Nursing Home Management and Compliance: A Guide for Administrators, Exams of Nutrition and Aging

Download Nursing Home Management and Compliance: A Guide for Administrators and more Exams Nutrition and Aging in PDF only on Docsity! NHA and Core Exam 409 Questions with Verified Solutions 2024 Update. 1. The ___ has the ultimate legal responsibility for the OPERATION of a nursing facility. - Correct answer Governing Body 2. Per OBRA 1987, air temp is measured where in a building..? - Correct answer just above the floor 3. Per OBRA 1987, a resident has the right to review all their records within ___ of an oral or written request. - Correct answer 24 hours 4. HHS stands for - Correct answer Health and Human Services 5. The ___ has the legal responsibility to adopt and implement facility policies. - Correct answer Governing Body 6. Centralizing decision making to improve customer service is NOT an element of _____. - Correct answer Total Quality Management TQM 7. Everything must be elevated ___ inches above the floor - Correct answer 6 inches 8. ___ is the most comprehensive and effective improvement model - Correct answer Total Quality Management 9. Adding baking soda to food will primarily affect its - Correct answer Nutritional value 10.The resident's quality of life and physical condition is the focus of a. Structure b. Process c. Outcomes d. All of the above - Correct answer Outcomes 11.The emergency generator must be VISUALLY inspected and checked how often... - Correct answer weekly 12.Administrators consult ___ to compare outcomes to expectations - Correct answer Policies and plans of action 13.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. - Correct answer Level 3 14.Parking spaces must be at least ___" wide with an accessible handicap aisle at least ___" wide - Correct answer 96; 60 15.NFPA stands for - Correct answer National Fire Protection Association 16.The emergency generator must be run under full load for ___ every ___ - Correct answer 30 minutes every month 17.The fire alarm can be silenced during a fire drill conducted between the hours of ____ and _____ - Correct answer 10pm and 6am 18.The Americans with Disabilities Act construction standards were developed by - Correct answer ANSI 19.A mechanism to monitor consumer satisfaction and address other concerns is called - Correct answer Grievance procedure 20.The nursing home survey inspection process focuses on - Correct answer Outcomes 21.The finding of substandard care requires the survey team to have evidence of ___ - Correct answer immediate jeopardy to resident care that has or likely will cause serious injury or death 22.A ___ tag would indicate substandard care was found. - Correct answer F377 J 23.____ has the least impact on influencing a resident or their family member in choosing a facility. - Correct answer Media ads 24.The key consideration in determining the minimum level of staffing in a nursing facility is ___ - Correct answer Patient acuity levels 25.A parking lot with 100 parking spaces would require how many handicap accessible parking spots - Correct answer 4 26.A violation with no more than minimal physical, mental or psychological discomfort is a ___ deficiency - Correct answer Level 2 27.The nosing of a stair must project no more than... - Correct answer 1 & 1/2” 28.Smoke detectors must be located no further than ___ feet apart and no more than ___ feet from any wall - Correct answer 30; 15 29.A passenger loading zone must be at least ___" wide and ___" long - Correct answer 60 and 20 64.A low temp dishwasher uses hot water at _____ and bleach at _____ ppm - Correct answer 120 degrees and 50 ppm of bleach 65.The facility safety committee must meet at least ___ to discuss unsafe practices and behaviors, analyze reports and identify prevention measures - Correct answer monthly 66._____ protects workers from injury from unexpected hazardous energy discharge by the use of energy isolating devises - Correct answer Lockout/tag out 67.OSHA log ____ is a summary of all employee illnesses and injuries - Correct answer 300 68.Employers post year end summary of illnesses and injuries on OSHA form number - Correct answer 300A 69.Employers with __ or more employees must maintain a record of occupational illnesses and injuries - Correct answer 11 70.Employers must report to OSHA fatal or serious injuries involving __ or more employees within ___. - Correct answer 3 8 hours 71.Protein is not a carbohydrate, true or false? - Correct answer True 72.AN EYE CONDITION IN WHICH FLUID PRESSURE BUILDS UP INSIDE THE EYE - Correct answer GLAUCOMA 73.A respiratory condition where the lung tissue loses