Mock National Exam 7 Flashcards

1
Q

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

A

14

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2
Q

A facility must maintain ___ months of assessment in a residents active medical chart

A

15 months

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3
Q

Within ___ days of completing an assessment the facility must electronically transmit the assessment data to the state

A

7

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4
Q

A negligent or civil wrong is called a

A

Tort

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5
Q

Protective residents and staff from accidental or inadvertent electrical discharge from electrical outlets and devices is the purpose of the

A

Lock Out/Tag Out

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6
Q

___ would cover a facility where the nursing staff gives a resident the wrong medication resulting in injury to the resident

A

Professional Liability Insurance

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7
Q

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
A

Express their personal opinion as to the value of a union

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8
Q

CIO stands for

A

Congress of Industrial Organizations

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9
Q

Residents most are risk for pressure ulcers are usually

A

Bed or chair ridden

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10
Q

The organization responsible for researching safety protocols to protect workers in the work place from diseases and occupational hazards at NIOSH. NIOSH stands for

A

National Institute for Occupational Safety and Health

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11
Q

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

A

Performance review every 18 months

Performance review must be done every 12 months

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12
Q

Per OBRA 1987 resident medical records must be retained for a minimum of ___ years form discharge

A

5 years

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13
Q

The ___ is responsible for the day to day management of the facility’s nursing program

A

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

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14
Q

HHS stands for

A

Health and Human Services

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15
Q

Per OBRA 1987 medical records for minors must be retained for at least ___ years after the individual reaches legal age

A

3 years

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16
Q

CMS stands for

A

Centers for Medicare and Medicaid Services

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17
Q

___ would not be covered by Medicare

  • meals
  • laundry
  • activities
  • television
A

Television

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18
Q

A public telephone in a nursing facility must

A

have adjustable volume for hearing impaired

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19
Q

The ___ has legal responsibility to adopt and implement facility policies

A

Governing body

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20
Q

PHS stands fro

A

Public Health Service

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21
Q

A facility would need a minimum of ___ square feet in a semi private room with 2 residents

A

160

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22
Q

A private room must have a minimum of ___ square feet

A

100

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23
Q

___ is a stage 3 pressure ulcer

A

Tissue loss of the upper an lower layers of the epidermis

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24
Q

OBRA stands for

A

Omnibus Budget Reconciliation Act

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25
Q

The width requires for 2 wheelchairs to pass is

A

60 inches

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26
Q

The automatic smoke and fire detection systems must be connected to each other

A

Electronically

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27
Q

___ is not an advantage of doing business as a corporation

A

Unrestricted liability of officers and directors

The main advantage of a corporation is limited liablilty for the owners

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28
Q

Managing only by responding to exceptions is called

A

Variance analysis

We manage by tracking each month on our P&L where we missed our target revenue and expense goals

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29
Q

When the administrator asks the charge nurse to come to her office this is an example of

A

Downward communication

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30
Q

FICA stands for

A

Federal Insurance Contributions Act

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31
Q

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

-a drug that is administered at optimal stabilization levels

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32
Q

Gathering information from the community to determine what needed services the facility can offer the community is called

A

Market audit

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33
Q

SMDA requires reporting injuries to the

A

FDA and the manufacturere

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34
Q

SMDA stands for

A

Safe Medical Devices Act

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35
Q

Per SMDA an injury must be reported within ___ days

A

10

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36
Q

A nursing aide must have provided nursing related services fro compensation at least ___ during the previous __ months to maintain their certification status

A

1 day or 8 hours, 24 months

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37
Q

A SNF must have fire drills

A

Quarterly

Three fire drills on each shift every 3 months equals 12 drills a year

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38
Q

The air temperature in a nursing facility is measured

A

Just above the floor

***i’ve seen other answers say 3ft off the floor

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39
Q

The comfortable temperature range in a facility is

A

71-81

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40
Q

An infection that develops inside the facility is called

A

Nosocomial

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41
Q

Per OBRA 1987 the emergency generator does not have to power

A

The air conditioning system

42
Q

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

A

1 foot candle from the floor

43
Q

___ 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
A

destroying expired meds

The consultant pharmacist is not responsible to destroy although they do so in actual practice

44
Q

The most common cause of pressure sores is

A

Shearing and friction

45
Q

The acceptable medication error rate for a facility is ___% or less

A

5%

46
Q

A major cause of malnutrition in nursing home residents is

A

Poor dentition

47
Q

A full time social worker is required in a facility with

A

121 or more beds

48
Q

A management theory where a manager believes workers like to work and want to do a good job is called

A

Theory Y

Theory Y=Yes Good Good
Theory X=No Bad Bad/No No

49
Q

A management theory where a manager believes workers do not like to work and are lazy is

