Mock National Exam 9 Flashcards by Kelly Maguire

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

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

Encourage socialzation

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

Tardives Dyskinesia

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___ 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

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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

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The administrators main role in the facility activity program is to

Visit, observe, and support

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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

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

There is too little time for trainers to train new people

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___ is required by the FLSA

Overtime

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Assets appear on teh

Balance sehet

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___ does not relate to inventory

Posting

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The current ratio is calculated by dividing current

Assets by current liablities

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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

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A current trial balance usually does not include

Names of accounts

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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

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Annual audits are necessary to

Verify the accuracy of financial records

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Cash flow is the cash recipts

Less the cash disbursements

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Waste management is monitored by

OSHA

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Universal precautions were developed by the

CDC

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

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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

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The number of disaster drills is determined by

Life Safety Code

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

Both the employer and the employee are liable

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

Social services director

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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

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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

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

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

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

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

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

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

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

Cardiac recovery program