Study Guide 15 Flashcards
(138 cards)
1
Q
The facility must make available to surveyors during a survey residents who are and to
participate in resident interviews.
1. Male and female
2. Medicare and Medicaid
3. Capable and incapable
4. Skilled and intermediate care residents
A
3
2
Q
A resident was admitted to a facility on June 1. The initial comprehensive assessment was completed on
June 21. The comprehensive was .
1. Timely
2. Late
A
2
3
Q
The legal principle that requires an employer to be responsible to third parties injured by an employee is
called the .
1. Federal Employer Liability Act
2. Contributory negligence
3. Respondent superior
4. Workers compensation Act
A
3
4
Q
If a resident’s’ wants to see the facility citation history she would look at which form?
1. CMS 1099
2. CMS 2567
3. CMS 2566
4. CMS 2205
A
2
5
Q
A resident was admitted to a facility on June 5th. Her attending physician documented a visit on July 15th.
The physician’s visit was .
1. Timely
2. Late
A
1
6
Q
A resident was served dinner at 5pm and was then served breakfast at 9 AM. Was the breakfast meal
timely?
1. Yes
2. No
A
2
7
Q
Which of the following is responsible to schedule the disposition of medications?
1. The NHA
2. The Medical director
3. The consultant pharmacist
4. The Director of Nursing
A
3
8
Q
How often must the consultant pharmacist review resident medications?
1. Weekly
2. Monthly
3. Quarterly
4. Annually
A
2
9
Q
A facility must have a day emergency supply of food.
1. 5
2. 7
3. 10
4. 14
A
2
10
Q
The emergency generator must switch on automatically within seconds of loss of power from the
main power source.
1. 10
2. 15
3. 20
4. 30
A
1
11
Q
The timeframe to report the results of an abuse investigation to the state licensing agency is .
1. 3
2. 5
3. 5 working days
4. 7
5. 10 working days
A
3
12
Q
What is the permissible ambient temperature for a nursing home?
1. 61-71
2. 71-81
3. 69-78
4. 72-81
A
2
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?
1. Advise the complaining resident that his roommate has a right to have visitors after hours and
there is noting the facility can do.
2. Prove the resident ear plugs.
3. Offer to change the roommate’s room to a more quiet room
4. Offer the resident and his guests a private room in the facility to meet and not disturb other
residents.
A
4
14
Q
Where would a license violation be posted in the nursing facility?
1. The DON’s office
2. The administrator’s office
3. The dining room
4. In a public area like the lobby
A
4
15
Q
Which of the following is not a nosocomial infection?
1. MRSA
2. Pneumonia
3. AIDS
4. UTI
5. C-Diff
A
3
16
Q
An employee cannot take family medical leave for which of the following reasons?
1. Sick parents
2. A sick spouse
3. A sick brother or sister
4. Adoption of a child
A
3
17
Q
Which form is used to bill Medicare?
1. UB 90
2. UB 04
3. UB 92
4. UB 101
A
2
18
Q
Which of the following is promulgated by an agency?
1. A statute
2. A regulation
3. An ordinance
4. A bylaw
A
2
19
Q
Which of the following is passed by a legislature?
1. A statute
2. A regulation
3. An ordinance
4. A bylaw
A
1
20
Q
Which of the following is passed by a town or city?
1. A statute
2. A regulation
3. An ordinance
4. A bylaw
A
3
21
Q
A rule is the same as which of the following?
1. A statute
2. A regulation
3. An ordinance
4. A bylaw
A
2
22
Q
If a resident loses money in their resident trust fund, which of the following would compensate them for
their loss?
1. Professional insurance
2. Liability insurance
3. A surety bond
4. Property insurance
A
3
23
Q
Where an individual makes a verbal statement that hurts another person’s reputation, this is called
.
1. Libel
2. Slander
3. False Utterance
4. All of the above
A
2
24
Q
Where an individual makes a written statement that hurts another person’s reputation, this is called
.
1. Libel
2. Slander
3. False utterance
4. All of the above
A
1
25
Reckless disregard of another person’s welfare that results in injury to that person that was foreseeable
is called .
1. Moral turpitude
2. Malfeasance
3. Misfeasance
4. Negligence
4
26
Worker’s compensation would not cover which of the following?
1. Lost time
2. Medical bills
3. Work related disability
4. Unemployment benefits
4
27
What is the difference between restorative nursing and skilled therapy?
1. Licensed therapists provide skilled therapy and licensed nurses provide restorative nursing
2. Licensed therapists provide both restorative nursing and skilled therapy
3. Nursing aides provide restorative nursing and licensed therapists provide skilled therapy
4. Recreational therapists provide restorative nursing and licensed therapists provide skilled
therapy
3
28
Which of the following would not have the power to make health care decisions for a resident who
lacks capacity?
