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NHA > NHA Prep Test 1 > Flashcards

NHA Prep Test 1 Flashcards

0
Q

The major objective of the applicant interview is to encourage the applicant to reveal as much information as possible regarding all of the following except his or her:

A. Ability
B. Attitude
C. Reliability
D. Political and religious beliefs

A

D. Political and religious beliefs

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1
Q

Nephritis is a disease of the:

A. Knees
B. Lungs
C. Bones
D. Kidneys

A

D. Kidneys

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2
Q

Patients are most easily encouraged to participate in those activities that:

A. Are very simple
B. Provide income
C. Are shared with relatives
D. Are personally satisfying

A

D. Are personally satisfying

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3
Q

The primary advantage of 8/80 scheduling is that it helps with:

A. Payroll records
B. More adequate staff scheduling
C. Assignment of duties
D. Preventing absenteeism

A

B. More adequate staff scheduling

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4
Q

Performance evaluations should be done at least:

A. Quarterly
B. Semi annually
C. Annually
D. As needed

A

C. Annually

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5
Q

The social work designee should be expected to:

A. Assign and supervise volunteers
B. Assist residents and family to use community resources
C. Assist nursing service when needed
D. Assist patient activities coordinate with recreational activities

A

B. Assist resident and family to use community resources

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6
Q

When in employee makes a mistake he or she should be corrected:

A. At a staff meeting
B. Immediately and in private
C. Off the job on the employees time
D. Only after the matter become serious

A

B. Immediately and in private

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7
Q

To find the amount paid for salaries on a complete financial report, the administrator should look at the:

A. Sales journal
B. Balance sheet
C. Statement of funds
D. Income and expenses

A

D. Income and expenses

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8
Q

Isolation rooms must be designed to accommodate all of the following except:

A. Private bath or shower
B. Call Bell System
C. Private toilet and handwashing facilities
D. Single occupancy

A

A. Private bath or shower

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9
Q

Supervisors contribute most effectively to good morale in their department when they:

A. Permit only self discipline
B. Discipline consistently and fairly
C. Are always available for consultation
D. Arrange a salary increase at regular intervals

A

B. Discipline consistent and fairly

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10
Q

Posting means to:

A. Make an entry in a journal
B. Determine profit or loss
C. Close accounts at the end of the year
D. Transfer entries from journal to ledger

A

D. Transfer entries from journal to ledger

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11
Q

A licensed registered nurse must be on duty:

A. Five days/week with two days off
B. Six hours/day, seven days/week
C. Eight hours/day, seven days/week
D. Eight consecutive hours/day, seven days/week

A

D. Eight consecutive hours/day, seven days/week

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12
Q

Overtime pay must be at least:

A. Twice as much as base pay
B. 1 1/2 times base pay
C. Double on holidays
D. 2 1/2 times base pay

A

B. One and a half times base pay

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13
Q

A long-term liability is an obligation that must be met:

A. Within the year
B. Usually beyond the end of the year
C. On an installment basis
D. Usually at the end of the fiscal year

A

B. Usually beyond the end of the year

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14
Q

The most important value of complete personnel records on attendance, performance, discipline, evaluations, etc. is that they:

A. Provide a basis for objective evaluation of employees performance
B. Provide information as a basis for terminating employee
C. Can be used to refute arguments of disgruntled employees
D. Provide compliance with federal and state regulations

A

A. Provide a basis for objective evaluation of employees performance

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15
Q

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

A. Marketability
B. Target marketing
C. Market segmentation
D. Diversified media campaigning

A

C. Market segmentation

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16
Q

The nursing home services, often used for public image building, that involves short-term stay of patients when the family needs a break is called:

A. Daycare
B. Short-term care
C. Day-night care
D. Respite care

A

D. Respite care

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17
Q

Before sitting down at the collective-bargaining table, you should:

A. Decided not to meet the demands of organized labor
B. Determine possible demands and how far you will go towards meeting them
C. Put out word that you will stand firm on present with benefits
D. Have your lawyer decide what demands you should meet

A

B. Determine possible demands and how far you will go towards meeting them

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18
Q

The minimum amount of square footage her bed in a multi-resident room is:

A. 60
B. 80
C. 100
D. 120

A

B. 80

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19
Q

Work orders are very important in the maintenance program and should include all of the following except:

A. The date
B. Location
C. The instructions on how to repair
D. The problem

A

C. The instructions on how to repair

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20
Q

Which of the following statements is true?

