NHA STUDY PRACTICE QUESTIONS Flashcards
When admitted to the nursing home, which of the following is not required to be given to the resident:
- The resident’s rights and rules and regulations governing resident conduct and responsibilities during the stay in the facility
- Services to be provided and their associated cost
- The federal standards and state licensing rules for nursing facilities
- Information regarding an advance directive
The federal standards and state licensing rules for nursing facilities
A resident is admitted to a curing home that has been certified as a (Medicare) Skilled Nursing Facility only. Which of the following is not required to be adhered to by the facility?
- State Medicaid standards for payment
- NF regulations
- State licensing regulations
- Office of Civil Rights laws
State Medicaid standards for payment
Unless a waiver has been secured, a registered nurse is required to be in the facility:
- At least eight hours within every 24-hour period
- At least eight consecutive hours a day, seven days a week
- At least eight consecutive hours Monday through Friday
- There is no minimum number of hours required
At least eight consecutive hours a day, seven days a week
Which one of the following statements is true?
- Any employee may serve as a feeding assistant when the need arises
- A family member must complete a state-approved training course for feeding assistants before assisting with feeding his/her family member
- Paid feeding assistants must successfully complete a state-approved training course
- A family member is not allowed to feed his/her relative
Paid feeding assistants must successfully complete a state-approved training course
A healthcare professional is reviewing the care plan for a resident with advanced Parkinson’s disease who has been receiving nutrition through a nasogastric tube for over 30 days. Considering the resident’s quality of life and the clinical guidelines regarding enteral feeding, which of the following actions is most appropriate?
A) Continue the use of the nasogastric tube indefinitely, as it is the primary means of ensuring the resident receives adequate nutrition.
B) Assess the possibility of socializing the resident in common areas to minimize social isolation, while also reviewing the clinical documentation to justify the extended use of the nasogastric tube.
C) Transition the resident to oral feeding exclusively, as enteral feeding tubes are proven to significantly extend life in individuals with chronic neurological disorders.
D) Cease all nutritional support as enteral feeding does not improve clinical outcomes in individuals with advanced dementia or chronic neurological disorders.
B) Assess the possibility of socializing the resident in common areas to minimize social isolation, while also reviewing the clinical documentation to justify the extended use of the nasogastric tube.
Which level of employees are most at risk for potential personal injury in the nursing home?
- Food preparation workers
- Maintenance personnel
- Certified Nursing Assistants
- Nurses
Certified Nursing Assistants
In a typical facility, staff turnover is greatest among:
- Business office personnel
- CNAs
- Dietary workers
- Maintenance
CNAs
Within the spirit of OBRA and culture change, which one of the following is most descriptive of the movement?
- Resident rights and resident centered care
- Changing the physical structure of the facility to be more homelike
- Having more clearly defined and permanent workloads and assignments
- Protection of residents and employees through an effective infection control program
Resident rights and resident centered care
Which type of employee counseling should not be done between the administrator/department manager and an employee?
- Personal development and career advancement
- Personal non-work problems being experienced by an employee
- Work related problems: scheduling, the work environment, worker performance, etc
- Conflicts between personnel: managers and employees or employee and employee or administrator and employee or manager
Personal non-work problems being experienced by an employee
Regulations related to payment for overtime for nursing staff employed by a skilled nursing facility are guided by the:
- Immigration Reform and Control Act
- Workers Compensation Act
- Medicare Modernization Act
- Fair Labor Standards Act
Fair Labor Standards Act
Why should an administrator get department heads involved in the budget-making process?
- To remain in compliance with federal certification requirement
- To obtain more accurate cost estimates and more control over costs
- To satisfy a generally accepted accounting principle (GAAP)
- To conserve time in developing a budget
To obtain more accurate cost estimates and more control over costs
Medicare Part A coverage of skilled nursing facility (SNF) care entails out-of-pocket payment by the resident of a daily amount for which days of SNF care in a benefit period?
- none
- 1st through 20th
- 21st through 100th
- Each day that the costs exceed a certain level
21st through 100th
Which of the following statements is NOT true regarding the Medicare Prospective Payment System for Skilled Nursing Facilities?
- Facilities located in different urban areas receive different rates that reflect differences in area wage rates
- The system is case-mix-based
- Facilities must submit bills to be reimbursed
- There are separate prospective rates for capital-related costs
There are separate prospective rates for capital-related costs
The process by which an individual becomes eligible for Medicaid by incurring medical expenses until personal resources fall below a specified ceiling is called
- indemnity
- personal needs allowance
- spend down
- swapping
spending down
To obtain maximum reimbursement under the Medicare Prospective Payment System, a skilled nursing facility should do all except which one of the following?
- Record on the MDS all the information about the resident that can determine assignment to a RUG
- Have a physical therapists who serve Part A -covered residents bill Medicare directly
- Track costs by RUG categories
- Collect MDS information more frequently for Part A-covered residents than for other residents
Have a physical therapists who serve Part A -covered residents bill Medicare directly
According to federal certification standards, the square footage for a single resident room is _____ and the square footage for a multiple resident room is ____ square feet per bed.
