NHA Flashcards

1
Q

Where is air temperature measured?

A

Just above the floor.

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2
Q

Resident have the right to receive their records within _____.

A

24 Hours

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3
Q

All boxes/ furniture must be ____ off the floor so that they can be cleaned under.

A

6 Inches

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4
Q

Most comprehensive and effective improvement model is?

A

Total quality management

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5
Q

Minimum length for a phone cord?

A

29 Inches

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6
Q

Phone must have a adjustable volume level between minimum of ____ and max of ____ decibels.

A

Minimum 12 and max of 18.

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7
Q

Grab bars/ rails must support a minimum of _____ pounds.

A

250 Pounds

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8
Q

How often is the emergency generator checked?

A

Weekly

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9
Q

Parking spaces should be ____ inches wide for handicap and ____ inches wide for regular.

A

96 Inches wide for handicap and 60 Inches.

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10
Q

Emergency generator must run under full load for ___ every ____

A

30 minutes every month

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11
Q

Communication between social and peer groups in a example of?

A

Informal Communication

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12
Q

Nosing on stairs must not project more then?

A

1 1/2 inches

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13
Q

Smoke detectors must be located no further then ___ feet apart and no more then ____ feet from any wall.

A

30 ft apart and no more then 15 ft apart.

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14
Q

Minimum wheelchair passing width for 2 wheelchairs is?

A

60 Inches

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15
Q

Minimum chair width for single wheelchair is ____ continuously and ____ at any point.

A

36 inches continuously and 32 inches at any point.

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16
Q

There must be a passing space in an accessible route for wheelchairs every ____ feet.

A

200 Ft

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17
Q

Passenger loading zone must be at least ___ ft wide and ___ ft long.

A

36 ft wide and 20 ft long.

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18
Q

High forward reach is?

A

36 inches

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19
Q

Side reach from wheelchair is ___ inches and ___ inches off the floor.

A

9 inches and 54 inches.

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20
Q

Fire extinguishers are to be checked ____ and serviced ___.

A

Quarterly and serviced annually

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21
Q

Doors must have ___ inches of wood core and should be fire resistant for ____ minutes.

A

1 3/4 inches of wood and resist fire for 20 minutes.

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22
Q

Landings are required at the bottom of each stair run and must have a minimum width of ____ Sq Inches

A

60 square inches.

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23
Q

Doors must have clear width of ___ inches at opening and must be at a ____ angle to and accessible route.

A

32 inches and 90 degree angle.

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24
Q

Attending physician visits are timely per federal regulation if completed ________.

A

Every thirty days for the first 90 days.

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25
Q

The consultant pharmacist must review each resident’s drug regimen _____.

A

Monthly.

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26
Q

Hot foods should leave the kitchen at _______F.

A

140F

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27
Q

Cold foods should be kept at ____F and below.

A

41F

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28
Q

The freezer temperature should be set at ______ F.

A

0F

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29
Q

A three-compartment sink has ___________ compartments.

A

Wash, rinse, sanitize

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30
Q

Employers post year-end summary of illnesses and injuries on OSHA form ___.

A

300A

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31
Q

Employers with ____ or more employees must maintain a record of occupational illnesses and injuries.

A

11

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32
Q

Employers must report to OSHA fatal or serious injuries involving ___ or more employees within ___.

A

3, 8 hours

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33
Q

The facility must notify Medicaid residents when their trust fund is within ____ of the _____ asset limit.

A

$200, SSI

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34
Q

All exit doors to the outside in a nursing home must ________.

A

Swing outward.

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35
Q

Reality therapy would work best for residents who are ________.

A

Exhibiting signs of senile dementia

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36
Q

Validation therapy works best with residents who are __________,

A

Severely demented

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37
Q

An expense that does not change with the census is called a (n) ______:

A

Fixed Expense

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38
Q

An expense that changes with the census is a (n) _____.

A

Variable Expense.

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39
Q

The administrator’s salary is an example of a _____.

