Test 1

Question 1

______ monitors compliance with the ADA construction standards. 1. EEOC 2. Council of American Building Officials 3. American National Standards Institute 4. Architectural and Transportation Barriers Compliance Board

Answer 1

4

Question 2

______ would have the highest priority in deciding whether to repair or replace a piece of equipment. 1. Lower costs 2. Resident safety 3. Take advantage of new technology 4. Maintain an attractive appearance

Answer 2

2

Question 3

_______ keeps sheets, gowns, tablecloths clean and in good condition. 1. Nursing 2. Maintenance 3. Housekeeping 4. Laundry

Answer 3

4

Question 4

_______ measures the purchasing power of worker paychecks and is used to determine a cost of living adjustment for workers. 1. COLA 2. CPI 3. SSI 4. FICA

Answer 4

2

Question 5

________ develops and publishes the Life Safety Codes. 1. ANSI 2. EEOC 3. NFPA 4. OSHA

Answer 5

3 NFPA is a private organization that develops fire safety standards NFPAS does not enforce the LSC. That is done by state surveyors as part of annual survey

Question 6

________ is the correct order of actions in a progressive discipline process. 1. Lateral transfer, demotion, discharge 2. Discharge, civil trial, reinstatement 3. Probation, sanctions, discharge 4. Verbal warning, written warnings, discharge

Answer 6

4

Question 7

________ keeps the facility clean and odor free. 1. Nursing 2. Maintenance 3. Housekeeping 4. Laundry

Answer 7

3

Question 8

________ uses promotions to retain employees. 1. Job bidding 2. A career ladder 3. Affirmative action 4. Narcissistic

Answer 8

2

Question 9

_________ concerns torts and disputes between private individuals. 1. Criminal law 2. Civil law 3. Constitutional law 4. Probate law

Answer 9

2

Question 10

___________ helps residents adjust to facility life and counsels residents and families regarding psychosocial and financial issues. 1. Social Services 2. Nursing 3. Admissions 4. Activities Department

Answer 10

1

Question 11

____________ is responsible to maintain resident clinical records. 1. Administration 2. Nursing 3. Admissions 4. Medical records

Answer 11

4

Question 12

________________ does not have an unrestricted right of access to residents at any time. 1. Law enforcement 2. State and federal inspectors 3. Long term care ombudsman 4. Family and visitors who the resident has instructed they do not want to see

Answer 12

4

Question 13

________are a chemical restraint. 1. Diuretics 2. Analgesics 3. Psychotropic drugs 4. Anti-hypertensives

Answer 13

3

Question 14

________is not required on the labeling of drugs and biologicals. 1. The name of the drug and expiration date 2. The name of the prescribing physician and manufacturers name 3. The required dosage and method of administration 4. The resident’s name

Answer 14

2

Question 15

_______is not part of an employee’s first day. 1. Performance review 2. Introduction to staff 3. Tour of facility 4. Official welcome

Answer 15

1

Question 16

Abuse is defined as ______________. 1. A failure to provide needed care 2. A willful infliction of injury, unreasonable confinement, intimidation or punishment resulting in physical harm or pain or mental anguish 3. Misuse of resident personal property 4. Failure to provide care meeting professional standards

Answer 16

2

Question 17

Palatable refers to the _________ of the food served. 1. Attractiveness 2. Tastiness 3. Temperature 4. Nutritive value

Answer 17

2

Question 18

148 An employee who is paid the same regardless of hours worked is a(n) _______. 1. Hourly Worker, non-exempt 2. Salaried employee, exempt 3. Manager, per diem 4. Non-supervisory, vested

Answer 18

2

Question 19

A _________ distinguishes one job from another. 1. Job title 2. Job description 3. Job specification 4. Job analysis

Answer 19

1

Question 20

A ___ is more powerful than a goal or plan. 1. Vision 2. Mission statement 3. Bylaws 4. Policy

Answer 20

1

Question 21

A diet ordered by a physician as part of a treatment for a disease or clinical condition is called a _______________. 1. Therapeutic diet 2. Mechanically altered diet 3. Adulterated diet 4. Atkins diet

Answer 21

1

Question 22

A document which sets forth an individual’s preferences for the use of life prolonging measures (tube feeding, ventilator) if they are incapacitated is called a ___________. 1. Living will 2. Designation of health care surrogate 3. Power of Attorney 4. The facility has the authority to make decisions for the resident

Answer 22

1

Question 23

A facility can ____________. 1. Condition admission upon a resident signing an advanced directive 2. Use its own advanced directive form 3. Refuse to honor an advanced directive which it has been provided a copy of 4. Inform a resident orally and in writing of their right to make an advanced directive

