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Flashcards in Mock National Exam 15 Deck (138)
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1
Q

The facility must make available to surveyors during a survey residents who are ___ and ___ to participate in resident interviews

A

Capable and incapable

2
Q

A resident was admitted to a facility on June 1. The initial comprehensive assessment was completed on June 21. The comprehensive was

A

Late

3
Q

the legal principle that requires an employer to be responsible to third parties injured by an employee is called teh

A

Respondent superior

4
Q

If a residents’ wants to see the facility citation history she would look at which form

A

CMS 2567

5
Q

A resident was admitted to a facility on June 5th. Her attending physician documented a visit on July 15th. The physician visit was

A

Timely

6
Q

A resident was served dinner at 5pm and was then served breakfast at 9am was the breakfast meal timely

A

No

7
Q

Which of the following is responsible to schedule the disposition of medications

A

The consultant pharmacist

8
Q

How often must the consultant pharmacist review resident medication

A

Monthly

9
Q

A facility must have a ___ day emergency supply of food

A

7

10
Q

The emergency generator must switch on automatically within ___ seconds of loss of power from the main power source

A

10

11
Q

The timeframe to report the results of an abuse investigation to the state licensing agency is

A

5 working days

12
Q

What is the permissible ambient temperature for a nursing home

A

71-81

13
Q

A resident has visitors after hours who are apparently being very loud when they come and disturbing his roommate. The roommate complains to the NHA. What is the best course of action for the NHA to take

A

Offer the resident and his guests a private room in the facility to meet and not disturb bother residents

14
Q

Where would a license violation be posted in the nursing facility

A

In a public area like the lobby

15
Q

Which of the following is not a nosocomial infection

  • MRSA
  • Pneumonia
  • AIDS
  • UTI
  • CDIFF
A

AIDS

16
Q

An employee cannot take family medical leave for which of the following reasons

  • sick parents
  • a sick spouse
  • a sick brother or sister
  • adoption of a child
A

a sick brother or sister

17
Q

Which form is used to bill Medicare

A

UB04

18
Q

Which of the following is promulgated by an agency

A

A regulation

19
Q

Which of the following is passed by a legislature

A

A statue

20
Q

Which of the following is passed by a town or city

A

An ordinance

21
Q

A rule is the same as which of the following

  • statute
  • regulation
  • ordinance
  • bylaw
A

regulation

22
Q

If a resident loses money in their resident trust fund, which of the following would compensate them for their loss

A

A surety bond

23
Q

Where an individual makes a verbal statement that hurts another person’s reputation which is called

A

Slander

24
Q

Where an individual makes a written statement that hurts another persons reputation this is called

A

Libel

25
Q

Reckless disregard of another persons welfare that results in injury to that person that was foreseeable is called

A

Negligence

26
Q

Workers compensation would not cover which of the following

  • lost time
  • medical bills
  • work related disability
  • unemployment benefits
A

Unemployment benefits

27
Q

What is the difference between restorative nursing and skilled therapy

A

nursing aides provide restorative nursing and licensed therapists provided skilled therapy

28
Q

Which of the following would not have the power to make health care decisions for a resident who lacks capacity

  • a durable power of attorney
  • a power of attorney
  • a conservator
  • a guardian
A

power of attorney

29
Q

Where are schedule 2 drugs stored

A

Under double lock and key

narcotics

30
Q

A resident who is not a Medicaid resident must have their resident funds deposited in an intrest bearing account when theres funds total $___ or more

A

$100

31
Q

Which survey is the compliant survey

  • standard survey
  • abbreviated standard survey
  • extended survey
  • partial extended survey
A

Abbreviated standard survey

32
Q

Liabilities that will be paid within 16 months are called

A

Non current liabilities

33
Q

Which of the following forms is the CMS resident census form

  • HCFA Form 801
  • HCFA Form 804
  • HCFA Form 672
  • HCFA Form 2566
A

-HCFA Form 672

34
Q

Hot food must be served at ___ degrees F

A

135

35
Q

Cold food must be served at ___ degrees F or below

A

41

36
Q

Which of the following would be correct per OBRA 1987

  • 2 hot meals and 1 cold meal
  • 2 cold meals and 1 hot meal
  • 3 hot meals per day
  • 2 hot meals per day
A

