Study Guide 20 Flashcards
What are 2 examples of private organizations?
1 ANSI and NFPA
2 Life Safety code and ANSI
3 OSHA and NFPA
4 OIG and NLRB
1
What does ANSI consider the amount necessary for a Wheelchair clearance?
1 36”
2 48”
3 40’’
4 46”
1
If a resident’s care plan conference took place on June 18 what is the latest acceptable date for the next one?
1 July 14
2 Sep 13
3 Oct 15
4 Nov 15
2
What is the function of an Ophthalmologist?
1 To diagnose and treat eye conditions
2 To make eyeglasses
3 To grind eyeglass lenses
4 To perform eye exams
1
When does discharge planning Begin?
1 Upon admission
2 Upon issuance of a discharge order by the physician
3 72 hours prior to a planned discharge date
4 48 hours prior to a planned discharge date
1
The main purpose of a preventative maintenance program is to
1 To keep residents safe
2 Extend the useful life of equipment
3 To save money
4 To prevent fires
2
What is a tort?
1 A criminal infraction
2 A felony
3 A civil wrong
4 A misdemeanor
3
Which of the following would be considered an example of a tort?
1 Facility double billed Medicare
2 A nursing aide charged with abuse
3 A violation of state and federal regulations
4 Facility administered the wrong treatment
4
Who licenses Nursing Homes?
1 The state
2 The federal government
3 The JCAHO
4 The CMS
1
If an item costs $8,000 to purchase plus $500 in taxes plus $500 shipping, and has a salvage value of $1000
what would be the “historical value or cost”?
1 $7,000
2 $9,000
3 $8,500
4 $10,000
2
Which of the following would not be considered a capital expenditure?
1 Maintenance of the facility
2 A new washing machine
3 Renovations of the lobby
4 Overtime
4
Constant thirst and need to urinate are symptoms of .
1. A CVA
2. Nephritis
3. A UTI
4. Diabetes Mellitus
4
What does a physiatrist specialize in ?
1 Rehab
2 Neurology
3 Mental illness
4 All of the above
1
If a resident thinks a large white wastebasket in the bathroom is the toilet, what should staff do before
assessing dementia as the cause?
1. Use a brightly colored waste basket near the toilet
2. Use briefs to avoid having to use the toilet
3. Ask the attending physician for an order for an indwelling catheter
4. Give the resident a vision exam and corrective glasses based on the exam
5. Place the resident on a continence training program
4
What is it example of a staff authority ?
1 DON
2 The Housekeeping Director
3 A business office accountant
4 A charge nurse
3
Which of the following has advisory authority.
1 When a supervisor is exercising supervision on his direct subordinate
2 The administrator giving directions to the DON
3 The Maintenance director giving direction to a maintenance assistant
4 A occupational therapy assistant having a conversation with a housekeeper
4
Who owns a resident’s records?
1. The resident
2. The attending physician
3. The department of health
4. The CMS
5. The facility
5
How long do you need to keep assessments in the resident’s medical record?
1 1 Month
2 12 months
3 15 months
4 24 months
3
Resident medical records are kept for years”
1. 3 years
2. 5 years
3. 7 years
4. 30 years
2
If the resident is a minor, how many years must you keep their medical records?
1 5 years from date of admission
2 3 years past the age of majority
3 3 years post discharge
4 7 years from date of discharge
2
A blister filled with pus and the loss of skin and dermis is a stage _ decubitus sore?
1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4
2
A current liability is a liability that will be paid within .
1. Less than 1 year
2. More than 1 year
3. More than 6 months
4. More than 5 years
1
If a court requests a resident’s records from a facility, the facility .
1. Must secure the resident’s permission in writing to release the records
2. Does not need the resident’s consent to release the records
3. Is not required to release the records under HIPAA
4. All of the above
2
Define working capital?
1 Current assets divided by current liabilities
2 Assets minus liabilities
3 Revenues – expenses
4 Current assets – current expenses
5 Current assets – current liabilities
5
Which of the following would show the liquidity of a facility?
1 The income statement
2 The balance sheet
3 The general ledger
4 Look at the chart of accounts
2
What is not permissible to ask pre-job offer?
