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Nursing Home Administrator > NAB Practice Exam #2 > Flashcards

NAB Practice Exam #2 Flashcards

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1
Q

OBRA requires that ADL’s do not decline absent medical conditions

A

True

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2
Q

Regarding S&S, which one of the scopes listed below will result in an isolated incident?
1. G
2. B
3. F
4. K

A

G

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3
Q

CMS may reduce a CMP by _____ % for self reporting and prompt correction of noncompliance and if a facility waives its right to a hearing.

A

50%

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4
Q

What are the 3 subsystems of the long term care continuum?

A

Informal, Community, Institutionalized

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5
Q

In home services are; Home Health

A

Intramural services

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6
Q

Out of home services are; adult day care

A

Extramural services

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7
Q

Which category will result in in DoPA?
Cat. 1
Cat. 2
Cat. 3

A

Category 2

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8
Q

Which category results in directed in-service training or directed plan of correction?
Cat. 1
Cat. 2
Cat. 3

A

Category 1

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9
Q

Which category will result in temporary management or termination of provider agreement?

A

Category 3

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10
Q

How many weeks of work are required for an employee to be eligible for unemployment benefits?

A

26 weeks

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11
Q

Which one of the following includes managed care/HMO plans?
1. MCR A
2. MCR B
3. MCR C
4. MCR D

A

MCR C

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12
Q

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

A

Program for all inclusive care for the elderly

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13
Q

Costs TRACED back to the cost object is _________; and costs ALLOCATED to the cost object is________?

A

Direct costs / Indirect costs

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14
Q

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.

A

Cash budget

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15
Q

What agency mandates nursing homes to implement a corporate compliance ethics program?

A

The affordable care act of 2010

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16
Q

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.

A

healthcare proxy

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17
Q

The attempt to determine what moral standards should be followed so that human behavior and conduct may be morally right

A

Normative ethics

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18
Q

Concerned with the outcome or consequences of an action in which the ends can justify the means.

A

Situational ethics

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19
Q

Performance of an unlawful or improper act

A

malfeasance

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20
Q

Improper performance of an act

A

misfeasance

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21
Q

Failure to act when there is a duty to act as a reasonably prudent person.

A

nonfeasance

22
Q

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

A

HMO

23
Q
  1. Plan
  2. Do
  3. Check
  4. Act
A

Demings process improvement cycle

24
Q

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

A

Screening
STPIIPR

25
Q

PRN orders for psychotropic drugs are limited for ______ days?

A

14 days

26
Q

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

A

Green houses

27
Q

1.Osteo means_____
2.Neuro means______
3.Abbreviation for stroke______
4.Abbreviation for heart attack_______

A

Bone
Nerve
CVA (cerebral vascular accident)
AMI (acute myocardial infraction)

28
Q

________ tablet is place sublingually to relieve _______. It is not relieved, more than likely the person is having a heart attack.

A

Nitroglycerin / angina pectoris (chest pain)

29
Q

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

A

RN

30
Q

What title has been approved to sign section Z0500A of the MDS assessment

A

RN

31
Q

What triggers the CAA regarding MDS assessments?

A

Sign. Change, w/in 14 days of admission, annually

32
Q

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?

A

highest ranking person on duty

33
Q

The MDS look back period for all sections is ________ days, unless otherwise state?

A

7 days

34
Q

What is the universal sign for choking?

A

Hands near the neck, difficulty breathing

35
Q

When should the hemlich maneuver be used by a rescuer?

A

When the person tells you they are choking

36
Q

At a minimum, which one of the following titles must be on the survey team?

A

RN

37
Q

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

A

3, 4, 5

38
Q

Which one of the following could result in discounts on supplies ordered, when the facility participates?

A

GPO

39
Q

What is the ethical decision making process model? (SOCAE)

A

Situation, Options, Choose, Act, Evaluate

40
Q

When should a resident, guardian, and or RP know about the facility bedhold policy?

A

Upon discharge to hospital

41
Q

What should be done with residents who are psychoactive meds?

A

GDR upon admission and monthly

42
Q

Which one of the following accepts that some CURATIVE therapies may be appropriate even though the patient has be DX with a fatal disease?

A

Pallative Care

43
Q

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.

A

Hospice Care

44
Q

Which report will show how the facility compares to national and state percentiles?

A

Oscar Report 4

45
Q

Which report show the facilities non-compliance survey history?

A

Oscar Report 3

46
Q

Which report shows the facilities QI/QM and number of MDS transmitted during a specific time period?

A

CASPER

47
Q

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________?

A

SSF / 2 years

48
Q

Which one of the following assessments will not trigger a CAA?

A

MCR 5, 30, 60 day

49
Q

During which care plan meeting is the CAA not brought?

A

Quarterly

50
Q

Who is not required to be a part of the care plan meeting, if resident has 15 BIMs

A

Family member is not required, but every effort should be made to invite them.

51
Q

Regarding QAPI or CQI the main focus is on______?

A

Quality of care

Nursing Home Administrator (8 decks)

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