elasticity and the lungs cannot properly expand and deflate, causing breathing problems is called - Correct answer Emphysema 74.The ___ must determine if a resident requires isolation - Correct answer Physician 75.All employee injuries that require medical attention or loss of time must be entered into the OSHA log within ___ - Correct answer 7 days 76. If a resident was injured from a defective wheelchair, the administrator must notify the ___ and the manufacturer with ___ days - Correct answer FDA 10 77.An OSHA violation must be posted at site of violation a minimum of ____ - Correct answer 3 working days 78.NPO - Correct answer nothing by mouth 79.A facility must maintain a __ day emergency food supply per OBRA 1987 - Correct answer 3 day 80.Travel distance from within any resident room to an exit access door must not exceed - Correct answer 200 ft. 81.Both eyes are abbreviated as - Correct answer OU 82.Nighttime is abbreviated as - Correct answer HS 83. 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? - Correct answer True 84.Required knee clearance under tables, sinks and countertops - Correct answer 19" 85.Under FLSA, a worker cannot accrue more than ___ hours of compensatory time in a single year - Correct answer 240 86.The Civil Rights Act of 1964 is enforced by the - Correct answer EEOC 87.Under the Civil Rights Act of 1964, employers cannot discriminate on the basis of - Correct answer Race, color, gender, religion and national origin 88.Under the Consumer Credit Protection Act of 1968, creditors may garnish workers' wages not more than ___ of disposable income or where disposable income is ___ the federal minimum wage - Correct answer 25%, 30 times 89.Terminated workers are entitled to ___ weeks or unemployment benefits - Correct answer 26 90.The Age Discrimination in Employment Act applies to employers with ___+ employees and workers ___ years and over - Correct answer 20 40 91.The Age in Discrimination in Employment Act protects workers ___ years and older - Correct answer 40 92.The ___ is used to verify a worker's citizenship status - Correct answer I-9 Form 93.The ___ prohibits financial alliances between nursing homes - Correct answer Robinson Pitman Act 94.A complaint for violations of the EEOA is filed with the ___ - Correct answer EEOC 95.The ___ represents most works in the nursing home industry - Correct answer SEIU 96.The ___ is used to plan and control facility operations and results - Correct answer Budget 97.The ___ prepares the financial statements - Correct answer Accountant 98.The ___ is used to record transactions that do not fit into any other journal - Correct answer General journal 99.The ___ summarizes all debits and credits - Correct answer General ledger 100. The accounting equation is ___ - Correct answer Assets = liabilities + capital 101. If the administrator wants to know if the facility made money, they should look at - Correct answer Profit/loss statement or the income statement 102. One-time costs of acquiring an asset (purchase price, taxes, shipping, delivery) are called - Correct answer Historic costs 103. An expense associated with the use of an asset is called ________. - Correct answer depreciation 104. The amount on the balance sheet representing ownership would not include - Correct answer Revenue 105. Capital would not include - Correct answer Gross income 106. To determine if revenues are sufficient to cover expenses, you would review the - Correct answer Profit/loss statements 107. Operating revenues prior to deductions are called - Correct answer Gross Operating Revenues 108. To calculate the value of an investor’s investment in a business you need to look at the - Correct answer Balance sheet 109. Acid Test Ratio is used to calculate funds available in a few days to pay current liabilities and is expressed as - Correct answer Cash and current receivables dived by current liabilities 110. An administrator would refer to the ___ to determine if revenues were sufficient to cover expenses - Correct answer profit/loss statement and income statement 143. Per Title XIX of the Social Security Act, menus for food actually served residents must be retained for ___ days - Correct answer 30 144. Management by Walking Around is a concept developed by - Correct answer Peters 145. After a comprehensive assessment is done, a comprehensive care plan is due within ___ days - Correct answer 7 146. Coordination primary deals with unifying the ___ of people - Correct answer efforts 147. The primary purpose of a ___ budget is to provide a method for ongoing study and control - Correct answer operating 148. The fire rating of building materials