NAB 401 - 500 Flashcards

1
Q

The maximum in assets in you can have and qualify for Medicaid is $_______.

A

The maximum in assets in you can have and qualify for Medicaid is $2000

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2
Q

Care plans address activities appropriate for each resident based on the ______.

A

Care plans address activities appropriate for each resident based on the comprehensive assessment.

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3
Q

Main job of the activity director is to ___________.

A

Main job of activity director is to complete assessments and identify interests

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4
Q

What three things must the facility written fire plan address?

A

The use of an alarm; transmission of an alarm; a procedure to isolate and extinguish a fire; a plan to remove any persons in proximity to a fire and a fire evacuation plan. Just remember R-A- C-E.

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5
Q

_____ mandates that the governing body approve all facility policies.

A

OBRA 1987

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6
Q

Requests by a resident to see their medical records can be submitted _____.

A

Request to see their medical records can be either orally or in writing

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7
Q

Topical drugs are for ______ use.

A

Topical drugs are for external use only

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8
Q

Drugs should be administered _______ after they are prepared.

A

Drugs should be administered within one hour after they are prepared

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9
Q

STAT means _______.

A

STAT means immediately

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10
Q

The sum of all activities to create desired changes in quality care is the definition of _____.

A

Quality Improvement

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11
Q

Who is responsible to ensure drug records are in order and accounted for?

A

Consultant pharmacist is responsible to ensure drug records are in order and accounted for

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12
Q

Who must store and record drugs self administered by residents?

A

Nursing staff must store and record drugs self administered by residents

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13
Q

Residents have the right to self administer drugs if approved by the ________.

A

Residents have right to self administer drugs if approved by inter disciplinary team

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14
Q

If a medication has a stop order – when must the nurse notify the physician?

A

If a medication has a stop order – the nurse must notify the physician before the last dose is administered.

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15
Q

Must offer therapeutic activities based on a resident’s _____.

A

Must offer therapeutic activities based upon resident interests and hobbies

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16
Q

Management by walking around would not involve _____.

A

Management by walking around would not involve taking corrective action.

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17
Q

The primary purpose of a safety program is to ______.

A

Prevent or minimize accidents and injuries

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18
Q

Administrator communication with family is or is not privileged communication (protected from disclosure by law).

A

Administrator communication with residents and family is not privileged (protected from disclosure by law) (Attorneys; doctors and clergy do have confidential privilege and cannot be forced to disclose what you reveal to them).

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19
Q

HIPAA limits the exclusion period for pre existing conditions to ___ months.

A

HIPAA limits the exclusion period for pre existing conditions to 12 months

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20
Q

Under the Family Medical Leave Act; an employee can or cannot be required to use up leave time as part of the 12 weeks of FMLA they are entitled to each year.

A

Under the family leave act; the employee can be required to use up leave time for the 12 weeks of FMLA they are entitled to each year.

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21
Q

Under the ADA; employees can or cannot be required to submit to a fitness for duty.

A

Under the ADA; employees CAN be required to submit to a fitness for duty exam relevant to their job after being hired.

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22
Q

True or False - Can you require medical exams prior to an offer to hire.

A

FALSE - You can only require medical exams post hire

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23
Q

The process of determining job tasks; employee behavior and skills necessary for a job is called a ________.

A

A job analysis determines job tasks; employee behavior and skills necessary for a job

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24
Q

A collection of tasks that can be performed by one person is called a ____.

A

A job is a collection of tasks that can be performed by one person

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25
Q

Affirmative action relates to ______.

A

Affirmative action relates to hiring practices

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26
Q

What is the difference between a leader and a manager?

A

A manager maintains the status quo and resists change whereas a leader is forward thinking and understands the need to innovate; adapt and change.

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27
Q

True or false – Employees not formally evaluated by their supervisor can be expected to make good progress.

A

False - Employees not formally evaluated by their supervisor cannot be expected to make good progress.

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28
Q

Which entity enforces the Fair Labor Standards Act?

A

The Dept of Labors enforces the Fair Labor Standards Act

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29
Q

Employment at will allows an employer to _____.

A

Employment at will provides an employer can fire an employee without cause

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30
Q

Budgets are based on _______________.

A

Budgets are based on past experience and future expectations

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31
Q

Under GAAP; what is the entity principle?

A

The owner of a public corporation is separate from the company and cannot take cash from the cash register and not record the transaction.