A

Fixed Expense

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40
Q

Food and medical supplies are an example of a _________.

A

Variable Expense.

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41
Q

An OSHA violation must be posted at the site of the violation for a minimum of ___ working days or until corrected.

A

3.

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42
Q

The ______ are the books of original entry.

A

General Ledgers.

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43
Q

Nursing homes use the _____________.

A

Cash basis of accounting.

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44
Q

An accounting system where transactions are recorded when they actually occur is called _______.

A

Accrual basis of accounting.

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45
Q

An accounting system where transactions are recorded when cash actually changes hands is called _______.

A

Cash basis of accounting

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46
Q

A facility must maintain a ___day emergency food supply per OBRA 1987.

A

7 days

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47
Q

_______ was the first major union to form in 1935.

A

CIO

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48
Q

Under Medicare Part A, a patient must have a qualifying ___day hospital stay, must not have used up ____ allowable days of skilled care and must be admitted to a nursing home within ____ days of discharge from the hospital.

A

3, 100, 30.

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49
Q

Aisles, corridors and ramps must be a minimum of ____ feet or more wide.

A

8

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50
Q

Exits signs must be placed so a person is never more than ____ feet from any fire exit sign.

A

100

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51
Q

In 1973, the supreme court ruled with respect to collective bargaining that nurses _______.

A

Were considered management and could not join a union

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52
Q

In 1973, nursing home operators agreed to oversight by the_________.

A

National Labor Relations Board

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53
Q

E-Coli bacteria is found in _______.

A

Beef

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54
Q

Nursing home workers are allowed to organize into _______ bargaining units.

A

All professional … All non-professional

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55
Q

Must have ____ of knee clearance under tables, sinks and counter tops.

A

19 inches

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56
Q

Under the Civil Rights Act of 1964, employers cannot discriminate on the basis of _________.

A

Race, Color, Gender, Religion, National Origin

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57
Q

Under the Consumer Credit Protection Act of 1968, creditors may garnish workers’ wages not more than _____ of disposable income or where disposable income is ___ the federal minimum wage.

A

25%, 30 times

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58
Q

Terminated workers are entitled to _____ weeks of unemployment benefits.

A

26

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59
Q

The Age Discrimination in Employment Act is enforced by the _______.

A

EEOC

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60
Q

Employees are eligible for leave under FMLA if they worked ___months or ___ hours prior to the request for leave.

A

12 1250

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61
Q

The Family Medical Leave Act allows employees ______ weeks of unpaid leave each year.

A

12

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62
Q

The _____________ protects workers from being terminated or forced to retire based on age.

A

Age Discrimination in Employment Act

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63
Q

The _____ is used to determine a worker’s tax status and personal exemptions.

A

W-4

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64
Q

The ______ prohibits financial alliances between nursing homes.

A

Robinson Patman Act

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65
Q

Under the EEOA, employers must avoid ______ in selecting and hiring employees.

A

Adverse impact

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66
Q

The ______ is responsible for the life safety code.

A

NFPA

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67
Q

The ______ is the largest union in the United States.

A

AFL-CIO

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68
Q

The _____ represents most workers in the nursing home industry.

A

SEIU

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69
Q

SEIU stands for ______________.

A

Service Employees International Union

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70
Q

The set of records that lists each monetary transaction by date is called the ____.

A

Financial statements

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71
Q

The ______ prepares the financial statements.

A

Accountant

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72
Q

A list of every account in the facility is called the ________.

A

General ledger

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73
Q

The ________ is used to record transactions that do not fit into any other journal.

A

General journal

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74
Q

When the debits and credits zero out, the accountant prepares the _______.

A

Trial balance

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75
Q

Receipts, bank statements, invoices and bills are called ______.

A

Source documents

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76
Q

The ____ summarizes all debits and credits.

A

General ledger

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77
Q

The accounting equation is _________.

A

Assets = liabilities + capital

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78
Q

If the administrator wants to know if the facility made money, he/she would look at the _________.

