Mock National Exam 9 Flashcards
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
-Residents must execute a signed directive before or upon admission
Cannot require a resident to execute an advanced directive
The primary reason residents should be encouraged to eat in the main dining room is to
Encourage socialzation
___ is associated with involuntary movements of the head, lips, tongue, face and extremities including lip smacking movement
Tardives Dyskinesia
___ is the primary reason you would invite the fire department to provide staff training in fire emergency measures at your facility
Providing an opportunity for the firefighters to become acquainted with your facility layout and emergency cutoff switches
Where a facility has an outside provider provide in house dialysis the facility must ___ to protect resident rights
Require the company to sign a provider transfer agreement
The administrators main role in the facility activity program is to
Visit, observe, and support
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 physical, mental, and psychosocial well being
The main challenge with on the job training in nursing homes is
There is too little time for trainers to train new people
___ is required by the FLSA
Overtime
Assets appear on teh
Balance sehet
___ does not relate to inventory
Posting
The current ratio is calculated by dividing current
Assets by current liablities
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
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
A current trial balance usually does not include
Names of accounts
To determine the capability of a facility to meet short term cash needs you would look at the
Cash flow statement
the cash flow statement pinpoints when cash is coming in and allows you to schedule payment of bills
Annual audits are necessary to
Verify the accuracy of financial records
Cash flow is the cash recipts
Less the cash disbursements
Waste management is monitored by
OSHA
Universal precautions were developed by the
CDC
Universal precautions were developed by the CDC and are required by OSHA
A totally private pay facility is
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
The number of disaster drills is determined by
Life Safety Code
Under respondeat superior when a worker commits a tort within the scope of their job
Both the employer and the employee are liable
A facility is not required to notify the state licensing agency when there is a change in the
Social services director
The Ombudsman program is funded by
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
In a nursing home total quality management is an approach that
Builds employee team work
___ is a major need of the elderly
A reason for being
The corporate compliance officer for the nursing facility is the
Nursing home administrator
___ is not a chronic condition
Pneumona
Which IS NOT TRUE with respect to advanced directives
Each resident must have a signed advanced directive in their chart
The best way to assess a resident with complicated medical conditions is to do 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
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
Refer the matter to the nursing home administrator for resolution
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
40
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
$4.00
Lighting, temperature and sound levels relate primarily to
Comfort
Work orders would not include
The equipment needed to do the job
The cost to maintain capital equipment in a nursing home will justify replacement within
10 years
Safety training programs for employees must be done
Immediately after hire
The concept of community relations is to
Involve the facility and the community in an interrelationship
Public relations is
Managing communication between the facility and the public
One of the best ways for a facility to develop an effective public relations program is to
Get the facility and the community involved in projects of mutual interest that strengthens the bonds between them
Gerontology is the study of
The aging process
When counseling family members it is best to
Let the family express their feelings
If a physician reports a med error to the administrator the administrator should
Allow the physician to take any necessary action
Individuals over 65 take an average of __ medications
7.2
___ makes it possible for organizations to expand and grow
Decentralization