Study Guide 11 Flashcards
A can serve as the activity director of a nursing home.
1. Don
2. Professional social worker
3. Occupational therapist
4. Physical therapist
3
Which of the following contains guidelines for the determination of monetary damages regarding billing
practices?
1. Health Insurance Portability and accountability act of 1996 (HIPPA)
2. False claims act
3. MMA (Medicare modernization)
4. Sarbanes-Oxley act
2
Which of the following has PRIMARY responsibility for developing comprehensive psychosocial treatment
plans for new residents?
1. Social worker
2. DON
3. Charge nurse
4. Administrator
1
A resident with an infectious disease should be:
1. Allowed to sit at the nurse’s station where they can be supervised
2. Moved to private room or isolation room if they are in a multi-bed room
3. Transferred to a skilled nursing facility
4. Discharged to the hospital as soon as possible
2
Physical therapists, occupational therapists, and speech therapists must be .
1. Licensed
2. Board certified
3. Certified
4. A member of a professional organization
1
An NHA should be primarily concerned with which of the following .
1. Providing a safe environment for residents
2. Balancing staff patterns
3. Making a profit
4. Overall quality of care
4
A facility is required to provide all of the following EXCEPT:
1. Cubicle curtains
2. Private rooms
3. Window curtains
4. Complete separation from public view while in their beds
2
Bylaws are defined as:
1. A detailed guide to developing policies and procedures
2. Rules and regulations that govern a corporation’s internal management
3. Rules and regulations that govern a corporations external management
4. A process for determining whether a facility meets federal standards
2
A nursing home is licensed to provide primarily .
1. Adult day care
2. Hospice care
3. Assisted living care
4. Sub acute care
4
In order to ensure a homelike environment and assist the resident’s orientation of time of day, weather,
and general location, a resident room must have a .
1. Television
2. Window
3. Phone
4. Radio
2
Per OBRA 1987, a facility must provide residents a physical environment that is .
1. Comfy and safe
2. Clean
3. Affordable
4. Is homelike
4
An administrator can contest in writing a citation for non-compliance by which appeal process?
1. Conflict resolution process
2. Informal dispute resolution process
3. Formal dispute resolution process
4. Mediation process
2
Patient care plans MUST be reviewed, evaluated, and updated how often?
1. Daily
2. Weekly
3. Monthly
4. Quarterly
4
According to OBRA regulations, the surveyor is required to interview all of the following except:
1. Nursing staff
2. Family council members
3. The long term care ombudsmen
4. Facility residents
2
For proper hand washing, hands should be washed for .
1. 15 seconds with sanitizer
2. 12 seconds with hot water
3. 10 seconds with hot water
4. 20 seconds with hot water
4
Which of the following is the most common method used by nursing facilities to achieve high levels of
employee performance and conformity with policies.
1. Continuing education
2. Organizational analysis
3. Employee skill analysis
4. Task analysis
1
An effective quality assurance program improves .
1. Resident care
2. Profits
3. Communication
4. Staff performance
1
What is the minimum frequency that medication regimen of each resident must be reviewed by a
licensed pharmacist?
1. Semiannually
2. Bimonthly
3. Monthly
4. Quarterly
3
According to CMS requirements, a resident has the right to access copies of his/her medical record upon:
1. Submission of an oral or written request 24 hours before needed
2. Receiving the written consent of the DON
3. Receiving attending physician’s approval
4. Submission of a verbal request and payment of a fee
1
At a staff meeting, the dietician proposes new snack times for residents. The plan would eliminate the
bedtime snack and replace it with a mid afternoon dessert and fruit cart. Should the administrator
approve the proposal?
1. No, because federal regulations mandate a daily bedtime snack
2. Yes, but the cost must be considered
3. Yes, however dietician must prepare a report that demonstrates they meet nutrition
standards
4. No, because the nursing staff would not have time to assist with snacks mid afternoon
1
With regard to facility staffing levels, the facility must staff according to:
1. PPD standards
2. Acuity levels in facility
3. Facility mix for Medicaid
4. Minimum state staffing hours
2
Which of the following is an increase in worker salaries to adjust for inflation?
1. Prevailing wage rate
2. COLA
3. Equity increase
4. Merit pay increase
2
The most effective way to prevent a pressure sore is to implement a .
1. Special skin care products purchasing program
2. Preventative skin care program
3. Individual nutrition program
4. Urinary incontinence protocol
2
Which of the following management styles provides least direction and support to staff?
1. Coaching
2. Directing
3. Delegating
4. Supporting
3
A facility is cited for several deficiencies that were not cited as immediate jeopardy. The facility must
submit a plan of correction within .
1. 10 days after notice of the deficiency
2. 14 days after survey completion
3. 30 days after survey completion
4. 30 days after notified
1
Nursing facilities must file a request for formal dispute resolution within how may days of receiving
deficiencies.