1. Can you do this job with or with out reasonable accommodations
2. What is your workers comp history
3. Are you a US citizen
4. Have you been treated for mental illness in the past year
2
Which budget forecasts cash receipts and disbursements for each month during the budget year?
1. Cash budget
2. Operating budget
3. Capital budget
4. Ancillary budget
1
Which of the following has staff authority?
1 A supervisor exercising supervision on his direct subordinate
2 An administrator giving directions to the DON
3 The Maintenance director giving direction to a maintenance assistant
4 An occupational therapy assistant having a conversation with a housekeeper
4
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
What would the best way to prevent future cash flow problems?
1 Collect AR
2 Reduce accounts payables
3 Increase census
4 Cut administrative salaries
5 Sell stock
1
What is an integrated budget?
1. A budget that is done for each separate department and then consolidated into one
2. A combination of an operating budget, capital budget and a cash budget
3. A budget that combines the operating budget and the capital budget
4. A budget that combines a cash budget and a capital budget
2
A current ratio of over 1 indicates that .
1. The facility is able to pay its obligations
2. The facility is not doing well
3. The facility is insolvent
4. The facility has financial difficulties
1
In the cash basis of accounting, expenses are recorded when
1. They are incurred
2. When cash is received or paid out
3. The balance sheet is prepared
4. When the profit and loss statement is prepared
2
Who is responsible to ensure a facility is in compliance with privacy regulations for HIPPA?
1 A corporate compliance officer
2 A privacy officer
3 An administrator
4 The Governing body
3
The primary function of the safety committee is .
1 Worker safety
2 Resident safety
3 Infection control
4 To minimize money losses
1
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
What would be considered a fixed cost?
1 Depreciation
2 The electric Bill
3 Labor costs
4 Nursing supplies
1
Which organization is in charge of issuing a waiver for under age workers?
1 NLRB
2 EEOC
3 Department of labor
4 OSHA
3
If a family member is concerned about how the facility did on its survey they have a right see the CMS form
1. 671
2. 672
3. 2567
4. 5673
5. 5500
6. 804
3
Internal and external medications must be kept where?
1. In separate areas
2. In separate rooms
3. At the nurse’s station
4. Together by resident name
1
Two employees working 1040 hours each per year and share a position are considered which of the following?
1. 1 FTE
2. 2 FTEs
3. Per Diem
4. Part-time
5. Salaried employees
1
An employee on an 8/80 schedule would accrue overtime after .
1. 30 hours
2. 40 hours
3. 60 hours
4. 80 hours
4
The main function of risk management is to .
1. Reduce accidents
2. Reduce money losses
3. Increase profits
4. Reduce unnecessary expenses
2
If a resident is given extra medication resulting in an injury, which insurance would cover the facility?
1 General
2 Professional
3 Officer’s and Director’s Insurance
4 Business interruption Insurance
2
What is considered a serious medication error?
1. Giving stool softener to wrong resident
2. Giving one dose of ibuprofen to wrong resident
3. Giving wrong dose of insulin
4. Giving wrong dose of Colace
3
What condition results in frequent urination and excessive thirst?
1. High blood pressure
2. Stress incontinence
3. Nephritis
4. Diabetes Mellitus
4
Which of the following is an anti psychotic side effect?
1. Drowsiness
2. Hallucination
3. Confusion
4. Blurred vision
2
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 Benevolence
2
Hallways must be at least feet wide?
1. 8 feet or less
2. More than 8 feet if there is a waiver
3. Exactly 8 feet
4. 8 feet or more
4
Correct place to test temperature is .
1. At ground level
2. Below the ceiling
3. Just above the ground
4. A minimum of 5 feet from the floor
3
What is the minimum square footage of a private room?i
1. 60 square feet
2. 80 square feet
3. 100 square feet
4. 120 square feet
3
Amount of space required per bed in shared room is square feet per person
1 60 square feet
2 80 square feet
3 100 square feet
4 120 square feet
2
Maximum amount of beds per room?
1. 2
2. 4
3. 6
4. 8
2
Which of the following statements is correct?
1. ANSI is a voluntary law
2. ANSI is a mandatory law
3. ANSI is state law
4. ANSI is enforced by OSHA
2
If SSI is $840 the facility must inform residents when their account reaches .