1. A durable power of attorney
2. A power of attorney
3. A conservator
4. A guardian
2
29
Where are schedule 2 drugs stored?
1. A locked compartment
2. A locked area
3. A separate room
4. Under double lock and key
4
30
A resident who is not a Medicaid resident must have their resident funds deposited in an interest
bearing account when there funds total $ or more.
1. $25
2. $50
3. $100
4. $200
3
31
Which survey is the complaint survey?
1. Standard survey
2. Abbreviated standard survey
3. Extended survey
4. Partial extended survey
2
32
Liabilities that will be paid within 16 months are called .
1. Current liabilities
2. Non-current liabilities
3. Delinquent
4. Deferred liabilities
2
33
Which of the following forms is the CMS resident census form?
1. HCFA Form 801
2. HCFA Form 804
3. HCFA Form 672
4. HCFA FORM 2566
3
34
Hot food must be served at degrees F or above.
1. 130
2. 135
3. 140
4. 141
2
35
Cold food must be served at degrees F. or below.
1. 35
2. 40
3. 41
4. 45
3
36
Which of the following would be correct per OBRA 1987?
1. 2 hot meals and 1 cold meal
2. 2 cold meals and 1 hot meal
3. 3 hot meals per day
4. 2 hot meals per day
3
37
Which of the following has ultimate responsibility for care provided in a nursing home?
1. The NHA
2. The governing body
3. The medical director
4. The State licensing agency
2
38
What does palatable mean?
1. Food looks appetizing
2. Food is served at proper temperature
3. Food is tasty
4. Food is nutritious
3
39
If a union had a complaint against an employer, it would file the complaint with which of the following?
1. Department of Labor
2. NLRB
3. OSHA
4. EEOC
2
40
True or False – The long term care ombudsman cannot visit a resident after hours on a Saturday night?
1. True
2. False
2
41
Which federal law requires a union and management to bargain collectively?
1 Wagner Act
2 Norris LaGuardia
3 Taft Hartley
4 Landrum Griffin
1
42
Which entity must supervise and approve a union election?
1) Department of Labor
2) OSHA
3) NLRB
4) Taft Hartley Act
3, National Labor Relations Board
43
Which federal program pays for the long term care ombudsman program?
1. OBRA 1987
2. OSHA
3. Older Americans Act
4. Medicare
3
44
What is the main function of the long term care ombudsman?
1. To cite a facility for licensing violations
2. To cite the NHA for misconduct
3. To perform annual and complaint surveys
4. To investigate and resolve resident concerns
4
45
If a nurse works 50 hours in a 40 hour pay period and makes $7 a hour, what would be her gross
pay?
1. $300
2. $350
3. $385
4. $450
3
46
How do you calculate current ratio?
1. Current assets divided by current liabilities
2. Current assets – current liabilities
3. Current assets + current liabilities
4. Current liabilities divided by current assets
1
47
What is acid test ratio?
1. Cash plus accounts receivables – current liabilities
2. Cash plus accounts receivables plus money market account divided by current liabilities
3. Cash plus accounts receivables plus money market account - current liabilities
4. Current assets divided by current liabilities
2
48
Which of the following is a facility not required to do?
1. Display information on how to apply for Medicaid
2. Notify residents when their trust funds reach $500 of the SSI limit
3. Honor resident requests to manage their trust funds
4. Arrange private space for residents to meet with family and friends
2
49
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?
1. The state
2. The resident’s family
3. The facility
4. The long term care ombudsman program
3
50
What is the PPD for food for the month of June where the facility spent $12,000 on food and the
average daily census is 100 residents per day?
1. $3.25
2. $4.00
3. $4.30
4. $5.00
2
51
Which of the following management types would not ask input from employees?
1. Dictatorial
2. Paternal
3. Laizze Faire
4. Progressive
1
52
Which of the following is funded depreciation?
1 The facility charges each resident a set amount in the facility per diem rate for the cost of
depreciation
2 Medicaid reimburses the facility for total depreciation costs at year end
3 The facility deducts their depreciation costs from their income at the end of the year and sets
that money aside for future capital costs
4 The facility depreciates the full value of an asset in the first year
3
53
Which of the following describes resident centered care?
1 Allowing the resident council to play a large role in determining the provision of services in the
facility
2 Making key decisions regarding the quality of life for residents in the facility based on how it
would affect each resident
3 Making key decisions regarding the quality of life for residents in the facility based on
profitability
4 Involving the long care ombudsman in making key decisions as to what services to provide
residents
2
54
How would the NHA know if there was inflation?
