April Supplement 2019 Flashcards Preview

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Flashcards in April Supplement 2019 Deck (218)
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1
Q

what does an income statement or profit and loss statement tell an investor

A

it details operating income and expenses and how efficiently the NHA is managing the facility

2
Q

What is the purpose of an anticoagulant medication

A

it is a blood thinner used to prevent blood clots and reduce clots

3
Q

what is the main medical condition that would be treated with anti coagulants

A

CVA, TIA, strokes

4
Q

what is a union shop steward

A

an employee who works for the company and is a union member who acts as the local union rep

5
Q

what is the minimum length of a telephone cord

A

29 inches

6
Q

a current asset or liability must be sold or paid within how many months

A

12 months

7
Q

A non current asset or liability must be sold or paid within how many motns

A

within more than 12 months

8
Q

what is a physicatrist

A

a sports doctor who specializes in musculoskeletal injures and woks closely with PT & OT

9
Q

What are the three budgets we work with

A

operating, cash, capital

10
Q

what are the 2 main strategic budgets we work with

A

operating and capital

11
Q

what is the main benefit of a limited liability partnership or limited liability corporation

A

if sued can only collect against the assets of the partnership or corporation and not individuals

12
Q

what is the key to an effective emergency management plan

A

must identify all potential disasters and dangers that may threaten the facility and plan of action to address those threats

13
Q

what is deposit of money to ensure the performance of an obligation

A

a surety bond or performance bond

14
Q

who must be on a surety bond

A

the residents and the state

15
Q

what is an ADL

A

an ADL is personal care, showering grooming eating dressing and transferring

16
Q

what is an instrumental ADL

A

housekeeping, managing finances by writing checks, going to doctor appointment, going tot he store to buy food, going to the mall

17
Q

What does Hyper mean such as hyperglycemia, hypertension, hyperactivity

A

hyper means high or elevated

18
Q

what doe hypo mean

A

low

19
Q

overhead expense such as depreciation or insurance are classified s what type of expense

A

indirect expenses cannot be charged to a particular department

20
Q

holding employers responsible for acts of their employees is called

A

respondent superior

21
Q

what are 2 other names for respondent superior

A

strict liability

vicarious liability

22
Q

Which of the following is not capital asset or capital expense

  • building
  • land
  • furnishings
  • computer equipment
  • paving the parking lot
  • physical plant
  • machinery or equipment
  • building a privacy wall in the dining room
  • weekend overtime
A

weekend overtime

23
Q

Planned purchase of physical assets or capital assets is accomplished through which budget

A

capital budget

24
Q

What is the impact of the failure to record or account for depreciations

A

the facility will overstate its assets

25
Q

A minimum wage is imposed by which law

A

the Fair Labor Standards Act which requires a federal minimum wage and overtime

26
Q

Who enforces the FLSA

A

department of labor

27
Q

What is a swing bed in a rural hospital

A

a hospital in rural area with 100,000 or fewer or fewer people can swing from acute to subacute

28
Q

Which Medicare program allows a patient to receive skilled care once acute hospital care is no longer required and they are transferred to a nursing home

A

a patient will transferred from the hospital to a nursing home to be skilled under Medicare part A sub acute care

29
Q

What is the Hazard Communication Standard under OSHA

A

Inform employees of chemicals in the work place MSDS or SDS

30
Q

What is carcioma

A

cancer

31
Q

what is an eye doctor called

A

ophthalmologist

32
Q

what is an ear doctor called

A

audiologist

33
Q

what does OIG stand for

A

Office of Inspector General

34
Q

What does the IOG do

A

the OIG investigates medicare and medicaid fraud and is under the US department of health and human services

35
Q

What is the primary focus of the Life Safety Code

A

Fire safety in buildings and structures

36
Q

What does the code for federal regulations require regarding minimum staff requirements for dietary staff

A

must staff sufficient staff to meet the needs of residents

37
Q

which survey type is the complaint survey

A

an abbreviated standard survey-used for all surveys other than annual survey and changes in NHA DON owner of corporate officers can trigger a complaint survey

38
Q

What is over medication

A
  • when a patient takes unnecessary or excessive medications

- when consumers take more medication than is prescribed or directed by their doctor or is prescribed

39
Q

what is diathermy

A

a modality used by PTs to generate heat inside the body to reduce pain and inflammation that shortwave microwave and ultrasound