A

Both 2 and 3

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79
Q

If the administrator wants to know the amount of working capital on hand, he/she would look at the __________.

A

Balance sheet

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80
Q

A thing that is owned by the facility that will not be converted to cash within 12 months is called a(n) __________.

A

Non-current asset

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81
Q

One-time costs of acquiring an asset (purchase price, taxes, shipping, delivery) are called _________.

A

Historic costs

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82
Q

An expense associated with the use of an asset is called ________.

A

Depreciation

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83
Q

The amount on the balance sheet representing ownership would not include _______.

A

Revenue

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84
Q

To determine if revenues are sufficient to cover expenses, you would review the ____________.

A

Profit/Loss statements

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85
Q

Acid Test Ratio is used to calculate funds available in a few days to pay current liabilities and is expressed as ________.

A

Cash and current receivables divided by current liabilities

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86
Q

The ________ records a transaction when funds are actually received or paid out.

A

Cash accounting system

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87
Q

The value at the end of an asset’s useful life is called ________.

A

Salvage value

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88
Q

An administrator would refer to ___________ to determine if revenues were sufficient to cover expenses.

A

Both 1 and 2

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89
Q

A budget that projects purchase of assets of $500 or more and will be held for at least 1 year is called the ________.

A

Capital Budget

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90
Q

An administrator would refer to the ______ to determine if revenues were sufficient to cover expenses

A

Both 1 and 2

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91
Q

Required daily nursing hours are determined by _______________.

A

The state with federal approval

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92
Q

All menus must be approved by the _____________.

A

Dietician

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93
Q

Medical records belong to the _____________.

A

Facility

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94
Q

During an applicant interview, the interviewer may ask about ________.

A

Prior work experience

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95
Q

A garnishment or attachment requires an employer to withhold monies from an employee’s paycheck and ______.

A

Forward it to the creditor

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96
Q

The main purpose of the personnel function is _____.

A

Staffing

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97
Q

Fringe benefits are outlined in the _______________.

A

Personnel policies

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98
Q

Fringe benefits are outlined in the ________.

A

Personnel policies

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99
Q

The term lockout-tagout refers to _____.

A
  1. Controlling hazardous energy
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100
Q

Emergency generators must be tested _______.

A

Monthly

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101
Q

Procedures should be prepared by ________.

A

Supervisors

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102
Q

The primary purpose of a safety program is _______.

A

Accident Prevention

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103
Q

Management by Walking Around is a concept developed by _____

A

Peters

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104
Q

MBWA is a ____.

A

Management style

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105
Q

Training staff in assisting residents with their activities of daily living is the responsibility of the ______.

A

Occupational Therapist

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106
Q

A physiatrist __________.

A

Works with physical and occupational therapists

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107
Q

Heat and hydrotherapy are mostly used by ________.

A

Occupational therapists

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108
Q

Coordination deals primarily with _______.

A

Unifying the efforts of people

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109
Q

_______ is an operating expense.

A

Weekend overtime wages

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110
Q

Labor cost in a nursing home as percentage of all expenses, generally averages ________ percent of all costs.

A

50 to 60

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111
Q

The primary purpose of an operating budget is to ______.

A

Provide a method for ongoing study and control

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112
Q

A facility is required to provide 3.0 hours of nursing care per day per resident. The facility has a capacity of 180 residents with a current occupancy of 90%. How many fulltime employees would be required if each nurse worked 8 hours per shift?

A

71

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113
Q

A cash flow projection is only valid _______.

A

For a specific time period

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114
Q

The Food and Drug Administration enforces ________.

A

SMDA

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115
Q

Long range goals are to be attained within ______.

A

3 years or more

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116
Q

Medicaid would not cover ______.

A

Individuals temporarily disabled

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117
Q

The consultant pharmacist is responsible to.

A

Check all drug records

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118
Q

A set of books that lists each transaction in the facility is called _____.

A

The books

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119
Q

Destroying paper records of purchases made by the facility would violate which principle?

