PRACTICE TEST MISSED Flashcards
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
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
The ___ has legal responsibility ot adopt and implement facility policies
- medical director
- DON
- governing body
- administrator
Governing body
HCFA stands for
- health care financing authority
- health costs financing administration
- health care financing administration
- health care financing agency
Health care financing administration
The resident’s quality of life and physical condition is the focus of
- structure
- process
- outcomes
- all of the above
All of the above
Grab bars and railings must support a minimum weight of ___ pounds
- 100
- 150
- 200
- 250
250
The average short term stay for a Medicare resident is __
- 15 days
- 30 days
- 45 days
- 90 days
30 days
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
A broad statement of goals is a ___
- plan of action
- mission statement
- policy
- procedure
Policy
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
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
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
____ publishes and promotes fire safety in nursing homes
- OSHA
- NFPA
- ANSI
- ADA
NFPA
The Americans with Disabilities Act construction standards were developed by___
- NFPA
- ANSI
- Architecture and Transportation Barriers Compliance Board
- EEOC
ANSI
enforced by ATBCB
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
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
The federal nursing home certification survey program has a total of ___ different survey types
- 1
- 2
- 5
- 7
5
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
____ 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
Implementation of a TQM program takes between ___
- 1-2 years
- 2-5 years
- 5-10 years
- 10-15 years
5-10 years
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
Minimum clear width for a single wheelchair is ___’ continuously and ___’ at any one point
- 24’,32’
- 36’,32
- 34’,29’
- 32’,46’
36’,32’
There must be a passing space in an accessible route for wheelchairs every ___ feet
- 100
- 150
- 200
- 400
200
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
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
0
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
11
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
3
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
26
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
36
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
1
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
I
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
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
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
3
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
14
A facility must maintain ___ months of assessments in a residents active medical chart
- 6 months
- 12 months
- 15 months
- 18 months
15
Within __ days of completing an assessment the facility must electronically transmit the assessment data to the state
- 7
- 10
- 14
- 21
7
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
36
How many triggers are in the Care Area Assessment
- 10
- 15
- 18
- 20
- 25
20
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
x
The assumption that workers naturally enjoy work is theory
- w
- x
- y
- z
y
