Understanding Nursing Home Regulations and Financial Management, Exams of Interpreting and Translation

Download Understanding Nursing Home Regulations and Financial Management and more Exams Interpreting and Translation in PDF only on Docsity! NHA and Core Exam 4 09 Questions with Verified Solutions 2024 Update. The ___ has the ultimate legal responsibility for the OPERATION of a nursing facility. - Correct answer Governing Body Per OBRA 1987, air temp is measured where in a building..? - Correct answer Just above the floor Per OBRA 1987, a resident has the right to review all their records within ___ of an oral or written request. - Correct answer 24 hours HHS stands for - Correct answer Health and Human Services The ___ has the legal responsibility to adopt and implement facility policies. - Correct answer Governing Body Centralizing decision making to improve customer service is NOT an element of _____. - Correct answer Total Quality Management TQM Everything must be elevated ___ inches above the floor - Correct answer 6 inches ___ is the most comprehensive and effective improvement model - Correct answer Total Quality Mangement Adding baking soda to food will primarily affect its - Correct answer Nutritional value 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 The emergency generator must be VISUALLY inspected and checked how often.. - Correct answer weekly Administrators consult ___ to compare outcomes to expectations - Correct answer Policies and plans of action 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 Parking spaces must be at least ___" wide with an accessible handicap aisle at least ___" wide - Correct answer 96; 60 NFPA stands for - Correct answer National Fire Protection Association The emergency generator must be run under full load for ___ every ___ - Correct answer 30 minutes every month The fire alarm can be silenced during a fire drill conducted between the hours of ____ and _____ - Correct answer 10pm and 6am The Americans with Disabilities Act construction standards were developed by - Correct answer ANSI A mechanism to monitor consumer satisfaction and address other concerns is called - Correct answer Grievance procedure The nursing home survey inspection process focuses on - Correct answer Outcomes 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 A ___ tag would indicate substandard care was found. - Correct answer F377 J ____ has the least impact on influencing a resident or their family member in choosing a facility. - Correct answer Media ads The key consideration in determining the minimum level of staffing in a nursing facility is ___ - Correct answer Patient acuity levels A parking lot with 100 parking spaces would require how many handicap accessible parking spots - Correct answer 4 A violation with no more than minimal physical, mental or psychological discomfort is a ___ deficiency - Correct answer Level 2 The nosing of a stair must project no more than... - Correct answer 1 & 1/2 " Smoke detectors must be located no further than ___ feet apart and no more than ___ feet from any wall - Correct answer 30; 15 A passenger loading zone must be at least ___" wide and ___" long - Correct answer 60 and 20 The force required to open all doors, flush toilet and operate water fountain cannot exceed ___ Ibs of pressure - Correct answer 5 Ibs _____ protects workers from injury from unexpected hazardous energy discharge by the use of energy isolating devises - Correct answer Lockout/tagout OSHA log ____ is a summary of all employee illnesses and injuries - Correct answer 300 Employers post year end summary of illnesses and injuries on OSHA form number - Correct answer 300A Employers with __ or more employees must maintain a record of occupational illnesses and injuries - Correct answer 11 Employers must report to OSHA fatal or serious injuries involving __ or more employees within ___. - Correct answer 3 8 hours Protein is not a carbohydrate, true or false? - Correct answer True AN EYE CONDITION IN WHICH FLUID PRESSURE BUILDS UP INSIDE THE EYE - Correct answer GLAUCOMA 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 The ___ must determine if a resident requires isolation - Correct answer Physician All employee injuries that require medical attention or loss of time must be entered into the OSHA log within ___ - Correct answer 7 days If a resident was injured from a defective wheelchair, the administrator must notify the ___ and the manufacturer with ___ days - Correct answer FDA 10 An OSHA violation must be posted at site of violation a minimum of ____ - Correct answer 3 working days NPO - Correct answer Nothing by mouth A facility must maintain a __ day emergency food supply per OBRA 1987 - Correct answer 3 day Travel distance from within any resident room to an exit access door must not exceed - Correct answer 200 ft. Both eyes are abbreviated as - Correct answer OU Nighttime is abbreviated as - Correct answer HS 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 Required knee clearance under tables, sinks and countertops - Correct answer 19" Under FLSA, a worker cannot accrue more than ___ hours of compensatory time in a single year - Correct answer 240 The Civil Rights Act of 1964 is enforced by the - Correct answer EEOC Under the Civil Rights Act of 1964, employers cannot discriminate on the basis of - Correct answer Race, color, gender, religion and national origin 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 Terminated workers are entitled to ___ weeks or unemployment benefits - Correct answer 26 The Age Discrimination in Employment Act applies to employers with ___+ employees and workers ___ years and over - Correct answer 20 40 The Age in Discrimination in Employment Act protects workers ___ years and older - Correct answer 40 The ___ is used to verify a worker's citizenship status - Correct answer I-9 Form The ___ prohibits financial alliances between nursing homes - Correct answer Robinson Patman Act A complaint for violations of the EEOA is filed with the ___ - Correct answer EEOC The ___ represents most works in the nursing home industry - Correct answer SEIU The ___ is used to plan and control facility operations and results - Correct answer Budget The ___ prepares the financial statements - Correct answer Accountant The ___ is used to record transactions that do not fit into any other journal - Correct answer General journal The ___ summarizes all debits and credits - Correct answer General ledger The accounting equation is ___ - Correct answer Assets = liabilities + capital If the administrator wants to know if the facility made money, they should look at - Correct answer Profit/loss statement or the income statement One-time costs of acquiring an asset (purchase price, taxes, shipping, delivery) are called - Correct answer Historic costs An expense associated with the use of an asset is called ________. - Correct answer depreciation The amount on the balance sheet representing ownership would not include - Correct answer Revenue Capital would not include - Correct answer Gross income To determine if revenues are sufficient to cover expenses, you would review the - Correct answer Profit/loss statements Operating revenues prior to deductions are called - Correct answer Gross Operating Revenues To calculate the value of an investors investment in a business you need to look at the - Correct answer Balance sheet 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 An administrator would refer to the ___ to determine if revenues were sufficient to cover expenses - Correct answer profit/loss statement and income statement If a court determines a resident is incapable of making their own decisions the court would appoint a ___ to handle their affairs - Correct answer Guardian Lighting of the means of egress must be continuous with exit floor surfaces illuminated ag the levels of ___ foot candle light from the floor - Correct answer 1 foot I'm case of a fire, the primary purpose of closing doors is to ___ - Correct answer Contain the smoke Insurance that protects the facility from employee accidents - Correct answer Professional liability insurance Medicaid would not cover individuals ___ - Correct answer disabled Destroying paper records of purchases made by the facility would violate the ____ principal - Correct answer Objective evidence Changing a company's fiscal year from Jan 1 to June 30 is an example of violating the ___ principal - Correct answer Time period A summary of a facilities well being is reflected in the ___ - Correct answer Balance sheet Money invested in a facility is called ___ - Correct answer Capital When errors are discovered in other journals, they can be corrected in the - Correct answer General journal Per GAAP, the ___ does not need to be distributed to investors - Correct answer Chart of accounts The ___ would show the ending balance of the revenue and expense accounts - Correct answer Income statement Subtracting current liabilities from current assets would tell you the facilities - Correct answer Working capital 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 A facility must maintain all resident assessments completed within the previous _______ months of the residents' active record. - Correct answer 15 Within ___ days of completing an assessment the facility must electronically transmit the assessment data to the state - Correct answer 7 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 CIO stands for - Correct answer Congress of Industrial Organizations PHS stands for - Correct answer Public Health Service A facility needs a minimum of ___ square feet in a semi private room for 2 residents - Correct answer 160 The width required for 2 wheelchairs to pass is ___ - Correct answer 60 inches The automatic smoke and fire detection systems must be connected to eachother ___ - Correct answer Electronically FICA stands for - Correct answer Federal Insurance Contributions Act SMDA stands for - Correct answer Safe Medical Devises Act The most common cause of pressure sores in ___ - Correct answer shearing and friction A major cause of malnutrition in nursing home residents is ___ - Correct answer poor dentition A full time social worker is required in a facility with ___ or more beds - Correct answer 121 The federal government matches state Medicaid expenditures ranging from - Correct answer 50% to 83% Class D fire extinguishers are used for - Correct answer metals such as magnesium and titanium Class A fire extinguishers are used for - Correct answer burning paper, lumber, cardboard and plastics Class C fire extinguishers are used for - Correct answer electrical appliances, outlets and power tools Class B fire extinguishers are used for - Correct answer combustible or flammable liquids such as kerosene and gasoline A court appointed guardian is also called a - Correct answer conservator Allegations of Medicare fraud would be reported to the ___ - Correct answer OIG (Office of Inspector General) Aside from the required survey, which of the following would not trigger an abbreviated standard survey? - Correct answer Change in Medical Director Nursing homes much follow the Life Safety Code of which year? - Correct answer 2012 The RAI is now called the - Correct answer CAA (Care Area Assessment) How many CAA