40
Q

What is resident centered or person centered care

A

organize resident services and daily life that are meaninful to each resident

41
Q

if a resident or the facilyt determines an attending physician is not performing their duties properly and want to change a doctor, what is the legal obliation of the facilyt to make such a change

A

assist the resident to choose a new physician. we do not choose one for them

42
Q

Which departmetns generate revenue

A

skilled therapy

  • nursing
  • dietary

can generate revenue from billing for therapy and nursing, and also for the beauty salon, dietary

keep in mind that all departments are cost centers but not revenue centers

43
Q

what is the main purpose of risk management

A

minimize money losses

buy lots of insurance

44
Q

what is Primary or Essential hypertension

A

high blood pressure due to nonspecific lifestyle and genetic factors such as diet, excess body weight, smoking and alcohol use

45
Q

What is secondary hypertension

A

high blood pressure due to an identifiable cause such as kidney disease, arrowing of the kidney arteries, and endocrine disorder, or the use of birth control pills

46
Q

what is hypostatic hypertension

A

low blood pressure

47
Q

a nurse is with a resident when a visitor enters the room. what should the nurse do without being asked

A

leave the room and close the door to provide the resident absolute privacy

48
Q

Which part of medicare pays for the skilled care provided by PPOs and HMOs

A

Med A

49
Q

If a facility that has been cited for violation of G and the CMS plans to impose a monetary fine the facility can get a discount of ___ percent if they do not challenge the monetary fine

A

35%

50
Q

If a facility that has been cited for violation of G and the CMS plans to impose a monetary fine; the fine will not be imposed if the facility waives their right to an administrative hearing appeal the citation within___ days

A

60

51
Q

What is an instrumental ADL

A

cleaning and maintaining the house, managing money, moving within the community, shopping, doctor appointments, laundry, medication management

52
Q

which of the following is not an activity of daily living

  • meal prep
  • shower/bath
  • personal care /grooming
  • paying bills
  • mobility
  • transferring from a chair
A

paying bills

53
Q

mandatory reports plans of corrections and formal and informal dispute resolution requests must be filed with the state within what time frames

A

calendar days

54
Q

the ambient atmospheric temperature range in a nursing home is ___ to ___

A

71-81

55
Q

If a son who is POA is not able to serve as the POA who would be able to make decisions for the resident

A

the resident himself or herself

56
Q

An individual needs a diagnosis of death within how many months to go on hospice

A

6 months

57
Q

on which shift do you need an RN in a 24 hour day

A

-you only need 8 rn hours a day

the regulation does not specify you need an RN on any one shift

58
Q

If the resident council wants to change the breakfast to a late morning. What is the latest they an set the time for breakfast

A

no more than 14 hours with a snack from dinner

** i thought it was 16 with snack?!

59
Q

What is the formula for working capital

A

current assets-current liabilities

60
Q

which type of bond ensures a specific service will be ensure performance of an obligation

  • treasury bond
  • surety bond
  • bail bond
  • fidelity bond
A

surety bond

61
Q

what is an anticoagulant

A

prevents clots by thinning blood

62
Q

the survey team exited an annual survey on Monday Jan 1, the facility must receive the 2567 by which date

A

Jan 11

63
Q

year end OSHA report must be posted on between which dates

A

Feb 1 to Apr 30

64
Q

the NHA must report any injuries to staff or residents from medical devices to which of the following

  • FDA and Manufacturer
  • FDA
  • OSHA
  • DOL
A

FDA and manufacturer

65
Q

The NHA must report injuries to staff and residents within how many days

A

10 days

*** 5 business days for injury??

66
Q

A comprehensive assessment must be done within how many days of admission

A

14 days

67
Q

The care plan must be done within what time frame of admission fo the resident

A

7 days

***previous said 21 days???

68
Q

The care plan must be done within how many days fo admission

A

21 days

**previous question said 7 days???

69
Q

During a hurricane the NHA makes the decision to evacuate all residents to a receiving facility to hundreds miles away per the cooperative agreement executed between the facility is. En route buses being used to transport the residents reaches a bride that has been washed out and impassable. The residents are trapped. what should the NHA have done to anticipate this in the emergency management plan evacuation section?

