Study Guide Questions

Question 1

A condition in which a person has cognitive problems sever enough to be noticable, but not sever enough to interfere with daily life is known as?

Answer 1

Mild Cognitive Impairment

Question 2

Upon hire, all employees must receive which of the following procedures?

a. ) Standard Precautions
b. )Employee rights and expectations
c. ) Resident Rights
d. ) Resident Service Plans

Answer 2

c.) Resident Rights

Question 3

Which of the following policies must be provided prior to admission?

a. ) Service Plan Development
b. ) Fair Housing
c. ) Hospice and End of Life Care
d. ) Definition of Skilled Nursing Care

Answer 3

d.) Definition of Skilled Nursing Care

Question 4

In person centered care, which of the following is true?

a. ) Leadership makes all decisions
b. ) Daily activities are performed according to facility schedule
c. ) Uniform meal times allow residents to dine together
d. ) There is a broad range of decision makers

Answer 4

d.) There is a broad range of decision makers

Question 5

For a resident receiving skilled nursing services, which of the following must be included in the nursing notes?

a. ) Physician summary
b. ) Weekly Assessments
c. ) Signed Treatment Authorization
d. ) Risk Agreement

Answer 5

b.) Weekly Assessments

Question 6

A resident or sponsor may challenge a transfer or discharge in which of the following situations?

a. ) The home’s license has been revoked
b. ) The resident is a recipent of Medicaid and the RCFs participation has been revoked
c. ) the RCF is being closed
d. ) The transfer or discharge is issued by the RCF due to inability to meet care needs of the resident

Answer 6

d.) The transfer or discharge is issued by the RCF due to inability to meet care needs of the resident

Question 7

Transforming the mindset and practice of a group of people within an organization is known as:

a. ) Policy transformation
b. ) Resident centered
c. ) culture change
d. ) employee centered

Answer 7

c.) culture change

Question 8

In regard to criminal record check for non-waiver facilities, which of the following is required:

a. ) Annual criminal record checks for all employees
b. ) Completion within five days of an individual starting employment
c. ) personal charcter standards implemented for all employees
d. ) completion of FBI check on all employees

Answer 8

b.) Completion within five days of an individual starting employment

Question 9

All of the following are required components of a resident agreement except:

a. ) Description of all charges including security deposit
b. ) explanation of services offered, and care provided
c. ) Inclusion of resident specific service plan
d. ) Notice that rates will not change without a 30-day advance notice

Answer 9

c.) Inclusion of resident specific service plan

Question 10

All of the followig are required for culture change except

a. ) Designated budget for the change
b. ) a common vision providing direction
c. ) mechanisms for conflict resolution
d. ) methods for sustainability

Answer 10

a.) Designated budget for the change

Question 11

Which of the following is required component of a notice of Transfer and Discharge?

a. ) Contact information for facility legal council
b. ) Updated service plan including current medications
c. ) Name, address and phone number of state ombudsman program
d. ) Final account balance owed to RCF

Answer 11

c.) Name, address and phone number of state ombudsman program

Question 12

When working with families of those with dementia:

a. ) Limit visitation to avoid upsetting the resident
b. ) Do not promise something you cannot deliver
c. ) Request shared risk agreement
d. ) Minimize the number of family members visiting so the resident is not overwhelmed

Answer 12

b.) Do not promise something you cannot deliver

Question 13

All of the following are qualify of Life goals for residents with dementia except:

a. ) physical security and safety
b. ) belonging and community
c. ) development of advanced directives
d. ) maintaining the optimum level of function

Answer 13

c.) development of advanced directives

Question 14

The resident or sponsor and the RCF agree to share responsibility for a specific behavior or choice of the resident that may otherwise be contra-indicated. This is known as a:

a. ) Modified service plan
b. ) Risk agreement
c. ) Safe harbor
d. ) Durable Power of Attorney

