Nursing Home Facility Operations and Regulations, Exams of Management of Health Service

Download Nursing Home Facility Operations and Regulations and more Exams Management of Health Service in PDF only on Docsity! NHA-Line of Service Ex am Questions with Verified Answers. A facility which takes care of patients who do not require skilled nursing: 1. Continuing Care Retirement Facilities 2. Skilled Nursing Facility 3. Intermediate Care Facilities 4. Assisted Living Facilities - Correct answer 3.Intermediate Care Facilities A medication that is used to treat pain: 1. Analgesic 2. Antiseptic 3. Anticoagulant 4. Antibiotic - Correct answer 1.Analgesic Which of the following is not an appropriate method to control wandering: 1. Restricting the wanderer to bed with physical restraints 2. Locked Alzheimer wards with a door requiring a passcode to exit 3. Bracelet work by the resident that triggers a door lock as the resident approaches 4. Mesh Velcro barriers on other residents' doors - Correct answer 1.Restricting the wanderer to bed with physical restraints Turning up for work on time is an indication of a good: 1. Work Attitude 2. Organizational Reward 3. Social Reward 4. Job Reward - Correct answer 1.Work Attitude In a well-run facility, the balance between nursing care staff and support staff is: 1.60%nursing care/40% support staff 2.70%nursing care/30% support staff 3.40%nursing care/60% support staff 4.50%nursing care/50% support staff - Correct answer 1.60%nursing care/40% support staff A chronic nervous disease: 1. Parkinson’s 2. Sun-downing 3. Aphasia 4. Senile Dementia - Correct answer 1.Parkinson's Determining the task and skills required to fulfill a position: 1. Job Classification 2. Job Analysis 3. Job Description 4. Job - Correct answer 2.Job Analysis P a g e 1 | 23 An employee permanently leaving a position: 1. Exit Interview 2. Performance Evaluation 3. Employee Turnover 4. Promotion Policy - Correct answer 3.Employee Turnover Instructions phrased as a suggestion: 1. General 2. Formal 3. Specific 4. Informal - Correct answer 4.Informal How long much a resident wait before re-qualifying for Medicare reimbursement after their original stay in a SNF has ended? 1.60 days 2.30 days 3.90 days 4.120 days - Correct answer 1.60 days A corporation that pays no corporate tax: * 1. Sole Proprietorship 2. Limited Partnership 3. Partnership 4. Corporation - Correct answer 4.Corporation Accounting principles in common use: * 1. FUTA 2. FICA 3. FASB 4. GAAP - Correct answer 4.GAAP An uncluttered environment: 1. Comfortable 2. Orderly 3. Safe 4. Homelike - Correct answer 2.Orderly Which of the following is not a part of being orderly: 1. Proper handling of spills 2. Equipment and supplies properly stored and not in corridors 3. No peeling paint, visible water leaks, and plumbing problems 4. Quiet, peaceful public rooms - Correct answer 4.Quiet, peaceful public rooms A barrier to good communication where an employee worries about what might happen if they communicate unwelcome information: 1. Fear of Consequences 2. Premature Evaluation P a g e 2 | 23 2.30 days 3.21 days 4.14 days - Correct answer 2. 30 days A facility that violates a limitation or suspension of admissions may be subjected to a civil penalty not to exceed $_______ a day. 1.500 2.400 3.300 4.200 - Correct answer 1.500 A facility must provide evidence of nondiscriminatory practices at least ______. * 1. Every 6 months 2. Once a year 3. Every 2 years 4. Every 3 years - Correct answer 4.Every 3 years When must a facility notify DOH about a new health care service?* 1. At least 120 days prior 2. At least 90 days prior 3. At least 60 days prior 4. At least 30 days prior - Correct answer 3. At least 60 days prior A resident enjoys his new room and the window view. His bed may not be in?* 1. Direct view of the public 2. Direct natural light 3. Direct path of the door 4. Directly next to a wall - Correct answer 2.Direct natural light In the event of an emergency, the door to a toilet room that swings into the toilet area shall be equipped with special hardware which will permit the door to ____. * 1. Open from the outside 2. Remove from the outside 3. Locked from the inside for security reasons 4. Opened from the outside and swing-out - Correct answer 2.Removed from the outside A facility is closing and has notified all residents 30 days in advance. If a resident cannot be safely transferred to a new facility by the time the 30 days are up, the DOH may require a facility to: 1. Remain open an additional 30 days 2. Remain open an additional 14 days 3. Remain open until a safe transfer can be accomplished 4. No changes - Correct answer 1. Remain open an additional 30 days Storage for furniture, equipment, and resident possessions may not be less than ____ per bed. * 1.6 sq. feet P a g e 5 | 23 2.8 sq. feet 3.10 sq. feet 4.12 sq. feet - Correct answer 3.10 sq. feet Ventilation specifications for a resident room must have pressure in relationship to adjacent areas that are which of the following:* 1. Positive 2. Equal 3. Negative 4. Not applicable - Correct answer Equal When using PA’s and NPs' there must be a list maintained of the supervising physicians and whom they supervise. Where this list must be posted? 