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What is the best method to control monetary risks in a nursing home? - ✔ ✔ Purchase insurance What is the temp of a hot rinse dishwasher? - ✔ ✔ 180 What is the temperature of a hot rinse dishwasher? - ✔ ✔ 180 What is the width of a single wheelchair? - ✔ ✔ 30 inches What percentage of minorities must an employer according to the EEOC - ✔ ✔ 80% What percentage of residents must be interviewable to participate in surveyors interviews of facility residents? - ✔ ✔ 50% What reports do surveyors look ya from OSCAR prior to survey? - ✔ ✔ CASPER reports 3 and 4, QI report What two ratios tell you how much the facility has available immediately to pay urgent bills? - ✔ ✔ Quick ratio and the acid test ratio When a nursing home outsourced healthcare providers the facility should have which of the following to secure patient information? - ✔ ✔ A transfer agreement with the contractor When an administrator takes steps to resolve a deficient situation this is called - ✔ ✔ controlling quality When errors are discovered in other journals, they can be corrected in the - ✔ ✔ General journal When the supervisor and the employee jointly set goals, this is an example of - ✔ ✔ Management by objectives Where a manager and staff get together and jointly decide priorities to be worked on, this is called ____
- ✔ ✔ Management by objectives Where an individual makes a verbal statement that hurts another persons reputation, this is called - ✔ ✔ Slander Where an individual makes a written statement that hurts another persons reputation, this is called - ✔ ✔ Libel
Which federal law establishes adverse impact as the current standard for discrimination in employment?
- ✔ ✔ EEOA Which federal law governs union elections? - ✔ ✔ Taft Hartley Which federal law requires an I-9 form? - ✔ ✔ Immigration Reform Act
A ___ tag would indicate substandard care was found. - ✔ ✔ F377 J A ___ violation is where the severity of negative outcomes that compromises a resident's ability to maintain the highest physical, mental and psychosocial well-being. - ✔ ✔ Level 3 A ___ would have interest in the financial well being of a compant - ✔ ✔ Shareholder A "Resource Utilization Group" is a type of - ✔ ✔ Resident classification system A blister filled with pus and the loss of skin and dermis is a stage ___ decubitus sore - ✔ ✔ 2 A broad statement of goals is a ___ - ✔ ✔ policy A care plan must be reviewed ___ and completed re-assessed ___ - ✔ ✔ Quarterly Annually A charge nurse is considered - ✔ ✔ lower mangement A colostomy bag is connect to the - ✔ ✔ stomach wall A complaint for violations of the EEOA is filed with the ___ - ✔ ✔ EEOC A complaint survey is a ___ survey - ✔ ✔ Abbreviated standard A complaint survey is a ____ survey - ✔ ✔ abbreviated standard survey A concept recognized in civil law that an employer is responsible for the acts of their employees where their parties are injured is called - ✔ ✔ Respondent Superior A contractor hired by a nursing home to input MDS data into the MDS data system would be bound by - ✔ ✔ Medicare and Medicaid rules A court appointed guardian is also called a - ✔ ✔ conservator A curtain or decoration that does not burn easily is called ___ - ✔ ✔ Fire resistant A debt to pay an obligation is called a - ✔ ✔ bond A device that measures the electrical functioning of the heart muscle is called - ✔ ✔ EKG
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? - ✔ ✔ 4 months A nursing aide drops a resident and fractures a hip. Both the employee and the employer are responsible for money damages from the fall because of ___ liability. - ✔ ✔ Strict liability A nursing aide drops a resident and fractures a hip. Both the employee and the employer are responsible for money damages from the fall because of which of the following? - ✔ ✔ Vicarious liability A nursing facility must offer its employees ___ insurance - ✔ ✔ Unemployment A nursing home must have a ____ operated fire alarm system that is ___ monitored - ✔ ✔ manually electronically A parking lot with 100 parking spaces would require how many handicap accessible parking spots - ✔ ✔ 4 A passenger loading zone must be at least ___" wide and ___" long - ✔ ✔ 60 and 20 A railing in a stairway must be between __ and __ inchesq - ✔ ✔ 34 38 A request to inspect resident records or to get copies must be submitted by the resident either ______ - ✔ ✔ orally or in writing A resident has a right to request their clinical records and receive them in __ hours (excluding weekends and holidays) - ✔ ✔ 24 A resident has the right to copies of their medical records wtihin what time frame? - ✔ ✔ 48 hours (excluding weekends and holidays) A resident in restraints must be released from their restraints for how many minutes? - ✔ ✔ 10 A resident was admitted to a facility on June 5th. Her attending physician saw her on July 15th. Was the physicians visit timely? - ✔ ✔ Yes A resident who dies without leaving a will is said to have died: - ✔ ✔ Interstate A resident who enters a facility without an indwelling catheter can be catheterized when - ✔ ✔ the residents clinical condition demonstrates a need for one A respiratory condition where the lung tissue loses elasticity and the lungs cannot properly expand and deflate, causing breathing problems is called - ✔ ✔ Emphysema A significant weight loss within 3 months would be ___% - ✔ ✔ 7.
