Study Guide 14 Flashcards
An RN must work consecutive hours daily, 7 days a week in a nursing home.
1. 8
2. 13
3. 16
4. 24
1
Choose correct time for the required resident snack time?
1. 8 AM
2. 1 PM
3. 5.30 PM
4. 8 PM
4
If a resident speaks a language that is not the predominant language in the nursing
home, the facility must do which of the following to ensure the resident is informed
of their rights?
1. Provide the resident a written translation of their rights in language they understand
2. Provide them an interpreter
3. Pair them with a roommate who speaks their language
4. 1 and 2 above
5. 2 and 3 above
6. All of the above
4
A nurse from the Philippines is overheard talking in her native language around facility residents. One of
the residents complains to the administrator. What should the administrator do?
1. Explain to the resident that the nurse has a right to speak in her native language
2. Call the elder abuse hotline
3. Explain to the nurse that speaking a language a resident does not understand is a violation of their
resident rights
4. There is nothing the administrator can do
3
Daughter reports that her mother’s roommate has late night visitors which are noisy. What should the
administrator do?
1. Explain to the complaining individual that their roommate has a right to have visitors at any hour
2. Offer to a room change to the complaining individual
3. Explain to the other resident that they cannot have visitors after hours
4. Offer the roommate and his guests a private place to meet in the facility where they will not disturb
anyone
4
When a nursing home outsources health care services to outside providers, the facility should have which
of which of the following to secure patient information?
1. A confidentiality agreement with the contractor
2. A professional services bond from the contractor
3. A transfer agreement with the contractor
4. Proof of professional liability insurance from the contractor
3
The long term care ombudsman requests access to a resident’s medical chart. What should the
administrator do?
1. Require the resident to provide their consent for the ombudsman to access the resident’s medical
chart
2. Provide the ombudsman access to the chart since they do not need the resident’s permission
3. Inform the ombudsman they may review the resident’s chart without their permission but cannot
obtain copies of those records
4. Secure an order from the resident’s attending physician allowing the ombudsman access to the
resident chart
1
Rules and regulations that govern a corporation are called .
1. Articles of Incorporation
2. Bylaws
3. Mission statement
4. Philosophy
2
State surveyors cite a facility for substandard care during a complaint survey? The facility will then be
subject to what type of federal survey?
1. A standard survey
2. A partial extended survey
3. An extended survey
4. Resurvey
5. Abbreviated standard survey
2
Depreciation is what type of expense?
1. An indirect expense
2. A capital expense
3. A direct expense
4. An operating expense
4
A resident who has resided in a nursing home for the past five years just had a comprehensive assessment
completed on June 15th? When will the next comprehensive assessment be due?
1. 1 month
2. 3 months
3. 12 months
4. 60 days
3
Grievances between employees should be taken to which of the following?
1. Their immediate supervisor
2. The governing body
3. The administrator
4. The resident grievance committee
1
An employer which has a grievance against a union would file such grievance with which of the
following entities?
1. The U.S. Department of Labor
2. The Taft Hartley Act
3. The National Labor Relations Board
4. The state Department of Labor
2
Which of the following would select a guardian for a resident declared to be
mentally incompetent?
1. The attending physician
2. The resident
3. The administrator
4. A court judge
5. An advance directive
6. A living will
7. A health care surrogate
4
A document which specifies the use of artificial life prolonging measures that would take effect once
an individual was incapacitated is specifically called a(n) _ .
1. Advance directive
2. Living will
3. Designation of a health care surrogate
4. Durable power of attorney
2
A is a civil wrong.
1. Habeas corpus
2. An arraignment
3. Tort
4. Indictment
3
A common cause of a decubitus sore is .
1. Poor dentition
2. Incontinence
3. Ambulation
4. Cellulitis
2
What is the main cause of a decubitus sore?
1. Poor diet
2. Poor circulation
3. Shearing
4. Constant pressure to one area of the skin
4
Medicare is Title of the Social Security Act.
1. 16
2. 17
3. 18
4. 19
5. 20
3
Medicaid is Title of the Social Security Act.
