Nursing Home Regulations and Operations, Exams of Nursing

Download Nursing Home Regulations and Operations and more Exams Nursing in PDF only on Docsity! NAB Study Guide 2023. All Questions and Answers Already Graded A+. ___is the main cause of death from a fire. - ANSSmoke. 65 percent of residents accidents occur in - ANSthe resident bedroom A ___corporation can choose any 12 month period as its fiscal year. - ANSC corporation A bruising of the skin is called - ANScontusion A care plan must be completed within how many days of the completion of the MDS - ANSwithin 7 days of completion of MDS A care plan must be signed by a - ANSRegistered Nurse A carpet cannot have a pile higher than how many inches? - ANS1/2 inches A change in ownership, DON or management could trigger a ___ survey - ANSextended A charge nurse has what authority - ANSLine Authority A civil wrong is a - ANStort A Class A fire extinguisher is used for what type of flammable material(s)? - ANSPaper or wood fire A collection of tasks that can be performed by an employee - ANSjob A comprehensive assessment must be completed within how many days of admission to a facility? - ANS14 days A comprehensive assessment must be reviewed every ___ and completely updated __. - ANSreviewed every 3 months and completed annually. A comprehensive assessment must be reviewed every ___ and completely updated __. - ANSreviewed every 3 months and completed annually. A court order to deduct monies from a worker's paycheck to repay a debt is called a - ANSgarnishment A dark area under the skin containing fluid is called - ANSHematoma A debt to equity ratio should be less than - ANS1. A doctor involved with causes of disease is called - ANSpathologist A door on the fire exit corridor must be how many inches thick with a solid wood core and have how many minutes of fire rating. - ANSMust be at least 1 3/4 inches thick with a 20 minute fire rating. A durable power of attorney covers - ANSboth financial and health care A facility must inform the resident of their rights both verbally and - ANSin written format to meet legal obligations. A facility must keep blank months of resident assessments in the resident chart - ANS15 months A facility that has no deficiencies would have a - ANSStandard License A facility that takes only private pay residents would be subject to a____ survey. - ANSA state survey A facility with 60 parking spaces must have how many handicapped spaces? - ANS3 spaces. One space for each 25 A facility with outstanding deficiencies would have a - ANSconditional license A federal law that provides union members a bill of rights is called? - ANSLandrum Griffin Act A fire exit corridors cannot be longer than how many feet? - ANS150 ft. A fire rating of how many hours for the walls of a smoke compartment? - ANS2hrs A group of symptoms which occur together is called a - ANSsyndrome A Hallway or ramp must have a minimum width of how many feet wide? - ANS8 feet wide A handicapped parking spot must be at least how many feet wide? - ANS13 ft wide A handrail on a staircase must extend how many inches beyond the bottom and top step? - ANS12 inches beyond the bottom and top step. A hazard area needs how many hours of fire protection of automatic extinguishing system. - ANSone hour fire protection A walkway must be at least how many feet wide - ANS3 ft wide A wheelchair is how many inches wide? - ANS30 inches A wheelchair needs ____ inches in diameter to make a 180 degree turn - ANS60 inches A window sill can not be higher than how many inches - ANS36 inches Activities shoudl focus on - ANSresident enjoyment and participation Adaptive feeding equipment must be prescribed by who? - ANSPhysician or occupational therapist Affirmative action relates to - ANShiring practices Air temperature is measured from the??? - ANSJust above the floor or 3 ft above the floor. All cost reports to medical are due within how many days of the end of the fiscal year - ANS90 days All doors in a facility except for bathroom and toilet must be ___ inches wide. - ANS44 All personal appliances brought into a facility must be inspected by the ____ ensure it is safe before it can be plugged in. - ANSMaintenance Ambulate means to - ANSwalk An ___ provides training in adaptive feeding devices. - ANSOT, occupational therapist An amortization is a schedule showing - ANSinterest and principal owed to a creditor An attending physician must visit residents ___days for the first three months and then ____ thereafter. - ANSOnce every thirty days for the first 90 days and then once every 60 days thereafter. An effective maintenance program emphasizes - ANSpreventative maintenance An electrical power transformer blows up down the block and the facility loses power for a week and you lose 100,000 dollars in income, which policy covers you? - ANSBusiness interruption insurance. An employee wage evaluation program should be based primarily on - ANSMerit/performance based An employee who punches in on a time clock is considered to be - ANSnon-exempt or hourly. An incline of less than .5 inches requires what? - ANSBeveled Edge An incline or slope of more than 1/2 inch requires - ANSramp treatment An individual who executes or carries out a will is called - ANSan executor An isolation room does or does not need a private bath or shower? - ANSDoes not need An MDS must be signed by a - ANSRegistered Nurse An ophthalmologist is a medical doctor that treats? - ANSVisual disorders and is a medical doctor. An organizational chart does not show ___ relationships. - ANSInformal An ostomy bag is connected to the body through - ANSConnected to