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Question 1

A physical restraint must be removed from the resident at least:

1. as requested
2. every 2 hours
3. twice per shift
4. every 30 ins

Answer 1

every 2 hours

Question 2

The term “incontinent” is used to describe a condition which:

1. prevents urination
2. requires the appointment of a legal guardian
3. causes a person to lose control of excretory functions
4. renders a person incapable of handling activities of daily living

Answer 2

causes a person to lose control of excretory functions

Question 3

The most significant aspect of resident care is :

1. education of the staff
2. appearance and dress of staff
3. the attitude toward the residents
4. experience in dealing with the elderly

Answer 3

the attitude toward the residents

Question 4

With regard to the staffing for nursing services, which of the following is required?

1. The individual State sets a minimum staffing ratio
2. Facilities must have on-site RN coverage 24hours per day, 7 days per week
3. Facilities must have, at minimum, 2 nurses on duty at all times
4. Facilities must have sufficient staff with appropriate competencies and skill sets

Answer 4

Facilities must have sufficient staff with appropriate competencies and skill sets

Question 5

Healthcare Association Infections (HAI) are infections associated with:

1. institutionalization
2. food and beverages
3. sexual transmission
4. post-surgical condtitions

Answer 5

institutionalization

Question 6

Assume that 90 doses of medication were prescribed by the resident’s physician to be administered in a given time period. However, 3 doses ordered were not given and 1 dose was incorrectly administered as prescribed. What was the medication error rate?

1. 1.8 percent
2. 3.0 percent
3. 4.0 percent
4. 4.4 percent

Answer 6

4.4 percent

Question 7

The facility may transfer or discharge a resident from the facility for any of the following reasons except:

1. resident’s needs cannot be met.
2. resident no longer requires the services
3. resident has failed to pay for a stay in the facility
4. Legal guardian appointed by the court refuses the discharge

Answer 7

legal guardian appointed by the court refuses the discharge

Question 8

A discharge plan must be developed for residents in the facility. Which of the following statements is not true?

1. Discharge planning begins upon admission and is usually initiated by the social worker
2. The discharge summary recapitulates the resident’s stay which describes the resident’s course of treatment while residing in the facility
3. A summary must be completed with a reconciliation of all pre-discharge medications as well as the resident’s post-discharge medications, both prescribed and over-the-counter
4. Discharge plans and accompanying summaries must be completed and signed by the primary care physician within three days of discharge.

Answer 8

Discharge plans and accompanying summaries must be completed and signed by the primary care physician within three days of discharge

Question 9

During a review of the wound care protocols in the nursing home, the Director of Nursing and the treatment nurse determine that they should re-educate the staff on the causes of pressure sores. Which of the following is not considered a primary reason for a resident to suffer from a skin breakdown?

1. Dehydration
2. malnourishment
3. poor positioning
4. Protein Supplements

Answer 9

Protein Supplements

Question 10

Social workers in a nursing facility may provide all of the following services except:

1. counseling
2. psychiatric therapy
3. utilization of community resources
4. services provided by the interdisciplinary team

Answer 10

psychiatric therapy

Question 11

Social work has been defined as a problem-solving process geared to helping people help themselves. The problem most likely to affect residents as they are faced with nursing facility placement is :

1. the fear of death
2. the loss of social identity
3. anxiety related to the unknown
4. the loss of the sense of self-respect

Answer 11

anxiety related to the unknown

Question 12

The administrator and every employee in a nursing facility must be aware and knowledgeable of resident’s rights. In a 140-bed facility the initial explanation of the resident rights to the resident and family is usually the responsibility of the :

1. social worker
2. 2.licensed nurse
3. activity director
4. nursing facility administrator

Answer 12

social worker

Question 13

Regarding advanced directives, which of the following statements is false?

1. All residents must be informed of their rights
2. A facility must have written policies and procedures
3. At admission a facility must require signed advanced directives
4. A facility is not required to provide care that may conflict with an advanced directive

Answer 13

At admission a facility must require signed advanced directives

Question 14

Counseling, group activities, and social functions appear to be productive therapeutic techniques for depressed residents, Of the following, which sign would be least displayed by depressed residents?