- 90 / 70
- 100/ 80
- 110/ 90
- 125/ 100
100/ 80
While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to firs safety and construction information, the actual provisions in those areas are specified by the:
- American National Standards Institute (ANSI)
- Occupational Safety and Health Administration (OSHA)
- Life Safety Code (LSC)
- Uniform Building Codes (UBC)
Life Safety Code (LSC)
In order to ensure a comfortable environment, Medicare/Medicaid regulations require that nursing facilities provide:
- air conditioning
- Rooms painted in contrasting colors
- Adequate lighting levels
- Carpeted hallways
Adequate lighting levels
According to the Life Safety Code requirements, a corridor in a new nursing home must be:
- 6-8 feet
- 8 feet
- 8 - 10 feet
- 10 feet
8 feet
Certified facilities must meet the requirements of which edition of the Life Safety Code?
- The latest edition
- The edition that was effect when the facility was built
- The edition determined by the state survey agency
- The 2012 edition
the 2012 edition
When addressing an identified problem with facility policy it is most important for the administrator to first:
- Determine the individual staff member who is at fault
- Discuss with the appropriate department manager
- Gather all of the facts related to the issue
- Conduct staff meeting to discuss the issue and find a resolution
Discuss with the appropriate department manager
Which of the following responsibilities of the governing bogy of a facility is not true?
- Selecting and hiring the administrator
- Selecting and hiring the director of nursing
- Establishing policies to assure resident rights
- Establishing the mission and vision for a facility
Selecting and hiring the director of nursing
Certified facilities are subject to surveys every 9-15 months. The survey process begins with:
- Entrance conference
- Initial tour
- Resident sample selection
- Off-site preparation
Off-site preparation
Which category of the following would best describe the ownership of a Veteran’s Nursing facility?
- Proprietary
- Public
- Private non-profit
- Private for-profit
Public
Which of the following is not true about an extended survey?
- Is conducted based on past survey citations
- Is conducted when surveyors determine substandard care
- Is determined during the course of a survey
- Selects additional policy and procedure reviews
Is conducted based on past survey citations
Legal term meaning that a person with mental capacity or their legal guardian has given permission for medical treatment once the provider has explained the options, risks, and benefits
Informed consent
Prejudicial treatment of the elderly based on stereotypes
Ageism
Licensed facility that provides nursing and personal care to those who are chronically ill or unable to take care of daily living needs. (Also called Nursing Home or Convalescent Care Facility)
Long-Term care Facility
Extent or magnitude of deficient facility practice on care recipient/client/patient outcome. There are three levels (as described in the Federal Enforcement Grid for nursing homes)
Scope
Services or supplies that are needed for the diagnosis or treatment of a medical condition and meet accepted standards of medical practice
Medically necessary
Accommodating the changing needs of older adults while living in familiar surroundings
Aging in place
Statement of the purpose of the organization and its reason for existing. It is usually rather brief (sentence or two) and does not present detailed information about the day to day operations of the organization
Mission statement
Organization operated solely for social welfare, or for any other purpose except for profit; no part of the organization income is payable to, or is otherwise available for the personal benefit of, any proprietor or member
not-for-profit
End points that activities are directed toward. They should be specific, measurable, and attainable
Goals or objectives
Deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a care recipient’s (patient/client) belongings or money without the care recipient/patient/clients consent
Misappropriation
Sudden emergency occurrence beyond the control of the licensee, whether natural, technological, or man-made, that renders the licensee unable to operate the facility or makes the facility uninhabitable
Disaster
A move from one care setting (hospital, nursing home, or home) to another. Care during the move involves coordination and communication among patient, providers and family caregivers
Transition
The process that a manager uses in assigning duties and responsibilities to a subordinate and giving the subordinate the authority necessary to accomplish the assignment
Delegation of Authority
Planned and systematic pattern of all actions necessary to ensure that services conform to established technical requirements or standards
Quality Assurance
Services to help people get back their mental (thinking and feeling) and physical (body) functions lost due to injury or illness. Rehabilitation may be given at the hospital or in a nursing home, special facility, or the patient’s home
Rehabilitation (Rehab)
Type of assisted living facility that provides 24-hour housing and services. In some states, residential care and assisted living facilities are regulated by the same state rules and regulations
Residential Care Homes
Step-by-step guides to action that establish a required method for handling activities
Procedures
Duty to have and to use the degree of knowledge and skill that is usually possessed and used by competent, prudent similar health care providers in like or similar circumstances
Standard of care
Income standard that the federal government issues annually that reflects increases in prices, measured by the Consumer Price Index
Federal Poverty Level
Nurse that works in a homecare environment (includes RNs and LPNs)
Home health Nurse
Physical or mental feature that may indicate a disorder or disease
symptom
Fair market value of property minus any liabilities on the property such as mortgages or loans
Equity value
Statement giving a broad, inspirational image of the future that an organization is aiming to achieve
Vision statement
The act of grieving someone’s death. The total response to death. Includes the process of recovery or healing from the death. Although there are similarities in the ways people respond to grief, there are also marked differences. each person will grieve in their own way and time
Bereavement
Preventative maintenance
Proper maintenance or equipment as designated by the manufacturer to ensure the continuing functioning of equipment, safely and properly
Licensure
Granting of a license to a provider that has been determined to meet a state’s requirements for operations
For Profit
An institution, corporation, or other legal entity that is organized for the profit or benefit of its shareholders or other owners