A
  1. Objective evidence
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120
Q

Changing a company’s fiscal year from January 1 to June 30, is an example of violating the ___________ principle.

A
  1. Time period
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121
Q

When a facility does not record wages paid to workers, it is violating the _____ principle.

A

Disclosure

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122
Q

If the administrator wanted a listing of every account in the facility, the accountant would produce the _________.

A
  1. Chart of accounts
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123
Q

The ability to match revenues to expenses in a given time period is the advantage of the ______ system of accounting.

A

Accrual

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124
Q

It is difficult to recognize depreciation and prepaid expenses in the ______ accounting system.

A

Cash

125
Q

Per GAAP, the _________ does not need to be distributed to investors.

A
  1. Chart of accounts
126
Q

A financial statement where the assets must equal the liabilities and capital accounts is called the ____________.

A
  1. Balance sheet
127
Q

The _____________ would show the ending balance of the revenue and expense accounts.

A

Income Statement

128
Q

An asset which can be turned into cash within 12 months is called a(n)____________.

A

Current Asset

129
Q

Depreciation is an expense associated with the use of _________.

A

An Asset

130
Q

A facility with 200 hundred residents needs to staff 2 hours of nursing care per resident. A nurse works 8 hours per shift. How many nurses do you need to staff that day?

A

50

131
Q

The quality Assurance committee must be composed of?

A

DON, a physician and a least 3 staff members

132
Q

Holistic medicine pertains to ________.

A

Attending to the whole person and treating the underlying disease and not just the symptoms

133
Q

The _____ is responsible for quality of medical care in a facility.

A

Medical DIrector

134
Q

________ would cover an indigent individual residing in a skilled nursing home.

A

Medicaid

135
Q

______is the first task for surveyors when conducting an annual survey.

A

Office site preparation

136
Q

A resident who had a cerebral vascular accident would benefit most by _____________.

A

Anit-Coagulants

137
Q

Overhead expenses such as depreciation are considered a(n) ___ cost.

A

Indirect

138
Q

A resident who enters a facility without an indwelling catheter can be catheterized when ______.

A

The resident’s clinical condition demonstrates a need for one

139
Q

Resident water temperature should not exceed _______ degrees F.

A

110F

140
Q

The primary difference between Title XVIII and Title XIX of the Social Security Act is ________.

A

Title XVIII is an insurance program and Title XIX is an assistance program based on need

141
Q

The Title XIX fiscal intermediary is selected by the __________.

A

The state

142
Q

The main objective of utilization review for Medicare is _____.

A

High quality care

143
Q

The Social Security Act was enacted in __________.

A

1945

144
Q

Food preparation equipment should be ______.

A

Air dried

145
Q

Fire drills must be conducted _____.

A

Quarterly on each shift

146
Q

Which would not meet federal requirements for lab and radiological tests?

A

The attending physician must be notified within 72 hours of all test results

147
Q

A device that uses radio waves to detect abnormalities in the brain is called a(n) _____.

A

EEG

148
Q

Where a resident was admitted without a decubitis sore and developed an avoidable stage IV decubitis sore the facility would cited for ________________.

A

Level 4 citation immediate jeopardy

149
Q

If surveyors find substandard care during an annual survey, the facility will be subject to _________.

A

An extended survey

150
Q

An RN is required to complete _______________.

A

A college course in nursing and a nursing license

151
Q

The RAI consists of the __________.

A

RAPs, Utilization Guidelines and MDS

152
Q

______ uses the social environment as treatment.

A

Milieu Therapy

153
Q

plan of care where a resident is receiving psychotropic drugs must document _______.

A

An acceptable diagnosis and rationale

154
Q

Per the IRS, employee tax records must be kept for _________.

A

4 years

155
Q

The national standard to budget housekeeping staff to clean a facility is one hour of staff time per ____.

A

1000 SqFt

156
Q

When the supervisor and the employee jointly set goals this is called _________.

A

Management by objectives

157
Q

A facility must clean a minimum of ___ lbs of clothing, bedding and linen per resident per day.