1. Sadness
2. Weight gain
3. Loss of interest in people
4. A sense that a great effort is needed to perform activities

Answer 14

Weight gain

Question 15

If a resident is declared mentally incompetent in a court of law, the rights of the resident are usually assigned to the :

1. facility
2. children
3. legally responsible party
4. Designated Ombudsman

Answer 15

legally responsible party

Question 16

Often residents complain about almost everything and a trained social worker should counsel this type of resident in an effort to:

1. resolve the complaint
2. dismiss the complaint
3. explain that there is no problem
4. explain that everyone has these problems

Answer 16

resolve the complaint

Question 17

OBRA envisions that the function of several previously free-standing committees can now be included in the quality assessment and assurance committee. Which of the following would remain a free-standing committee?

1. Ethics
2. Safety
3. Pharmaceutical
4. Infection control

Answer 17

Ethics

Question 18

What therapy treatment tends to work best with severely demented residents?

1. Drug therapy
2. Music therapy
3. Physical therapy
4. Validation therapy

Answer 18

Validation therapy

Question 19

All menus must be approved by:

1. the medical director
2. a registered dietitian
3. the director of nursing
4. the food service director

Answer 19

a registered dietitian

Question 20

Hot food must leave the kitchen at a temperature of at least:

1. 110 degrees Fahrenheit
2. 120 degrees Fahrenheit
3. 130 degrees Fahrenheit
4. 135 degrees Fahrenheit

Answer 20

135 degrees Fahrenheit

Question 21

The percentage of weight loss for a resident who previously weighed 180 pounds and now weighs 171 pounds is:

1. 1.9 percent
2. 2.0 percent
3. 5. percent
4. 9.0 percent

Answer 21

1.9 percent

Question 22

If a facility has 100 residents and it requires preparation time of 12 labor minutes per meal, how many labor hours are required per week?

1. 500 hours
2. 420 hours
3. 360 hours
4. 240 hours

Answer 22

420 hours

Question 23

The maximum number of hours allowed between serving the evening meal and breakfast the following day is:

1. 12 hours
2. 13 hours
3. 14 hours
4. 15 hours

Answer 23

14 hours

Question 24

Which of the following statements is not true in regard to food safety in the nursing home?

1. The maximum length of time food can be left on the steam table is 4 hours.
2. Chicken and fish must be cooked to a temperature of 155 degrees F and hamburger meat to 145 degrees F
3. When cooking raw animal foods in the microwave, all parts of the food should be heated to a temperature of at least 165 degrees F.
4. Food items that were cooked and cooled and then reheated must be reheated to an internal temperature of 165 degrees F for 15 seconds

Answer 24

Chicken and fish must be cooked to a temperature of 155 degrees F and hamburger meat to 145 degrees F.

Question 25

The primary purpose of encouraging all able-bodied residents to eat in the dining room is to:

1. provide socialization
2. allow time for housekeepers to clean resident rooms
3. reduce the cost of transporting food to the resident rooms
4. allow the food service director to observe the amount of food eaten by each resident

Answer 25

provide socialization

Question 26

Which of the following statements is not true regarding the nursing home’s obligation to its resident’s dental services?

1. The facility may charge a Medicare resident an additional cost for routine and emergency dental services
2. If the resident requests, the facility must arrange for transportation to and from the dental service location.
3. A resident with lost or damaged dentures must be referred for dental services within 3 days after discovery of the condition
4. Per facility policy, the facility may charge the resident for lost or damaged dentures in all cases

Answer 26

Per facility policy, the facility may charge the resident for lost or damaged dentures in all cases

Question 27

Which of the following personnel is not required to be a member of the quality assessment and assurance committee?

1. Medical Director
2. Director of Nursing
3. Infection Preventionist
4. Nursing Home Administrator

Answer 27

Nursing Home Administrator

Question 28

A resident with a hearing loss should be referred:

1. an otologist
2. a pathologist
3. a neurologist
4. an ophthalmologist

Answer 28

an otologist

Question 29

Which of the following physicians may not serve as the resident’s attending physician?

1. Internist
2. Podiatrist
3. Oncologist
4. Family practitioner

Answer 29

Podiatrist

Question 30

Under OBRA, the regulations for a skilled-nursing facility (SNF) require that residents must be seen by a physician every 30 days during the first 90 days after admission and thereafter:

1. once every 30 days
2. once every 60 days
3. once every 90 days
4. only as deemed necessary

Answer 30

once every 60 days

Question 31

A resident who is suffering from a kidney ailment is likely to be referred to which of the following specialists?