A

do proper risk assessment

70
Q

The facility must check which registry before hiring a nurse aide

A

nurse aide registry or abuse registry

71
Q

what is the main goal of skilled therapy

A

to get residents back to their highest functioning or highest level of functioning post recovery from an injury. how many ADLs they can perform for themselves

72
Q

What is an example of an ADL

  • doing light housekeeping
  • writing a check to pay bills
  • travel to a doctors appointment
  • to feed oneself
A

to feed oneself

73
Q

Placing an individual in a nursing home or inpatient facility for as short period of tie to give the caregivers a short vacation is called

A

respite care

74
Q

resident must be provided inspection of records within what timeframe

A

24 hours

75
Q

residents must be provided inspection of records within what timeframe

A

24 hours

76
Q

residents must be provided copies of records within what timeframe

A

48 hours

77
Q

you must have an rn on which shift

A

8 consecutive hours a day on the day shift

** specified elsewhere shift is not important

78
Q

You must have an RN work which days of the week

A

every day

79
Q

do you need an RN on each shift

A

no

80
Q

you need a charge nurse on which shift

A

all three shifts or on each unit

81
Q

Which law requires a minimum wage and overtime

A

Fair Labor standards act

82
Q

What can an NHA say to employees about a union

A

express their personal opinion of the value of the union

83
Q

Can the NHA threaten to fire employees trying to organize a union

A

no

84
Q

Can the NHA question employees about what is said about union meetings or try to attend meetings

A

no

85
Q

can the facility contribute money to the union

A

no

86
Q

Can the NHA tell an employee they do not need to file a grievance with their union rep

A

No

87
Q

to hire a certain number of nursing aides

A

no

88
Q

A union must give how many days advance notice of a strike

A

10 days

89
Q

The union or management must give how many das advance notice if they want to change a union contract

A

90 days

90
Q

If a union employee has a grievance with the employer they must file their grievance with which of the following

  • NLRB
  • CMS
  • DOL
  • OSHA
A

NLRB

91
Q

What is the definition of substandard care

A

a violation that is actual harm where an individual suffered a fracture, eloped, or was abuse

92
Q

To be placed on hospice an individual MUST have a diagnosis that they not survive longer than

A

6 months

93
Q

Care provided to a resident that is limited to just comfort care and pain management is called

A

palliative care

94
Q

Which survey is the complaint survey

A

the abbreviated standard survey

95
Q

Which survey would be triggered fi surveyors found substandard care during a complaint survey

A

Partial extended survey

96
Q

Which law requires the facility to protect residents and staff from the inadvertent discharge of electricity

A

lock out tag out

97
Q

If a family member complained that their mothers roommate had visitors late at night that keeps form sleeping. what can the NHA do

A

offer the roommate and their guests another room to meet

98
Q

What percentage of employees must sign a union interest card

A

30%

-i thought it was 50%+1?!?!!?

99
Q

Lip smacking and facial grimacing are symptoms of which of the following

A

Tardives dyskenesia

100
Q

Pressure in the eye is called

A

glaucoma

101
Q

loss of central field of vision is called what

A

macular degeneration

102
Q

tremors and shuffling gait are symptoms of what

A

parkinsons

103
Q

if an employee received an injury on the job that did not require medical treatment or lost time, which of the following forms they would fill out

  • form 300
  • form 300a
  • form 301
  • form 302
  • none of the above
A

none of the above

104
Q

OSHA non fatal injuries must initially be recorded on which form of the following forms

A

form 300

105
Q

Diathermy is which of the following

  • DRG
  • Diagnosis
  • modality
  • prognosis
A

modality

106
Q

resident centered activities program must provide activities that are which of the followign

A

meaningful activities

107
Q

physicians must visit their residents in a nursing home how often

A

every 30 days for the first 90 days

108
Q

what is the main advantage of resident centered ‘neighborhood’ model for nursing homes

A

allow residents to interact with and get to know their fellow residents

109
Q

If the medical asset limit is $840 the resident will reach the amount at which they need to spend down when their trust account reaches___

A

$640

110
Q

Skilled therapists must provide therapy services per which of the following

  • the attending physicians order
  • a therapy program designed by the director of therapy
  • DON
  • OT
A

the attending physicians odrder

111
Q

If a third party request copies of a residents medical records what should the facility do

A

secure the residents written consent to the release

112
Q

True or False
a local long term care ombudsman per federal regulation can request copies of the residents medical records without the residents consent