triggers are there? - Correct answer 20 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 The payroll based journal must be submitted to CMS every ___ - Correct answer Quarter 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 Employees, residents, family members, and corporate managers or owners are called - Correct answer Internal stakeholders Hospital case managers, referring physicians, the surrounding community and state surveyors are called - Correct answer External stakeholders No more than __ hours can pass between dinner and breakfast - Correct answer 14 hours No more than __ hours can pass between dinner and breakfast if residents have a snack - Correct answer 16 hours A facility can extend the time between meals if it is approved by - Correct answer a resident group The facility must do a pain assessment for each resident how often? - Correct answer Quarterly A resident in restraints must be released from their restraints for how many minutes? - Correct answer 10 A specific law that mandates an employer is responsible for work related injuries and lost time for their employees is called - Correct answer The Federal Employer Liability Act A concept recognized in civil law that an employer is responsible for the acts of their employees where their parties are injured is called - Correct answer Respondent Superior The American Health Care Association is the national association that advocates for - Correct answer For-profit health care organizations The system responsible for circulating blood throughout the body is called the - Correct answer Cardiovascular system When the supervisor and the employee jointly set goals, this is an example of - Correct answer Management by objectives A facility must clean a minimum of __ Ibs of clothing, bedding and linen per resident per day - Correct answer 10 A medicaid resident receiving $1500 a month in Social Security pension is within ___ of losing their Medicaid eligibility - Correct answer $360 An occupational therapist can serve as an activity director of a nursing home, true or false? - Correct answer True The process in which an administrator can contest in writing a citation for non- compliance? - Correct answer Informal dispute resolution process Which management style provides least direction and support to staff? - Correct answer Delegation Nursing facilities must file a request for formal dispute resolution within how many days of receiving deficiences - Correct answer 20 Reality orientation is most appropriate for residents who have ___ stage dementia - Correct answer Early The best investment vehicle for funds that must remain liquid is usually a ___ - Correct answer Money Market Fun (MMF) The safety program in a nursing home would fall under the ___ program - Correct answer Risk management A resident has a right to request their clinical records and receive them in __ hours (excluding weekends and holidays) - Correct answer 24 A nursing facility must offer its employees ___ insurance - Correct answer Unemployment Transmission difficulties, premature evaluations and filtering are all forms of ____ barriers - Correct answer communication On balance sheets of nonprofit companies, which of the following are most often listed as restricted net assets - Correct answer donor imposed restrictions Controlled drugs must be stored in their original containers and placed under ___ protection - Correct answer double lock A document that summarizes the financial position of a nursing facility at a particular point in time is known as ___ - Correct answer balance sheet When an administrator takes steps to resolve a deficient situation this is called - Correct answer controlling quality subpoena duces tecum - Correct answer an order to appear with evidence 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 Normal psychological aging in the elderly would not include - Correct answer loss of memory Sensitivity training has not proven to be effective for residents with ___ - Correct answer Dementia Who is responsible for the implementation of resident care policies? - Correct answer Medical director Does FMLA provide leave for a sick sibling? - Correct answer No The main purpose of a ____ program is to reduce occurrences that may result in legal action against the facility - Correct answer Risk Management 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 A nurse aide cannot work more than ___ months without completely their state certification. - Correct answer 4 Under the FLSA, minors under 16 years of age must - Correct answer Obtain temp work permit from the department of labor What is a mission statement? - Correct answer The purpose of a corporation Which organization developed the standards for the Life Safety Code? - Correct answer NFPA A Union must give how many days notice before a strike? - Correct answer 10 days Which federal law governs union elections? - Correct answer Taft Hartley Title 18 of Social Security Act is the __ program - Correct answer Medicare 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 Which of the following determines the number of fire drills each year in a nursing home? - Correct answer Life safety code The emergency electrical generators must switch on within ___ seconds of a loss of power - Correct answer 10 Which organization enforces the life safety code? - Correct answer The state licensing agency The ___ was organized in 1935 - Correct answer CIO The ___ represents most workers in the nursing home industry - Correct answer SEIU The ___ is responsible for the day to day management of the facility - Correct answer Administrator OSHA form 300A must be posted