Mock National Exam 6 Flashcards
A physical restraint must be removed
every 2 hours
nosocomial infections are associated with
institutionalization
required daily nursing hours are determined by
The state with federal approval
The mots significant aspect of staff providing good resident care is
Staff attitude towards the residents
A resident may not be discharged by a facility because teh
Residents payor source changed
The social worker may not provide
Psychiatric therapy
The problem most residents experience when facing nursing home placement is
anxiety related to the unknown
A discharge summary may be
the last progress note
Regarding advance directives which is not true
A facility must require residents sign an advance directive upon admission
If a resident is declared mentally incompetent by a court the rights of the resident would be assigned to
A court appointed respresentative
A social worker, when dealing with a resident who constantly complains about everything, should
resolve the residents complaints
___ works best with severely demented residents
Validation therapy
validation therapy is used when a person is no longer able to communicate with people around them. the last stages of Alzheimers or severely brain damaged patients
All menus must be approved by the
Dietician
Hot food must leave the kitchen at ___ degrees
135
The percentage of weight loss for a resident who previously weighed 180 pounds and now weighs 171 pounds
5.0
The maximum allowable hours between the evening meal and breakfast is ___ hours
14
Per OBRA an attending physician must see a resident every 30 days for the first ___ days and then every ___ days thereafter
90,60
Under OBRA the ___ is not required to attend the quality assessment and improvement committee
Administrator
The main focus of an activities program is
Fun and enjoyment
The assessment of a residents condition results in
A description of current staus
Medical records belong to the
FAcilty
The primary purpose of medical records is
Continuity of care
Per OBRA a residents medical chart must not contain
Medicare and Medicaid documentation
Oral physician orders cannot be given to the
Ward clerk
The drug regimen of each resident must be checked monthly by the
Consultant pharmacist
___ may be stored in the medication room
Topical medications
The physical therapist job is not fully done unless staff
is involved in the process of helping the resident
The most effective form of communication is
face to face
Written communication is preferred over oral communication when the information
Must pass through several levels of management
A resident is restrained without a physicians orders and has not had a bath today
how many resident rights have been violated
1
An employee enters the administrators office visibly upset. The administrator should respond by
Listening
During an applicant interview the interview may ask about
Prior work experience
Supervisors contribute to positive employee morale most when dealing with employees by
Disciplining consistently and failry
When an employee makes an error it is best to correct the employee
Immediately and in private
A garnishment or attachment requires an employer to withhold monies from an employees paycheck and
forward it to a creditor
The primary purpose of a job description is to
outline job responsibilities of each job
The main purpose of the personnel function is
Staffing
The best source of new employees is usually
Referrals from current employees
Relationships between departments and employees and the lines of authority are best shown in the
Organizational chart
Fringe benefits are outlined int eh
Personnel policies
The goal of the activities program should be focused on
Participation and enjoyment
The ___ shows the lines of authority between departments and employees
Organizational chart
Which if the following causes the highest number of resident injuries
Flls
Fringe benefits are outlined in the
Personnel policies
An employee works 52 hours in a one week work period at a rate of $8.00 per hour. What would be the total gross salary including overtime pay
$464
___ is required by the fair labor standards act
Overtime pay
The primary fire fighting tools in a nursing facility are
Smoke barriers, corridor walls and resident doors
An employees right ot know relates to
Hazardous communications
The term lockout tag-out refers to
Controlling hazardous energy
The MSDSmeans
Materials Safety Data Sheets
Emergency generators must be tested
Monthly
___ are covered by both Part A and B of medicare
Home health visits
A simple definition of strategic planning is
Preparing for future eventualities and uncertanties
Staff must wash their hands for a minimum of ___ seconds under running water
20
___ is not a type of authority
Direct
One of the major mistakes a rookie manager makes is to
Over manage
An administrator must be willing to
Be held accountable
The term echelons refer to
Levels of management
If the wrong medication is given to a resident the facility would be covered by
Malpractice insurance