1. 16
2. 17
3. 18
4. 19
5. 20
4
What is the ideology of a facility?
1. The mission statement
2. The bylaws
3. The articles of incorporation
4. The philosophy
4
Under which circumstances is a resident’s consent needed to provide access to their medical and
financial records to a third party?
1. Access by the long term care ombudsman
2. A subpoena directing the release of resident records to a third party
3. Access by a third party payor pursuant to a contract
4. When a resident is transferred to another facility
1
How often do patient care policies need to be updated?
1. Monthly
2. Quarterly
3. Every 180 days
4. Annually
4
The type of pain a resident experiences whenever they walk would be categorized as a(n) condition.
1. Acute
2. Sub-acute
3. Terminal
4. Chronic
4
Which of the following would be invited by state surveyors to attend the survey exit conference?
1. Family members
2. Long term care ombudsman
3. Governing body
4. Medical director
2
Which of the following must be present at the Quality Assurance Committee Meeting?
1. DON, an attending physician and 3 staff members
2. DON, administrator, attending physician and 3 staff members
3. DON, a physician and 3 staff members
4. DON, medical director and 3 staff members
3
A job applicant can be asked which of the following questions in a job interview?
1. Are they a U.S. citizen
2. Their age
3. If they have ever been arrested
4. If they have been denied Medicaid and or Medicare
1
A worker 16 years of age or younger must have permission to work under which of the following laws?
1. Equal Employment Opportunity Act
2. Fair Labor Standards Act
3. Taft Hartley Act
4. Occupational Safety and Health Act
2
True or False – Residents do not have the right to refuse family members to visit them in the facility.
1. True
2. False
2
Which of the following would be considered severe hypertension?
1. 90 and above
2. 100 and above
3. 120 and above
4. 140 and above
4
Restorative nursing care is provided by which of the following?
1. Skilled therapists
2. Licensed nurses
3. Nursing aides
4. Assistant physical therapists
3
Resident abuse must be investigated and reported to the state licensing authority within day(s).
1. 1 day
2. 3 days
3. 5 days
4. 5 working days
5. 7 working days
4
A document which specifies the use of artificial life prolonging measures that would take effect once an
individual was incapacitated is specifically called a(n) .
1. Advance directive
2. Living will
3. Designation of a health care surrogate
4. Durable power of attorney
2
A is a civil wrong
1. Habeas corpus
2. An arraignment
3. Tort
4. Indictment
3
Common cause of a decubitus sore is .
1. Poor dentition
2. Incontinence
3. Ambulation
4. Cellulitis
2
What is the main cause of a decubitus sore?
1. Poor diet
2. Poor circulation
3. Shearing
4. Constant pressure to one area of the skin
4
Medicare is Title of the Social Security Act.
1. 16
2. 17
3. 18
4. 19
5. 20
3
Medicaid is Title of the Social Security Act.
1. 16
2. 17
3. 18
4. 19
5. 20
4
Prepaid insurance is what type of expense?
1. An indirect expense
2. A capital expense
3. A direct expense
4. An ancillary expense
1
An accounting system where a debit and credit entry is made for each recorded financial transaction is
called a system?
1. Double entry bookkeeping system
2. Double entry accounting system
3. The cash accounting system
4. The accrual accounting system
1
Which department has overall responsibility to maintain a clean environment in the facility?
1. Maintenance
2. Housekeeping
3. Laundry
4. Infection control program
2
Board of Governors has which type of authority?
1. Line
2. Advisory
3. Functional
4. Directive
1
Which of the following can delegate line authority to facility staff?
1. The state licensing authority
2. The administrator
3. The CMS
4. The governing body
4
Who must conduct a comprehensive assessment?
1. A physician
2. A registered nurse
3. The medical director
4. The director of nursing
2
What is the best program to deal with incontinence?
1. Have an adequate supply of adult briefs on hand at all times
2. Have an effective continence training program
3. Insert a catheter for severe incontinence
4. Implement a skin care prevention program
2
Which of the following is not a nosocomial infection?
