Online Test Prep Flashcards
1
Q
training in the activities of daily living is ussually the responsibility of…
A
an occupational therapist
2
Q
Physicians who CANNOT serve as resident’s attending
A
i.e. Podiatrist
3
Q
Shedule I drugs
A
Have no medical use (not legal)
4
Q
Schedule II-IV drugs
A
need prescriptions
5
Q
Schedule V drugs
A
Over the counter
6
Q
Prescription drugs can only be DISPENSED by
A
a pharmacist
7
Q
The primary purpose of medical records is to…
A
provide for continuity of care
8
Q
if a medication has a stop order, the nurse must…
A
notify the physician before the last dose is given.
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.
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
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.
12
Q
OBRA requires that:
A
all rehabilitation services must be prescribed by a licensed physician.
13
Q
a very important element usually missing from goals is:
A
when to be completed.
14
Q
Relationships between departments and employees, and lines of authority are best explained using:
A
an organizational chart.
15
Q
How many employees must sign cards to call for a union election?
A
30%
16
Q
an application for employment may request :
A
Education References Work History NOT AN ARREST RECORD
17
Q
In a nursing home, before a Union goes on strike, it must give
A
10 days notice
18
Q
Affirmative action relates to…
A
hiring practices.
19
Q
Ratio hiring relates to
A
Increrasing the percentage of female and minority employees.
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.
21
Q
Total Quality Management provides trainin gon sensitivity, creativity, and flow charts for
A
project-team members
22
Q
The Total Quality Management Theory implies that overtime, absenteeinsm, and employee turnover may be signs of
A
dissatisfaction
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%
24
Q
Total Quality Management is viewed as a method to:
A
Improve resident care Reduce operational cost Improve employee turnover
25
Those who have implemented Total Quality Management programs unanimously agree that the key to success is:
Training
26
No total Quality Management program will succeed unless
the program is endorsed by management.
27
By using the Total Quality Management program, a return on investment should average more than the total cost of implementation by:
two to three times
28
Administrative areas undergoing process-flow analysis in a Total Quality Management program are able to reduce work loads by an average of
40%
29
Under a quality improvement program, financial performance no longer is the total responsibility of the finance department but that of:
an encompassing team.
30
"straight line" and "accelerated" realte to:
Depreciation schedules
31
"assets" will appear on the:
balance sheet
32
Fixed Expenses samples are:
Depreciation Property Taxes Liability Insurance
33
Fringe benefits include:
Holidays Sick leave Group insurance.
34
Fringe benefits do NOT include
Overtime
35
Liquidity refers to:
ability to convert assets into cash.
36
A W-2 contains all of the following:
Gross Earnings FICA income tax withheld State income tax withheld.
37
The term "flaover" refers to a fire:
out of control
38
the principal cause of death during a fire is:
smoke inhalation
39
The major cause of fire in a nursing home is:
smoking
40
the most common accident occuring to employees in a nursing home is caused by
Lifting
41
the major cause of accident occuring to residents in a nursin ghome is caused by
falling
42
The National Fire Protection Association does NOT
Enforce life safety standards
43
Discrimination regarding bed assignment is found in
Title VI
44
According to OSHA, the color for safety and first aid is
green
45
The governing body...
Approves policies Establishes bylaws Develops mission statements...
46
A legal document that specifies a person's preference concerning life-sustaining treatment is referred to as a...
Living will
47
The standards prepared by the American National Standards Institute are primarily designed for
public buildings and physically disabled persons
48
A tort is a
civil wrong
49
An expresseed or implied insurance or promise is usually referred to as
a warranty
50
Hazardous communication programs, hepatitis B virus HBV Immunization and universal precautions are all part of
OSHA
51
Waste management is monitored by
EPA
52
The Ombudsman program is funded by
the Administration on Aging
53
The Safe Medical Device Act of 1990 (SMDA) states that a medical device user facility is required to:
insist that all medical devices be shipped or delivered to the facility completely assembled
54
All deaths or injuries resulting from a medical device must be reported to
The Food and Drug Administration
55
All deaths or injuries resulting from a medical device must be reported no later than
10 working days.
56
Public relations is
the management of communications between the facility and the public.
