Study Guide 10 Flashcards
Which is not the correct food storage temperature?
1. Milk at 50 degrees F
2. Dry Cereal at 52 degrees F
3. Fish at -5 degrees F
4. Hamburger at 40 degrees F
1
Procedures to prevent loss or theft of supplies or assets in a facility are called .
1. Amortization
2. Risk management
3. Inventory Control
4. Preventative maintenance
3
Laws passed by a state legislature are known as .
1. Statutes
2. Codes
3. Ordinances
4. Canons
1
Laws passed by a municipality are known as .
1. Statutes
2. Codes
3. Ordinances
4. Canons
3
Regulations are published in a set of books called .
1. Legal reporters
2. Codes
3. Testaments
4. Tomes
2
The quality assurance committee must be composed of .
1. DON, Administrator, and at least 3 staff members
2. DON, Medical director, Administrator, and at least 3 staff members
3. DON, attending physician, and at least 3 staff members
4. DON, a physician and at least 3 staff members
4
The must review the medications taken by each resident in the facility.
1. DON
2. Consultant pharmacist
3. Pharmacist
4. Attending physician
2
A facility is not required to report to state licensing agency when the leaves or when the position is refilled.
1 Administrator
2. DON
3. Social Worker
4. Owner
3
A mechanically altered diet is where the .
1. The texture of the food is altered mechanically
2. The fat content of the food is reduced
3. The sodium content of the food is reduced
4. The protein content is increased
1
Which is not the correct dietary staffing requirement?
1. A full time dietary manager who holds the qualifications of a registered dietician
2. A full time registered dietician with a dietary manager’s certification
3. A full time dietary manager and part time registered dietician
4. A part time dietary manager
4
The approves and supervises union elections.
1. Department of Labor
2. National Labor Relations Board
3. OSHA
4. CMS
2
The recognized the right of workers to bargain collectively.
1. Wagner Act
2. Taft Hartley Act
3. Landrum Griffin Act
4. Norris La Guardia Act
1
Which requirement must facilities meet to participate in Medicare and Medicaid.
1. Social worker on staff
2. Disclosure of ownership
3. Facility occupancy of 80% or more
4. At least 60 beds
2
is not a revenue center.
1. Nursing
2. Gift Shop
3. Maintenance
4. Dietar
3
HIPAA, as amended in 2001, .
1. Established the National Labor Relations Board
2. Mandated insurance companies to cover the cost of abortions
3. Prohibited excluding coverage for pre-existing conditions for 18 months
4. Prohibited insurers from charging individuals a higher premium than other individuals based on
health problems
4
If a resident wants to bring in their own bed, the facility .
1. Must allow them to do so
2. Must inform the resident that it is against fire regulations
3. Inform them it is a liability
4. Must provide them a list of authorized bedding suppliers
1
Holistic medicine pertains to .
1. Spiritual healing
2. Attending to the whole person and treating the underlying disease and not just the symptoms
3. Keeping an individual pain free
4. End of life care
2
The is the most comprehensive way to measure a job applicant’s skills.
1. Interview
2. Resume
3. Aptitude test
4. Reference check
3
The is the best tool to evaluate an applicant’s interpersonal skills and personality.
1. Interview
2. Resume
3. Aptitude test
4. Reference check
1
The is responsible for quality of medical care in a facility.
1. QA committee
2. Medical director
3. Attending physician
4. Nursing home administrator
2
is a major cause of decubitis sores.
1. Incontinence
2. Osteoporosis
3. Syncope
4. Edema
1
would cover an indigent individual residing in a skilled nursing home.
1. Medicare
2. Medicaid
3. Health maintenance organization
4. Certificate of Need
2
is the first task for surveyors when conducting an annual survey.
1. Information gathering
2. Information analysis
3. Offsite preparation
4. Entrance conference
3
The survey is used for a complaint survey.
1, Standard
2. Extended
3. Partial Extended
4. Abbreviated Standard Survey
4
A resident who had a cerebral vascular accident would benefit most by .
1. Antibiotics
2. Anti-tussants
3. Anti-coagulants
4. Anti-depressants
3
The survey is the annual survey.
1, Standard
2. Extended
3. Partial Extended
4. Abbreviated Standard Survey
1
A facility that practices universal precautions can admit residents with HIV/AIDS. However a resident with HIV
could not be isolated if .
