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NHA > NHA 1 > Flashcards

NHA 1 Flashcards

1
Q

Diabetic wants desserts what do you do?

  • Tell the family he/she is not compliant
  • Tell the dietitian
  • Offer sugar free deserts
  • Council them on the side of effects of sugar
A

offer sugar free deserts

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2
Q

How many days do you have to return a state defencies with no immediate harm?
-10 working day, 10 calendar days,14 working days, 14 calendar days

A

10 working days

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3
Q 
Deception that results in damage to another is referred to as:
A. Negligence 
B. Fraud 
C. Slander
D. Malfeasance
A

b

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4
Q 
Which of the following advance directives is commonly described as appointing someone decisions on a care recipient's behalf?
A. Do not resuscitate
B. Living will
C. Durable power of attorney 
D. Legal guardianship
A

c

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5
Q

An arbitration agreement is a
A. Contract between a lawyer and a judge that helps to prevent lawsuits
B. Contract between parties agreeing to resolve disputes using a natural third party
C. More expensive option that going to court to resolve a claim
D. More labor intensive option than going to occur t to resolve a claim

A

b

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6
Q

Healthcare organizations are required by law to have a governing body
A.Has authority by the administrator
B.Reports directly to the administered with limited authority
C.Has ultimate authority and accountability for the organizations affairs
D.Is appointed by the administrator and severs in an advisory capacity

A

d

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7
Q

Team building is a key component of which management style
A. Participatory
B. Authoritative When determining an employer’s liability for the acts of employees it is important to ascertain
C. Delegate
D. Objective

A

c

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8
Q 
When determining an employer's liability for the acts of employees it is important to ascertain
A. Person liability
B. Civil liability 
C. Qualified opinions
D. Scope of employment
A

d

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9
Q 
Which of the following methods of conflict resolution uses a third party who reviews the situation and makes a binding decision?
A. Litigation
B. Arbitration 
C. Adjudication
D. Mediation
A

b

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10
Q

Respondeat superior is a legal term that means the health care organization
A.Must perform employee evaluation annually
B.Must respond to employee labor inquires
C.Is responsible for providing employee liability protecting
D.Is responsible for employee work errors while the employee is on duty

A

d

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11
Q 
*12.)A bill is introduced in the legislature. A technique used by the legislative committee who does not wish to embarrass the sponsor and does not want to pass the bill is known as?
A. Favorable report
B. Deferment
C. Unfavorable report
D. Veto
A

b

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12
Q

13.)Strategic planning is best defined as an organization process for?
A.Identifying goals and objectives
B.Implementing goals to create a desired outcome
C.Making decision that achieve compliance
D.Comparing an organization market position to it completion

A

b

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13
Q 
4.)A document that expresses a care recipient's end of life wishes regarding medical treatment is called?
A. Plan of care
B. Advance directive 
C. Will and testament
D. Power of attorney
A

b

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14
Q 
A statement outlining the desired future of the organization is the
A. Vision
B. Mission
C. By -laws
D. Articles of incorporation
A

b

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15
Q 
A group that is legally designated to establish and implement policies regarding the management of a healthcare organization is called the?
A. Executive committee
B. Corporation
C. Governing body
D. Commission
A

c

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16
Q

When a care recipient refuses to take a prescribed medication the immediate response should be to
A. Speak with the care recipient about the risks and consequences of not taking the medication
B. Notify the physician

A

a

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17
Q

Care recipients plans of care initially developed and subsequently revised
A.Following regular comprehensive assessments
B.By the care recipients primary care physician until the care recipients is no longer competent
C.Only if the care recipients requires medication oversight
D.Until the care recipients is no longer competent

A

a

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18
Q

Which of the following nonprofit organizations publish fire safety standards and offers training?
A.American fire safety institute (AFSI)
B.National fire protection association (NFPA)
C.Centers for Medicare and Medicaid services (CMS)
D.American with disabilities act (ADA)

A

b

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19
Q

Net income after taxes / average total assets
This formula is used to calculate the return on:
A. Invested capital
B. Assets
C. Cash flow
D. Investments

A

b

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20
Q 
The current ratio is also known as the
A. Contemporary ratio
B. Acid test ratio
C. Quick ratio
D. Working capital ratio
A

working capital ratio

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21
Q 
The provision a healthcare organization makes for uncollected accounts receivable is known as:
A. Allowance for bad debts 
B. Off statement debts
C. Materiality
D. Activity based costing
A

a

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22
Q

Which of the following situations is an example of discrimination as defined by the Americans with disabilities act (ADA)
A.Failure to provide language interpreter services
B.Failure to make reasonable accommodations for employment
C.Termination from employment due to work performance
D.Requesting physical capacity evaluation before employment