A. Every department in the nursing home should have goals and objectives
B. Only the major departments in the nursing home should have goals
C. Only the owners of the facility should be concerned with objectives
D. Since goals are important there is no need to review them periodically

A

A. Every department in the nursing home should have goals and objectives

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21
Q

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

A. Market opportunity analysis
B. Study of hospital census ratios
C. Review of existing advertisements
D. Assessment of competitive institutions

A

A. Market opportunity analysis

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22
Q

A facility decides to install a new more efficient central air conditioning/heating system that will save $2000 per year on utilities. Useful life of the equipment is 10 years, and it will be depreciated using the straight-line method. Cost of the new equipment is $18,000. Depreciation expense will be:

A. $1800 per year for eight years
B. $1800 per year for 10 years
C. $2000 per year for nine years
D. $2000 per year for 10 years

A

B. $1800 per year for 10 years

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23
Q

The function of management called organizing is best described as:

A. Training of personnel
B. Power to command, act or exact action
C. Process of grouping people and activities, the assigning of rolls, and delegating authority for those supervision in a way that prevents friction and other unsought consequences
D. Process of grouping activities for job assignment

A

C. Process of grouping people and activities, the assigning of rolls, and delegating authority for those supervision in a way that prevents friction and other unsought consequences

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24
Q

Fringe benefits are usually outlined in the:

A. Job analysis
B. Job description
C. Procedure manuals
D. Personnel policies

A

D. Personnel policies

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25
Q

When accidents to employees or patients occur, the accident reports should be:

A. Filed for future reference
B. Sent to the insurance company for them to decide what will be paid
C. Reviewed by the safety committee and measures set up to prevent reoccurrence
D. Reviewed by the administrator and kept on file in his or her office

A

C. Reviewed by the safety committee and measures set up to prevent reoccurrence

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26
Q

Policies are general statements that guide thinking and decision-making in the nursing facility, and are:

A. Provided by the federal government
B. Very rigid so that they always result in staff acting the same way in a given situation
C. Pretty much the same as procedure and rolls
D. Always worded so that staff can exercise some judgment when executing them

A

D. Always worded so that staff can exercise some judgment when executing them

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27
Q

A program that involves regular monitoring of all equipment and systems in a nursing facility is called?

A. Warranty checks
B. Mechanical monitoring
C. Preventative maintenance
D. Scheduled monitoring

A

C. Preventative maintenance

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28
Q

Relative to setting objectives, which tasks listed below would be a primary importance for the administrator to accomplish?

A. Use automatic management techniques
B. Use non-directive techniques of management
C. Constantly review and reassess objective of the nursing home
D. Review nursing home objectives every three years

A

C. Constantly review and reassess objective of the nursing home

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29
Q

A nursing home is considering the purchase of a new dishwasher that cost $6000 and has useful life of 10 years (with no salvage value). It is estimated that the machine will reduce operating costs by $800 over each of the next 10 years. What is the payback period?

A. 0.75 years
B. 1.33 year
C. 7.5 years
D. This cannot be determined with the information provided

A

C. 7.5 years

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30
Q

If a resident is very demanding, and dependent behavior is ignored, what will ultimately happen?

A. The dependence will lesson
B. The resident will be depressed
C. The dependency will remain the same
D. The resident will withdraw and become sullen

A

D. The resident will withdrawal and become sullen

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31
Q

The infection control committee should hold meetings at least:

A. Monthly
B. Bimonthly
C. Biweekly
D. Quarterly

A

D. Quarterly

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32
Q

In using radio and TV for marketing, the facility should emphasize:

A. Lack of other resources
B. Unique components of its services
C. Deficiencies of the competition
D. Deficiencies of government funding

A

B. Unique components of it services

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33
Q

When an asset can quickly be converted to cash without appreciable loss, it is said to be:

A. Transferable
B. Convertible
C. Liquid
D. Current

A

C. Liquid

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34
Q

To ensure compliance with the civil rights act of 1964, at the time of admission the facility should:

A. Have a balanced census of each race
B. Assign a new residents who are room or ward without regard to the residence race, color, or national origin
C. Permit the resident to change the room accommodations after reviewing with them the current occupancy of the home
D. Determine room assignment by asking the resident if they are willing or desire to share a room with a person of another race, color, or national origin

A

B. Assigned a new residence a room or ward without regard to a residence race, color, or national origin

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35
Q

What is meant by “part a” of the Medicare health insurance program?