is established by ___ - Correct answer the life safety code 149. Medicaid would not cover individual’s ___ - Correct answer disabled 150. Destroying paper records of purchases made by the facility would violate the ____ principal - Correct answer Objective evidence 151. Changing a company's fiscal year from Jan 1 to June 30 is an example of violating the ___ principal - Correct answer Time period 152. A summary of a facilities wellbeing is reflected in the ___ - Correct answer Balance sheet 153. Money invested in a facility is called ___ - Correct answer Capital 154. When errors are discovered in other journals, they can be corrected in the - Correct answer General journal 155. Per GAAP, the ___ does not need to be distributed to investors - Correct answer Chart of accounts 156. The ___ would show the ending balance of the revenue and expense accounts - Correct answer Income statement 157. Subtracting current liabilities from current assets would tell you the facilities - Correct answer Working capital 158. In an administrator wanted a statement of the financial condition of a facility at year's end, the administrator would consult the - Correct answer balance sheet 159. A facility must maintain all resident assessments completed within the previous _______ months of the residents' active record. - Correct answer 15 160. Within ___ days of completing an assessment the facility must electronically transmit the assessment data to the state - Correct answer 7 161. Protecting residents and staff from accidental or inadvertent electrical discharge from electrical outlets and devises is the purpose of the ___ - Correct answer Lock out/tag out 162. CIO stands for - Correct answer Congress of Industrial Organizations 163. PHS stands for - Correct answer Public Health Service 164. A facility needs a minimum of ___ square feet in a semi private room for 2 residents - Correct answer 160 165. The width required for 2 wheelchairs to pass is ___ - Correct answer 60 inches 166. The automatic smoke and fire detection systems must be connected to each other ___ - Correct answer electronically 167. FICA stands for - Correct answer Federal Insurance Contributions Act 168. SMDA stands for - Correct answer Safe Medical Devises Act 169. The most common cause of pressure sores in ___ - Correct answer shearing and friction 170. A major cause of malnutrition in nursing home residents is ___ - Correct answer poor dentition 171. A full time social worker is required in a facility with ___ or more beds - Correct answer 121 172. The federal government matches state Medicaid expenditures ranging from - Correct answer 50% to 83% 173. Class D fire extinguishers are used for - Correct answer metals such as magnesium and titanium 174. Class a fire extinguishers are used for - Correct answer burning paper, lumber, cardboard and plastics 175. Class C fire extinguishers are used for - Correct answer electrical appliances, outlets and power tools 176. Class B fire extinguishers are used for - Correct answer combustible or flammable liquids such as kerosene and gasoline 177. A court appointed guardian is also called a - Correct answer conservator 178. Allegations of Medicare fraud would be reported to the ___ - Correct answer OIG (Office of Inspector General) 179. Aside from the required survey, which of the following would not trigger an abbreviated standard survey? - Correct answer Change in Medical Director 180. Nursing homes much follow the Life Safety Code of which year? - Correct answer 2012 181. The RAI is now called the - Correct answer CAA (Care Area Assessment) 182. How many CAA triggers are there? - Correct answer 20 183. Under new CMS regulations, nursing home are now required to integrate actual payroll and census data into required reporting to the CMS. What is this system called? - Correct answer Payroll Based Journal 184. The payroll based journal must be submitted to CMS every ___ - Correct answer Quarter 185. Individuals, corporations, the surrounding community or governmental entities who are directly affected by the actions taken by a business are known as - Correct answer Stakeholders 186. Employees, residents, family members, and corporate managers or owners are called - Correct answer internal stakeholders 187. Hospital case managers, referring physicians, the surrounding community and state surveyors are called - Correct answer External stakeholders 188. No more than __ hours can pass between dinner and breakfast - Correct answer 14 hours 189. No more than __ hours can pass between dinner and breakfast if residents have a snack - Correct answer 16 hours 190. A facility can extend the time