3 hot meals a day

37
Q

Which of the following has ultimate responsibility for car provided in a nursing home

A

The governing body

38
Q

What does palatable eman

A

Food is tasty

39
Q

If a union had a complaint against an employer, it would file the complaint with which of the following

  • department of labor
  • NLRB
  • OSHA
  • EEOC
A

NLRB

40
Q

True or false the long term care ombudsman cannot visit a resident after hours on a Saturday night

A

False

41
Q

Which federal law requires a union and management to bargain collectively

A

Wagner act

42
Q

Which entity must supervise and approve a union election

  • Department of labor
  • OSHA
  • NLRB
  • Taft Hartley Act
A

NLRB

43
Q

Which federal program pays for the long term care ombudsman program

A

Older americans act

44
Q

What is the main function of the long term care ombudsman

A

To investigate and resolve resident concerns

45
Q

If a nurse works 50 hours in a 40 hour pay period and makes $7 an hour what would be her gross pay

A

$385

46
Q

How do you calculate current ratio

A

Current assets divided by current liabilities

47
Q

What is acid test ratio

A

cash plus accounts receivables plus money market account divided by current liabilities

48
Q

Which of the following is a facility not required to do

  • display information on how to apply for medicaid
  • notify residents when their trust funds reach $500 of the SSI limit
  • honor resident requests to manage their trust funds
  • arrange private space for residents to meet with family and friends
A

-notify residents when their trust funds reach $500 of the SSI limit

it is $200

49
Q

A newly admitted resident has their personal property inventoried upon admission by the social worker. A few days. later the resident’s ring is reported missing. Who should be responsible to compensate the resident for the missing property

A

the facility

50
Q

What is the PPD for food for the month of June where the facility spent $12000 on food and the average daily census is 100 residents per day

A

$4.00

51
Q

Which of the following management types would not ask in put from employees

  • dictatorial
  • paternal
  • laizze faire
  • progressive
A

dictatorial

52
Q

Which of the following is funded depreciation

  • The facility charges each resident a set amount in the facility per diem rate for the cost of depreciation
  • medicaid reimburses the facility for total depreciation costs at year end
A

The facility deducts their depreciation costs from their income at the end of the year and sets that money aside for future capital costs
-the facility depreciates the full value of an asset in the first year

53
Q

Which of the following describes resident centered care

  • allowing the resident council to play a large role in determining the provision of services in the facility
  • making key decisions regarding the quality of life for residents in the facility based on how it would affect each resident
  • making key decisions regarding the quality of life fo residents in the facility based on profitability
  • involving the long care ombudsman in making key decision as to what service to provide residents
A

-making key decisions regarding the quality of life for residents in the facility based on how it would affect each resident

54
Q

How would the NHA know if there was inflation

A

the NHA would consult the consumer price index

55
Q

What type of pay increase would the NHA have to give employees if there was an increase in inflation

A

COLA

56
Q

If a chlorine sanitizer is in a three compartment sink the concentration of chlorine must be at least ___ ppm

A

125

57
Q

Soiled linens must be washed in hot water at ___ degrees F minimum for at least 25 minutes

A

160

58
Q

Which federal law prohibits a medicare provider from paying for referrals

A

Ethics in Patients Referrals

59
Q

True of False Soiled and Clean linens can be processed in the same area

A

False

60
Q

Which of the following would have the key for equipment that has been locked out or tagged for safety reasons

  • NHA
  • DON
  • Maintenance director
  • medical director
A

Maintenance director

61
Q

What is echelon

A

levels of management in a company

62
Q

Which entity must the NHA report a fire to

A

State medicaid agency and the state fire marshal

63
Q

Must have emergency battery power for at least ___ hours

A

1 1/2 hours

64
Q

a manager who sets larger goals to be achieved and then delegates responsibility to achieve those goals to staff is using the ___ management style

A

Laizze fare

65
Q

Which federal law prohibits a medicare provider form self referring patients to diagnostic center they own or fixing prices for services provides to medicare beneficiaries