A. Reimbursement section of the law
B. The physician coverage of the program
C. The hospital insurance part of the program including hospital extended care facility and home health benefits
D. The supplemental part of the program with the beneficiary pays an additional monthly premium

A

C. The hospital insurance part of the program including hospital extended care facility and home health benefits

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36
Q

Cost that do not change when the occupancy rate or volume of services change are known as:

A. Fixed cost
B. Current cost
C. Capital cost
D. Variable cost

A

A. Fixed costs

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37
Q

The kidney:

A. Adds bile salts
B. Filters the blood
C. Is part of the digestive system
D. Is parts of the respiratory system

A

B. Filters the blood

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38
Q

In developing a good public relations program, it is necessary to:

A. Involve all staff
B. Get involved in community affairs
C. Hire a public relations specialist
D. Develop visibility

A

C. Hire a public relations specialist

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39
Q

The process of selling a service or goods in the market is:

A. Advertising
B. Marketing
C. Retailing
D. Wholesaling

A

B. Marketing

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40
Q

As a function of management, organizing involves:

A. Developing and implementing a formal structure in the facility that facilitates the allocation of authority in resources
B. Good time management by the administrator so that all appointments can be kept
C. Establishing teams to work independently of one another
D. Helping labor unions into the facility

A

A. Developing and implementing a formal structure in the facility that facilitates the allocation of authority in resources

41
Q

In order to involve department heads in the budget process, what should the administrator ask them to do?

A. Provide a maximum figure on materials and supplies based on 100% occupancy
B. Review the materials and supplies normally used and estimate what will be needed next year
C. Prepare a breakdown of materials and supplies normally use so the administrator can develop the budget
D. Review the materials and supplies normally used and determine the minimum that could be utilized next year

A

B. Review the materials and supplies normally used and estimate what will be needed next year

42
Q

Planning is primarily concerned with:

A. Reviewing past records
B. Supervising employees
C. Use a facts to determine course of action for the future
D. Use a fax to determine past events

A

C. Use of faxed to determine course of action for the future

43
Q

What is the main purpose of the life safety code?

A. To ensure that there is a reasonable degree of safety from fire in all buildings used by the public
B. To outline specific programs for the fire safety and control
C. To ensure that local fire departments help develop and improve fire control plans
D. To develop minimum standards for help and safety in public facilities

A

C. To ensure that local fire departments help develop and improve fire control plans

44
Q

A ledger is a:

A. List if debits and credits
B. List if outstanding debts and receivables
C. List if individuals accounts, both payables and receivables
D. List of assets, liabilities, and accounts payable

A

C. List if individuals accounts, both payables and receivables

45
Q

The three steps in correcting errors in work performance are:

A. Point out mistake, explain case, indicate remedy
B. Point out mistakes, discuss homework must be done, provide appropriate discipline
C. Review procedure, point out error, indicate remedy
D. Point out something good, point out error, indicate remedy

A

A. Point out mistakes, explain case, indicate remedy

46
Q

Federal guidelines recommend that nursing facilities have on hand enough linen for:

A. Three sets per bed
B. Comfort inn care of patients
C. Four sets per bed
D. Prevention of disease spread

A

A. Three sets for bed

47
Q

What is the basic aim of a nursing home marketing program?

