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RCA test > RCA 4 > Flashcards

RCA 4 Flashcards

1
Q

The facility must establish an infection control program that:

A

enables the facility to analyze patterns on of known infectious symptoms. Provides orientation and in service education on infection prevention and control:
Universal precautions, health info to residents and reporting communicative diseases.

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2
Q

Skin testing for tb is done with mantoux and must be administered by a person having

A

documented training from a department approved course of instruction

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3
Q

The student file of each dining assistant shall be maintained a minimum of ________ years

A

3

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4
Q

Dining Assistant training may be provided by ____________

A

an RN, LPN, qualified dietitian or occupational therapist

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5
Q

True or False :
When the IC Program determines that a resident needs isolation to prevent spread of infection, the facility must isolate the resident only to the degree needed to isolate the infecting organism

A

true

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6
Q

The facility must maintain clinical records on each resident. The r4ecoreds must be as follows:

A

Complete, accurately documented, readily accessible and systematically organized.

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7
Q

The facility shall provide activities and programs appropriate to:

A

The abilities and interest of the residents being served.

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8
Q

The facility must provide each resident with the following items upon request:

A
  1. A clean and comfortable mattress of the right size and height
  2. comfortable bedding appropriate to the temperature of the community.
  3. A bedside cabinet or table with ahard surface and washable top.
  4. A cushioned comfortable chair and a bedside lamp.
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9
Q

Residents have the right to be free from:

A

Sexual abuse, physical abuse, mental abuse, verbal abuse and corporal punishishmnet.

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10
Q

The Safe Medical Device Act requires that any medical device that causes or contributes to death must be reported to the: ________

A

FDA

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11
Q

The role of the long-term care ombudsman program includes:

A

Assisting residents of LTC facilities and their family and friends to voice concerns regarding conditions that affect the quality of their care.

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12
Q

Which act requires nursing facilities to maintain written policies to guarantee that every adult receiving medical care be given written information concerning Advance Directives such as living wills and durable power of attorney for health care?

A

PSDA
patient safety data act

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13
Q

Which “Act” was established to provide a clear and comprehensive prohibition of discrimination on the basis of disability?

A

ADA

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14
Q

A document that describes the general tasks, or other relative duties and responsibilities of a position

A

Job Description

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15
Q

The unlawful touching or application of force to another human being is called

A

Battery

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16
Q

The employer being held responsible for acts of employees within the seq of their employment is called

A

Responsdent Superior

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17
Q

False sensory perceptions

A

hallucinations

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18
Q

The use of Seeing Eye Dogs or other service animals is regulated by:

A

ADA - American Disabilities Act

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19
Q

In general, a competent adult has the right to

A

Informed Consent and refusal of medical treatment

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20
Q

The Occupational Safety and Health Admin (OSHA) requires all of the following:

A

All chemicals be appropriately labeled and have safety data sheets (SDS) staff who use chemicals be informed of their hazards, and the facility maintains records showing that required training has taken place

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21
Q

When establishing procedures pertaining to personal belongings and furnishings in resident rooms; the most important principle regarding which belongings are permitted:

A

Maintaining a balance between facility safety and resident choice

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22
Q

Nursing homes are licensed by:

A

States

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22
Q

Professionals who study aging and are normally not physicians

A

Gerontologists

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23
Q

Each resident has a right to privacy, security and confidentiality of his/her records

A

HIPAA

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23
Q

Physicians who specialize in treating older persons

A

Geriatricians

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23
Q

If a resident swallows the paint she is using during an activity - what will most likely follow the immediate action taken?

A

SDS binder

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24
Q

A handicap parking place will be at least

A

96 foot wide and at least 60 feet of accessible aisle

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25
Q

Soiled linen and trash collection containers must be limited to a capacity of __________ gallons

A

32

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26
Q

Handrails clearance must be at least

A

1 1/2 foot

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27
Q

According to basic accounting principles, which of the following accounts increases when credited?

A

Revenue

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28
Q

Which of the following is an example of a variable cost?

A

Food

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29
Q

Supplies that are added first are used first describes which type of inventory?

A

FIFO First in First out

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30
Q

The term to describe any hearing impairment in old age

A

Presbycusis

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31
Q

A problem in which the fluids in the eye undergo increasing pressure

A

Glaucoma

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32
Q

Knowing the OSHA standards applicable to a facility is the responsibility of

A

The Administrator

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33
Q

OSHA inspectors examine the records of illnesses to injuries to the

A

Employees

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34
Q

Purpose of facility visions statement

A

To list where the company sees itself in the future

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35
Q

Dividing total expenses by total patient days

A

Cost of patient day

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36
Q

Significant factor related to employee retention

A

Orientation and supervision of new employees

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37
Q

Which is NOT an OSHA standard

A

Safe Medical Device Act

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38
Q

THe FMLA - Family medical leave act applies to

A

Employers of more than 50 people

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39
Q

A for profit Companies balance sheet is a financial statement that summarizes

A

Assets
Liabilites
Shareholder equity

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40
Q

The best way to reduce maintainance on equipment is to

A

Have a preventative maint program in place

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41
Q

The primary concern of a residential care/assisted living facility’s fire and saftey standard is

A

The development of an effective evacuation plan

42
Q

OSHA requires a listing of information related to employee exposure to contaminated sharps ( needle sticks) which is called

A

Sharps injury log

43
Q

What Act enforces Minimum wage?