A

10 LB

158
Q

If $80,000 is borrowed @ 9% common interest for 10 years and only interest is paid for the first year, the first
monthly interest payment would be approximately.

A

$600

159
Q

Normal psychological aging in the elderly would not include ______.

A

Loss of Memory

160
Q

Most effective way to plan for a resident who has a tendency is to wander is _______.

A

Determine at or before admission if an individual has the tendency or potential to wander

161
Q

A resident admitted for a fractured leg with no history of cognitive problems would not need which of the following?

A

A level 2 preadmission screening

162
Q

HIPPA requires resident records be maintained per the following requirements except for ______.

A

They be maintained by a MRA

163
Q

If a resident requests a copy of their records on Friday, the facility must comply with the request by ____.

A

Tuesday

164
Q

Who is responsible for implementation of resident care policies?

A

The medical director

165
Q

Upward communication has some drawbacks that an administrator must be aware concerning employees that report to them. What do supervisors tend to do most often?

A

Filter out information that may reflect badly on themselves or someone else they may be protecting

166
Q

An NHA should be primarily concerned with which of the following ______.

A

Overall quality of Care

167
Q

In long term care, the method of depreciation used for buildings, improvements, land improvements, and fixed assets is a(n)___________.

A

Straight line

168
Q

A Quality assurance committee must meet at least ________.

A

Quarterly

169
Q

When a resident who is not covered by Medicare places money in a resident trust fund, the facility is
_____

A

Required to pay interest only if contains more than $50.00

170
Q

To ensure all essential mechanical, electrical, and resident care equipment are maintained in safe and working condition, the facility must have an effective ________.

A

Preventative maintenance program

171
Q

When an administrator communicates what is to be accomplished by each employee and helps them accomplish these goals this is called _______.

A

Directing

172
Q

Under the quality indicator reports system, which is not a QI report.

A

Resident choice summary

173
Q

If a union wishes to renegotiate a contract with an employer, it must notify the employer within how many days of the expiration date

A

90

174
Q

All meals are prepared in accordance with the orders of the:

A

Attending Physician

175
Q

Which of the following is the management style associated with leaders who value their workers and solicit their participation:

A

Management by objectives

176
Q

Marketing of health care is a new trend that focuses on the recognition of the provision of health care services and is:

A

Increasingly becoming a “buyer’s market”

177
Q
A \_\_\_\_\_ is a person who is certified as a registered records administrator (RRA) or a health 
information technologist or accredited record technician by the American Health Information
 Management Association (AHIMA)
A

Medical records practitioner

178
Q

How many square feet do you need for 2 people in a semi private room?

A

160

179
Q

Developing and implementing facility specific programs that help ensure safety of employees is a maj responsibility of the NHA. The safety program in the nursing home would fall under the ______.

A

Risk management program

180
Q

Where the nursing home administrator provides residents an environment with lots of plants and flowers, and residents can be responsible to care for facility pets and set the table at meal times and fold napkins, this is called _______.

A

Eden Alternative

181
Q

The facility must follow the Life Safety Code of ______.

A

2000

182
Q

A stage 2 decubitus sore is characterized by which of the following?

A

A blister filled with pus

183
Q

OSHA records, other than OSHA medical records, must be kept for ____ years.

A

5 Years

184
Q

The length of a smoke compartment cannot exceed ____ feet.

A

150

185
Q

Fire extinguishers cannot be more than how many feet from each other?

A

50 Feet

186
Q

Which OSHA program relates to protecting staff and residents from the inadvertent discharge of electricity from an electrical appliance or outlet?

A

Lockout tagout

187
Q

The high forward reach from a wheelchair is _____ inches.

A

48

188
Q

Which document is the governance of a corporation?

A

Bylaws

189
Q

The _______ was organized in 1935.

A

CIO

190
Q
  1. Which of the following enforces the Life Safety Code?
A

The state licensing agency

191
Q
  1. An individual cannot have more than $______ in assets and still qualify for Medicaid.
A

$2,000

192
Q

A union must secure what percentage of workers in a facility to vote to establish a union?