1. The NHA would be notified by Medicaid if there was inflation
2. The NHA would consult the consumer price index
3. The NHA would calculate prices at the food store to see if their costs were increasing
4. The NHA would wait until employees complained they could not afford to buy food and gas
2
55
What type of pay increase would the NHA have to give employees if there was an increase in inflation?
1. Merit increase
2. Equity increase
3. COLA
4. Differential pay increase
3
56
If a chlorine sanitizer is in a three compartment sink, the concentration of chlorine must be at least ppm.
1. 75
2. 100
3. 125
4. 150
3
57
Soiled linens must be washed in hot water at degrees F. minimum for at lest 25 minutes.
1. 110
2. 120
3. 140
4. 160
4
58
Which federal law prohibits a Medicare provider from paying for referrals?
1. Robinson Patman Act
2. Sarbanes Oxley
3. Ethics in Patient Referrals
4. Bowles Simpson Act
3
59
True or False – Soiled and Clean linens can be processed in the same area?
1. True
2. False
2
60
Which of the following would have the key for equipment that has been locked out or tagged for safety
reasons?
1. NHA
2. DON
3. Maintenance director
4. Medical director
3
61
What is echelon?
1. A rating assigned by the state to each facility for the quality of care they provide
2. The state Medicaid rate
3. Levels of management in a company
4. None of the above
3
62
Which entity must the NHA report a fire to ?
1. State Medicaid agency and the state fire marshal
2. Long term care ombudsman and the CMS
3. OSHA and the CMS
4. The local health department and the DHHS
1
63
Must have emergency battery power for at least hours.
1. 1 hour
2. 1 ½ hours
3. 2 hours’
4. 2 ½ hours
2
64
A manager who sets larger goals to be achieved and then delegates responsibility to achieve those goals to
staff is using the management style.
1. Autocratic
2. Paternal
3. Laizze Fare
4. Progressive
3
65
Which federal law prohibits a Medicare provider from self referring patients to diagnostic center they own or
fixing prices for services provided to Medicare beneficiaries?
1. Robinson Patman Act
2. Sarbanes Oxley
3. Ethics in Patient Referrals
4. Bowles Simpson Act
1
66
How many hours of nursing time do you need per resident, per day?
1. 1.5
2. 2.0
3. 3.0
4. 4.0
3
67
Which of the following does not need to be on a drug label?
1. Name of the Drug
2. Dosage and route of administration
2. Administration time
4. Manufacturer name and physician name
4
68
Which of the following is best suited for residents with mild dementia?
1. Re-motivation therapy
2. Reality orientation
3. Validation therapy
4. Sensitivity training
2
69
Which of the following is the correct footage for a semi-private room?
1. 70
2. 190
3. 250
4. 320
4
70
Which of the following is the best investment to keep facility funds liquid?
1. Certificates of deposit
2. Hedge funds
3. U.S. Savings Bonds
4. Money Market Account
4
71
Which of the following would be used as a log to report employee injuries to OSHA?
1. OSHA 300
2. OSHA 300A
3. OSHA 301
4. OSHA 801
1
72
A recipient can collect unemployment benefits for weeks.
1. 13
2. 18
3. 26
4. 52
3
73
True or False – Damp linen may be left in the washing machine overnight but not longer than 12 hours?
1. True
2. False
2
74
Must report the death or hospitalization of 3 or more employees to OSHA by which of the following methods?
1. By recording the injuries in Form 300 within 8 hours
2. By calling OSHA within 6 hours
3. By faxing OSHA within 24 hours
4. By calling OSHA within 8 hours
4
75
What reports do surveyors look at from OSCAR before they conduct a facility survey?
1. CASPER reports 1, 2 and 3 and the QI report
2. CASPER reports 2, 3 and 4
3. CASPER reports 3 and 4 and the QI Report
4. CASPER reports 3, 4 and 5
2
76
When hiring a new nursing aide, the facility must do which of the following?
1. Check the nurse aide registry
2. Check the nurse aide abuse registry
3. Perform a criminal background check
4. Call former employers and check references
5. All of the above
5
77
If a resident has a significant change in condition, the facility must notify family and the attending physician within
what time frame?
1. 24 hours
2. 36 hours
3. 48 hours
4. 72 hours
1
78
If a resident refuses treatment, the facility cannot do which of the following?
1. Advise the resident of the consequences of not receiving treatment
2. Offer the resident an alternative form of treatment
3. Notify the attending physician of the refusal
4. Withhold all other treatment
4
79
The activity department must be open days per week.