A

Fair Labor Standards Act

44
Q

Which Act provides for the continuation of group health plan coverage for employees and/or their dependents that have a qualifying event:

A

Consolidated Omnibus Reconcilliation Act (COBRA)

45
Q

A legal duty is owed nby a defendent, the duty is breached and the plaintiff is harmed as a direct result of the breach of duty is a

A

TORT

46
Q

The duty to have and to use the degree of knowledge and skill that is usually possessed and used by competent, prudent similar health care providers in like or similar circumstances

A

Standard of Care

47
Q

Program that requires employers to identify sources of electrical hazards and have procedures in place to ensure all employees are trained on the program is

A

Lock Out/Tag Out

48
Q

A Residential Care Assisted Living setting is most accurately defied by

A

The Scope of Services it provides

49
Q

According to research one of the major concerns of people entering a residential care facility is

A

Lack of Privacy

50
Q

The central care of caring for residents with dementia is

A

Therapeutic programming

51
Q

A resident may wish to fold clothes and vacuum floors occasionally rather than participate in structured activites

A

The staff should document these as resident choice in care plan

52
Q

Current assets minus current liabilities equals

A

Current working capital

53
Q

Which cost are directly attributed to providing resident care

A

Direct Costs

54
Q

Written communication which is injurious to the reputation or good name of the victim is

A

Libel

55
Q

Latin for a thing decided

A

Resjuricata

56
Q

Ultimately, the responsibility of operating the nursing facility lies with the

A

Corporate Board

57
Q

Which is not normally considered a liquid asset?

A

Inventory

58
Q

The ombudsman can not issue citations to a facility true or false

A

true

59
Q

In the typical facility; staff turnover is greatest in

A

CNA

60
Q

Death in fires in mainly caused by

A

smoke inhalation

61
Q

According to OSHA all facilities must

A

display osha posters

62
Q

Fires that involve energized electrical equipment are

A

Class C fires

63
Q

The age discrimination act passed in 1987 protected employees age:

A

40 or older

64
Q

Move-in and Move-Out procedures and policies help determine

A

Who may be served and for how long

65
Q

Which of the following does NOT have to be recorded on a residents MAR

A

Emergency Contact

66
Q

In assessing fines for violations, OSHA considers all of the following except

A

Good faith effort to comply with OSHA standards

67
Q

An employment application may request that an applicant provide

A

Felony convictions

68
Q

An administrator can best support a resident centered activity program by

A

including activities in all job descriptions

69
Q

Which formula can be used in determining staffing levels

A

total labor hours perday/total census per day = labor hours per resident

70
Q

What would be the best way to promote employee retention and maintain a safe and positive work environment?

A

creating a good staff development program

71
Q

The best way to communicate services and care that is provided to residents is in

A

The marketing plan

72
Q

Line appraisal of a job in relation to standards is referred to as

A

a job evaluation

73
Q

Fringe benefits do not include

A

overtime

74
Q

The first person who should resolve employee grievances and problems is

A

the Immediate Supervisor

75
Q

Which of the following is not a duty of the facilities governing board?

A

To oversee the day-day operations of a facility

76
Q

When a facility is being sold, which of the following is an intangible asset that is very marketable?

A

Goodwill

77
Q

Which of the following financial statements include assets and liabilities?

A

Balance sheets

78
Q

Accelerated depreciation schedules compared to straight line depreciations schedules - depreciate

A

the higher percentages of original cost of the item during earlier years of the assets useful life

79
Q

The primary purpose of internal control is to

A

Protect and safeguard assets against theft and waste

80
Q

FUTA

A

employment tax

81
Q

A marginal return occurs when

A

revenues equal expenses - break even point

82
Q

How do you calculate the average cost per resident day?

A

Divide the total monthly expenses by the # of resident days on the months and divide by the average number of residents per day

83
Q

A curator, as used in civil law equates to

A

Guardian

84
Q

The primary function of disciplinary action is to

A

Effect a desired behavior change

85
Q

Risk management is identifying and solving problems

A

ASAP

86
Q
A
87
Q

Effective delgation has been established when decisions are made

A

at the lowest level authorized to make them

87
Q

Laissez-faire, autocratic and paternal are all forms of

A

leadership styles

87
Q

The Risk agreement helps to clarify which of the following

A

The desire and right of the resident to behave in ways that may be harmful and that the resident claims responsibility for the behavior

88
Q

The concept which means all financial information - all money spent, earned invested or owed by the facility must be shown in the financial records to represent accurate financial standing is called….

A

full disclosure

88
Q

Step by Step instructions on how a specific task is to be carried out is known as

A

Procedure

88
Q

Statements that serve to limit the area in which a decision is to be made is known as

A

Policies

89
Q

The number of subordinates who should be managed by one supervisor

A

Span of management

89
Q

Permitting decisions to be made at the lowest possible level

A

delegation

89
Q

The system of accounting in which revenues are recorded in the period earned and expenses are recorded in the period incurred even if cash is received or paid at a later or earlier time period is

A

Accrual accounting

89
Q

The maximum rise of a single ramp is

A

30 inches

89
Q

Fire extinguishers must be checked quarterly and serviced

A

annually

89
Q

The generator must go on within how many seconds of power failure

A

10 seconds

90
Q

A deformity that results when the muscle has shortened and pulls the adjacent joint into a flexed position is called

A

contracture

90
Q

The most common GI disorder affecting the elderly

A

GERD

90
Q

Clear labeling of chemicals used in a facility is required by

A

OSHa

90
Q

a NURSING home administrator who involves staff in as much decisions made as possible and keeps them informed on organizational issues that affect their work is using a leadership style called

A

democratic

91
Q

An administrator using an open door policy of communication will be

A

dealing with too much detail and destroying lines of communication and authority

92
Q

Recent studies indicate facilities that have adopted the Eden approach have experiences all of the following except

A

increased mediation

93
Q
A
94
Q
A

RCA test (3 decks)

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