Final Exam Review

Question 1

What type of Medicaid does Haley Carr’s facility accept?

Answer 1

No Medicaid Accepted

This indicates the facility may rely on other funding sources or private pay.

Question 2

What are the components of effective leadership styles mentioned?

Answer 2

Interdisciplinary team (IDT)

IDT includes nurses, therapists, and remote interns.

Question 3

What are the key focuses of staff training and development?

Answer 3

Utilize staff, continuing education

These organizations provide resources for professional growth.

Question 4

What strategies are mentioned for retention improvement?

Answer 4

Creativity, PTO plans, supportive organization

PTO stands for Paid Time Off.

Question 5

What is essential in budgeting and financial planning according to the speaker?

Answer 5

Resource allocation, cost-saving, patient care above all

This emphasizes prioritizing patient care in financial decisions.

Question 6

What are the different revenue streams mentioned?

Answer 6

CMS, GPO (Group Purchasing Organization)

CMS stands for Centers for Medicare & Medicaid Services.

Question 7

What does QAPI stand for?

Answer 7

Quality Assurance and Performance Improvement

This is a systematic approach to improving quality of care.

Question 8

What are the key components of risk management?

Answer 8

Emergency preparedness, staff training, risk assessment, incident reporting

Incident reporting helps in learning and improving care.

Question 9

What is emphasized in ethics and culture regarding patient care?

Answer 9

Involve families in care and communicate

Family involvement can enhance patient support and satisfaction.

Question 10

What role do community partnerships play in the facility?

Answer 10

Enhance care through collaboration

Partnerships can provide additional resources and support for patients.

Question 11

What technological advancement is mentioned as improving care?

Answer 11

AI (Artificial Intelligence)

AI can help in various aspects of patient care and operational efficiency.

Question 12

What is a key focus in self-care for staff?

Answer 12

Time and stress management

Stress management is crucial to prevent burnout.

Question 13

Fill in the blank: The facility does not accept _______.

Answer 13

Medicaid

Question 14

operating budget?

Answer 14

generated Revs + resources used

Question 15

Who establishes the fiscal year in budgeting?

Answer 15

governing board

Question 16

What key question does the budgeting process ask?

Answer 16

What can we reasonably expect to achieve?

Question 17

What are some variables included in budgeting assumptions?

Answer 17

• changes in market competition
• local economic trends
• expected Medicare & Medicaid reimbursement
• labor market conditions
• inflation
• strategy implementation results

Question 18

What types of expenses are considered fixed costs?

Answer 18

• telephone
• postage
• insurance

Question 19

What do budgeting worksheets record?

Answer 19

historical data and assumptions

Question 20

What is the purpose of a collection statement?

Answer 20

monitors receivables and evaluates performance

aging schedule is time amounts in accounts are outstanding

Question 21

What does the collection period indicate?

Answer 21

days to bill and collect revenues

days in A/R

Question 22

What is the formula for net assets in a nonprofit?

Answer 22

NA = Assets - Liabilities

Question 23

Why is payer mix essential for revenue management?

Answer 23

maintains expected census levels

mix of patients by payer type

Question 24

What does variance analysis measure?

Answer 24

differences between reality and budget plan

Question 25

What does a negative variance indicate?

Answer 25

reality worse than budget plan (threatens profits); follow up required

Question 26

What is another name for the income statement?

Answer 26

operating statement or profit and loss statement

Question 27

What does the income statement summarize?

Answer 27

revenues, expenses and profit summary(profit or loss)

Question 28

What components are included in a balance sheet?

Answer 28

* assets * liabilities * net assets (equity)

Question 29

What is the purpose of revolving inspections?

Answer 29

to inspect different areas of the facility and identify irregularities

Question 30

What do administrative periodic spot checks ensure?

Answer 30

completion of inspections

Question 31

Fill in the blank: The _______ is a summary of financial position on any day.

Answer 31

balance sheet

Question 32

True or False: The primary importance of the income statement is to summarize the bottom line.

Answer 32

True

Question 33

What is the role of the maintenance supervisor in environmental service contracts?

Answer 33

Ensures satisfactory completion ## Footnote Oversees routine and open call contracts.

Question 34

How often are routine contracts executed?

Answer 34

Annually ## Footnote Open call contracts are executed as needed.

Question 35

What type of contracts are used for infrequent major jobs?

Answer 35

Job-unit contracts ## Footnote These contracts are specifically for significant tasks that do not occur frequently.

Question 36

What are types of security protections?

Answer 36

* Protection against bodily harm for intruders * Protection from wandering + injury * Protection of residents against theft ## Footnote Security measures are essential for maintaining safety and security in facilities.

Question 37

What routine checks are required to ensure safety in facilities?

Answer 37

* Fire alarms * Fire doors * Smoke detectors * Emergency generators ## Footnote These checks must operate properly and are required to be tested quarterly by LSC.

Question 38

What must be maintained regarding safety tests?

