RCA 4 Flashcards
The facility must establish an infection control program that:
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.
Skin testing for tb is done with mantoux and must be administered by a person having
documented training from a department approved course of instruction
The student file of each dining assistant shall be maintained a minimum of ________ years
3
Dining Assistant training may be provided by ____________
an RN, LPN, qualified dietitian or occupational therapist
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
true
The facility must maintain clinical records on each resident. The r4ecoreds must be as follows:
Complete, accurately documented, readily accessible and systematically organized.
The facility shall provide activities and programs appropriate to:
The abilities and interest of the residents being served.
The facility must provide each resident with the following items upon request:
- A clean and comfortable mattress of the right size and height
- comfortable bedding appropriate to the temperature of the community.
- A bedside cabinet or table with ahard surface and washable top.
- A cushioned comfortable chair and a bedside lamp.
Residents have the right to be free from:
Sexual abuse, physical abuse, mental abuse, verbal abuse and corporal punishishmnet.
The Safe Medical Device Act requires that any medical device that causes or contributes to death must be reported to the: ________
FDA
The role of the long-term care ombudsman program includes:
Assisting residents of LTC facilities and their family and friends to voice concerns regarding conditions that affect the quality of their care.
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?
PSDA
patient safety data act
Which “Act” was established to provide a clear and comprehensive prohibition of discrimination on the basis of disability?
ADA
A document that describes the general tasks, or other relative duties and responsibilities of a position
Job Description
The unlawful touching or application of force to another human being is called
Battery
The employer being held responsible for acts of employees within the seq of their employment is called
Responsdent Superior
False sensory perceptions
hallucinations
The use of Seeing Eye Dogs or other service animals is regulated by:
ADA - American Disabilities Act
In general, a competent adult has the right to
Informed Consent and refusal of medical treatment
The Occupational Safety and Health Admin (OSHA) requires all of the following:
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
When establishing procedures pertaining to personal belongings and furnishings in resident rooms; the most important principle regarding which belongings are permitted:
Maintaining a balance between facility safety and resident choice
Nursing homes are licensed by:
States
Professionals who study aging and are normally not physicians
Gerontologists
Each resident has a right to privacy, security and confidentiality of his/her records
HIPAA
Physicians who specialize in treating older persons
Geriatricians
If a resident swallows the paint she is using during an activity - what will most likely follow the immediate action taken?
SDS binder
A handicap parking place will be at least
96 foot wide and at least 60 feet of accessible aisle
Soiled linen and trash collection containers must be limited to a capacity of __________ gallons
32
Handrails clearance must be at least
1 1/2 foot
According to basic accounting principles, which of the following accounts increases when credited?
Revenue
Which of the following is an example of a variable cost?
Food
Supplies that are added first are used first describes which type of inventory?
FIFO First in First out
The term to describe any hearing impairment in old age
Presbycusis
A problem in which the fluids in the eye undergo increasing pressure
Glaucoma
Knowing the OSHA standards applicable to a facility is the responsibility of
The Administrator
OSHA inspectors examine the records of illnesses to injuries to the
Employees
Purpose of facility visions statement
To list where the company sees itself in the future
Dividing total expenses by total patient days
Cost of patient day
Significant factor related to employee retention
Orientation and supervision of new employees
Which is NOT an OSHA standard
Safe Medical Device Act
THe FMLA - Family medical leave act applies to
Employers of more than 50 people
A for profit Companies balance sheet is a financial statement that summarizes
Assets
Liabilites
Shareholder equity
The best way to reduce maintainance on equipment is to
Have a preventative maint program in place
The primary concern of a residential care/assisted living facility’s fire and saftey standard is
The development of an effective evacuation plan
OSHA requires a listing of information related to employee exposure to contaminated sharps ( needle sticks) which is called
Sharps injury log
What Act enforces Minimum wage?
