PRACTICE TEST MISSED Flashcards by Kelly Maguire

Per OBRA 1987 a resident has the right to review all their records within ___ of an oral or written request

24 hours
36 hours
48 hours
72 hours

24 hours

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A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, July 29, and Sept 4. With respect to require physician visits per OBRA 1987 the facility ___

was in compliance and would not be cited
is not responsible to ensure timely physician visits
was out of compliance and would be cited
the facility would only be cited if there was actual harm to a resident

-was in compliance and would not be cited

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The ___ has legal responsibility ot adopt and implement facility policies

medical director
DON
governing body
administrator

Governing body

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HCFA stands for

health care financing authority
health costs financing administration
health care financing administration
health care financing agency

Health care financing administration

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The resident’s quality of life and physical condition is the focus of

structure
process
outcomes
all of the above

All of the above

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Grab bars and railings must support a minimum weight of ___ pounds

250

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The average short term stay for a Medicare resident is __

15 days
30 days
45 days
90 days

30 days

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A ___ violation is where the severity of negative outcomes that compromises a residents ability to maintain the highest physical, mental and psychosocial well being

level 1
level 2
level 3
level 4

Level 3

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A broad statement of goals is a ___

plan of action
mission statement
policy
procedure

Policy

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Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?

JCAHO is a private org that accredits hospitals and nursing homes
JCAHO cn impose civil fines
JCAHO accreditation and membership is voluntary for nursing homes
a healthcare facility accredited by JCAHO is exempt form state and federal inspections

a healthcare facility accredited by JCAHO is exempt form state and federal inspections

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The emergency generator must be run under full load for ___ every ___

30 min, month
30 min, quarter
60 min, month
60 min, week

30 min, month

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The ___ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use

safety committee
risk management committee
quality assurance committee
social committee

quality assurance committee

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____ publishes and promotes fire safety in nursing homes

OSHA
NFPA
ANSI
ADA

NFPA

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The Americans with Disabilities Act construction standards were developed by___

NFPA
ANSI
Architecture and Transportation Barriers Compliance Board
EEOC

ANSI

enforced by ATBCB

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When the administrator writes a letter to the local state survey office to challenge the findings and citations issued during a survey, the administrator is using the ___

informal dispute resolution process
formal dispute resolution process
civil court mediation
by filing an appeal directly to the us Supreme Court

Informal dispute resolution process

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Prior to entering a facility a state survey team would not review the ___

Facility compliance report
most recent compliance survey/inspection
ombudsman reports and investigations
resident council minutes

resident council minutes

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The federal nursing home certification survey program has a total of ___ different survey types

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Upon completion of a survey the survey team sends the administrator which of the following if the facility was substantially in compliance, had only isolated or minor problems which caused no actual harm, and on plan of correction is required

Form 2567
Notice of isolated deficiencies
Form 2560
Form 1-9

Notice of isolated deficiencies

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____ has/have the least impact on influencing a resident or their family in choosing a facility

physician referrals
hospital discharge planners
media ads
word of mouth

media ads

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Implementation of a TQM program takes between ___

1-2 years
2-5 years
5-10 years
10-15 years

5-10 years

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A violation with no more than minimal physical, mental or psychological discomfort is a ___ deficiency

level 1
level 2
level 3
level 4

Level 2

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Minimum clear width for a single wheelchair is ___’ continuously and ___’ at any one point

24’,32’
36’,32
34’,29’
32’,46’

36’,32’

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There must be a passing space in an accessible route for wheelchairs every ___ feet

200

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A passenger loading zone must be at lease __’ wide and ___’ long

30’ wide and 15’ long
36’ wide and 20’ long
45’ wide and 15’ long
60’ wide and 20’ long

60’ wide and 20’ long

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Minimum wheelchair turning space is ___ inches - 30' - 34' - 60' - 72'

60'

A change in level surface over 1/2 inch ___ - may be vertical and without edge - requires ramp treatment - requires beveled edge - requires rubber bumpers

Requires ramp treatment

A change between 1/4 and 1/2 inches in level surface ___ - may be vertical and without edge - requires ramp treatment - requires a beveled edge - requires handrails

Requires a beveled edge

The QA&A committee does not need to include ___ - the administrator - a registered nurse - a physician - three staff members

The administrator

ADA guidelines and standards are developed and approved by ___ - ANSI - NFPA - Architectural and Transportation Barriers Compliance Board - EEOC

ANSI

Activating or pulling a fire alarm automatically activates all of the following except - fire alarms - fire sprinklers - door releases - emergency generator

emergency generator

Upper managers do not ___ - interact with the owners and the governing body - have responsibility for overall management of a facility - make policy that affects all employees - usually write procedures

usually write procedures

The ___ is the foundation that guides an organization - mission statement - philosophy - bylaws - charter

philosophy

The ___ specifies the composition of the governing body, functions, timing of corporate meetings and the purpose of a corporation - mission statement - philosophy - bylaws - all of the above

mission statement ASK JOSH

Authority granted to the governing body by state law is called ___ - express authority - implied authority - staff authority

express authority

The ___ has ultimate responsibility for management and quality of care in a facility - administrator - medical director - governing body - DON

governing body

The governing body of a facility is generally ___ for acts of employees - not personally liable - legally personally liable - liable if bylaws impose such personal liability - none of the above

Not personally liable

The ___ has authority to make critical decisions regarding operation of a facility - governing body - administrator - DON - None of the above

Governing Body

A general statement about the behavior employees are expected to conform to is called ____ - norm - value - professional standards - none of the above

value

A specific description of expected employee behavior is called a ___ - norm - value - professional standards - none of the above

norm

A facility cannot ___ - charge a reasonable fee for copying the statement of residents rights - provide a resident access to review their records within 24 hours of oral or written request - provide copies of resident records within 48 hours of oral or written request - charge a reasonable fee for clerical time to photocopy records

-charge a reasonable fee for copying the statement of resident rights cannot charge at all for copy of resident rights

A facility can ___ - condition admission upon a resident signing an advanced directive - use its own advanced directive form - refuse to honor an advanced directive which it has been provided a copy of - inform a resident orally and in writing of their right to make an advanced directive

inform a resident orally and in writing of their right to make an advanced directive

Residents have the right to refuse medical treatment, food, bathing, etc. if a resident refuses treatment the facility is not required to__ - determine exactly what the resident is refusing and why - explain the consequences of the residents decision to refuse treatment - advise the resident of alternate available treatments - discontinue all other treatment until the resident withdraws their earlier refusal of treatment

-discontinue all other treatment until the resident withdraws their earlier refusal of treatment

Which is NOT TRUE - must provide residents notice of all available services prior to or upon admission - must inform residents of all covered and non covered services under Medicare and Medicaid - Must advise residents within 21 days in advance of any changes in charges - must advise residents of the cost of all services in the facility prior to or upon admission to the facility

-Must advise residents within 21 days in advance of any changes in charges must provide 14 days prior notice of any changes in resident contract or charges

Written preferences regarding the use of artificial life prolonging measures is called ___ - and advanced directive - experimental research - living will - hospice care

Living will advanced directive is above a living will-living will is under that umbrella

Significant weight loss within 3 months would be ___% - 3 - 5 - 7.5 - 10

7.5% 1 month 5% 3 month 7.5% 6 month 10%

Discharged employees have the right to present their case to ___ - Equal Employment Opportunity Commission - Occupational Health and Safety Administration - Employment Security Commission - Consumer Protection Agency

Employment Security Commission

____ develops and publishes the Life Safety Codes - ANSI - EEOC - NFPA - OSHA

NFPA NFPA is a private organization that develops fire safety standards. NFPA does not enforce LSC. That is done by state surveyors as part of an annual survey

In an emergency corporate representatives have ___ authority and can give staff directions - advisory authority - line authority - staff authority - implied authority

line authority

A hiring approach where a decision maker reviews all information on an applicant and then decides whether to hire is called ___ - clinical approach - statistical approach - selection process - statistical method

clinical approach

___ uses rewards to shape specific employee behaviors - expectancy theory - operant conditioning - reinforcement theory - positive reinforcement

operant conditioning

The consultant pharmacist must report any irregularities to the DON and the ___ - ADON - administrator - attending physician - Physical therapist

Attending physician

The freezer temperature should be set at ___ - 0 - 40 - 34 - 40

A three compartment sink has ___ compartments - wash, rinse, sanitize - rinse, sanitize, wash - wash, rinse, dry - soak, wash, rinse

wash, rinse, sanitize

A dishwasher that uses hot water wash and rinse cycles have a wash cycle at __F and a final rinse cycle at ___F - 130, 160 - 140, 180 - 150,180 - 160, 180

150, 180

The ___ has authority to make critical decisions regarding operation of a facility - governing body - administrator - DON - none of the above

governing body

The ___ develops safety and infection control standards in nursing homes - DOL - OSHA - EEOC - ANSI

OSHA

The facility safety committee must meet at least ___ to discuss unsafe practices and behaviors, analyze reports and identify prevention measures - weekly - monthly - quarterly - semi annually

monthly

The OSHA compliance and regulatory program does not include ___ - safety standards to minimize worker injuries - encourage employers to maintain requires records of injuries, deaths and illnesses - encourage employers to cooperate with inspectors - assessing multimillion dollar fines for willful violations

assessing multimillion dollar fines for willful violations

Employers with ___ or more employees must maintain a record of occupational illnesses and injuries - 10 - 11 - 15 - 20