A

50% +1

193
Q

Must have an RN how many hours each day?

A

8 Hours

194
Q

Which organization developed the standards for the Life Safety Code?

A

ANSI

195
Q

A facility must have ___ fire drills each year

A

12

196
Q
  1. How many of the following questions can you ask a job applicant?
    i. Have they ever been arrested
    ii. How often do they get sick
    iii. Have they ever filed a worker’s compensation claim
    iv. Where they were born
    v. Have they ever filed a claim for unemployment
    vi. Are they a legal resident
    vii. Can they perform the tasks of the job
A

3

197
Q

Daughter reports that her mother’s roommate has late night visitors which are noisy. What should the administrator do?

A

Offer the roommate and his guests a private place to meet in the facility where they will not disturb anyone

198
Q

State surveyors cite a facility for substandard care during a complaint survey? The facility will then be subject to what type of federal survey?

A

A partial extended survey

199
Q

Resident abuse must be investigated and reported to the state licensing authority within ____ day(s).

A

7 working days

200
Q

A nursing aide drops a resident and fractures a hip. Both the employee and the employer are responsible for money damages from the fall because of which of the following?

A

Strict Liability

201
Q

Which of the following is the Accounting equation?

A

Assets = liabilities + capital

202
Q

Which of the following is the correct equation to calculate working capital?

A

current assets – current liabilities = working capital

203
Q

Which inventory method maintains the optimum amount of materials needed to be ordered and minimizes overstocking.

A

Economic Order Quantity

204
Q

A maximum of ____ residents can occupy a multi-bed room.

A

4

205
Q
  1. Which of the following is a tort?
  2. A nursing aide charged with abusing a resident
  3. A facility cited by the state for substandard care
  4. A family member filing a lawsuit against a facility for abuse
  5. The CMS revoking a facility’s Medicare/Medicaid certification for repeated non-compliance
A
  1. A family member filing a lawsuit against a facility for
206
Q

Employee injury records must be saved for a minimum of _______ years.

A

30 Years

207
Q

If a facility does not employ a dietary supervisor who is a registered dietician, then that individual must have consultation with a consultant dietician on a ____ basis.

A

Part-time

208
Q

A facility must have one handicap parking space for every ____ parking spaces.

A

25

209
Q

A union which has a grievance against an employer would file such grievance with which of the following entities?

A

The National Labor Relations Board

210
Q

Repairs to the parking lot is what type of expense?

A

Capital

211
Q

Which of the following is not a nosocomial infection?

A

AIDS

212
Q

If a resident loses money in their resident trust fund, which of the following would compensate them for their loss?

A

A surety bond

213
Q

Where an individual makes a written statement that hurts another person’s reputation, this is called _____.

A

Libel

214
Q

Where an individual makes a verbal statement that hurts another person’s reputation, this is called _____.

A

Slander

215
Q

Which of the following would not have the power to make health care decisions for a resident who lacks capacity?

A

A power of attorney

216
Q

A resident who is not a Medicaid resident must have their resident funds deposited in an interest
bearing account when there funds total $____ or more.

A

$100

217
Q

Liabilities that will be paid within 16 months are called _____.

A

Non-current liabilities

218
Q

What is acid test ratio?

A

Cash plus accounts receivables plus money market account divided by current liabilities

219
Q

Must have emergency battery power for at least ____ hours.

A

1 1/2 Hours

220
Q

What reports do surveyors look at from OSCAR before they conduct a facility survey?

A

Oscar reports 3 and 4 and the QI Report

221
Q

Under OBRA 1987, a Medicaid resident is entitled to ___ days of paid leave for hospitalization.

A

14 days

222
Q

Under OBRA 1987, a Medicaid resident is entitled to ___ days of paid leave for therapeutic leave.

A

5

223
Q

A nursing home with 100 employees or more must file EEO form ____..

A

EEO-1

224
Q

Which of the following is the main cause of a UTI infection?

