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nab2 Flashcards

1
Q

A person diagnosed with dementia usually:

  1. complains a lot
  2. stresses failures
  3. displays a loss of intellectual capacity
  4. appears to be completely unconcerned
A

displays a loss of intellectual capacity

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2
Q

Gerontology is best defined as the study of the:

  1. aging processes
  2. psychology of aging
  3. illnesses of the aged
  4. ADL levels of the aged
A

aging processes

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3
Q

One of the current proposals regarding the developmentally disabled stresses changing the emphasis in active treatment to:

  1. one of choice
  2. independent living
  3. occupational therapy
  4. acquiring social skills
A

one of choice

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4
Q

The most important factor in the treatment and care of the developmentally disabled is:

  1. the process
  2. the end result
  3. documentation
  4. record keeping
A

the end result

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5
Q

A resident cannot be discharge or transferred if the:

  1. resident contracts HIV
  2. resident’s needs cannot be met
  3. resident’s health has improved significantly
  4. resident has failed to pay after reasonable notice
A

resident contracts HIV

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6
Q

Assume that 150 doses of medication were prescribed by the resident’s physician to be administered in a given time period. However, 2 doses ordered were not given and 3 doses were incorrectly administered as prescribed, What was the medication error rate?

  1. 2.0 percent
  2. 3.0 percent
  3. 3.3 percent
  4. 5.0 percent
A

3.3 percent

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7
Q

It is standard operating procedure to:

  1. monitor restraints every 2 hours
  2. monitor restraints every 30 minutes
  3. release patients from restraints every 2 hours and leave them out of the restraint for at least 1 hour
  4. release patients from restraints every hour and leave them out of the restraint for at least 10 minutes
A

monitor restraints every 30 minutres

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8
Q

The director of nursing may serve as a charge nurse only if the facility:

  1. ahs applied for a waiver
  2. is licensed for less than 100 beds
  3. has an average daily occupancy of 60 residents or less
  4. accepts only residents requiring minimal nursing services
A

has an average daily occupancy of 60 residents or less.

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9
Q

The OBRA outcome-oriented survey is focused on the:

  1. review of physical resources
  2. quality of care actually provided
  3. monitoring of management procedures
  4. compliance with state and federal regulations
A

quality of care actually provided

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10
Q

Mrs. Jones fell and fractured her hip while gardening in her back yard and was admitted to the local hospital. She had been in very good health prior to the accident. She was admitted to the local hospital and had surgery performed to repair the fracture. During her stay in the hospital, her family determined that she may need to be admitted to the nursing facility for physical therapy with the expressed intent of having her discharged back to her home as soon as therapy was completed. Upon her admission to the nursing home, the Director of Nursing was informed by her staff that Mrs. Jones was incontinent of bladder. which statement is true as related to the actions the DON must take?

  1. The family should be notified of this complication and asked that a month’s worth of adult briefs be supplied for Mrs. Jones
  2. A complete assessment should be done to determine the reason Mrs. Jones is incontinent and place her on a bladder training program if appropriate
  3. Make Mrs. Jones and/or her responsible party aware that the facility specializes in short-term rehabilitation and does not accept incontinent patients
  4. The attending physician should be immediately contacted with a request that he/she come to the facility to perform a complete assessment to determine the reason Mrs. Jones has become incontinent
A

A complete assessment should be done to determine the reason Mrs. Jones incontinent and place her on a bladder-training program if appropriate

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11
Q

An administrator receives a directive from his company’s corporate office advising him that all the company’s nursing homes will become “smoke free” at the beginning of the new year Which of the following statements is true in regards to the facilities’ new smoking policies?

  1. The facility can prohibit all residents from smoking inside the building, but must provide them a climate controlled smoking area
  2. The facility can prohibit all employees from smoking inside the facility but must allow them access to a climate controlled smoking area on campus
  3. The facility must allow those residents who lived in the facility prior to the implementation of the new policy to smoke in a designated, climate controlled area
  4. The facility is not allowed to prohibit residents from smoking in designated areas in the nursing home as that right is protected under the Federal Resident Rights for Nursing Home Residents
A

The facility must allow those residents who lived in the facility prior to the implementation of the new policy to smoke in a designated, climate controlled area

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12
Q

In most states, which of the following cannot be appointed as the agent under an advance directive?

