Study Guide 9

Question 1

Which is not true of advanced directives?
1. All residents must be informed of their rights to make advanced directives upon admission
2. A facility must have written policies and procedures regarding advanced directives
3. Residents must execute a signed directive before or upon admission
4. A facility cannot be required to provide care that conflicts with an advanced directive

Answer 1

3

Question 2

The primary reason residents should be encouraged to eat in the main dining room is to .
1. Encourage socialization
2. Allow housekeepers time to clean their rooms
3. Reduce travel time and costs to serve meals to residents
4. Allow the food service director to observe the amount of food each resident consumes

Answer 2

1

Question 3

is associated with involuntary movements of the head, lips, tongue, face and extremities,
including lip smacking movement.
1. Parkinson’s disease
2. Alzheimer’s
3. Aphasia
4. Tardives Dyskinesia

Answer 3

4

Question 4

is the primary reason you would invite the fire department to provide staff training in fire
emergency measures at your facility.
1. Establishing a good public image
2. Augmenting training resources for staff
3. Providing an opportunity for the firefighters to become acquainted with your facility layout and
Emergency cutoff switches
4. Assuring quick approval of the fire plan each year

Answer 4

3

Question 5

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

Answer 5

1

Question 6

The administrator’s main role in the facility activity program is to .
1. Visit, observe and support
2. Organize a volunteer program
3. Insure residents participate in program activities
4. Encourage family members support the activity department

Answer 6

1

Question 7

The main reason for informing a resident and any roommate(s) of a room change in advance is
because .
1. Residents need time to pack
2. A room change could result in an avoidable decline in physical, mental and psychosocial well
being
3. Residents have the right to appeal room changes to the ombudsman
4. The resident’s attending physician must be notified in advance

Answer 7

2

Question 8

The main challenge with on-the-job training in nursing homes is .
1 Finding experienced employees to train new employees
2. There is too little time for trainers to train new people
3. That employees cannot learn new skills from coworkers
4. That on the job training is not as effective as other means

Answer 8

2

Question 9

is required by the FLSA.
1. Holiday pay
2. Sick Pay
3. Vacation pay
4. Overtime

Answer 9

4

Question 10

Assets appear on the .
1. Income statement
2. Balance sheet
3. Profit and loss statement
4. General Ledger

Answer 10

2

Question 11

does not relate to inventory.
1. LIFO
2. Periodic
3. Perpetual
4. Posting

Answer 11

4

Question 12

The current ratio is calculated by dividing current .
1. Assets by total assets
2. Liabilities by total liabilities
3. Assets by current liabilities
4. Liabilities by current assets

Answer 12

3

Question 13

The Safe Harbor regulations do not prohibit .
1. A facility from purchasing from a supplier with common ownership
2. Ownership in excess of 40 percent of a hospital by a physician
3. Extra payments for services or items reimbursed under Medicare or Medicaid
4. Nursing facility providers from investing only in publicly traded companies with an asset value of at
least $50 million dollars

Answer 13

4

Question 14

A current trial balance usually does not include .
1. Debits
2. Credits
3. Zero balances
4. Names of accounts

Answer 14

4

Question 15

To determine the capability of a facility to meet short term cash needs, you would look at the .
1. Cash flow statement
2. Balance sheet
3. Trial balance
4. Profit and loss statement

Answer 15

1

Question 16

Annual audits are necessary to .
1. Reduce cost
2. Verify the accuracy of financial records
3. Establish depreciation schedules
4. Verify budgets

Answer 16

2

Question 17

Cash flow is the cash receipts .
1. Less liabilities
2. Plus assets minus liabilities
3. Less the cash disbursements
4. Plus the assets minus expenditures

Answer 17

3

Question 18

Waste management is monitored by .
1. CMS
2. ANSI
3. NFPA
4. OSHA

Answer 18

4

Question 19

Universal precautions were developed by the .
1. CDC
2. ANSI
3. OBRA
4. .OSHA

Answer 19

1

Question 20

A totally private pay facility is .
1. Certified
2. Licensed
3. Accredited
4. Medicare and or Medicaid approved

Answer 20

2

Question 21

The number of disaster drills is determined by .
1. OSHA
2. NIOSH
3. OBRA
4. Life Safety Code

