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Healthcare Terminology and Nursing Home Care: A Comprehensive Guide, Exams of Management of Health Service

A comprehensive overview of various healthcare terminologies, focusing on tissue/organ degeneration, incontinence management, and nursing home care. It covers topics such as etiology, senile dementia, urinary incontinence, restorative nursing, and discharge procedures. It also includes information about policies, job classifications, and accounting principles relevant to healthcare facilities.

Typology: Exams

2023/2024

Available from 04/29/2024

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NAB-NHA Line of Service Exam 2023-2024 Latest
Update.
1. Diagnosis - Correct answer identification of a disease or condition
2. Symptom - Correct answer a change in body function
3. Condition that lasts for a long time - Correct answer Chronic
4. Method to treat a disorder - Correct answer Modality
5. Likely outcome of a condition - Correct answer Prognosis
6. Intense and often fatal condition - Correct answer Acute
7. Progressive disease affecting motor neurons - Correct answer Amyotrophic
lateral sclerosis
8. Condition with no known cause - Correct answer Idiopathic
9. Condition in which tissue or organ deteriorates - Correct answer Degenerative
10.Cause of the disease - Correct answer Etiology
11.A deteriorative mental state due to organic brain damage - Correct answer Senile
Dementia
12.Medication is most helpful to prevent which type of incontinence - Correct answer
Urge or Reflex
13.Incontinence that occurs with sneeze - Correct answer Stress
14.Incontinence common to men with enlarged prostates - Correct answer Overflow
15.Method of incontinence management after all other approaches fail - Correct
answer Pads & Briefs
16.Incontinence that occurs when a person has an infection - Correct answer
Transient
17.Incontinence as a result of brain damage - Correct answer Functional
18.Condition that resists treatment - Correct answer Malignant
19.A condition that dates from birth - Correct answer Congenital
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NAB-NHA Line of Service Exam 2023-2024 Latest

Update.