57
Marketing is oriented to
meeting consumers' wants and needs
58
When an item disappears, first
check to determine if it could be misplaced
59
The major payment source for nursing home residents is
Medicaid
60
Highest rate of suicide?
White males, afe 72 with no family.
61
the goals of providing resident support, facilitating problem-solving, and increasing public awareness may be accomplished by the
community council
62
The two most important risk management tools are education and
quality control
63
A simple definition of strategic planning could be
preparing for future eventualities and uncertainties
64
The first step in the strategic planning process should be
organizational assessment
65
The most basic need is
Physiological
66
Most health-care facilities are owned by
corporations
67
The MDS (Minimum Data Set) requires the following information upon admission
Ethnicity, Marital Status, Primary Language
68
Incontinency means:
Involuntary passage of urine
69
A resident with a skin rash may normally be referred to a:
Dermatologist
70
Which schedule drug cannot be refilled with a physician's new prescription?
Schedule II
71
Whic drug provides no cure?
Analgesic
72
A physical restraint must be removed every two hours for:
10 minutes
73
Presciption drugs may be administered only by:
the properly licensed person who prepares (poured) the drug.
74
Low sodium diets may properly be prescribed for residents with:
High blood pressure
75
The foods highest in protein are:
Meats
76
A sphygmomanometer is used to:
Take blood pressure
77
Hematoma is correctly defined as
A darkened area of the skin containing blood.
78
Benign is defined as:
non-malignant
79
The person primarily responsible for an accurate and adequate medical record is:
the attending physician.
80
A levin tube is a:
Nasogastric tube
81
Ambulate means to
Walk
82
Which is listed as the first of the five stages in the psychology of dying?
Denial of death.
83
A successful exercise program should:
follow a routine
84
The physician's desk reference relates to:
drugs
85
Quality control relates to:
policies and procedures designed to maintain quality care.
86
Universal precautions relate to the
handling of fluids.
87
A modality is a specific
treatment
88
"Carcinoma" is the medical term for:
cancer
89
If a resident leaves the facility or wants to go to another health-care facility, the facility must:
assist and arrange for the transfer of information.
90
The theory of "the universality of management function" is best described by the statement that all administrators:
carry out the same functions, no matter where they are on the administrative ladder or what business they are involved in.
91
which of the six steps in planning should come first?
Setting goals that the organization will work toward.
92
The total quality management theory implies that overtime, absenteeins, and employee turnover may be signs of
dissatisfaction.
93
The total quality management program is viewed as a method to:
Improve resident care Reduce operational cost Improve employee turnover
94
By using the total quality management program, the return on investment should average more than the total cost of implementation by:
two to three times.
95
the management function of control occurs
as the last function
96
relationships between departments, employees, and lines of authority are best explained using
an organizational chart
97
during a performance appraisal
state clear job expectations.
98
There is little evidence indicationg that the employee benefits result in:
higher productivity.
99
An employee-wage-evaluation program should be based primarily on:
Merit
100
To attain high employee morale, the administrator should
be fair and impartial.
101
the primary reason for investigating an accident is to:
prevent the recurrence of the accident
102
ussually the best single indicator of probable success on a new job is:
previous job performance
103
it is reasonable to expect that employees who are not formally evaluated by their superior will
make less progress than those who are evaluated.
104
Employee evaluations should be made by the
immediate supervisor.
105
Ratio hiring relates to:
increasing the percentage of female and minority employees
106
the following factors will decrease the cost of worker's compensation insurance:
Trained staff Documentation of details Offering job accomodations
107
Worker's compensation:
provides coverage for an employee injured on the job.
108
the primary reason bank statements should be reconciled as soon as they are received is:
neither the bank statement nor the facility ledger account may show the exact cash balance.
109
To determine the capability to meet short-term cash needs, an administrator would use the:
cash flow statement
110
In planning a budget, is is most important to know:
past experience and projected expectations.
111
The primary source of payment in a nursing facility is:
Medicaid
112
"Equities" are correctly defined as:
owners' assets of a business
113
The "current ratio" is calculated by dividing the current
assets by current liabilities
114
Budget comparisons should be revciewed at least
Monthly
115
Usually a garnishment directs an employer to withhold a designated portion of an employee's pay and
remit it to the attorney to be given to the creditor.
116
Accrual refers to
an accounting system
117
Interests could be
a revenue or an expense.
