Study Guide 17 Flashcards
(165 cards)
1
Q
concerns torts and disputes between private individuals.
1. Criminal law
2. Civil law
3. Constitutional law
4. Probate law
A
2
2
Q
keeps the facility clean and odor free.
1. Nursing
2. Maintenance
3. Housekeeping
4. Laundry
A
3
3
Q
keeps sheets, gowns, tablecloths clean and in good condition.
1. Nursing
2. Maintenance
3. Housekeeping
4. Laundry
A
4
4
Q
Which of the following is the management style associated with leaders who value their workers and solicit
their participation:
1. Team management
2. Task management
3. Management by objectives
4. Country club management
A
3
5
Q
Where a manager and staff get together and jointly decide priorities to be worked on, this is called .
1. Management by walking around
2. Collaborative supervision
3. Management by objectives
4. Management by consultation
A
3
6
Q
When a resident is admitted to a facility or develops incontinence after admission, the facility should
.
1. Assess the resident to see if they are appropriate for an incontinence training program
2. Develop and implement a specific bowel and bladder training program
3. Correct the underlying cause by the use of Kegel exercises
4. Notify the resident that neither Medicare nor Medicaid pays for incontinence briefs.
A
1
7
Q
The responsibility to provide services that respect an individual’s dignity and uniqueness relates most
directly to the ethical principle of .
1 Compliance
2 Autonomy
3 Privacy
4 Benevolence
A
2
8
Q
The principle that residents should be able to choose what they want to the extent they are able to make
such choices is called .
1. Compliance
2. Autonomy
3. Privacy
4. Benevolence
A
2
9
Q
Asking applicants short questions and briefly talking with them about a job is a .
1. Structured interview 3. Preliminary interview
2. Patterned interview 4. In-depth interview
A
3
10
Q
Eliciting information on the phone from a job applicant requesting an interview is called a .
1. Telephone interview 3. Structured interview
2. Preliminary interview 4. Open ended interview
A
1
11
Q
Letting an applicant talk about their experience and background without any structure or letting them
expand upon their answers is called a .
1. In-depth Interview 3. Structured Interview
2. Patterned Interview 4. Non-directive interview
A
4
12
Q
he first step in developing an in-house computer network is to:
1. Request proposals from software and hardware vendors, then compare them for suitability
2. Evaluate security features to ensure they meet HIPPA
3. Define system objectives in terms of what facility needs
4. Assess extent of training staff would need
A
3
13
Q
Per OBRA, resident medical records and all other resident records must be maintained for at least
1. 5 years
2. 5 years after admission
3. 5 years after discharge
4. 5 years after discharge or 3 years after a discharged resident reaches the age of 18
A
4
14
Q
If you have a change in command such as the administrator or the DON, the facility may be subject to
which type of survey?
1. Standard survey
2. Abbreviated Standard Survey
3. Extended Survey
4. Partial Extended Survey
A
2
15
Q
HHS stands for .
1. Health and Human Services
2. Human and Health Services
3. Higher Health Services
4. Health Services Administration
A
1
16
Q
The air temperature in a nursing facility is measured .
1. At floor level
2. Just above the floor
3. At ceiling level
4. Inside the wall
A
2
17
Q
The comfortable temperature range in a facility is degrees
1. 51-61
2 61-71
3 71-81
4 81-91
A
3
18
Q
The is responsible for the day to day management of the facility.
1. Nursing Home Administrator
2. Governing Body
3. Department heads
4. State licensing agency
A
1
19
Q
The has legal responsibility to adopt and implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator
A
3
20
Q
The has ultimate legal responsibility for the care provided in a nursing home.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator
A
3
21
Q
The long term care ombudsman requests access to a resident’s medical chart. What should the
administrator do?
1. Require the resident to provide their consent for the ombudsman to access the resident’s medical
chart
2. Provide the ombudsman access to the chart since they do not need the resident’s permission
3. Inform the ombudsman they may review the resident’s chart without their permission but cannot
obtain copies of those records
4. Secure an order from the resident’s attending physician allowing the ombudsman access to the
resident chart
A
1
22
Q
Under which circumstances is a resident’s consent needed to provide a third party access to the resident’s
medical and financial records?