A. Change attitude a potential user
B. Recruit competent staff
C. Inform the public of health matters
D. Attract community support for the facility

A

A. Change attitude a potential user

48
Q

The mission statement of a nursing facility:

A. Should be confidential
B. Is dictated by OBRA 87
C. Explains the purpose of the facility and why it is doing what is doing
D. Should not be circulated amongst the residence

A

C. Explains the purpose of the facility and why it is doing what it is doing

49
Q

Ultimate authority in a private corporation nursing home is with the:

A. Administrator
B. Staff
C. Board of Directors
D. Physician

A

C. Board of Directors

50
Q

Cash or other assets they can be easily converted to cash and expected to be used in the course of the years operation are:

A. Short-term assets
B. Current assets
C. Temporary assets
D. Receivable assets

A

B. Current assets

51
Q

When a labor representatives indicate they plan to organize your facility, the first thing to do is:

A. Call staff together and tell them it is against policy
B. Confer with a labor relations specialist and develop an appropriate plan of action
C. Start checking to see which employees are troublemakers and get rid of them
D. Sit back and wait until they ask for an election

A

B. Confer with a labor relations specialist and develop an appropriate plan of action

52
Q

A line of authority position is characterized by which one of the following:

A. Decision-making vested in the supervisor
B. Supervisor performs advisory functions
C. Supervisor disciplines employees
D. Individual assits the department head

A

A. Decision-making busted in the supervisor

53
Q

A person who has problems with verbal communication would normally be referred to as:

A. A speech therapist
B. A physical therapist
C. An occupational therapist
D. A motivational therapist

A

A. A speech therapist

54
Q

Responsibility for education of employees in the nursing home in matters of various rules and regulation falls to:

A. The department of public instruction
B. The owner of the nursing home
C. The nursing home administrator
D. The director of nursing

A

C. The nursing home administrator

55
Q

Facility with 180 beds must have:

A. An administrator
B. A licensed administrator
C. A licensed administrator and a licensed assistant administrator
D. A licensed administrator and a assistant administrator

A

D. A licensed administrator and a assistant administrator

56
Q

Which of the following cannot be used in pest control:

A. Underground poisoned Bates
B. Open traps
C. Spray pesticides
D. Non-aerosol pesticides

A

B. Open traps

57
Q

Today nursing homes are becoming more involved in:

A. Staffing
B. Marketing
C. Cost management
D. Developing ancillary services

A

B. Marketing

58
Q

Water temperatures at fixtures used by residents must be:

A. Not more than 130°F
B. Between 100 and 120°F
C. Regulated by automatic control valves
D. Automatically controlled so that temperatures do not exceed 130°F

A

C. Regulated by automatic control valves

59
Q

The method used to decrease the value of building and equipment at a greater rate during the early years of an assets life is:

A. Straight-line depreciation
B. Declining balance depreciation
C. Rapid write off
D. Accelerated depreciation

A

D. Accelerated depreciation

60
Q

The minimum width of a Corridor in a nursing facility of new construction is:

A. 10 feet
B. 8 feet
C. 16 feet
D. 4 feet

A

B. 8 feet

61
Q

Worker’s Compensation:

A. Provides a lifetime income
B. Is designed only for salaried employee
C. Is group hospitalization and life insurance
D. Provides coverage for an employee only on the job

A

D. Provides coverage for an employee only on the job

62
Q

The purpose of an audit is to:

A. Determine financial status at a given time
B. Determine financial status for tax purposes
C. Verify the accounting to determine accuracy
D. Verify the current assets less current liabilities

A

C. Verify the accounting to determine accuracy

63
Q

Employees who feel they are overworked usually have low morale and tend to:

A. Push harder so they will get the attention they deserve
B. Work at their usual place
C. Readily complains to their supervisor
D. Slow down and do even less

A

D. Slow down and do even less

64
Q

The civil rights act of 1964 (title VII) and subsequent related acts are concerned with:

A. Discrimination in hiring and firing practices, distribution of benefits and other employment practices
B. Unfair labor practices and resident right
C. Union management practices relative to professional
D. Resident rights in the nursing home

A

A. Discrimination in hiring and firing practices, distribution of benefits another employment practices

65
Q

If a drug is received from the pharmacy with a marred label you should:

A. Call the pharmacist and write on the label as directed
B. Destroy the container, medicine and label
C. Return it to the pharmacist for relabeling
D. Confer with the patient’s physician for directions

A

C. Return it to the pharmacist for relabeling

66
Q

A pay plan that provides for periodic increases in pay is called:

A. Increment plan
B. Merit pay
C. Promotion plan
D. Select the pay plan

A

A. Increment plan

67
Q

Occupancy rate is calculated by:

A. Dividing into beds by total bed
B. Dividing occupied beds by total beds
C. Dividing total beds by occupied beds
D. Dividing total resident days per year by 365

A

B. Dividing occupied bed by total beds

68
Q

The physician for a nursing home resident should be chosen by:

A. Another physician of the facility
B. Patient and or his or her designee
C. Administrator
D. Nurse

A

B. Patient and or his or her designee

69
Q

Each resident should it be examined by the attending physician every ______ Day for the first 90 days following admission.

