Test D (NAB) Flashcards
Discharge planning for a resident should be started when?
1-The resident is admitted.
OF the following, what would be the most likely to increase the number of infections in a nursing home?
1-the frequent use of invasive devices
2-Exposure to employees and visitors
3-the presence of multiple chronic diseases
4-the increase of incidents of immobility and incontinence.
2-Exposure to employees and visitors
Although “invasive devices” has a huge chance for infection “Exposure” to employees and visitors is a greater chance, .. it also does say what type of exposure.
TAG 115, the term bedfast means confined to bed except for treatment during the past
7 days
Nurse activities are controlled by:
Nurse Practice Acts.
a Legal Document that specifies a persons preference concerning life sustaining treatment is referred to as: 1-living will 2-Statutory will 3-holographic will 4-Power of attorney
1-Living will
When a resident is angry it is best to: 1-ignore 2-correct immediately 3-let them express the anger 4-refer the resident to a physician
3-let them express the anger
According to ORBA regs. the residents physician is required to visit the resident and conduct all of the following activities except:
1-Sign and date all orders
2-review all consultant reports
3-write, sign, and date all progress notes
4-review all medication and treatments
2-review all consultant reports
If dental work is planned for a resident, the facility should be aware of the impact on any of the following except: 1-artificial hip 2-a heart value 3-kidney conditions 4-Knee replacements
3-kidney conditions
** I dont know why?
When only POSTERS and MOUNTED calendars are utilized for various programs, the major communication problem created is that:
1-Residents forget
2-amount of Information is inadequate
3-signs are not printed in the residents language
4-signs cannot be seen by the non-ambulatory residents
4-signs cannot be seen by the non-ambulatory residents
**Tricky question, KEY is MOUNTED
All of the following should be addressed for residents who use anti-psychotic drugs except: 1-Drug Holidays 2-Drug Elimination 3-Gradual dose reduction 4-Behavioral Programing
2-Drug Elimination
??? I dont know why ???
Possible because F329 Says “discontinued” and not drug elimination
If the pharmacist feels a certin lab test is needed to determine blood level of a resident, the physician is involved BUT:
1-Signed stats are not required
2-Test can only be ORDERED by the DON
3-Test can only be ORDERED by the Attending physician
4-neither the DON or the Physician must agree with the pharmacist
4-neither the DON or the Physician must agree with the pharmacist
Pharmacy is: Pharmacist and Medical Director.
** Pharmacist have no LINE authority to make decisions like that. Consultant ROLE
Who is responsible foe ensuring that contractual rehabilitation specialists are fully qualified to preform services: 1-The administrator 2-State Surveyors 3-Medical Director 4-DON
1-The Administartor
Heat and Hydrotherapy are primarily used by:
1-Physical Therapists
** prob because of LARGE muscles groups
Primary purpouse of rehab program is to help residents:
1-Live life to the fullest potential
2-improve so they can be dismissed
3-return to their former level of functioning
4-improve and be able to handle all their activities of daily living
1-Live life to the fullest potential
** Most residents will never improve to same level of function, and life is more than just ADL’s – that is only a small piece.
An administrator using the “open door” policy of communication will be:
1-better able to communicate with staff at all levels
2-familiar with every detail of the operation of the nursing facility
3-getting a true picture of the strengthens and weaknesses of the organization
4-dealing with too much detail and destroying lines of communication and authority
4-dealing with too much detail and destroying lines of communication and authority
ALL of the following are essential elements of counseling except: 1-Listening 2-being personal 3-being non-judgmental 4-avoidance of criticism
2-being personal
** good to have but not essential
Of the following, what is the best type of recruiting practice? 1-Job Posting 2-Newspaper Ads 3-Employment Agencies 4-State Dept of Emplymet
1-Job Postings
** All other types are TYPES of job POSTINGS.
ADA has five titles, of the 5 which one affects Healthcare facility administrator the MOST? 1- Title I 2- Title II 3- Title III 4- Title IV
1-Title I
** Title I deals mostly the discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, job training, and other terms, conditions, and privileges of employment
Which of the following is usually not a revenue center? 1-Social Services 2-Dietary Services 3-Nursing Services 4-Barber/Beauty Shop
P.230
1-Social Services
- *Social Services are part of “Routine Care” and is a service that dose mandated that dose not produce any income.
- *Nursing on the other hand, is mandated , but dose produce income.
Labor costs in a LONG TERM care facility usually totals about how much in percentage?
50-60 %
HUGE chunk of Expenses.