A

E- Coli

225
Q

Pots and pans sanitized using just hot water is sanitized in a 3 compartment sink then must be submerged in hot water at a minimum temperature of _____ degrees F. for 30 seconds?

A

170

226
Q

A decubitus sore with apparent loss of the skin and dermis is a stage ___.

A

Stage 2

227
Q

Accounts receivables over 60 days past due must not exceed ___ % of all accounts receivables.

A

5%

228
Q

Which of the following must determine if a resident can self administrator drugs?

A

The IDT

229
Q

Managing monetary risks is called _______.

A

Risk Management

230
Q

A violation affecting a limited number of residents is a scope of _____.

A

Isolated

231
Q

A violation affecting more than a limited number of residents is a scope of _____.

A

Pattern

232
Q

Must notify residents within ___ days of any change in laws, facility policies or changes in charges?

A

14

233
Q

Which of the following is the correct percentage of weight loss?

A

7.5%

234
Q

Which of the following is the tag for a life safety violation?

A

K

235
Q

What is the fire rating of walls in a smoke compartment?

A

2 hours

236
Q

Which of the following management types would be most effectively used by physicians, nursing and social workers?

A

Paternal

237
Q

What percentage of residents must be interviewable to participate in surveyors interviews of facility residents?

A

50%

238
Q

The minimum staffing level required by CMS is

A

3.0 PPD

239
Q

Which type of incontinence is characterized by urine leakage with coughing or laughing?

A

Stress

240
Q

Door locks that are engaged by wandering residents can only work for how long?

A

15 Seconds

241
Q

Which of the following is permissible as part of an admission contract?

A

Third party guarantee of payment

242
Q

At what temperature must hot foods leave the kitchen?

A

135 F

243
Q

After a resident has been in the facility for 3 months, how often must they see a physician?

A

Every 60 days

244
Q

Which is not an OBRA approved indication for antipsychotic usage?

A

Itching

245
Q

A person diagnosed with dementia usually ______.

A

Displays a loss of intellectual capacity

246
Q

The OBRA outcome-oriented survey is focused on the:

A

Quality of care actually provided

247
Q

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

A

Guardian

248
Q

An unplanned and/or undesired weight loss would be classified as significant if the percentage of loss during a six-month interval was:

A

10%

249
Q

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

A

At each visit

250
Q

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

A

Approved for participation under both Medicare and Medicaid

251
Q

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

A

Nursing facility administrator

252
Q

According to OBRA, the facility is required to offer therapeutic activities that:

A

Are based upon past interests and hobbies

253
Q

Placing a message in an oral form or in written words, a diagram, picture, or chart is called:

A

Encoding

254
Q

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

A

Administrator/family

255
Q

The diversity of needs within a specified market is correctly referred to as:

A

Market segmentation

256
Q

To develop effective staff rapport, an administrator should:

A

Establish clear lines of authority and responsibility

257
Q

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

A

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

258
Q

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

A

Past experience and projected expectations

259
Q

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

A

When they are incurred

260
Q

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

A

Net profit

261
Q

Risk management is identifying and solving problems__________________.

A

That only involve a legal risk

262
Q

A fiscal intermediary is usually___________________.

A

An insurance company

263
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:

A

feet above the floor

264
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?

A

Allow laundry employees to work overtime

265
Q

OSHA accident reports must be posted _________.

A

Every year from February 1 through April 30

266
Q

Backup batteries for generators must provide light for certain areas in a nursing home during
emergency situations, however waivers may be obtained for all areas except:

A

Exits and doors

267
Q

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

A

Creation and implementation of procedures

268
Q

Which of the following is not a type of authority?

A

Span of management

269
Q

Goal orientation focuses on:

A

Future accomplishments

270
Q

Which of the following is the management style associated with leaders who value their workers and solicit their participation:

A

Management by objectives

271
Q

The _______has ultimate legal responsibility for the care provided in a nursing home.