1. 3
2. 5
3. 6
4. 7
4
80
Which of the following may not be discarded in a trash basket?
1. A paper cup that was used to administer water to a resident
2. Discarded paper towels
3. Discarded soiled briefs from a resident with AIDS
4. A discarded package of crackers
3
81
With E-verify, an employer can verify a job applicant’s citizenship status within .
1. Seconds
2. Hours
3. Days
4. Weeks
1
82
Employee time cards must be retained for .
1. 1 year
2. 2 years
3. 3 years
4. 6 years
2
83
The air in a nursing home must be changed every minutes.
1. 3
2. 6
3. 10
4. 15
2
84
The dietary section on MDS 3.0 is found in section ..
1. D
2. R
3. K
4. S
3
85
Under OBRA 1987, a Medicaid resident is entitled to days of paid leave for hospitalization.
1. 5
2. 7
3. 10
4. 14
4
86
Under OBRA 1987, a Medicaid resident is entitled to days of paid leave for therapeutic leave.
1. 5
2. 7
3. 10
4. 14
1
87
A job application must be kept for months at a minimum
1. 3 months
2. 6 months
3. 9 months
4. 12 months
2
88
Which therapy uses clocks, calendars and current events?
1. Reality therapy
2. Milieu therapy
2. Validation therapy
3. Re-motivation therapy
1
89
Which of the following indicates proper range of motion?
1. Economic
2. Streamlined
3. Ergonomic
4. All of the above
3
90
Euthanasia is a death.
1. Easy or good death
2. Bad death
3. Criminal
4. Painful
1
91
Which of the following is the main cause of a UTI infection?
1. E-Coli
2. MRSA
3. Immobility
4. Poor dentition
1
92
The wash cycle of a hot water dishwasher is degrees F.
1. 140
2. 150
3. 160
4. 180
2
93
Pots and pans sanitized using just hot water is sanitized in a 3 compartment sink then must be submerged
in hot water at a minimum temperature of degrees F. for 30 seconds?
1. 140
2. 150
3. 170
4. 180.
3
94
A low temperature dishwasher may use bleach as a sanitizer provided the concentration of bleach is at
least parts per million (PPM).
1. 15
2. 50
3. 75
4. 100
2
95
Must have a full time social worker in a facility with beds or more.
1. 100
2. 105
3. 120
4. 121 beds or more
4
96
A decubitus sore with apparent loss of the skin and dermis is a stage .
1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4
2
97
If a resident in rehab is not walking, the resident should be ..
1. Offered a wheel chair
2. Offered a cane
3. Offered a walker
4. Confined to bed
5. Discharged from skilled therapy
3
98
Side reach from a wheelchair is to inches.
1. 9-48
2. 9-54
3. 6-48
4. 6-54
2
99
The final rinse cycle of a hot water dishwasher is degrees F.
1. 140
2. 160
3. 170
4. 180
4
100
The legal principle that requires an employer to be responsible to third parties injured by an employee is
called the .
1. Federal Employer Liability Act
2. Contributory negligence
3. Strict Liability
4. Workers compensation Act
3
101
A resident’s daughter wants see her mom’s medical chart who is not cognitive? What should the NHA
do?
1. Require the daughter to get a court order to see the chart
2. Petition a court for appointment of a guardian
3. Provide the daughter access to the chart
4.. Ask the mother to provide her consent in writing
3
102
The attending physician must visit their nursing home patients how often.
.
1. 30 days from the date of admission for the first 90 days and then 60 days thereafter
2. Every 30 days for date of admission
3. 30 days from the date of admission and then every 90 days thereafter
4. 30 days from the date of admission for the first 90 days and then 30 days thereafter
1
103
Which of the following would have an interest in the financial well-being of a company?
1. A stakeholder
2. A shareholder
3 An auditor
4. The CMS
2
104
Which of the following would be permitted in a advertisement for an open position?
1. Female under 5 feet to model children’s dresses
2. Heavy lifting required – only men apply
3. Hospice nurse wanted – compassionate female only may apply
4. Holidays, nights and weekends required – single males and females only need apply
1
105
Knee clearance is inches.
1. 9
2. 12
3. 19
4. 24
3
106
Toe clearance is inches.
1. 9
2. 12
3. 19
4. 24
1
107
If a resident is prescribed an anti-psychotic drug, the prescribing physician must do which of the following?
1. Ensure there is a written order in the file
2. Ensure the resident is seen by psychiatrist every 30 days
3. Ensure there is a diagnosis and written rationale for the use the medication
4. Ensure the consultant pharmacist approves the use of the medication
3
108
A fire exit sign must be spaced no more than feet apart.
