Misc Flashcards
1
Q
Physical restraints must be moved
A
every 2 hours
2
Q
regarding developmentally disabled HCFA recommends use of
A
justice system, consumer groups, etc. to determine type of active treatment
3
Q
most significant aspect of resident care practice is
A
staff attitude towards residents
4
Q
OBRA requires that rehab service
A
be prescribed by a licensed physician
5
Q
Bodily fluid that does not transmit HIV
A
urine
6
Q
facility cannot discharge resident if
A
court appointed guardian refuses transfer
7
Q
If you have an Ethics committee
A
it must be free standing
8
Q
discharge summary
A
may be the last progress note written
9
Q
social workers do not provide
A
psychiatric therapy
10
Q
stages of dealing with death
A
denial, anger, bargaining, depression, acceptance
11
Q
initial responsibility to explain resident rights
A
is the social workers
12
Q
Advanced Directives
A
1) Facility must have P&P
2) Not provide care that conflicts with directive
3) Resident must be informed of rights
13
Q
Most nursing home residents are
A
widows
14
Q
if a resident is declared legally incompetent
A
rights are assigned to legally responsible party
15
Q
max hours between evening meal and breakfast
A
14 hours
16
Q
primary purpose of having residents eat in dining room is
A
to provide socialization
17
Q
Cause of liver damage is usually
A
poor diet
18
Q
All menus must be approved by
A
the dietician
19
Q
hot food should be served at what temperature
A
140F
20
Q
opposite of acute condition is
A
a chronic condition
21
Q
hearing loss refer to
A
ontologist
22
Q
podiatrist may not be
A
attending physician
23
Q
patients must be seen by doctor every
A
30 days for first 90 days then once every 60 days
24
Q
who is responsible for paying dental service
A
family or resident
25
QA committee must include
1) physician
2) DON
3) three other staff members
26
RAI designed to
improve clinical assessments mandated by HCFA
27
Residents are most easily encouraged to participate in activities that are
personally satisfying
28
Primary IDT members usually include all but which of the following staff
1) activities director
2) rehab staff
3) therapy staff
but not Admin
29
Facility Administrator's role in activities is to
visit, observe, and support
30
volunteer program best achieved by
granting awards for years of service
31
most volunteers come from
religious organizations
32
Best communication of activities is through
signs, posters, and calendars
33
primary purpose of medical records is to provide
continuity of care
34
the primary value of varied colors on records forms is
quick identification
35
an assessment of resident condition gives
current status
36
medical records belong to
the facility
37
prescription drugs can only be given by
the licensed person who prepared the drug
38
Schedule 1 drugs
have no medical use
39
Schedule 2 drugs
cannot be fulfilled without Dr. new prescription
40
If drug error is reported to administrator
admin should determine disciplinary action
41
If there is a damaged drug label
return drug to pharmacy
42
prescription drugs can only be dispensed by
a doctor or pharmacist
43
rehab needs of patients are met by
therapists
44
Accrual is
an accounting system
45
assets appear on
the balance sheet
46
after entering a transaction in the journal one must
periodically balance each account
47
Interest can be both
revenue and an expense
48
Bank statements should be reconciled immediately because
neither they nor the facility ledger may show the correct balance
49
Current ratio is
assets divided by current liabilities
50
Prepaid expenses are
things purchased but not yet consumed
51
Best way to maintain inventory is to
record in an inventory control system with reorder levels
52
an invoice is usually a
list
53
to determine ability to meet short term cash need
use a cash flow statement
54
a balance sheet contains
1) assets
2) liabilities
3) net worth/owners equity
55
FUTA is
unemployment tax
56
Current trial balance has
debits, credits, and names but NO zero balances
57
Annual audits do what
verify accuracy of financial records
58
Distance between beds should be
3 feet
59
Maintenance program should emphasize
preventative maintenance
60
when two government agencies have different rules
go with the more stringent one
61
work orders in housekeeping and maintenance help
schedule work to be done
62
waste management is monitored by
OSHA
63
lighting temperature and sound levels relate primarily to
comfort
64
standard precautions are given by
the CDC
65
Best theft prevention is to
limit the number of items that could be stolen
66
MSDS sheets are from
OSHA
67
the number of patients per bathroom is established by
the State
68
Flashover is
an out of control fire
69
Agencies over emergency power are
NFPA and OBRA
70
Primary fire defenses are
resident doors, walls, and smoke barriers
71
employees right to know relates to
hazardous communications
72
minimum amount of square footage per bed
80 sq ft
73
maximum corridor without a smoke stop door
150 ft.