1. Decubitus sores
2. Pneumonia
3. AIDS
4. Urinary Tract Infections
3
The interdisciplinary team must invite which of the following to each resident care plan meeting?
1. The resident
2. Family members
3. Legal representative
4. All of the above
5. Just 1 above
4
The various payor sources for each resident is called the .
1. Revenue mix
2. Case mix
3. Payor mix
4. Gross Revenue Margin Mix
2
A person receiving $840 a month in income is within $ of the SSI income limit?
1. $160
2. $470
3. $860
4. $980
5. $1020
5
Who is responsible to schedule the receipt and disposition of resident medications?
1. The Director of Nursing
2. A registered nurse
3. A physician
4. The consultant pharmacist
4
A facility cost that has a fixed cost but the total costs fluctuates with census is called a cost?
1. Variable cost
2. Fixed cost
3. Predetermined cost
4. Capital cost
1
A nursing aide drops a resident and fractures a hip. Both the employee and the employer are responsible
for money damages from the fall because of which of the following?
1. Punitive liability
2. Contributory liability
3. Strict liability
4. Negligent liability
3
Where authority is assigned to staff at the lowest practicable levels in the organization, this is called
.
1. Job enrichment
2. Subrogation
3. Delegation
4. Diversification
3
Where a staff member who manages other staff and directs their activities has authority.
1. Staff authority
2. Supervisory authority
3. Line authority
4. Direct authority
3
Where a manager and staff get together and jointly identify objectives this is called .
1. Management by walking around
2. Collaborative supervision
3. Management by objectives
4. Management by consultation
3
What is the main purpose of a budget?
1. Control costs
2. To make financial projections
3. It is the facility’s business plan
4. To hold the administrator accountable for revenues and expenses
3
Nursing aide leaves job after 5 years to work with GM motor company. After working 18 months at GM she
decides to go back to work as a nurse aide. What must she do to qualify to work as a CNA?
1. Retake the state training program and pass the state exam.
2. Just need to retake the state exam
3. She just needs to pay a renewal fee to reactivate her license
4. She needs to work at least 8 hours in the past 24 months to keep her certification current
4
Nursing aides must complete hours of continuing education credits per year.
1. 10
2. 12
3. 20
4. 35
2
When a newly hired administrator has to call other nursing home administrators to know the current
salaries of their nursing staff, what is this specifically called?
1. Salary Ranging
2. Benefits mix
3. Compensation comparison
4. Benchmarking
4
Which of the following is the Accounting equation?
1. Assets = liabilities – capital
2. Liabilities = assets + capital
3. Assets = liabilities + capital
4. Assets – liabilities + capital
3
Which inventory method keeps inventory in vendor warehouse and vendor delivers supplies just before
they are needed to avoid costly stocking.
1. Just-in-time inventory
2. Economic Order Quantity
3. Materials Requirements Planning
4. Inventory Analysis
1
A budget that details staffing costs, food and supplies expenses, drugs costs and mortgage and tax
payments is called a budget?
1. Ancillary budget
2. Capital budget
3. Income budget
4. Operating budget
4
Which of the following is the correct equation to calculate working capital?
1. assets – liabilities = working capital
2. assets/liabilities = working capital
3. current assets + current liabilities = working capital
4. current assets – current liabilities = working capital
4
Which inventory method maintains the optimum amount of materials needed to be ordered and minimizes
overstocking.
1. Just-in-time inventory
2. Economic Order Quantity
3. Materials Requirements Planning
4. Inventory Analysis
2
Which of the following type of revenue fluctuates with bed occupancy census?
1. Fixed revenues
2. Operating revenues
3. Ancillary revenues
4. Variable revenues
4
A corridor or ramp must have a minimum width of feet or more.
1. 3
2. 5
3. 8
4. 11
5. 12
3
Fire extinguishers must be spaced a maximum of feet apart.
1. 25
2. 50
3. 75
4. 100
2
A single resident must have a minimum of square feet of living space in a multi-bed room.