Answer 23

4

Question 24

A facility can recruit workers from the outside using all of the following methods except _____________. 1. Employee referrals 2. Newspapers ads 3. A career ladder 4. The facility website

Answer 24

3

Question 25

A facility cannot _______________. 1. Charge a reasonable fee for copying the statement of resident’s rights 2. Provide a resident access to review their records within 24 hours of an oral or written request 3. Provide copies of resident records within 48 hours of oral or written request 4. Charge a reasonable fee for clerical time to photocopy

Answer 25

1 Cannot charge for copies of the resident bill of rights

Question 26

A facility is not required to ________. 1. Inform the resident of their rights both orally and in writing in a language they understand 2. Advise the resident of all of their rights and obligations under facility rules 3. Advise the resident of their rights within fourteen (14) days of admission 4. Have a resident acknowledge written notice of their rights and any amendments

Answer 26

3 Must be done prior to or upon admission

Question 27

A facility is not required to provide _____ to residents who do not understand the predominant language in the facility. 1. An interpreter 2. A written translation of the required notice of rights 3. A roommate who speaks their native language 4. A written translation in the language most commonly spoken in the facility

Answer 27

3

Question 28

A facility is not required to provide residents ________. 1. Closet space 2. A dresser 3. A clean bed 4. A television

Answer 28

4

Question 29

A facility may not _______________. 1. Deposit resident funds into an interest bearing account 2. Deduct monies from a resident account for monies owed the facility 3. Commingle trust funds with facility funds 4. Provide residents trust account statements quarterly

Answer 29

2

Question 30

A facility may not _______________. 1. Deposit resident funds into an interest bearing account 2. Deduct monies from a resident account for monies owed the facility 3. Commingle trust funds with facility funds 4. Provide residents trust account statements quarterly

Answer 30

3

Question 31

A facility may not ___________. 1. Charge a reasonable fee for clerical time to copy resident records 2. Charge a reasonable per page copy charge to copy resident records 3. Charge a reasonable fee for clerical time to copy resident records 4. Charge a reasonable fee for clerical time to type a bill to copy resident records

Answer 31

4

Question 32

A facility may provide a resident just an oral summary and a written copy of the statement of rights when _______________. 1. The facility experiences a large number of admissions and does not have enough time 2. The resident speaks the predominant language and fully understands their rights 3. The ombudsman provides the facility a certificate of waiver 4. A relative waives the resident’s rights to full information regarding their statement of rights

Answer 32

2

Question 33

A facility must designate a nurse to serve as charge nurse on ________. 1. 7 AM – 3 PM shift 2. 3 PM – 11 PM Shift 3. 11PM – 7 AM Shift 4. All three shifts

Answer 33

4

Question 34

A facility must maintain a comfortable atmospheric temperature of between ____. 1. 79 - 83 2. 71 - 81 3. 69 - 71 4. 83 - 86

Answer 34

2

Question 35

A facility must provide a resident ___ days of prior notice of an involuntary discharge. 1. 15 2. 30 3. 45 4. 60

Answer 35

2

Question 36

A facility with ____ is required to have a full time social worker. 1. 60 beds 2. 100 beds 3. 120 beds 4. 121 or more beds

Answer 36

4

Question 37

A full comprehensive assessment must be done every _____ or since the last assessment if there was a significant change in status. 1. 3 months 2. 6 months 3. 9 months 4. 12 months

Answer 37

4

Question 38

A general statement about the behavior employees are expected to conform to is called __________. 1. Norm 2. Value 3. Professional standards 4. None of the above

Answer 38

2

Question 39

A hiring approach where a decision maker rates an applicant on a scale of different traits and dimensions and assigns a numerical score is called ______. 1. Clinical approach 2. Statistical approach 3. Selection process 4. Performance Appraisal

Answer 39

2

Question 40

A hiring approach where a decision maker reviews all information on an applicant and then decides whether to hire is called _____. 1. Clinical approach 2. Statistical approach 3. Selection process 4. Statistical method

Answer 40

1

Question 41

A manual or physical method or mechanical device, material or equipment attached or adjacent to a resident’s body that restricts movement is called a ____________. 1. Physical restraint 2. Chemical Restraint 3. Discipline 4. Convenience

Answer 41

1

Question 42

A Medicare beneficiary who requests services that are not covered by Medicare can________. 1. Be denied admission or transferred to another facility that can meet their needs 2. Be required to deposit money with the facility to cover those expenses 3. Be offered a supplemental insurance policy offered by the facility 4. Be provided all other services reimbursed by Medicare

