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
Turnover is highest for
Nursing aides
Fringe benefits or employee benefits are
Considered to be a right by employees
The best source for new employees is
Current employee referrals
An employment application can request a job applicants
Citizenship
___ is a subjective measurement of performance on an employee evaluation
Personality
Accounts payable past 60 days should not exceed ___ as a total percentage of all accounts payables
5%
An earning statement that compares revenues to expenses is also referred to as a
Profit and loss statement
Most facilities prepare a budget
Annually
the budget is prepared annually and reviewed monthly
The ___ investigates Medicare and Medicaid fraud
Office of Inspector General
Accounts receivables that are uncollected after ___ days should be written off as bad debt
90 days
The heart of the blood borne pathogen program is
A written plan in case of exposure
___ requires employer health insurers to limit the exclusionary period for pre existing conditions to 12 months
HIPAA
___ enforces the equal pay act
EEOC
___ enforces the provisions of the ADA relating to discrimination in employment for applicants with a disability
EEOC
___ requires employers to provide terminated employees a certificate of coverage upon termination or separation
COBRA
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
0
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
Letter of Isolated Deficiencies
The ___ enforces the Civil Rights Act
EEOC
The ___ prohibits paying for medicare referrals
Ethics in Patient Referrals Act
___ does not need to be connected to the emergency electrical power source
Telephone system
High forward reach is
48 inches
___ is filed with the state department of corporations to form a duly organized corporation
Certificate of incorporation
An employer is required to provide workers
- health insurance
- pension plan
- unemployment insurance
- life insurance
Unemployment insurance
The other choices are fringe benefits unlike OT, unemployment and workers compensation insurance which are mandated by federal law
The governing body of a non profit facility would be required to
hire and supervise a CEO
__ would be issued if surveyors determined that residents were harmed by the facility
A scope of severity of Class H
The best way to increase a facilitys cash position is to
Collect AR
A facility must submit a request for a formal administrative hearing within ___ days
20
Fire protection standards are developed and published by
NFPA-Life safety
Psychological aging begins
at birth
If a resident elopes from a facility and is later found by staff, staff should ___ when asked for comment by the media
Refer all questions to the administrator
If a resident develops a communicable disease, the facility should
Set up specific an appropriate isolation and containment procedures
Equity theory says that workers should be given equity increases when
When long time employees are paid significantly less than new employees being hired at current market rates
Reaching out to the community and strengthening your relationship with community organizations is called
Public Relations
Employers with ___ employees are subject to FMLA
50
OSHA requires you to keep workers medical records for
During employment plus 30 years after termination
Which is the basis for a tort
The facility negligently harms a resident
You jut admitted a resident with a history of wandering.Wheat would be the first step in protecting the resident
Have the nursing team evaluate the resident for possible interventions to address their need to wanter
___ would most likely cause a decubitis sore to develop
too much pressure on one area of the body
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
let them sit wherever they want
The daughter of a resident who lacks capacity to make decisions asks to see the residents chart. what should the facility do
Give the daughter access to the chart
The reason why the maintenance staff need to have work order request filled out is to
Prioritize reparis
What does the suffix ‘plegia’ mean
paralysis
The ___ is permitted to dispense medicatins
Pharmacist
nurse administers meds, pharmacists mix and dispense meds
The attending physician must be notified ___ a medication with a stop order is to be refilled
before
A facility needs to keep __ moths of assessments in the resident charts
15
The ___ have the power to make health care decisions
heath care surrogate
durable power of attorney
proxy
A power of attorney does not have the power to make health care decisions
The ___ decides whether a resident can self administer drugs
Interdisciplinary team
___ makes the employer responsible for injuries to third parties caused by employees in the course of their job
Respondeat superior
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
Evaluate the resident for appropriateness to allow them to self administer drugs once more
The consultant dietician must
Write down food lies and dislikes and document their progress in their chart
Occupational therapy is concerned with
The muscles of the upper body
The facility needs to provide adequate space in the dining room and spacing between tables to
Allow sufficient space for an independently functioning resident to get up and independently move around
How do you calculate adequate required living space in a resident rom
Living space less the bathroom, vestibule or hallway
A specialist who treats cancer is call an
oncologist
A colostomy bag is connected to teh
Stomach wall
When a resident is given a drug to calm them down, this is an example of a
Chemical restraint
Per OBRA 1987 a ___ would ave the least priority on the repair schedule
Water fountain
___ is the best indicator of low employee morale
High employee turnover
___ is a major reason for increased stress nurses are experience in long term care
Shorter resident stays but higher acuity
___ is best for a resident who suffered a cerebrovascular accident
Stroke recovery program
___ would cover a facility where a nurse administered the wrong mediation to a resident causing hospitalization
Professional liability insurance
An interviewer cannot ask a job applicant
Their age
Hot food must be served is at a minimum temperature of __ and above
135
A resident with audiological problems would be referred to a
Hearing specialist
___ would insure a facility where a visitor slips and falls in the facility
General liablity
An interview CANNOT ASK a job applicant if they
Have they ever filed a workers compensation claim
Cold food must. be served no warmer than ___ degrees
41
If a resident suffered a myocardial infarction which therapy would be best for them
Cardiac recovery program