1. in full view at the front of the building/facility 2. at each nursing station 3. in the office of the Director of Nursing 4. In the administrator’s office - Correct answer 2.At each nursing station Your facility is planning on doing renovations to the dining room. After submitting the plans of the proposed renovations to the DOH, the DOH shall respond within ____ days issuing an approval or disapproval.* 1.90 2.60 3.45 4.30 - Correct answer 3. 45 Except during sleeping hours, a resident that is in restraints must have their position adjusted at least every ____ hours. 1.2 2.3 3.4 4.5 - Correct answer 1.2 Before allowing an individual to work as a Nurse Aide, he/she must receive verification from who or what?* 1. The state investigative services 2. The Registry 3. The Department of Health 4. CMS - Correct answer 2.The Registry The DOH must be notified at least 30 days in advance prior to a transfer involving ____% or more of the stock or equity of the health care facility. 1. Any % 2.2% 3.5% 4.10% - Correct answer 3.5% P a g e 6 | 23 There are 15 members on the Board of Examiners. What is the length of each term in office? * 1.1 year term of office 2.2 year term of office 3. 3 year term of office 4.4 year term of office - Correct answer 4.4 year term of office What minimum percentage of AIT training must occur Monday-Friday between 7am and 7pm? 1.80% 2.50% 3.100% 4. There is no minimum requirement - Correct answer 1.80% A Nursing Care Facility will be closing at the end of the fiscal year. How much notice must be given to the appropriate Division of Nursing Care Facilities field office of the intended closure? 1.120 days 2.30 days before Dec. 31st 3.90 days 4.60 days - Correct answer 3. 90 days If the first of two TB tests are negative a second test should be administered in what length of time?* 1. 7-10 days 2.1-3 weeks 3.1 month 4.3-5 weeks - Correct answer 2.1-3 weeks Single bedrooms in a facilities licensed prior to January 1975 are required to provide _____ square feet as a minimum room area clearance in addition to the area of closets, vestibules, wardrobes, and toilet rooms. 1.90 2.120 3.100 4.80 - Correct answer 4.80 square feet (100 square feet with new building after 1975) The new resident wing has just been completed and is ready to accept residents. Upon final inspection of the new wing you notice a problem with the handrails. According to section 205.9 handrails must be what? 1. on both sides of the corridor with a return to the wall as end rail ending 2. Made of polished wood with brass brackets 3.5 feet apart 3. on the right side of each corridor 4. At least one return to wall on one end of the rail - Correct answer 1.On both sides of the corridor with a return to the wall as end rail ending P a g e 7 | 23 4. NFPA 101 - Correct answer 3.NFPA 72 For treating and managing persons which confirmed tab infection, recommendations from which two organizations must be followed? 1. The US Health and Human Services (HHS) and Center for Disease Control (CDC) 2. The CDC and National Health and Safety Board 3. The US Department of Health and Human Services and Centers for Medicare/Medicaid (CMS) 4. CMS and the CDC - Correct answer 3.The US Department of Health and Human Services and Centers for Medicare/Medicaid (CMS) The DON may also serve as a charge nurse when the average daily occupancy is ____ or fewer residents?* 1.40 2.49 3.60 4.75 - Correct answer 3.60 A female resident was admitted to your facility nice months ago; her quarterly assessment is due today. How many more quarterly assessments do you need to keep in her active record? 1. This new one and least one 2. No more, only the most current one should be kept in her active records 3.2 More; the facility must always keep the last 5 quarterly assessments 4. Whatever the state asks forbore has no guidelines for quarterly assessments - Correct answer 3.2 more; the facility must always keep the last 5 quarterly assessments A facility is expanding their main building for additional resident rooms. A pre occupancy survey has granted early approval. When can a formal authorization from the DOH be expected? 1.30 days 2.45 days 3.60 days 4.90 days - Correct answer 1.30 days The current therapeutic diet manual must be jointly approved by which two people? 