1. Oncologist
2. Proctologist
3. Nephrologist
4. Hematologist

Answer 31

Nephrologist

Question 32

St. Barbara’s Nursing and Rehabilitation Center admits an 86-year old resident. Upon his admission, the Director of Nursing finds the resident has a terminable disease and a prognosis of less than six months to live. The Director of Nursing may consider engaging which of the following outside services to provide services for this resident?

1. Hospice Care
2. Palliative
3. Ministerial Care
4. Physical Therapy

Answer 32

Hospice Care

Question 33

The use of calendars, clocks, and signs is an integral part of a program of:

1. virtual reality
2. reality orientation
3. facility orientation
4. experience education

Answer 33

reality orientation

Question 34

Determining the success of an activity program can be very difficult, yet one determination may be an increase in:

1. expenses
2. the number of participants
3. the number of types of programs
4. then number of family members involved in the programs

Answer 34

the number of participants

Question 35

Residents are most easily encouraged to participate in those activities which are:

1. very simple
2. provide income
3. personally satisfying
4. shared with relatives

Answer 35

personally satisfying

Question 36

In addition to volunteers, the community has many resources that can be utilized for education, transportation, security, and training. The department that uses many other resources than those listed is the:

1. activity department
2. nursing department
3. maintenance department
4. housekeeping department

Answer 36

activity department

Question 37

The goal for activities should be focused on:

1. development of skills
2. completion of the tasks
3. activities of daily living
4. participation and enjoyment

Answer 37

participation and enjoyment

Question 38

The nursing home administrator’s major role in the activity program should be to:

1. visit, observe, and support
2. organize a volunteer program
3. ensure residents participate in all programs
4. encourage all family members to support the activity department

Answer 38

visit, observe, and support

Question 39

Medical records belong to the:

1. facility
2. resident
3. physician
4. administrator

Answer 39

facility

Question 40

The first steps in implementing information-security programs for computer-based and paper records are to:

1. physically control the access to the system by using fingerprints and voiceprints
2. develop and enforce standards and safeguards to ensure the protection of resident records
3. restrict any employee from reviewing any record except the nurses and medical record librarian
4. document all users and require each to sign on and off each time an entry is made or when the record is reviewed

Answer 40

develop and enforce standards and safeguards to ensure the protection of resident records

Question 41

Federal regulations require that the medical records of a resident contain all of the following except the resident’s:

1. progress note
2. asssessments
3. plan of care
4. Medicare and/or Medicaid qualifications

Answer 41

Medicare and/or Medicaid qualifications

Question 42

The primary purpose of medical records is to:

1. follow physician orders
2. meet state and federal laws
3. provide for continuity of care
4. provide for legal documentation

Answer 42

provide continuity of care

Question 43

During an annual survey there will be an in-depth review of closed records. How many records must be reviewed for a facility with 120 beds?

1. 2 charts
2. 5 charts
3. 10 charts
4. 16 charts

Answer 43

2 charts

Question 44

The primary value of systematically organizing medical record forms is for:

1. variety
2. appearance
3. accessibility
4. reduction of eye strain

Answer 44

accessibility

Question 45

An assessment of resident’s condition results in:

1. an evaluation of the past
2. a description of the current status
3. a forecast of what is expected to occur
4. a decision regarding action to be taken

Answer 45

a description of what is expected to occur

Question 46

Nursing homes are required to complete a comprehensive, standardized assessment on each resident for the purpose of enabling the staff to develop a plan of care that allows the resident to reach his fullest health potentials. For nursing homes that participate in Medicare, the assessment tool used is the:

1. RAI
2. RAPS
3. RAVEN
4. MDS 3.0

Answer 46

MDS 3.0

Question 47

Standard pharmacy and medication procedures for storage require that none of the following should be stored in the drug room except:

1. outdated drugs
2. deteriorated drugs
3. discontinued drugs
4. drugs for external use

Answer 47

drugs for external use

Question 48

Standard medical practice requires that medication orders may be written or oral. However, if oral, they cannot be given to:

1. the ward clerk
2. the pharmacist
3. a licensed nurse
4. another physician

Answer 48

the ward clerk

Question 49

Which of the following drugs reduces pain?