Specific standards of behavior are called - norms - values - policies - procedures

Norms

A facility must ensure residents understand their rights and is required to inform residents ___ - verbally and in writing - in a language the resident understands - in jargon free language - all the above

all the above

Risk of falls for all residents over 65 in a nursing home is approximately ___ - 25% - 50% - 70% - 90%

70%

A resident restraint must be checked every - 30 min - hour - 2 hours - 3 hours

30 minutes ask josh why it's not 2 hours

An OSHA violation must be posted at the site of the violation for a minimum of ___ working days or until corrected - 3 - 7 - 10 - 14

An accounting system where transactions are recorded when they actually occur is called - cash basis of accounting - accrual basis of accounting - depreciation - cost finding

accrual basis of accounting

Per OBRA 1987 which payor source will pay to hold a bed while a resident is on therapeutic leave or is in the hospital - medicare - medicaid - private pay - insurance companies

medicaid

Under Medicare Part A, a patient must have a qualifying ___ day hospital stay, must not have up up __ allowable days of skilled care and must be admitted to a nursing home within ___ days of discharge from the hospital - 3, 100, 30 - 5, 90, 10 - 7, 100, 15 - 3, 100, 10

3, 100, 30

Medicaid (Title 19) of the social security act will not pay for - activities - skilled nursing - social services - meals

skilled nursing

OSHAs blood borne pathogen Control Program primarily requires an employer to ___ - use universal precautions - require a worker to wear gloves - have a written control program for control blood borne pathogens - properly label bio hazardous material

have a written control program for control blood borne pathogens

Exit signs must be places so a person is never more than ___ feet from any fire exit sign - 50 - 75 - 100 - 200

100

In 1973 the supreme court ruled with respect to collective bargaining that nurses ___ - could be part of one of the two approved bargaining units - were considered management and could not join - were exempt from overtime - had the right to participate in union activities

-were considered management and could not join

Ecoli is found in - beef - chicken - pork - fish

beef

The americans with Disabilities Act does NOT PERMIT an employer to ___ - make reasonable accommodation for individuals with a qualified disability - conform to new construction and building modifications to provide handicap access - subject applicants to a physical exam prior to hire - wait until after hire to ask about the ned for special accommodation

-subject applicants to a physical exam prior to hire

The Americans with Disabilities act DOES permit an employer to ___ - ask an applicant about any current health problems - ask an applicant if they ever filed a workers compensation claim - ask an applicant if they can perform the requirements of the job - require a physical exam prior to hire

-ask an applicant if they can perform the requirements of the job

The Americans with Disabilities Act requires that doorway thresholds rise no more than ___ to accommodate wheelchairs - 1/4 inch - 1/2 inch - 3/4 inch - 1 inch

1/2 inch

Which is not true of the Americans with Disabilities Act - complaints of discrimination under the ADA are made to the EEOC - Part time workers are covered by the ADA - The American National Standards Institute developed the ADA construction standards - The ADA protects workers 40 years and older from age discrimination

The ADA protects workers 40 years and older from age discrimination this is the age discrimination act

FLSA does not___ - govern overtime and minimum wage - govern child labor - set minimum hourly wage rate - require employers to provide 12 weeks of unpaid family leave

-require employers to provide 12 weeks of unpaid family leave this is the family medical leave act

The ___ prohibits paying male and female workers different pay for work requiring the same skills - Age Discrimination act - equal pay act - fair labor standards act - family medical leave act

Equal Pay Act

Under the Civil Rights Act of 1964 employers cannot discriminate on the basis of __ - race, color, gender, religion, national origin - race, color, age, religion, sex - race, color, age, religion, national origin - race, color, sex, religion, national origin, color

-race, color, gender, religion, national origin

Under the Consumer Credit Protection Act of 1968 creditors may garnish workers wages not more than ___ of disposable income or where disposable income is ___ the federal minimum wage - 10%, 15 times - 15%, 20 times - 20%, 25 times - 25%, 30 times

-25%, 30 times

Terminated workers are entitled to ___ weeks of unemployment benefits - 12 - 18 - 26 - 30

The family Medical Leave Act covers employers with ___ or more employees and allows employees __ weeks of unpaid leave - 20 12 - 25 36 - 50 12 - 100 52

50 12

Under the FMLA an employee is not ___ - entitled to paid leave - entitled to paid insurance benefits while on FMLA leave - entitled to take modified leave and schedule blocks of time (ex work half days or take time druing week to visit doctor) - entitled to return to their former position

entitled to paid leave

Under the Clinical Laboratory improvement Act (CLIA) nursing homes that use glucometers to check patient blood sugar levels to draw urine or blood for testing must obtain a ___ from the ___ to do limited laboratory testing in a facility - Certificate of need Dept of health and human services - certificate of waiver food and drug administration - biowaste disposal certificate dept of environmental regulation - occupational certificate dept of professional and bus regulation

-certificate of waiver food and drug administration

The approximate occupancy rate of a facility with 180 beds and an average of 172 occupied beds - 93.0 - 94.1 - 95.5 - 96.0

-95.5

A 1994 US Supreme Court ruling changed the status of nurses by __ - Classifying nurses as supervisory staff and part of management and not protected by the taft hartley act - affirming the right of nurses to organize a union - designating nurses and a separate bargaining unit - requiring management to bargain collectively with nurses

-Classifying nurses as supervisory staff and part of management and not protected by the taft hartley act

The set of records that lists each monetary transaction by date is called the __ - books - financial statements - balance sheet - profit an loss statement

books

Recording all revenues and expenses is called the - bookkeeping process - accounting process - journaling process - posting process

bookkeeping process

Maintaining the books and PREPARING FINANCIAL STATEMENTS - bookkeeping - accounting - journaling - posting

acccounting

The ___ mandates how financial records must be maintained - payroll system - accounting system - budget - financial controls

accounting system

Clear access for a wheelchair is ___ wide - 24 - 30 - 36 - 44

The ___ summarizes all debits and credits - general journal - chart of accounts - general ledger - balance sheet

general ledger

The summary of financial well being is called the - journal - ledger - balace sheet - notes to financial condition

balance sheet

Balance sheets are not__ - prepared from the general ledger - summary of the assets, liabilities, and capital accounts - financial statement - prepared by the bookkeeper

prepared by the bookkeeper they're prepared by the accountant

The accounting equation is ___ - assets = liabilities+capital - assets = revenues+expenses - assets = revenues+ assets - all of the above

- assets = liabilities+capital

If the administrator wants to know if the facility made money, he/she would look at the ___ - balance sheet - profit and loss statement - income statement - both 2 and 3

both 2 and 3

An obligation of a facility to pay others is called a/n ___ - asset - liability - surety - equity

liability

Working capital is calculated by deducting ___ from ___ - current assets, current liabilities - non current assets, current liabilities - current capital capital, non current liabilities - operating revenue non operating revenue

-current assets, current liabilities

To calculate the value of an investors investment in a business you need to look at the ___ - balance sheet - profit/loss statement - income statement - none of the above

balance sheet

Which is not true of the cash basis of accounting - only 1/% of facilities use this system - transactions are recorded when cash actually changes hands - transactions are recorded when cash is actually disbursed or received - cash accounting system can account for depreciation

cash accounting system can account for depreciation

The ___ records a transaction when funds are actually received or paid out - accrual - cash - prospective - retrospective

cash

Which is NOT TRUE of the accrual basis of accounting - 99% of facilities use the accrual accounting system - medicare and medicaid do not require use of the accrual method - transactions are recorded when cash is earned and expenses are incurred (date of the invoice) - the accrual method matches revenues and expenses when they occur

-medicare and medicaid do not require use of the accrual method

The ___ includes both a. revenue budget and an expense budget - capital budget - financial budget - income budget - operating budget

operating budget

An administrator would refer to ___ to determine if revenues were sufficient to cover expenses - profit/loss statement - income statement - balance sheet - both 1 and 2

both 1 and 2

The minimum qualification for a social worker is a 120 bed facility is __ - associates degree with 5 years of resident care - bachelors degree in social work - diploma and 2 years of being a social worker assistant - bachelors degree with 1 year as a social worker assistant

-bachelors degree with 1 year as a social worker assistant ASK JOSH

Which is the correct method to calculate a medication error - the number of errors observed divided by the opportunities for error times 100 - the number of medications not administered divided by the opportunities for errors - the number of medications improperly administered divided the opportunities for error times 100 - the number of medications not administered plus the number improperly administered divided by the opportunities for error

-the number of medications not administered plus the number improperly administered divided by the opportunities for error ASK JOSH

The designated parking space for the handicapped must be at least - 10 ft wide - 13 ft wide - 15 ft wide - 18 ft wide

13 ft wide

A resident is restrained without physician's orders and has not had a bath today. How many resident rights were violated - 1 - 2 - 3 - 0

Emergency generators are checked - daily - weekly - monthly - every 10 days

-weekly

The minimum width of a resident bedroom is determined by ___ - ANSI - OBRA - the state - LSC

state

___ is considered a comfortable atmospheric temperature range for a facility - 51-61 - 61-71 - 71-81 - 81-91

71-81

To assure an accurate resident assessment each resident must be examined by a physician as deemed appropriate but no less than every __ - month - quarter - semi annual - annual

-quarter

The ADA has 5 titles. the title that affects the administrators most is title - I - II - III - IV