A smoke proof enclosure must have a _____ hour fire resistance and a door with _____ hour fire protection rating. - ✔ ✔ 2 hour ; 1 1/2 hour A specific law that mandates an employer is responsible for work related injuries and lost time for their employees is called - ✔ ✔ The Federal Employer Liability Act A summary of a facilities well being is reflected in the ___ - ✔ ✔ Balance sheet A testator is one who: - ✔ ✔ Dies leaving a will A third party that hears a dispute and then renders a decision that binds all parties is called - ✔ ✔ Arbitration A Union must give how many days notice before a strike? - ✔ ✔ 10 days A violation with no more than minimal physical, mental or psychological discomfort is a ___ deficiency - ✔ ✔ Level 2 A worker is entitled to ___ months of HIPPAA benefits - ✔ ✔ 12 A worker is entitled to ___ weeks of unemployment benefits - ✔ ✔ 26 According to OBRA, the facility is required to offer therapeutic activities that are based upon - ✔ ✔ past interests and hobbies Accounting Equation - ✔ ✔ Assets = Liabilities + Capital Accounts receivables over 69 days past due must not exceed __% of all accounts receivables - ✔ ✔ 5% Acid Test Ratio is used to calculate funds available in a few days to pay current liabilities and is expressed as - ✔ ✔ Cash and current receivables dived by current liabilities Adding baking soda to food will primarily affect its - ✔ ✔ Nutritional value Adequate required living space in a resident room does not include - ✔ ✔ the bathroom, vestibule or hallway Administrators consult ___ to compare outcomes to expectations - ✔ ✔ Policies and plans of action After a comprehensive assessment is done, a comprehensive care plan is due within ___ days - ✔ ✔ 7 All cost reports are due - ✔ ✔ 90 days after the end of the fiscal year All employee injuries that require medical attention or loss of time must be entered into the OSHA log within ___ - ✔ ✔ 7 days
Budgets are usually prepared ___ - ✔ ✔ Annually Capital would not include - ✔ ✔ Gross income Cash flow will be improved if there is a decrease in - ✔ ✔ accounts receivables Which inventory method maintains the optimum amount of materials needed to be ordered and minimizes overstocking? - ✔ ✔ Economic order quality Which management style provides least direction and support to staff? - ✔ ✔ Delegation Which management type would be most effective for physicians, nursing and social workers? - ✔ ✔ Paternal Which of the following can delegate line authority to facility staff? - ✔ ✔ The governing body Which of the following determines the number of fire drills each year in a nursing home? - ✔ ✔ Life safety code Which of the following forms is the CMS resident census form? - ✔ ✔ HCFA form 672 Which of the following is an anti-psychotic side effect? - ✔ ✔ Hallucination Which of the following is best suited for residents with mild dementia? - ✔ ✔ Reality orientation Which of the following is the correct footage for a semi-private room? - ✔ ✔ 320 (160 square feet) Which of the following would not have the power to make healthcare decisions for a resident who lacks capacity? - ✔ ✔ Power of attorney Which organization developed the standards for the Life Safety Code? - ✔ ✔ NFPA Which organization enforces the life safety code? - ✔ ✔ The state licensing agency Which two management styles are most effective? - ✔ ✔ MBO & MBWA Which type of lines on an organizational chart would show line authority and staff authority? - ✔ ✔ straight lines and dotted lines Who is responsible for ensuring that resident rights are respected by the staff? - ✔ ✔ Administrator Who is responsible for the implementation of resident care policies? - ✔ ✔ Medical director Centralizing decision making to improve customer service is NOT an element of _____. - ✔ ✔ Total Quality Management TQM