  1. a friend
  2. an attorney
  3. a family memeber
  4. the attending physician
A

the attending physician

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13
Q

The Patient Self-Determination Act should be:

  1. enforced by the social service department
  2. discussed during the resident assessment
  3. mailed out annually to all residents and families
  4. given to the resident and family at the time of admission
A

given to the resident and family at the time of admission

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14
Q

To be effective, a resident council should:

  1. be controlled by the administrator
  2. have the participation of residents and employees
  3. be given the opportunity to control the activities of the facility
  4. have continued support by the administration and the residents
A

have continued support by the administration and the residents

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15
Q

A curator, as used in civil law, equates to a:

  1. payee
  2. guardian
  3. next of kin
  4. family member
A

guardian

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16
Q

When a new resident is admitted, the social worker should help the family during the initial separation period by:

  1. maintaining family contract regarding the resident’s condition
  2. telling the family that the facility will handle the resident’s condition
  3. advising the family not to visit until the resident has adjusted to the facility
  4. advising the family to have someone visit each day until the resident is adjusted
A

maintaining family contact regarding the resident’s condtion

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17
Q

Empathy may best be defined as the:

  1. capacity to share the interests of another person
  2. process whereby one strives to be like another person
  3. unconscious conferring of undesirable traits or tendencies on another person.
  4. ability to comprehend the meaning and relevance of the thoughts and feelings of another
A

ability to comprehend the meaning and relevance of the thoughts and feelings of another

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18
Q 
According to research studies, the most indispensable mineral found to be lacking in the diet of the elderly is:
1. iron
2. sodium
3, potassium
4, magnesium
A

potassium

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19
Q

To maximize the destruction of bacteria on dinnerware, the temperature of rinse water in dishwashers should be:

  1. 110 degrees Fahrenheit
  2. 140 degrees Fahrenheit
  3. 160 degrees Fahrenheit
  4. 180 degrees Fahrenheit
A

180 degrees Fahrenheit

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20
Q

Proper food storage is very important. Of the following problems listed, which is usually the most significant?

  1. dented cans
  2. Temperature control
  3. Labeling of cans and leftovers
  4. utensils left in large containers
A

temperature control

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21
Q 
An unplanned and/or undesired weight loss would be classified as significant if the percentage of loss during a six month interval was :
1. 4 percent
2. 6 percent
3. 8 percent
10 percent
A

10 percent

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22
Q

The most common cause of food poisoning is:

  1. infected food handlers
  2. communication with sick persons
  3. contamination of food by insects
  4. improper refrigeration of perishable foods
A

improper refrigeration of perishable foods

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23
Q

Nursing personnel should encourage a resident to eat in the dining area unless the resident:

  1. is incontinent
  2. cannot eat unassisted
  3. is confined to a wheelchair
  4. has been contraindicated to do so by physician’s orders
A

has been contraindicated to do so by physicians orders

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24
Q

Who is responsible for implementation of the resident care policies in the facility?

  1. Medical director
  2. Director of Nursing
  3. The assessment team
  4. Licensed nursing home administrator
A

Medical director

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25
Q

The physician must write, sign, and date progress notes:

  1. each month
  2. at each visit
  3. as deemed necessary
  4. monthly for the first 90 days
A

at each visit

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26
Q

The Social Security Act provides that a facility must have a written transfer agreement with one or more hospitals that are:

  1. equipped with a CAT scan and MRI
  2. within a radius of 5 miles of the facility
  3. able to provide ambulance transportation
  4. approved for participation under both Medicare and Medicaid
A

approved for participation under both Medicare and Medicaid

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27
Q

Under OBRA, the Quality Assessment and Assurance Committee is required to meet at least:

  1. weekly
  2. monthly
  3. quarterly
  4. annually
A

quarterly

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28
Q

Under OBRA, the implementation of which of the following policies is not the responsibility of the medical director?

  1. Dietary
  2. Admission
  3. Personnel
  4. Infection control
A

Personnel

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29
Q

Carcinoma is the medical term for:

  1. cancer
  2. cataracts
  3. liver spots
  4. heart disease
A

cancer

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30
Q

The physician who is primarily involved with the causes and histories of diseases is:

  1. an internist
  2. a pathologist
  3. a geriatrician
  4. a general practitioner
A

a pathologist

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31
Q

Mr. Boudreaux is an 88-year old resident in the nursing facility, He is cognitively intact, but has very poor posture and has a history of injuries due to falls. As the nursing home has a restraint-free policy, what is the best course of action for this resident?

  1. Discharge the resident as his needs cannot be met without the use of physical restraints
  2. Refer him to Rehabilitation Service so they can assess him for appropriate therapy as well as position devices
  3. Request the family employ a private sitter to stay with Mr. Boudreaux during the day in order to reduce the chances of him falling and hurting himself
  4. Assign the resident to restorative therapy to help him with ambulation issues and have him confined to a geri-chair with appropriate wedges to promote safety and proper posture
A

Refer him to Rehabilitation Service so they can assess him for appropriate therapy as well as position devices

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32
Q

Mr. Jones is a patient in St. Catherine’s Nursing Home. He is diagnosed with Lung cancer and his physician orders a regimen of chemotherapy in an attempt to arrest the disease. This type of therapy is considered:

  1. pain therapy
  2. cytotoxic therapy
  3. oncological therapy
  4. physiological therapy
A

cytotoxic therapy

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33
Q

The resident activity director has many roles and duties. However, the first responsibility should be:

