Online Test Prep Flashcards
training in the activities of daily living is ussually the responsibility of…
an occupational therapist
Physicians who CANNOT serve as resident’s attending
i.e. Podiatrist
Shedule I drugs
Have no medical use (not legal)
Schedule II-IV drugs
need prescriptions
Schedule V drugs
Over the counter
Prescription drugs can only be DISPENSED by
a pharmacist
The primary purpose of medical records is to…
provide for continuity of care
if a medication has a stop order, the nurse must…
notify the physician before the last dose is given.
a duty included as a major role of a DON, FSS, SW and activity director:
Preparing care plans and writing progress notes.
the following meet the recommended daily food allowances:
4 Oz of meat 2 cups of fruit, vedgetables 4 servings of bread/cereal
if a resident leaves the facility or wants to go to another health-care facility, the facility must:
assist and arrange for the transfer orf information.
OBRA requires that:
all rehabilitation services must be prescribed by a licensed physician.
a very important element usually missing from goals is:
when to be completed.
Relationships between departments and employees, and lines of authority are best explained using:
an organizational chart.
How many employees must sign cards to call for a union election?
30%
an application for employment may request :
Education References Work History NOT AN ARREST RECORD
In a nursing home, before a Union goes on strike, it must give
10 days notice
Affirmative action relates to…
hiring practices.
Ratio hiring relates to
Increrasing the percentage of female and minority employees.
The first step to implement a Total Quality Management program, within a health care setting, is the development of…
a mission statement.
Total Quality Management provides trainin gon sensitivity, creativity, and flow charts for
project-team members
The Total Quality Management Theory implies that overtime, absenteeinsm, and employee turnover may be signs of
dissatisfaction
The Total Quality Management program creates a more efficient delivery of services by the support-services’ departments which may improve productivity levels by
25%
Total Quality Management is viewed as a method to:
Improve resident care Reduce operational cost Improve employee turnover
Those who have implemented Total Quality Management programs unanimously agree that the key to success is:
Training
No total Quality Management program will succeed unless
the program is endorsed by management.
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
Administrative areas undergoing process-flow analysis in a Total Quality Management program are able to reduce work loads by an average of
40%
Under a quality improvement program, financial performance no longer is the total responsibility of the finance department but that of:
an encompassing team.
“straight line” and “accelerated” realte to:
Depreciation schedules
“assets” will appear on the:
balance sheet
Fixed Expenses samples are:
Depreciation Property Taxes Liability Insurance
Fringe benefits include:
Holidays Sick leave Group insurance.
Fringe benefits do NOT include
Overtime
Liquidity refers to:
ability to convert assets into cash.
A W-2 contains all of the following:
Gross Earnings FICA income tax withheld State income tax withheld.
The term “flaover” refers to a fire:
out of control
the principal cause of death during a fire is:
smoke inhalation
The major cause of fire in a nursing home is:
smoking
the most common accident occuring to employees in a nursing home is caused by
Lifting
the major cause of accident occuring to residents in a nursin ghome is caused by
falling
The National Fire Protection Association does NOT
Enforce life safety standards
Discrimination regarding bed assignment is found in
Title VI
According to OSHA, the color for safety and first aid is
green
The governing body…
Approves policies Establishes bylaws Develops mission statements…
A legal document that specifies a person’s preference concerning life-sustaining treatment is referred to as a…
Living will
The standards prepared by the American National Standards Institute are primarily designed for
public buildings and physically disabled persons
A tort is a
civil wrong
An expresseed or implied insurance or promise is usually referred to as
a warranty
Hazardous communication programs, hepatitis B virus HBV Immunization and universal precautions are all part of
OSHA
Waste management is monitored by
EPA
The Ombudsman program is funded by
the Administration on Aging
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
All deaths or injuries resulting from a medical device must be reported to
The Food and Drug Administration
All deaths or injuries resulting from a medical device must be reported no later than
10 working days.
Public relations is
the management of communications between the facility and the public.
Marketing is oriented to
meeting consumers’ wants and needs
When an item disappears, first
check to determine if it could be misplaced
The major payment source for nursing home residents is
Medicaid
Highest rate of suicide?
White males, afe 72 with no family.
the goals of providing resident support, facilitating problem-solving, and increasing public awareness may be accomplished by the
community council
The two most important risk management tools are education and
quality control
A simple definition of strategic planning could be
preparing for future eventualities and uncertainties
The first step in the strategic planning process should be
organizational assessment
The most basic need is
Physiological
Most health-care facilities are owned by
corporations
The MDS (Minimum Data Set) requires the following information upon admission
Ethnicity, Marital Status, Primary Language
Incontinency means:
Involuntary passage of urine
A resident with a skin rash may normally be referred to a:
Dermatologist
Which schedule drug cannot be refilled with a physician’s new prescription?