Answer 42

2

Question 43

A mission statement is created and adopted by the _______. 1. Administrator 2. Governing body 3. OBRA ‘97 4. Corporate bylaws

Answer 43

2

Question 44

A nurse aide certification is valid _________. 1. 12 months 2. 24 months 3. 5 years 4. Indefinitely

Answer 44

4

Question 45

A physician does not need to be notified when______________. 1. A significant change in physical or cognitive condition 2. A change in roommate or room assignment 3. A transfer or discharge from the facility 4. A resident expires or dies

Answer 45

2

Question 46

A reimbursement system where the provider is paid after services are rendered based on acuity is called _______. 1. Retrospective payment system 2. Prospective payment system 3. Managed care 4. Capitation

Answer 46

1

Question 47

A resident does not have the right to ______________. 1. Be informed about their health status 2. Be informed in a language they understand 3. Be informed in jargon free language 4. To a private room

Answer 47

4

Question 48

A resident must be re-assessed prior to the next scheduled review or annual assessment if the ____________. 1. Resident experiences a significant change in physical and mental Condition 2. Resident is discharged or transferred from the facility 3. Medical director orders the evaluation 4. Resident tries to organize a resident group

Answer 48

1

Question 49

A resident was admitted with a post operative wound on her left leg. Physician’s orders were to clean the wound BID and change bandage QD. A state surveyor on an abbreviated survey notes that the facility failed to follow treatment orders and there is no record of the wound being cleaned or the bandage changed. The wound was observed to be severely infected and the resident was immediately transferred to an acute care facility for emergency treatment. The facility will most likely be cited for ___________. 1. Minor negative impact to resident 2. Minimal discomfort to resident 3. Compromised resident’s ability to maintain functioning 4. Risk of injury, harm or death to resident (immediate jeopardy)

Answer 49

4

Question 50

A resident who has capacity and withholds consent to treatment either directly or through an advanced directive ___________________. 1. May be treated at the discretion of the attending physician 2. May be discharged or transferred by the facility with 30 days notice for refusal to cooperate in their own care 3. May not be treated 4. Must be placed on hospice care if the resident does not provide consent to treatment

Answer 50

3

Question 51

A significant weight loss within 3 months would be ____%. 1. 3 2. 5 3. 7.5 4. 10

Answer 51

3

Question 52

A specific description of expected employee behavior is called a __________. 1. Norm 2. Value 3. Professional standards 4. None of the above

Answer 52

1

Question 53

A statement of a job that specifies job title, required qualifications, who the job reports to, duties and performance expectations is called a ________. 1. Job analysis 2. Job description 3. Job specification 4. Job title

Answer 53

2

Question 54

A statement of skills, education and experience required to do a job is called a __________. 1. Job analysis 2. Job description 3. Job specification 4. Job title

Answer 54

3

Question 55

A weight loss of ____ in 6 months is significant. 1. 5% 2. 7.5 % 3. 10% 4. 12%

Answer 55

3

Question 56

A worker who punches in and out on a time clock is a(n) ________. 1. Hourly worker 2. Salaried employee 3. Supervisor 4. Exempt employee

Answer 56

1

Question 57

An administrator should not ____________. 1. Provide space to the resident council for meetings 2. Respond to recommendations from the resident council 3. Respond only to resident suggestions he or she intends to implement 4. Have a staff member prepare minutes of each meeting

Answer 57

3

Question 58

An administrator would be classified for overtime purposes as _______. 1. Hourly Worker, non-exempt 2. Salaried employee, exempt 3. Manager, per diem 4. Non-supervisory, vested

Answer 58

2

Question 59

An employee background check would not normally include _____________. 1. References 2. Criminal background check 3. Consumer credit check 4. Lie detector test

Answer 59

4

Question 60

An evaluation tool where the manager rates an employee’s traits on a scale is called a ______. 1. Wage scale 2. Rating scale 3. Global rating 4. Job analysis

Answer 60

2

Question 61

An increase in pay to adjust incomes for inflation and maintain workers purchasing power is called _______. 1. COLA 2. CPI 3. SSI 4. FICA

Answer 61

1

Question 62

An individual who completed a state approved training program and the evaluation program (exam) for certified nursing aide but their name does not yet appear on the state registry may _______. 1. Be hired if they post a $5000 surety bond 2. Be hired but the facility must check the state registry periodically to confirm certification 3. Not be hired 4. None of the above

Answer 62

2

Question 63

An infection control program is responsible for which of the following? 1. Track trends and types of infection in facility 2. Investigate, control and prevent infections 3. Decide required resident isolation measures 4. Maintain records of incidents and corrective action regarding infections 5. All of the above