  1. maintaining adequate records
  2. planning and organizing activity programs
  3. preparing care plans and writing progress notes
  4. completing the assessments and identifying the interests and needs of the residents
A

completing the assessments and identifying the interst and needs of the residents

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34
Q

Activity coordinators must plan, coordinate, and direct the resident activity programs and in addition:

  1. supervise therapeutic programs
  2. record notes in the resident’s medical record
  3. conduct the interdisciplinary assessment programs
  4. conduct in-service training programs for all employees
A

record notes in the resident’s medical record

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35
Q

A “remotivaition” program as applied to the demented resident generally refers to a:

  1. procedure used to recruit residents for group activities
  2. procedure used to encourage resident-staff cooperation
  3. program designed to stimulate the resident’s interest in community affairs
  4. group therapy program designed to stimulate the resident’s interest in the real world around him
A

group therapy program designed to stimulate the resident’s interest in the real world around him

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36
Q

Care plans address activities that are appropriate for each resident based on the:

  1. age and sex of the resident
  2. comprehensive assessment
  3. former life style of the resident
  4. recommendations of the nursing staff
A

comprehensive assessment

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37
Q

Which of the following would not usually be a primary interdisciplinary team member?

  1. Activity director
  2. Rehabilitation staff
  3. Nursing facility administrator
  4. Therapeutic recreation staff
A

Nursing facility administrator

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38
Q

A resident spends most of his time in his room alone and he has few interests except he watches the news on television. Which of the following activity approaches would perhaps be the most beneficial?

  1. Take him on group walks in the community
  2. Enroll him in male craft projects like building bird houses
  3. Invite him to participate in current events including small group discussions
  4. Suggest to the attending physician that antidepressant medication be considered
A

Invite him to participate in current events including small group discussions

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39
Q

According to Medicare and Medicaid requirements, upon an oral or written request, the resident shall have access to all records, including medical records, pertaining to himself/herself within:

  1. 24 hours
  2. 48 hours
  3. 3 days
  4. 1 week
A

24 hours

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40
Q

Medical records are also referred to as clinical records and are utilized by various members of the staff. However, the person ultimately responsible for accurate and adequate medical records is the:

  1. administator
  2. director of nursing
  3. attending physician
  4. medical record librarian
A

attending physician

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41
Q

Medical records may be released by written permission of the resident and if required by any of the following except:

  1. a court order
  2. an attorney at law
  3. a third party contract including Medicare
  4. another nursing home to which the resident is being transferred
A

an attorney at law

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42
Q

In cases in which facilities have created the option for an individual’s record to be maintained by computer rather than hard copy, which of the following is true?

  1. Electronic signatures are acceptable
  2. Signatures are acceptable with appropriate safeguards
  3. Electronic signatures are acceptable only for the medical staff
  4. Signatures must be recorded both electronically and on a hard copy
A

Signatures are acceptable with appropriate safeguards

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43
Q

The person designated as the medical record clerk must be:

  1. certified
  2. licensed
  3. a consultant
  4. a full-time staff member
A

a full-time staff member

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44
Q

Abbreviations are used by nurses in completing charts and other medical records. The abbreviation stat means:

  1. status
  2. statistic
  3. continue
  4. immediately
A

immediately

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45
Q

The 1987 OBRA regulation changed the role of the pharmacists in nursing facilities and greatly increased their responsibility. therefore, today the pharmacist must perform all of the following duties except:

  1. destroy al unused prescriptions
  2. determine that drug records are in order
  3. conduct a review of each resident’s drug regimen
  4. determine that an account of all controlled drugs is maintained and periodically reconciled
A

destroy all unused prescriptions

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46
Q

If a resident wants to self-administer medication, who is responsible for drug storage and recording the self-administered doses?

  1. The resident
  2. The nursing staff
  3. A family member
  4. a legal guardian
A

the nursing staff

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47
Q

Which of the following types of drugs are for external use only?

  1. Topical
  2. Diuretic
  3. Laxative
  4. Sedative
A

Topical

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48
Q

Stop-order procedures were formerly developed by the pharmaceutical service committee but are now to be developed by the:

  1. pharmacist
  2. medical director
  3. pharmacist and the medical director
  4. pharmacist and the director of nursing
A

pharmacist and medical director

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49
Q

If a medication has an automatic stop order, the nurse must:

  1. notify the pharmacist
  2. never renew the medication
  3. notify the physician before the last dose is administered
  4. notify physician at the time the drug is last administered
A

notify the physician before the last dose is administered

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50
Q

Drugs prepared (poured) for administration at 8:00 a.m. should be administered and recorded before subsequent doses are prepared ad before:

  1. 9:00 AM
  2. 10:00 AM
  3. 11:00 AM
  4. 12:00 noon
A

9:00 AM

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51
Q

The administrator may want to ensure that a rehabilitative team approach is being implemented for a resident and that:

  1. some family members assist
  2. the staff, including nursing, is involved
  3. the physician observes the process and follows up
  4. therapy has its own department and dedicated room
A

the physician observes the process and follows up

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52
Q

Which of the following is not considered a life-sustaining treatment?