Answer 38

Written electronic log of tests ## Footnote This is crucial for compliance and record-keeping.

Question 39

What is the primary goal of HR Management?

Answer 39

Maintaining desired staffing levels ## Footnote This includes staffing, training development, motivation, and maintenance.

Question 40

What factors should staffing levels take into account?

Answer 40

* Volume * Weighting * Mix * Distribution ## Footnote These factors are essential for determining appropriate staffing.

Question 41

What is the importance of improving skill mix?

Answer 41

Necessary for improving care quality ## Footnote A better skill mix leads to enhanced service delivery.

Question 42

What metrics are useful in measuring future staffing needs?

Answer 42

* Absenteeism * Turnover ## Footnote These metrics help assess the effectiveness of staffing policies and programs.

Question 43

When does most employee turnover occur?

Answer 43

Within the first 90 days of employment ## Footnote This period often reveals mismatched expectations.

Question 44

What is the primary guiding principle of any type of disciplinary action?

Answer 44

Fairness ## Footnote Ensuring fairness is crucial in maintaining employee trust.

Question 45

What must employers do in relation to unions?

Answer 45

Bargain in good faith ## Footnote This is essential for collective bargaining and reaching agreements.

Question 46

Why do employees unionize?

Answer 46

* Ongoing dissatisfaction with employment conditions * Belief that a union would alleviate negative conditions * Feelings of powerlessness ## Footnote Unionization often arises from a desire for better work environments.

Question 47

What is essential to a collective bargaining agreement?

Answer 47

Grievance resolution ## Footnote It ensures issues are addressed effectively within the agreement framework.

Question 48

What is a work order system used for?

Answer 48

Contract work, urgent service calls, routine repairs, preventative maintenance.

Question 49

What is meant by sanitizing?

Answer 49

Reducing microbes to safe levels.

Question 50

For hot water washing in the laundry, what should the wash temperature be?

Answer 50

It should be at least 160°F.

Question 51

What is the correct sequence of fire-protection steps?

Answer 51

Rescue—Activate the alarm—Confine the fire—Extinguish the fire.

Question 52

How often does the Life Safety Code require fire drills to be conducted on each shift?

Answer 52

Once a quarter.

Question 53

Who is responsible for the day-to-day management of the nursing facility?

Answer 53

Nursing home administrator.

Question 54

Which of the following is not necessary for making work and workers productive?

Answer 54

Control.

Question 55

Which of the following is not a sign of good leadership?

Answer 55

Workers obey and acclaim.

Question 56

Which leadership style is not associated with Theory X attitudes?

Answer 56

Participative style.

Question 57

Which leadership style may be best suited for crisis management?

Answer 57

Task management.

Question 58

What role is the nursing home administrator functioning in by hiring two medication aides?

Answer 58

Resource allocator.

Question 59

Which management task is associated with establishing organizational objectives?

Answer 59

Planning.

Question 60

In the organizing task of management, what do line relationships refer to?

Answer 60

Chain of command.

Question 61

What do the vision and mission articulate in an organization?

Answer 61

Guiding philosophy.

Question 62

What drives an organization’s culture over time?

Answer 62

Values.

Question 63

What is used to give meetings a sense of direction?

Answer 63

Agenda.

Question 64

What is generally the first step in resolving a conflict?

Answer 64

Listening.

Question 65

What critical step can lead to a better relationship between a boss and subordinate?

Answer 65

Understand mutual expectations.

Question 66

What does effective risk management involve in relation to risks?

Answer 66

Identifying, analyzing, preventing.

Question 67

In terms of focus, what is about the organization and what is about key stakeholders?

Answer 67

Vision is about the organization; mission is about key stakeholders.

Question 68

What are the four main categories of maintenance operation?

Answer 68

Urgent service calls, routine repairs, preventative maintenance, and contract work.

Question 69

True or False: Dysfunctional turnover is calculated by dividing the number of separations of employees who would not be rehired by the average number of employees.

Answer 69

False ## Footnote That describes functional turnover. Dysfunctional turnover includes separations of employees who would be rehired.

Question 70

Which best describes the formula for dysfunctional turnover?

Answer 70

B. Separations of employees who would not be rehired / average number of employees ## Footnote The correct answer describes the specific focus of dysfunctional turnover calculations.

Question 71

Fill in the blank: Dysfunctional turnover includes separations of employees who would be _______.

Answer 71

[not be rehired] ## Footnote This distinguishes it from functional turnover.

Question 72

What is the primary concern of dysfunctional turnover?

Answer 72

Separations of employees who would not be rehired ## Footnote This type of turnover is critical for assessing organizational health and talent retention.

Question 73

True or False: Functional turnover is a measure that includes separations of employees who would be rehired.

Answer 73

True ## Footnote Functional turnover is typically viewed positively as it may enhance organizational performance.

Question 74

What type of turnover is calculated by dividing total separations by the average number of employees?

Answer 74

Functional turnover ## Footnote This formula provides a broader perspective on employee separation rates.