A

a

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23
Q 
A willful OSHA violation has minimum fine of how many dollars?
A.$500
B.$5000
C.$25,000
D.$70,000
A

b

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24
Q

An effective job description includes which of the following
A.Statement of wages and benefits associated with the position
B.Impact of the position on care recipient life
C.Statement hours required for the position
D.Scheduled hours required for the position

A

b

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25
Q 
If significant or repeat violations of Occupational Safety and Health Administration (OSHA) standards occur, the administrator will be subject to:
A.License revocation
B.Imprisonment
C.Substantial fines 
D.Mandatory training
A

c

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26
Q 
A facility is required to maintain assessment data in the resident's active record for how many months?
A. 12 months
B. 15 months
C. 18 months
D. 24 months
A

c

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27
Q

a situation in which a providers noncompliance with one or more requirements of participation has caused or is likely to cause serious injury harm impairment or death to a resident is known as:

a. Immediate jeopardy
b. Widespread harm
c. Confirmed occurrence
d. Substandard quality of care

A

a

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28
Q 
. Personnel must handle store process and transport linen in a manner that prevents:
A.	Supply shortages
B.	Theft
C.	Missing laundry
D.	The spread of infection
A

d

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29
Q

skilled health care nursing facilities must provide a clean, safe, comfortable and homelike environment that allows residents to use their personal belongings:
A. To the extent possible after consideration of safety cleanliness and comfort
B. Regardless of admin objection stemming out of facility logistical challenges
C. If a roommates preference and autonomy are considered and respected
D. As long as the personal belongings are made of non combustible material

A

d

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30
Q 
the LIFO and FIFO methods of inventory costing both account for the effects of which of the following factors on the price of inventory?
A.	Salvage value
B.	Depreciation value
C.	Supply and demand
D.	Inflation and deflation
A

d

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31
Q

a direct cost is?
A. Allocated equally to all areas of the budget
B. Charged to a specific billing period
C. Documented by proper accounting procedures
D. Linked to a specific objective responsibility or function

A

b

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32
Q 
If overall revenue declines and census remains stable an important financial area to review would be
A.	Balance depreciation
B.	Asset allocation
C.	Ancillary revenue
D.	Interest income revenue
A

c

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33
Q

which of the following is a duty an employer has under the occupational safety and health act of 1970 (OSH Act)?
A. Provide employees with fully lighted parking
B. Furnish employment free of recognized hazards
C. Offer safety guards for the sharpest objects
D. Assure safety data sheets SDS are available during regular office hours

A

b

34
Q 
which of the following is a mechanism for keeping employees informed of their strengths and weaknesses on the job?
A.	Performance evaluation
B.	Staff meeting
C.	Documented consultation
D.	Written warning
A

a

35
Q

under the Americans with disabilities act of 1990 (ADA) which of the following is considered a reasonable accommodation for an employee with a disability?
A. Allow payroll deductions to purchases adaptive equipment
B. Switching offices to accommodate the employee
C. Offering internal job opportunities to the employee
D. Acquiring or modifying equipment for their use

A

a

36
Q

the purpose of the occupational safety and health act (OSH Act) of 1970 is to
A. Define the rights of both employee and employers encourage collective bargaining and eliminate certain harmful labor practices.
B. Present recommendation to employee/ employer health concerns
C. Provide each employee with a safe workplace free from recognized hazards

A

a

37
Q 
which of the following occupational safety and health administration (OSHA) violations is least likely to be associated with a fine?
A.	Serious
B.	Nonserious
C.	De minimus
D.	Imminent danger
A

b

38
Q

when marketing a healthcare organization the market is considered to be all of the individuals
A. Living within an established radius of the healthcare organization
B. Enrolled in the Medicaid or Medicare programs
C. With a demand for their service of product
D. Discharging from an acute care hospital

A

c

39
Q

. management by walking around is an approach that allows the administrator to
A. See firsthand the needs of the care recipients
B. Control the staff in order to minimize care recipient and family complaints
C. Ensure the healthcare organizations license is not in jeopardy due to regulatory compliance
D. Innovate new approaches and physical plant improvements to enhance public relations

A

a

40
Q

the administration of the budget by the administrator
A. Requires intervention by the governing body
B. Is more costly than by staff
C. Is a controlling function
D. Is also part of planning