  1. Physical therapy
  2. Dialysis treatment
  3. Use of ventilators
  4. Cardiopulmonary resuscitation
A

physical therapy

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53
Q

Nursing homes are required to offer therapeutic activities that:

  1. must include games and crafts
  2. support, maintain, and empower the residents
  3. are first approved by the medical staff
  4. are based upon past interests and hobbies of the residents
A

support, maintain, and empower the residents

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54
Q

Flexion, rotation, abduction, and adduction are all terms referring to:

  1. menus
  2. exercises
  3. nursing modalities
  4. treatment to be provided only by a therapist
A

exercises

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55
Q

Which of the following statements relative to range of motion is incorrect?

  1. Passive ROM is performed by the staff
  2. Active ROM is performed by the resident
  3. Adequate preventive care must include ROM
  4. Active assistive ROM exercises are preformed by the resident and the staff
A

Adequate preventive care must include ROM

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56
Q

If specialized rehabilitative services are required i the resident’s comprehensive plan of care, the facility must provide the services or:

  1. dismiss the resident
  2. transfer the resident to an accredited hospital
  3. obtain the required services from an outside source
  4. utilize the service available in the nursing department and in the activity department
A

obtain the required services from an outside source

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57
Q

The responsibility of Restorative Aides in the nursing home includes all of the following except:

  1. assessing the resident’s restorative needs
  2. assisting the resident with his/her bed mobility
  3. assisting the resident with his/her prosthesis
  4. assisting the resident with Range of Motion, both active and passive
A

assisting the resident with his/her prosthesis

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58
Q

In monitoring work performance, the most essential activity for the administrator is to:

  1. hold individual conferences with department heads
  2. review written reports from all department heads and consultants
  3. visit each department and observe daily activities and the environment
  4. conduct staff meetings and secure verbal reports from each department
A

visit each department and observe daily activities and the environment

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59
Q

The key to understanding communication is:

  1. reading
  2. listening
  3. watching
  4. intereting
A

listening

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60
Q

Which of the following relationships is not regarded as having “privileged communication”?

  1. Husband/wife
  2. Attorney/client
  3. Physician/ patient
  4. Administrator/ family
A

Administrator / family

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61
Q

The lack of adequate communication creates a vacuum which will cause the staff to:

  1. listen to rumors
  2. reject any information
  3. cease communication
  4. ignore all communication
A

listen to rumors

62
Q

It is very important that staff meetings do not become a :

  1. time to complain
  2. learning situation
  3. sharing experience
  4. time to share challenges
A

time to complain

63
Q

Under FMLA, if paid leave is provided by employer:

  1. company rules apply in lieu of FMLA
  2. the employee is not eligible for coverage under FMLA
  3. the rate paid to the employee must equal the employee’s current salary
  4. the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the ACt
A

the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the Act

64
Q

Under the Americans with Disabilities Act, an employer may :

  1. test the applicant for drugs
  2. require a “fitness for duty examination” providing it is job related
  3. ask questions relative to family members who may have disabilities
  4. require a pre-employment medical examination to determine if the applicant has a disability
A

require a “fitness for duty examination” providing it is job related

65
Q

Over 75 percent of the administrator’s problems relate to:

  1. families
  2. residents
  3. employees
  4. communit
A

employees

66
Q

“Job” is a term that refers to:

  1. a collection of tasks that can be performed by an employee
  2. the behavior, knowledge, and skills necessary to perform a duty
  3. the duties, authority, and qualifications of each employee classification
  4. a classification of employees such as secretaries, housekeepers, and nurses
A

a collection of tasks that can be performed by an employee

67
Q

Which of the following determines the tasks, the employee behavior, and the knowledge and skills necessary to carry out a certain job?

  1. Job analysis
  2. Job assignment
  3. Job relationship
  4. Job classification
A

Job analysis

68
Q

To develop effective staff rapport, an administrator should:

  1. establish a program of peer review
  2. discourage all formal and informal “grapevines”
  3. promote employees from within the organization
  4. establish clear lines of authority and responsibility
A

establish clear lines of authority and responsibility

69
Q

What is the average daily absentee rate for a facility with a total of 80 full-time employees and 184 lost workdays or absences during a 60 day period?