A

Governing body

272
Q

The long term care ombudsman requests access to a resident’s medical chart. What should the administrator do?

A

Require the resident to provide their consent for the ombudsman to access the resident’s medical chart

273
Q

The _______has ultimate legal responsibility for the care provided in a nursing home.

A

Governing body

274
Q

The long term care ombudsman requests access to a resident’s medical chart. What should the administrator do?

A

Require the resident to provide their consent for the ombudsman to access the resident’s medical chart

275
Q

Under which circumstances is a resident’s consent needed to provide a third party access to the resident’s medical and financial records?

A

When accessed by the long term care ombudsman

276
Q

The _____ is responsible to review and implement resident care policies and coordinate the medical care in a facility.

A

Medical Director

277
Q

Need what percentage of workers in a company to sign a union interest card or union card which is the first step in getting the NLRB to hold a union election?

A

30%

278
Q

Must limit travel in a smoke compartment barrier to ____ feet.

A

200 FT

279
Q

Where a supervisor consistently rates employees as “average” although their performance is far superior or below expectation is called ________.

A

Error of Central Tendency

280
Q

In case of a fire, the primary purpose of closing doors is to _____.

A

Contain the smoke

281
Q

A broad statement of goals is a ________.

A

Policy

282
Q

Which of the following requires a facility to pay for money damages caused by facility employees to residents or third parties?

A

Respondent superior

283
Q

Which of the following is both a revenue and an expense center?

A

Nursing

284
Q

________ is not a nosocomial disease.

A

HIV

285
Q

__________ publishes and promotes fire safety in nursing homes.

A

NFPA

286
Q

The Americans with Disabilities Act construction standards were developed by _______.

A

ANSI

287
Q

A corridor or ramp must have a minimum width of ____ .

A

8 FT or more

288
Q

A hallway or corridor must have a minimum width of ____ feet or more.

A

5 FT

289
Q

_______ is an operating expense

A

Depreciation

290
Q

Revenues – expenses = _______________.

A

Profit or Loss

291
Q

The _______has legal responsibility to adopt and implement facility policies.

A

Governing Body

292
Q

The minimum amount of square footage in a private room is ________.

A

100 Sq FT

293
Q

The minimum amount of square footage in a semi-private room is ________ per person.

A

80 SQ FT Per person

294
Q

The most common cause of pressure sores is _____.

A

Shearing and friction

295
Q

If a horizontal exit is separating 2 fire areas then it must have ________.

A

2 doors that swing in different directions

296
Q

Two doors separating 2 fire areas in a horizontal exit must be at least ___inches wide each.

A

14.5 inches

297
Q

Which would be the correct square footage for a semi-private room?

A

320 SQ FT

298
Q

A debt to pay an obligation is called a ____________.

A

Bond

299
Q

At least one exit from each floor or fire section must lead directly ____.

A

To the outside

300
Q

Which of the following would be categorized as an operating expense?

A

Depreciation

301
Q

A Medicaid resident went to the hospital and their Medicaid bed hold expired 10 days ago. The resident is being discharged from the hospital and has requested to be admitted to the nursing home but there are no Medicaid beds available. What should the NHA do?

A

Admit the resident into the next available Medicaid bed

302
Q

The _____ must certify the accuracy and completion of the resident assessment or MDS.

A

RN

303
Q

Each level or story of a building that houses patient sleeping and treatment areas must be divided into ___ smoke compartments.

A

2

304
Q

ADA guidelines and standards are developed and approved by _____.

A

ANSI

305
Q

At least one exit from each floor or fire section must lead directly ____ to a ramp or exit passageway

A

To the outside

306
Q

A nursing home must have a(n)______ operated fire alarm system that is _________ monitored.

A

Manually, electronically

307
Q

Working capital is distinguished from other types of capital as _____.

A

The excess of current assets over current liabilities

308
Q

In a fire, which of the following is the first action staff should take?

A

Remove all patients directly involved in the location of the origin of the fire

309
Q

Which federal survey is the complaint survey?

A

Abbreviated standard survey