Changing a company's fiscal year from Jan 1 to June 30 is an example of violating the ___ principal - ✔ ✔ Time period CIO stands for - ✔ ✔ Congress of Industrial Organizations Class A fire extinguishers are used for - ✔ ✔ burning paper, lumber, cardboard and plastics Class B fire extinguishers are used for - ✔ ✔ combustible or flammable liquids such as kerosene and gasoline Class C fire extinguishers are used for - ✔ ✔ electrical appliances, outlets and power tools Class D fire extinguishers are used for - ✔ ✔ metals such as magnesium and titanium Constant thirst and need for urination are symptoms of ___ - ✔ ✔ diabetes mellitus Controlled drugs must be stored in their original containers and placed under ___ protection - ✔ ✔ double lock Controlled drugs must be stored in their original containers and stored - ✔ ✔ in a separate compartment Coordination primary deals with unifying the ___ of people - ✔ ✔ efforts Current Ratio - ✔ ✔ current assets divided by current liabilities Depreciation is a ___ expense - ✔ ✔ operating Depreciation is what kind of expense... - ✔ ✔ Operating expense Destroying paper records of purchases made by the facility would violate the ____ principal - ✔ ✔ Objective evidence Discharged employees have right to present their case to ________. - ✔ ✔ Employment Security Commission Does FMLA provide leave for a sick sibling? - ✔ ✔ No Doors must be ___ thick - ✔ ✔ 1 & 3/4 " Doors must be at a ___" angle to an accessible route - ✔ ✔ 90 degree Doors must be solid bodied with a ____ core - ✔ ✔ wood Doors must have a fire resistance rating of - ✔ ✔ 20 minutes Doors must have a width of ___" at openings - ✔ ✔ 32"
HHS stands for - ✔ ✔ Health and Human Services High forward reach for a wheelchair - ✔ ✔ 48" Hospital case managers, referring physicians, the surrounding community and state surveyors are called
- ✔ ✔ External stakeholders Hot foods must leave the kitchen at ___ - ✔ ✔ 135 How long after a survey would the next one be? - ✔ ✔ 9-15 months How many CAA triggers are there? - ✔ ✔ 20 I'm case of a fire, the primary purpose of closing doors is to ___ - ✔ ✔ Contain the smoke If a CEO or director is sued, which insurance would cover the liability? - ✔ ✔ Officers and directors insurance If a court determines a resident is incapable of making their own decisions the court would appoint a ___ to handle their affairs - ✔ ✔ Guardian If a resident in rehab is not walking, the resident should be offered a ___ - ✔ ✔ Walker If a resident requests copies of records from their chart on Friday, when is the soonest staff must provide them those copies? - ✔ ✔ Tuesday If a resident was injured from a defective wheelchair, the administrator must notify the ___ and the manufacturer with ___ days - ✔ ✔ FDA 10 If a union had a complaint against an employer, it would file the complaint with which of the following? - ✔ ✔ National Labor Relations Board If a union wishes to renegotiate a contract with an employer it must notify the employer within how many days of the expiration date? - ✔ ✔ 90 If surveyors find substandard care during an annual survey the facility will be subject to - ✔ ✔ an extended survey If surveyors find substandard care during an annual survey the facility will be subject to - ✔ ✔ Partial extended survey If the administrator wants to know if the facility made money, they should look at - ✔ ✔ Profit/loss statement or the income statement If you had the choice to eliminate a resident snack from one of the following times, which one would you not have the option to eliminate? - ✔ ✔ Bed time snack
In 1973, the supreme court ruled with respect to collective bargaining that nurses were considered management and could not join a union.. true or false? - ✔ ✔ True In an administrator wanted a statement of the financial condition of a facility at year's end, the administrator would consult the - ✔ ✔ balance sheet Individuals, corporations, the surrounding community or governmental entities who are directly affected by the actions taken by a business are known as - ✔ ✔ Stakeholders Insurance that protects the facility against injuries sustained by visitors on facility property is - ✔ ✔ General liability insurance Insurance that protects the facility from employee accidents - ✔ ✔ Professional liability insurance Internal and external medications must be kept in - ✔ ✔ separate