Which of the following is a payroll tax? 1-Social Security 2-Workers compensation 3-State unemployment insurance 4-Federal unemployment insurance
Social Security
Every time you as an Employee get a check SS takes a piece out
The most effective area to reduce and control costs in food service is: 1-Menus 2-Food Storage 3-food purchasing 4-resident choices
1-Menus
**Before you can buy the food, or store the food you need to plan for the food. That is MENUS… and residents only have so much say as to the input of the menus.
The primary purpose of prepetual inventory is to: 1-Increase assets 2-eliminate loss through theft 3-reflect costs based upon actual usage 4-reduce cost because of mass purchasing
3-reflect costs based upon actual usage
** LOSS through theft is for internal CONTOL
Accounts payable, accounts receivables, and general are all examples of: 1-Ledgers 2-Fund Accounts 3-Non-Current Assets 4-Accounting Systems
1-Ledgers
** Remember all the JOURNALS go into a GENERAL LEDGER** you can also have other Ledgers like Accounts recivible Ledgers.** the General Ledger is where the FIANCE ACCOUNTING information comes from. Ex: Balance Sheet; Statement of Cash FLOW,
Hazardous areas must be protected by fire barriers with a a rating of 1 hour OR a completely automated extinguishing system. Which of the following would usually not be considered a hazardous area=? 1-Laundry 2-Dinning Room 3-Handicraft Shop 4-Employee locker area
2-Dinning Room
Locker is not because it has the possibility of combustibles in TEXTILES and other things inside the locker. HAZ AREAS: 1-Soiled Linen rooms 2-Paint Shops 3-Trash collection room 4-Repair shop 5-Storage used for combustibles
The MINIMUM Square footage per person of a room excludes all the following except: 1-a bed 2-a toilet 3-closets 4- a wardrobe
1-a bed
Standard for an ISOLATION ROOM do not include 1-private toilet 2-single occupancy 3-a bathtub or shower 4-hand washing facilities
3-A bathtub or Shower
A nursing home administrator who bargains with his staff saying. "You do Right and I'll take care of you" is using what leadership style? 1-Paternal 2-Autocratic 3-Democratic 4-Laissez-Faire
1-Paternal
A type of fatherly managerial style typically employed by dominant males where their organizational power is used to control and protect subordinate staff that are expected to be loyal and obedient
** Autocratic RULES with an IRON FIST!!
Practicing a micro-management technique refers to:
1-utilizing supervisors in every department
2-giving attention to the smallest of details
3-knowing each employee and his/her background
4-demanding overly strict time schedules and written reports
4-demanding overly strict time schedules and written reports
Good leaders 1-are nonemotional 2-are almost always good listeners 3-are judgmental in regard to discipline 4-feel that a highly qualified staff is more
2-are almost always good listeners
Before a resident is transferred, a written notice is required specifying all the following except?
1-The right to refuse the transfer
2-location to where is being transferred too.
3-a statement that the resident has the right to appeal the action to the state
4-the name, address, and telephone number of the state nursing home association
4-the name, address, and telephone number of the state nursing home association
**the name, address, and telephone number the state ombudsman is required
Medicare dose not include grants to assist in:
1-the aged
2-the blind
3-Families with DEPENDENT CHILDREN
4-Individuals who are temporarily disabled.
4-Individuals who are temporarily disabled.
The chief factor in an effective fire and safety program is:
1-a qualified safety committee
2-set of policies and procedures
3-a supportive local fire department
4-the support and participation of the administrator
4-the support and participation of the administrator
** If you have policies and procedures that is great, but with out the support of the administrator it will do very little.
What are RUGS? 1-Case mix index 2-grouping of revenue sources 3-Resident classification system 4-method of grouping income from MEDICAID and MEDICARE
3-Resident classification system
How many days do you have to correct a Level 4 deficiency?
23 days
Sound financial management dictates that approving of the annual facility budget is the responsibility of the: 1-CPA 2-administrator 3-stockholders 4-governing body
4-governing body
** approved
The results of all investigations regarding abuse must be reported to the administrator or his representative and the administrator must ensure that it is reported to the proper state authority within? 1-24 hours 2-48 hours 3-5 days 4-5 working days
4-5 WORKING DAYS
*** Must be reported right way , by phone, but investigation report must be written within 5 WORKING DAYS
When Salaries are listed by department they usually do not include: 1-FICA 2-FUTA 3-PAYROLL 4-HEALTH INSURANCE
4-Health INSURANCE