the colon through the stomach wall. An otologist deals with___ - ANSHearing Loss Analgesic provides - ANSpain relief Annual audits done by ___________(who) are needed to verify the information in financial statements. - ANSCPA Certified Public Accountants Anti-coagulant is used to - ANSprevent the cells in the blood from clotting. Aphasia is - ANSdifficulty speaking. Inability to interpret or formulate language Are facilities able to manage a resident with AIDS? - ANSA facility is abl eto care for a resident with AIDS using universal precautions Are you required to have glass panels in the double doors of a fire compartment? - ANSYes Assessment of a resident's condition produces a description of - ANStheir current status. A physical exam every 3 months documented in MDS. Assets appear on the what? - ANSbalance sheet Attracting customers to buy the facility's services and fill empty beds is called what? - ANSMarketing Autism is or is not a developmental illness - ANSIs a developmental illness Bathroom and toilet doors must be at least___inches wide? - ANS32 Becoming incontinent is a psychological or physiological change? - ANSPhysiological Becoming neurotic is a psychological or physiological change - ANSpsychological Bedfast means being confined to a bed all the time within the past ___days. - ANSBedfast means being confined to a bed all of the time within the past 7 days Benin means a cell mass is - ANSnon-malignant Best indicator of new hires ability to suceed in a job is - ANSprior job performance Blind residents must be provided a copy of their resident rights in - ANSBraille Budgets are based on what? - ANSFuture expectations and past experience Buying a computer or repaving the parking lot are - ANScapital costs Calculate percentage of occupancy where you have 120 beds and 87 are occupied - ANS87/120 is 72.5 Can a facility require a resident to sign advanced directive? - ANSNo Can a non-profit issue stock? - ANSNo Can an exempt employee be given overtime wages? - ANSNo Can internal and external meds be kept in the same drawer or area? - ANSNo. They must be kept in separate areas and stored in different drawers on med cart. Can state and federal agencies impose civil or criminal penalties - ANSno. Only a civil court or a criminal court can impose Can you charge a resident for the time to locate records? - ANSNo Can you charge for the time to type a bill? - ANSNO Can you require a medical exam before someone is hired? - ANSNo, only after hire Can you use extension cords in a facility? - ANSNo Cannot hire a non-certified aide - ANSfor more than 4 months without them passing the exam. Every resident should have a physical exam at least - ANSquarterly Expenses appear on the what? - ANSprofit and loss statement or income statement Explain class 1-4 deficiencies per OBRA - ANS1. no harm, no potential for harm. 2. no harm, but potential for harm. 3. harm, but no immediate jeopardy. 4. harm and immediate jeopardy. Facilities are constructed of what material? - ANSNon-combustible material Federal regulations are published in the - ANSFederal regulations are published in the Federal Register Filing a bowl with standing warm water to wash hands is - ANSnot an acceptable practice Fire exits must be located how far from each other - ANSAs far away as practical from each other. Food must be stored how many inches off the floor? - ANS6 inches off the floor GAAP means - ANSGenerally accepted accounting principles Handrails must be how many inches from the floor on ramps and stairways? - ANS30- 34 inches High forward reach from a wheelchair is how many inches? - ANS48 HIPAA limits the exclusion period for pre-existing conditions to how many months - ANS12 Housekeeping does not clean the kitchen. Why? - ANSTo prevent cross contamination and infection from resident rooms How do you calculate adequate required living space in a resident room - ANSLiving space less the bathroom, vestuble, closet, and hallway. How do you calculate the current ratio? - ANSDividing current assets by current liabilities. How do you calculate working capital - ANSWorking capital is current assets minus current liabilities How do you report injuries OSHA? - ANSInto the summary log and supplemental log of injuries and illnesses within 6 days. If several workers are hospitalized or killed you must report within 8 hrs. How does a business pay it's payroll taxes? - ANSEmployers pay payroll taxes quarterly on form 941 How is Current Ratio calculated - ANSby dividing current assets by current liabilities How is the fire alarm activated? - ANSManually How long do you have to work for an employer to be eligible for FMLA? - ANS12 months or 1250 hrs How many compensatory hours can you accrue each year? - ANSNot more than 240 comp hours. How many days do you have to report a non-fatal accident to OSHA? - ANS7 days How many days do you have to report any injuries from a medical device? - ANS10 days How many days in advance must you prepare the menu - ANS30 days How many days notice must be given for an intent to change an existing union contract? - ANS90 days How many employees do you need to be subject to EEOA - ANS15 working: more than 20 per year How many employees do you need to be subject to the OSHA injury reporting requirement? - ANS11 employees How many employees does an employer need to have to be subject to the Age in Discrimination Act. - ANS20 employees How many fire drills do you need each year? - ANS12 per year, or all three shifts per quarter. How many years do you have to keep the OSHA medical records? - ANSfor the course of employment plus 30 years How often do