  1. 2.3
  2. 2.5
  3. 2.6
  4. 3.8
A

3.8

70
Q

The primary function of disciplinary action it to:

  1. extract compliance
  2. impose punishment
  3. effect a desired behavior change
  4. ensure that the behavior will never be tolerated in the future
A

effect a desired behavior change

71
Q

It is reasonable to expect that employees who are formally evaluated by their supervisor will:

  1. experience no effect from the lack of evaluation
  2. make less progress than those who are not evaluated
  3. make more progress than those who are not evaluated
  4. make about the same progress as those who are evaluated
A

make more progress than those who are not evaluated

72
Q

Pay scales are required for:

  1. only wage employees
  2. only salaried employees
  3. only non-administrative personnel
  4. both salaried and wage employees
A

both salaried and wage employees

73
Q

During an employee interview you may ask:

  1. for a photograph
  2. about child care plans
  3. about willingness to work religious holidays
  4. about willingness to work a required schedule
A

about willingness to work a required schedule

74
Q

Any effective sexual-harassment policy should contain all of the following essential elements except:

  1. the establishment of a complaint procedure
  2. a statement clearly prohibiting sexual harassment
  3. a warning that anyone who violates the policy will be immediately dismissed
A

a warning that anyone who violates the policy will be immediately dismissed

75
Q

Under COBRA, continuation of employee group medical insurance must be offered except if the :

  1. employee retires
  2. employee’s marriage is dissolved
  3. employee’s work hours are reduced
  4. employee is fired for gross misconduct
A

employee is fired for gross misconduct

76
Q

EEOC enforce all of the following laws except the:

  1. Equal Pay Act
  2. Fair Labor Standards Act
  3. Title VII of the Civil Rights Act
  4. Age Discrimination in Employment Act
A

Fair Labor Standards ACT

77
Q

The “employment-at-will relationship” provides that the employer may:

  1. discharge an employee without cause
  2. not discharge an employee without due notice
  3. discharge an employee only with a valid reason
  4. not discharge an employee if the employee is following the job description
A

discharge an employee without cause

78
Q

The accrual method of accounting is required by Medicaid and Medicare and therefore income and expenses are recorded:

  1. on a monthly basis
  2. as they are capitalized
  3. when they are incurred
  4. when they are paid
A

when they are incurred

79
Q

Depreciation is correctly defined as:

  1. a declining balance
  2. a cost allocation of equipment
  3. the change in value over a stipulated period
  4. the decrease in value due to obsolescence, wear and tear
A

the decrease in value due to obsolescence, wear and tear

80
Q

Working capital equals the current assets:

  1. minus fixed assets
  2. minus current liabilities
  3. divided by current liabilities
  4. minus inventories divided by current liabilitie
A

minus current liabilities

81
Q

Which paid fringe benefit is usually the most costly?

  1. Holidays
  2. Jury duty
  3. Vacations
  4. Sick leave
A

Vacations

82
Q

In planning a budget, it is most important to know:

  1. assets and liabilities
  2. net profit and net worth
  3. past cost and future cost
  4. past experience and projected expectations
A

past experience and projected expectations

83
Q

When a facility is being sold, which of the following is an intangible asset that is very marketable?

  1. Supplies
  2. Goodwill
  3. Buildings
  4. Equipment
A

Goodwill

84
Q

In which of the following areas will an employed nursing home administrator usually have the most input?

  1. Budget
  2. Benefits
  3. Salary schedules
  4. Mission statement
A

Budget

85
Q

The income of a proprietary corporation remaining after all costs, taxes, and dividends have been paid is known as :

  1. profit
  2. net profit
  3. gross income
  4. retained earnings
A

retained earnings

86
Q

After liquidity, the second major objective of financial management is usually:

  1. payroll
  2. inventory
  3. profitability
  4. rate structure
A

profitability

87
Q

Risk management is identifying and solving problems:

  1. as soon as possible
  2. before they get out of hand
  3. that only involve a legal risk
  4. to adhere to federal quidelines
A

as soon as possible

88
Q

Workers’ compensation insurance premium rates depend upon the claim experience, state regulations, and:

  1. are discounted based upon volume
  2. the risk class of the occupations involved
  3. safety programs provided for the employees
  4. the number of years insured by the same carrier
A

the risk class of the occupations involved

89
Q

The key to purchasing supplies is to:

  1. obtain bids and accept the lowest price available
  2. purchase in the largest quantity available to reduce cost
  3. let each department purchase their own supplies since they will use them and know what is needed
  4. standardize the products and vendors used, organize a central purchasing department, and minimize the people authorized to purchase
A

standardize the products and vendors used, organize a central purchasing department, and minimize the people authorized to purchase

90
Q

Which of the following is not a primary source of healthcare malpractice suits?