Answer 21

4

Question 22

Under Respondeat Superior, when a worker commits a tort within the scope of their job
.
1. Only the facility may be held liable
2. Only the employee may be held liable
3. Both the employer and the employee are liable
4. Neither the facility nor the employee may be held liable

Answer 22

3

Question 23

A facility is not required to notify the state licensing agency when there is a change in the .
1. Facility Ownership (governing body)
2. Administrator
3. Director of nursing
4. Social Services Director

Answer 23

4

Question 24

The Ombudsman program is funded by .
1, Medicare
2. Medicaid
3. Administration on Aging
4. CMS

Answer 24

3

Question 25

n a nursing home, total quality management is an approach that . 1. Builds strong leadership skills for managers 2. Discourages employees to question rules 3. Builds employee team work 4. Creates a direct line of communication with executive managers

Answer 25

3

Question 26

is a major need of the elderly. 1. A reason for being 2. Independence 3. Privacy 4. Good nutrition

Answer 26

1

Question 27

The corporate compliance officer for the nursing facility is the . 1. Nursing home administrator 2. The Medical Director 3. The Director of Nursing 4. The MDS Coordinator

Answer 27

1

Question 28

is not a chronic condition. 1. CHF 2. Diabetes 3. Pneumonia 4. COPD

Answer 28

3

Question 29

Which is not true with respect to advanced directives? 1. Residents have the right to make an advanced directive 2. A living will is an advanced directive 3. Each resident must have a signed advanced directive in their chart 4. A facility cannot require a resident to sign an advanced directive prepared by the facility

Answer 29

3

Question 30

The best way to assess a resident with complicated medical conditions is to do a . 1. 7 day comprehensive assessment 2. 14 day comprehensive assessment 3. RAPS 4. RAI

Answer 30

4

Question 31

What should a member of the governing body do if he or she has a family contact them directly regarding a concern they have with the care provided by the facility? 1. Request to meet with the resident council to discuss the issue 2. Resolve the issue on their own 3. Call the long term care ombudsman 4. Refer the matter to the nursing home administrator for resolution

Answer 31

4

Question 32

If each resident requires 3 hours of nursing aide care per day, and the facility has 120 beds and is at 90% occupancy, approximately how many nursing aides would be required for the day, if each nursing aide worked 8 hours per shift? 1. 36 2. 40 3. 47 4. 50

Answer 32

2

Question 33

What is the cost per day for food for a facility that spent $12,000 in October, $10,000 in November and $14,000 in December. The facility had a total of 9,000 resident days for October through December. What was the approximate average daily cost per resident? 1. $3.70 2. $4.00 3. $4.30 4. $4.90

Answer 33

2

Question 34

Lighting, temperature and sound levels relate primarily to . 1. Comfort 2. Safety 3. Treatment 4. Sanitation

Answer 34

1

Question 35

Work orders would not include . 1. The location of the problem 2. A description of the problem 3. An authorized signature 4. The equipment needed to do the job

Answer 35

4

Question 36

The cost to maintain capital equipment in a nursing home will justify replacement within . 1. 2 Years 2. 5 years 3. 10 years 4. 15 years

Answer 36

3

Question 37

Safety training programs for employees must be done . 1. Weekly 2. Monthly 3. Quarterly 4. Immediately after hire

Answer 37

4

Question 38

The concept of community relations is to . 1. Involve the facility and the community in an interrelationship 2. Inform the public 3. Insure high occupancy rates 4. Replace public relations and marketing programs

Answer 38

1

Question 39

Public relations is . 1. Advertising 2. A program designed to meet consumer needs 3. Managing communication between the facility and the public 4. The process of selling services to meet the needs of the public

Answer 39

3

Question 40

One of the best ways for a facility to develop an effective public relations program is to . 1. Avoid making statements to the media 2. Support community interests that support the facility 3. Print a monthly newsletter and distribute the letter to the community 4. Get the facility and the community involved in projects of mutual interest that strengthen the bonds between them

Answer 40

4

Question 41

Gerontology is the study of . 1. The aging process 2. ADL levels of the aged 3. Illnesses of the aged 4. Psychology of aging

Answer 41

1

Question 42

When counseling family members, it is best to . 1. Explain the facility policies 2. Involve the medical director 3. Let the family express their feelings 4. Engage the family in problem solving

Answer 42

3

Question 43

If a physician reports a med error to the administrator, the administrator should . 1. Consult the facility attorney 2. Redesign the drug control system 3. Decide whether to take disciplinary action 4. Allow the physician to take any necessary action

