Study Guide 7 Flashcards
When a change in a resident’s condition is significant, the facility must assess the resident’s
physical or mental condition within _ days of identifying a significant change.
1. 7
2. 10
3. 14
4. 21
3
A facility must maintain months of assessments in a resident’s active medical chart.
1 6 months
2 12 months
3 15 months
4 18 months
3
Within days of completing an assessment, the facility must electronically transmit the
assessment data to the state.
1. 7
2. 10
3. 14
4. 21
1
A negligent or civil wrong is called a .
1. Subpoena
2. Tort
3. Indictment
4. Judgment
2
Protecting residents and staff from accidental or inadvertent electrical discharge from electrical outlets
and devices is the purpose of the .
1. Hazard Communication Standard
2. Blood Borne Pathogen Program
3. Lock Out/Tag Out
4. Life Safety Code
3
would cover a facility where the nursing staff gives a resident the wrong medication resulting
in injury to the resident.
1. General Liability Insurance
2. Business Interruption Insurance
3. Property and Casualty Insurance
4. Professional Liability Insurance
4
Nursing home administrators can .
1. Ask workers if they attend union meetings
2. Attend union meetings
3. Contribute money to a union
4. Express their personal opinion as to the value of a union
4
CIO stands for .
1. Congress of Industrial Organizations
2. Consortium of Industrial Organizations
3. Congress of Independent Organizations
4. Consolidated Industrial Organizations
1
Residents most at risk for pressure ulcers are usually .
1. Obese
2. Bed or chair ridden
3. On a low sodium diet
4. Ambulatory
2
The organization responsible for researching safety protocols to protect workers in the work place from
diseases and occupational hazards is NIOSH. NIOSH stands for .
1. National Institute for Organizational Safety and Health
2. National Institute for Occupational Safety and Health
3. Out of compliance with OBRA 1987
4. Within the grace period
2
Planning in-service education for nursing aides would not include .
1. At least 12 hours of in-services per year
2. In-services based on training needs identified in performance reviews
3. Performance reviews every 18 months
4. Providing training on caring for cognitively impaired residents
3
Per OBRA 1987, resident medical records must be retained for a minimum of year(s) from
discharge.
1. 1 year
2. 3 years
3. 5 years
4. 7 years
3
The is responsible for the day-to-day management of the facility’s nursing program.
1. Governing body
2. Medical Director
3. Director of Nursing
4. Administrator
3
CMS stands for .
1. Central Medicaid Services
2. Centers for Medicare and Medicaid Services
3. Center for Medicare Services
4. Center for Medical Services
2
HHS stands for .
1. Health and Human Services
2. Human and Health Services
3. Higher Health Services
4. Health Services Administration
1
Per OBRA 1987, medical records for minors must be retained for at least year(s) after the individual
reaches legal age.
1. 1 year
2. 3 years
3. 5 years
4. 7 years
2
would not be covered by Medicare.
1. Meals
2. Laundry
3. Activities
4. Television
4
A public telephone in a nursing facility must _.
1. Be free of charge
2. Have adjustable volume for hearing impaired
3. Be located in resident rooms
4. Be cleaned daily
2
The has legal responsibility to adopt and implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator
3
PHS stands for .
1. Public Health Service
2. Prescribed Health Service
3. Post Hospitalization Service
4. Pre Hospitalization Service
1
A facility would need a minimum of square feet in a semi private room for with 2 residents.
1. 60
2. 80
3. 160
4. 240
3
A private room must have a minimum of square feet
1. 60 3. 100
2. 80 4. 120
3
is a stage 3 pressure ulcer.
1. Extensive tissue loss down to the bone and muscle
2. Tissue loss of the upper and lower layers of the epidermis
3. A red patch of skin that is warm to the touch
4. A blistering or opening of the upper layer of the skin
2
OBRA stands for .
1. Omnibus Budget Reconciliation Act
2. Omnibus Budget Reconstruction Act
3. Oversight and Budget Reconciliation Agency
4. None of the above
1
The width required for 2 wheelchairs to pass is .
1. 30 inches 4. 96 inches
2. 60 inches
3. 80 inches
2
The automatic smoke and fire detection systems must be connected to each other .
1. Manually
2. Electronically
3. Digitally
4. Remotely
2
is not an advantage of doing business as a corporation.
