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Nursing Home Administrator > State Exam > Flashcards

State Exam Flashcards

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1
Q

Persons with disclosable interested

A

Must be licensed under Health and Safety code CH. 242

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2
Q

SNF licensure rules and regulations are found in

A

Title 40 TAC CH. 19

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3
Q

Nursing facility administrator rules are found in

A

Title 40 TAC CH. 18

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4
Q

Practitioner who encompasses the care and treatment of feet.

A

Podiatrist

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5
Q

Individual who is licensed, or provisionally licensed, by Texas State Board of Social Worker Examiners, at least a bachelors in social work or similar professional qualifications.

A

Qualified Social Worker

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6
Q

Title 16 XVI

A

Supplemental Security Income of the social security act. (SSI) (SSA)

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7
Q
  1. Change of 50% or more in ownership of the business.
  2. Change in fed. tax ID.
  3. Relinquishment by the license holder of the mgmt. of the facility
    New owner must submit application w/in 30 days of effective date.
A

CHOW

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8
Q

Must be completed w/in 30 days of effective date of the change and cost is $20

A

Change in Administrator

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9
Q

All ________ not exempted by the Texas Health/Safety code must be inspected and certified for operation by the TX Dept. of Licensing and Regs.

A

Boilers

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10
Q

Must supply power adequate for at least lighting all entrances, exits, equipment to maintain the fire detection, alarm, and extinguishing system, life supporting systems.

A

Emergency Electrical Power System (Generator)

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11
Q

Must be capable of sustaining power for a duration of at least 1.5 hours

A

Battery systems

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12
Q

Must be sufficient for not less than 4 hour operation of required generator

A

Fuel capacity

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13
Q

Must be at least _____” between beds and _____” between any bed and the wall.

A

36 & 24

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14
Q

Must have an annual inspection and maintain documentation of such inspection at the facility regarding LSC

A

Local Fire Marshall Inspection. Fire Marshall enforces LSC

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15
Q

Must be one approved ______ within 300 ft. of the building

A

Fire Hydrant

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16
Q

Must not be more than 75 ft away from resident corridors.

A

Fire Extinguishers

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17
Q

When resident bedrooms are more than 150 ft. from the nurses station and adjacent corridors are not observable.

A

Auxiliary station must be established and used.

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18
Q

At peak load the kitchen must not exceed a temp. of how many degrees?

A

85 degrees at 5 ft. level

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19
Q

Must be 180 degrees or the manufactures suggested temperature for chemical sanitizers

A

Kitchen hot water sanitizing temp.

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20
Q

Must be 140 degrees.

A

Kitchen hot water general use

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21
Q

Liquid oxygen containers must be certified by which agency?

A

Underwriters laboratory

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22
Q

Wheelchair ramps slop must not be more than how much?

A

1:12 units

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23
Q

Mirrors must be no higher than how many inches?

A

40 inches

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24
Q

Must be 10 foot candles, measured 30” off the floor

A

Resident room lighting

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25
Q

Must be at least 20 ft candles measured 30 “ off the floor

A

Lighting for corridors, nurses station, lobbies, toilets

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26
Q

Must be at least 50 ft candles and measured 30” above floor

A

Overbed reading lighting, prep areas, storage areas, nurses stations desk.

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27
Q

Sewage and water supply must by approved by this agency.

A

Texas Natural Resource and Conservation Commission

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28
Q

Must be rehearse quarterly on each shift with at least one rehearsal conducted each month?

A

Fire safety Plan

29
Q

Sprinklers shut down for more than 10 hours, LTC building must do what

A

Evacuate the building or portion of the building and establish fire watch

30
Q

Sprinklers shut down for more than 4 hours, LTC building must do what

A

Must do fire watch and notify local authorities

31
Q

Must be inspected and run, underload for at least 30 mins each week.

A

Generators

32
Q
  1. Direction and control
  2. warning
  3. communication
  4. sheltering arraignments
  5. evacuation
  6. transportation
  7. health and medical needs
  8. resource management
A

Facility Emergency Plan

33
Q

In the kitchen, must use what type of fire extinguisher

A

Type B fire extinguisher

34
Q

Gas pressure test must tested for leaks _______?

