Online Test Prep Flashcards

1
Q

training in the activities of daily living is ussually the responsibility of…

A

an occupational therapist

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2
Q

Physicians who CANNOT serve as resident’s attending

A

i.e. Podiatrist

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3
Q

Shedule I drugs

A

Have no medical use (not legal)

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4
Q

Schedule II-IV drugs

A

need prescriptions

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5
Q

Schedule V drugs

A

Over the counter

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6
Q

Prescription drugs can only be DISPENSED by

A

a pharmacist

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7
Q

The primary purpose of medical records is to…

A

provide for continuity of care

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8
Q

if a medication has a stop order, the nurse must…

A

notify the physician before the last dose is given.

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9
Q

a duty included as a major role of a DON, FSS, SW and activity director:

A

Preparing care plans and writing progress notes.

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10
Q

the following meet the recommended daily food allowances:

A

4 Oz of meat 2 cups of fruit, vedgetables 4 servings of bread/cereal

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11
Q

if a resident leaves the facility or wants to go to another health-care facility, the facility must:

A

assist and arrange for the transfer orf information.

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12
Q

OBRA requires that:

A

all rehabilitation services must be prescribed by a licensed physician.

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13
Q

a very important element usually missing from goals is:

A

when to be completed.

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14
Q

Relationships between departments and employees, and lines of authority are best explained using:

A

an organizational chart.

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15
Q

How many employees must sign cards to call for a union election?

A

30%

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16
Q

an application for employment may request :

A

Education References Work History NOT AN ARREST RECORD

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17
Q

In a nursing home, before a Union goes on strike, it must give

A

10 days notice

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18
Q

Affirmative action relates to…

A

hiring practices.

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19
Q

Ratio hiring relates to

A

Increrasing the percentage of female and minority employees.

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20
Q

The first step to implement a Total Quality Management program, within a health care setting, is the development of…

A

a mission statement.

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21
Q

Total Quality Management provides trainin gon sensitivity, creativity, and flow charts for

A

project-team members

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22
Q

The Total Quality Management Theory implies that overtime, absenteeinsm, and employee turnover may be signs of

A

dissatisfaction

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23
Q

The Total Quality Management program creates a more efficient delivery of services by the support-services’ departments which may improve productivity levels by

A

25%

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24
Q

Total Quality Management is viewed as a method to:

A

Improve resident care Reduce operational cost Improve employee turnover

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25
Q

Those who have implemented Total Quality Management programs unanimously agree that the key to success is:

A

Training

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26
Q

No total Quality Management program will succeed unless

A

the program is endorsed by management.

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27
Q

By using the Total Quality Management program, a return on investment should average more than the total cost of implementation by:

A

two to three times

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28
Q

Administrative areas undergoing process-flow analysis in a Total Quality Management program are able to reduce work loads by an average of

A

40%

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29
Q

Under a quality improvement program, financial performance no longer is the total responsibility of the finance department but that of:

A

an encompassing team.

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30
Q

“straight line” and “accelerated” realte to:

A

Depreciation schedules

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31
Q

“assets” will appear on the:

A

balance sheet

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32
Q

Fixed Expenses samples are:

A

Depreciation Property Taxes Liability Insurance

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33
Q

Fringe benefits include:

A

Holidays Sick leave Group insurance.

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34
Q

Fringe benefits do NOT include

A

Overtime

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35
Q

Liquidity refers to:

A

ability to convert assets into cash.

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36
Q

A W-2 contains all of the following:

A

Gross Earnings FICA income tax withheld State income tax withheld.

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37
Q

The term “flaover” refers to a fire:

A

out of control

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38
Q

the principal cause of death during a fire is:

A

smoke inhalation

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39
Q

The major cause of fire in a nursing home is:

A

smoking

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40
Q

the most common accident occuring to employees in a nursing home is caused by

A

Lifting

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41
Q

the major cause of accident occuring to residents in a nursin ghome is caused by

A

falling

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42
Q

The National Fire Protection Association does NOT

A

Enforce life safety standards

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43
Q

Discrimination regarding bed assignment is found in

A

Title VI

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44
Q

According to OSHA, the color for safety and first aid is

A

green

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45
Q

The governing body…

A

Approves policies Establishes bylaws Develops mission statements…

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46
Q

A legal document that specifies a person’s preference concerning life-sustaining treatment is referred to as a…