1. When accessed by the long term care ombudsman
2. Pursuant to a subpoena directing the release of resident records to a third party
3. When access is requested by a third party payor pursuant to a contract
4. When a resident is transferred to another facility
A
1
23
Q
How often does the QA meeting have to meet per OBRA 1987?
1. Weekly
2. Monthly
3. Quarterly
4. Annually
A
3
24
Q
The quality assurance committee must be composed of the .
1. DON, Administrator, and at least 3 staff members
2. DON, Medical director, Administrator, and at least 3 staff members
3. DON, attending physician, and at least 3 staff members
4. DON, a physician and at least 3 staff members
A
4
25
Restorative nursing care is provided by which of the following?
1. Nursing aides
2. Skilled therapists
3. Licensed nurses
4. Assistant physical therapists
1
26
The has authority to make critical decisions regarding operation of a facility.
1. Governing body
2. Administrator
3. Director of Nursing
4. None of the above
1
27
The is responsible to review and implement resident care policies and coordinate the medical care in a
facility.
1. Administrator
2. Director of Nursing
3. Medical Director
4. Social Worker
3
28
To operate a fire extinguisher, you must .
1. Pull, Aim, Squeeze, Sweep
2. Pull, Aim, Squeeze, Spray
3. Push, Aim, Squeeze, Spray
4. Push, Point, Release, Sweep
1
29
A facility should conduct a minimum of fire drills annually.
1. 15
2. 12
3. 10
4. 14
2
30
Need what percentage of workers in a company to sign a union interest card or union card which is the first
step in getting the NLRB to hold a union election?
1. 20%
2. 30%
3. 50%
4. 50% + 1
2
31
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
3
32
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
33
Under which circumstances would a resident’s consent be needed to provide access to their medical and
financial records?
1. Release to a family member requesting a copy of their financial or medical information
2. Providing access to the long term care ombudsman when requested by the ombudsman
3. Release of their records to another facility where the resident is being transferred
4. When access is requested by a third party payor pursuant to a contract
2
34
When extinguishing a fire, aim the extinguisher at the of a fire.
1. Top
2. Middle
3. Base
4. Hottest part
3
35
Each story of a building that houses patient sleeping and treatment areas must be divided into smoke
compartments.
1. 2
2. 4
3. 6
4. 8
1
36
Stooped posture, shuffling gait, garbled speech and tremors are symptoms of .
1. Tardives Dyskinesia
2. Alzheimer’s
3. Parkinson’s disease
4. Muscular Sclerosis
3
37
Nursing homes must have hearing aid compatible phones with volume control that can
adjust the volume between a minimum of and a maximum of decibels above normal.
1. 6, 11
2. 12, 18
3. 15, 20
4. 20, 29
2
38
Must limit travel in a smoke compartment barrier to feet.
1. 100 ft
2. 150 ft
3. 200 ft
4. 250 ft
3
39
Where a supervisor consistently rates employees as “average” although their performance is far superior or
below expectation is called .
1. Leniency Error
2. Halo Effect
3. Rating Error
4. Error of Central Tendency
4
40
In case of a fire, the primary purpose of closing doors is to .
1. Contain the fire
2. Contain the smoke
3. Prevent residents from entering a dangerous area
4. Indicate that the residents in a room were removed from the area
2
41
A nurse from the Philippines is overheard talking in her native language around facility residents. One of the
residents complains to the administrator. What should the administrator do?
1. Explain to the resident that the nurse has a right to speak in her native language
2. Call the elder abuse hotline
3. Explain to the nurse that speaking a language a resident does not understand is a violation of their
resident rights
4. There is nothing the administrator can do
3
42
Where a supervisor rates an employee on the basis that they are always on time and ignores any other factors
in their performance appraisal, this is called .
1. Leniency error
2. Error of central tendency
3. Halo effect
4. Rating error
3
43
A nursing home must submitted a consolidated bill to the CMS on form .
.
1. UB 62
2. UB 72
3. UB 92
4. UB 04
4
44
When a facility experiences an electrical failure, the emergency generator must start within seconds.
1. 5
2. 10
3. 15
4. 30
2
45
Residents do not have the right to a .