A

robinson patman act

66
Q

how many hours of nursing time do you need per resident per day

A

3

67
Q

which of the following does not need to be on drug label

  • name of drug
  • dosage and route of administration
  • administration time
  • manufacturer name and physician name
A

manufacturer name and physician name

68
Q

Which of the following is best suited for residents with mild dementia

  • re-motivation therapy
  • reality orientation
  • validation therapy
  • sensitivity training
A

reality orientation

69
Q

Which of the following is the correct footage for a semi private room

A

320

70
Q

Which of the following is the best investment to keep facility funds liquid

A

money market account

71
Q

Which of the following would be sued as a log to report employee injuries to OSHA

-OSHA300
-OSHA 300A
-OSHA301
OSHA801

A

OSHA 300

72
Q

A recipient can collect unemployment benefits for ___ weeks

A

26

73
Q

True or False damp linen may be left in the washing machine overnight but not longer than 12 hours

A

false

74
Q

Must report the death or hospitalization of 3 or more employees to OSHA by which of the following methods

  • by recording the injuries in Form 300 within 8 hours
  • calling osha within 6 hours
  • faxing osha within 24 hours
  • by calling osha within 8 hours
A

-faxing osha within 24 hours

75
Q

What reports do surveyors look at from OSCAR before they conduct a facility survey

A

CASPER reports 3 and 4 and the QI report

76
Q

When hiring a new nursing aide the facility must do which of the following

  • check the nurse aide registry
  • check the nurse aid abuse registry
  • perform a criminal background check
  • call former employers and check references
A

All the above

77
Q

If a resident has a. significant change in condition the facility must notify family and the attending physician within what time frame

A

24 hours

78
Q

If a resident refuses treatment the facility cannot do which of the following

  • advise the resident of the consequences of not receiving treatment
  • offer the resident an alternative form of treatment
  • notify the attending physician of the refusal
  • withhold all other treatment
A

withhold all other treatment

79
Q

The activity department must be open ___ days per week

A

7

80
Q

Which of the following may not be discarded in a trash basket

  • a paper cup that was used to administer water to a resident
  • discarded paper towels
  • discarded soiled briefs from a resident with AIDS
  • a discarded package of crackers
A

Discarded soiled briefs from a resident with AIDS

81
Q

With Everify and employer can verify a job applicants citizenship status within

A

Seconds

82
Q

Employee time cards must be retained for

A

2 years

83
Q

The air in a nursing home must be changed every ___ minutes

A

6

84
Q

The dietary section of MDS 3.0 is found in section

A

K

85
Q

Under OBRA 1987 a medicaid resident is entitled to ___ days of paid leave for hopstalization

A

14

86
Q

Under OBRA 1987 a medicaid resident is entitled to ___ days of paid leave for therapeutic leave

A

5

87
Q

A job application must be kept for ___ months at a minimum

A

6 months

88
Q

Which therapy uses clocks, calendars, and current events

A

Reality therapy

89
Q

Which of the following indicates proper range of motion

  • economic
  • streamlined
  • ergonomic
  • all the above
A

ergonomic

90
Q

Euthanasia is a ___ death

  • easy or good
  • bad death
  • criminal
  • painful
A

easy or good

91
Q

Which of the following is the main cause of a UTI

  • ecoli
  • MRSA
  • immobility
  • poor dentition
A

e coli

92
Q

The wash cycle of a hot water dishwasher is ___ degrees F

A

150

93
Q

Pots and pans sanitized using just hot water is sanitized in a 3 compartment sink then must be submerged in how water at a minimum temperature of ___ degrees F for 30 seconds

A

171

94
Q

A low temperature dishwasher may use bleach as a sanitizer provided the concentration of bleach is at least ___ parts per million

A

50

95
Q

Must have a full time social worker in a facility with ___ beds or more

A

121 beds or more

96
Q

A decubitus sore with apparent loss of the skin and dermis is a stage

A

Stage 2

97
Q

If a resident in rehab is not walking the resident would be

A

Offered a walker

98
Q

Side reach from a wheelchair is ___ to ___ inches

A

9-54

99
Q

The final rinse cycle of a hot water dishwasher is ___ degrees F

A

180

100
Q

The legal principle that requires an employer to be responsible to third parties injured by an employee is called the

A

Strict Liability

101
Q

A residents daughter wants to see her moms medical chart who is not cognitive. what should the NHA do

A

provide the daughter access to the chart

102
Q

The attending physician must visit their nursing home patients how often

A

30 days from the date of admission for the first 90 days and then 60 days thereafter

