Healthcare and Nursing Home Management: Regulations, Procedures, and Care Practices, Exams of Management of Health Service

Download Healthcare and Nursing Home Management: Regulations, Procedures, and Care Practices and more Exams Management of Health Service in PDF only on Docsity! NAB-NHA Line of Service Exam 2023-2024 Latest Update. Diagnosis - Correct answer identification of a disease or condition Symptom - Correct answer A change in body function Condition that lasts for a long time - Correct answer Chronic Method to treat a disorder - Correct answer Modality Likely outcome of a condition - Correct answer Prognosis Intense and often fatal condition - Correct answer Acute Progressive disease affecting motor neurons - Correct answer Amyotrophic lateral sclerosis Condition with no known cause - Correct answer Idiopathic Condition in which tissue or organ deteriorates - Correct answer Degenerative Cause of the disease - Correct answer Etiology A deteriorative mental state due to organic brain damage - Correct answer Senile Dementia Medication is most helpful to prevent which type of incontinence - Correct answer Urge or Reflex Incontinence that occurs with sneeze - Correct answer Stress Incontinence common to men with enlarged prostates - Correct answer Overflow Method of incontinence management after all other approaches fail - Correct answer Pads & Briefs Incontinence that occurs when a person has an infection - Correct answer Transient Incontinence as a result of brain damage - Correct answer Functional Condition that resists treatment - Correct answer Malignant A condition that dates from birth - Correct answer Congenital A non-recurrent or non-progressive condition - Correct answer Benign Rigidity or tightness of skin - Correct answer Turgor Ability to move a joint to move - Correct answer Range of motion Normal physiological changes in the elderly include all but... - Correct answer Decreased susceptibility to infection Physical restraints monitored - Correct answer Every 30 min Activity for late loss ADL - Correct answer Bed Mobility Moving a limb outward - Correct answer Abduction Restraints must be removed every... - Correct answer 2 hours for 10 minutes Toilet use is in which category of ADL's - Correct answer Elimination Unable to stand or walk - Correct answer Bedridden Restorative Nursing - Correct answer Assisting residents to maintain the highest possible level of independence Must employ a full-time social worker if it has more than______beds - Correct answer 120 The role of the NHA DOES NOT include... - Correct answer Having a background in the medical field Corporal Punishment is also known as... - Correct answer Physical Abuse A technician that can monitor blood pressure and temperatures with nurse supervision is a... - Correct answer Medication Aide 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,LTAC Professional who can diagnose and treat patients - Correct answer Physician Assistant A single-task health care worker - Correct answer Paid Feeding Assistant (PDA) Paid feeding assistants work under the supervision of RNs or LPNs. Mediation - Correct answer The third party's role is to suggest or propose a solution to the problem Arbitration - Correct answer Third party to make final decision in a dispute. PPR's - Correct answer Full listing of all the job descriptions, rules, and decision-making principles of the facility Negotiation - Correct answer Agreement where both sides make concessions Job Analysis - Correct answer Determining the tasks and skills required to fulfill a position. In-Service training requirement for CNA's - Correct answer 12 hours/year minimum Nursing Care Staff and Support Staff Balance - Correct answer 60% nursing / 40% support staff CNA performance reviews - Correct answer 12 months or 1 year First-In, First-Out - Correct answer inventory accounting in which the oldest items (those first acquired) are assumed to be the first sold 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) Semi-variable Expenses - Correct answer Costs that have a fixed and variable component like the electric bill GAAP (Generally Accepted Accounting Principles) - Correct answer a set of accounting standards that is used in the preparation of financial statements Turnover Rate - Correct answer the percentage of the workforce that leaves every year Revenue Expenditures (income statement expenditures) - Correct answer Expenses that are expensed in the revenue year they occur. Limited Partnership (LP) - Correct answer Company where partners are not liable for all debt. S Corporation - Correct answer Corporation that pays no tax Corporation - Correct answer A business owned by stockholders who share in its profits but are not personally responsible for its debts Double-Entry Accounting - Correct answer Accounting method where each entry has equal debts and credits. FICA - Correct answer Law regarding the social security program Current Liabilities - Correct answer Liabilities due within a short time, usually within a year Earnings Statement - Correct answer Statement which compares revenue to expenses. A report listing the amount of gross pay, deductions, and net pay for the current period and the year-to-date totals for each category. Medicare Part C (Medicare Advantage) - Correct answer Managed care health plans under the Medicare program Medicare Part B - Correct answer The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies. Medicare Part A (Inpatient/Hospital) - Correct answer Hospital insurance for the aged and disabled. Covers institutional providers for inpatient, hospice, home health services and services within hospital. Medicare—Part D Prescription Drug Coverage - Correct answer a United States federal-government program to subsidize the costs of prescription drugs