1. Antidote
2. Antitoxin
3. Antibiotic
4. Analgesic

Answer 49

Analgesic

Question 50

If a pharmacy delivers a medication with a marred label:

1. the empty container should be returned to the pharmacist
2. the nurse should call the pharmacist and request new labels
3. the medication and container must be returned to pharmacy
4. only the DON can replace the label with the pharmacist’s approval

Answer 50

the medication and container must b returned to pharmacy

Question 51

The drug regimen of each resident must be reviewed at least once a month by;

1. the medical director
2. the director of nursing
3. a licensed pharmacist
4. the attending physician

Answer 51

a licensed pharmacist

Question 52

Prescription drugs can be administered by al of the following except a:

1. registered nurse
2. nurse practitioner
3. certified nursing aide
4. licensed practical nurse

Answer 52

certified nursing aide

Question 53

Many employees in a nursing home assist the resident in the activities of daily living (ADL’s), particularly those ADL’s that utilize the upper and lower extremities, however such rehabilitation is primarily the responsibility of :

1. nurses
2. physicians
3. rehabilitation aides
4. occupational therapists

Answer 53

occupational therapists

Question 54

Ambulate means to:

1. walk
2. inject
3. reduce
4. increase

Answer 54

walk

Question 55

Under the Americans With Disabilities Act, persons are not disabled if they:

1. cannot read due to dyslexia
2. have never learned how to read
3. need a cane for balance when walking.
4. limp because a broken leg did not heal properly

Answer 55

have never learned how to read

Question 56

Federal law requires that all specialized rehabilitative services:

1. must be conducted in-house
2. be limited to physical therapy
3. must be prescribed by a licensed physician
4. must be recommended by the Director of Nursing

Answer 56

must be prescribed by a licensed physician

Question 57

The therapist’s work is not fully accomplished unless the staff:

1. has been properly trained
2. can be increased to provide assisted services
3. is involved in the process of helping the resident
4. as a whole has been trained to continue the therapy without the therapist

Answer 57

is involved in the process of helping the resident

Question 58

In a health care facility, an important aspect of communication which is often overlooked is:

1. timing
2. filtering
3. commitment
4. confidentiality

Answer 58

confidentiality

Question 59

Written communication is preferred over oral communication when the information:

1. has a specific time limit
2. requires no interpretation
3. requires immediate feedback
4. must pass through several levels of management

Answer 59

must pass through several levels of management

Question 60

As all administrators should know, the most effective form of communication is:

1. written
2. face-to-face
3. posters and signs
4. telephone conversations

Answer 60

face-to-face

Question 61

To stimulate participation, discussion and obtain feedback, a productive nursing facility administrator would use:

1. bulletins
2. group meetings
3. the chain of command
4. intra departmental memos

Answer 61

group meetings

Question 62

During the interview of a job applicant, administrators may ask questions regarding:

1. pervious job experiences
2. physical and health problems
3. the ownership of a house or car
4. number of children and martial status

Answer 62

previous job experiences

Question 63

During one year a 100-bed facility with 90 employees experienced 25 resignations and had to discharge 10 employees. What was the annual employee turnover rate?

1. 35 percent
2. 39 percent
3. 41 percent
4. 45 percent

Answer 63

39 percent

Question 64

The major problem with on-the-job in a nursing home is:

1. the transfer of learning to the specific job
2. the day-to-day time demands made on the trainers
3. that employees cannot learn needed skills from their peers
4. that learning by doing is not as effective as learning by other methods

Answer 64

the day-to-day time demands made on the trainers

Question 65

The primary function of human resource management is:

1. staffing
2. planning
3. directing
4. organizing

Answer 65

staffing

Question 66

The primary purpose of a job description for each employee is to:

1. establish job procedures
2. establish a work schedule
3. standardize job performance
4. outline the duties of each job

Answer 66

outline the duties of each job

Question 67

The best source of new employees is usually through:

1. employment agencies
2. newspaper advertisements
3. state unemployment offices
4. referrals from current employees

Answer 67

referrals from current employees

Question 68

Relationships between departments and employees and the lines of authority are best explained using:

1. policies
2. procedures
3. a chart of accounts
4. an organizational chart

Answer 68

an organizational chart

Question 69

When dealing with employees, supervisors contribute most effectively to good morale in their department when they:

1. permit only self-discipline
2. discipline consistently and fairly
3. arrange salary increases at regular intervals
4. make a point of having coffee with the employees

Answer 69

discipline consistently and fairly

Question 70

When an employee makes an error or requires discipline, he or she should be corrected:

1. at a staff meeting
2. immediately and in private
3. off the job on the employee’s time
4. only after the matter has become serious

Answer 70

immediately and in private

Question 71

Usually a garnishment directs an employer to withhold a designated portion of an employee’s pay and :

1. forward it to a creditor
2. hold it until the debt is paid in full
3. deposit it at a designated federal bank
4. remit it to the proper government agency

Answer 71

remit it to the proper government agency

Question 72

All of the following are objectives of performance evaluations except:

1. giving employees feedback about work performance
2. directing employee efforts toward organizational goals
3. providing a basis for managers to use in deciding promotions
4. following and meeting all requirements of the corporate policies and procedures

Answer 72

following and meeting all requirements of the corporate policies and procedures

Question 73

Which of the following is required by the Fair Labor Standard’s Act?

