Mock National Exam 5 Flashcards
The minimum qualification for a social worker in a 120 bed facility is a
Bachelors degree with 1 year as a social worker assistant
The MDS is transmitted by
Computer or Modem
The proper procedure for mopping the stairwell and corridor is to
Mop one side and have a safe side for people to walk on
If a court determines a resident is incapable of making their own decisions, the court would appoint a ___ to handle their affairs
Guardian
A resident’s medical or financial information may be given to ___ without the resident’s consent
a third party payor pursuant to a contract
The lighted display board that indicates the zone or location of a fire is called an
Enunciator panel
Lighting of the means of egress must be CONTINUOUS with exit floor surfaces illuminated at the level of ___foot candle light from the ___
1 foot
floor
In case of a fire the primary purpose of closing doors is to
Contain the smoke
___ is the most effective to increase occupancy
Word of mouth
A facility must provide planned activities for residents. Residents are
Entitles to participate in activities that meet their personal interests
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
Tell the staff member she is violating resident rights
If an employee accidentally drops a resident, the facility is covered under
Professional Liability insurance
All deaths related to a medical device must be reported to the
Food and Drug Administration
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
Pul the privacy curtain shut and leave the room
Which is the correct method to calculate a medication error
The number of medications not administered plus the number improperly administered divided by the opportunities for error
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
Giving the wrong amount of Insulin to a resident
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
Reprimand the DON
Cannot use chemical restraint for staff convenience. Need a rationale to use the drug
A resident had a stroke and suffered paralysis to the left side of her body. The rehab department shoudl
Work to get resident back to highest functional ability
The designated parking space for the handicapped must be at least
13 feet wide
A resident room is required to have
Direct access to an exit corridor
Communication would get lost along the way if it were
Horizontal
Respondent superior would not apply to
A private duty nurse
A private duty nurse is not a facility employee. They are hired by the family
An organized and effective maintenance program emphasis
Preventative maintenance
General liability insurance provides the facility protection against
Injuries sustained by visitors on the facility property
A resident is being kept up at night by a cart that has a squeaky wheel. What should you do?
Fix the wheel
A nurse, while using a lift, notices that it is not working properly. The nurse should
Immediately pull the lift form service and fill out a work order and do not use it until it is fixed
The secretary of DHHS has the same authority to impose penalties on nursing facilities as the
State
The final step before you can be approved for a nursing home is to
Secure a certificate of need
___ 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 trash can with an AIDS patient’s waste
A resident is restrained without physicians orders and has not had a bath today. How many resident rights were violated
1
A bath is not a resident right. Most facilities only provide a shower due to infection issues
Resident rehabilitation is a process that
Is an interdisciplinary responsibility
All staff are involved in helping residents achieve their rehab goals
No soliciting on facility premises would be contained in teh
Employee handbook
___ fire drills are required in a facility per year
3
You must test the generator ___ for ___
Every month, 30 minutes
When a resident is admitted to a facility, an attending physician must visit and examine them
Once every 30 days for the first 90 days and then every 60 days therafter
A curtain or decoration that does not burn easily is called
fire resistant
Emergency generators are checked
Weekly
Residents do not have the right to a
- Vinyl chair in their room
- window to the outside
- closet
- dresser
vinyl chair in their room
How do you calculate the average percent of occupancy
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
How do you calculate the approximate percentage of gross profit
Add the fixed expenses and the variable expenses and subtract from the gross income. Divide the differences (net profit) by the gross income
How do you calculate a monthly depreciation amount using straight line depreciation
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
Bedrooms are required to have
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
The minimum width of a resident bedroom is determined by
The state
The role of developing and implementing a written hazard communication program is the responsibility of teh
Facility
___ is the most important way to prevent the spread of disease and infection
Hand washing
___ is considered a comfortable atmospheric temperature range for a facility
71-81
What is the temperature of a hot rinse dishwasher
180 degrees
ANSI establishes the
Width of a parking space for the handicap
The best marketing program is
A tour of the facility
To assure an accurate resident assessment each resident must be examined by a physician as deemed appropriate but no less than every
Quarter
Discharge planning begins
Upon admission
The best method to obtain information regarding a potential employee is the
Interview
___ is/are the best method to recruit new employees
A job posting
A key principle in delegation of authority by administrators to staff is to
Delegate as much authority as possible
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
5 working days
Initial submission is 2 hours and final report is 5 working days
The ADA has 5r titles. The title that affects administrators most is title
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.
