work I spanned for a resident which would not be potentially impacted by dental work

  • artificial hip replacement
  • heart valve replacement
  • kidney condition
  • knee replacement
A

Kidney condition

147
Q

The sum of all activities to create desired changes in quality care is the definition of

A

Quality improvement

148
Q

Per OBRA the ___ determines if a resident can self administer medications

A

Interdisciplinary team

149
Q

Per OBRA resident medical records must be maintained for at least

A

5 years after discharge or 3 years after a discharged resident reaches the age of 18

150
Q

A drug interaction means that

A

Two or more drugs taken simultaneously produced an unwanted efect

151
Q

PRN means

A

when needed or requested

152
Q

The physicians desk reference refers to

A

Drugs

153
Q

Resident drug regimens must be reviewed monthly by the

A

Consulting pharmacist

154
Q

___ is responsible to ensure contracted rehabilitation specialists are qualified

A

The administrator

155
Q

The terms LIFO and FIFO refer to

A

Inventory valuing methods

156
Q

The purpose of perpetual inventory is to

A

Reflect costs based on actual dosage

157
Q

All cost reports are due

A

90 days after the end of the fiscal year

158
Q

Nationally, the monitoring and enforcement of ANSI standards is the responsibility of

A

An agency within the state

Your annual survey includes a separate life safety survey conducted by state life safety inspectors. this survey results in K tags because these deficiency will kill you

159
Q

All death related to a medical device must be reported to the

A

Food and Drug Administration

160
Q

The travel distance between a class b and C fire extinguishers cannot be more than

A

50 feet

161
Q

The National Fire Protection Association does not

A

Enforce life safety codes

This is a private association and doesn’t have enforcement powers

162
Q

Per OSHA the color of an oxygen tank is

A

Green

163
Q

Policies and plans guide and channel thinking and they must

A

Allow flexibility in decision making

164
Q

Per the Hazardous Communication program____ is not required on all hazardous container labels

A

The antidote to use if consumed

165
Q

Which of the following must be on the resident rust fun surety bond

A

Resident and the state