A

Annually

35
Q

Residents should receive a record of their trust fund account at least _______?

A

Quarterly

36
Q

Must transmit assessments to the _______ database within 31 days of the lock date.

A

State

37
Q

At minimum must maintain a ratio of 1 nurse to 20 residents or a min. of .4 licensed care hours per resident

A

Licensed Nurse Ratio

38
Q

How many hours does the dietary consultant work per resident?

A

60 or less residents = 8 hours
Each additional 30 residents = 4 hours

39
Q

Must write, sign, date, discharge summary, within 20 workdays of being notified by the facility of discharge

A

Physician/Physician discharge summary

40
Q

Must be reviewed and revised as necessary at least once every 60 days

A

Physician Orders

41
Q

Physician recertification of residents is required for admission and every ____ days thereafter

A

180 days

42
Q

Must be screen for _____ within ______ weeks of employment and annually

A

TB 2 weeks

43
Q

Must be offered ______ within ______ days of employment

A

Hep B 10 days

44
Q

Employees with __________ can not care for residents or work in dietary

A

open lesions

45
Q

Must be offered to all residents 65 years of age or older. Must be completed unless vaccine is medically contraindicated by a physician or resident refuses

A

Pneumococcal Vaccine

46
Q

Must be completed by Nov. 30 of each year

A

Influenza

47
Q
  1. Performance evals done annually
  2. required 12 hours of in-service per year
  3. retraining required if not worked as a paid _________ within the past 24 months
  4. can work up to 4 months without being certified
A

CNA/CNA Training

48
Q

Clinical records must be retained for _______ years after medical services end or for a minor ________ after a resident reaches league age under Texas law.

A

5 years / 3 years

49
Q

A new clinical record must be initiated if the resident is a _____________ or have been discharged for over _______ days

A

New Admission / 30 days

50
Q

Quality assurance and performance improvement must meet at least _________?

A

Quarterly

51
Q

Must consist of DON, medical director or designee, at least 3 other members and one must be the ED, owner, board member, or other individual in leadership role, and infection preventionist

A

QAPI

52
Q

Personal inventory must be within _______ of admission

A

72 hours

53
Q

A CHOW license is a _______ temporary license issued when CHOW takes place.

A

90 days

54
Q

Cost reporting is due to TXHHSC no later than ____ following the end of the provers entities fiscal year or ____ from the transmittal date of the cost report forms.

A

90 days / 90 days

55
Q

Must have ______ state approved paid feeding assistant course and cannot feed residents with complicated feeding problems.

A

16 hours

56
Q

Dining space must have ______ per resident bed.

A

10 square feet

57
Q

_______ cannot be counted in the nurse to resident ratio

A

Student nurses

58
Q

Grab bars at toilet and bathing units must be _____ to ______ in diameter

A

1.25” to 1.5”

59
Q

Water closet seat height in a toilet facilities for persons with disabilities must be _______ inches from floor

A

17-19

60
Q

Handrails must withstand downward force of ________ pounds.

A

250

61
Q

Handrails must be mounted _________ inches above the floor

A

33-36 inches

62
Q

Facility must have a program to inspect, test, and maintain the fire alarm system and must execute the program at least once every _________?

A

3 months

63
Q

An operating system providing water from 100 to 115 degrees is acceptable

A

True

64
Q

Facility must within _______ days after the resident is admitted, orally review and discuss _________ when there is a sign. change in residents clinical condition

A

14 days / advance directive

65
Q

Facility must notify the resident and either RP at least _______ days in advance before relocation of resident

A

5 days

66
Q

Facility must maintain the posted daily nursing staff data for how long?

A

2 years

67
Q

Physician must CERTIFY the residents need for SNF no later than _______ days after admit to facility

A

20 days

68
Q

Physician must RE-CERTIFY residents need for SNF every ______ days that resident remains in the facility

A

180 days

69
Q
A

Nursing Home Administrator (8 decks)

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