Mock National Exam 7 Flashcards
When a change in a residents condition is significant the facility must assess the residents physical or mental condition within ___ days of identifying a significant change
14
A facility must maintain ___ months of assessment in a residents active medical chart
15 months
Within ___ days of completing an assessment the facility must electronically transmit the assessment data to the state
7
A negligent or civil wrong is called a
Tort
Protective residents and staff from accidental or inadvertent electrical discharge from electrical outlets and devices is the purpose of the
Lock Out/Tag Out
___ would cover a facility where the nursing staff gives a resident the wrong medication resulting in injury to the resident
Professional Liability Insurance
Nursing home administrators can
- Ask workers if they attend union meetings
- attend union meetings
- contribute money to a union
- express their personal opinion as to the value of a union
Express their personal opinion as to the value of a union
CIO stands for
Congress of Industrial Organizations
Residents most are risk for pressure ulcers are usually
Bed or chair ridden
The organization responsible for researching safety protocols to protect workers in the work place from diseases and occupational hazards at NIOSH. NIOSH stands for
National Institute for Occupational Safety and Health
Planning inservice education for nursing aides would not include
-At least 12 hours of inservices per year
-in services based on training needs identified in performance reviews
-performance reviews every 18 months
providing training on caring for cognitively impaired residents
Performance review every 18 months
Performance review must be done every 12 months
Per OBRA 1987 resident medical records must be retained for a minimum of ___ years form discharge
5 years
The ___ is responsible for the day to day management of the facility’s nursing program
Director of nursing
the DON is responsible for the nursing program b/c only a licensed nurse can supervise other nurses The medical director is responsible for the medial care in the facility. The governing body has ultimate legal responsibility to supervise the administrator and ensure residents are properly cared for. All the above will be sued and sanctioned if he facility failed to provide care meeting professional standards of care
HHS stands for
Health and Human Services
Per OBRA 1987 medical records for minors must be retained for at least ___ years after the individual reaches legal age
3 years
CMS stands for
Centers for Medicare and Medicaid Services
___ would not be covered by Medicare
- meals
- laundry
- activities
- television
Television
A public telephone in a nursing facility must
have adjustable volume for hearing impaired
The ___ has legal responsibility to adopt and implement facility policies
Governing body
PHS stands fro
Public Health Service
A facility would need a minimum of ___ square feet in a semi private room with 2 residents
160
A private room must have a minimum of ___ square feet
100
___ is a stage 3 pressure ulcer
Tissue loss of the upper an lower layers of the epidermis
OBRA stands for
Omnibus Budget Reconciliation Act
The width requires for 2 wheelchairs to pass is
60 inches
The automatic smoke and fire detection systems must be connected to each other
Electronically
___ is not an advantage of doing business as a corporation
Unrestricted liability of officers and directors
The main advantage of a corporation is limited liablilty for the owners
Managing only by responding to exceptions is called
Variance analysis
We manage by tracking each month on our P&L where we missed our target revenue and expense goals
When the administrator asks the charge nurse to come to her office this is an example of
Downward communication
FICA stands for
Federal Insurance Contributions Act
An unnecessary drug would not include
- A drug whose side effects ware worse than the condition it is meant to treat
- a drug whose use is not demonstrated by the residents condition
- a drug which duplicated the actions of another drug being taken by the resident
- a drug that is administered at optimal stabilization levels
-a drug that is administered at optimal stabilization levels
Gathering information from the community to determine what needed services the facility can offer the community is called
Market audit
SMDA requires reporting injuries to the
FDA and the manufacturere
SMDA stands for
Safe Medical Devices Act
Per SMDA an injury must be reported within ___ days
10
A nursing aide must have provided nursing related services fro compensation at least ___ during the previous __ months to maintain their certification status
1 day or 8 hours, 24 months
A SNF must have fire drills
Quarterly
Three fire drills on each shift every 3 months equals 12 drills a year
The air temperature in a nursing facility is measured
Just above the floor
***i’ve seen other answers say 3ft off the floor
The comfortable temperature range in a facility is
71-81
An infection that develops inside the facility is called
Nosocomial
Per OBRA 1987 the emergency generator does not have to power
The air conditioning system
Lighting of the means of egress must be CONTINUOUS with exit floor surfaces illuminated at the level of ___ floor candle from the ___
1 foot candle from the floor
___ is not the responsibility of the consultant pharmacist
- reviewing resident drugs monthly for unnecessary drugs
- ensuring medication records are in order
- destroying expired meds
- establishing a system to record receipt and disposition of all drugs
destroying expired meds
The consultant pharmacist is not responsible to destroy although they do so in actual practice
The most common cause of pressure sores is
Shearing and friction
The acceptable medication error rate for a facility is ___% or less
5%
A major cause of malnutrition in nursing home residents is
Poor dentition
A full time social worker is required in a facility with
121 or more beds
A management theory where a manager believes workers like to work and want to do a good job is called
Theory Y
Theory Y=Yes Good Good
Theory X=No Bad Bad/No No
A management theory where a manager believes workers do not like to work and are lazy is
Theory X
Theory Y=Yes Good Good
Theory X=No Bad Bad/No No