1. Vinyl chair in their room
2. Window to the outside
3. Closet
4. Dresser
1
46
How do you calculate the average percent of occupancy?
1. Divide the total number of beds by the number of total beds and multiply by 100
2. Divide the number of occupied beds by the number of total beds and multiply by 100 percent
3. Subtract the number of vacant beds from the number of occupied beds and divide by the total
number of beds and multiply by 100
4. Divide the number of occupied bed days by the total number of days in the period and then divide by
the total number of beds and then multiply by 100
4
47
How do you calculate the approximate percentage of gross profit?
1. Divide the expenses by the income
2. Divide the income by the expenses
3. Add the fixed expenses and the variable expenses and subtract from the gross income. Divide the
differences(net profit) by the gross income
4. Subtract the income from the expenses and multiply by 100
3
48
Bedrooms are required to have .
1. 80 square feet per resident in multi-resident rooms
2. 100 square feet per resident in multi-resident rooms
3. 130 square feet per resident in multi-resident rooms
4. 150 square feet per resident in multi-resident rooms
1
49
Emergency generators are checked .
1. Daily
2. Weekly
3. Every 10 days
4. Monthly
2
50
Which is the basis for a tort?
1. A facility fraudulently submits a Medicare bill
2. Judge acquits you of a crime
3. The legislature passes a law
4. The facility negligently harms a resident
4
51
A broad statement of goals is a _ .
1. Plan of action
2. Mission statement
3. Policy
4. Procedure
3
52
Which of the following requires a facility to pay for money damages caused by facility employees to
residents or third parties?
1. Federal employer liability act
2. Workers compensation laws
3. Respondent superior
4. Contributory negligence recovery laws
3
53
Where a facility has an outside provider provide in-house dialysis, the facility must to protect
resident rights.
1. Require the company to sign a provider transfer agreement
2. Require the provider to maintain malpractice insurance
3. Award the contract based on competitive bidding
4. Seek approval from the resident council
1
54
The facility needs to provide adequate space in the dining room and spacing between tables to
.
1. Allow to people to sit together at the same table
2. Provide sufficient room to allow residents privacy in private conversations
3. Allow sufficient space to wheel the food cart from table to table
4. Allow sufficient space for an independently functioning resident to get up and
independently move around
4
55
NFPA stands for .
1. National Fire Protection Agency
2. National Fire Publications Administration
3. National Fire Protection Association
4. Nursing Facilities Protection Act
3
56
The emergency generator must be run under full load for every .
1. 30 minutes, month
2. 30 minutes, quarter
3. 60 minutes ,month
4. 60 minutes, week
1
57
Which of the following is both a revenue and an expense center?
1. Maintenance
2. Administration
3. Nursing
4. Laundry
3
58
is not a nosocomial disease.
1. Pneumonia
2. HIV
3. Decubitus sores
4. Weight loss
2
59
publishes and promotes fire safety in nursing homes.
1. OSHA
2. NFPA
3. ANSI
4. ADA
2
60
Resident abuse must be investigated and the results of the investigation reported to the state
licensing authority within day(s).
1. 1 day
2. 3 days
3. 5 days
4. 5 working days
5. 7 working days
4
61
Which is not a nosocomial disease?
1. HIV
2. Flu
3. Pneumonia
4. Diabetes
1
62
Which is a chronic disease?
1. HIV
2. Flu
3. Pneumonia
4. MRSA
1
63
The Americans with Disabilities Act construction standards were developed by .
1. NFPA
2. ANSI
3. Architecture and Transportation Barriers Compliance Board
4. EEOC
2
64
A corridor or ramp must have a minimum width of .
1. 3 or more
2 . 5
3. 8
4. 11 feet or less
5. 8 feet or more
5
65
A hallway or corridor must have a minimum width of .
1. 3 feet or more
2. 5 feet
3. 8 feet
4. 11 feet or less
5. 8 feet or more
5
66
An interview where the interviewer allows the individual to expand upon their comments in response
to questions provided to them without the interviewer restricting the scope of their response is called
a interview?
1. In-depth Interview 3. Structured Interview
2. Patterned Interview 4. Non-directive interview
4
67
Letting an applicant talk about their experience and background without any structure is called a
.