OSHA requires all non fatal accidents to be recorded within
7 days
Sound financial management dictates that approving the annual facility budget is the responsibility of the
Governing body
The value of financial management is to provide accounting information enabling the administrator to
make decisions
___ is not a revenue center
Social services
___ is a non cash expense
Depreciation
Labor costs in a nursing home usually total approximately
50 to 60 percent
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
Resident dining room
___ is not a correct hand washing procedure
Filling a bowl with warm water
Work orders should be simple written requests indicating
The problem and its location
The minimum amount of square footage in a private room is
100 sqft
Under OBRA the responsibility of the safety committee may e assigned to the
Quality Improvement Committee
The minimum square footage per person in a resident room would include the
Bed
An isolation room is not required to have
A bathtub or shower
Under OSHA the hazards of a product are determined by the
Manufacturuer
To determine the comfortable and safe air temperature in resident rooms and public spaces the air temperature is measured
3 feet above the floor
Per ANSI the telephone cord on a public telephone must be at least
29 inches
The EEOC does not enforce the
Fair Labor Standards Act
Under the Equal Pay Act an employee wages cannot be adjusted based on
Gender
According to the FMLA an employee cannot take leave for
Divorce or seperation
The best source of new employees is usually
Current employee referrals
Well capitalized companies should have a equity to debt ration of
More than 2.0 to 1.0
___ percent of resident accidents occur in resident bedrooms
70
Lighting of the means of egress must be CONTINUOUS with exit floor surfaces illuminated at the level of ___ foot candle from the ___
1 foot
from the floor
The written fire plan must address
- The use of alarms
- transmitting an alarm to the fire department
- procedures to respond to an alarm
all the above
The written fire plan does not need to include
A maintenance schedule to clean air dampers
When extinguishing a fire, aim the extinguisher at the ___ of a fire
Base
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
-Evacuating all residents from a building as quickly as possible
Nursing homes are designed to protect residents in place and quickly contain a fire
Soiled linen and trash containers must be limited to ___ gallons within any ___ square foot area
32 gallons, 64 sqft
Mobile soiled linen and trash containers larger than 33 gallons or more need to be
Stored in a protected hazardous area when unattended
A smoke proof enclosure must have a __ hour fire resistance wand a door with ___ hour fire protection rating
2 hour fire resistance
1.5 hour fire protection rating
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
Licensed physician
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
-The travel distance within any patient room to an exit door cannot exceed 250
The max is 200 feet
___ do not need both 1 hour fire resistance rating and a completely automatic extinguishing system
Employee locker rooms
___ would not be a goal for residents who use psychotropic drugs
- Drug holidays
- abrupt drug elimination
- gradual dose reduction
- behavioral programming
Abrupt drug elimination
the goal is to use the lowest effective dose and reduce dosages if possible
A nasogastric tube is many times referred to as an NG tube or as a
Stomach tube
A hematoma is a
Darkened area under the skin containing blood
Individuals over the age of 65 take an average of ___ different drugs
7.2
Anorexia is
The loss of apetite
A person with depression usually
Makes little effort to perform simple tasks
A weight loss of ___ within 6 months would be considered significant
10%
Fringe benefits (vacation and sick leave, health insurance, 401k plan) are
Considered a right by workers
The responsibility for initially explaining resident rights to residents is the responsibility of the
Social worker
___do not have line authority
Accoutnatns
An employment application can request an applicants
Citizenship
A subjective measurement of an employees performance would. be based on
Personality
___ is/are not an intangible asset
- Trademarks
- goodwill
- copyrights
- accounts receivables
Accounts receivables
the other choices cannot be seen, felt, or touched
Budgets are usually prepared
annual
The ___ should approve a facility budget
Governing body
___is a capital expense
- restocking the kitchen pantry
- leasing a car
- replacing the electrical generator
- the cost of replacing light bulbs
Replacing the electrical generator
___ is an operating expense
- purchasing of a new computer
- weekend overtime wages
- paving the parking lot
- installing wall partitions
weekend overtime wages
___is the largest expense in a nursin ghome
Labor
The key to purchasing supplies is to
Standardize all products, implement a central purchasing process, and minimize people authorized to purchase goods
Employees only pay 50% of
FICA
Depreciation is
The decrease in value due to obsolescence, wear and tear
