State Review Flashcards

0
Q

What is the “code” that empowers the licensing and certification of nursing homes in Michigan?

A

Public act 368 of 1978

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1
Q

What state department is responsible for licensure and certification of nursing homes?

A

Bureau of health systems

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2
Q

In the nursing home rules originally promulgated by the Michigan Department of Community Health and now enforced by the Bureau of Health Services defines an adult as a person _______________

A

15 years of age or older

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3
Q

An application for renewed licensure of a nursing home shall be submitted to the department not less than _______ days before expiration of the current license.

A

90

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4
Q

The term of a nursing home license is the date shown on its face or ___________

A

One year, whichever is sooner

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5
Q

An administrator with a substance abuse problem is subject to what and eligible for what program?

A

Is subject to revocation of license and is eligible for the health recovery program

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6
Q

To be eligible for licensure as a Nursing Home Administrator, the candidate must

A
  1. 18 years of age and have working knowledge of English
  2. Complete an approve course of instruction
  3. Pass both state and federal exams.
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7
Q

When the “code” of a nursing home rules requires a document be printed, such document shall be printed in _____ point font.

A

12

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8
Q

Full legal responsibility for the overall conduct and operation of a nursing home shall be assumed by?

A

The governing body

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9
Q

The governing body shall ______ an administrator to whom they delegate the responsibilities for operating the home according to the policies of the governing body.

A

Appoint

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10
Q

The administrator who accepts delivery of a television to his home as a gift of a vendor accepted a _________?

A

Kickback

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11
Q

Patients rights and responsibilities policies shall include________

A
  1. Provisions regarding smoking
  2. Printing in 12 point font type
  3. Assurance of reasonable access to records for copying or inspection
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12
Q

Patient care policies shall be reviewed at least________

A

Annually

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13
Q

Pharmaceutical services, patient activities, and clinical records are examples of what type of policy?

A

patient care policies

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14
Q

In a nursing home, oxygen therapy may only be administered by_______

A

Persons who have undergone training in oxygen administration

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15
Q

A patient admitted on Friday shall be examined by a licensed physician within _______ hours

A

72

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16
Q

According to the nursing home rules, a resident in a license only facility must be visited and to the extent necessary examined by a physician every _______

A

60 days unless justified otherwise.

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17
Q

A person employed in a nursing home giving care on the night shift shall be dressed awake and at least ______ years of age?

A

18

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18
Q

A _________ offense does not have revocation of licenses or consequences

A

Misrepresentation

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19
Q

The bed linen for a bed-fast resident shall be changed at least ________

A

Twice daily

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20
Q

What is the staffing ratio in a nursing home for each shift in order to be in compliance with staffing requirements

A

1: 8 for days
1: 12 for afternoons
1: 15 for midnights

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21
Q

A complete tub bath or shower shall be taken by or given to an ambulatory resident under supervision at least _______ a week.

A

Once

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22
Q

A resident room shall have not less than ______ clearance

A

3 foot on both sides and at the foot

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23
Q

Each resident shall be provided with the following equipment

A

A reading light
Flameproof cubicle curtains
Bedside stand

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24
Q

Individual and group diversional activities for residents shall be available _______ days a week

A

Seven

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25
Q

The written plan of care for a resident shall be available to

A

To all individuals involved in the care of the residents

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26
Q

A resident care conference shall be held periodically but not less than once every _________ days

A

90

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27
Q

Menus as actually served to the resident meals shall be retained for at least _______ months

A

Three

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28
Q

The food acceptance of a resident shall be recorded

A

On all admissions for 14 days and for 14 days following a change in diet

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29
Q

Medication for external use shall be

A

Kept in a locked cabinet and separate from other medications

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30
Q

All medication in a nursing home shall be

A
  1. Prescribed by a physician
  2. Labeled and dispensed by a pharmacist
  3. Administered under the direct supervision of a licensed nurse of medical personnel
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31
Q