1. Non-directive interview
2. In-depth Interview
3. Structured Interview
4. Patterned Interview
1
68
is an operating expense.
1. Purchasing a computer
2. Paving the parking lot
3. Depreciation
4. Installing wall partitions in resident areas
3
69
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
3
70
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
3
71
Which form is the CMS resident census form?
1. 671
2. 672
3. 2567
4. 802
2
72
A good death or easy death is called .
1. Palliative care
2. Suicide
3. Mercy killing
4. Euthanasia
4
73
How many hours of nursing time do you need per resident per day according to federal law?
1. 2.0 hours
2. 3.0 hours
3. 4.0 hours
4. 4.5 hours
2
74
is a condition where a patient has trouble swallowing.
1. Aphasia
2. Dysphagia
3. Dystonia
4. Amnesia
2
75
is a condition where a patient has trouble speaking.
1. Aphasia
2. Dysphagia
3. Dystonia
4. Amnesia
1
76
Who enforces the EEOA?
1. OSHA
2. Department of Labor
3. EEOC
4. OIG
3
77
Evidence of abuse may be excluded on the grounds of privileged communication with all of the
following except if the communication was between and .
1. A priest and a parishioner
2. An attorney and client.
3. A physician and a patient
4. An administrator and a resident
4
78
Where a supervisor rates an employee as acceptable who actually performed below expectations,
this is called .
1. Leniency Error
2. Error of Central Tendency
3. Halo Effect
4. Rating Error
1
79
How do you calculate adequate required living space in a resident room?
1. Living space less the bathroom, vestibule or hallway
2. Total living space less the furniture in the room
3. Total Living space less the radius of the space needed to open the door
4. Living space plus the bathroom
1
80
Which therapist uses heating pads?
1. Physical therapist
2. Occupational therapist
3. Speech therapist
4. Restorative therapy aide
2
81
Revenues – expenses = .
1. Asset value
2. Amount of liabilities
3. Profit or loss
4. Equity amount
3
82
The has legal responsibility to adopt and implement facility policies.
1. Medical Director
2. Director of Nursing
3. Governing body
4. Administrator
3
83
All cost reports are due .
1. 30 days at the end of the calendar year
2. 60 days after the end of the fiscal year’
3. April 15 of each year
4. 90 days after the end of the fiscal year
4
84
Telephone cords must be a minimum length of .
1. 12 inches
2. 15 inches
3. 24 inches
4. 29 inches
4
85
Physician visits are considered timely if they occur within what timeframe?
1. Every 30 days from the date of admission
2. Every 30 days for the first 60 days from the date of admission, and then 90 days
thereafter
3. Every 60 days from the date of admission
4. Every 30 days for the first 90 days from date of admission, and then every other month
thereafter
4
86
An organized and effective maintenance program emphasizes .
1. Maintaining adequate inventory of supplies
2. Maintenance Contracts
3. Preventative maintenance
4. Controlling the cost of repairs
3
87
Must follow the Life Safety Code of the Year .
1. 1998
2. 2000
3. 2012
4. 2017
3
88
The summarizes all debits and credits.
1. General journal
2. Chart of accounts
3. Balance Sheet
4. General ledger
4
89
The principal cause of odors in an nursing facility is .
1. Ventilation systems
2. Incontinent residents
3. Not using disinfectants
4. Improper garbage storage
2
90
The minimum amount of square footage in a private room is .
1. 80 square feet per person
2. 100 square feet
3. 120 square feet per person
4. 150 square feet per person
2
91
The minimum amount of square footage in a semi-private room is per person.
1. 80 square feet per person
2. 100 square feet
3. 120 square feet per person
4. 150 square feet per person
1
92
Per OBRA 1987, the determines if a resident can self administer medications.
1. Pharmacist
2. Director of nursing
3. Interdisciplinary team
4. Medical director
3
93
If a resident has been immobile and is unable to walk in physical therapy, what should the facility do?
1. Allow the resident to lay in bed
2. Encourage the resident to ambulate with a cane
3. Encourage the resident to walk with a walker
4. Discharge the resident because the facility cannot meet the resident’s needs
3
94
How often must a pharmacist conduct a drug regimen review?