118
A deed is
a written document that transfers ownership of property
119
Internal Revenue Service specifies that all of the following authorities are usually required to use calendar year as their fiscal year.
a partnership an "S" corporation a sole proprietorship
120
non-cash expense?
Depreciation
121
When the accrual method of accounting is used, expenses are recorded
when they are incurred
122
the break even point in financial analysis is the point of activity when:
total revenue and total expenses are equal.
123
Good financial planning includes sensitivity analysis which can be described as
anticipating changes in variables.
124
Employee productivity equals:
required staff divided by provided staff multiplied by 100.
125
All of the following are staffing alternatives which can usually help to achieve the goal of reducing cost:
Part time help Peak-time staffing A varied work week
126
to calculate turnover rate, divide the number of
terminations by the number of employees and multiply by 100
127
The par value of stock is
an arbitrary value of stock established by a corporate charter.
128
All of the following are variables:
food utilities salaries
129
A W-4 form contains:
the number of dependents
130
An amotization schedule would usually contain:
interest payment new balance due principal payment
131
Average % of occupancy
(# of occupied-bed days divided by total number of days in the period) divided by the total number of beds *100
132
Interest only payment:
(amount borrowed * interest) divided by number of months.
133
Annual depreciation using straight line method:
(Equipment cost-salvage value)divided by depreciation period in years.
134
Average cost per resident
monthly expenses/average number of residents/number of days
135
Fahrenheit to Celsius
C=(F-32)/1.8
136
Which two agencies have established regulations relative to areas requiring emergency electrical power?
NFPA-OBRA
137
Which type of tile is durable and non-slip even when wet?
Asphalt tile
138
to clean utensils you need a three compartment sink to wash, rinse and
sanitize
139
Bathroom and toilet doors must be at least
32 inches wide
140
Walks must be at least
36 inches wide
141
According to the Life Safety Code, there must be at least one fire extinguisher for every
2500 square feet
142
An organized maintenance program that will save time and money emphasizes
preventive maintenance
143
An acceptable standard for the number of meals served per labor hour is between
7 and 8 meals
144
the primary advantage of fire-detection systems is
warning time
145
What percent of accidents involving residents occur in the bedroom?
65 percent
146
All corridor doors must have a solid banded wood core, or an equivalent, with a thikness of
1 3/4 inches
147
the fires that involve energized electrical equipment are classified as
Class C fires
148
The minimum amount of square footage per bed in a private (single) room is
100 square feet.
149
Universal precautions are enforced by
OSHA
150
ccording to title XIX, when handling the residents' personal accounts,
a written account must be made available to the resident or responsible party on a quarterly basis
151
The ADA (American Disabilities Act) has five titles. Of those five titles, which most affects the health care facility administrator?
Title I
152
Under OBRA, the ______________________ is not required to be a member of the quality assessment and assurance committee.
Health-Care Facility administrator
153
Medical utilization review guidelines are established by
The State
154
For the disabled, acording to ANSI, the cord on a public telephone should be at least
29 inches long.
155
A facility must be capable of providing a comfortable indoor temperature within the range of
71F-81F
156
Which three agencies require a poster to be posted at all times?
ADA FLSA OSHA
157
Chemical manufacturers and importers must convey the hazard information to employers by means of labels and
material-safety data sheets.
158
Universal precautions were established by
CDC
159
the life safety code was developed by the
National Fire Protection Association
160
Under the American Disabilites Act, persons are not disabled if they
have never learned how to read.
161
A decedent is correctly defined as
a deceased person.
162
The role of developing and implementing a written hazard-communication program is the responsibility of the
employer
163
Sexual harrassment is defined as any offensive conduct of sexual nature that
is made as condition of employment
164
under the American Disability Act, any discrimination can result in a jury trial and the maximum amount payable for damages is
unlimited.
165
Under the American Disabilities Act, an employer must make reasonable accomodations and studies indicate that the percentage of accomodations that are cost free is:
25%
166
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?
10%
167
Which Title outlines discrimination regarding bed assignment?
Title I
168
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
36 months.
169
For an employee to be eligible for unpaid leave under FMLA, he or she must have...
worked 1250 hours in the past 12 months.