Labor costs in a nursing home usually total approximately __ - 30-40 percent - 40-50 percent - 50-60 percent - 60-70 percent

50-60 percent

Hazardous areas must be protected by the fire barriers with a fire resistance rating fo 1 hour or a completely automated extinguishing system. The. ___ would usually not be considered a hazardous area - laundry - resident dining room - handicraft store - beauty salon

resident dining room

Well capitalized companies should have a equity to debt ratio of ___ - more than 2.0 to 1.0 - 2.0-1.0 - 1.0-1.0 - more than 1.0 to 1.0

more than 2.0 to 1.0

Soiled linen and trash containers must be limited to ___ gallons within any ___ square foot area - 12,24 - 6,18 - 24,72 - 32,64

-32,64

A smoke proof enclosure must have a ___ hour fire resistance and a door with ___ hour fire protection rating - 1, 1 1/2 hour - 1 1/2, 1 hour - 2 hour, 1 1/2 hour - 1/2 hour, 2 hour

-2 hour, 1 1/2 hour

Which is NOT TRUE of egress - every patient room must have a door leading directly to an exit access corridor - the travel distance within a residents room to an access corridor cannot exceed 50 feet - the travel distance from a residents door in an access corridor to an exit door cannot exceed 150 - the travel distance within any patient room to an exit door cannot exceed 250

-the travel distance within any patient room to an exit door cannot exceed 250

____ do not need both 1 hour fire resistance rating and a completely automatic extinguishing system - soiled linen rooms - employee locker rooms - repair shops - trash collection rooms

employee locker rooms

A weight loss of ___ within 6 months would be considered significant - 5 percent - 8 percent - 10 percent - 12 percent

8 percent

Fringe benefits (vacation and sick leave, health insurance, 401k plan) are __ - required by law - considered a right by workers - considered part of the wage and hour act - considered a benefit determined by employees

-considered a right by workers ASK JOSH

___ is covered by Medicare Part A and B - home health - private duty nurses - physical check ups - outpatient diagnostic services

-home health ASK JOSH

The minimum period of insurance coverage under COBRA is - 8 months - 12 months - 18months - 36 months

18 months

COBRA covers employees who have been separated from an employer for a maximum of __ months - 12 - 18 - 24 - 36

A resident who is 'bedfast' remains in their bed all of the time for the past __ - 24 hours - 48 hours - 3 days - 7 days

7 days

___ mandates that policies in nursing hoes must be approved by the governing body - CMS - OSHA - OBRA - EEOC

OBRA

A written notice of involuntary discharge does not need to include a notice of the __ - right to refuse the transfer - location where the resident is being transferred - right to appeal the transfer - name, address, and phone number of the state nursing home association

-name, address, and phone number of the state nursing home association

The chief factor for an effective fire safety program is ___ - a set of policies and procedure - an effective safety committee - a supportive fire department - the support and involvement of the administrator

-the support and involvement of the administrator

The open market ruling of 1977 relates to ___ - price controls - transfer agreements - recruiting employees - advertising health services

advertising health services

A marketing plan should not be ___ - a democratic process - a flexible plan - detailed and precise - effective in communicating a facility mission and purpose

-a democratic process

To ensure a residents assessment is accurate, the facility must ensure each resident is given an physical examination at least ___ - monthly - every 2 months - eery 3 months - every 6 months

every 3 months

___ accounts for most infections in a facility - the frequent use of invasive devices - the exposure by residents to employees and visitors - the presence of chronic diseases in a. facility - an increase in immobility and incontinence

-the exposure by residents to employees and visitors

The laws which control nursing activities in each state are called ___ - federal statues - nurse practice acts - practice control acts - professional function laws

practice control acts

the physicians desk reference refers to - drugs - drgs - diagnoses - prognoses

drugs

The cost reports are due ___ - 30 days at the end of the calendar year - 60 days after the end of the fiscal year - 90 days after the end of the fiscal year - April 15 of each year

-90 days after the end of the fiscal year

The travel distance between a class B and C fire extinguishers cannot be more than - 50 ft - 75 ft - 100 ft - 150 ft

50 ft

Per the hazardous communication program, ___ is not required on all hazardous container labels - an appropriate warning - the identity of the product - the antidote to use if consumed - the name and address of the manufacturer

-the antidote to use if consumed

A garnishment or attachment requires an employer to withhold monies from an employee's paycheck and __ - forward it to a creditor - hold it until the debt is paid - deposit it into a designated federal bank - forward the money to the appropriate government agency

-forward it to a creditor

Emergency generators must be tested ___ - weekly - monthly - quarterly - annualy

monthly ASK JOSH WEEKLY/MONTHLY

is not a type of authority - line - staff - functional - direct

direct

The term echelons refer to - leadership - management styles - levels of management - micromanagement techniques

levels of management

Procedures should be prepare by __ - governing body - supervisors - home office - the administrator

supervisors

Management by walking around is a concept developed by ___ - waterman - maslow - peters - mcgregor

peters

After comprehensive assessment has been done the comprehensive care plan is due within ___ days -7 10 14 21

7 comprehensive assessment has 14 days, plan due within 7 days after that/no later than day 21

The policies and procedures for activities programs should include - volunteers - occupational therapists - physical therapists - administrator

volunteers

Heat and hydrotherapy are mostly used by - physical therapists - speech therapists - occupational therapists - restorative nursing aides

occupational therapists

The primary purpose of the skilled rehabilitation program is to ___ - help residents live life to the fullest - help residents improve so they can be discharged - return residents to their former level of functioning - help residents improve and be able to handle their activities of daily living

-help residents improve and be able to handle their activities of daily living

every new employee must complete a Form I-9 within ___ days of hiring - 3 - 5 - 7 - 10

The fire rating of building materials is established by ___ - ANSI - the state - the life safety code - OSHA

life safety code

The food and Drug Administration enforces - SMDA - EEOA - OSHA - OBRA

SMDA

The ultimate mission of a nursing home is to ___ - make profit - reduce costs wherever practicable - provide quality care - keeping census high

-provide quality care

When a facility records assets at market value but does not record bad debs it cannot collect, it violates the ___ principle - entity - good faith - time period - consistency

good faith

A summary of a facility's well being is reflected in the __ - balance sheet - chart of accounts - profit and loss statement - statement of changes

balance sheet

When errors are discovered in the other journals they can be corrected in the - general ledger - notes to financial statements - balance sheet - general journal

general journal

The ___ would show the ending balance of the revenue and expense accounts - income statement - balance sheet - statement of changes - general journal

income statement

Subtracting current liabilities from current assets would tell you the facility's __ - net worth - profit or loss - working capital - capital

working capital

If an administor wanted a statement of the financial condition of the facility at years end, the administrator would consult the - balance sheet - income statement - P&L - General ledger

balance sheet while administrators must review the profit and loss statement each month, we do not see the balance sheet. the balance sheet is prepared at the end of the year

A form that summarizes the facility's admissions, discharges and transfers is called a __ - daily census report - occupancy report - bed count form - daily census form

-daily census form

When a change in a resident condition is significant, the facility must access the residents physical or mental condition within g-_ days of identifying a significant change - 7 - 10 - 14 - 21

A facility must maintain ___ months of assessments in a residents active medical chart - 6 months - 12 months - 15 months - 18 months

