Mock National Exam 9 Flashcards

1
Q

Which is not true of advanced directives

  • All residents must e informed of their rights to make advanced directives upon admission
  • A facility must have written policies and procedures regarding advanced directives
  • Residents must execute a signed directive before or upon admission
  • a facility cannot be required to provide care that conflicts with an advanced directive
A

-Residents must execute a signed directive before or upon admission

Cannot require a resident to execute an advanced directive

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2
Q

The primary reason residents should be encouraged to eat in the main dining room is to

A

Encourage socialzation

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3
Q

___ is associated with involuntary movements of the head, lips, tongue, face and extremities including lip smacking movement

A

Tardives Dyskinesia

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4
Q

___ is the primary reason you would invite the fire department to provide staff training in fire emergency measures at your facility

A

Providing an opportunity for the firefighters to become acquainted with your facility layout and emergency cutoff switches

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5
Q

Where a facility has an outside provider provide in house dialysis the facility must ___ to protect resident rights

A

Require the company to sign a provider transfer agreement

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6
Q

The administrators main role in the facility activity program is to

A

Visit, observe, and support

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7
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 physical, mental, and psychosocial well being

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8
Q

The main challenge with on the job training in nursing homes is

A

There is too little time for trainers to train new people

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9
Q

___ is required by the FLSA

A

Overtime

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10
Q

Assets appear on teh

A

Balance sehet

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11
Q

___ does not relate to inventory

A

Posting

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12
Q

The current ratio is calculated by dividing current

A

Assets by current liablities

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13
Q

The Safe Harbor regulations do not prohibit

  • A facility from purchasing from a supplier with common ownership
  • Ownership in excess of 40 percent of a hospital by a physician
  • Extra payments for services or items reimbursed under Medicare or Medicaid
  • Nursing facility providers from investing only in publicly traded companies with an asset value of at least $50 million
A

Nursing facility providers from investing only in publicly traded companies with an asset value of at least $50 million

The other choices are specially prohibited- choice 4 is a Safe Harbor exemption

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14
Q

A current trial balance usually does not include

A

Names of accounts

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15
Q

To determine the capability of a facility to meet short term cash needs you would look at the

A

Cash flow statement

the cash flow statement pinpoints when cash is coming in and allows you to schedule payment of bills

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16
Q

Annual audits are necessary to

A

Verify the accuracy of financial records

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17
Q

Cash flow is the cash recipts

A

Less the cash disbursements

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18
Q

Waste management is monitored by

A

OSHA

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19
Q

Universal precautions were developed by the

A

CDC

Universal precautions were developed by the CDC and are required by OSHA

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20
Q

A totally private pay facility is

A

Licensed

All nursing homes must be licensed by the state. A facility would need to be certified by CMS to participate in the Medicare/Medicaid program

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21
Q

The number of disaster drills is determined by

A

Life Safety Code

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22
Q

Under respondeat superior when a worker commits a tort within the scope of their job

A

Both the employer and the employee are liable

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23
Q

A facility is not required to notify the state licensing agency when there is a change in the

A

Social services director

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24
Q

The Ombudsman program is funded by

A

Administration on aging

the local agency on agency receives funding under the older Americans act to fund daycare centers, senior centers, meals on wheels, and the long term care ombudsman program

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25
Q

In a nursing home total quality management is an approach that

A

Builds employee team work

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26
Q

___ is a major need of the elderly

A

A reason for being

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27
Q

The corporate compliance officer for the nursing facility is the

A

Nursing home administrator

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28
Q

___ is not a chronic condition

A

Pneumona

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29
Q

Which IS NOT TRUE with respect to advanced directives

A

Each resident must have a signed advanced directive in their chart

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30
Q

The best way to assess a resident with complicated medical conditions is to do a

A

RAI Resident Assmt Instrument

The RAI is a comprehensive assmt instrument compromised of MDS, RAPS and instructions to use the RAI. The RAPs or resident assmt protocols is a tool to further investigate and assess in specific resident problems. The RAPS can trigger further intervention assmts

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31
Q

When should a member of the governing body do if he or she has a family contact them directly regarding a concern they have with the care provided by the facility