A

false

113
Q

Bacteria grows within which of the following temperature ranges

A

42 degrees to 134 degrees

114
Q

What is the turnover rate if a facility 100 beds had the following employees days from August to October

  • Aug 198 employee days
  • Sept 200 employee days
  • Oct 196 employee days

20 employees resigned or terminated during this three month period

A

3 percent

115
Q

If a power of attorney cannot make decisions for a resident, which of the following can

  • NHA
  • resident
  • family member
  • long term care ombudsman
A

resident

116
Q

if a nurse aide has worked for the facility for 5 years then resigns to start a family the nurse must return to work within how many months

A

24 months

117
Q

If a family member wants to see the survey findings for a facility which form would they want to look at

A

Form 2567

118
Q

Which of the following is responsible to enforce nursing home federal regulations

  • INS
  • NASA
  • OIG
  • NAFTA
A

OIG

119
Q

What is the acceptable atmospheric temperature range in a nursing home

A

71-81

120
Q

Nursing aides must complete a minimum of how many inservice hours a year

A

12

121
Q

nurse aide must have a performance review how often

A

12 months

122
Q

A nurse aide must be certified within how many days of hire

A

120 days

123
Q

Who is responsible to provide social services to a resident

A

a facility staff member

124
Q

What does the quick ratio and acid test ratio tell the NHA

A

identifies assets that can be sold immediately to raise money-within days as opposed to months

125
Q

What is the formula to calculate food PPD

A

total food costs divided by total resident days + cost per day

126
Q

Weight change in 1 month is ___ percent

A

5 percent

127
Q

Which of the following that are COGNITIVE SYMPTOMS OF ALZHEIMERS

  • mental decline
  • difficulty thinking and understanding
  • confusion in the evening hours
  • delusions
  • disorientation
  • forgetfulness and mental confusion
  • making things up
  • difficulty concentrating
  • inability to create new memories
  • inability to recognize common things
A

all of the above

128
Q

What are BEHAVIORAL SYMPTOMS OF ALZHEIMER

  • aggression
  • agitation
  • difficulty with self care
  • irritability
  • repetition of own words
  • personality changes
  • wandering and getting lost
A

all of the above

129
Q

What are MOOD CHANGE SYMPTOMS OF ALZHEIMERS

  • anger
  • apathy
  • general discontent
  • loneliness
A

all the above

130
Q

What are PSYCHOLOGICAL SYMPTOMS OF ALZHEIMERS

  • depression
  • hallucination
  • paranoia
A

all the above

131
Q

What does SWOT stand for

A

strengths
weaknesses
opportunities
threats

132
Q

What is clear access for a wheelchair

A

36 inches

133
Q

What is clear width for a wheelchair

A

36 inches

134
Q

What document summarizes the debits and credits

A

general ledger

135
Q

How often do we do a comprehensive assesment

A

12

136
Q

A life safety code violation would be cited as which of the following

  • F
  • N
  • NF
  • K
  • L
A

K

137
Q

Medication errors must not exceed ___ percent

A

4.9

138
Q

The ___ must approve a resident to self administer drugs

  • attending physician
  • medical director
  • interdisciplinary team
  • the DON and consultant pharmacist
A