Answer 63

5

Question 64

An order admitting an individual to a nursing home is not required to include ______. 1. Dietary needs 2. Medication needs 3. Routine care instructions 4. Therapeutic activity schedule

Answer 64

4

Question 65

An order admitting an individual to a nursing home must be signed by ______. 1. The administrator 2. A licensed physician 3. The Medical Director 4. The Director of Nursing

Answer 65

2

Question 66

An unlawful selection process exists if the employee selection rate is less then ___of the selection rate of the majority group. 1. 25% 2. 75% 3. 80% 4. 90%

Answer 66

3

Question 67

Any action taken by a facility to punish or penalize residents is called ________. 1. Physical restraint 2. Discipline 3. Chemical Restraint 4. Convenience

Answer 67

2

Question 68

Any individuals seeking admission to a skilled nursing facility must be screened for mental illness or retardation per the PAS or PASRR that is completed by _________ to determine if the individuals needs can be met by a facility. 1. The medical director 2. The DON 3. The attending physician 4. The state mental health agency

Answer 68

4

Question 69

Asking applicants short questions and briefly talking with them about a job is a ____. 1. Structured interview 2. Patterned interview 3. Preliminary interview 4. In-depth interview

Answer 69

3

Question 70

Before hiring a nurse aide, the facility must check the ___ to check the registries of other states for record of abuse or misconduct. 1. Interpol 2. Multi-state nurse aide registry 3. Nursing home watch list 4. OSCAR

Answer 70

2

Question 71

Care provided to a resident to relieve pain is _________. 1. Palliative care 2. Custodial care 3. Treatment 4. Hospice care

Answer 71

1

Question 72

Cold food must be served at ___ or below. 1. 0 F 2. 32 F 3. 41 F 4. 140 F

Answer 72

3

Question 73

Deciding which applicant best fits a job is called _____. 1. Job posting 2. Recruitment 3. Personnel selection 4. Ratio hiring

Answer 73

3

Question 74

Discharged employees have the right to present their case to ________. 1. Equal Employment Opportunity Commission 2. Occupational, Health and Safety Administration 3. Employment Security Commission 4. Consumer Protection Agency

Answer 74

3

Question 75

Each resident must be served ____ meals each day. 1. 1 2. 2 3. 3 4. 4

Answer 75

3

Question 76

Eliciting information on the phone from a job applicant requesting an interview is called a _______. 1. Telephone interview 2. Preliminary interview 3. Structured interview 4. Open ended interview

Answer 76

1

Question 77

Facility staff must immediately notify the __________ of an allegation of abuse of a resident. 1. Director of Nursing 2. Medical Director 3. Administrator 4. Federal authorities

Answer 77

3

Question 78

Giving a care giver a break from caring for an individual they are caring for who needs constant care is called _____. 1. Acute care 2. Sub-acute care 3. Respite care 4. Hospice care

Answer 78

3

Question 79

Hot food must be served at a minimum temperature of ____F. 1. 110 F 2. 135 F 3. 140 F 4. 160 F

Answer 79

2

Question 80

If a resident refuses to eat a planned meal, the facility must serve _____. 1. A substitute meal equivalent to the nutritive value of the planned meal 2. A nutritious snack instead 3. Ice cream 4. Fortified cake

Answer 80

1

Question 81

In an emergency, corporate representatives have _____ authority and can give staff direction. 1. Advisory authority 2. Line authority 3. Staff Authority 4. Implied Authority

Answer 81

2

Question 82

Letting an applicant talk about their experience and background without any structure is called a ________. 1. In-depth Interview 2. Patterned Interview 3. Structured Interview 4. Non-directive interview

Answer 82

4

Question 83

Locating prospective staff is called ________. 1. Job posting 2. Recruitment 3. Manpower inventory 4. Labor market

Answer 83

2

Question 84

Medicaid resident funds totaling in excess of $_____ must be deposited in an interest bearing account. 1. $25 2. $50 3. $75 4. $100

Answer 84

2

Question 85

Medicaid resident funds totaling less than $50 in funds may be maintained in __________: 1. Interest bearing account 2. Petty cash fund 3. Non-interest bearing account 4. All of the above

Answer 85

3

Question 86

Medicare A does not pay for ___________. 1. Inpatient medications 2. A Television 3. Laundry services 4. Therapeutic activities

Answer 86

2

Question 87

Medicare Part D plan provides coverage for: ____________. 1. Hospice 2. Out-patient services 3. Prescription drugs 4. Home health care