___ States that employee morale is affected by negative perception of the care provided by a facility and employees are less comfortable working there
Theory Z
Theory Z=Zero desire to work for a facility that has such a bad rep or bad care
Communication occurs when
A message is transmitted by one person and received and decoded and understood by another person
The American sWith Disabilities Act construction standards are enforced bye
Architecture and Transportation Barrier Compliance Board
The Americans with Disabilities Act construction standards were developed by
ANSI
A medicaid resident receiving $1500 a month in social security pension is within ___ of losing their medicaid eligability
$360
___ provides research and recommendations to OSHA regarding workplace safety
NIOSH
The federal government matches state Medicaid expenditures ranging from
50%-83%
___ fire extinguishers would be used for fires from burning paper, lumber, cardboard and plastics
Class A
___ Fire extinguishers would be used for metals such as magnesium and titanium
Class D
___ fire extinguishers would be used for electrical appliances, outlets, power tools
Class C
___ fire extinguishers would be used for combustible or flammable liquids such as kerosene, and gasoline
Class B
A court appointed guardian is also called a
Conservator
The main reason for informing a resident and any roommates of a room change in advance is because
A room change could result in an avoidable decline in physical, mental and psychosocial well being
Allegations of Medicare fraud would be reported to the
OIG
Maintaining a record of incidents and corrective actions regarding infections is assigned to the
Infection control program
What is the average daily occupancy rate for June for a facility with a total of 3000 resident days for the month
100
3000/30 days=100
A facility is cited for F371 H during an annual survey. The facility was cited for scope and severity of
Actual Harm-Not immediate Jeopardy- Patterned
Clear width for a wheelchair is __ inches wide
36
An individual who was determined to lack capacity to make decision for themselves was reassessed and determined to have capacity or has regained capacity. Who would not be able to make decisions for the resident
The resident can make decisions for themselves
The percentage of weight loss is calculates as
Usual weight-actual weight divided by usual weight x 100
Which of the following is the definition of a sentinel event
- an event in which the residents physician must be notified
- an event that presents serious injury or death
- an event which requires nursing staff to closely monitor a resident for a minim of 48 hours
all of the above
Aside form the required annual standard survey which of the following conditions would not trigger and abbreviated standard survey
Change of Medical Director
What must the surveyors hand the administrator in the entrance conference
A copy of the facility QM/QI and the OSCAR 3 and 4 reports to give the facility an opportunity to explain any discrepancies before the sample selection list if finalized
True or False
A surveyor can request access to a resident i the middle of the night
True
Nursing homes must follow the life safety code of which year
2012
The activities department must be open ___days a week
7
The MSDS is now called which of the following
SDS
The RAI (resident assessment instrument) is now called what
Care area assesment
What are the triggers called in the Care Area Assessment
Care area triggers
How many triggers are there in Care area Assments
20
Under new CMS regulations nursing homes are now required to integrate actual payroll and census data into required reporting to the CMS. What is the system called
Payroll based journal
The payroll information in question 80 above must be submitted to the CMS how often
Quarterly
Individuals, corporations, the surrounding community or governmental entities who are directly affected by the actions taken by a business are known as
Staekholdesr
Employees, residents, family members and corporate managers or owners are called
Internal stakeholders
Hospital case managers, referring physicians, the surrounding community, and state surveyors called
External stakeholders
The acceptable medication error rate is
Below 5%
No more than __ hours can pass between dinner and breakfast
14 hours
No more than )__ hours can pass between diner and breakfast if resident shave a snack
16 hours
A facility can extend the time between meals to the time specified in question 87 above if it is approved by which of the following
A resident group
The facility must do a pain assessment for each resident how often
Quarterly
Management by Walking Around MBWA is now called
Leadership by walking around LBWA
Which of the following requires using the latest technology and safety syringes to avoid needle sticks
Needle Stick Prevention Act
What do we call face masks, glove, and gowns that must be used by staff in a nursing home
Personal Protective Equipment PPE
An ulcer that forms on the extremities due to peripheral vascular disease or venous insufficiency and not by direct pressure is called a
Stasis ulcer
A resident in restraints must be released form their restraints for how many minutes
10
The facility must provide surveyors a copy of Form 802-ROSTER AND SAMPLE MATRIX within what time frame when requested by the surveyors in the entrance conference
1 hour
The facility must provided surveyors a copy of FORM 672-CENSUS AND CONDITIONS OF RESIDENTS within what time frae when requested by the surveyors in the entrance conference
1 hour
The facility must provide surveyors a copy of FORM 671- APPLICATION FOR LONG TERM CARE FACILITY MEDICAID AND MEDICARE CERTIFICATION within what time frame when requested by the surveyors in the entrance conference
1 hour
The facility must provide surveyors a list of all residents ADMITTED WITHIN THE LAST 30 DAYS within what time frame when requested by the surveyors int he entrance conference
1 hour
The facility must provide surveyors a list of all RESIDENTS RECEIVING ANTI PSYCHOTIC MEDICATIONS within what time frame when requested by the surveyors in the entrance conference
1 horu
The facility must provide surveyors a list of all RESIDENTS WHO REQUESTED MEDICARE DEMAND NOTICES IN THE LAST 6 MONTHS within what time frame when requested by the surveyors in the entrance conference
1 hour