Schedule II
Whic drug provides no cure?
Analgesic
A physical restraint must be removed every two hours for:
10 minutes
Presciption drugs may be administered only by:
the properly licensed person who prepares (poured) the drug.
Low sodium diets may properly be prescribed for residents with:
High blood pressure
The foods highest in protein are:
Meats
A sphygmomanometer is used to:
Take blood pressure
Hematoma is correctly defined as
A darkened area of the skin containing blood.
Benign is defined as:
non-malignant
The person primarily responsible for an accurate and adequate medical record is:
the attending physician.
A levin tube is a:
Nasogastric tube
Ambulate means to
Walk
Which is listed as the first of the five stages in the psychology of dying?
Denial of death.
A successful exercise program should:
follow a routine
The physician’s desk reference relates to:
drugs
Quality control relates to:
policies and procedures designed to maintain quality care.
Universal precautions relate to the
handling of fluids.
A modality is a specific
treatment
“Carcinoma” is the medical term for:
cancer
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.
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.
which of the six steps in planning should come first?
Setting goals that the organization will work toward.
The total quality management theory implies that overtime, absenteeins, and employee turnover may be signs of
dissatisfaction.
The total quality management program is viewed as a method to:
Improve resident care Reduce operational cost Improve employee turnover
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.
the management function of control occurs
as the last function
relationships between departments, employees, and lines of authority are best explained using
an organizational chart
during a performance appraisal
state clear job expectations.
There is little evidence indicationg that the employee benefits result in:
higher productivity.
An employee-wage-evaluation program should be based primarily on:
Merit
To attain high employee morale, the administrator should
be fair and impartial.
the primary reason for investigating an accident is to:
prevent the recurrence of the accident
ussually the best single indicator of probable success on a new job is:
previous job performance
it is reasonable to expect that employees who are not formally evaluated by their superior will
make less progress than those who are evaluated.
Employee evaluations should be made by the
immediate supervisor.
Ratio hiring relates to:
increasing the percentage of female and minority employees
the following factors will decrease the cost of worker’s compensation insurance:
Trained staff Documentation of details Offering job accomodations
Worker’s compensation:
provides coverage for an employee injured on the job.
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.
To determine the capability to meet short-term cash needs, an administrator would use the:
cash flow statement
In planning a budget, is is most important to know:
past experience and projected expectations.
The primary source of payment in a nursing facility is:
Medicaid
“Equities” are correctly defined as:
owners’ assets of a business
The “current ratio” is calculated by dividing the current
assets by current liabilities
Budget comparisons should be revciewed at least
Monthly
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.
Accrual refers to
an accounting system
Interests could be
a revenue or an expense.
A deed is
a written document that transfers ownership of property
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
non-cash expense?
Depreciation
When the accrual method of accounting is used, expenses are recorded
when they are incurred
the break even point in financial analysis is the point of activity when:
total revenue and total expenses are equal.
Good financial planning includes sensitivity analysis which can be described as
anticipating changes in variables.
Employee productivity equals:
required staff divided by provided staff multiplied by 100.
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
to calculate turnover rate, divide the number of
terminations by the number of employees and multiply by 100
The par value of stock is
an arbitrary value of stock established by a corporate charter.
All of the following are variables:
food utilities salaries
A W-4 form contains:
the number of dependents
An amotization schedule would usually contain:
interest payment new balance due principal payment
Average % of occupancy
(# of occupied-bed days divided by total number of days in the period) divided by the total number of beds *100
Interest only payment:
(amount borrowed * interest) divided by number of months.
Annual depreciation using straight line method:
(Equipment cost-salvage value)divided by depreciation period in years.
Average cost per resident
monthly expenses/average number of residents/number of days
Fahrenheit to Celsius
C=(F-32)/1.8
Which two agencies have established regulations relative to areas requiring emergency electrical power?
NFPA-OBRA
Which type of tile is durable and non-slip even when wet?
Asphalt tile
to clean utensils you need a three compartment sink to wash, rinse and
sanitize
Bathroom and toilet doors must be at least
32 inches wide
Walks must be at least
36 inches wide
According to the Life Safety Code, there must be at least one fire extinguisher for every
2500 square feet
An organized maintenance program that will save time and money emphasizes
preventive maintenance
An acceptable standard for the number of meals served per labor hour is between
7 and 8 meals
the primary advantage of fire-detection systems is
warning time
What percent of accidents involving residents occur in the bedroom?
65 percent
All corridor doors must have a solid banded wood core, or an equivalent, with a thikness of
1 3/4 inches
the fires that involve energized electrical equipment are classified as
Class C fires
The minimum amount of square footage per bed in a private (single) room is
100 square feet.
Universal precautions are enforced by
OSHA
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
The ADA (American Disabilities Act) has five titles. Of those five titles, which most affects the health care facility administrator?