1 Perpetual existence
2 Limited liability
3 The ability to raise capital
4 Unrestricted liability of officers and directors
4
Managing only by responding to exceptions is called .
1 Variance analysis
2 Statistical analysis
3 Financial Analysis
4 Analytical management
1
When the administrator asks the charge nurse to come to her office, this is an example of .
1 Upward communication
2 Horizontal communication
3 Downward communication
4 Vertical communication
3
FICA stands for the .
1. Federal Insurance Contributions Act
2. Federal Income Contributions Act
3. Federal institutional Commitment Act
4. Federal Institutional Consolidation Act
1
An unnecessary drug would not include .
1. A drug whose side effects are worse than the condition it is meant to treat
2. A drug whose use is not demonstrated by the resident’s condition
3. A drug which duplicates the actions of another drug being taken by the resident
4. A drug that is administered at optimal stabilization levels
4
Gathering information from the community to determine what needed services the facility can offer the
community is called a .
1 Market mix
2 Market audit
3 Product line
4 Market implementation
2
SMDA requires reporting injuries to the .
1. OSHA and the Dept of Labor
2. FDA and OSHA
3. FDA and the manufacturer
4. EPA and OSHA
3
SMDA stands for _.
1. Safe Mechanical Devices Association
2. Safe Medical Devices Association
3. Safe Medical Devices Agency
4. Safe Medical Devices Act
4
Per SMDA, an injury must be reported within days.
1. 3
2. 6
3. 10
4. 14
3
A nursing aide must have provided nursing related services for compensation at least during the
previous months to maintain their certification status.
1. 1 day or 8 hours, 24 months
2. 2 days or 16 hours, 12 months12
3. 3 days or 36 hours, 18 months
4. 7 days or 56 hours, 24 months
1
A SNF must have fire drills .
1. Monthly
2. Quarterly
3. Semi annually
4. Annually
2
The air temperature in a nursing facility is measured .
1. At floor level
2. Just above the floor
3. At ceiling level
4. Inside the wall
2
The comfortable temperature range in a facility is degrees.
1 51-61 3. 71-81
2 61-71 4. 81-91
3
An infection that develops inside the facility is called .
1. MRSA
2. Nosocomial
3. Iatrogenic
4. Comorbid
2
Per OBRA 1987, the emergency generator does not have to power _ .
1. The emergency lighting system that illuminates all entrances and exits
2. The fire detection and alarm and extinguishment system
3. The life support systems
4. The air Conditioning system
4
Lighting of the means of egress must be continuous with exit floor surfaces illuminated at the level of
foot candle from the .
1. ½ , ceiling
2. 1 , floor
3. 2, floor
4. 3, floor
2
is not the responsibility of the consultant pharmacist.
1. Reviewing resident drugs monthly for unnecessary drugs
2. Ensuring medication records are in order
3. Destroying expired meds
4. Establishing a system to record receipt and disposition of all drugs
3
The most common cause of pressure sores is .
1. Shearing and friction
2. Incontinence
3. Senility
4. Poor nutrition
1
The acceptable medication error rate for a facility is % or less.
1. 1% 3, 5%
2. 2% 4. 7%
3
A major cause of malnutrition in nursing home residents is .
1. Poor dentition
2. Unhealthy snacks
3. Dehydration
4. Poor cognition
1
A full time social worker is required in a facility with .
1. 30 beds
2. 59 beds
3. 61 or more beds
4. 121 or more beds
4
A management theory where a manager believes workers like to work and want to do a good
job is called .
1. Theory W
2. Theory X
3. Theory Y
4. Theory Z
3
A management theory where a manager believes workers do not like to work and are lazy is
called .
1. Theory W
2. Theory X
3. Theory Y
4. Theory Z
2
states that employee morale is affected by negative perception of the
care provided by a facility and employees are less comfortable working there.
1. Theory W
2. Theory X
3. Theory Y
4. Theory Z
4
Communication occurs when .
1. A message is transmitted from one individual to another
2. A message is transmitted by one person and received by another
3. A message is transmitted by one person and received and decoded by another person
4. A message is transmitted by one person and received and decoded and understood by another person
4
The Americans with Disabilities Act construction standards are enforced by .
1. NFPA
2. ANSI
3. Architecture and Transportation Barriers Compliance Board
4. EEOC
3
The Americans with Disabilities Act construction standards were developed by .