1 $2000
2 $840
3 $640
4 $240
3
Whose responsibility is it to make arrangements for an emergency dental work?
1 The physician
2 The facility
3 The family
4 The Medicaid agency
2
A facility could not request a waiver for the electrical generator to not power which of the following?
1. Exit lighting
2. Nursing stations
3. Fire alarm system
4. Refrigerators and freezers
1
A Physician visit is timely if it occurs within days of a required visit
1. 5 days
2. 10 days
3. 15 days
4. 30 days
2
The primary purpose of medical records is .
1. Continuity of care
2. Legal documentation
3. Follow physician orders
4. Conform to state and federal laws
1
Who must conduct a comprehensive assessment?
1. A physician
2. A registered nurse
3. The medical director
4. The director of nursing
2
A resident has the right to copies of their medical records within what time frame?
1. 24 hours of the request
2. 48 hours (excluding weekends and holidays
3. 24 hours (excluding weekends and holidays
4. 10 days
2
A request to inspect resident records or to get copies of resident records must be submitted by the resident .
1. Orally
2. In writing
3. Either orally or in writing
4. None of the above
3
How many days does the facility have to inform the state of the outcome of an abuse investigation?
1 1 working day
2 5 days
3 3 days
4 5 working days
4
The main function of the HR manager is to .
1. Hire and discipline facility staff
2. Maintain personnel policies
3. Perform employee performance reviews
4. Supervise facility staff
2
If an attending physician is not performing to facility and state and federal standards, who should address these
compliance issues with the physician?
1. Have the administrator talk to the attending physician
2. Have the director of nursing talk to the attending physician
3. Have the medical director address the matter with the attending physician
4. Have the governing body talk to the attending physician
3
A policy prohibiting soliciting on facility premises would be found in the .
1. Facility policies
2. Personnel handbook
3. Facility procedures manual
4. Bylaws
2
If an employee or a resident comes to the governing body instead of the administrator with a problem, what should the
governing body do?
1. Handle the problem themselves
2. Refuse to listen to the individual
3. Listen to the problem and then give instructions to the administrator as to what to do
4. Refer the matter to the administrator and let the administrator handle it
4
A resident has a right to
1 Know about a new roommate
2 Furnish his room however he wants
3 A bedside phone
4 A television
1
How many months can you retain an unlicensed nursing aide?
1. 4 months
2. 6 months
3. 12 months
4. 24 months
1
How many hours of in-services does a nursing aide need each year?
1. 12 hours
2. 18 hours
3. 20 hours
4. 24 hours
1
How many fire drills are required annually?
1. 12 drills, one per shift per quarter
2. 12 drills, one per shift per month
3. 36 drills a year
4. One per shift per month
1
End of life care that focuses on making a patient comfortable is called what kind of care?
1. Hospice care
2. Acute care
3. Palliative care
4. Respite care
3
The advantage of doing moderate exercise for aging adults would not include which of the following?
1 Remove extra body fat and build muscle
2 Improving longevity
3 Improving blood flow
4 Preventing the likelihood of heart attack and strokes
4
With respect to the care of an incontinent resident, which of the following statements would be correct?
1. Incontinence is irreversible
2. Incontinence can be reversed with a proper program and increased exercise
3. Incontinence can be reversed with a proper program and decreased exercise
4. Incontinence can best be treated with briefs and pads
2
The resident drug regimen must be reviewed by which of the following?
1 A pharmacist monthly
2 An attending physician monthly
3 A pharmacist and attending physician quarterly
4 A pharmacist quarterly
1
Which of the following must sign the comprehensive assessment?
1 A licensed nurse
2 A physician
3 An MDS coordinator
4 An RN
4
Which of the following cannot take oral orders from a doctor?
1 A licensed nurse
2 A physician
3 A pharmacist
4 A ward clerk
4
If a family has a complaint, when is the best time to address it?
1 A care plan conference
2 At a resident council meeting
3 At a family council
4 During annual survey
1
If a resident complains that a roommate has regular visitors past 9 PM which is keeping up the resident, what should
the administrator do?
1. Educate the roommate about visiting hours
2. Change the resident to quieter room
3. Give the roommate and his visitors an alternate place to meet for the late hour visits
4. Prohibit the resident from entertaining late night visitors
3
Who decides how to alter food to conform to a mechanically altered diet?