Answer 43

4

Question 44

Individuals over 65 take an average of medications. 1. 2.9 2. 3.5 3. 7.2 4. 9.9

Answer 44

3

Question 45

makes it possible for organizations to expand and grow. 1. Decentralization 2. Centralization 3. Horizontal Integration 4. Market segmentation

Answer 45

1

Question 46

Turnover is highest for . 1. Administrators 2. Dietary staff 3. Social workers 4. Nursing aides

Answer 46

4

Question 47

Fringe benefits or employee benefits are . 1. Required by Fair Labor Standards Act 2. Considered to be a right by employees 3. Required by the Taft Hartley Act 4. Primarily provided by employers to discourage unionization

Answer 47

2

Question 48

The best source for new employees is . 1. Employment agencies 2. Help wanted ads 3. Current employee referrals 4. State employment offices

Answer 48

3

Question 49

An employment application can request a job applicant’s . 1. Birthplace 2. Citizenship 3. Marital status 4. Religion

Answer 49

2

Question 50

is a subjective measurement of performance on an employee evaluation. 1. Personality 2. Quality of work 3. Employee cooperation 4. Employee attitudes

Answer 50

1

Question 51

Accounts payable past 60 days should not exceed as a total percentage of all accounts payables. 1. 5 % 2. 10% 3. 15 % 4. 20%

Answer 51

1

Question 52

An earnings statement that compares revenues to expenses is also referred to as a . 1. Balance sheet 2. Profit and loss statement 3. Bank statement 4. Statement of changes in financial condition

Answer 52

2

Question 53

Most facilities prepare a budget : 1. Daily 2. Weekly 3. Quarterly 4. Annually

Answer 53

4

Question 54

The investigates Medicare and Medicaid fraud 1. Office of Inspector General 2. Long term care ombudsman 3. CMS 4. DHHS

Answer 54

1

Question 55

Accounts receivables that are uncollected after days should be written off as bad debt. 1. 30 days 2. 60 days 3. 90 days 4. 120 days

Answer 55

3

Question 56

The heart of the blood borne pathogen program is . 1. Recording employee injuries 2. Posting the MSDS 3. Providing a safe workplace 4. A written plan in case of exposure

Answer 56

4

Question 57

requires employer health insurers to limit the exclusionary period for pre-existing conditions to 12 months. 1 COBRA 2. OBRA 3. HIPAA 4. PSDA

Answer 57

3

Question 58

enforces the Equal Pay Act. 1. Dept of Labor 2. OIG 3. OSHA 4. EEOC

Answer 58

4

Question 59

enforces the provisions of the ADA relating to discrimination in employment for applicants with a disability. 1. EEOC 2. OSHA 3. Architectural and Barriers Compliance Board 4. CMS

Answer 59

1

Question 60

. requires employers to provide terminated employees a certificate of coverage upon termination or separation. 1 HIPAA 2. OBRA 3. COBRA 4. PSDA

Answer 60

3

Question 61

If an employee provides their new employer a certificate of coverage, the employer’s health insurance provider can limit coverage for pre-existing conditions for a period of months. 1. 0 2. 3 3. 6 4. 12

Answer 61

1

Question 62

A facility that receives a citation during a survey for a tag that does not require a plan of correction or re-survey would receive the . 1. Form 2567 2. Form 101 3. Letter of Isolated Deficiencies 4. Form 2570

Answer 62

3

Question 63

The enforces the Civil Rights Act. 1. Dept of Labor 2. OIG 3. OSHA 4. EEOC

Answer 63

4

Question 64

The prohibits paying for Medicare referrals. 1. Robinson Patman Act 2. Ethics in Patient Referrals Act 3. Taft Hartley Act 4. Wagner Act

Answer 64

2

Question 65

does not need to be connected to the emergency electrical power source. 1. Emergency lighting 2. Life support systems 3. Fire alarm 4. Telephone system

Answer 65

4

Question 66

High forward reach is . 1. 12 inches 2. 24 inches 3. 36 inches 4. 48 inches

Answer 66

4

Question 67

is filed with the state Department of Corporations to form a duly organized corporation. 1. Certificate of incorporation 2. Bylaws 3. Form 2567 4. Certificate of Dissolution

Answer 67

1

Question 68

An employer is required to provide workers . 1. Health insurance 2. Pension Plan 3. Unemployment insurance 4. Life insurance