Answer 14

b.) Risk agreement

Question 15

The primary focus of a RCF is to provide

a. ) Socialization with support services as needed
b. ) skilled nursing services to promote aging in place.
c. ) A structured environment with schedules for predictability
d. ) Uniform service plans so that all residents feel a sense of community

Answer 15

a.) Socialization with support services as needed

Question 16

Fire Drills mus be completed:

a. ) with audible alarms on each shift
b. ) quarterly on each shift
c. ) for all staff participation quarterly
d. ) at consistent times and intervals

Answer 16

b.) quarterly on each shift

Question 17

Care needs and services, locations of facility, and size of living unit are all variables used to determine the:

a. ) monthly insurance premium
b. ) monthly operating budget
c. ) rate to be charged the consumer
d. ) Medicaid Waiver reimbursement rate

Answer 17

c.) rate to be charged the consumer

Question 18

Except for residents receiving hospice care, no RCF shall admit or returnan individual who:

a. ) is beridden with limited potential for improvement
b. ) Has intermittent skilled nursing needs
c. ) Requires therapeutic diet developed by a dietitian
d. ) requires PT, OT or Speech therapy services

Answer 18

a.) is beridden with limited potential for improvement

Question 19

All of the following are identified dementia best practices except:

a. ) administration of a low-dose psychotropic
b. ) residental environmental cueing
c. ) integration of families into RCF life
d. ) Consistent assignment of staff

Answer 19

a.) administration of a low-dose psychotropic

Question 20

Self-Reported incidents must include a:

a. ) final police report of the occurrence
b. ) list of resident rights that have been breached
c. ) statement from all employees working at the time of the incident
d. ) conclusion summarizing the results of the investigation

Answer 20

d.) conclusion summarizing the results of the investigation

Question 21

When considering the admission of a resident, the RC/AL administrator must include which of the following factors in the admission decision?

a. ) Cultural and religious preferences
b. ) Disabilities of the resident
c. ) all the needs and preferences of the resident
d. ) family members assesed needs of the resident

Answer 21

C.) all needs and preferences of the resident

Question 22

Payment for assisted living services comes mostly from which source?

a. ) Private Pay
b. ) Medicare
c. ) Medicaid
d. ) SSI

Answer 22

a.) Private Pay

Question 23

Mrs. M. needs assistance with medications. This means her medications are best stored where?

a. ) in her bedside table available to the assisting person
b. ) in a locked compartment available to the assisting person
c. ) in th eoffice of the facility
d. ) in the kitchen for distribution at meals

Answer 23

b.) in a locked compartment available to the assisting person

Question 24

HIPPA is a federal act that mandates that each resident has the right to:

a. ) be seen by their physician of choice
b. ) receive signed copies of Resident Rights & Grievance Procedures
c. ) take his/her medications on vacation
d. ) privacy, security, and confidentiality of his/her records.

Answer 24

d.) privacy, security, and confidentiality of his/her records.

Question 25

The risk agreement helps to clarify in writing the desire and right of:

a. ) the resident to behave in ways that may be harmful and that the resident claims responsibility for the behavior
b. ) the staff to assist with the resident’s negative behavior and the staff’s responsibility in doing so
c. ) family members to assist with the resident’s negative behavior
d. ) the administrator to help the resident avoid negative behavior

Answer 25

a.) the resident to behave in ways that may be harmful and that the resident claims responsibility for the behavior

Question 26

Advance directives provide written instructions for end-of-life care. Which of the following statements names these documents?

a. ) Guardianship
b. ) Conservatorship
c. ) Living will and POA for Healthcare
d. ) Hospice contract and DPOA

Answer 26

c.) Living will and POA for Healthcare

Question 27

Mr. Smith is admitted with left-sided stroke and expects to be going home after several weeks of PT. In the meantime, his wife of 40 years dies at home. Mr. Smith refuses his PT therapy and wants to stay in his room. His behaviors are most likely cause by

a. ) schizophrenia
b. ) a second stroke
c. ) organic brain synrome
d. ) depression