areas Labor costs in a nursing home usually total approximately ___ to ___ % - ✔ ✔ 50 to 60 Liabilities that will be paid within 16 months are - ✔ ✔ Non-current liabilities Lighting of the means of egress must be continuous with exit floor surfaces illuminated ag the levels of ___ foot candle light from the floor - ✔ ✔ 1 foot Low blood pressure is called ____ High blood pressure is called ____ - ✔ ✔ Hypotension ; Hypertension Management by Walking Around DOES NOT include - ✔ ✔ Taking action on the spot Management by Walking Around is a concept developed by - ✔ ✔ Peters Marketing of healthcare is a new trend that focuses on the recognition of the provision of health care services and is increasingly becoming a - ✔ ✔ buyers market Medicaid resident funds totaling less than $50 in funds may be maintained in ---- - ✔ ✔ Non-interest bearing account Medicaid would not cover individuals ___ - ✔ ✔ disabled Medical records belong to the ___ - ✔ ✔ facility Medicare Part __ pays for drugs outside of an inpatient setting - ✔ ✔ Part D Medicare resident funds totaling in excess of ____ must be deposited in an interest bearing account. - ✔ ✔ $ Middle managers do not - ✔ ✔ adopt policies
OSHA form 300A must be posted during what time frame? - ✔ ✔ Feb 1 - April 30 OSHA log ____ is a summary of all employee illnesses and injuries - ✔ ✔ 300 OSHA records other than medical records must be kept for ___ years - ✔ ✔ 5 Palatable refers to the ____ of food served - ✔ ✔ Tastiness Parking spaces must be at least ___" wide with an accessible handicap aisle at least ___" wide - ✔ ✔ 96; 60 Per ANSI the telephone cord on a public phone must be at least - ✔ ✔ 29 inches Per GAAP, the ___ does not need to be distributed to investors - ✔ ✔ Chart of accounts Per OBRA 1987, a resident has the right to review all their records within ___ of an oral or written request. - ✔ ✔ 24 hours Per OBRA 1987, air temp is measured where in a building..? - ✔ ✔ Just above the floor Per OBRA, the ___ is not required to attend the QA meetings. - ✔ ✔ Administrator Per the IRS, employee tax records must be kept for - ✔ ✔ 4 years Per Title XIX of the Social Security Act, menus for food actually served residents must be retained for ___ days - ✔ ✔ 30 PHS stands for - ✔ ✔ Public Health Service Physician visits are required every ___ days for the first 90 days from date of admission and then every ___ days thereafter - ✔ ✔ 30 60 Pots and pans sanitizer using just hot water is sanitized in a 3 compartment sink then must be submerged in hot water at a minimum temp of ___ degrees for 30 seconds - ✔ ✔ 170 Prepaid insurance is what type of expense? - ✔ ✔ indirect expense PRN stands for: - ✔ ✔ pro re nata meaning as needed, or as the occasion arises Procedures should be prepared by - ✔ ✔ Supervisors Protecting residents and staff from accidental or inadvertent electrical discharge from electrical outlets and devises is the purpose of the ___ - ✔ ✔ Lock out/tag out Protein is not a carbohydrate, true or false? - ✔ ✔ True Railings a grab bars must bear the weight of ___ Ibs or more - ✔ ✔ 250 Ibs
Reality orientation is most appropriate for residents who have ___ stage dementia - ✔ ✔ Early Required knee clearance under tables, sinks and countertops - ✔ ✔ 19" Resident abuse must be investigated and reported to the state licensing authority within___ days - ✔ ✔ 5 working days ___ is the federal law that prohibits a Medicare provider from self referring patients to diagnostic center they own or fixing prices for services provided to Medicare beneficiaries - ✔ ✔ Robinson Patman Act ___ is the most comprehensive and effective improvement model - ✔ ✔ Total Quality Mangement ___ mandates that policies in nursing homes must be approved by the governing bodies - ✔ ✔ OBRA ___ measures the purchasing power of worker paychecks and is used to determine a cost of living adjustment for workers. - ✔ ✔ CPI (Consumer Price Index) ___ uses the social environment as treatment - ✔ ✔ Milieu therapy ____ % of workers is needed 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 - ✔ ✔ 30% ____ develops and publishes the life safety code. - ✔ ✔ NFPA ____ has the least impact on influencing a resident or their family member in choosing a facility. - ✔ ✔ Media ads ____ is identifying and solving problems that only involve a legal risk - ✔ ✔ risk management ____ is required of dietary managers per OBRA 87? - ✔ ✔ The ability to communicate with a qualified dietician ____ requires a facility to pay for money damages caused by facility employees to residents or third parties - ✔ ✔ Respondents superior _____ protects workers from injury from unexpected hazardous energy discharge by the use of energy isolating devises - ✔ ✔ Lockout/tagout A ___ is the most comprehensive way to measure a job applicant's skills - ✔ ✔ Aptitude test The ___ is permitted to dispense medications - ✔ ✔ Pharmacist The ___ is responsible for the day to day management of the facility - ✔ ✔ Administrator The ___ is responsible to review and implement resident care policies and coordinate the medical care in a facility - ✔ ✔ Medical director
The Age Discrimination in Employment Act applies to employers with ___+ employees and workers ___ years and over - ✔ ✔ 20 40 The Age in Discrimination in Employment Act protects workers ___ years and older - ✔ ✔ 40 The air in a nursing home must be changed every ___ minutes - ✔ ✔ 6 The American Health Care Association is the national association that advocates for - ✔ ✔ For-profit health care organizations The Americans with Disabilities Act construction standards were developed by - ✔ ✔ ANSI The amount on the balance sheet representing ownership would not include - ✔ ✔ Revenue The attending physician must visit their nursing home patients how often - ✔ ✔ Every 30 days for first 90 days and then 60 days thereafter The automatic smoke and fire detection systems must be connected to eachother ___ - ✔ ✔ Electronically The automatic smoke and fire detection systems must be connected to eachother ____ - ✔ ✔ electronically The best investment vehicle for funds that must remain liquid is usually a ___ - ✔ ✔ Money Market Fun (MMF) The best way to assess a resident with complicated medical conditions is to do a ___ - ✔ ✔ RAI The best way to maintain _____ is to limit access to supplies - ✔ ✔ inventory The Board of Governors has ___ type of authority - ✔ ✔ Line Resident water temperature should not exceed - ✔ ✔ 110° Sensitivity training has not proven to be effective for residents with ___ - ✔ ✔ Dementia side reach from a wheelchair is between _____ & _______ off the floor. - ✔ ✔ 9/ SMDA stands for - ✔ ✔ Safe Medical Devises Act Smoke detectors must be located no further than ___ feet apart and no more than ___ feet from any wall - ✔ ✔ 30; 15 State surveyors cite a facility for substandard care during a complaint survey. The facility will then be subject to what type of federal survey? - ✔ ✔ A partial extended federal survey Strategic planning takes ___ years - ✔ ✔ 3-
Strategies are plans of action that largely focus on - ✔ ✔ Long range goals subpoena duces tecum - ✔ ✔ an order to appear with evidence Subtracting current liabilities from current assets would tell you the facilities - ✔ ✔ Working capital Terminated workers are entitled to ___ weeks or unemployment benefits - ✔ ✔ 26 The ___ act granted rights to unions and allowed collective bargaining - ✔ ✔ Wagner Act The ___ and ___ must be listed on the resident trust fund surety bond - ✔ ✔ Resident and state The ___ has the legal responsibility to adopt and implement facility policies. - ✔ ✔ Governing Body The ___ has the ultimate legal responsibility for the OPERATION of a nursing facility. - ✔ ✔ Governing Body ___ fire drills are required in a facility per year - ✔ ✔ 12 (1 / shift every quarter) ___ incontinence is characterized by urine leakage with coughing or laughing - ✔ ✔ stress ___ is not an OBRA approved indication for anti-psychotic usage? - ✔ ✔ Itching The Civil Rights Act of 1964 is enforced by the - ✔ ✔ EEOC The cost to maintain capital equipment in a nursing home will justify replacement within ___ - ✔ ✔ 10 years The decrease in value