1. They had an outbreak of an opportunistic communicable disease
2. They have poor hygiene and are unable to contain their bodily fluids
3. The individuals roommate has an open wound and uses the bathroom
4. The resident had been restricted from participating in the activities program but the infectious disease
has since resolved
4
A facility must provide residents adequate space in dining, health services and recreation. That requirement
would not be met if .
1. Residents can comfortably sit at a table together
2. Independent residents were able to rise from the table and walk around the room without an obstructed
pathway
3. A resident in a wheel chair was able to wheel them self from the doorway to their table
4. A resident at the dining table in a wheel chair was not able to back away from the table without assistance
from staff
4
The primary objective of utilization review for Medicare is to ensure .
1. Compliance with law
2. Quality of care
3. Title IV is obeyed
4. The facility is covered by an intermediary
2
Overhead expenses such as depreciation are considered a(n) cost.
1. Direct
2. Indirect
3. Variable
4. Semi variable
2
The major purpose of a maintenance program is to .
1. Decrease costs
2. Extend the useful life of buildings and equipment
3. Document repairs for tax purposes
4. To correct deficiencies identified during a survey
2
A fire extinguisher would be used for a kerosene fire.
1. Class A
2. Class B
3. Class C
4. Class D
2
A fire extinguisher would be used for an electrical fire.
1. Class A
2. Class B
3. Class C
4. Class D
3
The journal would be used to record a transaction that did not fit in any of the other journals.
1. General
2 Accounts payable
3. Accounts receivables
4. Cash disbursements
1
Workers 16 or under must get a work permit from .
1. OSHA
2. The Department of Labor
3. ANSI
4. DHHS
2
An employer must have in the workplace regarding chemical hazards.
1. MSDS Sheets
2. A certificate of occupancy
3. A certificate of waiver
4. An emergency medication kit
1
The governing body’s main function is the function.
1. Correcting
2. Governance
3. Advisory
4. Evaluating
2
T.I.D. means .
1. Three times a day
2. Twice a day
3. Every night
4. As needed
1
. is an ancillary expense.
1. Housekeeping
2. Laundry
3. Dietary
4. Laboratory tests
4
Ultimate financial and operational control of a facility belongs to the .
1. Governing body
2. Administrator
3. DON
4. State surveyors
1
is not a nosocomial disease.
1. Pneumonia
2. HIV
3. Decubitis sores
4. Weight loss
2
is not a chronic disease.
1. Osteoporosis
2. Arteriosclerosis
3. Pneumonia
4. CHF
3
is a sentinel event.
1. Fecal impaction
2. Decubitis sore
3. Weight loss
4. Dehydration
1
When expenses equal revenues and there is no net loss or gain, this is called the .
1. Acid test ratio
2. Straight-line depreciation method
3. Step down method
4. Break even point
4
When census increases or decreases, then .
1. Fixed costs decrease
2. Variable costs remain unchanged
3. Fixed costs increase
4. Variable costs will increase or decrease
4
Procedures are a step by step guide to .
1. Thinking
2. Attain a goal
3. In-service training
4. Policy development
2
Standardized patterns of required behavior developed by the facility to enable staff to accomplish necessary
work are called .
1. Norms
2. Values
3. Roles
4. Behavior patterns
1
“Treating all residents with respect” is described as a .
1. Value
2. Norm
3. Precedent
4. Philosophy
1
A statement which broadly defines the purpose and values held by a facility is called a .
1. Set of aspirations
2. Mission statement
3. By laws
4. Long term goals
5. Religion
2
Per OBRA, dignity is caring for residents in a manner that maintains full recognition of a resident’s
.
1. Individuality
2. Personal tastes
3. Past preferences for activities
4. Reasonable expectations
1
The minimum data set is a requirement.
1. State
2. Local
3. Facility
4. Federal
4
A resident who enters a facility without an indwelling catheter can be catheterized when .
1. The resident requests it
2. Ordered by a physician
3. The resident’s clinical condition demonstrates a need for one
4. None of the above
3
A catheter must be changed .
1. Every 7 days
2. Every 14 days
3. Every month
4. Every 3 months
3
Resident water temperature should not exceed degrees F.
1. 105
2. 110
3. 115
4. 120
2
Food poisoning is most often caused by .
1. Salmonella
2. Herpes Zoster
3. MRSA
4. Listeriosis
1
The primary difference between Title XVIII and Title XIX of the Social Security Act is .