Answer 27

d.) depression

Question 28

Mrs, Jones just returned to the facility from the hospital after suffering from pneumonia. The caregiver notices that Mrs. Jones is disoriented, pulling at the bed linens, and feels very warm. Mrs. Jones’s temperature is 102 degress. The caregiver should report this immediately because Mrs. Jones is most likely in a state of:

a. ) relapse of pneumonia
b. ) delirium
c. ) Recovery of pneumonia
d. ) hydration

Answer 28

b.) delirium

Question 29

Internal and external activities should be part of the services offered to aging adults because theorists claim and residents say which of the following statements:

a. ) Activities are expensive and they keep people from getting bored.
b. ) Activites are good but hard for some people with disabilities
c. ) Activities help people stay connected with their previous lives.
d. ) Activities help to distract people from their disabilities

Answer 29

c.) Activities help people stay connected with their previous lives.

Question 30

It has been raining for almost a week. your community has been alerted that the nearby river is about to crest, and heavy flooding of the lower land areas is a strong possibility. Your facility and several others are located in the flat land along the river. Your first action should be which of the following.

a. ) Continue to monitor water level
b. ) Notify the residents they must vacate
c. ) put the emergency plan into action
d. ) pull the alarm for disaster

Answer 30

c.) put the emergency plan into action

Question 31

The Immigration From I-9 must be completed:

a. ) upon hire of all employees
b. ) upon hire of all foreign employees
c. ) within 3 days on all employees
d. ) within 3 days on all foreign employees

Answer 31

C.) within 3 days on all employees

Question 32

The ability of an employer to terminate an employee without cause is recognized in most states; what is this called?

a. ) Contract employee
b. ) Implied contract
c. ) oral contract
d. ) At-will doctrine

Answer 32

d.) At-will doctrine

Question 33

What is the greatest operational challenge most assisted living residences will encounter:

a. ) insufficient seniors to maintain occupancy
b. ) Changes in state and federal laws
c. ) recruitment and retention of staff
d. ) maintaining continued profitability

Answer 33

c.) recruitment and retention of staff

Question 34

What is the first thing you should do before hiring a new employees?

a. ) Interview candidates for the job
b. ) Have a job description for positions
c. ) Advertise the job in local papers
d. ) Write the contract to be offered

Answer 34

b.) Have a job description for positions

Question 35

The most efficacious way to recruit staff is through:

a. ) job fairs
b. ) existing employees
c. ) newspaper/publications
d. ) the internet

Answer 35

b.) existing employees

Question 36

The next major demographic population we must prepare for is referred to as the: (staff)

a. ) Baby Boomers
b. ) Millennials
c. ) Generation Xers
d. ) “Now” generation

Answer 36

b.) Millennials

Question 37

All but which one of the following is commonly accepted as an intended purpose of the annual performance evaluations?

a. ) Determine pay increase
b. ) Confirm nationality and martial status
c. ) review performance of job
d. ) Act as a communication tool

Answer 37

b.) Confirm nationality and martial status

Question 38

What is one of the most important and overlooked investments an RC/AL faiclity makes?

a. ) Sufficient parking for staff and visitors
b. ) Orientation and training of staff
c. ) Security Systems
d. ) Emergency generators

Answer 38

b.) Orientation and training of staff

Question 39

Medical exams, toxic substance exposure records, and blood-borne pathogens exposure records must be kept for how long?

a. ) 1 year
b. ) 5 years
c. ) 15 years
d. ) 30 years

Answer 39

d.) 30 years

Question 40

One qualification of FMLA is that employee must have worked a min of 1250 hours:

a. ) after probationary period
b. ) since date of hire
c. ) over the past 12 months
d. ) in a calender year

Answer 40

c.) over the past 12 months

Question 41

The resident negotiated risk agreement would not include which of the following?

a. ) Areas in which the facility assumes liability
b. ) The resident’s special preferences and needs
c. ) The ability of a facilityto respond
d. ) evaluation of possible outcomes