103
Q

Which of the following would have an interest in the financial well begin of a company

A

A shareholder

104
Q

Which of the following would be permitted in advertisement for an open position

  • female under 5 feet to model children dresses
  • heavy lifting required only men apply
  • hospice nurse wanted, compassionate female only may apply
  • holiday, nights and weekends required-single males and females only need apply
A

Female under 5 feet to model children dresses

105
Q

knee clearance is

A

19 inches

106
Q

toe clearance is ___ inches

A

9

107
Q

if a resident is prescribed an antipsychotic drug the prescribing physician must do which of the folowing

A

Ensure there is a diagnosis and written rationale for the sue the medicaation

108
Q

A fire exit sign must be spaced no more than ___ feet apart

A

100

109
Q

A medicaid resident went to the hospital and the medicaid bed hold expired 10 days ago The resident is being discharged from the hospital and has requested to be admitted to the nursing home but there are no Medicaid beds available. what should the NHA do

A

Admit the resident into the next available medicaid bed

110
Q

True or false house keepers are expected to clean the kitches

A

false

111
Q

Accounts receivables over 60 days past due must not exceed ___% of all accounts receivables

A

5%

112
Q

If an individual is referred to a nursing home for admission the facility must do which of the following first

A

Determine if the facility can meet the residents needs

113
Q

Which of the following provides the tasks of a job, who the job reports to , salary and job title

A

Job description

114
Q

Which of the following must determine if a resident can self administrator drugs

A

the IDT

115
Q

Which of the following is an intangible asset

  • A hospital bed
  • good will
  • facility van
  • office furniture
A

Good will

116
Q

Grab bars and railings must support a minimum of ___ pounds

A

250

117
Q

Which of the following is the best method to control monetary risks in a nursing home

  • provide good outcomes
  • purchase insurance
  • form a risk management team
  • discharge troublesome residents
A

Purchase insurance

118
Q

Managing monetary risks is called

A

risk management

119
Q

A violation affecting a limited number of residents is a scope fo

A

isolated

120
Q

A violation affecting more than a limited number of residents is a scope of

A

patterned

121
Q

which of the following is most effective management styles

  • MBWA and autocratic
  • MBO and MBWA
  • MBO and TQM
  • Laizze fare and autocratic
A

MBO and MBWA

122
Q

If you have an outbreak of a communicable disease in a nursing home which of the following must you notify first

  • CMS
  • State fire marshal
  • LLTC ombudsman
  • Local health dept
A

Local health dept

123
Q

Must notify residents within ___ days of any change in laws, facility policies or changes in charges

A

14

124
Q

Which of the following is the correct percentage of weight loss

  • 5% in 90 days
  • 7.5% in 90 days
  • 10% in 120 days
  • 15% in 6 months
A

7.5% in 90 days

125
Q

The cost report is due within ___ days of the end of the facility fiscal year

A

90 days

126
Q

Which of the following is the tag for a life safety violation

A

K

127
Q

Job applicants must file a Form ___ to indicate their citizenship status

A

I-9

128
Q

Which federal law requires the I-9 form

A

Immigration reform act

129
Q

What is the fire rating of walls in a smoke compartment

A

2 hours

130
Q

A resident takin ___ or more drugs needs a quarterly evaluation

A

9

131
Q

What is the main purpose of the facility disaster plan

A

To be prepared for all potential emergencies and disasters and assure resident safety

132
Q

Repairs to the parking lot are what type of expense

A

Capital expense

133
Q

Which of the following management types would be most effectively used by physicians, nursing, social workers

  • paternal
  • autocratic
  • laizze faire
  • progressive
A

paternal

134
Q

The facility must make available to surveyors during a survey residents who are ___ and ___ participate in resident interviews

A

Cognitive and cognitively impaired

135
Q

What percentage of residents must be interviewable to participate in surveyors interview of facility residents

A

50%

136
Q

If a CEO or a director is sued which of the following would cover the facility

  • professional liability
  • officers and directors insurance
  • business interruptions insurance
  • a surety bond
  • property insurandce
A

officers and directors insurance

137
Q

Where an individual makes verbal statements that hurt another persons reputation this is called

A

slander

138
Q

how often does the QA meeting have to meet per OBRA 1987

A

Quarterly