1. Title XVIII is federally funded and Title XIX is totally state funded
2. Title XVIII is for people over 65 and Title XIX is for people under 65
3. Title XVIII is primarily pays for inpatient hospital stays and Title XIX primarily pays for nursing services
4. Title XVIII is an insurance program and Title XIX is an assistance program based on need
4
The consultant pharmacist is responsible to .
1. Check all resident medication records
2. Administer drugs
3. Obtain prescriptions directly from the physician
4. Record drug destruction
1
The Title XIX fiscal intermediary is selected by the .
1. CMS
2. DHHS
3. The state
4. Governing body
3
is not a major function of a governing board.
1 Hiring facility staff
2. Stewardship
3. Approving budgets
4. Approval of policies and procedures
1
The main objective of utilization review for Medicare is .
1. Compliance with law
2. Reduce costs
3. High quality care
4. Check that the facility is covered by an intermediary
3
The Social Security Act was enacted in .
1. 1925
2. 1945
3. 1910
4. 1935
4
The main purpose of the job interview is to .
1. Review the job description
2. Discuss the history of the facility
3. Determine if applicant is suitable for the job
4. Ask questions you could not ask on job application
3
Which is true?
1. The governing body should be equally concerned about the administrator’s management techniques and
effectiveness
2. The governing body not only hires the administrator but should review and approve his/her management
techniques
3. The administrator is responsible for managing the facility, and the governing body is responsible to
determine the effectiveness of the administrators management efforts
4. The governing body is concerned with management techniques that the administrator uses and the
administrator is concerned with effectiveness
3
Strategies are plans of action that largely focus on .
1. Staff
2. Long range goals
3. Methods of solving problems
4. Involvement of all employees
2
Nursing home administrators need to understand how case mix determines Medicare reimbursement rates. The
higher the case mix or RUG score is .
1. The faster the facility is paid
2. The higher the acuity and the higher the reimbursement
3. The faster the resident will be discharged
4. The lower the acuity and the lower the reimbursement rate
2
Resident acuity levels determine the .
1. The severity of care and types of services required
2. The most desirable staffing levels
3. The priority to assign a resident in providing care
4. The ICD 9 coding
1
Food preparation equipment should be .
1. Air dried
2. Dried with a cloth towel
3. Dried with a paper towel
4. Dried in the dishwasher
1
Excess cash on hand should be invested in .
1. Mutual funds
2. Blue chip stocks
3. Money market accounts
4. Municipal bonds
3
Internal and external meds must be kept .
1. In separate areas
2. In separate rooms
3. At the nurse’s station
4. Together by resident name
1
Fire drills must be conducted .
1. Monthly on each shift
2. Quarterly on each shift
3. Monthly on the night shift
4. Monthly on the morning and evening shift
2
Fringe benefits do not include .
1. Vacation
2. Sick Leave
3. Life insurance
4. Overtime
4
is the largest source of funding for nursing home beds.
1. Medicare
2. Medicaid
3. Private
4. Insurance
2
Under Title XVIII and XIX, “mandatory” means .
1. May
2. Shall
3. Could
4. Should
2
Nursing homes are required to transmit MDS data to the state MDS Data System as part of their
Medicaid and Medicare Services agreement that is overseen by HCFA. If a state wants to
subcontract administration of their State MDS Data system to a private contractor, the state would
need to have provisions in their contract to provide which of the following?
1. A provision as to who will maintain and update the system
2. A provision that protects confidentiality of the MDS data
3. A provision that provides the state real time access
4. All of the above
4
Which would not meet federal requirements for lab and radiological tests?
1. Tests must be timely and accurate
2. Test results must be documented and filed in the resident chart
3. The attending physician must be notified within 72 hours of all test results
4. Only a licensed physician can order lab or radiological tests
3
A device that uses radio waves to detect abnormalities in the brain is called a(n) _ .
1. EEG
2. EKG
3. MRI
4. CBC
1
A device that measures the electrical functioning of the heart muscle is called a(n) .
1. EEG
2. PET scan
3. MRI
4. EKG
4
A device that uses magnetic waves to diagnose abnormalities in the body is called a(n) _ .
1. EEG
2. PET scan
3. MRI
4. EKG
3
A device that uses radiation to produce images of the body is called a(n) .