Answer 41

a.) Areas in which the facility assumes liability

Question 42

The ultimate goal of an administrator is to:

a. ) establish a high-quality working environment
b. ) maintain sustained profitability
c. ) motivate residents and staff
d. ) achieve organizational effectiveness

Answer 42

d.) achieve organizational effectiveness

Question 43

What is the purpose of the facility’s mission statement?

a. ) Convince government to invest in the well-being of the elderly
b. ) To list the company’s intention and its reason for existing
c. ) Demonstrate desired policies for resident’s rights and needs
d. ) influence society to accept and value assisted living

Answer 43

b.) To list the company’s intention and its reason for existing

Question 44

An administrator who is a leader is best represented by which of the following terms?

a. ) Representing
b. ) Organizing
c. ) controlling
d. ) Directing

Answer 44

d.) Directing

Question 45

The strategic plan for an RC/AL will:

a. ) outline goals, objectives and priorities to achieve the facility’s mission statement
b. ) indicate the facility’s lines of communication and suthority
c. ) recommend standards and information systems
d. ) focus on staffing and training systems to achieve an effective team

Answer 45

a.) outline goals, objectives and priorities to achieve the facility’s mission statement

Question 46

When a group of individuals comes together to accomplish a goal or purpose, this activity is known as what?

a. ) Consensus building
b. ) Team building
c. ) Strategic planning
d. ) Union staffing

Answer 46

b.) Team building

Question 47

Which of the following is NOT part of a quality improvement program?

a. ) Determining ways of being a spokesperson for the facility
b. ) estabilisng standards for all aspects of operations
c. ) determining ways to measure performance against standards
d. ) Taking corrective action when needed.

Answer 47

a.) Determining ways of being a spokesperson for the facility

Question 48

All of the following are a part of consensus building EXCEPT which one of the following?

a. ) Agreement on the objectives for the task or project
b. ) Come up with possible resolutions
c. ) Not allowing for group compromise
d. ) Defining the problem or decision to be reached

Answer 48

c.) Not allowing for group compromise

Question 49

What is the purpose of a facility’s vision statement?

a. ) Convince government to invest in the well-being of the elderly
b. ) To list where the company sees itself in the future
c. ) Demonstrate desired policies for residents’ rights and needs
d. ) To describe broad goals for which the company was formed

Answer 49

b.) To list where the company sees itself in the future

Question 50

The primary characteristics of an RC/AL facility DO NOT include which of the following?

a. ) Privacy
b. ) Organizational structure
c. ) Social well-being
d. ) Independence

Answer 50

b.) Organizational structure

Question 51

According to OSHA, all employers, regardless of their size, must do which of the following?

a. ) Display OSHA posters
b. ) Make reasonable accommodations
c. ) Provide employee health insurance
d. ) establish a safety committee

Answer 51

a.) Display OSHA posters

Question 52

Death by fires is mainly caused by:

a. ) induced panic
b. ) faulty evacuation
c. ) severe burns
d. ) smoke inhalation

Answer 52

d.) smoke inhalation

Question 53

Which of the following would address the proper slope of an exiting wheelchair ramp?

a. ) Americans with Disability Act (ADA)
b. ) American Institute on Aging (AIA)
c. ) National Fire Protection Agency (NFPA)
d. ) Americans for Retired Citizens (ARC)

Answer 53

a.) Americans with Disability Act (ADA)

Question 54

The choice of which housekeeping services are needed is responsibility of whom?

a. ) Family
b. ) Resident
c. ) Doctor
d. ) Staff

Answer 54

b.) Resident

Question 55

According to national studies, the majority of the elderly population prefer to receive care where?

a. ) In the hospital
b. ) In a nursing home
c. ) In their own home
d. ) In an AL

Answer 55

c.) In their own home

Question 56

TO ensure an RC/AL facility doesn’t evolve into an institutional setting the administrator must?

a. ) train new staff on the philosopy of assisted living
b. ) hire only those employees who don’t come from a nursing facility
c. ) have a small number of residents
d. ) not allow nursing services