businesses file taxes - ANSBusinesses (publicly traded) must file quarterly while an individual business files only annually. How often do workers have to have a physical exam? - ANSAnnual TB Test and offer Hep B Exam How often is the Balance Sheet prepared? - ANSAnnually at the year end How often must a facility be surveyed? - ANSEvery 15 months How often must all facility policies be reviewed? - ANSAnnually How often must the quality assurance committee meet? - ANSQuarterly How often must the safety committee meet? - ANSMonthly How often must your emergency plan be approved and by whom? - ANSThe facility emergency plan must be approved by the emergency management plan by the county. How soon should supplies just delivered to the facility be secured behind locked doors - ANSImmediately I have 120 residents and need 2 hours of nursing care for that day. My nurses work 8 hour shifts. How many nurses do I need to staff that day? - ANS30 nurses-120 x2 hours is equal to 240 hours divided by 8 equals 30 nurses. I spend $7100 in June on maintenance supplies. I have 100 beds with 90% occupied on average each day. Approximately how much did I spend per resident per day? - ANS$3 I spent $15,000 on food in June. I had an average of 100 residents each day that month. How much did I spend on per resident per day in June? - ANS$5 per resident per day. Identify and solving problems before they get out of hand is called what? - ANSRisk management is identifying and solving problems before they get out of hand. Purchasing insurance decrease your risks. If 3 or more workers are hospitalized or killed, how must you notify OSHA and within what time frame? - ANSMust notify OSHA within 8 hrs by Telephone If a facility had any life safety violations, which type of tag would they receive? - ANSK tag If a facility is subject only to a state survey, which type of tag would they receive? - ANSN tag or Non-Federal Tag If a facility is subject to a federal survey, what type of tag would they recieve? - ANSF or Federal Tag If a medication has a stop order- when must the nurse notify th ephysician? - ANSThe nurse must notify the physician before the last dose is administered Is communication with family between administrator privileged? - ANSIt is not privileged, or protected by law. Attorneys, doctors, and clergy do have confidential privilege and cannot be forced to disclose what you reveal to them. Is it true, the administrator must implement all recommendations of the Resident Council - ANSNo, the administrator must respond to recommendations, not required to implement them Is the employer required to pay for health insurance premiums while an employee is on FMLA? - ANSThe employer is required to pay for health insurance premiums. Is where fluid in the eye builds up pressure in the optic nerve causing intense pain and blindness. - ANSGlaucoma It cannot take more than how many lbs of pressure to operate a faucet, water fountain, or flush a toilet? - ANS5lbs of pressure Knee clearance is how many inches? - ANSat least 27 inches high, 30 inches wide, 19 inches deep under the sink. Labor costs total between ___ - ANS50 and 60%. Liabilities appear on the what? - ANSBalance Sheet Life safety code sets fire rating of buildings and was developed and published by - ANSANSI or American National Standards Institute Lighting of the means of egress must be continuous with exit floor surfaces illuminated at a level of __________________ foot candle from the __________________. - ANS1 ft from the floor. Listening intently, connecting with the speaker and acknowledging you hear their concern is called___. - ANSActive listening. Long term goals are for - ANSthree or more years Long term residents are surveyed - ANSannually Low sodium diets are for - ANShigh blood pressure Main goal of physical therapy is to - ANShelp residents live life to the fullest. Main job of activity director is to - ANSidentify interests and complete assessments Main job of the local ombudsman is to - ANSinvestigate and resolve complaints Major causes of overtime is - ANSAbsenteeism Management by objectives is where the - ANSsupervisor and worker jointly set the workers performance goals. Management by walking around would not involve______. - ANSTaking Corrective Action Marketing is concerned with - ANSFilling your beds. Medicare fraud is reported to - ANSthe office of inspector general, OIG Medicare is an insurance program for - ANSAmericans over 65 Medicare residents funds totaling less than $100 do or do not need to be placed in an interest bearing account? - ANSDo Minimum daily nursing hours are set by who? - ANSthe states with federal approval Mirrors and towel racks are mounted no more than ___ inches from floor - ANS40 inches MSDS material sheets are required by? - ANSOSHA Must close doors in a fire to contain what? - ANSSmoke Must complete a form ___ for employees receiving compensation other than regular salary - ANS1099 Must have a charge nurse on what shifts? - ANSAll three shifts (7-3,3-11,11-7) Must have a registered nurse ___ hours per day, 7 days a week. - ANS8 hrs per day Must have battery power to power the emergency lighting for how many hrs? - ANS1.5 hrs Must have one fire extinguisher every ____ square feet - ANS2,500 Must inform residents of their rights - ANSbefore and during admission. Must keep the resident chart for how many years? - ANS5 years Must keep the resident contract for how many years? - ANS5 years Must make records available for inspection within how many hours of request - ANS24 hrs Must monitory physical restraints how often? - ANS30 minutes Must notify the _____ if management changes the administrator changes of officers of the company change - ANSState Licensing Authority Must offer therapeutic activities based on a resident's _____ - ANSinterests and hobbies Must provide copies of a resident's records within how many hrs - ANS48 Must provide resident __ days notice of any changes in charges or policies. - ANS14 days advance notice of any changes Name 2 inventory valuing methods valuing methods - ANSFIFO and LIFO Name 2 revenue centers in a nursing home - ANSNursing, physical tehrapy, dietary (sells meals) Name 3 expenses in a nursing home - ANSsocial services, nursing, physical therapy, maintenance Name 3 ways food can be prepared and stored that destroys its nutritive value. - ANSOver boil in water, add baking soda, leave uncovered in the fridge. Name the 6 legal reasons to involuntarily discharge a resident against their will. - ANS1. Resident's needs can not be met by facility. 2. Health has improved to no longer need care. 3. The safety of others in the facility is in danger. 4. The health of others in the facility is endangered by resident. 5. The resident has failed to pay after notice. 6. The facility is closed. Name three types of liquid thickeners? - ANSNectar, pudding, and honey Need a ___ day qualifying stay in a hospital to be admitted to a skilled nursing facility. - ANS3 day qualifying stay Need a vote of ___of all workers to vote in a union - ANS50 percent plus one Nonprofits can or cannot pay dividends? - ANScannot NPO means - ANSnothing by mouth Nursing home placement causes anxiety because of what? - ANSThe fear of the unknown. OBRA requires how many hours of nursing aide in service each year. - ANS12 hours Schedule II drugs can or cannot be refilled without a physicians new prescription - ANSCannot Shareholders of a ___corporation are taxed as a partnership or a salary - ANS"S" corporation Sharps must be discarded - ANSimmediately after use. Short term residents should be surveyed - ANS30 days after discharge Side reach from a wheelchair is how many inches? - ANS9-54 inches Significant weight loss for 1 month is what percent? - ANS5 Significant weight loss for 3 months is what percent? - ANS7.5 Significant weight loss for 6 months is what percent? - ANS10 Sitters and private duty nurses are - ANSnot employees of the facility if they are hired by family members or residents. They must follow the rules of the facility. Skilled therapy that focuses on the lower body and strengthening weight bearing muscles is called - ANSphysical therapy Slowed reflexes is a psychological or physiological change? - ANSPhysiological Social security is a __tax - ANSpayroll Solid lines show what on an organizational chart? - ANSAuthority Some one breaks into your facility and steals 1,000 dollars, what insurance would cover you? - ANSBurglary insurance Standard Precautions deal with handling - ANSbody fluids by total body protection. STAT means - ANSimmediately STAT means - ANSimmediately State survey process is ____based? - ANSOutcome Substituting one person for another in regard to a lawful claim is called___. - ANSSubrogation is substituting one person for another in regards to a lawful claim The __ summarizes the debts and credits - ANSThe Ledger or General Ledger The ___ enforces the FLSA - ANSThe Department of Labor The ___ lists all accounts in the General Ledger - ANSThe chart of accounts lists all accounts in the General Ledger The ___is required to develop a written hazard communication policy. - ANSemployer The ___is responsible to check resident drug regimens monthly - ANSThe pharmacist consultant is responsible to verify drug records The accrual method of accountin is required by - ANSMedicare and Medicaid The administrator of a facility is considered what type of employee if they can not be paid overtime? - ANSExempt or salaried. The air in a nursing home must be changed every - ANS6 minutes The best source of new hires is - ANSa current employee The best way to evaluate a job applicant is the - ANSinterview process The budget should be reviewed how often - ANSEvery 30 days and prepared annually The CEO is sued by shareholders for mismanaging the company and losing money. Which policy will cover you? - ANSOfficers and Directors insurance will cover the facility The Civil Rights Act of 1964 prohibits discrimination on the basis of what? - ANSRace, religion, gender, color, or national origin. The complaint survey is an ____survey. - ANSAbbreviated Standard The consultant dietician is responsible for - ANSThe review of the residents' nutritional intake and weight loss and recording of their food preferences. The current ratio should be no less than 2.0 to 1.0? True or False - ANSTrue. Less than 1, indicates you have more liabilities than assets. The debt to equity ratio should be less than - ANS1 to 1 The distance from inside a resident room to the fire exit corridor cannot exceed how many feet? - ANS50 ft The distance from inside a resident's room to the outside fire exit cannot exceed how many feet? - ANS200 ft The DON is responsible for supervising - ANSthe nursing staff The door that leads from a resident room to the main hallway must be a minimum of how many inches wide? - ANS44 inches wide The emergency electrical generator must be inspected how often? - ANSWeekly The emergency generator must be tested under full load for how many minutes and how often? - ANS30 minutes each month The emergency generator must switch on within how long? - ANS10seconds The facility must make dental services available. Who is responsible for paying for these services? - ANSThe resident or the