between meals if it is approved by - Correct answer a resident group 223. A device that measures the electrical functioning of the heart muscle is called - Correct answer EKG 224. Feeding assistants must be supervised by an - Correct answer RN and LPN 225. An indwelling catheter should be changed every ___ days - Correct answer 30 226. If surveyors find substandard care during an annual survey the facility will be subject to - Correct answer an extended survey 227. The RAI consists of - Correct answer RAPs, Utilization Guidelines and MDS 228. ___ uses the social environment as treatment - Correct answer Milieu therapy 229. A contractor hired by a nursing home to input MDS data into the MDS data system would be bound by - Correct answer Medicare and Medicaid rules 230. Per the IRS, employee tax records must be kept for - Correct answer 4 years 231. The national standard to budget housekeeping staff to clean a facility is one hour of staff time per ___ square feet - Correct answer 1000 232. Cash flow will be improved if there is a decrease in - Correct answer accounts receivables 233. The NFPA does not enforce the - Correct answer life safety code 234. When the supervisor and the employee jointly set goals, this is an example of - Correct answer Management by objectives 235. A facility must clean a minimum of __ Ibis of clothing, bedding and linen per resident per day - Correct answer 10 236. A Medicaid resident receiving $1500 a month in Social Security pension is within ___ of losing their Medicaid eligibility - Correct answer $360 237. An occupational therapist can serve as an activity director of a nursing home, true or false? - Correct answer True 238. The process in which an administrator can contest in writing a citation for non-compliance? - Correct answer Informal dispute resolution process 239. Which management style provides least direction and support to staff? - Correct answer Delegation 240. Nursing facilities must file a request for formal dispute resolution within how many days of receiving deficiencies - Correct answer 20 241. Reality orientation is most appropriate for residents who have ___ stage dementia - Correct answer early 242. The best investment vehicle for funds that must remain liquid is usually a ___ - Correct answer Money Market Fund (MMF) 243. The safety program in a nursing home would fall under the ___ program - Correct answer Risk management 244. A resident has a right to request their clinical records and receive them in __ hours (excluding weekends and holidays) - Correct answer 24 245. A nursing facility must offer its employees ___ insurance - Correct answer Unemployment 246. Transmission difficulties, premature evaluations and filtering are all forms of ____ barriers - Correct answer communication 247. On balance sheets of nonprofit companies, which of the following are most often listed as restricted net assets - Correct answer donor imposed restrictions 248. Controlled drugs must be stored in their original containers and placed under ___ protection - Correct answer double lock 249. A document that summarizes the financial position of a nursing facility at a particular point in time is known as ___ - Correct answer balance sheet 250. When an administrator takes steps to resolve a deficient situation this is called - Correct answer controlling quality 251. Subpoena duke’s talcum - Correct answer an order to appear with evidence 252. Marketing of healthcare is a new trend that focuses on the recognition of the provision of health care services and is increasingly becoming a - Correct answer buyers’ market 253. Normal psychological aging in the elderly would not include - Correct answer loss of memory 254. Sensitivity training has not proven to be effective for residents with ___ - Correct answer Dementia 255. Who is responsible for the implementation of resident care policies? - Correct answer Medical director 256. Does FMLA provide leave for a sick sibling? - Correct answer No 257. The main purpose of a ____ program is to reduce occurrences that may result in legal action against the facility - Correct answer Risk Management 258. If a resident requests copies of records from their chart on Friday, when is the soonest staff must provide them those copies? - Correct answer Tuesday 259. A nurse aide cannot work more than ___ months without completely their state certification. - Correct answer 4 260. Under the FLSA, minors under 16 years of age must - Correct answer Obtain temp work permit from the department of labor 261. What is a mission statement? - Correct answer the purpose of a corporation 262. Which organization developed the standards