Title I
Under OBRA, the ______________________ is not required to be a member of the quality assessment and assurance committee.
Health-Care Facility administrator
Medical utilization review guidelines are established by
The State
For the disabled, acording to ANSI, the cord on a public telephone should be at least
29 inches long.
A facility must be capable of providing a comfortable indoor temperature within the range of
71F-81F
Which three agencies require a poster to be posted at all times?
ADA FLSA OSHA
Chemical manufacturers and importers must convey the hazard information to employers by means of labels and
material-safety data sheets.
Universal precautions were established by
CDC
the life safety code was developed by the
National Fire Protection Association
Under the American Disabilites Act, persons are not disabled if they
have never learned how to read.
A decedent is correctly defined as
a deceased person.
The role of developing and implementing a written hazard-communication program is the responsibility of the
employer
Sexual harrassment is defined as any offensive conduct of sexual nature that
is made as condition of employment
under the American Disability Act, any discrimination can result in a jury trial and the maximum amount payable for damages is
unlimited.
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%
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%
Which Title outlines discrimination regarding bed assignment?
Title I
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.
For an employee to be eligible for unpaid leave under FMLA, he or she must have…
worked 1250 hours in the past 12 months.
The pregnancy Discrimination Act is an amendment to the
Civil Rights Act
The Equal Employment Opportunity Commission requires that a non-hostile environment is maintained in the work place which relates to…
sexual harassment
A policy on sexual harassment should include:
The definition of sexual harassment Establishment of actions for violations Prohibit retaliation against reporting complaints.
The concept of community relations is to
involve the facility and the community in an intra-relationship.
the first step in the strategic planning process should be
organizational assessment
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
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.
resident councils may allow
residents a sense of some control over their lives and desires.
Currently, for every 1000 people over the age of 65, there are approximately
53 beds available in Nursing facilities
The current number of licensed nursing facilities operating in the United States is approximately
15,300
The current number of licensed nursing facility beds operating in the United States is approximately
1,600,000
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.
To answer the question “what business are we in?” the corresponding action would usually be to:
formulate a mission statement
In which type of business entity does the owner have the most ease in transferring ownership?
Sole prorietorship
Approximately what percentage of health-care facility residents are ambulatory?
38%
When hiring a health-care facility administrator, which is the highest ranking factor?
Promotion of teamwork
the number of disabled workers today is one out of
six
What percent of the premium is added to the Medicare medical insurance for late enrollments?
10 percent of the premium.
Of the following, who would usually be the least likely to b eon the ethics committee?
RESIDENT Physician Administrator RN
When comparing leadership with management, management…
innovates
the most common effect of mass communication is:
reinforcing
MBWA, management by walking around, is a
Management style
Three levels of management:
Top Line Middle
Functions of the governing body:
Funding sources Organizational Structure Creation of a mission statement NOT: creation and implementation of procedures.
One of the major functions of a board of directors is steweardship, which is:
conscientious use of assets
the management practice of recurring decisions being made by the lowest authorized level of the organization is referred to as the:
principle of exception
when all the nursing staff reports directly to the DON, this is a management principle referred to as:
Unity of command
Resident rights have been categorized by
OBRA
conflict is best resolved by
problem solving
All marketing should be oriented to
meet consumer needs
The opposite of an acute condition is
chronic
Which of the follwoing may not serve as the resident’s attending physician?
Internist PODIATRIST Oncologist Family practitioner
The rehabilitative needs of residents are normally met by
therapists
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.
the nursing facility administrator’s major role in the activity program should be to
visit, observe, and support.
a bland diet would usually be prescribed for a resident who has
gastric problems
According to RAI 2.0, therapies are listed as treatment and they include
Respiratory Occupational Psychological NOT: recreational
In wording a directive, a supervisor should put the directive in the form of a
request or suggestion
According to OSHA, a facility must have a Hazard Communication Program (HCP), the purpose of which is to:
evaluate the hazards of chemicals.
the priimary purpose of a job description for each employee is to
outline the functions of each job.
the best source of new employees is usually through
referrals from current employees
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.
When an employee makes an error, he or she should be corrected:
immediately and in private.
The Fair Labor Standard’s Act requires:
Overtime pay
Fringe benefits are usually outlined in the
personnel policies.
In any designated unit, the minimum percentage of employees who are required to sign cards calling for a union election is:
30 percent
the primary reason for investigating an accident is to
prevent the recurrance of the incident
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.
Accelerated depreciation schedules compared to straight line depreciation schedules:
depreciate higher percentages of the cost of the item during the first year
Accrual refers to
an accounting system
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.
The current ratio is calculated by dividing the current:
assets by liabilities
commodities and services that have been purchased for consumption but are unconsumed at the end of the accounting period are called:
prepaid expenses
