QUESTIONS 1-50 Flashcards
Who is responsible for the national licensure examination for nursing home administrator?
- NHAP
- CAHF
- NAB
- PES
NAB
What is the crucial element for doing well on the examination?
- Sound knowledge of federal regs
- Sounds understanding of state and fed regs
- Memorizing the pertinent study material
- Sound understanding of task required of an administrator and knowledge and skills needed to perform that task
Sound understanding of task required of an administrator and knowledge and skills needed to perform that task
What Act in 1935 was eventually amended to require states to establish programs for licensing nursing home administrators?
- Older Americans Act
- Social Security Act
- Wagner Act 1935
- Fair Labor Standards Act
Social Security Act
What percentage of nursing homes are Medicaid facilities?
- 60-70%
- 75-80%
- 85-95%
- 40-50%
75-80%
The field of study that examines the economic, social and psychological aspects of aging is called?
- Psychology
- Gerontology
- Psychiatry
- Geriatrics
Gerontology
The professional destination of those that specialize in the diagnosis, management and prevention of disease and chronic illness of the elderly population is know as what?
- Psychology
- Gerontology
- Psychiatry
- Geriatrics
Geriatrics
A discrimination of prejudice action towards a person because of age is known as what?
- Passing judgement
- Ageism
- Inappropriate
- New ageism
Ageism
Staff having tendency to patronize the elderly and be overly solicitous towards them is most descriptive of what?
- Passing judgement
- Ageism
- Inappropriate
- New Ageism
New Ageism
What are the dimensions of aging viewed by gerontologists?
- Mental, physical, emotional
- Social, psychological, biological, chronological
- Psychological, biological, chronological
- Social, biological, chronological
Social, psychological, biological, chronological
What is the fastest growing older population?
- Young - old 65-74
- Old - old 75-84
- Oldest - old 85 and older
- Young - young 55-64
Oldest to old 85 and older
Why are there more women than men in nursing facilities?
- Genes and DNA
- Longer life expectancy and lack of spouse as a care giver
- Better health habits
- Lower rate of heart disease
Longer life expectancy and lack of spouse as a care giver
Changes that occur in sensory and perceptual processes, mental functioning (e.g. memory, learning and intelligence), adaptive capacities and personalities are what type of aging?
- Biological
- Social
- Psychological
- Chronological
Psychological
What are the most common dementias?
- Organic Brain Syndrome and Vascular Dementia
- Alzheimer’ Disease and Vascular Dementia
- Alzheimer’ Disease, Parkinson’s and Vascular Dementia
- Alzheimer’s Disease and Organic Brain Syndrome
Alzheimer’s Disease and Vascular Dementia
What best describes what and Administrator has to balance?
- Therapy, Activities, Rehab, Residents Rights
- DHS, Governing Body, Licensee, Turnover
- Resident and family needs, high quality of care standards, Fed and State regs, financial constraints, internal operations and staff issues
- Nursing services, Social services, Nutrition, Pharmacy
Resident and family needs, high quality of care standards, Fed and State regs, financial constraints, internal operations and staff issues
What is most descriptive of ensuring a residents’ dignity during care?
- Drawing the curtains, covering catheter bags, clean after meals
- Ensuring a feeling of dependence
- Ensuring a feeling of independence
- Not explaining why you are about to physically touch a resident
Drawing the curtains, covering catheter bags, clean after meals
A planned, systematic program that focuses on helping older adults obtain and maintain their highest level of functional performance and wellness is the best definition of what?
- Resident care
- Quality of care
- Restorative care
- Quality of life
Restorative care
Who is involved in restorative care?
- PT, Nursing, Physician, CNA
- All disciplines
- Social Services, Activities, Psychologist
- Administrator, Dietary, OT, ST
All disciplines
Which of the following is the most important as a key element for success?
- Component and knowledgeable staff
- Staff turnover
- Excellent activities department
- Communication
Communication
What must a facility do if a resident refuses a planned meal and the alternate?
- Document the refusal
- Notify the physician
- Offer an alternate meal with similar nutritional value
- Document the refusal and notify the physician
Document the refusal and notify the physician
Any outbreak of illness related to the Dietary department should be reported to the local health unit and records should be kept to help with the follow up.
TRUE OR FALSE
TRUE
Who is responsible for monitoring drug administration, storage, labeling, receipt and disposition and reconciliation?
- Pharmaceutical Committee
- Patient Care Committee
- Quality Assurance Committee
- Patient Safety Committee
Quality Assurance Committee
What limits or prevents the fulfillment of one or several roles regarded as normal depending on age, sex, social and cultural factors?
- Disability
- Age
- Impairment
- Handicap
Handicap
There are many factors that make a person more vulnerable to the stresses of rehab but age is not one of them.