  1. Diagnosis - Correct answer identification of a disease or condition
  2. Symptom - Correct answer a change in body function
  3. Condition that lasts for a long time - Correct answer Chronic
  4. Method to treat a disorder - Correct answer Modality
  5. Likely outcome of a condition - Correct answer Prognosis
  6. Intense and often fatal condition - Correct answer Acute
  7. Progressive disease affecting motor neurons - Correct answer Amyotrophic lateral sclerosis
  8. Condition with no known cause - Correct answer Idiopathic
  9. Condition in which tissue or organ deteriorates - Correct answer Degenerative
  10. Cause of the disease - Correct answer Etiology
  11. A deteriorative mental state due to organic brain damage - Correct answer Senile Dementia
  12. Medication is most helpful to prevent which type of incontinence - Correct answer Urge or Reflex
  13. Incontinence that occurs with sneeze - Correct answer Stress
  14. Incontinence common to men with enlarged prostates - Correct answer Overflow
  15. Method of incontinence management after all other approaches fail - Correct answer Pads & Briefs
  16. Incontinence that occurs when a person has an infection - Correct answer Transient
  17. Incontinence as a result of brain damage - Correct answer Functional
  18. Condition that resists treatment - Correct answer Malignant
  19. A condition that dates from birth - Correct answer Congenital
  1. A non-recurrent or non-progressive condition - Correct answer Benign
  2. Rigidity or tightness of skin - Correct answer Turgor
  3. Ability to move a joint to move - Correct answer Range of motion
  4. Normal physiological changes in the elderly include all but... - Correct answer Decreased susceptibility to infection
  5. Physical restraints monitored - Correct answer every 30 min
  6. Activity for late loss ADL - Correct answer Bed Mobility
  7. Moving a limb outward - Correct answer Abduction
  8. Restraints must be removed every... - Correct answer 2 hours for 10 minutes
  9. Toilet use is in which category of ADL's - Correct answer Elimination
  10. Unable to stand or walk - Correct answer Bedridden
  11. Restorative Nursing - Correct answer assisting residents to maintain the highest possible level of independence
  12. Must employ a full-time social worker if it has more than______beds - Correct answer 120
  13. The role of the NHA DOES NOT include... - Correct answer having a background in the medical field
  14. Corporal Punishment is also known as... - Correct answer Physical Abuse
  15. A technician that can monitor blood pressure and temperatures with nurse supervision is a... - Correct answer Medication Aide
  16. Discharge/Move out includes: - Correct answer - Identifying resident's discharge needs
    • Document that a resident has been asked about their interest in information about return to facility
    • Facility must assist in selection of another SNF, IRF, and LTAC
  17. Professional who can diagnose and treat patients - Correct answer Physician Assistant
  18. A single-task health care worker - Correct answer Paid Feeding Assistant (PDA)
  1. Continuous Home Care (CHC) - Correct answer Level of hospice that has a nurse or health aide with patient for 8-24 hours a day
  2. Continuous Care Retirement Centers (CCRC) - Correct answer Facility which has a range of different accommodations and service options depending on the resident
  3. Who signs and completes the MDS 3.0? - Correct answer Registered Nurse
  4. After admission, a baseline care plan must be created when? - Correct answer Within 48 hours
  5. General-In-Patient Care - Correct answer Level of hospice care which provides pain control that cannot be administered at home.
  6. Respite Care - Correct answer Level of hospice care which provides support for family members of the patient.
  7. HMO (Health Maintenance Organization) - Correct answer Health plan where members must use specific healthcare providers.
  8. How soon after admission must the comprehensive care plan be completed? - Correct answer 21 days
  9. Comprehensive Care Plan must be done_____ days after the completion of the comprehensive assessment. - Correct answer 7 days
  10. Minimum length of time resident medical records must be retained - Correct answer 5 years
  11. Intermediate Care Facility (ICF) - Correct answer a facility that provides 24-hour room, board, personal care, and basic health and nursing care services to three or more residents. The care is provided under the daily supervision of a licensed nurse and under the direction of a licensed physician
  12. OBRA-87: Requirements for LTC facilities - Correct answer - Mandates 24 hour licensed practical nursing care in SNF and ICF
    • Requires facilities to allow patient choice in activities, schedules, and health care decisions
    • Requires 24 hour LPN care and a minimum of 8 hrs. /day RN on duty.
  13. OBRA-90 (Omnibus Budget Reconciliation Act of 1990) - Correct answer Mandates that all residents must be informed in writing of the rights to refuse medical treatment.
  14. Department Meetings - Correct answer Meetings with one part of the facility
  1. Job Classification - Correct answer System creating a title for each position
  2. Policies - Correct answer Principals that guide decisions taken by staff
  3. Corporate Compliance Programs - Correct answer System to ensure that employees are aware of their responsibities.
  4. Mediation - Correct answer the third party's role is to suggest or propose a solution to the problem
  5. Arbitration - Correct answer Third party to make final decision in a dispute.
  6. PPR's - Correct answer Full listing of all the job descriptions, rules, and decision- making principles of the facility
  7. Negotiation - Correct answer Agreement where both sides make concessions
  8. Job Analysis - Correct answer Determining the tasks and skills required to fulfill a position.
  9. In-Service training requirement for CNA's - Correct answer 12 hours/year minimum
  10. Nursing Care Staff and Support Staff Balance - Correct answer 60% nursing / 40% support staff
  11. CNA performance reviews - Correct answer 12 months or 1 year
  12. First-In, First-Out - Correct answer inventory accounting in which the oldest items (those first acquired) are assumed to be the first sold
  13. Last-In, First-Out (LIFO) - Correct answer Assumes that the costs of the last goods purchased (last in) are the costs of the first goods sold (first out)
  14. Semi-variable Expenses - Correct answer Costs that have a fixed and variable component like the electric bill
  15. GAAP (Generally Accepted Accounting Principles) - Correct answer a set of accounting standards that is used in the preparation of financial statements
  16. Turnover Rate - Correct answer the percentage of the workforce that leaves every year
  17. Revenue Expenditures (income statement expenditures) - Correct answer Expenses that are expensed in the revenue year they occur.
  1. Minimum Passage Width for Wheelchair - Correct answer 32 inches through doors, 36 inches everywhere else
  2. Year CMS adopted the 2012 Life Safety Code - Correct answer 2016
  3. Grab bars in washroom measurements from floor - Correct answer 33" - 36"
  4. Gratings on walkways must have no greater opening than... - Correct answer 1/2"