or professional liability which is also malpractice insurance
Procedures should be prepared by
Supervisors
___ sets forth standards to protect resident medical records
HIPAA
A statute of limitation specifies
The time period in which a lawsuit may be filed
The safe medical devices act requires
Reporting any incidents where a medical device injured someone
Subrogation refers to
Substituting one person or party for another to a lawful claim or right
Chemical manufacturers must convey information about hazards to workers by means of labels and
Materials safety data sheets
The guidelines and requirements of the Pregnancy Discrimination Act are issued by
EEOC
Before a resident is eligible for inpatient care in a skilled nursing facility under title XVIII the resident must have a ___ night stay in a hospital
Three
Per OBRA all contaminated sharps must be
Discarded immediately after use
The ombudsman was established by
Older Americans Act
Per Title XIX of the Social Security Act menus for food actually served residents must be retained for ___ days
30
The major payment source for most long term nursing home residents is
Medicaid
Each state is required to license all nursing home facilities and to inspect
- facilities licensed by the state
- medicaid certified facilities
- Medicare certified facilities
All of the above
The primary purpose of a safety program is
Accident prevention
Resident rights have ben categorized by
OBRA
Management by walking around is a concept developed by
Peters
___ is the most effective method to increase occupancy
Word of mouth
___ is not part of the ‘planning’ function
Staffing
Making objectives operational by making them specific to each department is called
management by objectives
MBWA is a
management style
Organizing is basically
grouping people and activities
When comparing leadership with management management is
Focused much more on systems
Delegation of administrative authority is widely encouraged because it ___
Leads to greater efficiency by allocating specific duties to individuas
Strategies are plans of action and are part of the ___ function
Planning
Demographic information relates to
Statistics about population
One of the best examples of he resident group dynamic is the
Resident council
___ drugs are for external use only
Topical
Training staff in assisting residents with their activities of daily living is the responsibility of the
Occupational therapist
After a comprehensive assessment has been done the comprehensive care plan is due within ___ days
7
Per OBRA a residents physician is not required to
Review all consultant reports
the policies and procedures for activities programs should include
Volunteers
An evaluation of the activity program should be aimed at
Whether the activities meet the needs and desires of all resisents
Surveyors are less concerned with how often information is gathered then
Whether sufficient progress is recorded in the chart
The ___ have most contact with residents and need training most in effective comunication
Certified nursing assistants
A physiatrist
Works with physical and occupational therapists
Flexion, rotation, abduction and ROM are all terms referring to
exercies
Heath and hydrotherapy are mostly used by
Occupational therapists
___ is not productive when counseling an employee
Getting personally involved
If a nursing assistant has a grievance the final step in the grievance process is the
Administrator
The primary purpose of the skilled rehabilitation program is to
Help residents improve and be able to handle their activities of daily living
Every new employee must complete a Form I-9 within__ _days of hiring
3
During a performance appraisal, the supervisor should
State well defined job expectations
To ensure work is completed on tie the administrator should
Schedule the work and observe the progress
Coordinating deals primarily with
Unifying the efforts of people
The use of labor pools or agency personnel can
Decrease continuity of care
Approving a facility’s annual budget is the responsibility of the
Governing body
The primary value of financial management is to allow the administrator to
Make decisions
___ is a non cash expense
Depreciation
___ is not a revenue center
Social services
___ is an operating expense
Weekend overtime wages
Labor cost in a nursing home as percentage of all expenses generally averages ___ percent of all costs
50 to 60
___ is a payroll tax
Social security tax
The primary purpose of an operating budget is to
Provide a method for ongoing study and control
Financial statements are necessary to determine if a business is
Solvent and profitable
The terms FIFO and LIFO refer to
Inventory valuing methods
A facility is required to provide 3.0 hours of nursing care per day per resident. The facility has a capacity of 180 residents with a current occupancy of 90%. How many fulltime employees would be required if each nurse worked 8 hours per shift
71
The answer is 71 because the answers are usually given in a range or approx and 2 is the closest to 60