1. NFPA
2. ANSI
3. Architecture and Transportation Barriers Compliance Board
4. EEOC
2
A Medicaid resident receiving $1500 a month in Social Security pension is within _ of losing their
Medicaid eligibility.
1. $200
2. $360
3. $420
4. $500
2
provides research and recommendations to OSHA regarding workplace safety.
1. NFPA
2. ANSI
3. NIOSH
4. DHHS
3
The federal government matches state Medicaid expenditures ranging from .
1. 50% to 83%
2. 50% to 95%
3. 40% to 60%
4. 25% to 45%
1
fire extinguishers would be used for fires from burning paper, lumber, cardboard and plastics.
1. Class A
2. Class B
3 Class C
4. Class D
1
fire extinguishers would be used for metals such as magnesium and titanium.
1. Class A
2. Class B
3 Class C
4. Class D
4
fire extinguishers would be used for electrical appliances, outlets, power tools.
1. Class A
2. Class B
3 Class C
4. Class D
3
fire extinguishers would be used for combustible or flammable liquids such as kerosene, and
gasoline
1. Class A
2. Class B
3 Class C
4. Class D
2
A court appointed guardian is also called a .
1. Testator
2. Solicitor
3. Conservator
4. Proxy
3
The main reason for informing a resident and any roommate(s) of a room change in advance is because
.
1. Residents need time to pack
2. A room change could result in an avoidable decline in physical, mental and psychosocial well being
3. Residents have the right to appeal room changes to the ombudsman
4. The resident’s attending physician must be notified in advance
2
Allegations of Medicare fraud would be reported to the .
1 CMS
2. OIG
3. HCFA
4. State licensing agency
2
Maintaining a record of incidents and corrective actions regarding infections is assigned to the .
1. Infection control program
2. Medial director
3. Quality control program
4. Administrator
1
What is the average daily occupancy rate for June for a facility with a total of 3000 resident days for the
month?
1. 85
2. 95
3. 100
4. 110
3
A facility is cited for F371 H during an annual survey. The facility was cited for scope and severity of
?
1. No Harm – No Potential for Harm – Patterned
2. No Harm – But Potential for Harm – Isolated
3. Actual Harm – Immediate Jeopardy – Patterned
4. Actual Harm – Not Immediate Jeopardy – Patterned
4
Clear width for a wheelchair is inches wide.
1. 24
2. 30
3. 36
4. 44
3
An individual who was determined to lack capacity to make decisions for themselves was reassessed and
determined to have capacity or has regained capacity. Who would now be able to make decisions for the
resident?
1. A guardian
2. A power of attorney
3. A proxy
4. A durable power of attorney
5. A designated health care surrogate
6. The resident can make decisions for themselves
7. A spouse or sibling
6
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
Which of the following is the definition of a sentinel event?
1. An event in which the resident’s physician must be notified
2. An event that presents serious injury or death
3. An event which requires nursing staff to closely monitor a resident for a minimum of 48 hours
4. All of the above
4
The activities department must be open days a week?
1. 3
2. 5
3. 6
4. 7
4
Aside from the required annual standard survey, which of the following conditions would not trigger an
abbreviated standard survey?
1. Change of ownership
2. Change of Medical Director
3. Change of Administrator
4. Change of Director of Nursing
5. Change of Management
2
What must the surveyors hand the administrator in the entrance conference?
1. The Form 2567
2. A list of all deficiencies identified by the team
3. A copy of the long term care ombudsman’s report of investigations
4. A copy of the facility QM/QI and the OSCAR 3 and 4 reports to give the facility an opportunity to
explain any discrepancies before the sample selection list if finalized
4
True or False - A surveyor can request access to a resident in the middle of the night.
1. True
2. False
1
Nursing homes must follow the Life Safety Code of which year?
1. 1995
2. 2000
3. 2012
4. 2015
3
The MSDS is now called which of the following?
1. DMS
2. MDS
3. SDS
4. OSHA form 900
3
The RAI (resident assessment instrument) is now called called what?
1. Resident Assessment Protocols
2. Care Assessment Protocols
3. Care Area Assessment
4. Care Assessment Protocols
3
What are the triggers called in the assessment done in question 77 above?