during what time frame? - Correct answer Feb 1 - April 30 Exit signs must be placed no more than ___ feet from eachother - Correct answer 100 side reach from a wheelchair is between _____ & _______ off the floor. - Correct answer 9/54 A worker is entitled to ___ weeks of unemployment benefits - Correct answer 26 A worker is entitled to ___ months of HIPPAA benefits - Correct answer 12 Fire extinguishers cannot be more than ___ feet from eachother - Correct answer 50 The length of a smoke compartment cannot exceed ___ feet - Correct answer 150 OSHA records other than medical records must be kept for ___ years - Correct answer 5 The Eden Alternative focuses on care of the human ___ and human body - Correct answer Spirit When a nursing home outsourced healthcare providers the facility should have which of the following to secure patient information? - Correct answer A transfer agreement with the contractor Under OBRA, a Medicaid resident is entitled to __ days of paid leave for therapeutic leave - Correct answer 5 The wash cycle of a hot water dishwasher is ___ degrees - Correct answer 150 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 If a resident in rehab is not walking, the resident should be offered a ___ - Correct answer Walker 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 A ___ would have interest in the financial well being of a compant - Correct answer Shareholder Accounts receivables over 69 days past due must not exceed __% of all accounts receivables - Correct answer 5% What is the best method to control monetary risks in a nursing home? - Correct answer Purchase insurance Which two management styles are most effective? - Correct answer MBO & MBWA Must notify residents within ___ days of any change in laws, facility policies or changes in charges? - Correct answer 14 Which federal law requires an I-9 form? - Correct answer Immigration Reform Act Which management type would be most effective for physicians, nursing and social workers? - Correct answer Paternal What percentage of residents must be interviewable to participate in surveyors interviews of facility residents? - Correct answer 50% If a CEO or director is sued, which insurance would cover the liability? - Correct answer Officers and directors insurance Where a manager and staff get together and jointly decide priorities to be worked on, this is called ____ - Correct answer Management by objectives The ____ has the ultimate legal responsibility of a nursing home - Correct answer Governing body The ombudsman must have patient consent to access their medical records, true or false? - Correct answer True The ___ is responsible to review and implement resident care policies and coordinate the medical care in a facility - Correct answer Medical director ____ % 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% 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 Must limit travel in a smoke compartment barrier to ___ feet - Correct answer 200 ft A broad statement of goals is a ___ - Correct answer policy NFPA stands for - Correct answer National Fire Protection Association Nosomical is a - Correct answer (of a disease) originating in a hospital 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 Depreciation is a ___ expense - Correct answer operating Physician visits are required every ___ days for the first 90 days from date of admission and then every ___ days thereafter - Correct answer 30 60 A blister filled with pus and the loss of skin and dermis is a stage ___ decubitus sore - Correct answer 2 Two doors separating two fire areas in a horizontal exit must be _______ in. wide each. - Correct answer 41.5" A debt to pay an obligation is called a - Correct answer bond At least one exit from each floor or fire section must lead directly ___ - Correct answer to the outside The ___ act granted rights to unions and allowed collective bargaining - Correct answer Wagner Act A nursing home must have a ____ operated fire alarm system that is ___ monitored - Correct answer manually electronically The automatic smoke and fire detection systems must be connected to eachother ____ - Correct answer electronically What percentage of minorities must an employer according to the EEOC - Correct answer 80% What is the temperature of a hot rinse dishwasher? - Correct answer 180 The instrument that creates a corporation under the laws of a state is called - Correct answer Articles of incorporation An employee who has the same decision making authority as the administrator is ___ - Correct answer line authority The ___ is the foundation that guides an organization - Correct answer philosophy A complaint survey is a ____ survey - Correct answer abbreviated standard survey The minimum staffing level required by CMS is ___ - Correct answer 3.0 ___ incontinence is characterized by urine leakage with coughing or laughing - Correct answer stress ____ is required of dietary managers per OBRA 87? - Correct answer The ability to communicate with a qualified dietician Hot foods must leave the kitchen at ___ - Correct answer 135 ___ is not an OBRA approved indication for anti-psychotic usage? - Correct answer Itching The Resident Self-Determination Act should be given to the resident at - Correct answer admission The physician must write, sign and date progress notes - Correct answer at each visit Your clinical record clerk must be a a ____ employee - Correct answer full time According to OBRA, the facility is required to offer therapeutic activities that are based upon - Correct answer past interests and hobbies Flexion, rotation, abduction and addution are all terms referring to - Correct answer exercise