1. The Medical director and DON 2. The Administrator and the dietitian 3. The administrator and the DON 4. The medical director and the dietitian - Correct answer 4. The medical director and the dietitian When a facility uses outside resources and services they must insure that they meet all necessary license and certification requirements including those required by which government office? 1. Department of Health and Human Services 2. Department of Labor-wage and hour divisions P a g e 10 | 23 3. The Bureau of Professional and Occupancy Affairs 4. CMS - Correct answer 3.The Bureau of Professional and Occupancy Affairs A resident just admitted to your facility wants to know how high the ceilings are. As the administrator what would your answer be? 1.7 feet 3 inches 2.7 feet 6 inches 3.8 feet 4.8 feet 4 inches - Correct answer 2.7 feet 6 inches How long after completing the Resident Assessment does the facility need to be capable of transmitting the MDS to CMS 1. within 7 days after completing the resident assessment 2. within 10 days after completing the resident assessment 3. within 14 days after completing the resident assessment 4. Within 21 days after completing the resident assessment - Correct answer 1.Within 7 days after completing the resident assessment Which type of abuse is a written threat of violence? 1. Physical abuse 2. Mental abuse 3. Verbal abuse 4. It would not be considered abuse - Correct answer 3.Verbal abuse A resident which a long history of smoking has recently undergone back surgery and is unable to get out of bed. He would like to have a cigarette after his morning meal. Can he smoke a cigarette in his bed? 1. No 2. Yes as long as he is under observation and the facility permits smoking 3. Yes he can smoke in bed any time he wishes 4. No smoking in bed is only permitted if his roommate is a smoker too - Correct answer 3. Yes as long as he is under observation and the facility permits smoking Your facility has just added a new resident wing. How wide does the bathroom doors need to be? 1. At least 46 inches 2. At least 44 inches 3. At least 40 inches 4. At least 36 inches - Correct answer 4. At least 36 inches A facility has been neglecting mandatory fire drills. How many fire drills per year should be conducted? 1.4 fire drills per year 2.4 fire drills per year per shift 3.2 fire drills per shift per year 4.2 fire drills per year - Correct answer 2. 4 fire drills per year per shift P a g e 11 | 23 How long after admission should the resident’s initial medical assessments be completed? 1.14 days after admission 2.21 days after admission 3.10 days after admission 4.7 days after admission - Correct answer 1.14 days after admission Along with the pharmacist, who develops written policies and procedures for drug therapy, distribution, administration, control, accountability and use? 1. The administrator 2. The Inventory Control Board 3. The Quality Assurance Committee 4. The DON - Correct answer 3. The Quality Assurance Committee As part of the AIT program, 80% of the training must occur from M-F between ____ am and ___pm. 1.8am-8pm 2.8am-7pm 3.6am-6pm 4.7am-7pm - Correct answer 4.7am-7pm A resident at your facility needs to have surgery on his knee. Surgeries must only be performed in an acute hospital or in a _____, ______, or ____ ambulatory surgical facility. 1. Class A, Class B, or Class C 2.5 Star, 4 Star, or 3 Star 3. Government paid, non-profit, or volunteer - Correct answer 1.Class A, Class B, or Class C Physician orders for restraints must be reviewed at-least ____. 1. Quarterly 2. Bi-weekly 3. Monthly 4. Every 45 Days - Correct answer 3. Monthly A dietitian can be someone who is registered by: 1. The Commission on Dietetic Registration of the American Dietetic Association 2. The Dietetic and Food Service Association of America 3. The National Food and Nutritional Dietary Association - Correct answer 1.The Commission on Dietetic Regulation of the American Dietetic Association A resident was just admitted to your facility and assigned a private room. How many sq. feet of clearance should there be? 1. At least 80 sq. feet 2. At least 90 sq. feet 3. At least 100 sq. feet 4. At least 110 sq. feet - Correct answer 3.At least 100 sq. feet Hot water used by the residents must not exceed _____ F. P a g e 12 | 23 A former resident passed away five years ago; how long does the facility need to keep the resident's clinical record? 1.2 more years 2.1 More year 3. No additional time 4. The clinical records should already be destroyed - Correct answer 1.2 more years What is the minimum number of nursing hours for direct patient care in a 24 hour period? 1.3.5 Hours 2.3.2 Hours 3.3 hours 4.2.7 Hours - Correct answer 4 2.7 hours Outdoor air intakes can be no less than ____ feet from waste air. 1.50 feet 2.35 feet 3.25 feet 4.15 feet - Correct answer 3.25 feet Records of menus must be kept for how long? 1.2 weeks 2.30 days 3.45 days 4.60 days - Correct answer 2.30 days The nurses station must be equipped to receive calls from all the following except? 