When preparing the budget the administrator should involved department heads by asking department heads to
Review supplies used last year and calculate needed supplies for the next eyar
A facility purchased a piece of equipment for $40,000 that is expected to reduce costs by $7,000 per year. how long is the payback period
5.71
A cash flow projection is only valid
For a specific time period
The fire rating of building materials is established by
The life safety code
The food and Drug Administration enforces
SMDA
The ultimate mission of a nursing home is to
provide quality care
Managing a nursing home begins with
Leadership
Long range goals are to be attained within
3 years or more
By-laws do not specify
Staffing for each department
Medicaid would not cover
Individuals temporarily disabled
The consultant pharmacist is responsible to
Check all drug records
A set of books that lists each transaction in the facility is called
The books
An owner who takes cash out of the cash register for his personal use has violate the ___ principle
Entity
When a facility records assets at a market value but does not record bad betts it cannot collect it violates the ___ principle
Good faith
The main purpose of Generally Accepted Accounting Principles is to
Maximize comparability of financial statements between companies
When a facility records expenditures and receipts as they occur this is called the ___ system of accounting
Accrual
Per GAAP pieces of paper indicating money owed to the facility including bank statements checks and invoices are called
Source documents
Destroying paper records of purchases made by the facility would violate which principle
Objective evidence
Changing a company’s fiscal year from January 1 to June 30 is an example of violating the ___ principle
Time period
When a facility does not record wages paid to workers it is violating the ___ principle
Disclosure
If the administrator wants to see the journals the administrator wants to see
The orgiinal entries
If the administrator wanted a listing of every account in the facility the accountant would produce the
Chart of accounts
A summary of a facility well being is reflected in the
Balance sheet
Money invested in a facility is called
Capital
Things which are owed by the facility to others are called
Liabiltiies
Things which are owned by the facility are called
Assets
The ability to match revenues to expenses in a given time period ins the advantage of the ___ system of accounting
Accrual
It is difficult to recognize depreciation and prepaid expenses in the ___ accounting system
Cash
Making a debit and a credit for each financial transaction is known as the ___ bookkeeping system
Double entry
Under the accrual accounting system, the purchase of six months of malpractice insurance would be recorded in the
General journal
In the double entry bookkeeping system, if the bookkeeper records a $500 transaction on the debit side of the journal, the bookkeeper would then
Make an entry on the credit side of the journal for $500
When errors are discovered in the other journals they can be corrected in the
General journal
Per GAAP the ___ does not need to be distributed to investors
Chart of accounts
The income or profit and loss statement shows whether ___ was sufficient to cover expenses
Revenues
If the administrator deducted total expenses from total revenues, the administrator would be calculating the
Net income or loss
A financial statement where the assets must equal the liabilities and capital accounts is called the
Balance sheet
The ___ would show the ending balance of the revenue and expense accounts
Income statement
An asset which can be turned into cash within 12 months is called a
Current asset
Funds put into the facility by the owners or investors are included in the calculation of a facility’s
Net worth
Invoices for food supplies and nursing supplies are classified as
Current liabilities
Depreciation is an expense associated with the use of
An asset
Subtracting current liabilities from current assets would tell you the facilities
Working capital
Comparing the relationship of the same financial measurements over a period of time is called
Ratio analysis
If an administrator wanted a statement of the financial condition of the facility at year’s end the administrator would consult the
Balance sheet
While administrators must review the profit and loss statement each month, we do not see the balance sheet. The balance sheet is prepared at the end of the year
A facility has current assets of $420,000 and current liabilities of $350,000. The facility’s current ratio is
1.2
Ratios should be
Compared to industry averages over time
A facility with 200 residents needs to staff 2 hours of nursing care per resident. A nurse works 8 hours per shift. How many nurses do you need to staff that day
50
A facility with long term debt of $4,000,000 and total equity of $3,000,000 has a debt to equity ratio of
1.33
Laws passed by a state are called
Statutes
A form that summarized the facility’s admission, discharges, and transfers is called a
Daily census form