1. Monthly
2. Bi-monthly
3. Quarterly
4. Annually
1
95
Per OBRA 1987, which is considered a comfortable atmospheric temperature range for a facility?
1. 51-61 degrees F.
2. 61-71 degrees F.
3 71-81 degrees F.
4. 81-91 degrees F
3
96
The first step in developing a facility marketing plan is a(n) .
1. Market mix
2. Market audit
3. Product line
4. Market implementation
2
97
A blister filled with pus and the loss of skin and dermis is a stage decubitus sore?
1. Stage 1
2. Stage 2
3. Stage 3
4. Stage 4
2
98
A facility must provide residents a statement of their trust funds how often?
1. Weekly
2. Monthly
3. Quarterly
4. Every 6 months
3
99
The most common cause of pressure sores is .
1. Shearing and friction
2. Incontinence
3. Senility
4. Poor nutrition
1
100
If a horizontal exit is separating 2 fire areas then it must have .
1. 2 doors that swing in the same direction
2. 2 doors that swing in different directions
3. 1 door that opens outward
4. 1 door that opens inward
2
101
Two doors separating 2 fire areas in a horizontal exit must be at least inches wide each.
1. 34”
2. 36”
3. 38.5”
4. 41.5”
4
102
A resident’s daughter reports that her mother’s roommate has late night visitors which are noisy. What
should the administrator do?
1. Explain to the complaining individual that their roommate has a right to have visitors at
any hour
2. Offer to a room change to the complaining individual
3. Explain to the other resident that they cannot have visitors after hours
4. Offer the roommate and his guests a private place to meet in the facility where they will
not disturb anyone
4
103
Which would be the correct square footage for a semi-private room?
1. 110 square feet
2. 140 square feet
3. 230 square feet
4. 320 square feet
4
104
A resident who has resided in a nursing home for the past five years just had a comprehensive
assessment completed on June 15th? When will the next comprehensive assessment be due?
1. 1 month
2. 3 months
3. 12 months
4. 60 days
3
105
A debt to pay an obligation is called a .
1. Mortgage
2. Bond
3. Lien
4. Common stock
2
106
At least one exit from each floor or fire section must lead directly .
1. Below grade
2. Above grade
3. To the outside
4. To a protected fire proof pocket
3
107
Which of the following would be categorized as an operating expense?
1. A liability
2. Revenue
3. Capital
4. Depreciation
4
108
A confrontation between management and union representatives when negotiating a union
bargaining agreement would violate which law?
1. Norris Laguardia
2. Taft Hartley
3. Wagner Act
4. Landrum Griffin Act
3
109
Of the following, which would be the main cause of a decubitus sore?
1. Immobility
2. Not eating well
3. Lack of hygiene
4. Poor dentition
1
110
A Medicaid resident went to the hospital and their 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
111
The must certify the accuracy and completion of the resident assessment or MDS.
1. DON 3. Attending physician
2. Registered nurse 4. Medical director
2
112
A facility with is required to have a full time social worker.
1. 60 beds
2. 100 beds
3. 120 beds
4. 121 or more beds
4
113
The best way to prevent the spread of infection in the storage and transportation of linens, the facility
should .
1 Provide annual in-service meetings for member of the laundry dept.
2 Store in a nursing facility unit
3 Implement procedures that reduce cross contamination
4 Transport at end of each shift
3
114
A clergyman enters a resident's room to visit with her. The nurse finished giving the resident her
morning meds just as the clergyman entered the room. The nurse should now .
.
1. Stay in the room at all times
2. Ask the resident if she wants her to leave
3. Stay within view of what's going on
4. Pull the privacy curtain shut and leave the room
4
115
A facility has an obligation to provide the resident care that .
1. Is efficient and cost effective
2. Meets the residents basic needs and still provides the facility a modest profit
3. Allows the resident to attain the highest practicable physical, mental, and psychosocial well-being
4. Meets state and federal minimum requirements
3
116
Nursing homes must be inspected every .
1. 12 months
2. 15 months
3. 24 months
4. 30 months
2
117
A nurse aide cannot work more than months without completing their state certification.