A

Living will

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47
Q

The standards prepared by the American National Standards Institute are primarily designed for

A

public buildings and physically disabled persons

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48
Q

A tort is a

A

civil wrong

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49
Q

An expresseed or implied insurance or promise is usually referred to as

A

a warranty

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50
Q

Hazardous communication programs, hepatitis B virus HBV Immunization and universal precautions are all part of

A

OSHA

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51
Q

Waste management is monitored by

A

EPA

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52
Q

The Ombudsman program is funded by

A

the Administration on Aging

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53
Q

The Safe Medical Device Act of 1990 (SMDA) states that a medical device user facility is required to:

A

insist that all medical devices be shipped or delivered to the facility completely assembled

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54
Q

All deaths or injuries resulting from a medical device must be reported to

A

The Food and Drug Administration

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55
Q

All deaths or injuries resulting from a medical device must be reported no later than

A

10 working days.

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56
Q

Public relations is

A

the management of communications between the facility and the public.

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57
Q

Marketing is oriented to

A

meeting consumers’ wants and needs

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58
Q

When an item disappears, first

A

check to determine if it could be misplaced

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59
Q

The major payment source for nursing home residents is

A

Medicaid

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60
Q

Highest rate of suicide?

A

White males, afe 72 with no family.

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61
Q

the goals of providing resident support, facilitating problem-solving, and increasing public awareness may be accomplished by the

A

community council

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62
Q

The two most important risk management tools are education and

A

quality control

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63
Q

A simple definition of strategic planning could be

A

preparing for future eventualities and uncertainties

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64
Q

The first step in the strategic planning process should be

A

organizational assessment

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65
Q

The most basic need is

A

Physiological

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66
Q

Most health-care facilities are owned by

A

corporations

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67
Q

The MDS (Minimum Data Set) requires the following information upon admission

A

Ethnicity, Marital Status, Primary Language

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68
Q

Incontinency means:

A

Involuntary passage of urine

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69
Q

A resident with a skin rash may normally be referred to a:

A

Dermatologist

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70
Q

Which schedule drug cannot be refilled with a physician’s new prescription?

A

Schedule II

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71
Q

Whic drug provides no cure?

A

Analgesic

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72
Q

A physical restraint must be removed every two hours for:

A

10 minutes

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73
Q

Presciption drugs may be administered only by:

A

the properly licensed person who prepares (poured) the drug.

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74
Q

Low sodium diets may properly be prescribed for residents with:

A

High blood pressure

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75
Q

The foods highest in protein are:

A

Meats

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76
Q

A sphygmomanometer is used to:

A

Take blood pressure

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77
Q

Hematoma is correctly defined as

A

A darkened area of the skin containing blood.

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78
Q

Benign is defined as:

A

non-malignant

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79
Q

The person primarily responsible for an accurate and adequate medical record is:

A

the attending physician.

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80
Q

A levin tube is a:

A

Nasogastric tube

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81
Q

Ambulate means to

A

Walk

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82
Q

Which is listed as the first of the five stages in the psychology of dying?

A

Denial of death.

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83
Q

A successful exercise program should:

A

follow a routine

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84
Q

The physician’s desk reference relates to:

A

drugs

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85
Q

Quality control relates to:

A

policies and procedures designed to maintain quality care.

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86
Q

Universal precautions relate to the

A

handling of fluids.

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87
Q

A modality is a specific

A

treatment

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88
Q

“Carcinoma” is the medical term for:

A

cancer

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89
Q

If a resident leaves the facility or wants to go to another health-care facility, the facility must:

A

assist and arrange for the transfer of information.

90
Q

The theory of “the universality of management function” is best described by the statement that all administrators:

A

carry out the same functions, no matter where they are on the administrative ladder or what business they are involved in.

91
Q

which of the six steps in planning should come first?

A

Setting goals that the organization will work toward.

92
Q

The total quality management theory implies that overtime, absenteeins, and employee turnover may be signs of

A

dissatisfaction.