A. 15
B. 20
C. 25
D. 30

A

D. 30

70
Q

The difference between marketing and public relations is:

A. Marketing is done by specialists; public relation is done by all staff
B. Marketing involves attracting patients; public relations involves people who may never need service
C. Public relations concentrates on public image; marketing does not
D. Marketing primarily uses news media; public relations uses personal contact

A

B. Marketing involves attracting patients; public relations involves people who may never need service

71
Q

Newly hired employees should receive:

A. A uniform allowance
B. 10% discount on all mail
C. And employee handbooks
D. An employee identification badge

A

C. An employee handbook

72
Q

The primary value of a sound accounting system is that management can:

A. Measure performance against an established standardize budget
B. Control purchasing more easily
C. Control expedition sure is in extravagant departments
D. Always maintain a balanced budget by cutting exponential

A

A. Measure performance against an established standardize budget

73
Q

The major reason accidents must be reported is:

A. Worker’s Compensation
B. Keep down insurance cost
C. Prevent people from bringing suits
D. To investigate cause and prevent recurrence

A

D. To investigate cause and prevent recurrence

74
Q

Standards on the use of chemicals in the notification of employees of chemicals in the workplace are established by:

A. NFPA
B. OBRA
C. ANSI
D. OSHA

A

D. OSHA

75
Q

The best inventory system is one that:

A. Frequently counts the amount of goods and materials on hand
B. Is maintained by the business office of the facility
C. Is maintained by each department of the facility
D. Records all receipts and requisition and uses automatic reorder level

A

D. Records all receipts and requisitions and uses automatic reorder level

76
Q

The administrator finds an employee strongly supporting a union effort to organize his facility. What can the administrator legally do?

A. Threaten to fire the employee
B. Promise a raise if the employee will not support the union
C. Asked the employee if he has signed a union card
D. Describe collect bargaining to the employee

A

D. Describe collective-bargaining to the employee

77
Q

A budget is best defined as a:

A. Summary of the financial operation
B. Balance sheet regarding the financial operations
C. Plan stating in financial terms the anticipated results for a given future of time
D. Plan by which the administrator can accurately predict the financial conditions of the end of the year

A

C. Plan stating in financial terms the anticipated results for a given future of time

78
Q

The primary purpose of a job description for each employee is to

A. Establish job Procedures
B. Establish a work schedule
C. Standardize job performances
D. Outline the functions of each jobs

A

D. Outline the functions of each job

79
Q

The corporation is:

A. A legal entity created by law to carry on a business or profession
B. An agreement for two or more persons to carry on a business
C. A type of limited partnership
D. A joint venture

A

A. A legal entity created by law to carry on a business or profession

80
Q

In bookkeeping terms, the initial recording of a transaction is called:

A. A posting
B. A journal entry
C. An adjustment
D. An audit

A

B. A Journal entry

81
Q

When regulations are in conflict, always use the:

A. State Standard
B. Least stringent
C. Most stringent
D. Federal standard

A

C. Most stringent

82
Q

Which of the following holds little promise for improving job satisfaction for technical and professional personnel:

A. Job rotation
B. And improved program of performance review
C. And improved selection and placement program
D. Improvement in communication and justifiable employee participation

A

A. Job rotation

83
Q

When working with a resident with a severe hearing loss, it is best to:

A. Speak loudly into his or her ear
B. Over accentuate each word with your lips
C. Face the resident, maintain eye contact, and speak clearly
D. Speak loudly, Gesture frequently and use appropriate facial expressions

A

C. Face the resident, maintain eye contact, and speak clearly

84
Q

Which of the following forms of business is considered the oldest form of ownership?