Within __ days of completing an assessment the facility must electronically transmit the assessment data to the state - 7 - 10 - 14 - 21

``` The ___ is responsible for the day to day management of the facility's nursing program -governing body MD -DON -administrator ```

DON

A public telephone in a nursing facility must - be free of charge - have adjustable volume for hearing impaired - be located in resident rooms - be cleaned daily

-have adjustable volume for hearing impaired

___ is not an advantage of doing business as a corporation - perpetual existence - limited liability - the ability to raise capital - unrestricted liability of officers and directors

-unrestricted liability of officers and directors the main advantage of a corporation is limited liability for the owners

A management theory where a manger believes workers do not like to work and are lazy is called - theory W - theory x - theory y - theory z

theory x

The ADA construction standards were developed by - NFPA - ANSI - ATBCB - EEOC

ANSI

A medicaid resident receiving $1500 a month in social security pension is within __ of losing their medicaid eligibility - $200 - $360 - $420 - $500

$360

What is the average daily occupancy rate for June for a facility with a total of 3000 resident days for the month - 85 - 95 - 100 - 110

100 3000/30 days=100

A facility is cited for F371 H during an annual survey. The facility was cited for scope and severity of ___ - no harm- no potential for harm- patterned - no harm-but potential for harm-isolated - actual harm-immediate jeopardy-patterned - actual harm-not immediate jeopardy-patterned

-actual harm-not immediate jeopardy-patterned

Clear width for a wheelchair is ___ inches wide - 24 - 30 - 36 - 44

How many triggers are in the Care Area Assessment - 10 - 15 - 18 - 20 - 25

Under new CMS regulations, nursing homes are now required to integrate actual payroll and census data into requiring reporting to the CMS what is this system called - payroll based reporting - payroll based journal - minimum data set - payroll data reports

payroll based journal

The payroll information in PBJ must be submitted to the CMS how often - weekly - monthly - quarterly - seminnualy

quarterly

An ulcer that forms on the extremities due to peripheral vascular diseases or venous insufficiency and not by direct pressure is called a ___ - pressure ulcer - decubitus sore - gastric ulcer - stastis ulcer

stasis ulcer

When the NHA asks for a statement showing the ending balance of the revenue and expense accounts he wants to see the - income statement - chart of accounts - balance sheet - statement of changes in financial condition

income statement

Bills from suppliers for food and office supplies are classified as - liabilities - notes payables - assets - capital

liabilities

When the NHA notes there are $200,000 in notes payables in the financial reports she knows these must be paid within___ - 90 days - 120 days - 6 months - 12 months

12 months notes payable must be paid within 12 months

Using LIFO in a period of inflation would ___ of remaining goods - raise the value - lower the value - have no effect - capitalize the cost of the remaining goods

raise the value

Because income and expenses vary from month to month it is best to do a __ - historic budget - forecasted budget - pro forma budget - capital budget

forecasted budget

When the NHA asks for a summary of all the debits and credits the accountant would hand her the ___ - general ledger - general journal - chart of accounts - income statement

general ledger

A specific law that mandates an employer is responsible for work related injuries and lost time for their employee is called ___ - the federal employer liability act - respondent superior - occupational safety and health act - federal employer restitution act

The federal employer liability act

The american health care association is the national association that advocates for __ - for profit health care organizations - non profit health care organizations - governmental health care entities - all of the above

for profit health care organizations

American Association of Homes and Services for the Aging is the national association the advocates for ___ - for profit health care organizations - non profit health care organizations - governmental health care entities - all of the above

non profit health care organizations

Nutrients, when combined with oxygen provide the body - energy - oxygen - glucose - all of the above

energy

Carbohydrates are broken down by the body to produce ___ - sugars and starches - proteins - cholesterol - nutrients

sugars and starches

In a typical 100 bed SNF the NHA usually has ___ department heads - 1-2 - 3-5 - 6-7 - 8-10

6-7

Activities such as assuring quality of care for all residents, advocating for all residents, and developing and managing the budget are normally associated with the __ - dietary department - nursing department - social services department - administration office

administration office

The ___ ensures that there is a physician on call at all times - open physician staffing model - closed physician staffing model - flexible physician staffing model - all of the above

closed physician staffing model

A nursing aide must be certified within __ months of employment - 2 months - 4 months - 6 months - 9 months

4 months

The assumption that workers naturally dislike work is theory - w - x - y - z

The assumption that workers naturally enjoy work is theory - w - x - y - z

When the NHA asks for a statement showing the ending balance of the revenue and expense accounts he wants to see the __ - income statement - chart of accounts - balance sheet - statement of changes in financial condition

income statement

Bills from suppliers for food and office supplies are classified as __ - liabilities - notes payables - assets - capital

liabilities

Where a facility has an outside provider provide in house dialysis the facility must __ to protect resident rights - require the company to sign a transfer agreement - require the provider to maintain malpractice insurance - award the contract based on competitive bidding - seek approval from the resident council

-require the company to sign a transfer agreement ASK JOSH

The main challenge with on the job training in nursing homes is - finding experienced employees to train new employees - there is too little time for trainers to train new people - that employees cannot learn new skills from coworkers - than on the job training is not as effective as other means

-there is too little time for trainers to train new people

The Safe Harbor regulations DO NOT prohibit - a facility from purchasing from a supplier with common ownership - ownership in excess of 40 percent of a hospital by a physician - extra payments for services or items reimbursed under medicare or medicaid - nursing facility providers from investing only in publicly traded companies with an asset value of at least $50 million dollars

-nursing facility providers from investing only in publicly traded companies with an asset value of at least $50 million dollars the other choices are specifically prohibited. choice 4 is a safe harbor exemption

Cash flow is the cash receipts__ - less liabilities - plus assets minus liabilities - less the cash disbursements - plus the assets minus expenditures

-less the cash disbursements

Waste management is monitored by - CMS - ANSI - NFPA - OSHA

OSHA

Universal precautions were developed by the __ - CDC - ANSI - OBRA - OSHA

CDC universal precautions were developed by teh CDC and are required by OSHA

The number of disaster drills is determined by __ - OSHA - NIOSH - OBRA - LIFE SAFETY CODE

life safety code

The best way to assess a resident with complicated medical conditions is to do a __ - 7 day comprehensive assessment - 14 day comprehensive assessment - RAPS - RAI

RAI the resident assessment instrument is a comprehensive instrument comprised of MDS, RAPS and instructions on how to use the RAI

The cost to maintain capital equipment in a nursing home will justify replacement within - 2 years - 5 years - 10 years - 15 years

10 years

When counseling family members it is best to - explain the facility policies - involve the medical director - let the family express their feelings - engage the family in problem solving

-let the family express their feelings

If a physician reports a med error to the administrator the administrator should ___ - consult the facility attorney - redesign the drug control system - decide whether to take disciplinary action - allow the physician to take any necessary action

-allow the physician to take any necessary action

Accounts payable past 60 days should not exceed ___ as a total percentage of all accounts payables - 5% - 10% - 15% - 20%

The heart of the blood borne pathogen program is ___ - recording employee injuries - posting the MSDS - providing a safe workplace - a written plan in case of exposure

-a written plan in case of exposure

___ requires employer health insurers to limit the exclusionary period for pre existing conditions to 12 months - COBRA - OBRA - HIPAA - PSDA

HIPAA COBRA extends insurance-HIPAA can limit

If an employee providers their new employer a certificate of coverage, the employer's health insurance provider can limit coverage for pre existing conditions for a period of ___ months - 0 - 2 - 6 - 12

A facility that receives a citation during a survey for a tag that does not require a plan of correction or re survey would receive the ___ - form 2567 - form 101 - letter of isolated deficiencies - form2570

letter of isolated deficiencies joel said this would be an a tag

The __ enforces the Civil Right Act - DOL - OIG - OSHA - EEOC

EEOC

___ would be issued if surveyors determined that residents were harmed by the facility - H - E - F - D

A facility must submit a request for a formal administrative hearing within __ days - 10 days - 20 days - 30 days - 40 days

20 days

Employers with ___ employees are subject to FMLA - 15 - 20 - 50 - 100

50 what are the rules for 10 vs 20 vs 50 employees?

You just admitted a resident with a history of wandering. what would be the first step in protecting the resident - install locks and alarms on doors - call the physician for medication to manage the resident - put the resident in physical restraints for their safety - have the nursing team evaluate the resident for possible interventions to address their need to wander

- put the resident in physical restraints for their safety | - have the nursing team evaluate the resident for possible interventions to address their need to wander

The ___ is permitted to dispense medications - LPN - DON - Med tech - Pharmacist

Pharmacist pharm dispense/nurse administer

A facility needs to keep ___ months of assessments in the resident charts - 3 months - 6 months - 12 months - 15 months

15 months

The ___ have the power to make health care decisions - health care surrogate, durable POA, proxy - ombudsman, POA, proxy - guardian, POA, health care surrogate - administrator, DPOA, HCS

-health care surrogate, durable POA, proxy ASK JOSH

The consultant dietician must ___ - observe and log what the resident does not like to eat - observe and record everything the resident eats on a daily basis - write down orders food likes and dislikes and document their progress in their chart - write orders for therapeutic diets

-write down orders food likes and dislikes and document their progress in their chart

A colostomy bag is connected to the - stomach wall - rectum - colon - esophagus

-stomach wall

The quality assurance committee must be composed of ___ - DON, adm, at least 3 staff - DON, MDirect, admin, at least 3 staff - DON,, attending md, at least 3 staff - DON, a physician, and at least 3 staff

-DON, a physician, and at least 3 staff

The ___ is the most comprehensive way to measure a job applicants skills - interview - resume - aptitude test - reference check

aptitude test

___ is a major cause of decubitus sores - incontinence - osteoporosis - syncope - edema

incontinence

A ___ fire extinguisher would be used for a kerosene fire - a - b - c - d

Procedures are a step by step guide to __ - thinking - attain a goal - in service training - policy development

attain a goal

Standard patterns of required behavior developed by the facility to enable staff to accomplish necessary work are called - norms - values - roles - behavior patterns

norms

A catheter must be changed ___ - every 7 days - every 14 days - every month - every 3 months

every month