  1. Breach of violation of a contract or promise
  2. Rendering substandard or poor quality care
  3. Failure to obtain effective consent before intervening in the life of a resident
  4. Agreeing to withhold prescribed treatment at the request of a competent resident
A

Agreeing to withhold prescribed treatment at the request of a competent resident

91
Q

The best way to maintain an inventory is to:

  1. place all orders with a single supplier
  2. observe supply levels in the storeroom
  3. limit access to supplies and requisitioning to specified individuals
  4. record requisition in an inventory-control system utilizing reorder levels
A

record requisition in an inventory-control system utilizing reorder levels

92
Q

A fiscal intermediary is usually:

  1. a CPA
  2. an HMO
  3. an insurance company
  4. a state nursing home association
A

an insurance company

93
Q

The percentage of gross profit for a facility with a gross income of $555,000, fixed expenses of 195,000, and variable expenses of $ 305,000 is approximately:

  1. 2.5 percent
  2. 5.5 percent
  3. 9.9 percent
  4. 11.1 percent
A

9.9 percent

94
Q

Employees pay only 50 percent of the cost of:

  1. FICA
  2. FUTA
  3. Worker’s Compensation
  4. Federal Withholding Tax
A

FICA

95
Q

Which of the following financial statements includes assets and liabilities?

  1. Balance sheet
  2. Statement of cash flow
  3. Statement of revenues and expenses
  4. Statement of changes in fund balances
A

Balance sheet

96
Q

Payroll checks should include all of the following except:

  1. gross pay
  2. FICA deductions
  3. income tax withholding
  4. federal unemployment tax
A

federal unemployment tax

97
Q

An administrator has been advised that utility costs far exceed those of comparable facilities. The first action should be to:

  1. arrange for an energy audit
  2. determine whether excessive hot water is being used.
  3. have all lights and equipment turned off when not in use
  4. check all heating and air conditioning units for efficiency
A

arrange for an energy audit

98
Q

When two agencies or governmental bodies do not agree on interpretations relative to requirements and standards, it is prudent to comply with the order that is:

  1. more stringent
  2. outlined in OBRA
  3. federal versus state
  4. more recently enforced
A

more stringent

99
Q

According to surveyors, to determine the comfortable and safe levels of the air temperature in resident rooms and in dining areas, the air temperature should be measured:

  1. 2 feet above the floor
  2. 3 feet above the floor
  3. 4 feet above the floor
  4. 4.5 feet above the floor
A

3 feet above the floor

100
Q

Life Safety Codes are written for the expressed purpose of:

  1. preventing disasters in nursing homes
  2. providing safety and security procedures
  3. providing emergency preparedness protocols
  4. providing a reasonable degree of safety from fires
A

providing a reasonable degree of safety from fires

101
Q

According to OSHA, all contaminated sharps shall be discarded in sharp containers:

  1. immediately after use
  2. at the end of every shift
  3. within a reasonable time period
  4. after being sheared and broken
A

immediately after use

102
Q

The principal cause of odors in a nursing facility is :

  1. ventilation systems
  2. incontinent residents
  3. not using disinfectants
  4. improper garbage storage
A

incontinent residents

103
Q

The major advantage in contracting with a professional pest control company is that:

  1. contracting is less expensive than operating the facility’s own program
  2. the facility staff is not efficient in identifying key areas to target for control
  3. contractors are more thorough in their pest control measures than facility staff
  4. contractors are generally more knowledgeable than staff about rotating appropriate pesticides to ensure effectiveness
A

contractors are generally more knowledgeable than staff about rotating appropriate pesticides to ensure effectiveness

104
Q

An administrator determines that his laundry is slightly understaffed, but the shortage is not enough to hire a full-time employee. What would be the least economical solution?

  1. Hire a part-time employee
  2. Allow laundry employees to work overtime
  3. Stagger employees’ schedules to provide extended daily laundry service
  4. Assign underutilized personnel in another department to the laundry on a part-time basis
A

Allow laundry employees to work overtime

105
Q

The handrails in stairwells must extend beyond the first and last steps by:

  1. 6 inches
  2. 8 inches
  3. 10 inches
  4. 12 inches
A

12 inches

106
Q

If a resident is injured or becomes ill due to malfunctioning of a medical device, the nursing home administrator:

  1. must report the event to the Food and Drug Administration (FDA) within 10 days of the occurrence
  2. must report the event to the manufacturer of the device within 10 days of the occurrence
  3. must report the event to the Food and Drug Administration (FDA) and the manufacturer within 10 days of the occurrence
  4. has no requirement for reporting unless the person dies, and then it must be reported to the Food and Drug Administration (FDA) and the manufacturer within 10 days of the occurrence
A

must report the event to the manufacturer of the device within 10 days of the occurrence

107
Q

the safety program should include which of the following policies regarding the personal electrical appliances residents bring into the facility?

  1. Personal appliances should not be allowed in the facility
  2. Personal appliances should be inspected prior to initial use and at regular intervals
  3. Personal appliances should always be removed from the resident’s room and stored when not in use
  4. Personal appliances must be inspected and certified as safe by an outside appliance technician
A

Personal appliances should be inspected prior to initial use and at regular intervals

108
Q

The fires that involve energized electrical equipment are classified as :

  1. Class A fires
  2. Class B fires
  3. Class C fires
  4. Class D fires
A

Class C fires

109
Q

Hazardous communication programs, hepatitis B virus, HIV immunization, and standard precautions are all enforced by:

  1. ANSI
  2. DHHS
  3. OSHA
  4. EEOC
A

OSHA

110
Q

Chemical manufacturers and importers must convey the hazard information to employers by means of labels and:

  1. seminars
  2. suppliers
  3. a list provided by OSHA
  4. safety data sheets
A

safety data sheets

111
Q

An administrator is making rounds in his nursing home and finds on a housekeeping cart a spray bottle that is not labeled. What must the administrator do?