resident's family. The facility needs to provide adequate space in the dining room and spacing between tables to - ANSmaneuver around a room The fire exit doors should swing which way? - ANSSwing outward The fire rating of a building material is determined by the - ANSlife safety code The fiscal intermediary is an——-who processes Medicare and Medicaid claims - ANSInsurance company The formula to determine body weight loss is - ANSloss is divided by (the usual weight minus the actual weight) / usual weight X 100. The key to inventory control is to - ANSStandardize supplies, organize a central purchasing department, and control number of people authorized to purchase. The landing on a staircase must be a minimum of how many square ft? - ANS60 The livable space in a resident room would not include - ANSbathroom, closet, hallway The main function of personnel management is - ANSstaffing The main purpose for a resident council is - ANSto give residents a sense of control over their lives The maintenance cost of aging capital equipment justifies replacement in how many years? - ANS10 years The maximum corridor length allowed without a smoke stop is ___ feet - ANS150 ft The maximum in assets you can have and qualify or Medicaid is how much? - ANS$2000 The____ specifies time limit to bring a lawsuit. - ANSStatue of Limitations There must be a wheelchair passing lane every how many feet? - ANS200ft To determine the capability of a facility to meet short term cash needs, you would look at the ______. - ANSThe cash flow statement Toe clearance for a wheelchair is how many inches? - ANS9 inches Toilet seat for disabled must be between ___ and ___ inches high - ANS17 and 19 Topical drugs are administered - ANSfor external use only Trial subpoena requires attending at - ANSa trial to testify Two wheelchairs require how many inches to pass? - ANS60 inches Ultimate mission of a nursing home is: - ANSto provide quality resident care Under GAAP what is the entity principle? - ANSThe owner of a public corporation is separate from the company and cannot take cash from the cash register and not record the transaction. Under OBRA, the quality improvement committee must meet at least how often? - ANSQuarterly. Under respondent superior, both the employer and the employee are liable for wrongful acts of employees to third parties such as who? - ANSresidents and visitors Under the ADA, employees can be required to submit to a ______ exam relevant to their job after being hired. - ANSfitness for duty Under the Family and Medical Leave Act, an employee can take up to _____weeks of paid leave each year for certain personal and family illness situations. - ANS12 Using labor pools can substantially - ANSdecrease continuity of care. Weekend overtime wages are an operating - ANSexpense. Such as electricity bills, payroll, medical supplies, and food costs What are examples of mechanically altered food? - ANSPuree, mechanically softened What are general statements that guide thinking? - ANSPolicies What are some examples of a therapeutic diet? - ANSSoft, liquid, diabetic What are source documents under GAAP? - ANSSource documents include invoices, receipts, and cancel checks. Source documents are objective evidence of the transaction and include receipts for bills that have been paid, bills or invoices for money owed by the facility, bank statements indicating interest earned periodically.Receipt for money received by the facility each day or designated period. What are the 4 stages of a decubitis sore? - ANSThe stages of a decubitis sore 1. redness/warm to touch 2. a blister that opens with possible puss. 3. tissue loss of the upper and lower layers of the epidermis. 4. tissue loss down to the bone. What are the main symptoms of Tardives Dyskinesia? - ANSLip Smacking and Uncontrolled facial gestures What are the minimum requirements for a social worker? - ANSMust have a bachelors degree in social work and one year of experience. What are the requirements for a closet in a resident room? - ANSThe closet must have 30 x48 inch clear floor space, a clothes rack and a shelf no higher than 54 inches What are two major reasons for the increased stress nurses are experiencing in long term care? - ANSIncreased acuity and shorter resident stay What can you specifically charge a resident when providing photocopies of their records? - ANSa per page copy charge and the actual time required to copy the records. What depreciation depreciates evenly over a set period of years? - ANSStraight line depreciation What did HIPAA require when it first passed? - ANSHIPAA makes a workers insurance portable by limiting the period of time a workers new insurance company can refuse to cover a pre-existing condition to 6 months. What direction do the double doors of a fire compartment swing? - ANSIn opposite directions. What do the initials COPD stand for? - ANSChronic Obstructive Pulmonary Disease What do we mean by an employee's right to know? - ANSRelates to MSDS What do we mean by substandard care? - ANSA resident was harmed and is a class 3 or 4 violation What document summarizes the assets, liabilities, and capital (or net worth equity) on a certain date? - ANSThe balance sheet What does a citation or deficiency with a "K" denote - ANSThe facility was not in compliance with the life safety code. What does ANSI do? - ANSDevelops and publishes the American with Disabilities Act What does ANSI stand for? - ANSAmerican National Standards Institute What does CASPER stand for? - ANSCertification and survey provider enhanced reports What does CMS stand for? - ANSCenter for Medicare and Medicaid