1. Holiday pay
2. Vacation pay
3. Overtime pay
4. Sick leave pay

Answer 73

Overtime pay

Question 74

If a non-exempt employee works 52 hours in a one-week period at a rate of $10.00 per hour, what would be the total gross salary for that employee?

1. $390.00
2. $460.00
3. $520.00
4. $580.00

Answer 74

$580.00

Question 75

Fringe benefits are usually outlined in the :

1. job analysis
2. job descriptions
3. personnel policies
4. procedure manuals

Answer 75

personnel policies

Question 76

Most employee accidents are caused by either unsafe working conditions or:

1. behaviors
2. lack of training
3. faulty equipment
4. misuse of equipment

Answer 76

behavior

Question 77

All deaths or injuries resulting from a medical device must be reported to the FDA no later than:

1. 5 working days after the incident
2. 10 working days after the incident
3. 15 working days after incident
4. 30 working days after the incident

Answer 77

10 working days after the incident

Question 78

The balance sheet included many entries that are summarized from the ledger and profit and loss reports, assets equal:

1. net worth
2. liabilities and depreciation
3. net worth minus depreciation
4. liabilities and stockholder’s equity

Answer 78

liabilities and stockholders’ equity

Question 79

Why should the facility nursing home administrator secure information on budget needs from each department head?

1. It will encourage supervisors to stay within the budget of their own department
2. Budget awareness ensures department heads will spend no more than budgeted
3. The administrator can more easily hold supervisors responsible for expenditures
4. It provides more cooperation in the use of a budget if supervisors help determine the amounts designated in the budget

Answer 79

It will encourage supervisors to stay within the budget of their own department

Question 80

A nursing facility has a gross income of $486,000 with fixed expenses of $ 300,000 and variable expenses of $150,000. What is the approximate percentage of gross profit?

1. 6.0 percent
2. 6.2 percent
3. 7.0 percent
4. 7.4 percent

Answer 80

7.4 percent

Question 81

Nonoperating revenues would include all of the following except:

1. donations
2. loan payments
3. interest income
4. borrowed funds

Answer 81

loan payments

Question 82

Accelerated depreciation schedules compared to straight-line depreciation schedules:

1. are for a longer period of time
2. do not consider any salvage time
3. are limited according to the cost of the item to depreciated
4. depreciate higher percentages of the original cost of the item during the earlier years of the asset’s useful life

Answer 82

depreciate higher percentages of the original cost of the item during the earlier years of the assets’s useful life

Question 83

Assets appear on the:

1. budget
2. balance sheet
3. cash flow statement
4. profit and loss statement

Answer 83

balance sheet

Question 84

The primary purpose of internal control is to:

1. evaluate performance and efficiency
2. ensure compliance with policies and procedures
3. protect and safeguard assets against theft and waste
4. ensure accurate and reliable data for accounting reports

Answer 84

protect and safeguard assets against theft and waste

Question 85

Which of the following terms does not relate to inventory?

1. FIFO
2. Posting
3. Physical
4. Perpetual

Answer 85

Posting

Question 86

Liquidity is the ability of current assets to:

1. increase net worth
2. loan out money as an investment
3. meet the financial obligation of current liabilities
4. estimate the monetary value of good reputation

Answer 86

meet the financial obligation of current liabilities

Question 87

If a 150-bed facility averages 90% occupancy, and during a 30-day month has total expenses of $202,500, what is the average cost per resident per day?

1. $48.50
2. $50.00
3. $ 53.00
4. $55.00

Answer 87

$50.00

Question 88

If a facility has 150 beds and during a 30-day period they have 4,200 occupied bed days. What is their average percentage of occupancy?

1. 89 percent
2. 90 percent
3. 93 percent
4. 95 percent

Answer 88

93 percent

Question 89

The Safe harbor regulations prohibit:

1. a facility purchasing from any supplier with common ownership
2. ownership, in excess of 40 percent, of a hospital by a physician
3. extra payments for services or items reimbursed under Medicare or Medicaid
4. nursing facility providers investing only in publicly traded companies with an asset value of at least $50,000,000.