74
Closing doors in a fire is to
contain the smoke
75
generators must be checked how often
weekly
76
Major problem with fire drills is
there is no fire
77
Standard precautions, right to know, and HBV are under which agency
OSHA
78
all healthcare facilities must be
licensed
79
Respondiat Superior means
both employee and employer may be held responsible for employee screwup
80
It is not the role of the Ethics committee to
make decisions
81
Ethics committees usually do not include
residents
82
Strategic planning is
planning for future uncertainties
83
Residents rights are categorized by
OBRA
84
Ombudsman program funded by
the Administration on Aging
85
Resident and family should both participate in
the first meeting of the resident assessment
86
Nondirective counseling
guides person to discover the best action themselves
87
Privacy is required in
Records, treatment, and communication
88
Best time to inform patients of their rights is
before or during admission
89
Upon death, return funds to estate within
30 days
90
Must have residents rights in sign, audio, or other language but not
Braille
91
The hardest resident right to follow is
choosing physician
92
Public liability insurance covers
visitor injury on property
93
Two most important risk management tools are
education and quality control
94
ADA does not cover
illiteracy
95
Recreation therapy does not
count as treatment
96
the most overlooked aspect of communication is
confidentiality
97
Use written communication when information
goes through levels of management
98
most effective communication is
face to face
99
Best method to obtain honest feedback
resident survey
100
Must inform resident rights
orally and in writing in their own language
101
Major problem with on the job training is
day to day demands made on trainers
102
Personel management is
staffing
103
best hiring source is
other employee referrals
104
pregnancy discrimination is part of
the Civil Rights Act
105
Fair labor standards act requires
overtime pay
106
Minimum number of cards signed to initiate a union election is
30%
107
Fair labor standards act includes
equal pay
108
Agency responsible for Retirement Income Act is
EEOC
109
Must have a hazardous communication program to
evaluate the hazards of chemicals
110
Employee accidents are caused by
unsafe working conditions or behavior
111
Too little responsibility increases
risk of accidents and disease
112
Update budget
annually
113
Investigate accidents to
prevent reoccurrence
114
Accelerated depreciation means to
depreciate higher percentages of cost in the first year
115
Rectal temperature is higher than
oral or arm pit
116
Gerontology
the study of the aging process
117
More acute residents in SNF because of
increased Medicare rates
118
Cannot discharge or transfer a resident who
contracts HIV
119
Continued need for restraints reevaluated and documented
every 24 hours
120
DON can be charge nurse only in
60 residents or less
121
If residents wants to leave, we must
assist and arrange for information transfer
122
A curator is
a guardian
123
Highest protein food is
meat
124
Dishwater rinse water temperature
180F
125
Significant weight loss over 6 month period
10%
126
Syndrome is
a group of symptoms
127
Pathologist is involved in
causes and histories of diseases
128
Who is responsible for the implementation of care policies
Administrator
129
Social Security Act requires nursing home to have
a written transfer agreement with at least one hospital that takes Medicaid and Medicare
130
OBRA requires QA to meet
at least quarterly
131
Pet therapy should have
limited participation
132
Activity Coordinators must chart
in medical record
133
Keep medical records for
5 years after discharge or 3 years after resident turns 18
134
Medical Device Reporting keeps records for
2 years
135
Resident request for their records
24 hours to comply
136
Morphine, Codeine, and Ritalin are which type of drug
Schedule 2 drug
137
Medication with automatic stop order
must notify physician before last dose given
138
Prescription label must have
1) date dispensed
2) expiration date
3) lot number
139
The five drug schedules were established by
The Comprehensive Drug Abuse Prevention and Control Act
140
OBRA requires pharmacists to
1) determine drugs are in order
2) conduct reviews of each residents regimen
3) maintain and reconcile a record of all controlled drugs
141
Successful exercise program should
follow a routine
142
Bulletin boards are usually
outdated
143
Develop staff rapport by
establishing clear lines of authority and responsibility
144
Don't have to offer COBRA if
employee is fired for gross misconduct
145
Employee productivity =
required staff divided by provide staff X 100
146
HCFA requires that
50% of residents selected for review in survey be interviewable
147
Must have full time Social Worker if
more than 120 beds
148
Best time to inspect and weigh food