1. 2
2. 5
3. 10
4. 20
4
The most significant cost for a nursing facility is .
1. Labor
2. Mortgage
3. Supplies
4. Equipment
1
A nursing facility fire protection standards are specified by .
1. Life Safety Code
2. ANSI
3. OSHA
4. Underwriter’s Laboratory
1
Reality orientation is most appropriate for residents who .
1. Are blind
2. Are depressed
3. Have late stage dementia
4. Have early stage dementia
4
Management of communications between the nursing facility and the public is called .
1. Marketing
2. PR
3. Market segmentation
4. Market opportunity analysis
2
Which of the following nutritional interventions is considered the last resort to ward off significant
weight loss.
1. Supplements with meds
2. Larger than normal or double portions
3. Feeding artificially such as a PEG tube
4. Enriched meals and milk shakes as snacks
3
the BEST investment vehicle for funds that must remain liquid is usually a:
1. Treasury bond
2. Money market fund (MMF)
3. Certificates of Deposit (COD)
4. Interest bearing checking account
2
The OSHA General Duty Clause requires employers to .
1. Review accident and incident reports
2. Develop written safety procedures
3. Provide a safe workplace
4. Monitor personal safety programs
3
In long term care, the method of depreciation used for buildings, improvements, land improvements,
and fixed assets is a(n) .
1. Sum of years digits
2. Accelerated
3. Straight line
4. Step down
3
In conducting an objective appraisal of an employee’s current job performance, which of the following
should be done FIRST?
1. Compare employee’s performance with standards
2. Gather opinions from supervisor
3. Solicit opinions from co-workers
4. Assess Interpersonal skills
1
The most valuable information that can be discovered about candidates through reviewing applications,
resumes, and references is .
1. Flexibility and work habits
2. Tax-credit program eligibility
3. Ability to communicate clearly
4. Time worked at a previous job
4
Which type of document provides complete information about each resident and is used primarily by
attending physicians and certain staff?
1. Resident admission agreement
2. Resident medical record
3. Quality indicator report
4. Minimum data set
2
A Quality assurance committee must meet at least .
1 Biannually
2 Quarterly
3 Once per month
4 Annually
2
Developing and implementing facility specific programs that help ensure safety of employees is a major
responsibility of the NHA. The safety program in the nursing home would fall under the .
1. Risk management program
2. Material safety data program
3. Accident reporting program
4. Life Safety code program
1
For which communication situation would e-mail be most appropriate?
1 Reporting suspicion of abuse to authorities
2 Writing to a colleague, expressing concern about the termination of another colleague
3 Corporate communication to a facility regarding financial performance
4 Writing to a resident’s family about a serious medical condition
3
Excluding weekends and holidays, a resident has the right to access clinical records within .
1 12 hours
2 24 hours
3 48
4 72
2
Emergency electrical power systems are required to provide enough power to illuminate .
1. Exits
2. Elevators
3. Nurses’ stations
4. Bathrooms
1
The responsibility to provide services that respect an individual’s dignity and uniqueness relates most
directly to the ethical principle of .
1 Compliance
2 Autonomy
3 Privacy
4 Beneficence
2
When a resident who is not covered by Medicare places money in a resident trust fund, the facility is
1 Required to pay interest if in an interest bearing bank account
2 Required to pay interest only if contains more than $50.00
3 Always required to pay interest
4 Required to pay interest only if contains more than $100.00
2
The best way to prevent the spread on infection in the storage and transportation of linens, the facility
Should .
1 Provide annual in-service meetings for member of the laundry dept.
2 Store in a nursing facility unit
3 Transport at end of each shift
4 Implement procedures that reduce cross contamination
4
Employees are protected from harassment under the:
1 National labor relations act of 1935
2 Occupation safety and health act of 1970
3 Civil Right Act of 1991
4 Civil rights act of 1964
3
A nursing facility must offer its employees .
1 Health insurance
2 Unemployment insurance
3 Life
4 Personal liability
2
Most long term care services in the US are provided by the family. Which of the following statements
describes family dynamics in regard to care giving and institutionalization?
1 In most cases, it is the individual who decides on institutionalization
2 Role of the family in LTC typically ends with admission of dependent elderly person into nursing
facility
3 Most families find that time goes on it gets easier
4 Institutionalization typically results in feelings of guilt and anger by family members
4
Which one of the following statements is correct with regard to nurse aid regular in service education?
1 It is a remedial process restricted to those who are lacking technical expertise
2 It is the responsibility of individual employees
3 It should be based on areas of weakness identified in evaluations
4 It should be provided at workshops outside the facility
3
Transmission difficulties, premature evaluations, and filtering are all forms of:
1 Communication barriers
2 Poor management
3 Information technology barriers
4 Poor care
1
The use of jargon such as “CNA” or “DON” can .