A device that uses radio waves to detect abnormalities in the brain is called - EEG - EKG - MRI - CBC

EEG

Feeding assistants must be supervised by a - OT/PT - SLP and RN - RN and LPN - RD and Licensed Nurse

-RN and LPN

___ would not be a significant error if administered in the wrong dosage - mellavil - insulin - dilantin - colace

-colace

Where a resident was admitted without a decubitus sore and developed an avoidable stage IV decubitus sore the facility cited for - Level 4-IJ - Level 3-actual harm - Level 2-no actual harm but potential for more than minimal harm - level 1 no harm

-Level 4-IJ

If surveyors find substandard care during an annual survey, the facility will be subject to - an extended survey - a partial extended survey - an abbreviated standard survey - a post survey revisit

extended survey ASK JOSH WHY PARTIALVS EXT

The RAI consists of the ___ - admission contract, MDS and Goal schedule - RAPs, utilization guidelines and MDS - care plan assessment protocols and MDS - face sheet, MDS, and behavior modification log

-RAPs, utilization guidelines and MDS

___ is the least contributing factor to high employee turnover - limited orientation - inadequate in services - lack of policies and procedures - incomplete background checks and hiring policies

-lack of policies and procedures

Per the IRS employee tax records must be kept for - 4 years - 5 years - 10 years - 11 years

-4 years

The national standard to budget housekeeping staff to clean a facility is one hour of staff time per __ - 1000 square feet - 2500 square feet - 3000 square feet - 3500 square feet

-1000 square feet

Cash flow will be improved if there is ___ - an increase in census - an increase in inventory - a decrease in accounts payable - a decrease in accounts receivable

-a decrease in accounts receivable

___ requires specific employee training - medicare - flsa - cobra - eeoc

medicare

The single indicator of a job applicants success in a job is - testing results - past job performance - the resume - the interview

past job performance

The administrator begins work when the owners or governing body set for the ___ for the organization - full rules - day to day rules and regulations - mission statement - procedures to be followed

-mission statement ASK JOSH

Federal requirements for the medical director are___ - increasingly burdensome - detailed and extensive - constantly changing - brief and vague

brief and vague

A facility must clean a minimum of __ lbs of clothing, bedding and linen per resident per day - 5 - 10 - 15 - 20

If $80,000 is borrowed at 9% common interest for 10 years and only interest is paid for the first year, the first monthly interest payment would be approximately - $112 - $330 - $600 - $720

$600

Who is responsible for the implementation of resident care policies - administrator - DON - social worker - Medical director

Medical Director

Which of the following is not an OBRA requirement - the pharmacy must label medications with an appropriate cautionary statement - the pharmacy must label medications with the name of the resident and the prescribing physician - labels must identify the expiration date - the name and strength of the medication must be listed

-the pharmacy must label medications with an appropriate cautionary statement

True or False a facility can discharge a resident without advanced written notice if they have not resided int the facility for the prior 30 days

True

Why does the OIG recommend facilities have a corporate compliance program - to ensure physicians are not accepting money for referrals - corporations can now be held liable fo criminal acts of employees - to prevent intentional violations for antikickback laws - to educate employees on their legal responsibilities

-corporations can now be held liable fo criminal acts of employees

Which of the following must surveyors invite to the facility's exit interview - medical director and ombudsman - medical director and key staff members - resident council representative and ombusdsman - Interested family members and DON

-resident council representative and ombusdsman

As soon as plans are developed explaining what needs to be done and how the task will be accomplished and when and by whom what must a leader do - determine what staff will be needed and employ them - orient staff to facility policies and procedures and train them for their tasks - determine what activities will be needed, group them and set up the organizations structure - initiate action that gets the operation started

-determine what activities will be needed, group them and set up the organizations structure

An individual who leases a nursing home to a management company needs a large amount of money to meet their retirement goals. Consequently, the individual decides to double the lease payments which are much higher than lease payments in the area. Which law has been violated - false claims act - stark act - safe harbor regulations - fraud and abuse

-safe harbor regulations

What is the main purpose of a risk management program - to protect residents from improper care - to protect staff from injury - to reduce occurrences that result in legal action against the facility - to promote a positive public image

-to reduce occurrences that result in legal action against the facility

PTs, OTs, and SLP must be - licensed - board certified - certified - a member of a professional organization

licensed

Bylaws are defined as - a detailed guided to developing policies and procedures - rules and regulations that govern a corporations internal management - rules and regulations that govern a corporations external management - a process for determining whether a facility meets federal standards

-rules and regulations that govern a corporations internal management

The comprehensive assessment must be completed within__ days of admission - 7 - 14 - 21 - 30

Which document is the governance of a corporation - articles of incorporation - the certificate of incorporation - mission statement - bylaws

bylaws

What is the mission statement - culture of a corporation - philosophy of a corporation - purpose of a corporation - document filed with the state to form a corporation

-purpose of a corporation

Which of the following management styles provides least direction and support to staff - coaching - directing - delegating - supporting

delegating

Nursing facilities must file a request for formal dispute resolution within how many days of receiving deficiencies - 2 - 5 - 10 - 20

A nursing facility fire protection standards are specified by - life safety code - ansi - osha - underwriters laboratory

life safety code

The BEST investment vehicle for funds that must remain liquid is usually a - treasury bond - money market fund - certificates of deposit - interest bearing checking account

money market fund

When a resident who is not covered by medicare place money in a resident trust fund, the facility is ___ - required to pay interest if in an interest bearing bank account - required to pay interest only if contains more than $50. - always required to pay interest - never required to pay interest

-required to pay interest only if contains more than $50.

The facility kitchen must be open a minimum of _ hours a day - 8 - 12 - 16 - 24

No more than ___ hours can pass between the evening meal and breakfast with a snack - 12 - 14 - 16 - 24

16 ASK JOSH

The INITIAL comprehensive assessment must be transmitted to the state within __ days of completion of the assessment - 5 - 7 - 14 - 21

After the initial comprehensive assessment is transmitted to the state, the comprehensive assessments for all residents must be transmitted to the state every __ days thereafter - 14 - 30 - 60 - 90

With regard to budget preparation, which is true - projected income and operating expenses should be established so that operating expenses remain within the amount established for income projections - income projections should always be increased to at least the projections of expenses - When projecting expenses one must make a careful review of liabilities - income and expense budgets have no relations to one another

-income projections should always be increased to at least the projections of expenses

Which federal law governs union elections - norris laguardia - wagner - taft hartley - landrum griffin

taft hartley

An individual cannot make more than $___ in income each month to qualify for medicaid - $2000 - $1860 - $1530 - $2500

-$1860

Under the quality indicator reports system which is not a QI report - facility quality indicator profile - resident level summary - resident choice summary - facility characteristics

-resident choice summary

If a union wishes to renegotiate a contract with an employer it must notify the employer within how many days of the expiration date - 120 - 90 - 60 - 30

Which of the following enforces the LSC - ANSI - NFPA - CMS - STATE licensing agency

state licensing agency

All meals are prepared in accordance with the orders of the - resident - attending physician - medical director - dietician

attending physician prepared is usually dietician!?

What are the best types of questions to ask in a job interview - closed ended - open ended - directed - only pre approved

open ended

Which part of Medicare do you have to enroll in an pay a monthly premium - A - B - C - D - all

The __ is responsible to develop and implement policies - NHA - department heads - governing body - state licensing agency

governing body

The ___ is responsible to make critical decisions for the facility - state licensing agency - NHA - dept heads - governing body

governing body

OSHA for 300A must be posted during what tie frame each year - jan 1 through march - feb 1 through april 30 - feb 1 through march 31 - jan 1 through jun 1

-feb 1 through april 30

Which taxes fund the social security program - FUTA - Federal Income Taxes - FICA - FWCTA

FICA

A worker is entitled to COBRA benefits for ___ months - 12 - 14 - 16 - 18 - 24

A worker is entitled to __ weeks of unemployment benefits - 12 - 18 - 24 - 26 - 36 - 48

The length of a smoke compartment cannot exceed __ ft - 100 - 150 - 200 - 250

150

Which federal survey is the complaint survey - standard survey - extended survey - partial extended survey - abbreviated standard survey

abbreviated standard survey

OSHA records other than OSHA medical records must be kept for __ years - 5 - 7 - 10 - 15

A significant change must be completed within __ days - 7 - 14 - 21 - 30

A facility has __ days to file for a formal administrative hearing - 10 - 20 - 30 - 40

Which financial document would tell the administrator the net worth of the company - PL - income statement - balance sheet - GL

balance sheet

Which document summarizes the debits and credits - PL - income statement - balance sheet - GL

Which GAAP principle prohibits a shareholder or employee from taking money or assets from a company without recording those transactions - entity - continuing concern - conservatism - objective

entity

Developing and implementing facility specific programs that help ensure safety of employees is a responsibility of the NHA. the safety program in the nursing home would fall under which program - risk management - material safety data - accident reporting - life safety code

-risk management

A ___ is a person who is certified as a registered records administrator (RRA) or a health information technologist or accredited record technician by the American health information management association - medical record clerk - medical record practitioner - medical ward clerk - clinical practitioner

-medical record practitioner

A resident was admitted to a facility on June 1. The initial comprehensive assessment was completed on june 21. The comprehensive assessment was - timely - late

late

A resident was admitted on June 5 her attending physician documented a visit on july 15. the physicians visit was - late - timely

timely

Which of the following is responsible to schedule the disposition of medications - NHA - Med Dir - consultant pharmacist - DON

-consultant pharmacist

A facility must have a ___ day emergency supply of food - 5 - 7 - 10 - 14

The timeframe to report the results of an abuse investigation to the state licensing agency is - 3 - 5 - 5 working days - 7 - 10 working days

5 working days

Which of the following is passed by a town or city - statute - regulation - ordinance - bylaw

ordinance

If a resident loses money in their resident trust fund, which of the following would compensates them for their loss - professional insurance - liability insurance - a surety bond - property insurance