Answer 87

3

Question 88

Medicare resident funds totaling in excess of $_____ must be deposited in an interest bearing account. 1. $25 2. $50 3. $75 4. $100

Answer 88

4

Question 89

Menus must be prepared ____ in advance. 1. 1 week 2. 4 weeks 3. 8 weeks 4. 12 weeks

Answer 89

2

Question 90

Menus must be retained for _______. 1. 1 week 2. 1 month 3. 3 months 4. 6 months

Answer 90

2

Question 91

Moving an employee down the career ladder based on a performance review is called _______. 1. Demotion 2. Promotion 3. Transfer 4. Discharge

Answer 91

1

Question 92

Must do a performance review of nurse aides at least every _____ by law. 1. 6 months 2. 12 months 3. 18 months 4. 24 months

Answer 92

2

Question 93

No more than ____ hours may pass between a substantial evening meal and breakfast time. 1. 8 2. 14 3. 16 4. 18

Answer 93

2

Question 94

Nursing homes with 100-150 beds usually ____ a full-time HR person. 1. Do not employ 2. Have the administrator fill the function of 3. Employ 4. None of the above

Answer 94

1

Question 95

PAS or PASRR stands for ___________. 1. Pre-Admission Screening, Pre-admission Screening and Resident Review 2. Post Admission Screening, Post-admission Screening and Resident Review 3. Psychological Assessment Services, Psychological Admission Screening and Resident Review 4. Patient Acute Syndrome, Patient Admission Screening and Resident Review

Answer 95

1

Question 96

Per OBRA 1987, a facility has an obligation to provide the resident care that __________. 1. Is efficient and cost effective 2. Meets the residents basic needs and still provides the facility a modest profit 3. Allows the resident to attain the highest practicable physical, mental, and psychosocial well-being 4. That meets state and federal minimum requirements

Answer 96

3

Question 97

Per OBRA 1987, a facility is required to provide residents a physical environment that is _______. 1. Pleasant 2. Home like that de-emphasizes institutional appearance 3. Maintenance free 4. Hazard free

Answer 97

2

Question 98

Per OBRA 1987, a facility must have a registered nurse on duty at least ______ for ______ a week. 1. 8 hours a day, 7 days a week 2. 24 hours a day, 5 days a week 3. 8 consecutive hours a day, 7 days a week 4. 24 hours a day, 7 days a week

Answer 98

3

Question 99

Per OBRA 1987, a facility must serve food that is _____ and prepared in a form that meets resident’s individual needs. 1. Attractive, palatable and at appropriate temperature 2. Tasty and well proportioned 3. Low fat and sugar free 4. Diabetic Appropriate

Answer 99

1

Question 100

Per OBRA 1987, food must be prepared ______________. 1. By methods that conserve nutritive value, flavor and appearance 2. In the most cost effective means practicable 3. With sufficient spices and salt to provide flavor 4. In the quickest manner possible

Answer 100

1

Question 101

Potentially hazardous food does not include ________. 1. Raw meats 2. Raw eggs 3. Raw poultry 4. Cured meats and cheese

Answer 101

4

Question 102

Reassigning an employee within a company is called a _________. 1. Transfer 2. Promotion 3. Demotion 4. Discharge

Answer 102

1

Question 103

Resident councils do not have the right to _______. 1. Form and operate in a facility 2. Meeting space in the facility 3. Have a staff member assigned to them to assist them 4. Demand the administrator implement their recommendations

Answer 103

4

Question 104

Residents do not have the right to ___________ . 1. Withdraw from an experimental research project if they wish 2. Refuse to participate in an experimental research project 3. To be compensated by the facility for participating in experimental research 4. Be informed of possible risks of participation in an experiment

Answer 104

3

Question 105

Residents do not have the right to _________. 1. A dignified existence 2. Self determination 3. Communicate with individuals inside and outside a facility 4. Smoke any where they want

Answer 105

4

Question 106

Residents do not have the right to _________. 1. Inspect their own records within 24 hours of request 2. Share a room with a spouse if only one spouse agrees 3. Self administer medication if the interdisciplinary care planning team determines it is safe 4. A written notice of discharge within 24 hours of transfer to an acute care facility

Answer 106

2 They both must agree

Question 107

Residents have the right to refuse medical treatment, food, bathing, etc. If a resident refuses treatment, the facility is not required to ______________. 1. Determine exactly what the resident is refusing and why 2. Explain the consequences of the resident’s decision to refuse treatment 3. Advise the resident of alternate available treatments 4. Discontinue all other treatment until the resident withdraws their earlier refusal of treatment