1. 2
2. 3
3. 4
4. 6
3
118
The rules and regulations that govern a corporation is called the .
1. Bylaws
2. Certificate of Incorporation
3. Stock certificate
4. Debenture
1
119
Each level or story of a building that houses patient sleeping and treatment areas must be divided
into smoke compartments.
1. 2
2. 4
3. 6
4. 8
1
120
In the event of a fire, what is the purpose of closing doors?
1. To identify which rooms have been checked by staff
2. To close off oxygen to a fire
3. To contain the smoke from a fire
4. To ensure residents remain in their rooms once checked by staff
3
121
Must do a performance review of nurse aides at least every by law.
1. 6 months
2. 12 months
3. 18 months
4. 24 months
2
122
The comprehensive assessment must be completed within days of admission.
1. 7
2. 14
3. 21
4. 30
2
123
The facility quality assessment and assurance committee must meet at least .
1. weekly
2. Monthly
3. Quarterly
4. Annually
3
124
Must provide residents their account information how often?
1. Weekly
2. Monthly
3. Quarterly
4. Annually
3
125
Nursing aides must complete hours of in-services each year to maintain their certification.
1. 6
2. 12
3. 20
4. 24
2
126
A resident may not be discharged by a facility because the .
1. The resident’s needs cannot be met
2. The resident no longer requires services
3. The resident failed to pay facility bill
4. The resident’s payor source changed
5. The facility is closing
4
127
ADA guidelines and standards are developed and approved by .
1. ANSI
2. NFPA
3. Architectural and Transportation Barriers Compliance Board
4. EEOC
1
128
To establish a union in a nursing home, the union must get % of the vote of all employees in a
nursing home.
1. 50%
2. 50% plus 1
3. 75%
4. 90%
2
129
At least one exit from each floor or fire section must lead directly to a ramp or exit passageway
1. Below grade
2. Above grade
3. To the outside
4. To a protected fire proof pocket
3
130
A nursing home must have a(n) operated fire alarm system that is monitored.
1. Automatically, visually
2. Manually, electronically
3. Digitally, continuously
4. Mechanically, periodically
2
131
The daughter of a resident who lacks capacity to make decisions asks to see a resident’s
chart. What should the facility do?
1. Give the daughter access to the chart
2. Refuse to allow the daughter access to the chart
3. Get permission from the resident
4. Require the daughter to get a court order
1
132
Phones must be fitted with a cord no shorter than inches.
1. 16”
2. 30”
3. 29”
4. 60”
3
133
Landings are required at the bottom and top of each stairway run, and must have a minimum width of
.
1. 60 square inches
2. 36 square feet
3. 96 square inches
4. 48 square inches
1
134
Doors must have a clear width of ” at openings and must be at a ” angle to an accessible
route.
1. 24”, 45
2. 44”, 60
3. 32”, 90
4. 46”, 180
3
135
The automatic smoke and fire detection systems must be connected to each other .
1. Electronically
2. Manually
3. Digitally
4. Visually
1
136
The specifies the number of directors, number of shares to be issued, and governs how
the corporation is to be run.
1. Bylaws
2. Certificate of Incorporation
3. Stock certificate
4. Debenture
1
137
What is the percentage of minorities an employer must hire to avoid a finding by the EEOC of an
adverse impact in the event of an allegation of discrimination?
1. 40%
2. 50%
3. 70%
4. 80%
5. 90%
4
138
What is the temperature of a hot rinse dishwasher?
1. 100 degrees
2. 130 degrees
3. 150 degrees
4. 180 degrees
4
139
The final rinse temperature of a hot temperature dishwasher is degrees F.
1. 100 degrees
2. 130 degrees
3 150 degrees
4. 180 degrees
4
140
A key principle in delegation of authority by administrators to staff is to .
1. Keep authority centralized
2. Personally confirm all decisions
3. Delegate as authority to the lowest appropriate level of staff authority
4. Make sure all details are cleared by the administrator
3
141
Ramp handrails must extend horizontally inches beyond the top and bottom of ramp runs.
.
1. 10
2. 12
3. 18
4. 24
2
142
f surveyors find substandard care during an annual survey, the facility will be subject to .