93
Q

The total quality management program is viewed as a method to:

A

Improve resident care Reduce operational cost Improve employee turnover

94
Q

By using the total quality management program, the return on investment should average more than the total cost of implementation by:

A

two to three times.

95
Q

the management function of control occurs

A

as the last function

96
Q

relationships between departments, employees, and lines of authority are best explained using

A

an organizational chart

97
Q

during a performance appraisal

A

state clear job expectations.

98
Q

There is little evidence indicationg that the employee benefits result in:

A

higher productivity.

99
Q

An employee-wage-evaluation program should be based primarily on:

A

Merit

100
Q

To attain high employee morale, the administrator should

A

be fair and impartial.

101
Q

the primary reason for investigating an accident is to:

A

prevent the recurrence of the accident

102
Q

ussually the best single indicator of probable success on a new job is:

A

previous job performance

103
Q

it is reasonable to expect that employees who are not formally evaluated by their superior will

A

make less progress than those who are evaluated.

104
Q

Employee evaluations should be made by the

A

immediate supervisor.

105
Q

Ratio hiring relates to:

A

increasing the percentage of female and minority employees

106
Q

the following factors will decrease the cost of worker’s compensation insurance:

A

Trained staff Documentation of details Offering job accomodations

107
Q

Worker’s compensation:

A

provides coverage for an employee injured on the job.

108
Q

the primary reason bank statements should be reconciled as soon as they are received is:

A

neither the bank statement nor the facility ledger account may show the exact cash balance.

109
Q

To determine the capability to meet short-term cash needs, an administrator would use the:

A

cash flow statement

110
Q

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

A

past experience and projected expectations.

111
Q

The primary source of payment in a nursing facility is:

A

Medicaid

112
Q

“Equities” are correctly defined as:

A

owners’ assets of a business

113
Q

The “current ratio” is calculated by dividing the current

A

assets by current liabilities

114
Q

Budget comparisons should be revciewed at least

A

Monthly

115
Q

Usually a garnishment directs an employer to withhold a designated portion of an employee’s pay and

A

remit it to the attorney to be given to the creditor.

116
Q

Accrual refers to

A

an accounting system

117
Q

Interests could be

A

a revenue or an expense.

118
Q

A deed is

A

a written document that transfers ownership of property

119
Q

Internal Revenue Service specifies that all of the following authorities are usually required to use calendar year as their fiscal year.

A

a partnership an “S” corporation a sole proprietorship

120
Q

non-cash expense?

A

Depreciation

121
Q

When the accrual method of accounting is used, expenses are recorded

A

when they are incurred

122
Q

the break even point in financial analysis is the point of activity when:

A

total revenue and total expenses are equal.

123
Q

Good financial planning includes sensitivity analysis which can be described as

A

anticipating changes in variables.

124
Q

Employee productivity equals:

A

required staff divided by provided staff multiplied by 100.

125
Q

All of the following are staffing alternatives which can usually help to achieve the goal of reducing cost:

A

Part time help Peak-time staffing A varied work week

126
Q

to calculate turnover rate, divide the number of

A

terminations by the number of employees and multiply by 100

127
Q

The par value of stock is

A

an arbitrary value of stock established by a corporate charter.

128
Q

All of the following are variables:

A

food utilities salaries

129
Q

A W-4 form contains:

A

the number of dependents

130
Q

An amotization schedule would usually contain:

A

interest payment new balance due principal payment

131
Q

Average % of occupancy

A

(# of occupied-bed days divided by total number of days in the period) divided by the total number of beds *100

132
Q

Interest only payment:

A

(amount borrowed * interest) divided by number of months.

133
Q

Annual depreciation using straight line method:

A

(Equipment cost-salvage value)divided by depreciation period in years.

134
Q

Average cost per resident

A

monthly expenses/average number of residents/number of days

135
Q

Fahrenheit to Celsius

A

C=(F-32)/1.8

136
Q

Which two agencies have established regulations relative to areas requiring emergency electrical power?

A

NFPA-OBRA

137
Q

Which type of tile is durable and non-slip even when wet?