___ is covered by Medicare part A and B
home health
the main protective elements in a nursing home in the event of a fire are
smoke barriers, corridor walls, and resident doors
The minimum period of insurance coverage under COBRA is
18 months
COBRA covers employees who have been separated from an employer for a maximum of __ months
36
A resident who is ‘bedfast’ remains in their bed all of the time for the past
7 days
___ mandates that policies in nursing homes must be approved by the governing body
OBRA
The ___ does not need to be notified of a significant change in a residents clinical status
Ombudsman
A written notice of involuntary discharge does not need to include a notice of the
Name, address and telephone number of the state nursing home association
When there is a change of ownership, the administrator or the director of nursing, a facility may be subject to a
Abbreviated standard survey
Any event that can lead to a loss, injury or damage is called a
risk
a ‘Resource Utilization Group’ is a
residen classification system
The chief factor for an effective fire safety program is
The support and involvement of the administrator
The Long Term Care Ombudsman program was established by
Older Americans Act
What requirement must a facility meet to participate in the Medicare/Medicaid programs
Disclosure of facility ownership
___ is not a primary purpose for the ombudsman program
Investigating a decision made by a provider
The open market ruling of 1977 related to
Advertising health services
A tour of a facility should be
Comprehensive and involve the entire facility
An effective public relations campaign should create
A favorable image and exposure in the community
A marketing plan should not be
A democratic process
To ensure a residents assessment is accurate, the facility must ensure each resident is given a physical examination at least
Every 3 months
___ accounts for most infections in a facility
The exposure by residents to employees and visitors
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
sexuality greatly diminishes as we age
the need for intimacy and physical contact does not diminish in the elderly
___ is normally not a problem with the elderly
Self actualization
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
3.8 percent
The laws which control nursing activities in each state are called
Practice control acts
The social workers primary function in a nursing facility is to
develop a close relationship with the resident to enable accurate and current social assessments and progress notes
Resident councils allow
Residents a sense of control over their lives
A __ is a legal document that specifies a persons preference concerning artificial life sustaining measures
Living will
A testator is one who
Dies leaving a will
The percentage of weight loss for a person previously weighing 150 pounds and now weighs 142 pounds
5.3 %
To clean utensils a three compartment sink is used to wash, rinse, and
Sanitize utensils
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
Occupational Therapists
Incontinence means
Involuntary passage of urine and feces
An oncologist specializes in
Cancer
The administrator notices a deterioration in ia residents condition. The administrators most appropriate action would be
Request the nurse to evaluate the residents condition and report it to the attending physician if necessary
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
Kidney condition
The sum of all activities to create desired changes in quality care is the definition of
Quality improvement
Per OBRA the ___ determines if a resident can self administer medications
Interdisciplinary team
Per OBRA resident medical records must be maintained for at least
5 years after discharge or 3 years after a discharged resident reaches the age of 18
A drug interaction means that
Two or more drugs taken simultaneously produced an unwanted efect
PRN means
when needed or requested
The physicians desk reference refers to
Drugs
Resident drug regimens must be reviewed monthly by the
Consulting pharmacist
___ is responsible to ensure contracted rehabilitation specialists are qualified
The administrator
The terms LIFO and FIFO refer to
Inventory valuing methods
The purpose of perpetual inventory is to
Reflect costs based on actual dosage
All cost reports are due
90 days after the end of the fiscal year
Nationally, the monitoring and enforcement of ANSI standards is the responsibility of
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
All death related to a medical device must be reported to the
Food and Drug Administration
The travel distance between a class b and C fire extinguishers cannot be more than
50 feet
The National Fire Protection Association does not
Enforce life safety codes
This is a private association and doesn’t have enforcement powers
Per OSHA the color of an oxygen tank is
Green
Policies and plans guide and channel thinking and they must
Allow flexibility in decision making
Per the Hazardous Communication program____ is not required on all hazardous container labels
The antidote to use if consumed
Which of the following must be on the resident rust fun surety bond
Resident and the state