1. 40
2. 60
3. 80
4. 100
3
A single resident must have a minimum of square feet of living space in single occupancy room.
1. 40
2. 60
3. 80
4. 100
4
A maximum of residents can occupy a multi-bed room.
1. 1
2. 2
3. 4
4. 6
5. 8
3
Medicare Part A will pay for which of the following:
1. A private room
2. A bedside telephone
3. A wheelchair
4. A television
3
In case of a fire, what is the first thing staff must do?
1. Extinguish the fire
2. Pull the fire alarm
3. Contain the fire
4. Remove anyone in proximity of a fire.
4
What is the allowable ambient temperature in a nursing home per OBRA 1987?
1. 61-71 degrees F.
2. 71-78 degrees F.
3. 71-81 degrees F.
4. 62-78 degrees F
3
Which federal law requires a facility to inform a resident of their right to make a living will?
1. Nurse Practice Acts
2. Federal Health Care Surrogate Designation Act
3. Patient Self Determination Act
4. The Patty Schiavo Act
5. OSHA
3
The MSDS is required by which federal law?
1. OSHA
2. FMLA
3. FSLA
4. NLRB
5. CMS
1
What is the most comprehensive quality improvement process?
1. Performance Improvement model
2. Quality Assurance model
3. Continuous improvement model
4. Total Quality Management Model
4
Which of the following is passed by a state legislature or the Congress?
1. Ordinance
2. Regulation
3. Statute
4. None of the above
3
If a nursing aide drops a resident, which insurance policy will cover the facility?
1. Professional liability
2. General liability
3. Officers and Directors insurance
4. Property insurance
5. Business interruption insurance
1
The most widely available instrument for recording future health-care-related decisions is the .
1. RAI
2. MDS
3. Medical chart
4. Advance directive
4
Resident medical and financial records must be retained for years.
1. 3
2. 5
3. 7
4. 10
2
Which of the following is a tort?
1. A nursing aide charged with abusing a resident
2. A facility cited by the state for substandard care
3. A family member filing a lawsuit against a facility for abuse
4. The CMS revoking a facility’s Medicare/Medicaid certification for repeated non-compliance
3
Employee injury records must be saved for a minimum of years.
1. 3
2. 5
3. 7
4. 14
5. 20
6. 30
6
Where a daughter complains about a mail her mother receives from her old friend that gets the mother very
upset and the daughter wants to see the mail before her mother does. What should the administrator do?
1. Continue sending the mail to the resident
2. Let the daughter read her mail first
3. Arrange for the administrator to receive the resident’s mail and hold it for the daughter
4. Request the attending physician to write an order to allow staff to screen the mother’s mail first on
the basis of health reasons
1
Which of the following statements is a not true?
1. Self-help devices should be available for physically impaired.
2. Each facility must provide residents any necessary assistive devices
3. A physical therapist is responsible to teach residents how to use assistive feeding devices
4. A physician must prescribe a resident diet
2
Which of the following statements is the correct policy?
1. Case managers coordinate the health services and insurance
2. Licensed nurses dispense medications
3. Must have a registered nurse 24 hours a day
4. Must employ an assistant director of nursing in a facility with 100 beds or more
1
The resident comprehensive assessment must be signed by .
1. The attending physician
2. Director of nursing
3. A registered nurse
4. The administrator
2
A facility must employ a social worker in a facility with beds.
1. 60
2. 80
3. 100
4. 120
5. 121
5
The is responsible to provide the facility clean linen, sheets and clothing.
1. Maintenance
2. Nursing
3. Laundry
4. Housekeeping
3
The facility kitchen must be open at least hours per day.
1. 8
2. 12
3. 16
4. 24
2
If a facility does not employ a dietary supervisor who is a registered dietician, then that individual must have
consultation with a consultant dietician on a basis.
1. Full time
2. Part-time
3. Contract
4. Per diem
2
The is responsible for infection control in the nursing home.
1. Maintenance
2. Nursing
3. Laundry
4. Housekeeping
4
The facility must staff a minimum of 1 kitchen aide per resident per OBRA 1987?