Answer 89

extra payments for services or items reimbursed under Medicare or Medicaid

Question 90

FUTA refers to:

1. I-9 form
2. Social Sercuity
3. an unemployment tax
4. worker’s compensation

Answer 90

an unemployment tax

Question 91

A current trial balance usually included all of the following except:

1. debits
2. credits
3. zero balances
4. names of accounts

Answer 91

zero balances

Question 92

To determine the capability to meet short-term cash needs, an administrator would use the:

1. trial balance
2. balance sheet
3. cash flow statement
4. profit and loss statement

Answer 92

cash flow statement

Question 93

The balance sheet is a financial statement which, on a given date, summarizes the:

1. assets, liabilities, and net worth
2. cash, accounts receivable, and equipment
3. revenues, expenses, cost of goods and services sold
4. accounts receivable, accounts payabe, and net worth

Answer 93

assets, liabilities and net worth

Question 94

In financial management, control refers to the development and maintenance of systematic ways to:

1. reduce cost
2. increase income
3. identify problems when they occur
4. control expenses relative to revenue

Answer 94

identify problems when they occur

Question 95

Annual audits are necessary to:

1. verify budgets
2. calculate new worth
3. establish depreciation schedules
4. verify the accuracy of financial records

Answer 95

verify the accuracy of financial records

Question 96

Cash flow is the cash receipts:

1. less liabilities
2. plus assets minus liabilities
3. less the cash disbursement
4. plus assets minus expenditures

Answer 96

less cash disbursement

Question 97

Waste management is monitored by:

1. CMS
2. ANSI
3. EEOC
4. OSHA

Answer 97

OSHA

Question 98

Standard Precautions were developed by:

1. CDC
2. ANSI
3. OBRA
4. OSHA

Answer 98

CDC

Question 99

regarding Airborne Infection Isolation Rooms (AIIR), which of the following statements is true?

1. The room must have a private bath
2. The room must be vented directly to the inside
3. The door to the room must be kept closed
4. A red linen barrel must be placed outside the AIIR door

Answer 99

The door to the room must be kept closed

Question 100

OSHA requires that nursing homes oost the OSHA 300A form in a conspicuous place each year. These forms must be:

1. posted monthly and kept on file for 2 years
2. posted each February and kept on file for 5 years
3. posted each February and a copy submitted to OSHA
4. posted from February 1 through April 30 and kept on file for 5 years

Answer 100

posted from February 1 through April 30 and kept on file for 5 years

Question 101

An organized maintenance program that will save time and money emphasizes:

1. adequate inventory
2. maintenance contracts
3. preventive maintenance
4. employing competent personnel

Answer 101

preventive maintenance

Question 102

The purpose of an enunciator panel is to:

1. control odor
2. control temperature
3. indicate the zone of a fire
4. indicate general hall lights

Answer 102

indicate the zone of a fire

Question 103

Work orders should include al of the following except:

1. the location
2. the problem
3. an authorized signature
4. the equipment needed to complete the job

Answer 103

the equipment needed to complete the job

Question 104

Maintenance engineers maintain that a guideline to keep in mind is that the maintenance cost of a machine justifies replacement in:

1. three years
2. five years
3. seven years
4. ten years

Answer 104

ten years

Question 105

OBRA mandates that nursing home rooms be provided with adequate furnishing for each resident with the exception of:

1. a dresser
2. over-bed tables
3. a comfortable chair
4. a clean, comfortable mattress

Answer 105

over-bed tables

Question 106

Lighting, temperatures, and sound levels relate primarily to:

1. safety
2. comfort
3. treatment
4. cleanliness

Answer 106

comfort

Question 107

Safety training programs for the employees must be conducted:

1. weekly
2. monthly
3. quarterly
4. immediately after being hired

Answer 107

immediately after being hired

Question 108

The primary fire-defensive tools of a nursing home are:

1. sprinklers and alarm pulls
2. smoke detectors and direct telephone lines
3. smoke barriers, corridor walls, and resident doors
4. internal fire-fighting equipment such as hoses and extinguishers

Answer 108

smoke barriers, corridor walls, and resident doors

Question 109

The “employee’s right to know” relates to:

1. resident rights
2. hepatitis B virus
3. universal precautions
4. hazardous communications

Answer 109

hazardous communications

Question 110

The term lockout and tagout refer to:

1. controlling hazardous energy
2. the Safe Medical Device Act
3. methods of identifying chemicals
4. techniques used to separate residents

Answer 110

controlling hazardous energy

Question 111

Security has become increasingly important to long-term care facilities. For a small-to-average-size facility, which of the following may not be feasible?