1. 50
2. 75
3. 100
4. 150
3
109
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?
1. Tell him he will be put on a waiting list
2. Tell him the facility does not have an open bed and is not required to take him back
3. Admit the resident into the next available Medicaid bed
4. All of the above
3
110
True or False – House keepers are expected to clean the kitchen.
1. True
2. False
2
111
Accounts receivables over 60 days past due must not exceed % of all accounts receivables.
1. 5%
2. 10%
3. 15%
4. 30%
1
112
If an individual is referred to a nursing home for admission, the facility must do which of the following first?
1. Talk with family and get their consent for admission
2. Check the individuals insurance and verify payment source
3. Determine if the facility can meet the resident’s needs
4. Determine which physician will be their attending physician
3
113
Which of the following provides the tasks of a job, who the job reports to, salary and job title?
1. Job statement
2. Job description
3. Job analysis
4. Job group
2
114
Which of the following must determine if a resident can self administrator drugs?
1. The attending physician
2. The medical director
3. The IDT
4. The CMS
3
115
Which of the following is an intangible asset?
1. A hospital bed
2 Good will
3 Facility van
2
116
Grab bars and railings must support a minimum of pounds.
1. 150
2. 180
3. 250
4. 300
3
117
Which of the following is the best method to control monetary risks in a nursing home?
1. Provide good outcomes
2. Purchase insurance
3. Form a risk management team
4. Discharge troublesome residents
2
118
Managing monetary risks is called .
1. Risk management
2. Stewardship
3. Fiduciary responsibility
4. Fiscal conservatism
1
119
A violation affecting a limited number of residents is a scope of .
1. Isolated
2. Patterned
3. Widespread
1
120
A violation affecting more than a limited number of residents is a scope of .
1. Isolated
2. Patterned
3. Widespread
2
121
Which of the following is most effective management styles?
1. MBWA and Autocratic
2. MBO and MBWA
3. MBO and TQM
4. Laizze fare and autocratic
2
122
If you have an outbreak of a communicable disease in a nursing home, which of the following must you
notify first?
1. The CMS
2. State fire marshal
3. Long term care ombudsman
4. Local health department
4
123
Must notify residents within days of any change in laws, facility policies or changes in charges?
1. 7
2. 14
3. 21
4. 30
2
124
Which of the following is the correct percentage of weight loss?
1. 5% in 90 days
2. 7.5 % in 90 days
3. 10 % in 120 days
4. 15% in 6 months
2
125
The cost report is due within days of the end of the facility fiscal year.
1. 30 days
2. 60 days
3. 90 days
4. 120 days
3
126
Which of the following is the tag for a life safety violation?
1. N
2. F
3. G
4. K
4
127
Job applicants must file a Form to indicate their citizenship status.
1. I-3
2. I-9
3. I-15
4. I-20
2
128
Which federal law requires the form in question 127 above?
1. Fair Labor Standards Act
2. EEOA
3. Immigration Reform Act
4. Civil Rights Act
3
129
What is the fire rating of walls in a smoke compartment?
1. 1 hour
2. 1 ½ hour
3. 2 hours
4. 4 hours
3
130
A resident taking or more drugs needs a quarterly evaluation.
1. 7.2
2. 9
3. 11
4. 13
2
131
What is the main purpose of the facility disaster plan?
1. Minimize monetary damage to the facility due to a disaster
2. Ensure the facility can quickly return to normal operations after a disaster
3. To be prepared for all potential emergencies and disasters and assure resident safety
4. None of the above
3
132
Repairs to the parking lot are what type of expense?
1. Operating expense
2. Capital expense
3. Fixed expense
4. Variable expense
2
133
Which of the following management types would be most effectively used by physicians, nursing
social workers?
1. Autocratic
2. Paternal
3. Laizze Faire
4. Progressive
2
134
The facility must make available to surveyors during a survey residents who are and
participate in resident interviews.
1. Male and female
2. Medicare and Medicaid
3. Cognitive and cognitively impaired
4. Skilled and intermediate care
3
135
What percentage of residents must be interviewable to participate in surveyors interviews of facility
residents?
1. 10 %
2. 25%
3. 50%
4. 100%
3
136
If a CEO or a director is sued which of the following would cover the facility?
1. Professional Liability
2. Officers and Directors insurance
3. Business interruptions insurance
4. A surety bond
5. Property insurance
2
137
Where an individual makes verbal statements that hurt another person’s reputation, this is called
1. Libel
2. Slander
3. False Utterance
4. All of the above
2
138
How often does the QA meeting have to meet per OBRA 1987?
1. Weekly
2. Monthly
3. Quarterly
4. Annually
3