Answer 107

4

Question 108

Seeing, feeling, smelling, hearing or tasting something that is not there is called a ________. 1. Hallucination 2. Delusion 3. Histrionic 4. Tower Amendment

Answer 108

1

Question 109

Size and frequency of pay increases tied to performance is called _______. 1. Wage rate 2. Rate range 3. Wage class 4. Merit pay

Answer 109

4

Question 110

Temporary dismissal of an employee is called ______. 1. Transfer 2. Promotion 3. Layoff 4. Discharge

Answer 110

3

Question 111

Terminating an employee based on poor performance is called _______. 1. Demotion 2. Layoff 3. Discharge 4. Sabbatical

Answer 111

3

Question 112

The _____ is the fundamental law of the U.S that establishes the responsibilities and rights of the federal courts. 1. Magna Carta 2. U.S. Constitution 3. Federal Rules of Civil Procedure 4. Federal Register

Answer 112

2

Question 113

The ______ does most of the hiring in a nursing home. 1. Administrator 2. Governing body 3. Corporate office 4. Department heads

Answer 113

4

Question 114

The ______ has authority to make critical decisions regarding operation of a facility. 1. Governing body 2. Administrator 3. Director of Nursing 4. None of the above

Answer 114

1

Question 115

The ______ must certify the accuracy and completion of the resident assessment. 1. DON 2. Registered nurse 3. Attending physician 4. Medical director

Answer 115

2

Question 116

The ______ must sign an involuntary discharge for non-payment of resident bills. 1. Director of Nursing 2. Social services director 3. Administrator 4. Medical Director

Answer 116

3

Question 117

The ______ requires an applicant’s consent to do a consumer credit check. 1. Consumer Credit Protection Act 2. Fair Credit Act of 1991 3. Truth in Lending Act 4. Hatch Act

Answer 117

2

Question 118

The ______ states that negative or positive outcomes will either encourage or discourage an employee from repeating a specific behavior 1. Expectancy theory 2. Reinforcement theory 3. Operant Conditioning 4. Positive reinforcement

Answer 118

2

Question 119

The ______ states that workers expect raises and promotion and rewards if they work hard. 1. Expectancy theory 2. Reinforcement theory 3. Operant Conditioning 4. Positive reinforcement

Answer 119

1

Question 120

The activities program director does not need to ____________. 1. Complete a state approved training course 2. Have 2 years experience in a social or therapeutic program in the last 5 years, 1 year of which must have been employed full time in a patient activity program 3. Be a qualified speech therapist 4. Be a qualified therapeutic specialist or activities professional

Answer 120

3 Be a qualified occupational therapist or occupational therapy assistant

Question 121

The best way to fill a job vacancy is by ___________. 1. Internet ads 2. Newspaper ads 3. Employee search firms 4. Employee referrals

Answer 121

4

Question 122

The care plan is completed by an interdisciplinary team that does not need to include _________. 1. Registered nurse 2. Attending physician 3. Appropriate staff in required disciplines 4. Administrator

Answer 122

4

Question 123

The care plan must be reviewed ____ and completely re-assessed _____. 1. Monthly, quarterly 2. Quarterly, annually 3. Semi annually, annually 4. Annually, as requested by the attending physician

Answer 123

2

Question 124

The daughter of a resident who has power of attorney over her mother’s assets was persuaded by the admission’s director to sign an agreement to pay her mother’s bills from her mother’s assets. The administrator should _______. 1. Reprimand the admissions director 2. In-service the admissions director on the legal rights of family members 3. Void the agreement and apologize 4. Commend the admissions director for her initiative

Answer 124

4 The facility should have an individual with control of a residents assets to sign an agreement to ensure payment from the residents assets to the facility

Question 125

The development and testing of clinical treatments such as an investigational drug or therapy is called:_______. 1. An advanced directive 2. Experimental research 3. Palliative treatment 4. Hospice care

Answer 125

2

Question 126

The director of nursing can serve as a floor nurse in a facility with ___ or fewer residents. 1. 60 2. 100 3. 120 4. 180

Answer 126

1

Question 127

The director of nursing must be a _______. 1. Registered nurse 2. Licensed practical nurse 3. Licensed vocational nurse 4. Med tech

Answer 127

1

Question 128

The DON and the attending physician ______ the consultant pharmacist reports. 1. Are required to agree with and respond to 2. Are not required to agree with but must respond to 3. May defer to the medical director to accept or reject 4. May override

Answer 128

2

Question 129

The facility must provide residents a full accounting of all monies held in trust _________. 1. Weekly 2. Monthly 3. Quarterly 4. Annually