A

d

41
Q
  1. A document that sets forth basic rules and standards that govern employee and employer relations for the duration of a union contract is referred to as a/an
    A. Employee-employer agreement
    B. Union grievance procedure
    C. National labor relations board standard
    D. Collective bargaining agreement
A

d

42
Q
  1. Minimum wages and maximum hours are described in the:
    A. Fair labor standards act (FLSA)
    B. Department of labor (DOL)
    C. National labor relations board (NLRB)
    D. Wage and hour guidelines (WHG)
A

c

43
Q
  1. In the event of a union strike, management has the right to:
    A. Fire strinking workers
    B. Hire replacement workers
    C. Ask the employees what has been discussed at union meetings
    D. Prohibit union activity in the healthcare organization
A

b

44
Q
  1. When negotiating contracts with outside vendors or consultants for professional services, contracts are not required to:
    A. Spell out the terms of the contract
    B. Be in writing and be signed by all parties
    C. Include compensation for services rendered
    D. Contain a mutual indemnity clause
A

d

45
Q 
5.	The training of staff in regard to occupational safety and health administration (OSHA) standards is important to ensure that all employees understand that: 
A.	Occupational classification 
B.	Health benefit plans 
C.	Right to Know program 
D.	Wages and hours
A

c

46
Q
  1. To protect against payroll fraud, it is considered safest to have:
    A. Several employees performing separate payroll functions
    B. The accounts payable clerk prepare the payroll
    C. A single employee prepare the payroll
    D. A mandatory direct-deposit program
A

c

47
Q 
7.	Which of the following items should an administrator reference in order to determine if there are enough funds to purchase new equipment
A.	Current assets 
B.	Current liabilities 
C.	Working capital 
D.	Working revenue
A

c

48
Q 
8.	What is the book vale of a vehicle purchased for $40,000 that has an accumulated depreciation of $30,000? 
A.	$10,000
B.	$30,000 
C.	$40,000
D.	$70,000
A

a

49
Q 
9.	What function of the management process includes gathering information and input? 
A.	Directing 
B.	Decision-making 
C.	Controlling 
D.	Organizing
A

d

50
Q 
10.	Principles that reflect the moral foundation and guiding ideology of an organization are best described as its: 
A.	Philosophy 
B.	Mission 
C.	Vision 
D.	Values
A

d

51
Q
  1. The primary benefits of management by walking around are:
    A. Listening, teaching, and facilitating
    B. Evaluating, controlling, and planning
    C. Listening, planning, and organizing
    D. Directing, evaluating, and innovating
A

c

52
Q 
12.	Establishing and implementing policies regarding the management and operating of a healthcare organization is the responsibility of the: 
A.	Department managers
B.	CEO 
C.	Care recipient 
D.	Governing body
A

d

53
Q 
13.	The False Claims Act, which seeks to hold entities liable for submitting false or fraudulent claims for reimbursement to the federal government is also known as: 
A.	Whistleblower Act
B.	 Sunshine Act 
C.	Stark Act 
D.	Anti-kickback Act
A

d

54
Q 
14.	Healthcare organizations are in the business of marketing: 
A.	Assistance 
B.	Compassion 
C.	Wellness
D.	Services
A

d

55
Q
  1. The term ethics deals with:
    A. The proper procedure and protocol between purchasing department and vendors
    B. The decision-making process of determining the ultimate values and standards by which we judge our actions
    C. The ombudsman’s process of advocating and conveying a care recipient’s concerns to management
    D. Personality conflicts between co-workers and/or between staff and management
A

b

56
Q
  1. Stakeholders are defined as:
    A. Any constituent group that has an interest in what outcomes the organization produces
    B. The individuals who have the most to lose financially if the organization closes
    C. Any group of investors who own stock in the organization
    D. The staff, physicians, and local groups who want to see the organization succeed
A

b

57
Q
  1. The purpose of corporate compliance plan is to:
    A. Reduce fraud and abuse and to establish internal controls for responsible organizational conduct
    B. Avoid charges of price-fixing and the violation of federal anti-kickback statutes
    C. Identify the corrective steps necessary for the removal of quality indicator flags from a healthcare organization’s profile
    D. Establish policies and procedures for conducting criminal background checks on all officers and directors
A

a

58
Q 
18.	The style of leadership that encourages and values the input of staff is known as: 
A.	Democratic leadership
B.	Participative leadership
C.	 Autocratic leadership 
D.	directional leadership
A

b

59
Q 
19.	All employees in a healthcare organization should be working toward the organization’s purpose which is described in the healthcare organization’s: 
A.	Articles of incorporation 
B.	Governance body 
C.	Organizational charts 
D.	Mission statement
A

d

60
Q
  1. Bylaws are defined as:
    A. corporate duties delegated to the administrator
    B. state laws establishing the healthcare organization’s scope of practice
    C. adopted rules governing the internal affairs of an organization
    D. the rules whereby a corporation is created under the laws of a state
A

c

61
Q 
Another term for articles of incorporation is: 
A.	charter
B.	by-laws
C.	constitution 
D.	governing rules
A

b

62
Q 
A cognitive care recipient, whose spouse is living, does not have an advance directive or a DNR order. The care recipient’s daughter has Financial Power of Attorney, and the son has Healthcare Power of Attorney. A DNR order can be authorized by the: 
A.	Care recipient’s son 
B.	Care recipient 
C.	Care recipient’s spouse 
D.	Physician
A