Answer 68

3

Question 69

The governing body of a non profit facility would be required to . 1. Appoint a long term care ombudsman 2. Hire and supervise a CEO 3. Issue shares of stock 4. Hire a charge nurse

Answer 69

2

Question 70

would be issued if surveyors determined that residents were harmed by the facility. 1. A scope of severity of Class H 2. A scope of severity of Class E 3. A scope of severity of Class F 4. A scope of severity of Class D

Answer 70

1

Question 71

The best way to increase a facility’s cash position is to . 1. Issue shares of stock 2. Increase census 3. Admit more Medicare residents 4. Collect AR

Answer 71

4

Question 72

A facility must submit a request for a formal administrative hearing within days. 1. 10 days 2. 20 days 3. 30 Days 4. 40 days

Answer 72

2

Question 73

Fire protection standards are developed and published by . 1. ANSI-CABO 2. OSHA – NIOSH 3. NFPA – Life Safety 4. DHHS – CMS

Answer 73

3

Question 74

Psychological aging begins . 1. At Birth 2. Early teens 3. Twenty years and older 4. Sixty years and older

Answer 74

1

Question 75

If a resident elopes from a facility and is later found by staff, staff should when asked for comment by the media. 1. Refuse to answer any questions 2. Provide as much detail as possible about the resident 3. Refer all questions to the administrator 4. Refer all questions to the marketing director

Answer 75

3

Question 76

If a resident develops a communicable disease, the facility should . 1. Discharge the resident 2. Transfer the resident to the hospital 3. Set up specific and appropriate isolation and containment procedures 4. Restrict all resident activities

Answer 76

3

Question 77

Equity theory says that workers should be given equity increases when . 1. Employees perform above and beyond expectations 2. When employees do the same amount and type of work 3. When inflation significantly increases 4. When long time employees are paid significantly less then new employees being hired at current market rates

Answer 77

4

Question 78

Reaching out to the community and strengthening your relationship with community organizations is called . 1. Marketing 2. Public Relations 3. Market audit 4. Market Analysis

Answer 78

2

Question 79

Employers with employees are subject to FMLA. 1. 15 2. 20 3. 50 4. 100

Answer 79

3

Question 80

OSHA requires you to keep workers medical records for . 1. 30 years from date of hire 2. 30 years from date of discharge 3. 30 years from the date the employee was injured 4. During employment plus 30 years after termination

Answer 80

4

Question 81

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

Answer 81

4

Question 82

You just admitted a resident with a history of wandering. What would be the first step in protecting the resident? 1. Install locks and alarms on doors 2. Call the physician for medication to manage the resident 3. Put the resident in physical restraints for their safety 4. Have the nursing team evaluate the resident for possible interventions to address their need to wander

Answer 82

4

Question 83

would most likely cause a decubitis sore to develop. 1. Too much pressure on one area of the body 2. Poor nutrition 3. Tight fitting clothing 4. A fall

Answer 83

1

Question 84

A resident on a low salt diet wants to come into the dining room. What should the facility do? 1. Let them sit anywhere they want 2. Require the resident to eat in their room 3. Require the resident to sit with other residents on a similar diet so staff can track what they eat 4. Ensure that salt is removed from all the tables first

Answer 84

1

Question 85

The daughter of a resident who lacks capacity to make decisions asks to see the 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

Answer 85

1

Question 86

The reason why the maintenance staff need to have work order requests filled out is to . 1, Operate cost effectively 2, Avoid duplication 3. Develop a maintenance schedule 4. Prioritize repairs

Answer 86

4

Question 87

What does the suffix “plegia” mean? 1. Loss of control of bowel and bladder 2. Paralysis 3. Infection 4. Renal failure

Answer 87

2

Question 88

The is permitted to dispense medications. 1. LPN 2. DON 3. Med tech 4. Pharmacist

Answer 88

4

Question 89

The attending physician must be notified a medication with a stop order is to be refilled. 1. Before 2. After 3. When requested by the licensed nurse 4. None of the above

Answer 89

1

Question 90

A facility needs to keep months of assessments in the resident charts. 1. 3 months 2. 6 months 3. 12 months 4. 15 months

Answer 90

4

Question 91

The have the power to make health care decisions. 1. Health care surrogate, Durable power of Attorney, Proxy 2. Ombudsman, power of attorney, proxy 3. Guardian, power of attorney, health care surrogate 4. Administrator, Durable power of attorney, Health care surrogate