1 Enhance communication between family and staff
2 Become a barrier
3 Be a proper response to the family member’s request
4 De-emphasize the power staff has
2
A resident’s condition has changed significantly that suggests a need for transfer, but no emergency
action is required. The facility should first .
1 Obtain physician’s order for discharging the resident to another facility
2 Determine whether a new care plan could meet resident’s needs
3 Determine if another facility could immediately meet the resident’s needs
4 Allow the resident or guardian to select the most appropriate facility for transfer
1
Two nursing facilities have the same owner. When a resident is transferred from one to the other, a
comprehensive resident assessment must be completed within days.
1. 5
2. 14
3. 30
4. 90
2
What federal agency is responsible for the administration of the Medicare programs?
1 Federal Emergency Management agency
2 FDIC
3 Department of health
4 CMS
4
In the evaluation of a new project, a pro forma financial statement would serve to:
1 Provide information regarding community benefit
2 Present underlying assumptions and provide an understanding of the potential financial
effect
3 Secure board approval for implementation
4 Present the pros and cons of proceeding with the project
2
Although administrators may utilize the expertise of the dietary staff, they must know something about:
1 Food needs of the elderly
2 Safety with regard to food preparation
3 Sudden unexplained weight loss
4 Nutrition theories
2
On balance sheets of nonprofit companies, which of the following are MOST OFTEN listed as restricted
net assets.
1 Dated maturity investments
2 Board imposed restrictions
3 Donor imposed restrictions
4 Reserve for debt retirement
3
Heating and cooling systems should be monitored to ensure temps between .
1. 65-75
2. 68-78
3. 71-81
4. 75-85
3
With regard to budget preparation, which is true:
1. Projected income and operating expenses should be established so that operating expenses
remain within the amount established for income projections
2. Income projections should always be increased to at least projections of expense
3. When projecting expenses, one must make a careful review of liabilities
4. Income and expense budgets have no relations to one another
2
To ensure all essential mechanical, electrical, and resident care equipment are maintained in safe and
working condition, the facility must have an effective .
1. Environment services program
2. Safety program
3. Restorative nursing program
4. Preventative maintenance program
4
In a nursing facility, who, besides the medical director, may be given responsibility for executing resident
care policies.
1. Registered pharmacist
2. RN
3. Department supervisor
4. A dietitian
2
To reduce the risk of a UTI, catheters should be changed aseptically every .
1. 3-5 days
2. Week
3. 2 weeks
4. Month
4
The consultant pharmacist must report any drug irregularities to the:
1. Attending physician and/or DON
2. Applicable state board of pharmacy
3. Administrator
4. Ombudsman
1
A nursing facility’s strategic plan is a .
1. Written plan that everyone must follow in a given situation
2. Set of rules, regulations, and laws to govern board’s activities
3. A step-by-step guide to carrying out activities to attain a goal
4. Plan of action that focuses on long range goals
4
Clear width for a wheel chair is inches wide.
1. 24
2. 30
3. 32
4. 36
4
A new MDS assessment must be completed when a resident has:
1. Suffered a stroke and loses the ability to ambulate freely
2. Lost 1.5% of body weight over last 60 days
3. Dizziness due to new drug
4. Developed diarrhea
1
A summary of changes in assets, liabilities, stockholders’ equity, revenues, and expenses is known as a(n)
.
1. Audit
2. Account
3. Ledger
4. Journal
1
When an administrator communicates what is to be accomplished by each employee and helps them
accomplish these goals this is called .
1. Controlling
2. Staffing
3. Organizing
4. Directing
4
Under the quality indicator reports system, which is not a QI report.
1. Facility quality indicator profile
2. Resident level summary
3. Resident choice summary
4. Facility characteristics
3
Controlled drugs MUST be stored in their original containers and placed:
1. Under double lock protection
2. In a locked area
3. At the nursing station
4. In the appropriate residents’ medicine boxes
1
If a union wishes to renegotiate a contract with an employer, it must notify the employer within how
many days of the expiration date
1. 120
2. 90
3. 60
4. 30
2
A document that summarizes the financial position of a nursing facility at a particular point in time is
known as the .
1. Cash report
2. Balance sheet
3. Profit/loss
4. Report on owner’s equity
2
Primary criterion for Medicaid is:
1. Income
2. Disease
3. Age
4. Disability status
1
The policies of a nursing facility must be approved by the:
1 MD
2 Administrator
3 QAC
4 Governing body
4
Which of the following committees would be responsible for infection control in a nursing home?
1. Quality assurance committee
2. Safety committee
3. Infection Control Committee
4. Utilization Review Committee
3
When an administrator projects future trends and needs this is called .