Services What does CVA stand for? - ANSCerebral Vascular Accident What does DHHS stand fro? - ANSDepartment of Health and Human Services What does FMLA stand for? - ANSFamily and Medical Leave Act What does HIPAA stand for? - ANSHealth Insurance Portability and Accountability Act What does MSDS stand for? - ANSMaterial Safety Data Sheet What does NFPA stand for? - ANSNFPA stands for National Fire Protection Association. What does OIG stand for - ANSOffice of Inspector General What does OSHA do? - ANSProtects American workers by ensuring a safe workplce What does OSHA stand for? - ANSOccupational Safety and Health Act or Administration What does palatable mean? - ANSPleasant to taste What does RACE stand for? - ANSRemove, Alert, Confine, Evacuate/Extinguish What does SMDA stand for? - ANSSafe Medical Devices Act What does the NFPA do? - ANSresearches and publishes the life safety code. It does not enforce the code. What does the OIG do? - ANSInvestigates Medicare and Medicaid Fraud What does the OSHA Bloodborne Pathogen Program require an employer to do? - ANSRequires a written plan in case of exposure. What is hemiplegia - ANSparalyzed on one side What is Hepatitis - ANSinflammation of the liver What is in each compartment of a 3 compartment sink? - ANSCompartment 1- Warm Sudsy Water 2. Clear water to rinse 3. sanitizing solution. What is it called when older inventory is used first? - ANSFIFO is first in and first out What is it called when the inventory is only counted once per year? - ANSPeriodic inventory What is loss of urine and bowel control called? - ANSIncontinence What is Maslow's most basic need in the hierarchy of needs? - ANSSelf realization What is MBMA - ANSManagement by Walking Around or Leadership that starts with Visability What is MBWA and why is it important? - ANSManagement by Walking Around is a management style and is the best way to communicate with staff. What is myocardial infarct? - ANSHeart Attack What is Nephritis - ANSInflammation of the kidneys What is paraplegia - ANSparalysis from the waist down What is plegia? - ANSParalysis What is preparation for future eventualities and uncertainties called? - ANSStrategic Planning What is procedure? - ANSA step by step description on how to implement a policy. What is quadraplegia? - ANSParalyzed from the neck down. What is Respondeat Superior - ANSmeans, hold the employer responsible for the acts of the employee What is Respondent Superior? - ANSRespondent Superior means the supervisor must respond for the inferior or servant. Or, the employer must pay for injury or damage to third person caused by employees. What is responsible for categorizing resident rights? - ANSOBRA What is the accounting equation - ANSassets equal liabilities plus shareholders equity. Assets equal liabilities plus capital What is the best recovery program for a resident who suffered a cerebrovascular accident - ANSStroke Recovery Program What is the Consistency Principle under GAAP? - ANSStates you must use the same accounting system year from year. What is the correct order of steps of annual survey? - ANSOffsite Preparation, entrance conference, sample selection, information gathering, information analysis, exit interview What is the decibel range for a hearing aide compatible telephone? - ANS12-18 What is the difference between a leader and a manager? - ANSManager maintains the status quo and resists change whereas a leader is forward thinking and understands the need to innovate, adapt, and change. What is the difference between a power of attorney and a durable power of attorney? - ANSPOA is for financial matters only, Durable POA is for financial and healthcare decisions. What is the difference between universal precautions and standard precautions? - ANSUniversal are gloves, gown, and handwashing. Standard are total body protection and include gown, face mask, gloves, and head covering. What is the Federal Employer Liability Act? - ANSSays the employee must pay for medical bills and lost time for a worker injured on the job. What is the first stage of annual survey? - ANSOffsite preparation What is the focus of the OSHA Hazard Communication standard? - ANSfocuses on the MSDS What is the last in and first out inventory? - ANSNewer inventory is used first What is the least effective way to market a facility? - ANSAdvertising in print media and TV ads What is the main cause of decubitus sore - ANSBlood supply cut off to the tissue in the skin and muscle What is the main objective of the Equal Pay Act? - ANSTo ensure that females' re paid the same wages as males in same work. What is the most common accident in a nursing home to employees? - ANSLacerations/cuts What is the most costly fringed - ANSVacation is most costly What is the most effective way for an administrator to verify what is actually going on in a facilitity? - ANSManagement by Walking Around What is the most effective way to market a facility? - ANSWord of mouth What is the number of hours between an evening meal and breakfast without a snack? - ANS14 What is the number of the form that you will receive detailing any deficiencies found during an annual or complaint survey - ANSform 2567 What is the number one reason for employee Longevity - ANSEmployee relationships with residents and co-workers. What is the only thing an employer or manager may tell workers about the benefits of a union? - ANSA manager may tell workers how they feel about a union, but they cannot say anything else or ask any questions about union participation of meetings or donate money to the union. What is the OSHA general duty clause? - ANSOSHA general