for the Life Safety Code? - Correct answer NFPA 263. A Union must give how many days’ notice before a strike? - Correct answer 10 days 264. Which federal law governs union elections? - Correct answer Taft Hartley 265. Title 18 of Social Security Act is the __ program - Correct answer Medicare 266. If a union wishes to renegotiate a contract with an employer it must notify the employer within how many days of the expiration date? - Correct answer 90 267. Which of the following determines the number of fire drills each year in a nursing home? - Correct answer Life safety code 268. The emergency electrical generators must switch on within ___ seconds of a loss of power - Correct answer 10 300. Where an individual makes a written statement that hurts another person’s reputation, this is called - Correct answer Libel 301. Which of the following would not have the power to make healthcare decisions for a resident who lacks capacity? - Correct answer Power of attorney 302. A complaint survey is a ___ survey - Correct answer Abbreviated standard 303. Liabilities that will be paid within 16 months are - Correct answer Non- current liabilities 304. Which of the following forms is the CMS resident census form? - Correct answer HCFA form 672 305. You must have emergency battery power for at least ___ hours - Correct answer 1 & 1/2 306. ___ 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 - Correct answer Robinson Pitman Act 307. Which of the following is best suited for residents with mild dementia? - Correct answer Reality orientation 308. Which of the following is the correct footage for a semi-private room? - Correct answer 320 (160 square feet) 309. Must report the death or hospitalization of 3+ employees to OSHA by which of the following methods? - Correct answer Calling OSHA within 8 hours 310. What reports do surveyors look yam from OSCAR prior to survey? - Correct answer CASPER reports 3 and 4, QI report 311. With E-verify, an employer can verify a job applicants citizenship status within - Correct answer Seconds 312. Employee time cards must be retained for __ years - Correct answer 2 313. The air in a nursing home must be changed every ___ minutes - Correct answer 6 314. Under OBRA, a Medicaid resident is entitled to ___ days of paid leave for hospitalization - Correct answer 14 315. Under OBRA, a Medicaid resident is entitled to __ days of paid leave for therapeutic leave - Correct answer 5 316. The wash cycle of a hot water dishwasher is ___ degrees - Correct answer 150 317. 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 - Correct answer 170 318. If a resident in rehab is not walking, the resident should be offered a ___ - Correct answer Walker 319. The attending physician must visit their nursing home patients how often - Correct answer Every 30 days for first 90 days and then 60 days thereafter 320. A ___ would have interest in the financial wellbeing of a company - Correct answer Shareholder 321. Accounts receivables over 69 days past due must not exceed __% of all accounts receivables - Correct answer 5% 322. What is the best method to control monetary risks in a nursing home? - Correct answer Purchase insurance 323. Which two management styles are most effective? - Correct answer MBO & MBWA 324. Must notify residents within ___ days of any change in laws, facility policies or changes in charges? - Correct answer 14 325. Which federal law requires an I-9 form? - Correct answer Immigration Reform Act 326. Which management type would be most effective for physicians, nursing and social workers? - Correct answer Paternal 327. What percentage of residents must be interview able to participate in surveyors interviews of facility residents? - Correct answer 50% 328. If a CEO or director is sued, which insurance would cover the liability? - Correct answer Officers and directors insurance 329. Where a manager and staff get together and jointly decide priorities to be worked on, this is called ____ - Correct answer Management by objectives 330. The ____ has the ultimate legal responsibility of a nursing home - Correct answer governing body 331. The ombudsman must have patient consent to access their medical records, true or false? - Correct answer True 332. The ___ is responsible to review and implement resident care policies and coordinate the medical care in a facility - Correct answer Medical director 333. ____ % 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 - Correct answer 30% 334. Nursing home must have hearing aide compatible phones with volume control that can adjust the volume between a minimum of ___ and a maximum of ___ decibels above normal - Correct answer 12 18 335. Must limit travel in a smoke compartment barrier to ___ feet - Correct answer 200 ft. 336. A broad statement of goals is a ___ - Correct answer policy 337. NFPA stands for - Correct answer National Fire Protection Association 338. Nosomical is a - Correct answer (of a disease) originating in a hospital 339. An interview where the interviewer allows the individual to expand upon their comments in response to questions provided to them without the interviewer restricting the scope of their response is called - Correct answer Non-directive interview 340. Depreciation is a ___ expense - Correct answer operating 341. Physician visits are required every ___ days for the first 90 days from date of admission and then every ___ days thereafter - Correct answer 30 60 342. A blister filled with pus and the loss of skin and dermis is a stage ___ decubitus sore - Correct answer 2 343. Two doors separating two fire areas in a horizontal exit must be _______ in. wide each. - Correct answer 41.5" 344. A debt to pay an obligation is called a - Correct answer bond 345. At least one exit from each floor or fire section must lead directly ___ - Correct answer to the outside 377. ___ measures the purchasing power of worker paychecks and is used to determine a cost of living adjustment for workers. - Correct answer CPI (Consumer Price Index) 378. Medicare Part __ pays for drugs outside of an inpatient setting - Correct answer Part D 379. The DON is considered ___ management - Correct answer middle 380. Prepaid insurance is what type of expense? - Correct answer indirect expense 381. Except for the bathroom door, all doors must be __ inches wide? - Correct answer 44 382. Medical records belong to the ___ - Correct answer facility 383. PRN stands for: - Correct answer pro re anta meaning as needed, or as the occasion arises 384. A gradual loss of hearing in the elderly resulting in total hearing loss is called - Correct answer Presbycusis 385. Low blood pressure is called ____ 386. High blood pressure is called ____ - Correct answer Hypotension; Hypertension 387. The main criteria for a lawful selection process is whether ___ occurred - Correct answer adverse impact 388. The suffix "tom" means - Correct answer incision 389. What is the width of a single wheelchair? - Correct answer 30 inches 390. If a union had a complaint against an employer, it would file the complaint with which of the following? - Correct answer National Labor Relations Board 391. Who is responsible for ensuring that resident rights are respected by the staff? - Correct answer Administrator 392. The administrator beings work when the owners or governing body set forth the ___ for the organization? - Correct answer Mission Statement 393. A medication order not specifically limiting the time or number of doses must be _____ - Correct answer automatically stopped 394. The dietitian must be registered with the ____ - Correct answer American Dietetic Association 395. Which federal law sets the standards for overtime and minimum wage? - Correct answer Fair Labor Standards Act 396. Which federal law establishes adverse impact as the current standard for discrimination in employment? - Correct answer EEOA 397. Another name for a prescription drug is a - Correct answer legend drug 398. Exercising limited authority or a specific restricted function is called - Correct answer Functional 399. What two ratios tell you how much the facility has available immediately to pay urgent bills? - Correct answer Quick ratio and the acid test ratio 400. What does ANSI consider the amount necessary for wheelchair clearance? - Correct answer 36" 401. Constant thirst and need for urination are symptoms of ___ - Correct answer diabetes mellitus 402. The main function of risk management is to - Correct answer reduce money losses 403. Which of the following is an anti-psychotic side effect? - Correct answer Hallucination 404. The facility must inform residents when their account gets within ___ of their SSI - Correct answer $200 405. The primary purpose of medical records is - Correct answer provide for continuity of care 406. A resident has the right to copies of their medical records within what time frame? - Correct answer 48 hours (excluding weekends and holidays) 407. A request to inspect resident records or to get copies must be submitted by the resident either ______ - Correct answer orally or in writing 408. A railing in a stairway must be between __ and __ inches - Correct answer 34 38 409. How long after a survey would the next one be? - Correct answer 9-15 months 410. Strategic planning takes ___ years - Correct answer 3-5