  1. Discard the contents of the spray bottle
  2. Terminate the housekeeper immediately
  3. Determine the contents of the bottle and label it appropriately
  4. Remove the spray bottle and replace it with one that is labeled
A

Discard the contents of the spray bottle

112
Q

The most common accident occurring to employees in a health care facility is caused by:

  1. lifting
  2. burns
  3. falling
  4. lacerations
A

lifiting

113
Q

OSHA accident reports must be posted:
1, annually
2.at the end of the fiscal year
3. every year from February 1 through April 30
4. when an accident involves more than three persons

A

every year from February 1 through April 30

114
Q

The primary advantage of fire-detection systems is:

  1. a warning time
  2. that everyone is informed
  3. that communication problems are reduced
  4. that the fire department is always notified immediately
A

a warning time

115
Q

On-site emergency generators must provide power to which of the following systems?

  1. Resident call system, fire alarm system, refrigerator and freezer
  2. Resident call system, fire alarm system, air and heat for each resident room
  3. Resident call system, fire alarm system, and nurse station lights
  4. resident call system, exit signs, and all electrical outlets throughout the facility
A

Resident call system, fire alarm system, and nurse station lights

116
Q

All exit doors must swing:

  1. to the egress
  2. to the ingress
  3. one to the egress and one to the ingress
  4. in either direction but never be propped open
A

to the egress

117
Q

According to the Life Safety Code, there must be at least one Class A fire extinguisher for every travel distance of:

  1. 25 feet
  2. 50 feet
  3. 75 feet
  4. 100 feet
A

75 feet

118
Q

Which of the following is paid for under Part B of Medicare?

  1. Dentures
  2. Protheses
  3. Eye glasses
  4. Hearing aids
A

Prostheses

119
Q

Which of the following does not license, register, or certify professional such as nurses and therapists?

  1. Association
  2. State boards
  3. State Agencies
  4. Federal government
A

Federal government

120
Q

Which of the following is not required by the Patient Protection and Affordability Care Act of 2010 and the Health Care Education Reconciliation Act of 2010?

  1. Disclosure of ownership for nursing homes must be made available upon request by DHHS
  2. Special Focus Facility (SFF) must be inspected at least every nine months
  3. Disclosure of ownership for nursing homes upon request by State Ombudsman
  4. Facilities must have available for review the annual surveys and complaint investigations for the preceding three year
A

Disclosure of ownership for nursing homes upon request by State Ombudsman

121
Q

In which type of business entity does the owner have the most limited liability?

  1. Partnership
  2. Corporation
  3. Joint venture
  4. Sole proprietorship
A

Corporation

122
Q

Bylaws usually contain all of the following except:

  1. rules
  2. regulations
  3. job descriptions
  4. the mission statement
A

job descriptions

123
Q

HIPAA requires nursing homes to:

  1. employ a person who handles all HIPAA requirements
  2. give hospitals immediate access to a resident’s records
  3. have written policies and procedures to ensure the protection of medical records
  4. have a family member or legal representative approve all transfers of resident clinical information
A

have written policies and procedures to ensure the protection of medical records

124
Q

When a facility wishes to transfer a resident for reasons other than the health of the resident being in danger, generally the notice to transfer must be provided at least:

  1. 1 week prior to the transfer
  2. 10 days prior to the transfer
  3. 15 days prior to the transfer
  4. 30 days prior to the transfer
A

30 days prior to the transfer

125
Q

A newly admitted resident to the nursing facility must be apprised of his/her rights as detailed in the federal regulations. Which of the following may not be considered a resident right?

  1. Right to smoke cigarettes in designated areas
  2. Right to receive visitors of his/her choice at any time of the day or night
  3. Right to share a room with his/her spouse, including same-sex spouses
  4. Right to review his/her medical records
A

Right to smoke cigarettes in designated areas

126
Q

It is not the role of the ethics committee to:

  1. make decisions
  2. evaluate alternate solutions
  3. review policies and procedures from the ethical perspective
  4. educate the resident, families, and staff about ethical decision-making
A

make decisions

127
Q

Which of the following is seldom handled by the governing board?