Fair Labor Standards Act
Which Act provides for the continuation of group health plan coverage for employees and/or their dependents that have a qualifying event:
Consolidated Omnibus Reconcilliation Act (COBRA)
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
TORT
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
Standard of Care
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
Lock Out/Tag Out
A Residential Care Assisted Living setting is most accurately defied by
The Scope of Services it provides
According to research one of the major concerns of people entering a residential care facility is
Lack of Privacy
The central care of caring for residents with dementia is
Therapeutic programming
A resident may wish to fold clothes and vacuum floors occasionally rather than participate in structured activites
The staff should document these as resident choice in care plan
Current assets minus current liabilities equals
Current working capital
Which cost are directly attributed to providing resident care
Direct Costs
Written communication which is injurious to the reputation or good name of the victim is
Libel
Latin for a thing decided
Resjuricata
Ultimately, the responsibility of operating the nursing facility lies with the
Corporate Board
Which is not normally considered a liquid asset?
Inventory
The ombudsman can not issue citations to a facility true or false
true
In the typical facility; staff turnover is greatest in
CNA
Death in fires in mainly caused by
smoke inhalation
According to OSHA all facilities must
display osha posters
Fires that involve energized electrical equipment are
Class C fires
The age discrimination act passed in 1987 protected employees age:
40 or older
Move-in and Move-Out procedures and policies help determine
Who may be served and for how long
Which of the following does NOT have to be recorded on a residents MAR
Emergency Contact
In assessing fines for violations, OSHA considers all of the following except
Good faith effort to comply with OSHA standards
An employment application may request that an applicant provide
Felony convictions
An administrator can best support a resident centered activity program by
including activities in all job descriptions
Which formula can be used in determining staffing levels
total labor hours perday/total census per day = labor hours per resident
What would be the best way to promote employee retention and maintain a safe and positive work environment?
creating a good staff development program
The best way to communicate services and care that is provided to residents is in
The marketing plan
Line appraisal of a job in relation to standards is referred to as
a job evaluation
Fringe benefits do not include
overtime
The first person who should resolve employee grievances and problems is
the Immediate Supervisor
Which of the following is not a duty of the facilities governing board?
To oversee the day-day operations of a facility
When a facility is being sold, which of the following is an intangible asset that is very marketable?
Goodwill
Which of the following financial statements include assets and liabilities?
Balance sheets
Accelerated depreciation schedules compared to straight line depreciations schedules - depreciate
the higher percentages of original cost of the item during earlier years of the assets useful life
The primary purpose of internal control is to
Protect and safeguard assets against theft and waste
FUTA
employment tax
A marginal return occurs when
revenues equal expenses - break even point
How do you calculate the average cost per resident day?
Divide the total monthly expenses by the # of resident days on the months and divide by the average number of residents per day
A curator, as used in civil law equates to
Guardian
The primary function of disciplinary action is to
Effect a desired behavior change
Risk management is identifying and solving problems
ASAP
Effective delgation has been established when decisions are made
at the lowest level authorized to make them
Laissez-faire, autocratic and paternal are all forms of
leadership styles
The Risk agreement helps to clarify which of the following
The desire and right of the resident to behave in ways that may be harmful and that the resident claims responsibility for the behavior
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….
full disclosure
Step by Step instructions on how a specific task is to be carried out is known as
Procedure
Statements that serve to limit the area in which a decision is to be made is known as
Policies
The number of subordinates who should be managed by one supervisor
Span of management
Permitting decisions to be made at the lowest possible level
delegation
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
Accrual accounting
The maximum rise of a single ramp is
30 inches
Fire extinguishers must be checked quarterly and serviced
annually
The generator must go on within how many seconds of power failure
10 seconds
A deformity that results when the muscle has shortened and pulls the adjacent joint into a flexed position is called
contracture
The most common GI disorder affecting the elderly
GERD
Clear labeling of chemicals used in a facility is required by
OSHa
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
democratic
An administrator using an open door policy of communication will be
dealing with too much detail and destroying lines of communication and authority
Recent studies indicate facilities that have adopted the Eden approach have experiences all of the following except
increased mediation