Answer 56

a.) train new staff on the philosopy of assisted living

Question 57

The best way to reduce maintenance on equipment is to:

a. ) always hire outside vendors to work on equipment
b. ) have a preventative maintenance program in place
c. ) not allow staff to make any repairs
d. ) always inform the administrator of every repair

Answer 57

b.) have a preventative maintenance program in place

Question 58

A facility disaster and emergency plan

a. ) should be in place only when the facility is in an area where earthquakes and storms are prevalent
b. ) is for the protection of the residents and staff in case of an emergency
c. ) is provided by the local fire department
d. ) is so that residents know who will continue to care for them in a disaster

Answer 58

b.) is for the protection of the residents and staff in case of an emergency

Question 59

The sociall model of care focuses on which of the following factors?

a. ) Personal choice and homelike environment
b. ) Making sure every resident is involved in activities
c. ) Residents that have special social needs
d. ) In-home care services

Answer 59

a.) Personal choice and homelike environment

Question 60

When a person visits an RC/AL facility, the first impression of a good facility and the factor that shows the person that the administrator pays attention to detail is which of the following:

a. ) The upkeep of the outside grounds
b. ) How happy the residents are
c. ) How well the meals are prepared
d. ) the cleanliness of the rooms

Answer 60

a.) The upkeep of the outside grounds

Question 61

The Civil Rights Act of 1964 in the US outlaws discrimination based on:

a. ) race, color, religion, sex or national origin
b. ) race, color, religion, sex or martial status
c. ) race, color, state of residence, sex, or martial status
d. ) race, state of residence, religion, sex or national origin

Answer 61

a.) race, color, religion, sex or national origin

Question 62

The act which requires the establishment of national standards for electronic healthcare transactions and identifiers for health insurance plans is known as:

a. ) FMLA
b. ) OSHA
c. ) COBRA
d. ) HIPPA

Answer 62

d.) HIPPA

Question 63

The balance sheet is a financial statement that summarizes which of the following items for a for-profit company?

a. ) Assests, liabilities, and shareholders’ equity at a point in time
b. ) Income and expenses for a month or for a the year
c. ) Change in financial positions for the current period
d. ) Legal liabilities and future business obligations

Answer 63

a.) Assests, liabilities, and shareholders’ equity at a point in time

Question 64

To accurately forecast revenues, an administrator must understand which of the following items?

a. ) Current market conditions
b. ) Census patterns and trends
c. ) Resident acuity and turnover
d. ) All of the above

Answer 64

d.) All of the above

Question 65

Which financial document contains cash flows from operating, investing, and financing activities; as well as acts as kind of corporate checkbook?

a. ) Chart of Accounts
b. ) Balance Sheet
c. ) Income Statements
d. ) Cash Flow Statement

Answer 65

d.) Cash Flow Statement

Question 66

Net profit margin is:

a. ) Net income + Interest Expense divided by Total Assests
b. ) EBITDA divided by Interest Expense
c. ) Net Income divided by Revenue
d. ) Service Revenue divided by Service Cost

Answer 66

c.) Net Income divided by Revenue

Question 67

Working Capital Ratio is:

a. ) Cash + Accounts Receivable + Short-term Investments divided by Current liabilities
b. ) Current Assests divided by Current Liabilities
c. ) Accounts Receivables divided by (Revenue/365)
d. ) Total Liabilities divided by Total Assests

Answer 67

b.) Current Assests divided by Current Liabilities

Question 68

An example of variable cost is:

a. ) administrator’s salary
b. ) mortgage payment
c. ) property taxes
d. ) laundry expenses

Answer 68

d.) laundry expenses

Question 69

Directors and officers insurance provide coverage for all of the following except a/an:

a. ) actual or alleged act
b. ) error or omission
c. ) Misleading statement
d. ) damage to property

Answer 69

d.) damage to property

Question 70

Assessment system monitoring ties together which of the following subsystems?