  1. Hiring all staff
  2. Practicing stewardship
  3. Establishing goals and objectives
  4. Appointing the licensed nursing home administrator
A

Hiring all staff

128
Q

The primary purpose of departmentalization is to:

  1. reduce cost
  2. increase personal goals
  3. promote efficient operation
  4. prevent employee arguments
A

promote efficient operation

129
Q

All of the following are usually functions of the governing body of a health-care facility except the:

  1. funding sources
  2. organizational structure
  3. creation of a mission statement
  4. creation and implementation of procedures
A

creation and implementation of procedures

130
Q

A resident who dies without leaving a will is said to have died:

  1. testate
  2. intestate
  3. inter vivos
  4. without probate
A

intestate

131
Q

it is considered a good administrative practice in a nursing facility to adopt regulations covering emergency nursing care for residents who may suffer acute coronary attacks. Which one of the following approaches to assuring such care is likely to be most effective?

  1. Obtain signed standing cardiac orders for all residents in advance
  2. Frequently review standing orders for a procedure to be followed in the event of such an emergency
  3. Institute an ongoing in-service training program to teach the nursing personnel the use of cardiac monitoring equipment
  4. Insist that all physicians who admit residents with histories of cardiac disorders write cardiac orders at the time of admission
A

Frequently review standing orders for a procedure to be followed in the event of such an emergency

132
Q

The ombudsman cannot:

  1. have access to facility records
  2. issue citations against a facility
  3. serve as an advocate for the elderly
  4. see resident records without written consent or a court order
A

issue citations against a facility

133
Q

The goals of providing resident support and increasing public awareness may be accomplished by the:

  1. resident council
  2. ethics committee
  3. community council
  4. quality improvement team
A

community council

134
Q

Demographic information relates primarily to:

  1. topography
  2. health care institutions
  3. educational institutions
  4. statistics regarding population
A

statistics regarding population

135
Q

The number of those who need and who will purchase the services offered by a facility can be determined by:

  1. a market-opportunity analysis
  2. a study of hospital census ratios
  3. a review of existing advertisements
  4. an assessment of competitive institutions
A

a market-opportunity analysis

136
Q

Marketing is oriented to:

  1. research
  2. advertising
  3. consumers’ wants and needs
  4. various public relation programs
A

consumers’ wants and needs

137
Q

Which of the following marketing efforts is perhaps the least effective to increase occupancy?
1, Supplementing the work of the nursing staff
2. Meeting the personal needs of the resident
3. Changing attitudes toward the physically disabled
4. Bringing the nursing facility and the community closer together

A

Supplementing the work of the nursing staff

138
Q

Effective delegation has been established when decisions are made:

  1. very quickly
  2. by first-line supervisors
  3. at the lowest level authorized to make them
  4. through the contribution of ideas by several people
A

at the level authorized to make them

139
Q

When comparing leadership with management, leadership:

  1. is rigid
  2. inspires
  3. specializes
  4. requires authority
A

inspires

140
Q

When a resident feels that everyone is against him/her, it is best to:

  1. try to help by agreeing
  2. be logical and explain everything
  3. realize that there is usually no truth in such statements
  4. have clear communication among staff so all will be consistent
A

have clear communication among staff so all will be consistent

141
Q

Conflict is best resolved by:

  1. orientation
  2. problem solving
  3. in-service training
  4. professional training
A

problem solving

142
Q

Which of the following is not a type of authority?

  1. Line
  2. Staff
  3. Functional
  4. Span of management
A

Span of management

143
Q

A basic management principle is to put one person in charge when there are:

  1. two or more employees working together
  2. three or more employees working together
  3. five or more employees working together
  4. seven or more employees working together
A

three or more employees working together

144
Q

A governing body or designated person(s) is required by:

  1. ANSI
  2. OSHA
  3. OBRA
  4. EEOC
A

OBRA

145
Q

Goal orientation focuses on:

  1. missions
  2. strategies
  3. controlling
  4. future accomplishments
A

future accomplishments

146
Q

An entity’s mission statement includes each of the following except the :

  1. types of services offered
  2. entity’s responsibilities to its stakeholders
  3. clear and succinct representation of its purpose
  4. procedures for the tasks necessary to achieve the mission
A

entity’s responsibilities to its stakeholders

147
Q

The maximum number of shareholders in a closely held corporation is :

  1. 25
  2. 50
  3. 100
  4. 250
A

50

148
Q

Which is not true of an LLC?

  1. An LLC simplifies recordkeeping
  2. An LLC limits personal liability for business debts
  3. Partner(s) of an LLC are required to be US citizens
  4. An LLC combines corporate protections with partnership tax flexibility
A

Partner(s) of an LLC are required to be US citizens

149
Q

Liassez-faire, autocratic, and paternal are all forms of:

  1. staffing
  2. authority
  3. goal setting
  4. leadership styles
A

leadership styles

150
Q

Before attempting to improve its public image, it is mandatory that the nursing facility:

  1. involve all staff
  2. provide good resident care
  3. hire specialists in public relations
  4. develop a public relations program
A

provide good resident care

practice to pass (9 decks)

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