Answer 129

3

Question 130

The facility must refund any monies held in trust within ______ days of a resident’s death or discharge. 1. 15 days 2. 30 days 3. 45 days 4. 60 days

Answer 130

2

Question 131

The gastrointestinal tract is also known as the ______________. 1. Renal System 2. Digestive tract 3. Cardiovascular system 4. Respiratory system

Answer 131

2

Question 132

The human resources department ____________________. 1. Ensures employment policies are consistently followed 2. Supervises all facility employees 3. Interviews and selects all new employees 4. Administers most human resource policies

Answer 132

1

Question 133

The main criteria for a lawful employee selection process is whether _________. 1. A lawsuit is filed 2. An adverse impact occurred 3. Disparate treatment occurred 4. Disparate impact occurred

Answer 133

2

Question 134

The main elements of a residents’ physical environment does not include _______. 1. Space Heaters and shag rugs 2. Elevated toilet seats 3. Grab bars 4. Clocks with large numbers

Answer 134

1

Question 135

The medical records position must be ________. 1. Part time 2. Full time 3. Per diem 4. Temporary

Answer 135

2

Question 136

The Myer-Briggs personality test consists of 100 questions that measure ________. 1. Depression 2. Psychosis 3. Extroversion or introversion 4. Paranoia

Answer 136

3

Question 137

The order to admit a resident to a nursing home must be signed by _____. 1. The Administrator 2. The Director of Nursing 3. A physician 4. A registered nurse

Answer 137

3

Question 138

The primary measure of effectiveness of a training program is whether _____. 1. Employee behavior was changed 2. The number of lawsuits went down 3. The number of grievances went down 4. Customer satisfaction surveys improved

Answer 138

1

Question 139

The purpose of providing new employees a tour of the facility on the first day would not include which of the following ___________. 1. Orient new employees to the physical location of offices and supplies 2. Meet managers and co-workers 3. Identify safety features and systems 4. To provide mandated training

Answer 139

4 Mandated training is done during orientation

Question 140

The registered dietician must be registered with the ________. 1. American Medical Association 2. American Dietetic Association 3. American Diabetes Associates 4. Association of Registered Dieticians

Answer 140

2

Question 141

To maintain certification requirements, a certified nursing assistant must complete _____ hours of in-services each year and must not go more than ______ consecutive months without working in capacity of providing nursing assistant services for pay. 1. 12 hours, 24 months 2. 18 hours, 18 months 3. 24 hours, 16 months 4. 8 hours, 24 months

Answer 141

1

Question 142

Under federal rules, nursing homes may be referred to as ________________: 1. Intermediate care facility, sub-acute care facility 2. Skilled nursing facility or nursing facility 3. Special needs facility, inpatient skilled facility 4. Acute care facility, skilled care facility

Answer 142

2

Question 143

Under the ADA, a facility is required to make special accommodations for a worker when ________. 1. A physician determines an applicant cannot meet physical demands of job and has a covered physical disability 2. A physician determines an applicant cannot meet physical demands of job but does not have a covered physical disability 3. A physician determines an applicant can meet physical demands of job and has no physical disability 4. An applicant who never learned to read and requests special accommodation

Answer 143

1

Question 144

When an administrator compares salaries of all employees to nurses’ salaries this is called _________. 1. Benchmarking salaries 2. Scaling wages 3. Salary range 4. Pay scale

Answer 144

1

Question 145

When the texture of food is altered (puree) this is called a ___________. 1. Nutritional enhancement 2. Mechanically altered diet 3. Adulterated diet 4. Atkins diet

Answer 145

2

Question 146

Where a manager rates an employee across an entire range of traits based on one behavior this is called the _________. 1. Leniency error 2. Error of central tendency 3. Halo effect 4. Rating error

Answer 146

3

Question 147

Where a supervisor consistently rates employees as average although their performance is far superior or below expectation is called ________. 1. Leniency Error 2. Error of Central Tendency 3. Halo Effect 4. Rating Error

Answer 147

2

Question 148

Which is not true of the performance evaluation process? 1. Workers expect a manager to be familiar with their work 2. Workers expect an evaluator to understand what they do 3. Workers expect an evaluator to be objective 4. The evaluation focuses on future performance

Answer 148

4 Performance reviews focus on past performance

Question 149

Which is not true regarding storage of drugs and biologicals? 1. All drugs and biologicals must be stored in locked compartments and under proper temperature controls 2. Schedule I drugs must be stored in a locked compartment 3. A facility may only permit authorized personnel to have keys to locked drug compartments 4. Schedule II controlled drugs must be stored in permanently affixed compartments with separate locks from the main compartment door