a. ) Assessment-Services-Staffing-Billing-Purchase Order
b. ) Assessment-Services-Contracts-Billing-Payments
c. ) Assessment-Services-Staffing-Billing-Collections
d. ) Assessment-Budget Control-Staffing-Billing-Collections

Answer 70

c.) Assessment-Services-Staffing-Billing-Collections

Question 71

For most staff their primary component of job satisfactionis:

a. ) their relationships with residents
b. ) mentoring of fellow co-workers
c. ) ability to have personal growth
d. ) praise and recognition from administrator

Answer 71

a.) their relationships with residents

Question 72

Person-centered care in the field of aging:

a. ) is built around staffing convenience
b. ) focuses on accomplishing tasks
c. ) revolves around an organizations structure
d. ) is a relationship-based philosophy

Answer 72

d.) is a relationship-based philosophy

Question 73

Studies show that the estimated staff turnover for each direct care worker is:

a. ) $1250
b. ) $1500
c. ) $2000
d. ) $2500

Answer 73

d.) $2500

Question 74

Person-centered care physical environments would include:

a. ) soft, natural and relaxing lighting
b. ) carpet designs that are confusing to residents
c. ) long hallways for wandering residents
d. ) bathtubs in each residents private bathroom

Answer 74

b.) carpet designs that are confusing to residents

Question 75

Rather than a regimented diagram of staff responsibilites person-centered care leadership:

a. ) allows staff to make mistakes from which they can learn
b. ) will defintely improve morale and efficiency of staff
c. ) can add organization to the staff responsibilites while improving performances
d. ) empowers staff to improve resident satisfaction by assigning specific duties to specific staff

Answer 75

a.) allows staff to make mistakes from which they can learn

Question 76

Which of the below is NOT an example of person centered care?

a. ) Rotating or varying assignments to learn about each resident
b. ) the facility has a tradition of how to welcome new residents
c. ) the RC/AL community has a custom of how to acknowledge the death of a resident
d. ) Staff regularly eat meals with residents to give the oportuity to converse and connect

Answer 76

a.) Rotating or varying assignments to learn about each resident

Question 77

Principles of individually and choice require services to be tailored to each individual unique preferences and circumstances. This personalization is reflected in:

a. ) the physicians assessment
b. ) the residents medical records
c. ) the residents plan of service
d. ) the negotiated risk agreement

Answer 77

c.) the residents plan of service

Question 78

While there is no common barometer for measuring what consitutes quality of person-centered care most agree:

a. ) all residents deserve individualized attention
b. ) staff should treat residents as family members
c. ) all staff should increase and promote individual interaction
d. ) well-being is the desired outcome.

Answer 78

d.) well-being is the desired outcome.

Question 79

Person-centered care culture has:

a. ) a tightly managed organizational structure
b. ) decentralized decision making
c. ) medium to high unintended staff turnover
d. ) rotating or varying staff assignments

Answer 79

b.) decentralized decision making

Question 80

Traditional care culture has:

a. ) adaptive and flexible organizational structure
b. ) a sense of community and belonging
c. ) routines based on organizational needs
d. ) all levels of staff invoved in problem-solving

Answer 80

c.) routines based on organizational needs

Question 81

A residential care/assisted living setting is most accurately defined by:

a. ) the scope of services it provides.
b. ) its capacity for residents.
c. ) its physical environment.
d. ) the number of residents.

Answer 81

a.) the scope of services it provides.

Question 82

Residential care/assisted living is distinguished from other forms of care by its:

a. ) ability to control resident choices.
b. ) stringent statutes, regulations, and licensing.
c. ) focus on providing certain services in certain ways.
d. ) focus on independence, dignity, and choice.

Answer 82

d.) focus on independence, dignity, and choice.

Question 83

According to research, one of the major concerns of people entering a residential care/assisted living facility is a:

a. ) loss of privacy.
b. )lack of continuity in medical care.
c. ) change in food choices.
d. ) negative reaction from friends and family.

Answer 83

a.) loss of privacy.