A

Refer the matter to the nursing home administrator for resolution

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32
Q

If each resident requires 3 hours of nursing aide care per day and the facility has 120 beds and is at 90% occupancy, approximately how many nursing aides would be required for the day, if each nursing aide worked 8 hours per shift

A

40

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33
Q

What is the cost per day for food for a facility that spent $12,000 in October, $10,000 in November and $14,000 in December. The facility had a total of 9,000 resident days for October through December. What was the approximate average daily cost per resident

A

$4.00

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34
Q

Lighting, temperature and sound levels relate primarily to

A

Comfort

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35
Q

Work orders would not include

A

The equipment needed to do the job

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36
Q

The cost to maintain capital equipment in a nursing home will justify replacement within

A

10 years

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37
Q

Safety training programs for employees must be done

A

Immediately after hire

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38
Q

The concept of community relations is to

A

Involve the facility and the community in an interrelationship

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39
Q

Public relations is

A

Managing communication between the facility and the public

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40
Q

One of the best ways for a facility to develop an effective public relations program is to

A

Get the facility and the community involved in projects of mutual interest that strengthens the bonds between them

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41
Q

Gerontology is the study of

A

The aging process

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42
Q

When counseling family members it is best to

A

Let the family express their feelings

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43
Q

If a physician reports a med error to the administrator the administrator should

A

Allow the physician to take any necessary action

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44
Q

Individuals over 65 take an average of __ medications

A

7.2

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45
Q

___ makes it possible for organizations to expand and grow

A

Decentralization

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46
Q

Turnover is highest for

A

Nursing aides

47
Q

Fringe benefits or employee benefits are

A

Considered to be a right by employees

48
Q

The best source for new employees is

A

Current employee referrals

49
Q

An employment application can request a job applicants

A

Citizenship

50
Q

___ is a subjective measurement of performance on an employee evaluation

A

Personality

51
Q

Accounts payable past 60 days should not exceed ___ as a total percentage of all accounts payables

A

5%

52
Q

An earning statement that compares revenues to expenses is also referred to as a

A

Profit and loss statement

53
Q

Most facilities prepare a budget

A

Annually

the budget is prepared annually and reviewed monthly

54
Q

The ___ investigates Medicare and Medicaid fraud

A

Office of Inspector General

55
Q

Accounts receivables that are uncollected after ___ days should be written off as bad debt

A

90 days

56
Q

The heart of the blood borne pathogen program is

A

A written plan in case of exposure

57
Q

___ requires employer health insurers to limit the exclusionary period for pre existing conditions to 12 months

A

HIPAA

58
Q

___ enforces the equal pay act

A

EEOC

59
Q

___ enforces the provisions of the ADA relating to discrimination in employment for applicants with a disability

A

EEOC

60
Q

___ requires employers to provide terminated employees a certificate of coverage upon termination or separation

A

COBRA

61
Q

If an employee provides their new employer a certificate of coverage the employers health insurance provider can limit coverage for pre existing conditions for a period of __ months

A

0

62
Q

A facility that receives a citation during a survey for a tag that does not require a plan of correction or resurvey would receive the

A

Letter of Isolated Deficiencies

63
Q

The ___ enforces the Civil Rights Act

A

EEOC

64
Q

The ___ prohibits paying for medicare referrals

A

Ethics in Patient Referrals Act

65
Q

___ does not need to be connected to the emergency electrical power source

A

Telephone system

66
Q

High forward reach is

A

48 inches

67
Q

___ is filed with the state department of corporations to form a duly organized corporation

A

Certificate of incorporation

68
Q

An employer is required to provide workers

  • health insurance
  • pension plan
  • unemployment insurance
  • life insurance
A

Unemployment insurance

The other choices are fringe benefits unlike OT, unemployment and workers compensation insurance which are mandated by federal law

69
Q

The governing body of a non profit facility would be required to

A

hire and supervise a CEO

70
Q

__ would be issued if surveyors determined that residents were harmed by the facility

A

A scope of severity of Class H

71
Q

The best way to increase a facilitys cash position is to

A

Collect AR

72
Q

A facility must submit a request for a formal administrative hearing within ___ days

A

20

73
Q

Fire protection standards are developed and published by

A

NFPA-Life safety

74
Q

Psychological aging begins

A

at birth

75
Q

If a resident elopes from a facility and is later found by staff, staff should ___ when asked for comment by the media