-a surety bond

What is the difference between restorative nursing and skilled therapy - licensed therapists provide skilled therapy and licensed nurses provide restorative nursing - licensed therapists provide both restorative nursing and skilled therapy - nursing aides provide restorative nursing and licensed therapists provide skilled therapy - recreational therapists provide restorative nursing and licensed therapists provide skilled therapy

-nursing aides provide restorative nursing and licensed therapists provide skilled therapy

A resident who is not a medicaid resident must have their resident funds deposited in an interest bearing account when their funds total $___ or more - $25 - $50 - $100 - $200

$100

What is the acid test ratio - cash plus accounts receivables- current liabilities - cash + accounts receivables +money market account / current liabilities - cash + accounts receivables + money market account-current liabilities - current assets / current liabilities

-cash + accounts receivables +money market account / current liabilities

Which of the following is a facility not required to do - display information on how to apply for medicaid - notify residents when their trust funds reach $500 of SSI limit - honor resident requests to manage their trust funds - arrange private space for residents to meet with family and friends

-notify residents when their trust funds reach $500 of SSI limit it is $200

If a chlorine sanitizer is in a three compartment sink, the concentration of chlorine must be at least ___ppm - 110 - 120 - 125 - 150

125

Soiled linens must be washed in hot water at ___ deg f minimum 25 minutes - 110 - 120 - 140 - 160

160

Which federal law prohibits a medicare provider from paying for referrals - robinson patman act - sarbanes oxley - ethics in patient referrals - bowles simposn act

ethics in patient referrals

must have emergency battery power for at least __ hours - 1 hour - 1 1/2 hours - 2 hours - 2 1/2 hours

1 1/2 hours

which federal law prohibits a medicare provider from self referring patients to diagnostic center they own or fixing pricers for services provided to medicare beneficiaries - robinson patman act - sarbanes oxley - ethics in patient referrals - bowles simposn act

-robinson patman act

How many hours of nursing time do you need per resident per day - 1.5 - 2.0 - 3.0 - 4.0

3 ASK JOSH

Which of the following would be used as a log to report employee injuries to OSHA - OSHA 300 - OSHA 300A - OSHA 301 - OSHA 801

300

A recipient can collect unemployment benefits for __ weeks - 13 - 18 - 26 - 52

If a resident has a significant change in condition the facility must notify family and the attending physician within what time frame - 24 - 36 - 48 - 72

Employee time cards must be retained for __ - 1 year - 2 years - 3 years - 6 years

2 years

The air in a nursing home must be changed every ___ minutes - 3 - 6 - 10 - 15

Under OBRA 1987 a medicaid resident is entitled to __ days of paid leave for hospitalization - 5 - 7 - 10 - 14

Under OBRA 1987 a medicaid resident is entitled to __ days of paid leave for therapeutic leave - 5 - 7 - 10 - 14

Euthanasia is a __ death - easy/good - bad - criminal - painful

easy/good

Pots and pans sanitized using just hot water is sanitized in a 3 compartment sink them must be submerged in hot water at a minimum temperature of __F for 20 seconds - 140 - 150 - 170 - 180

170

A low temperature dishwasher may use bleach as a sanitizer provided the concentration of bleach is at least __ PPM - 15 - 50 - 75 - 100

If a resident in rehab is not walking the resident should be __ - offered a wheel chair - offered a cane - offered a walker - confined to bed - dc from skilled therapy

offered a walker

Toe clearance is - 9 - 12 - 19 - 24

9 knee is 19

A fire exit sign must be spaced no more than __ ft apart - 50 - 75 - 100 - 150

100

Accounts recievables over 60 days past due must not exceed ___% of all AR - 5 - 10 - 15 - 30

Which of the following is the best method to control monetary risks in a nursing home - provide good outcomes - purchase insurance - form a risk management team - dc troublesome residents

purchase insurance

must notify residents within __ days of any change in laws, facility policies or changes in charges - 7 - 14 - 21 - 30

Which of the following is the tag for a life safety violation - N - F - G - K

What is the fire rating of walls in a smoke compartment - 1 - 1 1/2 - 2 - 4

2 hours

A resident taking __ or more drugs needs a quarterly evaluation - 7.2 - 9 - 11 - 13

What percentage of residents must be interviewable to participate in surveyors interviews of facility residents - 10% - 25% - 50% - 100%

-50%

If a CEO or director is sued which of the following would cover the facility - professional liability - officers and directors insurance - business interruptions insurance - a surety bond - property insurance

-officers and directors insurance

When an asset can be quickly converted to cash without appreciable loss it is said to be - transferable - convertible - liquid - current

liquid what is the difference between liquid and convertible???

Which of the following is NOT recommended as part of an infection control program -infection log -abx log 0infection record individualized for each resident -facility floor plans used to track outbreaks

-abx log

Door locks engaged by wandering residents can only worked for how long - 15 seconds - 30 seconds - 1 minute - doors are never allowed to be locked

-15 seconds

Which of the following is permissible as part of an admission contract - third party guarantee of payment - waiver of the right to receive medicaid - mandatory charitable contributions - requirement of arbitration to resolve legal conflicts

-third party guarantee of payment ASK JOSH ARBITRATION?!

Under which situation would a MDS not need to be completed - a residents payor is private pay - a resident on insurance only stays for 21 days - a resident on medicare stays for 12 days - a resident on medicaid stays for 12 days

-a resident on medicare stays for 12 days

OBRA87 requires what of dietary managers - licensure as a registered dietician - certification as a certified dietary manager - completion of a state approved course - the ability to communicate with a qualified dietician

-the ability to communicate with a qualified dietician

Which of the following indicates a significant weight loss - 5% over 3 months - 7.5% over three months - 7.5% over six months - 10% over twelve months

-7.5% over three months

Which is not an OBRA approved indication for anti psychotic usage - hiccups - itching - schizophrenia - wander

itching

Which therapist would be able to best help a post stroke resident with aphasia who needs to improver her ability to use her hands (for buttoning and fastening clothing, turning on/off water faucets etc) - recreation therapist - PT - OT - SLP

Residents do NOT have which of the following rights - immediate access to the secretary of the US department of Health and Human services - refuse to participate in research which consists only of aggregated statistics - the right to work for a facility - the right to self administer medications

-immediate access to the secretary of the US department of Health and Human services

One of the current proposals regarding the developmentally disabled stresses changing the emphasis i active treatment to - independent living - occupational therapy - acquiring social skills - individual operating as sole proprietors

-acquiring social skills

The Resident Self Determination act should be - enforced by the social service dept - discussed during the resident assessment - mailed out annually to all residents and families - given to the resident and family at the time of admission

-given to the resident and family at the time of admission

A curator as used in civil law equates to a - payee - guardian - next of kin - family member

guardian

Who is responsible for implementation of the resident care policies in the facility - medical director - DON - the assessment team - NHA

Medical director

The physician must write, sign and date progress notes - each month - at each visit - as deemed necessary - monthly for the first 90 days

at each visit

care plans address activities that are appropriate for each resident based on which of the following - age and sex of the resident - comprehensive assessment - former lifestyle of the resident - recommendations of the nursing staff

-comprehensive assessment

Which of the following would not usually be a primary interdisciplinary team member - activity director - rehabilitation staff - nursing facility administrator - therapeutic recreation staff

-nursing facility administrator

The resident activity director has many roles and duties. However the first responsibility should be - maintaining adequate records - planning and organizing activity programs - preparing care plans and writing progress notes - completing the assessments and identifying the interests and needs of the residents

-completing the assessments and identifying the interests and needs of the residents

Medical records are also referred to as clinical records and are utilized by various members of the staff. however the person ultimately responsible for accurate and adequate medical records is the __ - NHA - DON - attending physician - Medical records librarian

-Medical records librarian

Medical records may be released by written permission of the resident and if required by any of the following except - court order - attorney at law - third parting contract including medicare - another nursing home to which the resident is being transferred

-attorney at law

Stop order procedures were formerly developed by the pharmaceutical service committee but are now developed by the - pharmacist - medical director - pharmacist and the medical director - pharmacist and the DON

-pharmacist and the medical director

According to OBRA the facility is required to offer therapeutic activities that - must included games and crafts - support maintain and empower - are first approved by the medical staff - are based upon past interests and hobbies

-are based upon past interests and hobbies

Which of the following statements relative to range of motion is incorrect - passive ROM is performed by the resident - active ROM is performed by the resident - adequate preventive care must include ROM - active assistive ROM exercise are performed by the resident and the staff

-passive ROM is performed by the resident

Placing a message in an oral form or in written words, a diagram, picture or chart is called - encoding - decoding - formatting - transmitting

encoding

Under FMLA if paid leave is provided by the employer - company rules apply in lieu of FMLA - the employee is not eligible for coverage under FMLA - the rate paid to the employee must equal the employees current salary - the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the act

-the employer can require the employee to substitute eligible leave for any part of the 12 weeks required by the act

What is the average daily absentee rate for a facility with a total of 80 full time employees and 184 lost workdays or absences during a 60 day period - 2.3 - 2.5 - 2.6 - 3.8

-3.8

EEOC enforces all of the following laws except the - equal pay act - fair labor standards act - title VII of the Civil rights acts - age discrimination in employment act

-fair labor standards act

Under COBRA continuation of employee group medical insurance must be offered except if the - employee retires - employees marriage is dissolved - employees work hours are reduce - employee is fired for gross misconduct

-employee is fired for gross misconduct

The income of a proprietary corporation remaining after all costs, taxes, and dividends have been paid is known as - profit - net profit - gross income - retained earnings

retained earnings

Which of the following is not a primary source of health care malpractice suits - breach or violation of a contract or promise - rendering substandard or poor quality care - failure to obtain effective consent before intervening in the life of a resident - agreeing to withhold prescribed treatment at the request of a competent resident

-agreeing to withhold prescribed treatment at the request of a competent resident

Which of the following ratios will reflect the facility's ability to meet obligations - ROI - Equity ratio - current ratio - acid test ratio

-current ratio