Question 84

A resident with irreversible dementia has not been laundering personal clothing. The best way to assist this resident is to:

a. ) have a staff member do the resident’s laundry.
b. ) teach the resident how to use the laundry equipment and encourage regular laundering and clothing changes.
c. ) send the resident’s laundry home to the resident’s family.
d. )identify the problem and discuss possible solutions with the resident’s family or significant others if possible.

Answer 84

d.)identify the problem and discuss possible solutions with the resident’s family or significant others if possible.

Question 85

The central focus of caring for individuals with dementia is:

a. ) having scheduled activities.
b. ) keeping residents accident-free.
c. ) therapeutic programming.
d. ) supporting ADL.

Answer 85

c.) therapeutic programming.

Question 86

A medication to be given “p.r.n.” should be administered only:

a. ) when severe pain occurs.
b. ) as needed/requested by the resident.
c. ) with appropriate liquids.
d. ) with meals.

Answer 86

b.) as needed/requested by the resident.

Question 87

A resident may wish to fold clothes and vacuum floors occasionally rather than participate in structured activities. The staff should:

a. ) allow the resident to participate, with total supervision.
b. ) not allow the resident to use household equipment.
c. ) not allow the resident to work without compensation.
d. ) document these activities as being the resident’s choice.

Answer 87

d.) document these activities as being the resident’s choice.

Question 88

Move-in/move-out procedures and policies help determine:

a. ) routine activities of daily living (ADL).
b. ) resident/tenant age of admission.
c. ) who may be served and for how long.
d. ) number of visitors for each resident.

Answer 88

c.) who may be served and for how long.

Question 89

Which of the following does not have to be recorded on a resident’s Medication Administration Record?

a. ) Emergency contact
b. ) Initials of staff members
c. ) Medication route
d. ) Pharmacist’s name

Answer 89

a.) Emergency contact

Question 90

In assessing fines for violations, the Occupational Safety and Health Administration (OSHA) considers all of the following except the facility’s:.

a. ) safety committee minutes.
b. ) good-faith effort to comply with OSHA standards.
c. ) history of violations.
d. ) 300 log.

Answer 90

b.) good-faith effort to comply with OSHA standards.

Question 91

An administrator can best support a resident-centered activity program by:

a. ) including responsibility for activities in every job description.
b. ) taking on the planning function personally.
c. ) assigning an activity director to do the job.
d. ) allowing residents to run the program.

Answer 91

a.) including responsibility for activities in every job description.

Question 92

An employment application may request that an applicant provide which of the following information?.

a. ) Marital status
b. ) Religious preference
c. ) Date of birth
d. ) Felony convictions

Answer 92

d.) Felony convictions

Question 93

Which formula could be used in determining staffing levels?.

a. ) Total labor hours per day \ Total census per day = Labor hours per resident
b. ) Daily census \ Total services = Census per services available
c. ) Total labor hours per week \ 80 = Full week hours
d. ) Daily labor hours x 7 \ 40 = Full time equivalents

Answer 93

a.) Total labor hours per day \ Total census per day = Labor hours per resident

Question 94

Which of the following would be the most effective way of promoting employee retention and maintaining a safe and positive work environment?.

a. ) Creating a good staff development program
b. ) Maintaining good interview practices
c. ) Providing staff criticism
d. ) Offering higher wages than competitors

Answer 94

a.) Creating a good staff development program

Question 95

The use of Seeing Eye dogs or other service animals is regulated under which of the following?.

a. ) Facility policies
b. ) County health department guidelines
c. ) State regulations
d. ) Americans with Disabilities Act of 1990 (ADA)

Answer 95

d.) Americans with Disabilities Act of 1990 (ADA)

Question 96

In general, a competent adult has the right to:

a. ) informed refusal of medical treatment, but not informed consent.
b. ) only the information regarding informed consent and informed refusal of treatment that facility policies endorse.
c. ) informed consent to medical treatment, but not informed refusal.
d. ) informed consent to and informed refusal of medical treatment.