Answer 149

2 Schedule 1 drugs are illegal and cannot be in the facility. Schedule. 2 drugs are narcotics

Question 150

Which is not true? 1. CD-ROMs are cost effective to train workers 2. Paper records systems are more efficient than electronic systems 3. GroupWise allows employees to work on same document at same time 4. Imaging or scanning allows HR to scan and store records electronically

Answer 150

2 Electronic records are far more efficient

Question 151

Which is not true? 1. Individuals completing orientation should sign the orientation check list 2. Orientation creates a reservoir of good will 3. Employees not oriented are not a legal liability 4. New employees receive critical training during orientation before starting their new jobs

Answer 151

3

Question 152

Which is not true? 1. Must provide residents notice of all available services prior to or upon admission 2. Must inform residents of all covered and non-covered services under Medicare and Medicaid 3. Must advise residents within 21 days in advance of any changes in charges 4. Must advise residents of the cost of all services in the facility prior to or upon admission to the facility

Answer 152

3 Must provide 14 days prior notice of any changes in the resident contract or charges

Question 153

Which is not true? 1. A checklist ensures nothing is missed during orientation 2. Orientation training in most topics are legally mandated 3. Both supervisor and employee should initial each topic covered on a checklist 4. More than one person should be responsible to conduct orientation and keep the

Answer 153

4

Question 154

Which is not true? 1. A resident has the right to reside in a facility and receive services 2. The facility must accommodate individual needs and preferences except if other residents would be endangered 3. Residents must be allowed and encouraged to use their own clothes to the extent practicable 4. Residents can bring in as much clothing and furniture as they want regardless of space considerations

Answer 154

4 A facility can impose reasonable limitations

Question 155

Which is not true? 1. Each facility must have a standardized procedure to document maintenance requests 2. A timely response to a maintenance request is 7 days 3. The maintenance director must prioritize maintenance needs 4. A good maintenance program extends the life of the equipment and buildings

Answer 155

2 As soon as possible in order of priority as determined by the maintenance director

Question 156

Which is not true? 1. Must provide residents nutritionally balanced and palatable meals 2. Must staff sufficient dietary personnel to competently carry out dietary services 3. Must prepare meals at the proper temperature and at appropriate times 4. The registered dietician must be registered with the American Association of Dieticians

Answer 156

4

Question 157

Which is not true? 1. The facility must employ a registered dietician on a full time, part time or consultant basis 2. Only a registered dietician can prescribe a therapeutic diet 3. A food services director must be employed if a dietician is not employed full-time 4. The food services director must receive frequent and regularly scheduled consultations with a registered dietician if they are not a registered dietician

Answer 157

2 Only a physician can prescribe a therapeutic diet

Question 158

Which is not true? 1. The interviewer’s race affects the behavior of the person being interviewed 2. Interpersonal skills and motivation is best evaluated in an interview 3. Open ended interviews are more reliable than structured interviews 4. The facility must display an EEOC poster

Answer 158

3

Question 159

Which is not true? 1. The pre-employment physical establishes an applicant’s physical abilities to do a job 2. The pre-employment physical establishes a baseline for later physical exams (workers compensation claim) 3. Lab results can detect drugs 4. An applicant can be told after the job offer that a physical examination is required

Answer 159

4 Must inform applicants up front that a physical exam is required

Question 160

Which is true? 1. Orientation communicates to employees the needs of the facility 2. Employees who are not provided orientation are more likely to stay with a company 3. Orientation is usually 1 day 4. Most orientation In-service topics are not legally mandated

Answer 160

1

Question 161

Which is true? 1. Unstructured interviews are more reliable than structured interviews 2. Interviews provide the interviewer information why an applicant would be a good employee 3. Physical appearance is more important than factual data 4. An interviewer can learn more from listening than talking in an interview

Answer 161

4

Question 162

Which would not adversely affect the nutritive value, flavor and appearance of food. 1. Properly seasoned food 2. The addition of baking soda 3. Holding food on the steam table for an extended period of time 4. Cooking food in a large volume of water

Answer 162

1

Question 163

Workers do not need _______ to motivate them. 1. Social approval 2. Financial security 3. Strict instructions on how to do their job 4. Positive feedback from managers

Answer 163

3

Question 164

Written instructions relating to the provision of health care when an individual is incapacitated is called _________. 1. An advanced directive 2. Designation of health care surrogate 3. Power of Attorney 4. Hospice care

Answer 164

1

Question 165

Written preferences regarding the use of artificial life prolonging measures is called _________. 1. An advanced directive 2. Experimental research 3. A living will 4. Hospice care

Answer 165

3