  5. Spouts of a water fountain for handicapped persons can be no more than _____ from the floor. - Correct answer 36"
  6. Needle stick Safety and Prevention Act of 1999 - Correct answer A law enacted in 2000 requiring employers to identify, evaluate, and introduce safer medical devices to avoid needle sticks.
  7. Minimum width of a corridor where an alcohol-based hand rub dispenser - Correct answer 6 feet
  8. Length of telephone cords must be at least ____ long. - Correct answer 29"
  9. Water from the spout of a water fountain must be at least ____ to allow a glass to be filled. - Correct answer 4"
  10. Alcohol-based hand rub dispenser cannot be within ___ of ignition source (such as an outlet). - Correct answer 1 inch
  11. Minimum between dining room table legs - Correct answer 30"
  12. Handicapped parking space must be ____ feet, with additional ____ feet for aisle. - Correct answer 8 feet, 5 feet
  13. ANSI requires that all ramps and stairs have handrails measuring_______-_______ inches from the ramp or stair tread and extending ___ beyond the top and bottom of the stairs. - Correct answer 30" - 34", and 12"
  14. ANSI - Correct answer American National Standards Institute: A private, non-profit organization that coordinates the development and use of voluntary consensus standards in the United States.
  15. SMDA - Correct answer Safe Medical Devices Act, medical facilities have to report to the FDA any medical devices that has caused death or injury of a patient or employee
  1. K-Tag - Correct answer Deficiency in meeting the life safety codes is found during a survey
  2. SDS - Correct answer Safety data sheets- provides info on chemicals or material
  3. Includes odor, signs and symptoms of exposure, first aide
  4. CASPER - Correct answer Certification and Survey Provider Enhanced Reporting
    • CASPER 3 = Compliance History
    • CASPER 4 = Demographic Data
  5. QCI - Correct answer Quality Care Indicators, used to assess a facility's delivery of services
  6. OIG - Correct answer Office of Inspector General in DHHS. Monitors compliance with reimbursement laws & regulations
  7. QA - Correct answer Quality Assurance, identifies problem areas and establish procedures to correct them
  8. Quality Assessment Assurance Committee - Correct answer Physician, DON, and 3 other members. Meet quarterly.
  9. ASPEN - Correct answer Automated Survey Processing Environment program
  10. QIES - Correct answer Quality Improvement Evaluation System, coordinates activities and data base functions as a resource for providers and researchers
  11. NHQI - Correct answer Nursing Home Quality Initiative, Aims to provide information on the nursing home compare website and provides resources to improve quality of care
  12. CQI - Correct answer Continuous Quality Improvement, an approach to quality management that builds upon traditional quality assurance methods by emphasizing the organization and systems: it focuses on "process" rather than the individual; it recognizes both internal and external "customers"; it promotes the need for objective data to analyze and improve processes.
  13. Laissez-faire - Correct answer a policy or attitude of letting things take their own course, without interfering.
  1. Ancillary - Correct answer Cost is related to a specific resident.
  2. Supportive services other than routine hospital services provided by the facility, such as x-ray films and laboratory tests.
  3. Influenza Season - Correct answer November 1 - March 31
  4. Plan of Correction (POC) - Correct answer - Description of each identified deficiency
    • How the facility will monitor corrective action to ensure deficiency is remedied and won't reoccur
    • Completion date that shall be no longer than 30 days and will deem it can achieve compliance.
  5. Completed Plan of Correction - Correct answer - Signed by Administrator
- Submitted to the department with 10 days after written notice of deficiencies 
  1. Client Care Advocate and grievances - Correct answer - Contact resident within 3 days after grievance
    • After investigation, respond to resident within 15 days
    • Provide final outcome within 30 days
  2. Influenza Reporting - Correct answer - By May 15th of every year
- Must maintain documentation for 3 years. - 90% vaccination rate for all staff and contractors 
  1. Activities Department - Correct answer - At least one evening activity per week
    • Provide activities on weekends to include religious services
    • Provide social/recreational, intellectual, physical, spiritual and creative activities monthly.
  2. Social Services - Correct answer - Update assessments and care plans at least quarterly
    • Review health information at least annually
  3. Dietary Department - Correct answer - Progress notes on each resident at 6 month intervals at a minimum.
  4. Transfer or Discharge notice - Correct answer In writing at least 30 days before transfer/discharge and notify resident and/or resident representative
  5. Discharge Planning - Correct answer Start on day of admission
  1. Extended Survey - Correct answer Conducted after substandard quality of care is determined during a standard survey (within 14 days)
  2. Hospice Care - Correct answer Final 6 months of life
  3. Interdisciplinary Team - Correct answer Professionals, pharmacist, doctor, nurse, social worker, dietitian, therapy
  4. MDS Completion Date - Correct answer the date at which the RN assessment coordinator attests that all portions of the MDS have been completed.
  5. MDS (minimum data set) reporting - Correct answer all residents at the time of admission (no later than 14 days), annually, quarterly, and when there is a significant change
  6. Palliative Care - Correct answer Comfort measures/alleviating pain. Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family.
  7. PASARR - Correct answer Preadmission screening and an annual review. Done before admission to determine if resident is intellectually disabled.
  8. Short-term stay - Correct answer Less than 14 days
  9. Standard Survey time frame - Correct answer On-Site every 9-15 months
  10. Food temperature danger zone - Correct answer 41°F to 135°F
  11. Who is authorized to dispense meds? - Correct answer Pharmacist
- Reviews drugs monthly - Observe medication passes and record drug error rates 
  1. Turn Over Rate Formula - Correct answer Add total of employees and divide by total months to get average; then divide that average by total separations/layoffs
  2. Fire drill requirements - Correct answer one drill each quarter on each shift
  3. Dry Food Storage - Correct answer 50-70 degrees
  4. Medical Device Defects Reporting - Correct answer within 10 days
  5. Who orders a Therapeutic diet? - Correct answer Physician
  6. Accrual Basis - Correct answer Revenues earned, expenses incurred
  1. Time between meals - Correct answer No longer than 14 hours between meals (16 hours with a snack)
  2. Who to notify when significant changes occur with a resident? - Correct answer Physician, resident, family/guardian
    • Significant change = deterioration of 2 or more ADL's that appear permanent.
  3. Profit and Loss Statement (P&L) - Correct answer Income Statement. 188.A financial report that details a company's performance over a specific period of time by subtracting expenses from revenue to obtain net income; also known as an income statement.