Answer 91

1

Question 92

The decides whether a resident can self administer drugs. 1. DON 2. Medical director 3. Interdisciplinary team 4. Attending physician

Answer 92

3

Question 93

makes the employer responsible for injuries to third parties caused by employees in the course of their job. 1. Respondeat Superior 2. Federal Employer Liability Act 3. Unemployment compensation 4. OSHA

Answer 93

1

Question 94

A resident who was approved to self administer drugs, overdoses by mistake and is hospitalized. When the resident is ready to be released and return to the facility, the facility should? 1. Refuse to admit the resident 2. Revoke any future request from the resident for approval to self administer drugs 3. Discharge the resident upon re-admission 4. Evaluate the resident for appropriateness to allow them to self administer drugs once more

Answer 94

4

Question 95

The consultant dietician must . 1. Observe and log what the resident does not like to eat 2. Observe and record everything the resident eats on a daily basis 3. Write down food likes and dislikes and document their progress in their chart 4. Write orders for therapeutic diets

Answer 95

3

Question 96

Occupational therapy is concerned with . 1. Weight bearing muscles of the lower body 2. The muscles of the upper body 3. Speech 4. Ability to properly swallow

Answer 96

2

Question 97

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

Answer 97

4

Question 98

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 or toilet

Answer 98

1

Question 99

A specialist who treats cancer is called a(n) . 1. Podiatrist 2. Hearing specialist 3. Ophthalmologist 4. Oncologist

Answer 99

4

Question 100

A colostomy bag is connected to the . 1. Stomach wall 2. Rectum 3. Colon 4. Esophagus

Answer 100

1

Question 101

When a resident is given a drug to calm them down, this is an example of a . 1. Chemical restraint 2. Physical restraint 3. Drug holiday 4. Diuretic

Answer 101

1

Question 102

Per OBRA 1987, a would have the least priority on the repair schedule. 1. Water fountain 2. Kitchen freezer 3. Medication refrigerator 4. Emergency generator

Answer 102

1

Question 103

is the best indicator of low employee morale. 1. Employees expressing displeasure with a supervisor 2. Employees demanding a pay increase 3. High employee turnover 4. High absenteeism

Answer 103

3

Question 104

is a major reason for increased stress nurses are experiencing in long term care. 1. Shortage of nurses 2. Higher staffing levels 3. Shorter resident stays but higher acuity 4. Retrospective payment system

Answer 104

3

Question 105

is best for a resident who suffered a cerebrovascular accident. 1. Lower extremity therapy 2. Upper extremity therapy 3. Stroke recovery program 4. Dialysis

Answer 105

3

Question 106

would cover a facility where a nurse administered the wrong medication to a resident causing hospitalization. 1. General liability insurance 2. Professional liability insurance 3. Business interruption insurance 4. Property insurance

Answer 106

2

Question 107

An interviewer cannot ask a job applicant . 1. For their alien card 2. Whether they know anyone who works at the company 3. Their age 4. Whether they can perform the tasks of the job

Answer 107

3

Question 108

Hot food must be served is at a minimum temperature of and above. 1. 125 degrees 2. 130 degrees 3. 135 degrees 4. 140 degrees

Answer 108

3

Question 109

A resident with audiological problems would be referred to a . 1. Podiatrist 2. Hearing specialist 3. Ophthalmologist 4. Oncologist

Answer 109

2

Question 110

would insure a facility where a visitor slips and falls in the facility. 1. General liability 2. Professional liability 3. Business interruption insurance 4. Property insurance

Answer 110

1

Question 111

An interviewer cannot ask a job applicant if they . 1. Were ever convicted of a crime 2. Are a U.S. citizen 3. Possess any professional licenses or certifications 4. Have ever filed a workers’ compensation claim

Answer 111

4

Question 112

Cold food must be served no warmer than degrees F. 1. 40 2. 41 3. 45 4. 47

Answer 112

2

Question 113

If a resident suffered a myocardial infarction, which therapy would be best for them? 1 Stroke recovery program 2 Dialysis 3 Cardiac recovery Program 4 Cognitive Training

Answer 113

3

Question 114

RAI?

Answer 114

Resident Assessment Instrument , a tool used in nursing homes to assess a resident's needs and strengths