duty clause requires employers to provide a safe work place. What is the primary reason you would invite the fire department to provide staff training in fire emergency measures at your facility? - ANSHave them get familiar with your building and its layout. What is the principle cause of odor in a nursing home? - ANSIncontinence What is the procedure to wash hands? - ANSApply soap fingertips to forearms, scrub under fingernails, wash under hot running water for a minimum of 20 seconds What is the purpose for the COBRA and how would it help your employees if you had to consel them upon termination of their employment and insurance benefits. - ANSCOBRA was designed to allow workers with pre-existing conditions to move from one employer to another without losing insurance coverage for pre-existing conditions. What is the purpose of life safety? - ANSThe life safety code is designed to prevent death due to structural fires What is the purpose of the MDS? - ANSRequired to maintain a continuing evaluation of each residents physical, mental, and psychosocial well-being throughout the year. When the DON requests a meeting with the administrator, this is - ANSupward communication. When two or more drugs are taken at the same time and produce unwanted side effects this is called - ANSdrug interaction When urine is accidently released when an individual sneezes or laughs, this is called... - ANSstress incontinence. When your assets are able to meet your current liabilites this is called? - ANSLiquidity Where a facility has an outside provider provide in-house dialysis, the facility must a ______ to protect resident rights? - ANSMust have a transfer agreement with each dialysis center to allow for sharing of medical information. Surveyors will demand to see that contract during survey. Where oxygen is in use in a room you are required to ____ as required by rule not law - ANSA no smoking sign outside of the room Where would corrective mistakes be made in the journals? - ANSThe general journal Where would you record prepaid expenses? - ANSThe general journal Which accident accounts for most resident injureis? - ANSFalls Which document contains rules and regulations that detail purpose and mission, corporate membership and overall financial management? - ANSBylaws Which document contains rules, regulations, and a mission statement? - ANSBylaws Which document details the name of a corporation, the officers and directors, the number and amount of stock to be issued, and how th corporation will be run? - ANSThe By-Laws Which document is filed with the state to form a corporation? - ANSThe certification of incorporation is filed with the state to form a corporation. Which document is the governance of a corporation? - ANSBy -Laws Which document or documents would include revenues, expenses, assets, liabilities, and capital? - ANSThe financial statements collectively would include these. Which document outlines job duties - ANSJob Description Which document specifies an individuals preference for use of life prolonging measures such as a tube feeding or ventilators? - ANSLiving will Which entity certifies nursing homes for Medicaid and Medicare? - ANSCMS Which entity enforces the ADA with respect to access to public buildings by the handicapped? - ANSThe Architectural Barriers Compliance Board enforces the ADA with respect to access to public buildings by the handicapped. Which entity enforces the Discrimination in pregnancy act? - ANSThe EEOC Which entity enforces the Equal Employment Opportunity Act? - ANSThe EEOC enforces the Equal Employment Opportunity Act Which entity enforces the Fair Labor Standards Act? - ANSThe Department of Labor Which entity enforces the Life SAfety Code? - ANSNFPA enforces the Life Safety Code Which entity enforces the provisions of the Americans with Disability Act? - ANSArchitectural Barriers Compliance Board Which entity enforces the SMDA - ANSFDA Which entity licenses nursing homes? - ANSThe state licenses each nursing home. Which expense is the largest expense in a nursing home - ANSlabor Which federal agency administers Medicare and Medicaid contracts - ANSThe CMS Which federal agency regulates minimum wage? - ANSFair Labor Standard Act Which federal labor law required employers to bargain collectively with unions? - ANSThe Wagner Act Which federal law created the National Labor Relations Board - ANSThe TAft Hartley Act Which federal law limits how much creditors can garnish from your paycheck? - ANSThe Consumer Credit Protection Act Which federal law prohibits discrimination against workers 40 and older. - ANSThe Age Discrimination in Employment Act Which federal law prohibits federal courts from issuing an order preventing unions from striking? - ANSThe Norris LaGuardia Act Which federal law prohibits paying for Medicare referrals? - ANSEthics in Patient Referrals Act Which federal law prohibits providers from entering into agreements with one another to set Medicare rates or to self refer to their own facilities? - ANSThe Robinson Patman Act Which federal law recognized workers right to strike? - ANSNorris LaGuardia Act Which federal law recognized workers' rights to bargain collectively. - ANSWagner Act recognized workers right to bargain collectively. Which federal law requires a Director of Nursing, Medical Director, Registered Dietitian and Consultant Pharmacist - ANSOBRA 1987 Which federal law requires a poster? - ANSOSHA, ADA, and FSLA require a poster Which Federal law requires employees to provide vacation and sick leave to employees? - ANSNone Which federal law requires employers to notify a job