1. Conducting active shooter drills
2. Locking all outside entrance doors at night
3. Developing relationships with the local police and fire departments
4. Employing around-the-clock security officers

Answer 111

Employing around-the-clock security officers

Question 112

Pest control programs are allowed to use:

1. open traps
2. sticky flypaper
3. pump-up type sprayers
4. above ground poison baits

Answer 112

pump-up type sprayers

Question 113

Safety Data Sheets are required by:

1. ANSI
2. SMDA
3. OBRA
4. OSHA

Answer 113

OSHA

Question 114

In case of fire, the primary purpose of closing doors is to:

1. contain the fire
2. contain the smoke
3. prevent residents from entering the danger area.
4. indicate that the residents have been removed from the area

Answer 114

contain the smoke

Question 115

According to the National Fire Protection Association, the number one cause of fires in nursing homes is:

1. grease fires in the kitchen
2. extension cord use by residents
3. unclean lint traps in the laundry
4. the improper handling of smoking materials

Answer 115

grease fires in the kitchen

Question 116

The term “flashover” refers to a fire that:

1. has started
2. is out of control
3. has been put out
4. results from gasoline

Answer 116

is out of control

Question 117

Emergency generators must be checked:

1. daily
2. weekly
3. every 10 days
4. monthly

Answer 117

weekly

Question 118

The number of disaster drills is determined by the:

1. Life Safety Code
2. facility in accordance to state requirements
3. facility in accordance to federal requirements
4. Occupational Safety and Health Administration

Answer 118

facility in accordance to state requirements

Question 119

In a patient room in which oxygen is being used, “ No Smoking” is considered a :

1. law
2. rule
3. policy
4. statement

Answer 119

rule

Question 120

Which of the following service is covered by both Part A and Part B of the Medicare health insurance program?

1. Hearing aides
2. Home health visits
3. Physical check ups
4. Private duty nurses

Answer 120

Home health visits

Question 121

For those sustaining a hip fracture, which of the following factors does not relate to death caused by falls?

1. The bone strength
2. the distance fallen
3. The use of protective devices
4. The amount of body fat and padding

Answer 121

The amount of body fat and padding

Question 122

Which of the following specifics an amount to be paid to hospitals based on diagnostic-related groups?

1. OBRA
2. Medicaid
3. Medicare
4. The state

Answer 122

Medicare

Question 123

A totally private-pay nursing home must be:

1. certified
2. licensed
3. Medicaid approved
4. Medicare approved

Answer 123

licensed

Question 124

Under the doctrine of respondent superior, when an employee commits a wrongful act within the scope of his/her employment:

1. only the facility may be held liable
2. only the employee may be held liable
3. both the facility and the employee may be held liable
4. neither the facility nor the employee may be held liable

Answer 124

only the facility may be held liable

Question 125

A facility must give written notice to the state Medicaid agency when any change occurs in any of the following except:

1. ownership
2. the administrator
3. the census ratios
4. the director of nursing

Answer 125

the census ratios

Question 126

A simple definition of strategic planning is:

1. long-range budget planning
2. marketing and public relations
3. the utilization and allocation of resources
4. preparing or future eventualities and uncertainties

Answer 126

preparing for future eventualities and uncertainties

Question 127

An administrator must be willing to:

1. be able to perform all tasks
2. prevent all possible mistakes
3. be able to answer all requests
4. be held accountable for mistakes

Answer 127

be held accountable for mistakes

Question 128

One of the major mistakes a “rookie” administrator makes is they:

1. overmanage
2. undermanage
3. micro-manage
4. manage people

Answer 128

overmanage

Question 129

Policies are plans in the form of general statements which guide or channel:

1. action
2. staffing
3. thinking
4. production

Answer 129

thinking

Question 130

Leadership starts with:

1. support
2. visibility
3. isolation
4. adequate staff

Answer 130

visibility

Question 131

Procedures should be prepared by:

1. supervisors
2. the home office
3. the administrator
4. the governing body

Answer 131

supervisors

Question 132

Every rule should be:

1. approved by the president
2. created by the administrator
3. prepared by the governing body
4. associated with some form of discipline