A

Asphalt tile

138
Q

to clean utensils you need a three compartment sink to wash, rinse and

A

sanitize

139
Q

Bathroom and toilet doors must be at least

A

32 inches wide

140
Q

Walks must be at least

A

36 inches wide

141
Q

According to the Life Safety Code, there must be at least one fire extinguisher for every

A

2500 square feet

142
Q

An organized maintenance program that will save time and money emphasizes

A

preventive maintenance

143
Q

An acceptable standard for the number of meals served per labor hour is between

A

7 and 8 meals

144
Q

the primary advantage of fire-detection systems is

A

warning time

145
Q

What percent of accidents involving residents occur in the bedroom?

A

65 percent

146
Q

All corridor doors must have a solid banded wood core, or an equivalent, with a thikness of

A

1 3/4 inches

147
Q

the fires that involve energized electrical equipment are classified as

A

Class C fires

148
Q

The minimum amount of square footage per bed in a private (single) room is

A

100 square feet.

149
Q

Universal precautions are enforced by

A

OSHA

150
Q

ccording to title XIX, when handling the residents’ personal accounts,

A

a written account must be made available to the resident or responsible party on a quarterly basis

151
Q

The ADA (American Disabilities Act) has five titles. Of those five titles, which most affects the health care facility administrator?

A

Title I

152
Q

Under OBRA, the ______________________ is not required to be a member of the quality assessment and assurance committee.

A

Health-Care Facility administrator

153
Q

Medical utilization review guidelines are established by

A

The State

154
Q

For the disabled, acording to ANSI, the cord on a public telephone should be at least

A

29 inches long.

155
Q

A facility must be capable of providing a comfortable indoor temperature within the range of

A

71F-81F

156
Q

Which three agencies require a poster to be posted at all times?

A

ADA FLSA OSHA

157
Q

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

A

material-safety data sheets.

158
Q

Universal precautions were established by

A

CDC

159
Q

the life safety code was developed by the

A

National Fire Protection Association

160
Q

Under the American Disabilites Act, persons are not disabled if they

A

have never learned how to read.

161
Q

A decedent is correctly defined as

A

a deceased person.

162
Q

The role of developing and implementing a written hazard-communication program is the responsibility of the

A

employer

163
Q

Sexual harrassment is defined as any offensive conduct of sexual nature that

A

is made as condition of employment

164
Q

under the American Disability Act, any discrimination can result in a jury trial and the maximum amount payable for damages is

A

unlimited.

165
Q

Under the American Disabilities Act, an employer must make reasonable accomodations and studies indicate that the percentage of accomodations that are cost free is:

A

25%

166
Q

HCFA regulations are very specific regarding the selection of residents to be interviewed during the quality survey. What percent of those selected must be interviewed?

A

10%

167
Q

Which Title outlines discrimination regarding bed assignment?

A

Title I

168
Q

The period of insurance continuation under COBRA, the Consolidated Omnibus Budget Reconciliation Act of 1985, shall begin on the date coverage would otherwise have ended and shall continue up to a maximum of

A

36 months.

169
Q

For an employee to be eligible for unpaid leave under FMLA, he or she must have…

A

worked 1250 hours in the past 12 months.

170
Q

The pregnancy Discrimination Act is an amendment to the

A

Civil Rights Act

171
Q

The Equal Employment Opportunity Commission requires that a non-hostile environment is maintained in the work place which relates to…

A

sexual harassment

172
Q

A policy on sexual harassment should include:

A

The definition of sexual harassment Establishment of actions for violations Prohibit retaliation against reporting complaints.

173
Q

The concept of community relations is to

A

involve the facility and the community in an intra-relationship.

174
Q

the first step in the strategic planning process should be

A

organizational assessment

175
Q

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

A

a market-opportunity analysis

176
Q

the use of fidelity bonds protects the facility from embezzlement losses and also

A

minimizes the possibility of employing persons with questionable records in positions of trust.

177
Q

resident councils may allow

A

residents a sense of some control over their lives and desires.

178
Q

Currently, for every 1000 people over the age of 65, there are approximately

A

53 beds available in Nursing facilities

179
Q

The current number of licensed nursing facilities operating in the United States is approximately

A

15,300

180
Q

The current number of licensed nursing facility beds operating in the United States is approximately

A

1,600,000

181
Q

Data-based computer management systems mean that

A

raw data elements are not stored with specific programs, but are kept in one large, central file which is accessible for a variety of uses.