1. 10
2. 20
3. 30
4. 40
5. Sufficient staff to provide necessary services to residents
5
Management of communications between the nursing facility and the public about good food, good resident
care, good rehabilitation care and homelike environment is called .
1. Marketing
2. Public relations
3. Advertising
4. Focused promotion
2
The emergency electric al generator must switch on within seconds of a loss of normal power.
1. 5 seconds
2. 10 seconds
3. 15 seconds
4. 30 seconds
2
The facility must deposit funds of a Medicare resident totaling $150 into _ account.
1. A non interest bearing account
2. An interest bearing account
3. A tax free account
4. All of the above
2
A facility must have one handicap parking space for every parking spaces.
1. 10
2. 15
3. 20
4. 25
5. 30
4
A handicap parking space must be a minimum of _ feet across per the ADA.
1. 10
2. 13
3. 15
4. 20
2
A resident that is involuntarily discharged by a facility must be given days advance notice of such
discharge.
1. 10
2. 14
3. 30
4. 60
3
Which of the following is not a valid legal reason to involuntarily discharge a resident?
1. A danger to themselves
2. A change in payor source
3. A danger to others
4. The facility is closing
5. The facility cannot meet their needs
6. The resident no longer requires nursing home care
2
The minimum hot water temperature required by a low temperature dish washer is degrees F.
1. 120
2. 140
3. 160
4. 180
1
Adverse impact is where an employer fails to hire minorities at a rate that is at least % of the
hiring rate of the majority group.
1. 50%
2. 60%
3. 70%
4. 80%
5. 90%
4
Which of the following must be invited to attend a resident care plan conference?
1. The resident
2. The resident’s family members
3. The resident’s legal representative
4. All of the above
4
A union which has a grievance against an employer would file such grievance with which of the
following entities?
1. The U.S. Department of Labor
2. The Taft Hartley Act
3. The National Labor Relations Board
4. The state Department of Labor
3
Which of the following requires a facility to pay for money damages caused by facility employees
to residents or third parties?
1. Federal employer liability act
2. Workers compensation laws
3. Respondent superior
4. Contributory negligence recovery laws
3
Who must develop a care plan?
1. A registered nurse, the attending physician and other professionals involved in the residents care
2. The DON, a physician and 3 other staff members
3. A licensed nurse, the medical director, social services director and other staff
4. The DON, Administrator, a licensed physician and 3 other staff
1
What is the main objective of the facility maintenance program?
1. Control maintenance costs
2. Remodel the facility
3. Perform preventive maintenance
4. Quickly repair any broken equipment
3
How often must the comprehensive assessment be reviewed?
1. Monthly
2. Quarterly
3. Annually
4. When requested by the attending physician
2
Knee clearance under the ADA is inches.
1. 9
2. 19
3. 27
4. 36
2
Toe clearance under the ADA is inches.
1. 9
2. 19
3. 27
4. 36
1
Overtime is what type of expense?
1. An indirect expense
2. A capital expense
3. A direct expense
4. An operating expense
4
Repairs to the parking lot is what type of expense?
1. An indirect expense
2. A capital expense
3. A direct expense
4. An operating expense
2
A full time social worker is required when a facility has or more.
1. 120 residents
2. 121 residents
3. 60 residents
4. 61 residents
2
Which quality improvement model is the most comprehensive and is focused on empowering front
line staff to make decisions to meet and exceed customer satisfaction?
1. Performance Improvement model
2. Quality Assurance model
3. Continuous improvement model
4. Total Quality Management Model
4
The definition of working capital is:
1. All assets less all liabilities
2. Fixed assets less fixed liabilities
3. Currents assets divided by current liabilities
4. Currents assets less current liabilities
4
Which quality improvement model is the least effective or comprehensive?
1. Performance Improvement model
2. Quality Assurance model
3. Continuous improvement model
4. Total Quality Management Model
1
The main components of the risk management program are:
1. Liability control
2. Preventative measures and case management
3. Unionization
4. All of the above
2
Type A Fire Extinguisher assists with what type of fire?