A

Refer all questions to the administrator

76
Q

If a resident develops a communicable disease, the facility should

A

Set up specific an appropriate isolation and containment procedures

77
Q

Equity theory says that workers should be given equity increases when

A

When long time employees are paid significantly less than new employees being hired at current market rates

78
Q

Reaching out to the community and strengthening your relationship with community organizations is called

A

Public Relations

79
Q

Employers with ___ employees are subject to FMLA

A

50

80
Q

OSHA requires you to keep workers medical records for

A

During employment plus 30 years after termination

81
Q

Which is the basis for a tort

A

The facility negligently harms a resident

82
Q

You jut admitted a resident with a history of wandering.Wheat would be the first step in protecting the resident

A

Have the nursing team evaluate the resident for possible interventions to address their need to wanter

83
Q

___ would most likely cause a decubitis sore to develop

A

too much pressure on one area of the body

84
Q

A resident on a low salt diet wants to come into the dining room. What should the facility do

  • let them sit anywhere they want
  • require the resident to eat in their room
  • require the resident to sit with other residents on a similar diet so staff can track what they eat
  • ensure that salt is removed from all the tables first
A

let them sit wherever they want

85
Q

The daughter of a resident who lacks capacity to make decisions asks to see the residents chart. what should the facility do

A

Give the daughter access to the chart

86
Q

The reason why the maintenance staff need to have work order request filled out is to

A

Prioritize reparis

87
Q

What does the suffix ‘plegia’ mean

A

paralysis

88
Q

The ___ is permitted to dispense medicatins

A

Pharmacist

nurse administers meds, pharmacists mix and dispense meds

89
Q

The attending physician must be notified ___ a medication with a stop order is to be refilled

A

before

90
Q

A facility needs to keep __ moths of assessments in the resident charts

A

15

91
Q

The ___ have the power to make health care decisions

A

heath care surrogate
durable power of attorney
proxy

A power of attorney does not have the power to make health care decisions

92
Q

The ___ decides whether a resident can self administer drugs

A

Interdisciplinary team

93
Q

___ makes the employer responsible for injuries to third parties caused by employees in the course of their job

A

Respondeat superior

94
Q

A resident who was approved to self administer drugs, overdoses by mistake and is hospitalized . When the resident is ready to be released and return to the facility. The facility should

A

Evaluate the resident for appropriateness to allow them to self administer drugs once more

95
Q

The consultant dietician must

A

Write down food lies and dislikes and document their progress in their chart

96
Q

Occupational therapy is concerned with

A

The muscles of the upper body

97
Q

The facility needs to provide adequate space in the dining room and spacing between tables to

A

Allow sufficient space for an independently functioning resident to get up and independently move around

98
Q

How do you calculate adequate required living space in a resident rom

A

Living space less the bathroom, vestibule or hallway

99
Q

A specialist who treats cancer is call an

A

oncologist

100
Q

A colostomy bag is connected to teh

A

Stomach wall

101
Q

When a resident is given a drug to calm them down, this is an example of a

A

Chemical restraint

102
Q

Per OBRA 1987 a ___ would ave the least priority on the repair schedule

A

Water fountain

103
Q

___ is the best indicator of low employee morale

A

High employee turnover

104
Q

___ is a major reason for increased stress nurses are experience in long term care

A

Shorter resident stays but higher acuity

105
Q

___ is best for a resident who suffered a cerebrovascular accident

A

Stroke recovery program

106
Q

___ would cover a facility where a nurse administered the wrong mediation to a resident causing hospitalization

A

Professional liability insurance

107
Q

An interviewer cannot ask a job applicant

A

Their age

108
Q

Hot food must be served is at a minimum temperature of __ and above

A

135

109
Q

A resident with audiological problems would be referred to a

A

Hearing specialist

110
Q

___ would insure a facility where a visitor slips and falls in the facility

A

General liablity

111
Q

An interview CANNOT ASK a job applicant if they

A

Have they ever filed a workers compensation claim

112
Q

Cold food must. be served no warmer than ___ degrees

A

41

113
Q

If a resident suffered a myocardial infarction which therapy would be best for them

A

Cardiac recovery program