182
Q

To answer the question “what business are we in?” the corresponding action would usually be to:

A

formulate a mission statement

183
Q

In which type of business entity does the owner have the most ease in transferring ownership?

A

Sole prorietorship

184
Q

Approximately what percentage of health-care facility residents are ambulatory?

A

38%

185
Q

When hiring a health-care facility administrator, which is the highest ranking factor?

A

Promotion of teamwork

186
Q

the number of disabled workers today is one out of

A

six

187
Q

What percent of the premium is added to the Medicare medical insurance for late enrollments?

A

10 percent of the premium.

188
Q

Of the following, who would usually be the least likely to b eon the ethics committee?

A

RESIDENT Physician Administrator RN

189
Q

When comparing leadership with management, management…

A

innovates

190
Q

the most common effect of mass communication is:

A

reinforcing

191
Q

MBWA, management by walking around, is a

A

Management style

192
Q

Three levels of management:

A

Top Line Middle

193
Q

Functions of the governing body:

A

Funding sources Organizational Structure Creation of a mission statement NOT: creation and implementation of procedures.

194
Q

One of the major functions of a board of directors is steweardship, which is:

A

conscientious use of assets

195
Q

the management practice of recurring decisions being made by the lowest authorized level of the organization is referred to as the:

A

principle of exception

196
Q

when all the nursing staff reports directly to the DON, this is a management principle referred to as:

A

Unity of command

197
Q

Resident rights have been categorized by

A

OBRA

198
Q

conflict is best resolved by

A

problem solving

199
Q

All marketing should be oriented to

A

meet consumer needs

200
Q

The opposite of an acute condition is

A

chronic

201
Q

Which of the follwoing may not serve as the resident’s attending physician?

A

Internist PODIATRIST Oncologist Family practitioner

202
Q

The rehabilitative needs of residents are normally met by

A

therapists

203
Q

Regarding advance directives,

A

Residents must be informed of their rights Facilities must have written policies and procedures A facility is not required to provide care that may interfere with an advanced directive FALSE: Facilities must require advanced directives.

204
Q

the nursing facility administrator’s major role in the activity program should be to

A

visit, observe, and support.

205
Q

a bland diet would usually be prescribed for a resident who has

A

gastric problems

206
Q

According to RAI 2.0, therapies are listed as treatment and they include

A

Respiratory Occupational Psychological NOT: recreational

207
Q

In wording a directive, a supervisor should put the directive in the form of a

A

request or suggestion

208
Q

According to OSHA, a facility must have a Hazard Communication Program (HCP), the purpose of which is to:

A

evaluate the hazards of chemicals.

209
Q

the priimary purpose of a job description for each employee is to

A

outline the functions of each job.

210
Q

the best source of new employees is usually through

A

referrals from current employees

211
Q

One of the barriers to succesful communication is the fact that the average speaker uses about 180 words per minute, and the receiver thinks at approximately

A

30 words per minute.

212
Q

When an employee makes an error, he or she should be corrected:

A

immediately and in private.

213
Q

The Fair Labor Standard’s Act requires:

A

Overtime pay

214
Q

Fringe benefits are usually outlined in the

A

personnel policies.

215
Q

In any designated unit, the minimum percentage of employees who are required to sign cards calling for a union election is:

A

30 percent

216
Q

the primary reason for investigating an accident is to

A

prevent the recurrance of the incident

217
Q

why should the administraotr secure information on budget needs from each department head?

A

it provides more cooperation in the use of a budget if supervisors help determine the amounts designated in the budget.

218
Q

Accelerated depreciation schedules compared to straight line depreciation schedules:

A

depreciate higher percentages of the cost of the item during the first year

219
Q

Accrual refers to

A

an accounting system

220
Q

The primary reason bank statements should be reconciled as soon as they are received is that:

A

neither the bank statement nor the facility ledger account may show the exact cash balance.

221
Q

The current ratio is calculated by dividing the current:

A

assets by liabilities

222
Q

commodities and services that have been purchased for consumption but are unconsumed at the end of the accounting period are called:

A

prepaid expenses