NAB Practice Exam #2 Flashcards
OBRA requires that ADL’s do not decline absent medical conditions
True
Regarding S&S, which one of the scopes listed below will result in an isolated incident?
1. G
2. B
3. F
4. K
G
CMS may reduce a CMP by _____ % for self reporting and prompt correction of noncompliance and if a facility waives its right to a hearing.
50%
What are the 3 subsystems of the long term care continuum?
Informal, Community, Institutionalized
In home services are; Home Health
Intramural services
Out of home services are; adult day care
Extramural services
Which category will result in in DoPA?
Cat. 1
Cat. 2
Cat. 3
Category 2
Which category results in directed in-service training or directed plan of correction?
Cat. 1
Cat. 2
Cat. 3
Category 1
Which category will result in temporary management or termination of provider agreement?
Category 3
How many weeks of work are required for an employee to be eligible for unemployment benefits?
26 weeks
Which one of the following includes managed care/HMO plans?
1. MCR A
2. MCR B
3. MCR C
4. MCR D
MCR C
Unique managed care benefit for frail and elderly. Must be 55 yo, live in PACE district, and quality for NH services as certified by the appropriate state agency. Can live in the community safely w/o 24 hour supervision
Program for all inclusive care for the elderly
Costs TRACED back to the cost object is _________; and costs ALLOCATED to the cost object is________?
Direct costs / Indirect costs
A budget that is prepared on the accrual basis of accounting, and it is an estimate of cash coming in and going out for the next 12 months.
Cash budget
What agency mandates nursing homes to implement a corporate compliance ethics program?
The affordable care act of 2010
Legal document that allows a person to appoint a healthcare agent to make a treatment decision in the event he/she becomes incapacitated and is unable to make decisions for him/herself.
healthcare proxy
The attempt to determine what moral standards should be followed so that human behavior and conduct may be morally right
Normative ethics
Concerned with the outcome or consequences of an action in which the ends can justify the means.
Situational ethics
Performance of an unlawful or improper act
malfeasance
Improper performance of an act
misfeasance
Failure to act when there is a duty to act as a reasonably prudent person.
nonfeasance
Which one of the following is an organized healthcare system that is responsible for both the FINANCING and DELIVERY of a broad range of comprehensive health services to an enrolled population?
1. IPA
2. HMO
3. PPO
4. POS
HMO
- Plan
- Do
- Check
- Act
Demings process improvement cycle
7 Components: which is the first step the facility takes regarding abuse and neglect?
1. Screening
2. Training
3. Prevention
4. Identification
5. Investigation
6. Protection
7. Report/response
Screening
STPIIPR
PRN orders for psychotropic drugs are limited for ______ days?
14 days
Deinstitutionalized movement for LTC in which individuals who require care live in small homes and have access to clinical and personal care services on the level of those provided in high quality nursing homes
Green houses
1.Osteo means_____
2.Neuro means______
3.Abbreviation for stroke______
4.Abbreviation for heart attack_______
Bone
Nerve
CVA (cerebral vascular accident)
AMI (acute myocardial infraction)
________ tablet is place sublingually to relieve _______. It is not relieved, more than likely the person is having a heart attack.
Nitroglycerin / angina pectoris (chest pain)
What title has been approved to be placed on section V0200B1 of the MDS?
1. Therapy
2. MDS Coor.
3. RN
4. LVN
5. None of the above
RN
What title has been approved to sign section Z0500A of the MDS assessment
RN
What triggers the CAA regarding MDS assessments?
Sign. Change, w/in 14 days of admission, annually
If there is a fire while the ED is on vacation and the firemen arrive at the facility, who is in charge at the facility?
highest ranking person on duty
The MDS look back period for all sections is ________ days, unless otherwise state?
7 days
What is the universal sign for choking?
Hands near the neck, difficulty breathing
When should the hemlich maneuver be used by a rescuer?
When the person tells you they are choking
At a minimum, which one of the following titles must be on the survey team?
RN
Which one of the following levels and scope and severity requires an immediate plan of correction and the ED/DON license is referred to respective boards?
1. Lvl 1, SS=L
2. Lvl 3, SS=A
3. Lvl 4, SS=J
4. Lvl 3, SS =H
5. Lvl 4, SS=L
6. Lvl 2, SS=k
3, 4, 5
Which one of the following could result in discounts on supplies ordered, when the facility participates?
GPO
What is the ethical decision making process model? (SOCAE)
Situation, Options, Choose, Act, Evaluate
When should a resident, guardian, and or RP know about the facility bedhold policy?
Upon discharge to hospital
What should be done with residents who are psychoactive meds?
GDR upon admission and monthly
Which one of the following accepts that some CURATIVE therapies may be appropriate even though the patient has be DX with a fatal disease?
Pallative Care
Consists of treatment that provides support and comprehensive care for the dying and focuses on maintaining quality of lift by relieving the patients physical, emotional, spiritual, suffering.
Hospice Care
Which report will show how the facility compares to national and state percentiles?
Oscar Report 4
Which report show the facilities non-compliance survey history?
Oscar Report 3
Which report shows the facilities QI/QM and number of MDS transmitted during a specific time period?
CASPER
When a SNF is non-compliant to include an IJ or SQC it is now classified as an _________ and will get how many surveys per year________?
SSF / 2 years
Which one of the following assessments will not trigger a CAA?
MCR 5, 30, 60 day
During which care plan meeting is the CAA not brought?
Quarterly
Who is not required to be a part of the care plan meeting, if resident has 15 BIMs
Family member is not required, but every effort should be made to invite them.
Regarding QAPI or CQI the main focus is on______?
Quality of care