1 X-Ray
2. PET scan
3. MRI
4. Sonogram
1
Feeding assistants must be supervised by a(n) .
1. Occupational and Physical Therapists
2. Speech Therapist and Registered Nurse
3. Registered Nurse and Licensed Practical Nurse
4. Registered Dietician and Licensed Nurse
3
With respect to dental care for Medicaid residents, the facility must pay for .
1. Routine care covered by the state Medicaid Plan
2. Emergency dental care if the resident cannot pay for it
3. Dentures
4. All dental care
2
would have the most adverse impact if administered to the wrong resident.
1. Coumadin
2. Tylenol
3. Motrin
4. Colace
1
would not be a significant error if administered in the wrong dosage.
1. Mellavil
2. Insulin
3. Dilantin
4. Colace
4
An indwelling catheter should be changed every days.
1. 10
2. 14
3. 30
4. 60
3
Ramp handrails must extend horizontally inches beyond the top and bottom of ramp runs.
.
1. 10
2. 12
3. 18
4. 24
2
is not an anti-psychotic drug.
1. Seroquel
2. Haldol
3. Risperiodal
4. Ativan
4
When administering anti psychotic drugs to residents, which of the following is correct?
1. A physician’s order is sufficient to demonstrate the need for a medication
2. A lab test is sufficient to demonstrate need for the medication
3. The physician must document an adequate rationale for the need for the medication
4. The medical director must approve administration of anti-psychotic medication
3
The percentage of weight loss is calculated as .
1. Weight loss – usual weight divided by usual weight x 100
2. Usual weight – actual weight divided by usual weight x 100
3. Actual Weight – usual weight divided by usual weight x 100
4. Ideal Weight – usual weight divided by usual weight x 100
2
Where a resident was admitted without a decubitis sore and developed an avoidable stage IV decubitis sore
the facility would cited for _ .
1. Level 4 citation – immediate jeopardy
2. Level 3 – actual harm
3. Level 2 – no actual harm but potential for more than minimal harm
4. Level 1 – No harm
1
Where a resident was admitted with a stage IV decubitis sore and it became infected because the facility failed
to provide adequate care, the facility would be cited for a .
1. Level 4 citation – immediate jeopardy
2. Level 3 – actual harm but not immediate jeopardy
3. Level 2 – no actual harm but potential for more than minimal harm
4. Level 1 – No harm
1
Where a resident was not admitted with a decubitis sore but shortly afterward developed an avoidable Stage III
decubitis sore, the facility would be cited for a .
1. Level 4 citation – immediate jeopardy
2. Level 3 – actual harm but not immediate jeopardy
3. Level 2 – no actual harm but potential for more than minimal harm
4. Level 1 – No harm
2
If surveyors find substandard care during an annual survey, the facility will be subject to .
1. An Extended Survey
2. A Partial Extended Survey
3. An Abbreviated Standard Survey
4. A Post Survey Revisit
1
If a nursing home holds a license in good standing it will have a license.
1. Provisional
2. Standard
3. Temporary
4. Tentative
2
is a sentinel event.
1. Dehydration
2. Scabies
3. Pneumonia
4. Fecal impaction
4
An RN is required to complete .
1. A college course in nursing and a nursing license
2. A few courses in nursing
3. A certificate in nursing studies
4. 60 hours of in-services
1
The RAI consists of the .
1. Admission contract, MDS and Goal schedule
2. RAPs, Utilization Guidelines and MDS
3. Care Plan, Assessment Protocols and MDS
4. Face Sheet, MDS and Behavior Modification Log
2
is not a survey task.
1. Facility tour
2. Information gathering
3. Reviewing budget and financial reports
4. Analyzing information gathered to determine deficiencies
3
is the least contributing factor to high employee turnover.
1. Limited orientation
2. Inadequate in-services
3. Lack of policies and procedures
4. Incomplete background checks and hiring policies
3
The first person who should attempt to resolve an employee grievance is the .
1. Nursing home administrator
2. Governing body
3. Immediate supervisor
4. Department head
3
The need for continued restraints should be re-evaluated and documented every .
1. 30 minutes
2. 2 hours
3. 8 hours
4. 24 hours
2
uses the social environment as treatment.
1. Milieu therapy
2. Attitude therapy
3. Reality orientation
4. Resocialization
1
Metastasis is defined as .
