Practice Test A (NAB)

Question 1

Nursing hours required per resident day are established by:
1-CMS
2-OBRA
3-the facility 
4-the state with federal approval

Answer 1

4-the state with federal approval

**1:20 regulation is made by texas.

Fed sys: 1 LVN per shift to provide 24 hours coverage

Question 2

Regarding advanced directives, which of the following statements is false?
1-All residents must be informed of their rights
2-Facility must have written policies and procedures
3-at admission a facility must require signed advanced directives
4-a facility is not required to provide care that may conflict with an advanced directive

Answer 2

3-at admission a facility must require signed advanced directives

Advanced directives fall to the states, but on the fed level must have policies and procedures. Can not require an advanced directive. If there is not an advanced directive, the default is always do what ever you can to resuscitate.

Question 3

Use of calendars, clocks, and signs is an integral part of a program of:
1-Virtual reality
2-reality orientation
3-facility orientation
4-experience education

Answer 3

2-Reality Orientation

*Facility orientation is done during the hire process.

Question 4

An assessment of a residents condition results in:
1-an evaluation of the PAST
2-a description of the CURRENT STATUS
3-a FORECAST of what is expected to occur
4-a decision regarding action to be taken.

Answer 4

2-A description of the current status

• Key is assessment. This is not a care plan meeting, MDS is a snapshot of the current resident condition.

Question 5

the therapists work is not fully accomplished unless the staff:
1-has been properly trained
2-can be increased to provide assisted services
3-is involved in the process of helping the resident
4-as a whole has been trained to continue the therapy without the therapist

Answer 5

3-is involved in the process of helping the resident

Question 6

In a health-care facility, an important aspect of communication that is often overlooked is:
1-timing
2-filtering
3-commitment
4-confidentiality

Answer 6

4-confidentiality

** Think HIPPA

Question 7

Written communication is PREFERRED over oral communication when the information:
1-has a specific time limit
2-requires no interpretation
3-requires immediate feedback
4-must pass through several levels of managment

Answer 7

4-Must pass through several levels of management

** all communication requires interpretation

Question 8

The MAJOR problem with On-the-Job-training in a nursing home is:
1-the transfer of learning to the specific job
2-the day-day time demands made on trainers
3-employees can not learn needed skills from their peers
4-learning by doing is not as effective as learning by other methods

Answer 8

2-the day-day time demands made on trainers

Question 9

Why should the facility nursing home administrator secure information on budget needs from each department head?
1-It will encourage supervisors to stay with in the budget of their own department
2-Budget awareness ensures dept heads will spend no more than the budged
3-the administer can more easily hold supervisors responsible for expenditures
4-it provides more cooperation in the use of a budget if supervisors help determine the amounts designated in a budget

Answer 9

1-It will encourage supervisors to stay with in the budget of their own department

** Key word is ENCOURAGE

Question 10

the purpose of internal control is to:
1-evaluate performance and efficiency
2-ensure compliance with policies and procedures
3-protect and safeguard assets against theft and waste
4-ensure accurate and reliable data for accounting reports.

Answer 10

3-protect and safeguard assets against theft and waste

**

Question 11

The SAFE HARBOR regulations prohibit:
1-a facility purchasing from supplier with common ownership
2-ownership, in excess of 40%, of a hospital by a physician
3-extra payments for services or items reimbursed under medicare or medicaid
4-nursing facility providers investing only in publicly traded companies with an asset value of at least 50,000,000

Answer 11

3-extra payments for services or items reimbursed under medicare or medicaid

• • SAFE HARBOR regulates various payment and business practices that, although they potentially implicate the Federal anti-kickback statute, are not treated as offenses under the statute.
• • Key is EXTRA payment

Question 12

FUTA refers to:
1-i-9 form
2-Social Security 
3-Unemployment Tax
4-Workers compensation

Answer 12

3-Unemployment Tax

FUTA = Federal Unemployment Tax Act

Question 13

In financial management, control refers to the development and maintenance of systematic ways to:
1-Reduce Cots
2-Increase Income
3-ID problems when the happen
4-Control expenses relative to revenue

Answer 13

3-ID problems when they happen

CONTROL

Question 14

The number of disaster drills is determined by:
1-CDC
2-OSHA
3-the Facility
4-LIfe Saftey Code

Answer 14

3-The Facility

*fire drills are 12 times a year / 3 per quarter per shift.
Disaster falls on FACILITY

Question 15

a totally private pay nursing home must be 
1-certified
2-licensed
3-Medicaid approved
4-Medicare approved

Answer 15

2-licensed

** Certified is to receive medicaid and medicare

Question 16

In a patient room in which oxygen is being used :No Smoking" is considered a:
1-law
2-rule
3-policy
4-statement

Answer 16

2-rule

** although this must be followed, if a resident broke this rule the police could not arrest them or fine them

Question 17

Which of the following is covered by both part A and part B of the Medicare health insurance program?
1-Hearing aids
2-Home Health Visits
3-Physical Check ups
4-Private duty nurses

Answer 17

3-Physical check ups

Question 18

which of the following specifics an amount to be paid to hospitals based on diagnostic-related groups.
1-OBRA
2-Medicaid
3-Medicare
4-The State

Answer 18

** Medicare

** Remember when medicare came about is was for the elderly, and what ever the hospital charged the government paid it, up until DRG came out…. ORBA did not change the payment system, just the Standards of care ect … to be given.

Question 19

The two more important risk management tools are education and:
1-insurance
2-quality control
3-documentation
4-accident reports

Answer 19

2-quality control

** Risk management is FIXING them before they get out of hand… just like quality control

Question 20

Policies are plans in the form of general statements which guide channel.
1-action
2-staffing
3-thinking
4-production

Answer 20

3-thinking

** if you have a policy that is ____ it will make you think what is the point of the policy? and why you do what you do. This is the first step before any action is taken place.

Question 21

The Resident, family, and/or responsible party should all participate in care planning, especially in the:
1- implementation of care plans
2-development of all care plans
3-evaluation of the care planning process
4-first meeting of the resident assessment

Answer 21

4-first meeting of the resident assessment

Question 22

In a nursing home, Total Quality management is an approach that:
1-builds strong leadership skills for management
2-allows no room for employees to question the rules
3-builds employee interrelationship through work teams
4-creates a direct line of communication with ownership.

Answer 22

3-builds employee interrelationship through work teams

** TQM = every staff member must be committed to maintaining high standards of work in every aspect of a company’s operations.