An emergency kit shall be maintained

A

In all nursing homes

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32
Q

A written report of the results of each diagnostic test shall be included in the residents clinical record within _____ week

A

One

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33
Q

A diagnostic test or service may only be ordered by a

A

Physician

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34
Q

According to the nursing home rules, clinical records shall be retained for a minimum of ________ years from the date of ________

A

Six year from the date of discharge

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35
Q

Incident reports shall be filed for

A
  1. Medication errors
  2. Accidents or incidents involving life threatening change
  3. Accident or incidents involving staff, residents, or visitors
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36
Q

Licensure requirements that an internal complaint procedure be developed that assures investigation within _____ days and a written report to the complainant within _____ days

A

15, 30

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37
Q

Complaint and investigation reports must be retained for _____ years

A

3

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38
Q

When an administrator violates his/her general duty and is found guilty of negligence the NHA board may

A
  1. Revoke his license

2. Issue a reprimand

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39
Q

A nursing home license in the State of Michigan shall have the following number of handicapped accessible entrances

A

At least one

40
Q

A room used for living or sleeping purposes shall have a minimum window glass area of ______% of total floor space which ______% shall open.

A

10, 45

41
Q

After August 1969 new construction shall provide for a minimum ceiling height of _________ feet

A

8

42
Q

Elevators utilized for residents shall have a minimum dimension of

A

5 feet x 7 feet, 6 inches

43
Q

After August 1969, resident rooms shall have not less than

A

100 square feet if used as a single room

44
Q

Usable floor space shall not include

A
  1. A toilet room
  2. A closet
  3. A vestibule
45
Q

A door to a resident water closet compartment shall be not less than

A

2 feet 10 inches in width

46
Q

Emergency electrical service for nursing homes shall be capable or providing

A

Not less than four hours at full load

47
Q

A residents room shall provide a minimum storage for wardrobe and closet space of ______ square feet of ______ space per _____

A

6 square feet of floor space per bed

48
Q

An isolation room shall be equipped with an attached _________ which can be used by only ______ occupant of the isolation room.

A

Lavatory, one

49
Q

A nursing station shall be located no more than _____ feet from any resident room it serves

A

120

50
Q

A sink with a goose neck inlet supplied with hot and cold water shall be provided in ________ and ________ rooms

A

Medication storage and prep rooms

51
Q

The temperature of hot water at plumbing fixtures used by residents shall be regulated to provide tempered water not less than ________ degrees Fahrenheit or more than ______ degrees Fahrenheit

A

105 degrees to 120 degrees

52
Q

A bathing facility shall be provided for every _______ resident beds on the floor

A

20

53
Q

A home shall provide a safe heating system capable of maintains a daytime temperature of not less than ______ degrees Fahrenheit

A

72

54
Q

Departure from or failure to conform to minimal standards of acceptable and prevailing practice for a health profession is called__________?

A

Incompetence

55
Q

A medical provider must render __________ services to an eligible recipient in the same scope quality and manner as to the general public.

A

Covered

56
Q

To calculate amount owed for a Medicaid resident who stays less then the entire month, you use ___________

A

The Medicaid rate for days stayed

57
Q

The Medicaid program provides for ___________ hospital leave days for unexpected admissions with anticipated return if the resident returns in ten(10) days

A

10 hospital leave days

58
Q

Medicaid claims for services rendered must be submitted and received for payment within __________ months of date of service

A

12

59
Q

CMS requires that each state conduct an inspection of care every year to determine if nursing home residents receive ___________ and are ___________?

A

Appropriate services and are properly placed

60
Q

The inspection of care is conducted by what department?