1. The physician
2. The food service manager
3. The dietician
4. An RN
3
- Colon
- Stomach wall
- Large intestine
- Pancreas
2
A patch of skin that has redness and is warm to the touch is a stage decubitus sore?
1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4
1
What is NOT a nosocomial disease?
1. AIDS/HIV
2. influenza
3. UTI
4. Pneumonia
5. Scabies
1
The purpose of closing doors in a fire is to .
1 Remove oxygen
2 Keep doors open
3 identify resident rooms
4 Contain the smoke
4
Clocks and calendars are used in what kind of therapy?
1. Milieu
2. Validation
3. Reality orientation
4. Re-motivation
3
The mission statement is the ?
1. The foundation of the corporation
2. The governance of the corporation
3. Strategic plan
4. The purpose of the corporation
4
Individuals and organizations that have a financial interest in the nursing home are called?
1. Stockholders
2. Stakeholders
3. Interested parties
4. All of the above
1
Where should drugs for external use be stored?
1 In a separate room
2 In a separate area
3 In a separate compartment
4 In the medication room
3
With an automatic stop order, which of the following statements is correct?
1 Must notify the physician before the last dose is given
2 Must notify the physician after the last dose is given
3 Must notify the physician 24 hours before the last dose is scheduled to be given
4 Must notify the physician 48 hours before the last does is scheduled to be given
1
Who decides if the resident can self administer drugs?
1, The Attending physician
2. The DON
3. The interdisciplinary team
4. The medical director
3
A railing in a stairway must be between and inches.
1. 30 – 34
2. 32 – 36
3. 34 – 36
4. 34 - 38
4
Which of the following indicates if a resident did not want to be resuscitated
1. A living will
2. A durable POA
3. A DNR
4. A POA
3
How long after a survey would the next one be?
1 12-15 months
2 12 months
3 9-15 months
4 24 months
3
Main reason employees try to unionize is .
1 Poor communication between management and workers
2 To negotiate better wages
3 The facility offers poor benefits
4 History of management with employees
1
Best method of communication is
1. Email
2. Memos
3. Face to face
4. By phone
3
True or False - The growing concern in the nursing industry is that residents are staying longer and that residents
have higher acuity and shorter stays.
1. True 2. False
1
Restorative nursing is performed by
1. Occupational therapists
2. Physical therapists
3. Recreational activities specialists
4. nursing aides
4
An employer cannot ask a potential employee which of the following?.
1 if they can work Easter or Christmas
2 If they are US citizen
3 If the applicant can perform the tasks of the job
4 If the applicant uses illegal drugs
1
Which of the following would be considered an acceptable employment ad by the EEOC?
1. A four foot female needed to model children’s dresses
2. A strong man needed for heavy lifting
3. Young college student to work late at night
4. Female nurses for hospice assignments
1
Best way for the administrator to audit the maintenance in the facility is .
1 Review preventative maintenance logs
2 Management by walking around
3 Monitor resident complaints
4 Review maintenance repair bills
2
The purpose of closing doors in a fire is to .
1 Remove the oxygen
2 Keep doors open
3 identify resident rooms
4 Contain the smoke
4
Which fire extinguisher will put out a fire from a gas range?
1 ABC
2 A
3 C
4 AB
1
Disaster plans vary based primarily on which of the following?
1 The specific region and disasters common to the area
2 The priorities of the governing body
3 Directives from the CMS
4 The available resources In the facility
1
Strategic planning takes how many years?
1. 1 year
2. 1-2 years
3. 3-5 years
4. All of the above
3
Who at a minimum would be invited to a care conference?
1 Just the resident
2 The resident and family
3 Just the family
4 The resident and the attending physician
2
A 67 yr old has been a resident for 3 years in a nursing Home. His stay was most likely paid for by
1 State Medicaid
2 Medicare
3 Private Insurance
4 SSI
1
A resident has the right to see their medical records within what frame?
1. 24 hours of the request
2. 48 hours (excluding weekends and holidays
3. 24 hours (excluding weekends and holidays
4. 10 days
3
What is considered too long between meals from the dinner meal to breakfast?
1 8 hours
2 12 hours
3 14 hours
4 16 hours
4