1. Controlling Quality
2. Forecasting
3. Organizing
4. Directing
2
When an administrator compares actual results to projected results this is called .
1. Controlling Quality
2. Forecasting
3. Staffing
4. Evaluating
4
When an administrator takes steps to resolve a deficient situation this called .
1. Controlling Quality
2. Forecasting
3. Staffing
4. Evaluating
1
An employment interview in which the interviewer refrains from influencing the applicant’s remarks is
known as:
1. In-depth interview
2. Probing interview
3. Non-directive interview
4. Patterned interview
3
A full time social worker is required in certified nursing facilities with more than .
1. 50 beds
2. 75 beds
3. 100 beds
4. 120 beds
4
Occupational therapy is focused PRIMARILY on:
1. Rehab of gross motor activity
2. Functional performance in ADL
3. Increasing safety awareness in those with sensory losses
4. Poor hygiene in the workplace
2
All of the following are basic rights of residents in a nursing facility except:
1. Keeping their room doors locked after 9 PM
2. Being informed of charges
3. Retaining and using personal possessions within limits
4. Managing personal financial affairs
1
According to Omnibus Budget Reconciliation Act (OBRA), a plan of care for a resident receiving
psychotropic meds must include:
1. Behavioral interventions
2. Acceptable diagnoses (rationale)
3. Disciplinary measures
4. Appropriate lab tests
2
To get a clear understanding of a resident’s characteristic behaviors, a caregiver should refer to the:
1. Admission assessment
2. Physician’s orders
3. Comprehensive assessment
4. Resident’s ADL capabilities
3
All meals are prepared in accordance with the orders of the:
1. Resident
2. Attending physician
3. Medical director
4. Dietitian
2
The first step in developing an in-house computer network is to:
1. Request proposals from software and hardware vendors, then compare them for suitability
2. Evaluate security features to ensure they meet HIPPA
3. Define system objectives in terms of what facility needs
4. Assess extent of training staff would need
3
When a resident develops an active communicable infection, which of the following will be required?
1. Quarantine
2. Restrictive activity
3. Transfer to hospital
4. Specific isolation techniques
4
A nursing facility’s fire protection standards are specified by:
1. NFPA life safety code
2. ANSI
3. OSHA
4. Underwriter’s lab
1
Which is the BEST method of increasing a facility’s cash position?
1. Issuing shares of stock
2. Increasing the census
3. Admitting more Medicare residents
4. Collecting accounts receivables
4
Anyone receiving social security is automatically covered under:
1. Medicare part A and Medicare part B
2. Part A only
3. Part B and D
4. Part B only
2
Subpoena duces tecum means:
1. An order to appear with evidence
2. That a deposition will be required
3. That all personnel involved must meet to agree
4. Is a court order to search a house for evidence
1
When the facility rewards positive employee performance, then:
1. Employee performance usually improves briefly, then declines
2. Employee performance generally improves
3. Only the recognized employee’s performance typically improves
4. Punishing substandard employee performance becomes more important
2
Unless superseded by state law, a facility MUST maintain medical records that include clinical, medical,
and psychosocial information on every resident until:
1. 5 years after date of discharge/death of the resident
2. Facility is audited and all audit questions are resolved
3. Facility is sold
4. All expenses incurred have been paid
1
If a contractual agreement between a facility and a contractor involves MDS information, the contractor
is bound by:
1. The facility’s corporate compliance plan
2. Residency/admission agreement between facility and residents
3. Federal minimum insurance requirements
4. Medicare and Medicaid participation requirements
4
Psychological aging begins:
1. With the onset of puberty
2. Immediately after birth
3. At the first signs of osteoporosis
4. From the onset of dementia
2
When must residents be informed of their rights:
1. Prior to or at the time of admission
2. When they apply for Medicaid benefits
3. During the first 30 days of admission
4. When requested
1
Which of the following is the management style associated with leaders who value their workers and
solicit their participation:
1. Team management
2. Task management
3. Management by objectives
4. Country club management
3
Equity theory states:
1. Employees seek an exchange in which their wages and benefits equal their effort
2. Employees will have the same benefits at all levels
3. Employees have a direct say in compensation levels
4. In companies with multiple work sites, employees will be reimbursed the same at all sites
1
Which of the following is true of a facility survey process?
1. Surveyors can request that all resident interviews be conducted privately
2. Management can insist on their presence during all interviews as an observer
3. Residents must participate in the interviews
4. Management is encouraged to speak on behalf of residents who are not able to speak and be
interviewed
1
Marketing of health care is a new trend that focuses on the recognition of the provision of health care
services and is:
1. Determined by the provider
2. Specific to certain types of illnesses
3. Becoming affordable for everyone
4. Increasingly becoming a “buyer’s market”
4