``` A fiscal intermediary is usually -a cpa -hmo -insurance company state nursing home association ```

-insurance company

Payroll checks should include all of the following information except - gross pay - FICA deductions - income tax witholdings - federal unemployment tax

federal unemployment tax

The most common accident occurring to employees in a health care facility is caused by - lifting - burns - falling - lacerations

lifting

According to Safe Medical Device Reporting user facilities must keep records for - 1 year - 2 years - 3 years - 5 years

2 years

Hazardous communication programs, hep B, HIV immunization, and universal precautions are all enforced by - ANSI - DHHS - OSHA - EEOC

OSHA

HIPAA requires nursing homes to - give hospitals immediate access to a residents records - employ a person who handles all HIPAA requirements - have written policies and procedures to ensure the protection of clinical records - have a family member or legal representative approve all transfers of resident clinical information

-have written policies and procedures to ensure the protection of clinical records

Which of the following is paid for under part B of medicare - dentures - prostheses - eye glasses - hearing aids

prostheses

Which of the following does not license, register, or certify professionals such as nurses and therapists - associations - state boards - state agencies - federal government

federal government

disclosure of ownership is not required of - corporations - governmental agencies - non profit organization - individuals operating as sole proprietors

-governmental agencies

all of the following are usually functions of the governing body of a health care facility except the - funding sources - organizational structure - creation of a mission statement - creation and implementation of procedures

-creation and implementation of procedures

It is considered a good administrative practice in a nursing facility to adopt regulations covering emergency nursing care for residents who may suffer acute coronary attacks. which one of the following approaches to assuring such care is likely to be most effective - brain signed standing cardiac orders for all residents in advance - frequently review standing orders for a procedure to be followed in the event of such an emergency - institute an ongoing in service training program to teach the nursing personnel the use of cardiac monitoring equipment - insist that all physicians who admit residents with histories of cardiac disorders write cardiac orders at the time of admission

-insist that all physicians who admit residents with histories of cardiac disorders write cardiac orders at the time of admission

A basic management principle is to put one person in charge when there are - two or more - three or more - five or more - seven or more

-three or more

Goal orientation focuses on - missions - strategies - controlling - future accomplishments

-future accomplishments

Purpose or mission is the basic task assigned to an enterprise by - law - society - ownership - the board of directors

-the board of directors

The maximum number of shareholders in a closely held corporation is - 25 - 50 - 100 - 250

-50

Title XVIII of the social security act is - nursing home reform act - home health care act - medicaid - medicare

medicare

___ mandates that policies in nursing homes must be approved by the governing body - CMS - OSHA - OBRA - EEOC

OBRA

Facility policies must be updated how often - annually - quarterly - monthly - as requested by the governing body

annually

If surveyors find substandard care during a complaint survey, the facility will be then subject to a __ survey - standard survey - abbreviated standard survey - extended survey - partial extended survey

partial extended survey

A violation cited of a severity of G would correspond to which severity level per OBRA 1987 - 1 - 2 - 3 - 4

ANSI establishes the - schedule for fire drills - availability for water source and supply - width of a parking space for the handicap - requirement for at leas one window to the outside for every room

-width of a parking space for the handicap

A ___ tag would indicate substandard care was found - F250D - F371 E - F377J - F251F

-F377J

Prepaid insurance is what type of expense - indirect - capital - direct - ancillary

indirect

A general statement that guides thinking is a - plan of action - mission statement - policy - procedure

policy

Revenue - expenses= - income - equity - liabilities - assets

income

Employers with __ or more employees must maintain a record of occupational illnesses and injury - 10 - 11 - 15 - 20

A smoke proof enclosure must have a ___ hour fire resistance and a door with ___ hour fire protection rating - 1, 1 1/2 hour - 2, 1 1/2 hour - 1 1/2, 1 hour - 1/2 hour, 2 hour

-2, 1 1/2 hour

Except for the bathroom door, all other doors in a facility must be a minimum of __ inches wide - 32 - 36 - 40 - 44 - 48

The distance within a residents room to an access corridor cannot exceed ___ feet - 50 - 100 - 150 - 200

50 Room to door 50 Door to exit 150 Room to exit 200

the travel distance within any patient room to an exit door cannot exceed - 50 - 100 - 150 - 200

200 Room to door 50 Door to exit 150 Room to exit 200

The bathroom door in the resident room must be a minimum of __ inches wide - 24 - 30 - 32 - 40 - 44

Influenza vaccinations for all residents age 65 and over must be offered between ___ and ___ each year - Mar1 -June 1 - Feb 1- March 1 - Nov 1-Feb28 - Oct1-March31 - prior to or upon admission

-Oct1-March31

pneumococcal vaccinations for all residents age 65 and over must be offered between ___ and ___ each year - Mar1 -June 1 - Feb 1- March 1 - Nov 1-Feb28 - Oct1-March31 - prior to or upon admission

-Nov 1-Feb28

PRN means - prescribed pro rata - pro re nata - pro res needed - pre res nata

-pro re nata

A gradual loss of hearing in the elderly resulting in total hearing loss is called - auditory diminution - tinnitus - presbycusis - prophylaxis

presbycusis

___ publishes and promotes the life safety code - OSHA - NFPA - ANSI - ADA

-NFPA

FLSA does not __ - govern OT and minimum wage - govern child labor - set minimum hourly wage rate - require employers to provide 12 weeks of unpaid family leave

-require employers to provide 12 weeks of unpaid family leave

Under FLSA a worker cannot accrue more than ___ hours of compensatory time in a single year - 140 - 240 - 340 - 350

240

Hallways used for exiting must be a minimum of ___ wide and unobstructed - 3 - 5 - 6 - 8 - 12

-8

Current assets divided by current liabilities = - acid test ration - quick ratio - net profit - current ratio - working capital

-current ratio

Therapeutic diets are prescribed. by a __ and approved by a ___ - physician / dietician - dietician / physician - nurse / dietician - dietician/ pharmacist

-physician / dietician

what is the width of a single wheelchair - 29 - 30 - 32 - 36 - 44

30 ASK JOSH SHOULD BE 32

To determine net worth of a publicly traded company an investor would look at which financial statement to determine the financial well being of the company - income statement - PL - ledger - balance sheet