when it is received
149
Peanuts have no
potassium
150
Nephritis is
inflammation of the kidneys
151
In emergency with no doctor
the administrator decides who will attend the resident
152
Medical Record Manager is not responsible for
the adequacy and accuracy of records
153
Patient can take medications home with
physician's written permission
154
Drug storage and destruction is enforced by
DEA
155
Person responsible for checking all drug records
Pharmacist
156
Delegation leads to better
efficiency
157
the most essential step in decision making is
problem identification
158
development of training programs is the responsibility of
each supervisor
159
Wage evaluation is based on
merit
160
board and lodging may be part of
wages
161
Fatal or multiple (3 or more) hospitalizations must be
reported to OSHA in 48 hours
162
C Corporations can make their financial year
anytime they want
163
Employment tax records must be kept for
4 years
164
1099 form is for
contract workers
165
income statements are prepared from
the general ledger
166
Book Value =
Cost of Asset - Accumulated Depreciation
167
In finance, Control is a way to
identify problems when they occur
168
Minimum width of a bedroom is determined by
the State
169
Forced air ventilation must change air every
6 minutes
170
ANSI requires what for wheelchairs
60 inch diameter space for wheelchair to make a 180 degree turn
171
Life safety code published by
NFPA
172
Handrails on ramps and stairs must be how high
30"-34" inches
173
Must have 3 handicapped parking spaces if total is
60 spaces (one for every 20 regular parking spaces)
174
Angle of rise on a wheelchair ramp is determined by
ANSI
175
Medicare A coverage provides
1) Inpatient hospital
2) post hospital home health
3) post hospital rehab
176
Theory Y
Reward
177
Theory Z
Trust, Long Term Goals, and Incentives while working cooperatively
178
Mission Statement is set by
Governing Body
179
Ombudsman
1) funded by Administration on Aging
| 2) administered by State agencies
180
Organizing is guided by
1) Authority
2) Span of Control
3) Unity of Command
181
OBRA requires you report abuse within
5 days
182
Developing marketing plan is
not democratic
183
OBRA does not classify recreation therapists as
rehab
184
Occupational therapists spend most time on
ADLs
185
If special rehab service is required and you don't have it
get it from outside source
186
In order to improve resident ability to eat independently, you must
provide assistive eating devices
187
Employees accept increased census and responsibility if
increase is linked to improvement
188
most documentation is done by
nurses in the charts
189
Placing a message in oral, written, or chart form is called
encoding
190
Key to understanding communication is
listening
191
Bulletin boards problem is that they are
outdated
192
An example of a communication problem is
the language barrier
193
Assessments and care planning
help communication
194
Most important part in communication in policy and procedure is
confidentiality
195
two most important skills for administrator
problem solving and communication
196
Purpose of disciplinary action is
to effect a desired behavior change
197
pay scales are required for
both salary and wage employees
198
Sexual harassment policy includes
1) Complaint procedure
2) Clear prohibition
3) description of conduct
199
ADA reasonable accommodation does not include
transportation
200
Workers comp rates depend on
claim experience, state regulation, and risk class of occupations
201
Amortization is defined as
a declining proration of asset cost
202
Depreciation is defined as
the decrease in value due to obsolescence, wear, and tear
203
Working capital is defined as
current assets minus current liabilities
204
Retained earnings are defined as
income left after taxes and dividends have been paid
205
Well capitalized companies should have a debt to equity ratio of
less than 1 to 1
206
Safe harbor prohibits
extra payments for items reimbursed under Medicare or Medicaid
207
Most accurate measure of net income
when accrued income is allotted to the period in which the expediters are incurred
208
60 day accounts outstanding should never exceed
5%
209
employees pay what % of FICA
50%
210
Corridor doors must have a fire protection rating of
1.5 hours
211
Major cause of fires in nursing homes is
smoking
212
Class C fires
fires involving electrical equipment
213
Life Safety Code requires all doors except for bathroom doors to have a clearance of
41.5 inches
214
State surveys are
outcome oriented
215
Most prevalent fall risk
weakness
216
therapeutic recreation
meant to increase capabilities
217
Medical records must be stored
under lock and key
218
work should be assigned on the basis of
individual abilities
219
Appraisal of a job in relation to standards
job evaluation
220
Max number of beds per room determined by
Medicare and Medicaid