b

63
Q
  1. Procedures are best defined as:
    A. Step by step instructions for how a specific task is to be carried out
    B. Statements that contain some degree of freedom with further interpretation needed
    C. Operational statement that are handed down from the governing body to the administrator
    D. Statements that are governed by the caregiver council
A

a

64
Q 
24.	A care recipient in a long-term care healthcare organization disagrees with management’s decision regarding an aspect of care. The care recipient feels that it could adversely affect the health, safety, welfare, or rights of care recipients. The individual or group most responsible for acknowledging, investigating, and resolving the concern is the: 
A.	Ombudsman 
B.	Social worker 
C.	Care recipient council president 
D.	Governing body
A

a

65
Q 
25.	Ethics are the beliefs or attitudes that make up which kind of organizational values? 
A.	Humanitarian 
B.	Religious 
C.	Moral 
D.	Civic
A

c

66
Q 
26.	The law may hold the organization liable for the tort committed by each of the following individuals except an:
A.	Independent contractor
B.	Employed attending physician 
C.	Administrator 
D.	Officer of the organization
A

a

67
Q
  1. The administration of the budget by the administrator:
    A. Requires intervention by the governing body
    B. Is more costly than by staff
    C. Is a controlling function
    D. Is also part of planning
A

d

68
Q 
28.	How often should the attending physician visit his/her patients during the first 90 days? 
A.	Every 10 days 
B.	Every 14 days 
C.	Every 30 days 
D.	Every 60 days
A

c

69
Q
  1. When scheduling and making a dental appointment for a resident, a nursing facility is obligated to:
    A. Schedule an employee to accompany the resident the the dental office
    B. Assist in scheduling transportation to/from the dental office
    C. Receive a physician order to allow the resident to visit the dental office
    D. Inquire whether the dentist is able to perform services at the care center versus dental office
A

c

70
Q 
30.	If a nourishing snack is served at bedtime, what is the maximum number of hours that may elapse between a substantial evening meal and breakfast? 
A.	12 
B.	13 
C.	15
D.	16
A

d

71
Q
  1. which of the following must be made available to a nursing facility at the time of a resident’s admission?
    A. Orders containing medications and care
    B. Copies of the resident’s insurance careds
    C. Summary of treatment in a previous healthcare facility
    D. Rehabilitation potential from a physician or therapist
A

a

72
Q
  1. If a resident of the nursing facility requests a photocopy of his/her medical record, the facility must:
    A. provide it within 72 hours
    B. Deny the request because inpatient records are not reviewable by residents
    C. Inform the resident that the request cannot be granted until the physician approves it
    D. Provide it within two days at a reasonable rate
A

d

73
Q
  1. An activity program must be directed by a qualified professional who has:
    A. Completed a training course approved by the state
    B. Completed eligibility for recreational therapy certification
    C. 1 year of experience in a recreational program within the last 5 years
    D. 2 years of experience in a recreational program within the last 10 years
A

c

74
Q 
34.	A facility is required to maintain assessment data in the resident’s active record for how many months? 
A.	12 months 
B.	15 months 
C.	18 months 
D.	24 months
A

b

75
Q
  1. The public policy that was initially responsible for the protection of resident funds is the:
    A. Safe Harbor Act
    B. Omnibus budget reconciliation act (OBRA)
    C. Health Insurance Portability and Accountability Act (HIPAA)
    D. Consumer Protection Act
A

b

76
Q 
36.	When updating the resident rights poster, a nursing facility is required to post the name and telephone number of each of the following except the: 
A.	State survey agency 
B.	Medicaid fraud control unit 
C.	State ombudsman 
D.	Medicare hotline
A

d

77
Q
  1. A widow and widower are mentally alert residents of a nursing facility. It has been evident to staff that the two have developed a close relationship. One evening a certified nurse aide notices the widow going into the widower’s room and closing the door. What is the most appropriate way for staff to handle this situation?
    A. Report the situation to the ombudsman
    B. Respect their privacy and monitor their situation
    C. Knock on the widower’s door and check on him
    D. Request advice from their families
A

b

78
Q
  1. A resident wishes to have his/her child visit after the child gets off from work at 11 pm. The administrator should allow the child to visit:
    A. At eth time requested only if they are supervised by staff
    B. Only during posted visiting hours in accordance with nursing facility policy
    C. At the time requested by the resident
    D. Only if the child agrees to visit in the lobby
A

c

79
Q
  1. Each resident in a nursing facility must:
    A. Have an acute or chronic medical condition
    B. Be under the care of a licensed physician
    C. Be in need of assistance with ADLs
    D. Have at least one payer source
A

b

80
Q 
40.	The drug regimen of each resident must be reviewed at least once a month by:  
A.	The medical director 
B.	A register nurse 
C.	The director of nursing
D.	A licensed pharmacist
A

d

NHA (4 decks)

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