1. Resident Assessment Triggers
2. Care Area Triggers
3. Clinical Assessment Triggers
4. Resident Assessment Triggers
2
How many triggers are there in question 78 above?
1. 10
2. 15
3. 18
4. 20
5. 25
4
Under new CMS regulations, nursing homes are now required to integrate actual payroll and census data
into required reporting to the CMS. What is this system called?
1. Payroll Based Reporting
2. Payroll Based Journal
3. Minimum Data Set
4. Payroll Data Reports
2
The payroll information in question 80 above must be submitted to the CMS how often?
1. Weekly
2. Monthly
3. Quarterly
4. Semi-annually
3
Individuals, corporations, the surrounding community or governmental entities who are directly affected by
the actions taken by a business are known as
1. Shareholders
2. Stakeholders
3. Investors
4. Regulators
2
Employees, residents, family members and corporate managers or owners are called .
1. Internal shareholders
2. internal Investors
3. Internal regulators
4. Internal stakeholders
4
Hospital case managers, referring physicians, the surrounding community, and state surveyors called
.
1. External shareholders
2. External Investors
3. External regulators
4. External stakeholders
4
The acceptable medication error rate is .
1. Below 5%
2. 5%
3. 5% or above
4. Determined by facility policy with approval of the Department of Health
1
No more than hours can pass between dinner and breakfast
1. 10 hours
2. 12 hours
3. 14 hours
4. 16 hours
3
No more than hours can pass between dinner and breakfast if residents have a snack
1. 10 hours
2. 12 hours
3. 14 hours
4. 16 hours
4
A facility can extend the time between meals to the time specified in question 87 above if it is approved by
which of the following?
1. The governing body
2. The state health department
3. The administrator
4. The medical director
5. A resident group
6. The local long term care ombudsman
5
The facility must do a pain assessment for each resident how often?
1. Daily
2. Weekly
3. Monthly
4. Quarterly
4
anagement by Walking Around (MBWA) is now called
1. Leading by Walking Around (LBWA)
2. Leadership by Objectives (LBO)
3. Management By Example (MBE)
4. Leadership by Walking Around (LBWA)
4
Which of the following requires using the latest technology and safest syringes to avoid needle sticks?
1. Needle-Stick Prevention Act
2. The OHSA Duty Clause
3. Lockout/Tagout
4. Safety Medical Devices Act
1
What do we call face masks, gloves and gowns that must be used by staff in a nursing home?
1. Protective equipment (PE)
2. Personal Protective Equipment (PPE)
3. Personal Safety Equipment (PSE)
4. Personal Safety Measures (PSM)
2
An ulcer that forms on the extremities due to peripheral vascular disease or venous insufficiency and not by
direct pressure is called a
1. Pressure ulcer
2. Decubitus sore
3. Gastric ulcer
4. Stasis ulcer
4
A resident in restraints must be released from their restraints for how many minutes?
1. 10
2. 30
3. 60
4. 120
1
The facility must provide surveyors a copy of Form 802 - Roster and Sample Matrix within what time-
frame when requested by the surveyors in the entrance conference?
1. 1 hour
2. 8 hours
3. 24 hours
4. 48 hours
1
The facility must provide surveyors a copy of Form 672 - Census and Conditions of Residents within
what time-frame when requested by the surveyors in the entrance conference?
1. 1 hour
2. 8 hours
3. 24 hours
4. 48 hours
1
The facility must provide surveyors a copy of Form 671 - Application for Long Term Care Facility
Medicaid and Medicare Certification within what time-frame when requested by the surveyors in the
entrance conference?
1. 1 hour
2. 8 hours
3. 24 hours
4. 48 hours
1
he facility must provide surveyors a list of all residents admitted within the last 30 days within what time-
frame when requested by the surveyors in the entrance conference?
1. 1 hour
2. 8 hours
3. 24 hours
4. 48 hours
1
The facility must provide surveyors a list of all residents receiving anti-psychotic medications within
what time-frame when requested by the surveyors in the entrance conference?
1. 1 hour
2. 8 hours
3. 24 hours
4. 48 hours
1
The facility must provide surveyors a list of all residents who requested Medicare Demand Notices in
the last 6 months within what time-frame when requested by the surveyors in the entrance conference?
1. 1 hour
2. 8 hours
3. 24 hours
4. 48 hours
1