and prescription drug insurance premiums for Medicare beneficiaries. Gross Profit - Correct answer Revenue - cost of sales/goods sold Cash Flow Statement - Correct answer A financial statement that shows the flow of money in and out of the business. Net Worth - Correct answer Total assets minus total liabilities Minimum Passage Width for Wheelchair - Correct answer 32 inches through doors, 36 inches everywhere else Year CMS adopted the 2012 Life Safety Code - Correct answer 2016 Grab bars in washroom measurements from floor - Correct answer 33" - 36" Gratings on walkways must have no greater opening than... - Correct answer 1/2" Spouts of a water fountain for handicapped persons can be no more than _____ from the floor. - Correct answer 36" Needlestick 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 needlesticks. Minimum width of a corridor where an alcohol-based hand rub dispenser - Correct answer 6 feet Length of telephone cords must be at least ____ long. - Correct answer 29" Water from the spout of a water fountain must be at least ____ to allow a glass to be filled. - Correct answer 4" Alcohol-based hand rub dispenser cannot be within ___ of ignition source (such as an outlet). - Correct answer 1 inch Minimum between dining room table legs - Correct answer 30" Handicapped parking space must be ____ feet, with additional ____ feet for aisle. - Correct answer 8 feet, 5 feet 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" 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. 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 K-Tag - Correct answer Deficiency in meeting the life safety codes is found during a survey SDS - Correct answer Safety data sheets- provides info on chemicals or material Includes odor, signs and symptoms of exposure, first aide CASPER - Correct answer Certification and Survey Provider Enhanced Reporting - CASPER 3 = Compliance History - CASPER 4 = Demographic Data QCI - Correct answer Quality Care Indicators, used to assess a facility's delivery of services 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. Social Services - Correct answer - Update assessments and care plans at least quarterly - Review health information at least annually Dietary Department - Correct answer - Progress notes on each resident at 6 month intervals at a minimum. Transfer or Discharge notice - Correct answer In writing at least 30 days before transfer/discharge and notify resident and/or resident representative Discharge Planning - Correct answer Start on day of admission Extended Survey - Correct answer Conducted after substandard quality of care is determined during a standard survey (within 14 days) Hospice Care - Correct answer Final 6 months of life Interdisciplinary Team - Correct answer Professionals, pharmacist, doctor, nurse, social worker, dietitian, therapy MDS Completion Date - Correct answer The date at which the RN assessment coordinator attests that all portions of the MDS have been completed. 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 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. PASARR - Correct answer Preadmission screening and an annual review. Done before admission to determine if resident is intellectually disabled. Short-term stay - Correct answer Less than 14 days Standard Survey time frame - Correct answer On-Site every 9-15 months Food temperature danger zone - Correct answer 41°F to 135°F Who is authorized to dispense meds? - Correct answer Pharmacist - Reviews drugs monthly - Observe medication passes and record drug error rates 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 Fire drill requirements - Correct answer One drill each quarter on each shift Dry Food Storage - Correct answer 50-70 degrees Medical Device Defects Reporting - Correct answer Within 10 days Who orders a Therapeutic diet? - Correct answer Physician Accrual Basis - Correct answer Revenues earned, expenses incurred Plan of Care (POC) - Correct answer Nursing diagnoses, short and long-term goals, types of ADL assistance and other interventions OSHA Reporting - Correct answer - Within 24 hours of any work related accident that requires hospitalization Durable Medical Equipment (DME) - Correct answer Equipment needed by patients for self-care. Usually it must withstand repeated use, is used for a medical purpose, and is appropriate for use in the home setting. At least 3 year lifespan. Usually covered by Medicare B Dental Care in Nursing Home - Correct answer Must provide routine care, 24 hour emergency dental care, and prompt referrals (replacement of dentures within 3 days) Admission Requirements for Physicians - Correct answer - Must visit resident within 30 days of admission - Visit every 30 days for the first 90 days - Visit every 60 days thereafter RN work hours requirement - Correct answer 8 hours/day, 7 days a week Feeding Assistant Requirements - Correct answer Must complete State-approved training Most effective drug distribution for nurse efficiency? - Correct answer Unit-Dose drug distribution system Medicare Coverage - Correct answer Pays for up to 100 days of SNF care per benefit period. - Pays full amount first 20 days - Pays after coinsurance for days 21-100 How long to maintain resident assessments in their record? - Correct answer 15 months Care Plans - Correct answer - Baseline completed within 48 hrs of admission - MDS within 14 days of admission - Comprehensive Care Plan within 7 days after completion of MDS 4 ADL's - Correct answer Transfer, bed mobility, toileting, eating Time between meals - Correct answer No longer than 14 hours between meals (16 hours with a snack) 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. Profit and Loss Statement (P&L) - Correct answer Income Statement. 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.