1. A disorder where organs deteriorate
2. A condition that results in death
3. A chronic blood disorder
4. Movement of bacteria or body cells from one part of the body to another
4
1
OSHA .
1. Regulates overtime pay
2. Protects worker safety
3. Requires family medical leave
4. Enforces the life safety code
2
limits the time in which a lawsuit can be filed.
1. Stare Decisis
2. Habeas Corpus
3. Statute of Limitations
4. Novation
3
A contractor hired by a nursing home to input MDS data into the MDS data system would be bound by
.
1 Medicare and Medicaid Rules
2 OSHA
3 Life Safety Code
4 ADA
1
Per the IRS, employee tax records must be kept for .
1. 4 years
2. 5 years
3. 10 years
4. 11 years
1
The national standard to budget housekeeping staff to clean a facility is one hour of staff time per .
1. 1000 square feet
2. 2500 square feet
3. 3000 square feet
4. 3500 square feet
1
Cash flow will be improved if there is .
1. An increase in census
2. An increase in inventory
3. A decrease in accounts payable
4. A decrease in accounts receivables
4
requires specific employee training.
1. Medicare
2. FLSA
3. COBRA
4. EEOC
1
The single indicator of a job applicant’s success in a job is .
1. Testing results
2. Past job performance
3. The resume
4. The interview
2
Standard precautions relate to .
1. Handling bodily fluids
2. Transferring of residents
3. Handling urine
4. Handling medical instruments
1
A maintenance program should emphasize .
1. Adequate inventory
2. Preventative maintenance
3. Employing competent personnel
4. Maintenance contracts
2
The NFPA does not .
1. Research fire safety
2. Publish codes on fire safety
3. Establish standards on fire safety (Life Safety Code)
4. Enforce the life safety code
4
When the supervisor and the employee jointly set goals this is called .
1. Participatory management
2. Constructive confrontation
3. Creative problem solving
4. Management by objectives
4
A detailed plan of action of what each employee is to do when the fire alarm sounds is called
.
1. Polices
2. Procedures
3. Controls
4. Protocols
2
The administrator begins work when the owners or governing body set forth the for the organization.
1. Full Rules
2. Day to day rules and regulations
3. Mission statement
4. Procedures to be followed
3
The charge nurse functions at the level of management.
1. Upper
2. Horizontal
3. Lower
4. Middle
3
The overarching consideration in deciding what level of staffing is required is .
1. Ownership needs
2. The medical complexity of care required
3. The number of patients
4. State and federal minimum staffing requirements
2
The person responsible for resident rights is the .
1. Nursing home administrator
2. Direct caregiver
3. DON
4. Resident council president
1
Activities such as empowering dept heads, setting the tone and settling territorial disputes are associated
with the .
1. Business office
2. Administrator’s office
3. Director of nursing
4. Medical director
2
Federal requirements for the Medical Director are .
1 Increasingly burdensome
2 Detailed and extensive
3 Constantly changing
4 Brief and vague
4
A podiatrist is an important component of foot care in a nursing home because .
1 People like good foot care
2 Residents walk a lot
3 Diabetics need podiatrists for special foot care needs
4 Medicare requires a podiatrist on monthly basis‘
3
Resident characteristics are assessed in the .
1. Administrative assessment
2. Comprehensive assessment
3. Physician orders
4. ADL Capture
2
A facility must clean a minimum of lbs of clothing, bedding and linen per resident per day.
1. 5 lbs
2. 10 lbs
3. 15 lbs
4. 20 lbs
2
A facility with 120 beds and an average daily census of 112 residents has an occupancy rate for a 30 day
period of .
1. 87.1 2. 93.3 3. 97.6 4. 98.8
2
If $80,000 is borrowed @ 9% common interest for 10 years and only interest is paid for the first year, the first
monthly interest payment would be approximately.
1. $112
2. $330
3. $600
4. $720
3
Section 1902 of the Social Security Act amended 1965, provides that .
1. Nursing home administrators must be licensed by the states
2. Nursing homes must maintain 1 legal entrance to the facility
3. Elevators must be extra wide
4. Hall lights must have dimmer switches
1
An accurate measurement of net income, is obtained when accrued income for each resident is allocated to the
period the .
1. Payment from the resident was received
2. Resident is billed for services rendered
3. Resident resides in the facility
4. Expenditures related to resident care was incurred
4