TRUE OR FALSE
FALSE
A therapist who focuses on functional performances in daily activities is called a what?
- OT
- PT
- ST
- RT
OT
A service providing treatment and prevention of neuromuscular, musculoskeletal, cardiovascular and pulmonary disorders that produce movements, impairments, disabilities and functional limitations is called what?
- Pulmonology
- Oncology
- Physical Therapy
- Occupational Therapy
Physical Therapy
A service involving the evaluation and treatment of speech, language and cognitive disorders is called what?
- PT
- RT
- ST or SP
- OT
ST or SP
MDS must be completed for a Medicare patient within what time frame from the date of admission and there after?
- 5 days, 14 days, quarterly, COC
- 7 days, 14 days, 30 days, COC
- 5 days, 14 days, 30 days, COC
- 7 days, 14 days, quarterly, COC
5 days, 14 days, 30 days, COC
MDS must be complete for a Medi-Cal patient within what time frame from the date of admission and there after?
- 7 days, quarterly, COC
- 14 days, quarterly, COC
- 5 days, quarterly, COC
- Only quarterly because they are Medi-cal
14 days, quarterly, COC
Which of the following is not a QI
- Prevalence of dehydration
- Prevalence of fecal impaction
- Prevalence of loss of appetite
- Prevalence of stage 1-4 pressure sore
Prevalence of loss of appetite
Which of the following is a sentinel event?
- Prevalence of UTI
- Prevalence of falls
- Prevalence of fecal impaction
- Prevalence of weight loss
Prevalence of fecal impaction
What best defines corporate compliance?
- Determination, education, detection
- Deterrence, education, detection
- Inspection, re-evaluation, compliance
- Motivation, inspection, compliance
Deterrence, education, detection
What is a Community-acquired Nosocomial infection?
- Infection that developed before admission
- A non infectious infection
- Infection that developed after admission
- Infection that developed within 48-72 hours after admission
Infection that developed within 48-72 hours after admission
Quality measures are very similar to QI’s except they are provided to the consumer through CMS.
TRUE OR FALSE
TRUE
What management function involves recruitment?
- Staffing
- Evaluation
- Organizing
- Planning
Staffing
What management function involves developing job descriptions?
- Planning
- Controlling
- Organizing
- Staffing
Organizing
What management function involves motivational techniques?
- Evaluation
- Organizing
- Leading
- Controlling
Leading
Communication is the transmission and reception of information between at least people with mutual understudying of the message.
TRUE OR FALSE
TRUE
What is the single greatest tool an Administrator has?
- Knowledge and competency
- Communication
- Background
- Experience
Communication
What best defines downward communications?
- Electronic communication
- Written memo from administrator to department heads
- Written communication
- Oral communication
Written memo from administrator to department heads
Which of the following is the third step in the communication process?
- The idea becomes the message
- The receiver gets the message
- The message is transmitted
- The sender has an idea
The message is transmitted
An example of a work group would be which of the following?
- Infection Control Committee
- Day shift CNA’s
- QA Committee
- Department heads
Day shift CNA’s
An example of a team group would be which of the following?
- Kitchen staff
- QA Committee
- Licensed nurses
- Housekeeping
QA Committee
Which of the following is not part of the exit interview?
- Maintain a positive image of the facility
- Raising awareness of an existing problem
- Better understand the type of person needed for their replacement
- Salvage the working relationship
Better understand the type of person need for their replacement
Within what time frame is a staff grievance usually submitted to their supervisor?
- 24 hours
- 72 hours
- 48 hours
- 2-5 days
2-5 days
If a staff is not satisfied with the original grievance process submitted to their supervisor, they may submit their grievances to their supervisor’s supervisor and should expect action within what time frame?
- 3 days
- 2-5 days
- 5 days
- 1 week
5 days
Who is the last person in the facility that a dissatisfied staff member should report a grievance t?
- HR department
- Administrator
- DSD
- DHS
Administrator
Factors considered in determining the wage scale are all of the following except?
- Seniority vs. new employees
- Time and rates affecting pay raises
- Facility longevity
- Pay rate comparisons between departments
Facility longevity
Factors included in the wage mix include all of the following except what?
- Cost of living increase
- Seniority
- Local job market
- Availability of qualified personnel
Seniority
Advertising in the classifieds for a your, blond, female for PR position would be a violation of what act?
- Fair Labor Standards Act 1938
- Older Americans Act 1965
- Civil Rights Act 1964
- Social Security Act 1935
Civil Rights Act 1964
What approach is used when an interviewer reviews the information and makes a hiring decision?
- Statistical
- Autocratic
- Participatory
- Clinical
Clinical