1. The dining area 2. The resident toilets 3. The resident bedrooms 4. The resident bathing facilities - Correct answer 1.The dining area Each facility must publish to the community their Civil Rights policy as evidence of non- discriminatory practices. How often must a facility do this? 1. Only once 2. Once every 5 years 3. Once every 4 years 4. Once every 3 years - Correct answer 4. Once every 3 years A report is required if the DOH finds deficiencies due to the practices of a licensed nursing home administrator. Within how many days is the report due? 1. within 120 days 2. within 60 days 3. within 45 days 4. Within 30 days - Correct answer 2.Within 60 days A minimum size of a resident bathroom that only has a toilet is ____ by ____. P a g e 15 | 23 1.3 feet by 5 feet 2.3 feet by 6 feet 3.4 feet by 5 feet 4.4 feet by 6 feet - Correct answer 2.3 feet by 6 feet Floors or units in a nursing facility with more than eight residents shall be provided with separate toilet fixtures in that ratio? 1.1:4 2.2:1 3.1 4.2:8 - Correct answer 1.1:4 The State Board of Examiners of Nursing Home Administrators consists of how many members? 1.10 2.12 3.13 4.15 - Correct answer 4.15 The clinical records of discharged resident must be completed within how many days? 1.45 days 2.30 days 3.21 days 4.14 days - Correct answer 2.30 days A facility must comply with which edition of the Life Safety Code of the National Fire Protection Association? 1.2000 Edition 2.2010 Edition 3.2001 Edition 4.2011 Edition - Correct answer 1. 2000 Edition A facility must employ a full time social worker if it has more than _____ residents. 1.85 2.100 3.110 4.120 - Correct answer 4.120 residents How long is the term of office for a member of the Board of Examiners? 1.5 years 2.4 years 3.3 years 4.2 years - Correct answer 2. 4years Handrails in the bathroom must support up to a weight of ____ pounds. 1. 300 2. 280 P a g e 16 | 23 3. 250 4. 225 - Correct answer 3. 250 pounds A Physician’s Assistant has given orders for a new treatment plan. How soon must the attending physician countersign the order? 1.7 days 2.14 days 3.21 days 4.30 days - Correct answer 1. 7 days Menus must be prepared how far in advance? 1. The same day 2. 1 month 3. 21 days 4. 2 weeks - Correct answer 4. 2 weeks A practical nurse shall be designated by the facility as a charge nurse only on the ___ tour of duty in facilities with a census of ____ or less. 1. Day, 100 2. Day, 59 3. Night, 100 4. Night, 59 - Correct answer 4. Night, 59 To be considered to be a full time employee you must work a minimum of ___ hours a week. 1.40 2.35 3.25 4.30 - Correct answer 2.35 hours NFPA means - Correct answer National Fire Protection Agency RRA means - Correct answer Registered Records Administrator Proprietary drug means - Correct answer A drug which does not contain a quality of controlled substance, can be purchased without a prescription, and can be purchased from sources other than a pharmacy and is usually cold under a patented or trade name Nonproprietary drug - Correct answer a drug containing biological or substances of glandular origin (except intestinal enzymes and liver products) and drugs which are administered parenteral A _____ license is issued for a specific period, not more 6 months and may be renewed at the discretion of the DOH no more than ___ times - Correct answer provisional, 3 times The ______ is not required to name a responsible person if the resident is _____ of managing the residents own affairs - Correct answer Resident, Capable P a g e 17 | 23 A nursing facility must have a full-time director or nursing services. Full time is defined as working how many hours per week? 1. It depends on the size of the facility 2. No less than 40 3. No more than 35 4. It depends on the case mix of residents - Correct answer 3.No more than 35 hours According to current labor laws, during union solicitation in a nursing facility, the facility's administrator: 1. Cannot conduct employee meetings to discuss disadvantages of unions 2. Cannot prohibit or interfere with union solicitation during lunch breaks or off-duty time 3. Should begin immediate bargaining with labor leaders 4. Must allow on-duty time for employees to talk with union organizers. - Correct answer 2. Cannot conduct or interfere with union solicitation during lunch breaks or off-duty time The Occupational Safety and Health Administration's (OSHA) Access to Employee Exposure and Medical Records Standard requires that long-term care employers ensure the preservation and retention of medical records of employees with exposure to blood-borne pathogens for at least: 