Answer 132

associated with some form of discipline

Question 133

The term echelons refers to:

1. leadership
2. management styles
3. levels of management
4. micro-management techniques

Answer 133

levels of management

Question 134

If the wrong medication is given to a resident by an employee, the facility would be covered by:

1. malpractice insurance
2. product liability insurance
3. contractual liability insurance
4. personal injury liability insurance

Answer 134

malpractice insurance

Question 135

General liability insurance on a facility provides the owner with protection against:

1. accidents to residents and families
2. claims made by employees while on the job
3. claims not exempted under charitable immunity
4. nonoccupational personal injuries sustained on the property of the facility

Answer 135

nonoccupational personal injuries sustained on the property of the facility

Question 136

The two most important risk management tools are education and:

1. insurance
2. quality control
3. documentation
4. accident reports

Answer 136

quality

Question 137

Which of the following sets forth the standards to protect a residents medical records and other health information that may be provided to doctors, hospitals, and nursing homes?

1. CMS
2. OSHA
3. OBRA
4. HIPPA

Answer 137

HIPPA

Question 138

The resident, family, and/or responsible party should all participate in care planning, especially in the:

1. implementation of care plans
2. development of all care plans
3. evaluation of the care planning process
4. first meeting of the resident assessment

Answer 138

first meeting of the resident assessment

Question 139

In a nursing home, Total Quality Management is an approach that:

1. builds strong leadership skills for management
2. allows no room for employees to question the rules
3. builds employee inter-relationships through work teams
4. creates a direct line of communication with ownership

Answer 139

builds employee inter-relationships through work teams

Question 140

In nondirective counseling, the counselor:

1. works only as a member of a team
2. tries to lead the counselee toward a predetermined action
3. advises and persuades the counselee to follow a plan of action
4. guide the counselee to discover the best action for himself/herself

Answer 140

guides the counselee to discover the best action for himself/herself

Question 141

Which of the following is the major need of the aging?

1. Privacy
2. Relationships
3. Independence
4. A reason for being

Answer 141

A reason for being

Question 142

Which of the following treatment plans uses the social environment itself as treatment?

1. Milieu therapy
2. Re-socialization
3. Attitude therapy
4. Reality orientation

Answer 142

Milieu therapy

Question 143

Nursing facility administrators need to be aware of the field of sexuality in the aged because:

1. residents may still have an interest in sex even though they have outlived their spouses
2. the need for closeness, affection, and intimacy usually continues unabated throughout life
3. there may be some married couples in the facility and regulations require that privacy be provided for them
4. residents may need to become more involved in various programs to divert their attention from sexual matters

Answer 143

the need for closeness, affection, and intimacy usually continues unabated throughout life

Question 144

The state survey process for nursing facilities is currently:

1. outcome oriented
2. used to monitor management
3. a checklist guide to compliance
4. focused upon policies and procedures

Answer 144

outcome oriented

Question 145

What type of leadership or management allows administrators to involve their supervisors and staff in joint efforts to determine the best way to perform taks?

1. democratic
2. participative
3. Micro-management
4. departmentalization

Answer 145

participative

Question 146

The concept of community relations is to:

1. inform the community
2. ensure high occupancy rates
3. replace public relation programs and marketing
4. involve the facility and the community in an inter-relationship

Answer 146

involve the facility and the community in an inter-relationship

Question 147

Public relations is:

1. advertising
2. a program designed to meet the consumers’ needs
3. the process of selling services to meet the needs of the public
4. the management of communication between the facility and the public

Answer 147

the management of communication between the facility and the public

Question 148

Which of the following statements regarding a successful marketing plan is not true?

1. a marketing plan should be flexible and workable
2. Developing a marketing plan is a democratic process
3. A marketing plan should be clear, detailed, and precise
4. Creating a marketing plan communicates the facility’s mission adn focus

Answer 148

developing a marketing plan is a democratic process

Question 149

Which of the following marketing efforts is perhaps the least effective to increase occupancy?

1. Advertisement
2. Word of mouth
3. Physicians recommendations
4. Discharge planners from hospitals

Answer 149

Advertisement

Question 150

One of the best ways for nursing facilities to attain an effective public relations program is to:

1. avoid making statements to news reporters
2. support community interests that support the facility
3. print a monthly newsletter and distribute to the community
4. strengthen the bond between the facility and community and involve the two in an interrelationship

Answer 150

strengthen the bonds between the facility and community and involve the two in an interrelationship