Answer 96

d.) informed consent to and informed refusal of medical treatment.

Question 97

Mr. and Mrs. Greene are residents at a residential care/assisted living facility. Mr. Greene’s physician has recommended the use of a lotion for Mr. Greene’s skin condition. Mr. Greene insists that his wife apply the lotion, rather than the staff. The staff insist that they should apply the lotion. The administrator should:.

a. ) direct the staff to observe Mrs. Greene apply the lotion.
b. ) assess Mrs. Greene’s ability to apply the lotion correctly and accommodate Mr. Greene’s wishes.
c. ) take away the lotion from Mr. Greene, as prescribed lotions should never be given to residents.
d. ) convince the Greenes that only the staff should apply the lotion.

Answer 97

b.) assess Mrs. Greene’s ability to apply the lotion correctly and accommodate Mr. Greene’s wishes.

Question 98

All of the following can be helpful in communicating the services that a residential care/assisted living facility provides to residents, families, and the public except:.

a. ) a facility brochure.
b. ) word of mouth.
c. ) a facility newsletter.
d. ) the marketing plan.

Answer 98

d.) the marketing plan.

Question 99

The primary focus of a managed risk contract with a competent individual is to negotiate the amount of risk between the provider and the:.

a. ) resident.
b. ) ombudsman.
c. ) state regulatory agency.
d. ) resident’s physician.

Answer 99

a.) resident.

Question 100

The Occupational Safety and Health Administration (OSHA) requires all of the following except that:.

a. ) all chemicals be appropriately labeled and have Material Safety Data Sheets (MSDSs).
b. ) all chemicals be purchased from an approved vendor.
c. ) staff who use chemicals be informed of their hazards.
d. ) the facility maintain records showing that required training has taken place.

Answer 100

b.) all chemicals be purchased from an approved vendor.

Question 101

When establishing procedures pertaining to personal belongings and furnishings in resident rooms, the most important guiding principle concerning which belongings are permitted is:.

a. ) requiring that belongings be free of vermin and odor before being moved in.
b. ) the resident’s ability to maintain a clean and orderly environment.
c. ) maintaining a balance between facility safety and resident choice.
d. ) maintaining consistency with the building’s decorating theme.

Answer 101

c.) maintaining a balance between facility safety and resident choice.

Question 102

According to National Fire Protection Association (NFPA) regulations, a fire drill conducted between 9:00 P.M. and 6:00 A.M. would be:.

a. ) required to follow the usual fire drill protocol, without modifications.
b. ) allowed to use a coded announcement instead of audible alarms.
c. ) allowed to occur in kitchen/laundry areas, to minimize disturbance of residents.
d. ) required to include full evacuation of all residents from the fire area.

Answer 102

b.) allowed to use a coded announcement instead of audible alarms.

Question 103

The primary concern of a residential care/assisted living facility’s fire and safety standard is the:.

a. ) safe conduction of fire drills.
b. ) proper installation of a fire alarm system.
c. ) meeting of state licensing requirements.
d. ) development of an effective evacuation plan.

Answer 103

d.) development of an effective evacuation plan.

Question 104

According to basic accounting principles, which of the following accounts increases when credited?.

a. ) Revenue
b. ) Interest
c. ) Assets
d. ) Wages

Answer 104

a.) Revenue

Question 105

Which of the following is an example of a variable cost?.

a. ) Food
b. ) Property taxes
c. ) Vehicle lease
d. ) Mortgage

Answer 105

a.) Food

Question 106

How much income will a 50-bed facility that charges $2,200 per month and has a 90% occupancy rate generate per year?.

a. ) $99,000
b. ) $1,188,000
c. ) $1,320,000
d. ) $1,748,000

Answer 106

b.) $1,188,000

Question 107

A fund established to offset start-up losses during the initial stages of a new residential care/assisted living facility is called a:.

a. ) working capital reserve.
b. ) debt service reserve fund.
c. ) capitalized interest fund.
d. ) reserve for replacement

Answer 107

a.) working capital reserve.