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32
Q

The accrual method of accounting is required by ______.

A

The accrual method of accounting is required by Medicare and Medicaid

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33
Q

Income and expenses are recorded in the accrual method when _____.

A

Income and expenses are recorded in accrual method when incurred

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34
Q

Depreciation is correctly defined as the decrease in value due to ______.

A

Depreciation is correctly defined as the decrease in value due to wear and tear and obsolescence.

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35
Q

An amortization is a schedule showing _______.

A

Amortization is a schedule showing interest and principal owed to a creditor

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36
Q

Working capital is calculated by ________.

A

Working capital equals current assets minus current liabilities

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37
Q

Which law requires overtime?

A

Vacation is most costly fringe benefit

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38
Q

Identifying and solving problems before they get out of hand is called _____.

A

Risk management is identifying and solving problems before they get out of hand. Purchasing insurance decreases your risks.

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39
Q

Workers compensation premiums are based on ________.

A

Workers compensation premiums on based on how many employees are collecting workers compensation benefits.

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40
Q

The key to inventory control is to ________.

A

The key to inventory control is to standardize supplies; organize a central purchasing department and control number of people authorized to purchase.

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41
Q

A fiscal intermediary is an _______ who processes Medicare and Medicaid claims.

A

A fiscal intermediary is an insurance company

42
Q

Employees pay ____of their FICA tax.

A

Employees pay 50% of their FICA tax and the employer pays the other half

43
Q

When is a transaction recorded in the cash accounting system?

A

In the cash basis of accounting a transaction is recorded when a bill is actually paid or cash is actually received. In the accrual system the transaction is recorded when incurred or the date of the invoice.

44
Q

How does a business pay its payroll taxes? Which form?

A

Employers pay payroll taxes quarterly on form 941

45
Q

Which federal law requires written policies and procedures to protect patient info.

A

HIPAA requires written policies and procedures to protect patient info

46
Q

Principal cause of odors in nursing homes is _____.

A

Principal cause of odors in nursing homes is incontinence

47
Q

Most common accident in nursing homes to employees is ______.

A

Most common accident in nursing homes to employees is lacerations/cuts

48
Q

All personal appliances brought into a facility must be inspected by the ______ ensure it is safe before it can be plugged in.

A

All personal appliances brought into a facility must be inspected by maintenance ensure it is safe before it can be plugged in

49
Q

Egress is _____.

A

Egress is outward

50
Q

Ingress is ____.

A

Ingress is inward

51
Q

In GAAP; what is the Conservatism principle?

A

The Conservatism principle states that you must use the lower valuation when deciding which depreciation schedule to use calculate the value of your assets.

52
Q

In GAAP; what is the Objective Evidence Principle?

A

The Objective Evidence Principle states you must use source documents to evidence your transactions.

53
Q

Disclosure of ownership requires facilities to ______.

A

Disclosure of ownership requires licensees to notify the state licensing agency of changes in corporate officers; administrator and director of nursing.

54
Q

Which form of doing business provides the most limited liability?

A

Corporations provide the most limited liability

55
Q

True or False – Non profit corporations own most nursing homes.

A

False – For profit corporations own most nursing homes

56
Q

Which document contains rules; regulations and a mission statement?

A

Bylaws contain rules; regulations and mission statement

57
Q

Other than an emergency; must give a resident ____days advance notice of transfer or discharge.

A

Other than an emergency; must give resident 30 days notice of transfer

58
Q

A resident can work for the facility provided it is recorded in the ________.

A

A resident can work for the facility provided it is in the plan of care

59
Q

What are source documents under GAAP?

A

Source documents include invoices; receipts and cancelled checks

60
Q

True or False – the Governing body creates or implements procedures.

A

Governing body does not create or implement procedures

61
Q

The conscientious use of assets is called ____________.

A

A key role of the governing body is stewardship which the conscientious use of assets

62
Q

Who hires most staff in a nursing home.

A

The governing body does not hire staff – that is mostly done by department heads

63
Q

What is Time Period Principle under GAAP?

A

The Time Period Principle states that you must use the same time period from year to year (calendar or fiscal year).

64
Q

A person who dies without a will is ________.

A

A person who dies without a will is intestate

65
Q

What is the Consistency Principle under GAAP?

A

The Consistency Principle states that you must use the same accounting system year from year – can’t use accrual one year and cash system the next year.