A

Theory X

Theory Y=Yes Good Good
Theory X=No Bad Bad/No No

50
Q

___ States that employee morale is affected by negative perception of the care provided by a facility and employees are less comfortable working there

A

Theory Z

Theory Z=Zero desire to work for a facility that has such a bad rep or bad care

51
Q

Communication occurs when

A

A message is transmitted by one person and received and decoded and understood by another person

52
Q

The American sWith Disabilities Act construction standards are enforced bye

A

Architecture and Transportation Barrier Compliance Board

53
Q

The Americans with Disabilities Act construction standards were developed by

A

ANSI

54
Q

A medicaid resident receiving $1500 a month in social security pension is within ___ of losing their medicaid eligability

A

$360

55
Q

___ provides research and recommendations to OSHA regarding workplace safety

A

NIOSH

56
Q

The federal government matches state Medicaid expenditures ranging from

A

50%-83%

57
Q

___ fire extinguishers would be used for fires from burning paper, lumber, cardboard and plastics

A

Class A

58
Q

___ Fire extinguishers would be used for metals such as magnesium and titanium

A

Class D

59
Q

___ fire extinguishers would be used for electrical appliances, outlets, power tools

A

Class C

60
Q

___ fire extinguishers would be used for combustible or flammable liquids such as kerosene, and gasoline

A

Class B

61
Q

A court appointed guardian is also called a

A

Conservator

62
Q

The main reason for informing a resident and any roommates of a room change in advance is because

A

A room change could result in an avoidable decline in physical, mental and psychosocial well being

63
Q

Allegations of Medicare fraud would be reported to the

A

OIG

64
Q

Maintaining a record of incidents and corrective actions regarding infections is assigned to the

A

Infection control program

65
Q

What is the average daily occupancy rate for June for a facility with a total of 3000 resident days for the month

A

100

3000/30 days=100

66
Q

A facility is cited for F371 H during an annual survey. The facility was cited for scope and severity of

A

Actual Harm-Not immediate Jeopardy- Patterned

67
Q

Clear width for a wheelchair is __ inches wide

A

36

68
Q

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

A

The resident can make decisions for themselves

69
Q

The percentage of weight loss is calculates as

A

Usual weight-actual weight divided by usual weight x 100

70
Q

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
A

all of the above

71
Q

Aside form the required annual standard survey which of the following conditions would not trigger and abbreviated standard survey

A

Change of Medical Director

72
Q

What must the surveyors hand the administrator in the entrance conference

A

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

73
Q

True or False

A surveyor can request access to a resident i the middle of the night

A

True

74
Q

Nursing homes must follow the life safety code of which year

A

2012

75
Q

The activities department must be open ___days a week

A

7

76
Q

The MSDS is now called which of the following

A

SDS

77
Q

The RAI (resident assessment instrument) is now called what

A

Care area assesment

78
Q

What are the triggers called in the Care Area Assessment

A

Care area triggers

79
Q

How many triggers are there in Care area Assments

A

20

80
Q

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

A

Payroll based journal

81
Q

The payroll information in question 80 above must be submitted to the CMS how often

A

Quarterly

82
Q

Individuals, corporations, the surrounding community or governmental entities who are directly affected by the actions taken by a business are known as

A

Staekholdesr

83
Q

Employees, residents, family members and corporate managers or owners are called

A

Internal stakeholders

84
Q

Hospital case managers, referring physicians, the surrounding community, and state surveyors called

A

External stakeholders

85
Q

The acceptable medication error rate is

A

Below 5%

86
Q

No more than __ hours can pass between dinner and breakfast

A

14 hours

87
Q

No more than )__ hours can pass between diner and breakfast if resident shave a snack

A

16 hours

88
Q

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

A resident group

89
Q

The facility must do a pain assessment for each resident how often

A

Quarterly

90
Q

Management by Walking Around MBWA is now called

A

Leadership by walking around LBWA

91
Q

Which of the following requires using the latest technology and safety syringes to avoid needle sticks

A

Needle Stick Prevention Act

92
Q

What do we call face masks, glove, and gowns that must be used by staff in a nursing home

A

Personal Protective Equipment PPE

93
Q

An ulcer that forms on the extremities due to peripheral vascular disease or venous insufficiency and not by direct pressure is called a

A

Stasis ulcer

94
Q

A resident in restraints must be released form their restraints for how many minutes

A

10

95
Q

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

A

1 hour

96
Q

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

A

1 hour

97
Q

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

A

1 hour

98
Q

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

A

1 hour

99
Q

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

A

1 horu

100
Q

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

A

1 hour