A. Corporation
B. Syndicate
C. Sole proprietorship
D. Professional Corporation

A

C. Sole proprietorship

85
Q

The basic function of management called staffing is concerned with:

A. Hiring and firing, but not promoting
B. Recruiting, hiring, and placement, but not firing
C. Recruiting, selecting, orientating, training, developing, promotion, demoting and retaining
D. Recruiting, selecting, orientating, training, developing, promotion, and demoting, but not retaining

A

C. Recruiting, selecting, orientating, training, developing, promotion, demoting and retaining

86
Q

All of the following interview statements are true except

A. Obese applicants cannot be asked about their physical capability to keep up with other staff
B. Immensely handicapped person can only be judged on their ability to do the job
C. Questions concerning a conviction are allowed
D. Questions concerning sex, race, age, marital status, and number of dependents are allowed

A

D. Questions concerning sex, race, age, marital status, and number of dependents are allowed

87
Q

When using newspaper ads, long-term care facilities should make sure they are never place near:

A. Regular want ads
B. Obituary
C. Hospital ads
D. Service ads

A

B. Obituary

88
Q

The main element of universal precautions is

A. Use of gloves and proper handling techniques
B. Use of disposable system
C. Use of isolation rooms
D. To investigate the source of infection

A

A. Use of gloves and proper handling techniques

89
Q

Every bedroom shall have an outside window that can be opened from the inside without the use of tools. What is the reason the life safety code sites for this requirement?

A. To provide light in the room during the day
B. To allow the ventilation on cool days and nights
C. To prevent panic of patients with claustrophobia
D. To permit the occupant access to fresh air in case of an emergency

A

D. To permit the occupant access to fresh air in case of an emergency

90
Q

If in employee perceives himself as being overworked relative to the pay he or she is receiving, he or she will probably:

A. Look for another job
B. Work less and produce less
C. Continues until he/she receives a raise
D. Work harder to justify a higher salary

A

B. Work less and produce less

91
Q

When monitoring quality of work performance in a nursing facility, the most effective thing administrator can do is

A. Conduct frequent conferences with each department
B. Hold regular department head meetings and report on problems and achievement
C. Visit each unit of the facility and check both activities and work areas
D. Require regular written reports from department heads on activities on their units

A

C. Visit each unit of the facility and check both activities and work areas

92
Q

The first step in planning is

A. Effectively controlling the operation
B. Hiring department heads
C. Creating leadership skills
D. Setting the objectives of the organization

A

D. Setting the objectives of the organization

93
Q

When marketing a nursing home, radio and television, in contrast to printed material should stress:

A. Price
B. Location
C. Staff
D. Differences

A

D. Differences

94
Q

Accrual refers to:

A. Audits
B. Profits
C. Inventory control
D. An accounting system

A

D. An accounting system

95
Q

The primary advantage of an effective resident Council is that it

A. Gives residents a sense of control of some aspect of their lives
B. Takes some of the workload off the activities director
C. Ensures residents complaints will be more effectively resolved
D. Provides staff the opportunity to regularly meet with most residents as a group

A

A. Gives residents a sense of control of some aspects of their lives

96
Q

A facility would be considered out of compliance with the civil rights act of 1964 if

A. Two residents of the same race share a room
B. The facility does not have a racially mixed resident population
C. The facility with residents of two or more races has no racial mix room occupancy
D. The facility maintains, as a matter of policy, separate dining facilities for residents of different races

A

D. The facility maintains, as a matter of policy, separate dining facilities for residents of different races

97
Q

Which of the following is not necessary for facility to be certified in the Medicare program

A. A current license
B. A full-time medical director
C. An approved utilization review plan
D. A licensed nursing home administrator

A

B. A full-time medical director

98
Q

A procedure is:

A. A detailed statement to accomplish a task
B. A road guide to thinking
C. A program to accomplish goals
D. A set of policies

A

A. A detailed statement to accomplish a task

99
Q

A marginal return is when:

A. Income equals expenses and you break even
B. Income is no more than 5% over expenses
C. Income equals expenses and the value of goods and materials on hand
D. Profits are marginal and dividends cannot be paid

A

A. Income equals expenses and you break even

NHA (4 decks)

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