Mock National Exam 19 Flashcards
The annual survey is the
standard survey
The ___ must review the medications taken by each resident on a monthly basis
Consultant pharmacist
Physical restraints must be released every 2 hours for
10 minutes
Which of the following must be on a resident trust fund surety bond
- resident and facility
- facility and state
- resident and state
- resident
The resident and state
No soliciting on facility premises would be contained in the
Employee handbook
Filling a vacant position such as a nurse aide position would customarily be filled through
Employee referrals
The pressure to open a door cannot exceed ___lbs
5
What is the minimum width for 2 wheel chairs to pass
60 inches
The key consideration in determining the minimum level of staffing in a nursing facility is
Patient acuity levels
Which departments attend the utilization review committee
- business office
- nuring
- social services
- rehab
- MDS
- All the above
all the above
An emergency power source does not have to power
- lights for all entrances and exits
- fire detection alarms and extinguishing systems
- medical prep areas
- administrators office
administrators office
The maximum audible alarm decibel level is __ decibels
120
What is the width of a single wheelchair
30
If a nurse aide applies for a job but has lived out of state, which registry should the facility check
multi state nurse registry
For questions concerning union election procedures the administrator must contact the
National labor relations board
If a union had a complaint against an employer it would file the complaint with which one of the following
NLRB
Which entity must supervise and approve a union election and union bargaining units
NLRB
The percentage of gross profit for a facility with a gross income of $555,000 fixed expenses of $195,000 and variable expenses of $305,000 is approximaitely
9.9%
To determine the net worth of a publicly traded company and investor would look at which financial statement to determine the financial well being of the company
balance sheet
The purchase of a building would be from which budget
Capital
Which of the following is responsible to ensure residents rights are respected by staff
Administrator
Assuming all medications are available and accounted for, the ___ would be responsible to check the medication records monthly
Consultant pharmacist
The most effective marketing tool for a nursing home is/are
a tour of the facility
When the DON compares nursing salaries to the nursing salaries being paid by other facilities in the area this is called
Benchmarking
When the DON compares nursing services to the quality of nursing services offered in other facilities in the area, this is called
Benchmarking
The administrator begins work when the owners or governing body set forth the. ___ for the organization
Mission statement
If a medication has an automatic stop order, the nurse must
notify the physician before the last dose is administered
The accrual method of accounting is required by Medicaid and Medicare and therefore income and expenses are recorded
When they are incurred
How are internal and external drugs stored in the facility
In separate compartments
The administrator while doing rounds in the facility notices a resident is more confused than normal and cannot locate their room. the administrators most appropriate action would be
- discuss the cognitive changes with the physician
- request a nurse to evaluate the residents condition and report it to the attending physician if necessary
- enter the observations in the residents medical chart
- require the nurses to report further changes to the administrator
-request a nurse to evaluate the residents condition and report it to the attending physician if necessary
If the administrator wants to know if the facility made money she would look at the
- balance sheet
- profit and loss statement
- income statement
- both 2 and 3
both 2 and 3
- profit and loss statement
- income statement
Medicare claims are billed on a form
UB 04
The ___ is permitted to dispense medications
Pharmacist
To establish a union in a nursing home the union must get ___% of the vote of all employees in a nursing home
50% plus 1
Where a manager and subordinate employees jointly set goals and priorities this is called
MBO
Hospitals with __ beds or less may have a limited number of beds certified for use as long term care beds or swing beds
99
When a resident participates in experimental research or an investigational drug, the facility must ensure all of the following except
- the resident has a right to participate in experimental research
- the resident may be identified by name by the researchers in any publication of the research results
- the resident must be fully informed of the nature of the experiment including treatment and consequences
- the resident must be given an opportunity to decline participation before the start of the experimental research
-the resident may be identified by name by the researchers in any publication of the research results
A swing bed is a bed that is certified in a hospital with fewer than ___ beds that may swing between being used as a certified acute care bed or as a medicaid/medicare certified nursing home bed for patients who no longer require acute care and need sub acute nursing home care, but there may not be any nursing homes close to the the hospital and the hospital is certified to serve the needs of patients who need both acute and sub acute nursing home care
100
A 200 bed facility with 140 occupied. beds would have a __% occupancy rate
70%
HIPAA stands for
Health insurance portability and accountability act
If the administrator wants to see the facility net worth he/she would look at the
balance sheet
The main objective of OSHAs Hazard Communication Standard does not include
- requiring employers to post MSDS for employees to review
- providing workers key information to protect themselves
- inform workers of the chemicals in the workplace
- reporting worker injuries
-reporting worker injuries
Facility written policies must be reviewed at least ___ as evidenced by written signed and dated minutes
annualy
True or false
all persons seeking admission to a nursing facility must be screened for severe mental illness or developmental disabilities (PASSR) prior to being admitted regardless of income, assets, or funding source
True
The main purpose of a pre admission screening for mental retardation or severe mental illness is
medicaid will not pay to keep someone in a nursing facility if their only diagnoses is mental illness or a developmental disability and they have no other condition requiring skilled care
If a level 1 PASSR screen indicated an individual has a mental illness or developmental disabilities then a more comprehensive Level ___ assessment must be completed by the appropriate state agency
2
Residents must be seen by their physician at least
once every 30 days for the first three months, and then every other month thereafter
The nursing assistant must successfully complete the training program within ___ days after the date of initial employment
120
Cost reports must be submitted to the state medicaid agency with ___ days at the end of the fiscal year of a facility
90
A resident wearing a physical restraint must have it release for 10 minutes at least once every
2 hours
An unnecessary drug is any drug used
- in an excessive does
- for an excessive duration
- without adequate indications or rationale for its use
- in the presence of adverse consequences that indicate the drugs should be reduced or discounted
- all of the above
all the above
True or False
residents may be prescribed anti psychotic drugs without documenting in the resident chart and comprehensive assessment a rationale for its use
false
duplicative drug therapy means
the use of two or more drugs whether from the same drug category or not that produce the same effect
An investor would look at which financial statement to determine the financial well being of the company
- income statement
- profit and loss statement
- balance sheet
- ledger
-balance sheet
Must have at east one registered nurse on duty 7 days per week, consecutive hours per day, in a skilled nursing facility
8
True or false
a facility may stock drugs that are regularly available without a prescription
true
stock drugs must be administered upon the order of a
licensed prescriber
A list of the contents of each emergency medication kit must be kept
inside the kit
The ___ must determine if there are irregularities in each residents drug regimen that may cause potential adverse reactions, allergies, contraindications, medication errors or ineffectiveness
consultant pharmacist
A medication order not specifically limiting the time or number of doses must
be automatically stopped
medications must be administered by
The same person who prepared the doses for administration
Tardives dyskinesia is a side effect of which type of medications
Anti psychotic
All treatments and procedures must be administered as ordered by
a physican
True or False
a physicians order to administer an anti depressant medication to a resident is justification for its use
false