A

BHS surveyors during annual survey (Bureau of Health Systems)

61
Q

Which state department is responsible for administration of Medicaid program

A

Michigan Department of Community Health with the Medical Services Administration

62
Q

According to Medical Services Administration Policy you must discharge a resident if

A

They are admitted to an acute care hospital for a short stay

63
Q

What is usually exempt when computing assets for Medicaid eligibility

A

Value of residents single dwelling home and vehicle

64
Q

The Medicaid program provides for _______ therapeutic leave days in a 365 day rolling calendar providing the facility holds the bed and “home visits” are in the residents care plan

A

18

65
Q

Medicaid providers must file a Michigan statistical and operating cost report within _______ days of accounting year end

A

90

66
Q

When a resident files an application for Medical Assistance the local case worker responsible for determining eligibility is within what department?

A

MDHS - Michigan Department of Health and Human Services

67
Q

The facility that renders or arranges for services from another provider upon order of the physician must maintain that record for a period of ______ years

A

6

68
Q

Prior authorization must be obtained from Medicaid to receive payment for what services

A
  1. Occupational therapy
  2. Physician therapy
  3. Durable medical equipment
69
Q

A signed order must be received from the attending physician for what type of services

A

Occupational therapy
Recreational activities level
Speech therapy

70
Q

Before the county case worker evaluates a residents applications for Medicaid you must submit what form?

A

The 2565

71
Q

The term of a facility’s certification is generally _______ year

A

1

72
Q

How many CEU’s are required for a nursing home administration for recertification

A

36 every two years

73
Q

A nursing home administrators license may be revoked or suspended for what reasons

A
  1. Guilty of fraud
  2. Convicted of a felony
  3. Unfit by reason of negligence
74
Q

Which state department is responsible for administration of Medicaid program is

A

Michigan Department of Human Services

75
Q

Smoke barriers or horizontal exits shall divide corridors into sections of not more than ________ feet in length

A

150

76
Q

In a new building the smoke barrier shall have a fire resistant rating of _______ hour

A

1

77
Q

For each floor of fire section there shall be at least ______ exits remote from each other

A

2

78
Q

For new construction he corridor must be at least _______ inches in clear width

A

96

79
Q

In new construction the door width for any door to a residents sleeping room shall be ______ inches in clear width

A

44

80
Q

A residents room door may be locked from the inside if

A

Under no circumstance shall a residents room door be allowed to lock from the inside

81
Q

Required emergency lighting must be

A

Automatic

82
Q

The workers compensation rate for each facility is the product of multiplying the

A

Experience rate and the manual rate

83
Q

Modification rate is based on

A

Experience within a given employer group

84
Q

Form 100 is distributed to

A
  1. Employer
  2. Employee
  3. The WCA
  4. Insurance carrier
85
Q

The proportion of the unemployment contribution paid by the employer is

A

All

86
Q

Minimal number of weeks an employee must work to receive UIA benefit must be ______ weeks

A

20

87
Q

Who can the administrator contact if they had a question concerning union elections procedure

A

The national labor relations board

88
Q

The percentage of potential bargaining unit employee required to sign authorization cards before a union election is

A

30%

89
Q

What department would the administration or union file charges for “unfair labor practice “

A

National Labor Relations Board

90
Q

The infection control committee must meet

A

Periodically

91
Q

You do not need an approved contract for pest control for which committee

A

Infection control

92
Q

Who must serve on the infection control committee

A
  1. Director of nursing
  2. Someone from dietary
  3. Maintenance
  4. Administration
93
Q

Complaints of BHS shall be within _____ months of discovery of violation

A

12

94
Q

The amount of the surety bond for the resident trust shall be the greater of $_______ or not less than _________ times the average balance.

A

$2000 or not less than 1-1/4 times the average balance

95
Q

State guidelines

Act number ______ of public acts of _______

A

368 of 1978

96
Q

___________________ means the ownership or control of 5% or more of the equity in the capital of, or stock in, or profits of, a nursing home.

A

Ownership interest

97
Q

When the statute of these rules require a document or parts of a document be printed in a _____ point font.

A

12

98
Q

The _________________ _________________ of a nursing home shall assume full legal responsibility for the overall conduct and operation of the home.

A

Governing body