170
The pregnancy Discrimination Act is an amendment to the
Civil Rights Act
171
The Equal Employment Opportunity Commission requires that a non-hostile environment is maintained in the work place which relates to...
sexual harassment
172
A policy on sexual harassment should include:
The definition of sexual harassment Establishment of actions for violations Prohibit retaliation against reporting complaints.
173
The concept of community relations is to
involve the facility and the community in an intra-relationship.
174
the first step in the strategic planning process should be
organizational assessment
175
the number of of those who need and who will purchase the services offered by a facility can be determined by
a market-opportunity analysis
176
the use of fidelity bonds protects the facility from embezzlement losses and also
minimizes the possibility of employing persons with questionable records in positions of trust.
177
resident councils may allow
residents a sense of some control over their lives and desires.
178
Currently, for every 1000 people over the age of 65, there are approximately
53 beds available in Nursing facilities
179
The current number of licensed nursing facilities operating in the United States is approximately
15,300
180
The current number of licensed nursing facility beds operating in the United States is approximately
1,600,000
181
Data-based computer management systems mean that
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
To answer the question "what business are we in?" the corresponding action would usually be to:
formulate a mission statement
183
In which type of business entity does the owner have the most ease in transferring ownership?
Sole prorietorship
184
Approximately what percentage of health-care facility residents are ambulatory?
38%
185
When hiring a health-care facility administrator, which is the highest ranking factor?
Promotion of teamwork
186
the number of disabled workers today is one out of
six
187
What percent of the premium is added to the Medicare medical insurance for late enrollments?
10 percent of the premium.
188
Of the following, who would usually be the least likely to b eon the ethics committee?
RESIDENT Physician Administrator RN
189
When comparing leadership with management, management...
innovates
190
the most common effect of mass communication is:
reinforcing
191
MBWA, management by walking around, is a
Management style
192
Three levels of management:
Top Line Middle
193
Functions of the governing body:
Funding sources Organizational Structure Creation of a mission statement NOT: creation and implementation of procedures.
194
One of the major functions of a board of directors is steweardship, which is:
conscientious use of assets
195
the management practice of recurring decisions being made by the lowest authorized level of the organization is referred to as the:
principle of exception
196
when all the nursing staff reports directly to the DON, this is a management principle referred to as:
Unity of command
197
Resident rights have been categorized by
OBRA
198
conflict is best resolved by
problem solving
199
All marketing should be oriented to
meet consumer needs
200
The opposite of an acute condition is
chronic
201
Which of the follwoing may not serve as the resident's attending physician?
Internist PODIATRIST Oncologist Family practitioner
202
The rehabilitative needs of residents are normally met by
therapists
203
Regarding advance directives,
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
the nursing facility administrator's major role in the activity program should be to
visit, observe, and support.
205
a bland diet would usually be prescribed for a resident who has
gastric problems
206
According to RAI 2.0, therapies are listed as treatment and they include
Respiratory Occupational Psychological NOT: recreational
207
In wording a directive, a supervisor should put the directive in the form of a
request or suggestion
208
According to OSHA, a facility must have a Hazard Communication Program (HCP), the purpose of which is to:
evaluate the hazards of chemicals.
209
the priimary purpose of a job description for each employee is to
outline the functions of each job.
210
the best source of new employees is usually through
referrals from current employees
211
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
30 words per minute.
212
When an employee makes an error, he or she should be corrected:
immediately and in private.
213
The Fair Labor Standard's Act requires:
Overtime pay
214
Fringe benefits are usually outlined in the
personnel policies.
215
In any designated unit, the minimum percentage of employees who are required to sign cards calling for a union election is:
30 percent
216
the primary reason for investigating an accident is to
prevent the recurrance of the incident
217
why should the administraotr secure information on budget needs from each department head?
it provides more cooperation in the use of a budget if supervisors help determine the amounts designated in the budget.
218
Accelerated depreciation schedules compared to straight line depreciation schedules:
depreciate higher percentages of the cost of the item during the first year
219
Accrual refers to
an accounting system
220
The primary reason bank statements should be reconciled as soon as they are received is that:
neither the bank statement nor the facility ledger account may show the exact cash balance.
221
The current ratio is calculated by dividing the current:
assets by liabilities
222
commodities and services that have been purchased for consumption but are unconsumed at the end of the accounting period are called:
prepaid expenses