1. Chemical/Flammable liquids, no residue
2. Electrical
3. Metals
4. Materials that burn to ash
4
A facility must not serve morning meals more than hours after the evening meal.
1. 12 hours
2. 13 hours
3. 14 hours
4. 15 hours
2
The comprehensive MDS assessment is required within days of admission:
1. 7
2. 10
3. 15
4. 14
4
A facility should conduct a minimum of fire drills annually.
1. 15
2. 12
3. 10
4. 14
2
To operate a fire extinguisher, you must:
122.
1. Pull, Aim, Squeeze, Sweep
2. Pull, Aim, Squeeze, Spray
3. Push, Aim, Squeeze, Spray
4. Push, Point, Release, Sweep
1
The person who implements resident care policies and coordinates the medical care in the
facility is the .
1. Administrator
2. Director of Nursing
3. Medical Director
4. Social Worker
3
The theory of hierarchy of needs was founded by:
124.
1. Douglas McGregor
2. William Ouchi
3. A.H. Maslow
4. Dr. David Snowdon
3
A 3rd party used to advise or counsel in the negotiation process is considered:
125.
1. Arbitration
2. Conciliation
3. Mediation
4. Total Quality Management (TQM)
3
Hematology is the study of .
126.
1. Diseases of the blood and blood-forming organs
2. Disorders in the endocrine system and its specific secretions
3. A “holistic” approach to medical care
4. Disorders of the rectum
1
If an employee works 52 hours in a 7 day work week and is paid $10.00 per hour for regular time, the
employee should be paid a total weekly income of .
1. $333
2. $580
3. $520
4. $780
2
In September, a facility had a total of 99 employees. Then, in October they had a total of 98
employees. By the month of December there were 100 employees. Over this 3-month time span, 10
employees were hired, fired, or laid off. What was the turnover ratio for the quarter?
1. 10%
2. 50%
3. 18%
4. 20%
1
A federally required screening for all future nursing home residents, to determine if
they are mentally ill or mentally retarded, is called the .
1. MMSE
2. MAR
3. PASSAR
4. HIPAA
3
Therapeutic diets are prescribed by a and approved by a .
1. Physician and Dietician
2. Dietician and Physician
3. Nurse and Dietician
4. Dietician and Pharmacist
1
A third party that hears a dispute and then renders a decision that binds all parties is called .
1. Conciliation
2. Mediation
3. Total Quality Management (TQM)
4. Arbitration
4
Which quality improvement model is the most comprehensive and is focused on empowering frontline
staff to make decisions to meet and exceed customer satisfaction?
1. Performance Improvement model
2. Quality Assurance model
3. Continuous improvement model
4. Total Quality Management Model
4
When the power at your facility goes out, the emergency generator needs to reestablish it in:
1. 10 seconds
2. 1 minute
3. 20 seconds
4. 2.5 minutes
1
A major issue in malnutrition is a result of:
1. Poor tasting food
2. Poor dentition
3. Lack of assistance
4. Meal times
2
The daughter of a female resident tells a CNA about a male resident who supposedly has been
sexually harassing her mom. Who should the CNA report this incident to?
1. Charge Nurse
2. Administrator
3. Activity Director
4. Social Worker
1
The definition of working capital is .
1. All assets less all liabilities
2. Fixed assets less fixed liabilities
3. All current and fixed assets
4. Currents assets less current liabilities
4
A facility should conduct a minimum of fire drills annually.
137.
1. 15
2. 12
3. 10
4. 14
2
A resident who has resided in a nursing home for the past five years just had a comprehensive
assessment completed on June 15th? When will the next comprehensive assessment be due?
1. 1 month
2. 3 months
3. 12 months
4. 60 days
3
A nursing aide drops a resident and fractures a hip. Both the employee and the employer are
responsible for money damages from the fall because of which of the following?
1. Punitive liability
2. Contributory liability
3. Vicarious liability
4. Negligent liability
3