interdisciplinary team

139
Q

An individual to be approved to self administer medication must be oriented

A

x3

140
Q

How must medications be stored

A

under double lock and key

141
Q

How must narcotics be stored

A

in a separate locked compartment

142
Q

who must restock the emergency medication kit once opened

A

the pharmacy or pharmacist

143
Q

what is the federal employer liability act

A

employer is responsible for on the job injuries of employees

144
Q

what is the general duty clause

A

must provide a safe workplace free of health hazards

145
Q

which federal law requires employers to pay overtime

A

FLSA

146
Q

What is FLSA

A

fair labor standards act

147
Q

which entity enforces the FLSA

A

DOL

148
Q

What is PILER

A
profit
income
loss
expenses
revenue
149
Q

what is LANCE

A
liabilities
assets
net worth
capital
equity
150
Q

What is significant wight loss for 3 months

A

7.5 percent

151
Q

who is the corporate compliance officer for a nursing home

A

NHA

152
Q

Physical environment that affects resident comfort include

A

Lost-lighting, sound, temperature

153
Q

We follow the life safety code of which year

A

2012

154
Q

Employee medical records must be kept for __ years

A

30

155
Q

Must record non fatal employee injuries within __ hours

A

8 hours

156
Q

Employee right to know pertains to which OSHA regulation

A

the hazard communication policy

157
Q

what is hazard communication policy

A

the MSDS or SDS that details the chemicals in the workplace

158
Q

Must report SMDA incidents within ___ days

A

10 days

159
Q

what does SMDA stand for

A

Safe Medical Devices Act

160
Q

Must report SMDA incidents to whom

A

the FDA and Manufacturer

161
Q

Must request and IDR within __ days in WRITING

A

10 days

162
Q

Must request an FDR within how many days

A

20 days

163
Q

What is the CMS form 671

A

facility application or renewal

164
Q

Must record employee injuries in form 300 within __ days

A

7 days

165
Q

Must secure what percent of fellow workers to sign a union interest card

A

30%

166
Q

Who must be on the QA committee

A

DON physician and 3 others

167
Q

Who has ultimate legal responsibility for the care in the building

A

governing board

168
Q

Who approves the budget

A

governing body

what does this mean

169
Q

Who makes policies

A

governing body

170
Q

Who is responsible for day to day management of the facility

A

NHA

171
Q

The prospective payment system affects which payment source to a nursing home

A

Medicare

172
Q

Title 18 is which program

A

Medicare

173
Q

Title 19 is which program

A

Medicaid

174
Q

what is a hallucination

A

hearing, feeling, tasting and touching something that is not there

175
Q

what is delusion

A

believing something that is not based in reality

176
Q

What is teh purpose of the company

A

mission statemtn

177
Q

what is the governance of a company

A

bylaws

178
Q

who makes the policies

A

governing body

179
Q

what is COPD

A

chronic obstructive pulmonary disease

180
Q

what is CHF

A

congestive heart failure

181
Q

What is HS

A

Hour of sleep or nighttime

182
Q

What is BID

A

2 times a day

183
Q

Which survey is used where there is a lot of turnover of the NHA or DON

A

abbreviated standard survey

184
Q

What is the formula for current ratio

A

current assets divided by current liabilities

185
Q

Acid test ration is

A

cash+accounts receivable+money market funds/current liabilities

186
Q

What is the form 671

A

the facility license

187
Q

what is form 672

A

the staffing and census form

188
Q

what is form 802

A

matrix of resident condition

189
Q

which form do we bill medicare

A

UB04

190
Q

What does MDS stand for

A

minimum data set

191
Q

Unions must give ___ days notice of a strike when

A

10 days in advance

192
Q

To change a union contract requires ___ days notice in advance

A

90 days

193
Q

What does EEOC stand for

A

equal employment opportunity act

194
Q

Which letter is a state violation

A

N tag

195
Q

What is the CAA

A

care area assessment

196
Q

What is the CAT

A

care area triggers

197
Q

How many triggers are there

A

20

198
Q

What is the PBJ

A

payroll based journal

transmit data quarterly

199
Q

Who enforces the Wagner Act

A

NLRB

200
Q

What is the Wagner act

A

requires management to sign a collective bargaining agreement

201
Q

What is PPE

A

Personal protective equipment

202
Q

What is Adverse Impact

A

80%

203
Q

The consultant pharmacist must check the facility receipt and disposition records how often

A

Quarterly

204
Q

OSHA medical records must be kept for how many years

A

30 years

205
Q

Cannot store anything more than how many inches below the ceiling

A

18 inches

206
Q

How many inches above the floor to store anyting

A

6 inches

207
Q

What 3 people determine the contents of the emergency medication kit

A

DUMP-DON,MD,Pharmacist

208
Q

What 3 elements determine a residents COMFORT in their room

A

LOST- lighting, sound, temperature

209
Q

What does HHS stand for

A

Health and human services

210
Q

Which entity enforces the equal pay act

A

EEOC

211
Q

which entity enforces the EEOA

A

EEOC

212
Q

Which entity enforces the Civil Rights Act

A

EEOC

213
Q

Which entity enforces the Age in Discrimination Act

A

EEOC

214
Q

What is ergonomics

A

proper movement of the body to reduce stress on the body and repetitive injuries

215
Q

Which activity uses clocks, calendars, and current events

A

Reality orientation

216
Q

must prepare menus how far in advance

A

1 month or 4 weeks

217
Q

Must keep menus for how long

A

1 month or 4 weeks

218
Q

What are CASPER reports 3 and 4

A

5 years of survey history

2567 and plans of correction