balance sheet

``` If the administrator wants to see the facility's. net worth he would look at the -balance sheet -PL Income statement -both 2 and 3 ```

-balance sheet

The main purpose of a PASRR is - the facility gets paid a higher reimbursement if a resident is diagnosed with either - a facility cannot admit a resident with either diagnosis for any reason - medicaid will not pay to keep someone in a nursing facility if their only diagnosis is mental illness or a DD wand they have no other condition requiring skilled care - a nursing facility cannot meet the needs of a resident with mental illness of DD

-medicaid will not pay to keep someone in a nursing facility if their only diagnosis is mental illness or a DD wand they have no other condition requiring skilled care

an investor would look at which financial statement to determine the financial well being of the company - income statement - pl - balacne sheet - ledger

balance sheet

a list of the contents of each emergency medication kit must be kept - outside the kit - inside the kit - in the office of the DON - in medication administration record

-outside the kit

A medication order not specifically limiting the time or number of dose must__ - be followed until changed by the prescriber - be automatically stoped - be stopped if ordered by the medical director - all of the above are correct

-be automatically stoped

Medications must be administered by - the licensed prescriber - licensed nurse - the same person who prepared the doses for administration - pharmacist

-the same person who prepared the doses for administration

A metal step type product thermometer with a digital or numerical scale and accurate to plus or minus __ degF must be used to check internal food temperature - 1 - 3 - 4 - 5

The middle compartment of a 3 compartment sink contains - hot detergent - fresh water - sanitizing solution - cold water

fresh water

A therapeutic diet must be ordered by a - licensed physician - dietician - dietary manager - ombusdsman

licensed physician order/prescribe = physician

Each diet change must be ordered by the - dietary manager - dietician - physician - speech therapist

licensed physician order/prescribe = physician

A resident's chart should document progress in attaining goals set by the - cms - state surveyors - resident - nursing staff

resident

Which of the following is responsible for the implementation of policies and procedures that pertain to resident care and treatment - nha - don - medical director - governing body

medical director

Therapeutic activities for residents are provided by the - activities dept - licensed therapists - nursing dept - all of the above

-activities dept

Which federal law establishes adverse impact as the current standards for discrimination in employment - civil rights act - equal pay act - EEOA - FLSA

EEOA

Workers compensation premiums depend on which of the following factors - risk class of the occupation - the claims experience of the facility - stae regulations - total amount of payroll for bot FT and PTE - all of the above

-all of the above

___ is a legend medication - aspirin - milk of magnesia - mineral oil - vicodin

vicodin

Plumbing fixtures that require hot water and that are accessible to resident must be at least ___ degF - 90 - 100 - 110 - 120

110

Meal service operations must be separated from living and sleeping quarters by complete ceiling high walls, and self closing door made of ___ inch solid wood core - 1 - 1 1/2 - 1 3/4 - 2

-1 3/4

Specific and authoritative guides to specific action are called - procedures - guidelines - policies - rule

procedures

which federal law requires a facility to inform residents of their right to make an advanced directive - OBRA 1987 - patient self determination act - patient decision and directives act - false claims act

-patient self determination act

What does current ration mean - whether a facility can meet its long term obligation - whether a facility can meet its current obligations - whether a facility can pay its non current obligation - whether a facility will have enough money to pay its bills

-whether a facility can meet its current obligations

Exercising limited authority or a specific restricted function is called - line authority - staff authority - functional - advisory

functional

The daily census form is produced by - nursing - bookeper/bom - admin - social worker

bom form is bom report is nursing

the average accounts receivables collection ratio is calculated as - 365xnet operating revenues/account receivables - 365x account receivables/net operating revenues - 365x account receivables/ gross operating revenues - 365x accounts payables/ net operating revenues

-365x account receivables/net operating revenues ARNOR

The formula to calculate the average time it takes to pay the facility supplies expense - accounts payables/supplies expensex365 - 365x supplies expense/accouts payables - supplies expensex accounts payables/365 - 365 x accounts payables/supplies expense

-365 x accounts payables/supplies expense

A person paralyzed on one side of their body would benefit from which type of therapy - PT - OT - SLP - Respiratory therapy

General statements which guide thinking are - procedures - guidelines - policies - rules

policies

What does a quick ratio calculation tell an administrator - whether a facility can pay its long term obligations - whether a facility can pay its current obligations - whether a facility can pay its non current obligations - how much the facility has available immediately to pay urgent bills

-how much the facility has available immediately to pay urgent bills

Which of the following would be an example of a tort - facility double billed medicare - nursing aide charged with abuse - violation of state and federal regulations - facility administered the wrong treatment

-facility administered the wrong treatment

Who licenses nursing homes - the state - federal govt - JCAHO - cms

-the state

how long do you keep assessments in the residents medicals record - 1 month - 12 months - 15 months - 24 months

-15 months

which of the following would show the liquidity of a facility - income statement - balance sheet - general ledger - chart of accounts

-balance sheet

Which budget forecasts cash receipts and disbursements for each month during the budget year - cash budget - operating budget - capital budget - ancillary budget

-cash budget

which of the following has staff authority - supervisor exercising supervision his direct subordinate - nha giving direction to don - maintenance director giving direction to maint. assit - OTA having a conversation with a housekeeper

-OTA having a conversation with a housekeeper

What is an integrated budget - a budget that is done for each separate dept and then consolidated into one - combination of operating budget, capital budget, and cash budget - budget that combines the operating budget and capital budget - budget that combines a cash budget and capital budget

-combination of operating budget, capital budget, and cash budget

The primary function of the safety committee is - worker safety - resident safety - infection control - to minimize money losses

worker safety

Two employees working 1040 hours each per year and share a position are considered which of the following - 1FTE - 2FTE - per diem - part time - salaried employee

1FTE

an employee on an 8/80 schedule would accrue OT after - 30 - 40 - 60 - 80

Which of the following is an antipsychotic side effect - drowsiness - hallucination - confusion - blurred vision

-hallucination

The responsibility to provide services that respect an individuals dignity and uniqueness relates most directly to the ethical principle of - compliance - autonomy - privacy - benevolence

autonomy

Which of the following statements is correct - ANSI is. a voluntary law - ANSI is a mandatory law - ANSI is a state law - ANSI is enforced by OSHA

-ANSI is a mandatory law

If SSI is $840 the facility must inform residents when their account reaches - $2000 - $840 - $640 - $240

$640

A physician visit is timely if it occurs within ___ days of a required visit - 5 days - 10 days - 15 days - 30 days

10 days

End of life care that focuses on making a patient comfortable is called what kind of care - hospice - pallative - accute - respite

pallative

The advantage of doing moderate exercise for aging adults would not include which of the following - remove extra body fat and build muscle - improving longevity - improving blood flow - preventing the likelihood of heart attack and strokes

-preventing the likelihood of heart attack and strokes

with respect to the care of an incontinent resident which of the following statements would be correct - incontinence is irreversible - incontinence can be reversed with a proper program and increased exercise - incontinence can be reversed with a proper program and decreased exercise - incontinence can best be treated with briefs and pads

-incontinence can be reversed with a proper program and increased exercise

who decides HOW to alter food to conform to a mechanically altered diet - physician - food service manager - dietician - rn

dietician

individuals and organizations that have a financial interest in the nursing home are called - stockholders - stakeholders - intersted parties - all the above

stockholders

a railing in a stairway must be between ___ and ___ in - 30-34 - 32-26 - 34-36 - 34-38

-34-38

the best way for the ha to audit the maintenance in the facility is - review preventative maintenance logs - mbwa - monitor resident complaints - review maintenance repair bills

mbwa

which fire extinguisher will put out a fire from a gas range - A - B - C - ABC

ABC

Strategic planning takes how many years - 1year - 1-2 years - 3-5 years - all the above

3-5 years

At a minimum who would be invited to a care conference - just the resident - resident and family - family - resident and attending physician

-resident and family ASK JOSH

A resident has the right to see their medical records within what frame - 24 hours of the request - 48 hours (excluding weekends and holidays) - 24 hours (excluding weekends and holidays - 10 days

-24 hours (excluding weekends and holidays

The primary advantage to an 8/80 scheduling is that it helps with - payroll records - more adequate staff scheduling - assignment of duties - preventing absenteeism

-assignment of duties

The social work designee should be expected to - assign and supervise volunteers - assist residents and family to use community resources - assist nursing services when needed - assist the patient activities coordinator with recreational activities

-assist residents and family to use community resources

To find the amount paid for salaries on a complete financial report the administrator should look at - sales journal - balance sheet - statement of funds - income and expenses

-income and expenses

The infection control committee should hold a meeting at least - monthly - annually - weekly - quarterly

-quarterly ASK JOSH

When an asset can be quickly converted to cash without appreciable loss it is said to be - transferable - convertible - liquid - current

liquid WHAT IS DIFFERENCE BETWEEN LIQUID AND CONVERTIBLE

In developing. agood public relations program it is not necessary to - involve all staff - get involved in community affairs - hire a public relations specialist - develop visibility

-hire a public relations specialist

What is the main purpose of the life safety code - to ensure that there is a reasonable degree of safety from a fire in all buildings used by the public - to outline specific programs for fire safety and control - to ensure that the local fire departments help develop and approve fire control plans - to develop minimum standards for health and safety in public facilities

-to ensure that there is a reasonable degree of safety from a fire in all buildings used by the public

What is the most costly employee benefit - vacation - sick leave - health insurance - none of the above

vacation ASK JOSH

A line authority position is characterized by which one of the following - decision making vested in the supervisor - supervisor performs advisory functions - supervisor disciplines employees - the individual assists the department head

-decision making vested in the supervisor

Responsibility for education of employees in the nursing home on maters of various rules and regulations falls to - department of public instruction - owner of the nursing home - nursing home admin - don

-nursing home admin

Which of the following cannot be used in pest control - underground poisoned baits - open traps - spray pesticides - non aresol pesticides

open traps

today nursing homes are becoming more involved in - staffing - marketing - cost management - developing ancillary services

marketing

A budget is best defined as a - summary of financial obligations - balance sheet regarding the financial operations - plan stating in financial terms the anticipated results for a given future period of time - plan by which the administrator can accurately predict the financial conditions at the end of the year

-plan by which the administrator can accurately predict the financial conditions at the end of the year

A corporation is - a legal entity created by law to carry on a business profession - an agreement between 2 or more persons to carry on a business - a type of limited partnership - joint venture

-a legal entity created by law to carry on a business profession

Which of the following holds little promise for improving job satisfaction for technical and professional personnel - job rotation - an improved program of performance review - an improved selection and placement program - improvement in communication and justifiable employee participation

-job rotation

An individual who is retained by a facility as a consultant and cannot give direction to others has which type of authority - line - staff - advisory - supervisory

-advisory

When a medication is discontinued it should be - removed from nursing unit - saved in case it is recorded - destroyed within 24 hours - destroyed within 48 hours

-removed from nursing unit

``` Walls in a smoke compartment must be rated -A -B -C A and B -A and C -ABC ```

ABC

The travel distance in a smoke compartment is ___ feet - 50 - 100 - 150 - 200

200

A medicare provider who has been terminated under 42 CFR 489.53 wishes to be reinstated. which of the following must be used to verify that the provider is capable of achieving and maintaining substantial compliance with all applicable participation requirements - reasonable assurances of compliance by the facility - the use of the best practices - administrative law - the use of surveys verify compliance

-the use of surveys verify compliance

The minimum width of an interior door in the smoke compartment is ___ feet wide - 34 - 40 - 44 - 48

-44

Debt to asset ratio is calculated by which of the following - current liabilities + noncurrent liablities / by total assets - noncurrent liablitites /total assets - current liabilities /current assets - current liabilities/total assets

-current liabilities + noncurrent liablities / by total assets

What is ramp treatment for an incline 1/2 an inch or more - installing hand rails on one side - installing handrails on both sides - building the ramp at grade level on both sides - install a beveled edge on either side per the ADA

-installing handrails on both sides OVER 1/2 INCH IS RAMP?!

Which of the following describes a 'claims made policy' - only pays claims that are submitted for losses while the policy is in effect - pays for any claims which occurred during the period the policy was in effect, even if submitted after expiration of the policy - pays for all claims regardless of when the loss occurred - all of the above

-only pays claims that are submitted for losses while the policy is in effect

High forward reach from a wheelchair is - 36 in - 40 in - 48 in - 54 in

Cubicle curtains must be made of ___ material - fire retardant - fire resistant - fire proof - non combustible

-fire retardant