1. An extended survey
2. A partial extended survey
3. An abbreviated standard survey
4. A post survey revisit
1
143
The instrument that creates a corporation under the laws of a state is called a(n) .
1. Charter
2. By-laws
3. Articles of incorporation
4. Mission statement
3
144
Working capital is distinguished from other types of capital as .
1. Cash used to purchase real estate and equipment
2. Expenditures that increase book value of assets
3. Current assets - current liabilities
4. Cash used in capital expenditures
3
145
The main purpose of an effective maintenance program is to .
1. Maintain adequate inventory of supplies
2. Extend the useful life of equipment and minimize down time
3. Secure maintenance contracts and warranties to minimize the cost of repairs
4. Control repair costs
2
146
In a fire, which of the following is the first action staff should take?
1. Remove all patients directly involved in the location of the origin of the fire
2. Transmit an alarm signal
3. Keep patient doors open to provide proper ventilation
4. Perform all duties assigned in the fire plan
1
147
An employee who has decision making authority with the same force and effect as if made by the
administrator has .
1. Line authority
2. Staff or advisory role
3. Supervisory role
4. Executive authority
1
148
The system of entering both a debit and a credit is called the .
1. Cash basis of accounting
2. Double entry bookkeeping system
3. Accrual basis of accounting
4. Deferred basis of accounting
2
149
Under FLSA, minors under 16 years of age .
1. Are not allowed to work
2. Only need signed permission of a parent
3. Must obtain a temporary work permit from the Department of Labor
4. All of the above
3
150
Nursing aides are required to have a minimum of hours of in-service training per year under
OBRA 1987.
1. 16 hours
2. 12 hours
3. 18 hours
4. 24 hours
2
151
The main objective of the lockout/tag out program is .
1. Requires a written plan in care of exposure to blood-borne pathogens
2. Informing employers and employees of chemical hazards in the work place
3. Protects workers from injury from unexpected hazardous energy discharge by the use of
energy isolating devices
4. To document worker injuries
3
152
What is the temperature of a hot rinse dishwasher?
1. 100 degrees
2. 130 degrees
3 150 degrees
4. 180 degrees
4
153
A nurse aide enrolled in a state approved training program but has not completed the program at
time of hire, has to complete the program.
1. 3 months
2. 4 months
3. 9 months
4. 12 months
2
154
A nurse aide certification is valid .
1. 12 months
2. 24 months
3. 5 years
4. Indefinitely
4
155
A nurse aide resigned from her job 13 months ago to work in another field. If the individual wants to
retain her nurse aide certification, she must work as a nurse aide for pay within the next months.
1. 7
2. 11
3. 19
4. 24
2
156
The high forward reach from a wheel chair is .
1. 24”
2. 36”
3. 42”
4. 48”
4
157
The is the foundation that guides an organization.
1. Mission statement
2. Philosophy
3. Bylaws
4. Charter
2
158
Which bacteria is the main cause of a urinary tract infection?
1. MRSA
2. Salmonella
3. E-Coli
4. C-Diff
3
159
The specifies the composition of the governing body, functions, timing of corporate
meetings and the purpose of a corporation.
1. Mission statement
2. Philosophy
3. Bylaws
4. All of the above
3
160
Bylaws are defined as .
1. A detailed guide to developing policies and procedures
2. Rules and regulations that govern a corporation’s internal management
3. Rules and regulations that govern a corporations external management
4. A process for determining whether a facility meets federal standards
2
161
The RAI consists of the .
1. Admission contract, MDS and Goal schedule
2. RAPs, Utilization Guidelines and MDS
3. Care Plan, Assessment Protocols and MDS
4. Face Sheet, MDS and Behavior Modification Log
2
162
Who must sign the comprehensive assessment?
1. The Medical director
2. A licensed nurse
3. A registered nurse
4. The DON
3
163
Who must sign the comprehensive care plan?
1. The Medical director
2. A licensed nurse
3. A registered nurse
4. The DON
3
164
Which federal survey is the complaint survey?
1. Standard survey
2. Extended Survey
3. Partial extended survey
4. Abbreviated standard survey
4
165
Side reach from a wheelchair is to inches.
1. 9-48
2. 9-54
3. 6-48
4. 6-54
2