66
Q

True or False – The ombudsman can review a resident’s records without the resident’s consent.

A

The Ombudsman cannot see resident records without the resident’s consent

67
Q

Demographic information relates to ______.

A

Demographic information relates to population statistics

68
Q

What is the Continuing Concern Principle under GAAP?

A

That a company will still be in business next year and the year after that

69
Q

Marketing is concerned with _____.

A

Marketing is concerned with filling your beds

70
Q

When decisions are made at lowest level authorized to make them this called _____.

A

Effective delegation is where decisions are being made at lowest level authorized to make them.

71
Q

Becoming neurotic is a psychological or physiological change.

A

Becoming neurotic is a psychological change

72
Q

Slowed reflexes is a psychological or physiological change.

A

Slowed reflexes is a physiological change

73
Q

Becoming incontinent is a psychological or physiological change.

A

Becoming incontinent is a physiological change

74
Q

Autism is or is not a developmental illness.

A

Autism is a developmental illness

75
Q

What percentage of residents selected to be interviewed during a survey must be interviewable?

A

50% of those residents selected to be interviewed during a survey must be interviewable (cognitive or able to speak).

76
Q

The purpose of a transfer agreement between facilities is to provide ______.

A

The purpose of a transfer agreement between facilities is to provide an interchange of medical information.

77
Q

A resident to be admitted to a nursing home must have a physical evaluation or examination done ___ days prior to admission or ___ hours after admission.

A

A resident to be admitted to a nursing home must have a physical evaluation or examination done with 5 days prior to admission or 48 hours after admission.

78
Q

Adaptive feeding equipment must be prescribed by a ______ or an_______.

A

Adaptive feeding equipment must be prescribed by a physician or the occupational therapist

79
Q

An ophthalmologist is a medical doctor that treats _______.

A

Ophthalmologist treats visual disorders and is a medical doctor

80
Q

A professional who grinds lenses for glasses is called ______.

A

An optician grinds lenses for glasses

81
Q

The main purpose for a resident council is _______.

A

Resident councils give residents a sense of control over their lives.

82
Q

The RAPs has __ triggers.

A

The MDS has 18 triggers

83
Q

The ____ is responsible to check resident drug regimens monthly.

A

The pharmacist consultant is responsible to check resident drug regimens monthly

84
Q

The ____ consultant is responsible to verify facility drug records.

A

The pharmacist consultant is responsible to verify drug records

85
Q

The pharmacist consultant is or is not required to dispense or dispose of drugs.

A

The pharmacist consultant does not administer; dispense or dispose of drugs The pharmacy under contract does that.

86
Q

A private room; television and phone are or are not covered by Medicare or Medicaid.

A

A private room; television; phone; reading materials; hair salon are not covered by Medicare or Medicaid.

87
Q

PRN means ______.

A

As requested

88
Q

STAT means ______.

A

Immediately

89
Q

P.O. – means ______.

A

By mouth

90
Q

NPO – means ______.

A

Nothing by mouth

91
Q

True or False - Internal and external meds may kept in the same drawer or area.

A

False - Internal and external meds must be kept in separate areas. They are stored in different drawers on med cart.

92
Q

True or False - Sexuality drastically diminishes with age.

A

False - Sexuality does not drastically diminish with age

93
Q

A resident must be given a physical examination at least ______.

A

A resident must be given a physical examination at least every 3 months to keep assessment accurate (MDS).

94
Q

Discharge planning is started ____.

A

Discharge planning is started upon admission

95
Q

The most common cause of infections in a nursing home is ______.

A

Exposure to visitors and employees is most common cause of infections

96
Q

Bedfast means being confined to a bed all of the time within the past __ days.

A

Within the past 7 days. Resident councils give residents a sense of control over their lives.

97
Q

Privacy considerations include privacy curtains; knocking on doors and understanding each individuals need for privacy.

A

Privacy considerations include privacy curtains; knocking on doors and understanding each individuals needs for privacy.

98
Q

Calculate percentage of occupancy where you have 120 beds and 87 are occupied?

A

Approximately 73% 87/120 = 87

99
Q

Which document specifies an individuals preference for the use of life prolonging measures such as tube feedings and ventilators?

A

Living will specifies an individuals preference for the use of life prolonging measures such as tube feedings and ventilators.

100
Q

A person who makes a will is called a ________.

A

A testator makes a will