due to obsolescence, wear and tear is called - ✔ ✔ Depreciation The designated parking space for the handicapped must be at least ___ - ✔ ✔ 13 ft wide The dietitian must be registered with the ____ - ✔ ✔ American Dietetic Association The DON is considered ___ management - ✔ ✔ middle The Eden Alternative focuses on care of the human ___ and human body - ✔ ✔ Spirit The EEOC does not enforce the Fair Labor Standards Act, true or false? - ✔ ✔ True The emergency electrical generators must switch on within ___ seconds of a loss of power - ✔ ✔ 10 The emergency generator must be run under full load for ___ every ___ - ✔ ✔ 30 minutes every month The emergency generator must be VISUALLY inspected and checked how often.. - ✔ ✔ weekly The emergency generator must run on full load for __ every __. - ✔ ✔ 30 minutes every month
The minimum hot water temperature required by a low temperature dish washer is ___ degrees - ✔ ✔ 120 The minimum staffing level required by CMS is ___ - ✔ ✔ 3. The monitoring and enforcement of ANSI standards is the responsibility of - ✔ ✔ The agency within the state The most common cause of pressure sores in ___ - ✔ ✔ shearing and friction The national standard to budget housekeeping staff to clean a facility is one hour of staff time per ___ square feet - ✔ ✔ 1000 The NFPA does not enforce the - ✔ ✔ life safety code The nosing of a stair must project no more than... - ✔ ✔ 1 & 1/2 " The number of disaster drills is determined by: - ✔ ✔ Life safety code The nursing home survey inspection process focuses on - ✔ ✔ Outcomes The ombudsman must have patient consent to access their medical records, true or false? - ✔ ✔ True The payroll based journal must be submitted to CMS every ___ - ✔ ✔ Quarter The physician must write, sign and date progress notes - ✔ ✔ at each visit The primary purpose of a ___ budget is to provide a method for ongoing study and control - ✔ ✔ operating The primary purpose of medical records is - ✔ ✔ provide for continuity of care The process in which an administrator can contest in writing a citation for non-compliance? - ✔ ✔ Informal dispute resolution process The RAI consists of - ✔ ✔ RAPs, Utilization Guidelines and MDS The RAI is now called the - ✔ ✔ CAA (Care Area Assessment) The Resident Self-Determination Act should be given to the resident at - ✔ ✔ admission The resident's quality of life and physical condition is the focus of a. Structure b. Process
c. Outcomes d. All of the above - ✔ ✔ Outcomes The safety program in a nursing home would fall under the ___ program - ✔ ✔ Risk management The Social Security Act was enacted in - ✔ ✔ 1935 The suffix "otomy" means - ✔ ✔ incision The sum of all activities to create desired changes in quality care is the definition of - ✔ ✔ Quality improvement The system responsible for circulating blood throughout the body is called the - ✔ ✔ Cardiovascular system The term lockout tagout refers to controlling ____ - ✔ ✔ Hazardous energy The time period in which a lawsuit may be filed is called the - ✔ ✔ Statute of limitations The travel distance between a class B and C fire extinguishers cannot be more than - ✔ ✔ 50 feet The wash cycle of a hot water dishwasher is ___ degrees - ✔ ✔ 150 The width required for 2 wheelchairs to pass is ___ - ✔ ✔ 60 inches Title 18 of Social Security Act is the __ program - ✔ ✔ Medicare Title XIX of the Social Security Act - ✔ ✔ is Medicaid (an assistance program based on need) Title XVII of the Social Security Act is an - ✔ ✔ insurance program To calculate the value of an investors investment in a business you need to look at the - ✔ ✔ Balance sheet To determine if revenues are sufficient to cover expenses, you would review the - ✔ ✔ Profit/loss statements Toe clearance under the ADA is __ inches - ✔ ✔ 9 Transmission difficulties, premature evaluations and filtering are all forms of ____ barriers - ✔ ✔ communication Travel distance from within any resident room to an exit access door must not exceed - ✔ ✔ 200 ft. Two doors separating two fire areas in a horizontal exit must be _______ in. wide each. - ✔ ✔ 41.5"