applicant if a consumer credit check is required? - ANSFederal Fair Credit Act Which federal law requires employers to pay their employees a minimum wage? - ANSThe Fair Labor Standards Act Which federal law requires employers to provide health insurance? - ANSnone Which federal law requires employers to provide terminated employees a certificate of coverage upon termination or seperation - ANSCOBRA Which federal law requires overtime to be paid to employees? - ANSFair Labor Standards Act Which federal law requires overtime? - ANSThe Fair Labor Standard Act Which federal law requires the employer to pay for worker on the job injuries? - ANSFederal Employer Liability Act Which federal law requires written policies and procedures to protect patient info - ANSHIPAA Which federal law specifies the requirements for handicap access to public buildings? - ANSThe Americans with Disabilities Act Which form of doing business provides the most limited liability? - ANSCorporations provide the most limited liability Which types of injuries must be reported to OSHA? - ANSAny injuries that require medical attention or lost time. Who can act in place of an attending physician in an emergency? - ANSThe Medical Director Who can dispense medication? - ANSOnly a pharmacist Who can prescribe a therapeutic diet? - ANSOnly a p Who can prescribe skilled therapy? - ANSOnly a physician can Who can supervise feeding assistants in a nursing home? - ANSA licensed nurse (RN or LPN) Who determines the hazards of a product and prints the MSDS? - ANSThe manufacturer Who do you report injuries to in relation to a medical device? - ANSThe FDA and the manufacturer Who enforces HIPAA violations? - ANSOCR Office of Civil Rights Who enforces OSHA? - ANSOccupational Safety and Health Administration Who enforces the rehabilitation act of 1973? - ANSEEOC Who has responsibility for the day to day operations of a nursing home? - ANSGoverning Body Who has ultimate legal responsibility for the operation of a nursing home? - ANSGoverning Body Who hires the staff in a nursing home? - ANSThe governing body does not hire staff, most of the time it is done by department heads. Who is responsible to ensure drug records are in order and accounted for? - ANSConsultant pharmacist Who is responsible to ensure residents rights are respected? - ANSThe administrator Who is responsible to implement resident care policies in a SNF? - ANSThe medical director is responsible to implement resident care policies. Who is the corporate compliance officer in a nursing home? - ANSThe administrator Who must approve and implement resident care policies? - ANSMedical director must implement resident care policies. Who must approve bargaining units? - ANSThe National Labor Relations Board Who must approve resident care policies? - ANSThe medical director Who must approve the budget for a nursing home? - ANSGoverning Body Who must approve your fire plan and how often? - ANSThe local fire department must approve your fire plan annually. Who must attend the quality assurance committee meeting? - ANSThe DON, a physician, three staff members, NHA does not have to attend. Who must be notified in the event of a significant change in a resident's condition? - ANSThe attending physician, resident and legal rep Who must determine if a job applicant requires special accommodation under th eADA? - ANSA physician must determine if a job applicant requires special accommodation under the ADA. Who must develop the mission statement for a nursing home? - ANSGoverning Body Who must implement facility policies in a nursing home? - ANSGoverning Body Who must make the critical decision for a nursing home? - ANSGoverning Body Who must prepare the menu? - ANSA registered dietician Who must store and record drugs self administered by residents? - ANSNursing staff Who must supervise union elections? - ANSNational Labor RElations Board Who requires a safety committee - ANSOSHA Who requires nursing home staff to use universal precautions? - ANSOSHA Who requires overtime to be paid? - ANSThe Fair Labor Standards Act Who would exercise the rights of a person declared incompetent by a court? - ANSA legally responsible person, or guardian Why do we have policies for everything we do in a nursing home? - ANSTo provide guidance to staff to allow the facility to run 24hrs a day even when managers are not physially present in th ebuildign. With a snack, how many hours can pass between snack and breakfast? - ANS16 hrs Within how many days does the I-9 need to be completed from the date of hire? - ANS3 days Within how many days must a facility submit a plan of correction in response to any allegations of deficiencies? - ANS10 days from the receipt of the report of deficiencies. Within how many days of the survey team exiting a facility and completing a survey must the facility receive a report of the results of compliance survey? - ANS10 days Work orders must include what? - ANSLocation, problem. and authorized signature Work should be assigned to staff based on - ANSindividual abilities Worker's Compensation premiums are based on - ANSHow many employees are collecting Worker's Compensation benefits Working capital is calculated by - ANSWorking capital equals current assets minus current liabilities You have how many days to file a request for an administrative hearing to dispute a citation? - ANS10 days You must enter all recordable injured into the OSHA summary log of occupational injuries and illnesses within how many days? - ANS7 days You must have how many days of emergency food - ANS7 You must keep the menu for how many days? - ANS30 days