1. Six months from date of severance from employment 2. The duration of employment plus 30 years 3. The duration of employment plus seven years 4. Seven years from the date of employment - Correct answer 2.The duration of employment plus 30 years What is the cost per resident if this resident is admitted and stays for 15 days? -Routine Nursing Care: $900 -Therapy: $1,500 -Attending physician visit: $300 -Room: $3,000 -Medications: $600 1.300 2.360 3.400 4.420 - Correct answer 4.420 The public policy that was initially responsible for the protection of resident funds is the: 1. Safe Harbor Act 2. Omnibus Budget Reconciliation Act (OBRA) 3. Health Insurance Portability and Accountability Ave (HIPPA) 4. Consumer Protection Act - Correct answer 2.Omnibus Budget Reconciliation Act (Okra) Facility X has the following information on its balance sheet: -Total current assets: $405,000 -Total fixed assets: $7,500,000 -Total assets: $7,905,000 -Total current liabilities: $375,000 P a g e 20 | 23 -Total non-current liabilities: $4,135,000 -Total Liabilities: $4,510,000 -Total retained earnings: $370,000 The total working capital of this facility is: 1. $30,000 2. $35,000 3. $3,365,000 4.3,765,000 - Correct answer 4. $3,765,000 A facility is required to maintain assessment data in the residents' active record for how many months? 1.12 months 2.15 months 3.18 months 4.24 months - Correct answer 2.15 months A CASPER report contains a summary of a nursing facility's: 1. Turnover data 2. Occupancy history 3. Compliance history 4. Demographic data - Correct answer 3. Compliance history Enforcement of the Federal Requirements of Participation is based on which of the following? 1. Substantial compliance 2. Standard of practice 3. Substantial care 4. Best practices - Correct answer 1.Substantial Compliance Two residents of a facility are known to have dementia and have been assessed as combative. One afternoon, they are placed at the same table for lunch, and one resident hits the other, causing a serious head injury. Surveyors investigating the incident cute immediate jeopardy for lack of supervision. Which federal regulation tag does this situation fall under? 1. Dignity 2. Quality of care 3. Abuse and neglect 4. Accident hazards - Correct answer 3.Abuse and Neglect A situation in which a provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident is known as: 1. Immediate jeopardy 2. Widespread hard 3. Confirmed occurrence 4. Standard quality of care - Correct answer 1.Immediate jeopardy P a g e 21 | 23 If a resident of the nursing facility requests a photocopy of his/her medical record, the facility must: 1. Provide it within 72 hours at no charge 2. Deny the request because inpatient records are not reviewable by residents 3. Inform the resident that the request cannot be granted until the physician approves it 4. Provide it within two working days at a reasonable rate - Correct answer 4.Provide it within two working days at a reasonable rate When scheduling and making a dental appointment for a resident, a nursing facility is obligated to: 1. Schedule an employee to accompany the resident to the dental office 2. Assist in scheduling transportation to/from the dental office 3. Receive a physician order to allow the resident to visit the dental office 4. Inquire whether the dentist is able to perform services at the care center versus dental office - Correct answer 2.Assist in scheduling transportation to/from the dental office The drug regimen of each resident must be reviewed at least once a month by: 1. The medical director 2. A registered nurse 3. The director of nursing 4. A licensed pharmacist - Correct answer 4.A licensed pharmacist A window and widower are mentally alert residents of a nursing facility. It has been evident to staff that the two have developed a close relationship. One evening, a certified nurse aide notices the widow going into the widower's room and closing the door. What is the most appropriate why for staff to handle this situation? 1. Report the situation to the ombudsman 2. Respect their privacy and monitor the situation 3. Knock on the widower's door to check on him 4. Request advice from their families - Correct answer 3.Knock on the widower's door to check on him Each resident in a nursing facility must: 1. Have an acute or chronic medical condition 2. Be under the care of a licensed physician 3. Be in need of assistance with ADL's 4. Have at least one payer source - Correct answer 2.Be under the care of a licensed physician If a nourishing snack in served at bedtime, what is the maximum number of hours that may elapse between a substantial evening meal and breakfast? 1.12 2.13 3.15 4.16 - Correct answer 4.16 hours An activity program must be directed by a qualified professional who has: P a g e 22 | 23