Shared Flashcard Set

Details

review material for NAB
Key concepts for NAB exam
745
Health Care
Professional
05/26/2015

Additional Health Care Flashcards

 


 

Cards

Term
the decibel range for a hearing aid compatible phone is between ___ and ___ decibels.
Definition
Per ADA the range compatible phone is 12-18 decibels
Term
what are the main symptoms of tardives dyskinesia?
Definition
lip smacking and uncontrolled facial gestures
Term
what does COPD stand for?
Definition
Chronic Obstructive pulmonary desease
Term
what does CHF stand for?
Definition
congestive heart failure
Term
what is blockage of the arteries called?
Definition
arteriosclerosis
Term
what is hardening of the artery walls called?
Definition
atherosclerosis
Term
what does TIA stand for?
Definition
trans ischemic attack
Term
what is TIA?
Definition
a stroke
Term
what is a physiatrist?
Definition
a physician who works with the musculoskeletal system and works closely with physical therapists.
Term
per OBRA 1987, does a resident have the right to a shower?
Definition
OBRA 1987 does not specify any requirement that a resident must have a shower-it is assumed that you will keep the resident clean.
Term
per OBRA 1987, does a resident have the right to a bath?
Definition
OBRA 1987 does not specify any requirement that a resident must have a bath-it is assumed that you will keep the resident clean.
Term
what is gerontology?
Definition
the study of the aging process.
Term
what is a gerontologist?
Definition
a person who studies the aging process.
Term
describe 4 stages of a decubiti's sore
Definition
1. redness/warm to touch
2. blister that opens with possible pus.
3. tissue loss of the upper and lower layers of the epidermis.
4. tissue loss down to the bone.
Term
explain what a class 1, class 2, class 3, class 4 deficiency is per OBRA 1987?
Definition
1. no harm, no potential for harm.
2. no harm but potential for harm (could not identify any residents actually harmed).
3. harm but not immediate jeopardy.
4. harm and immediate jeopardy.
Term
which of the following letters would indicate the existence of substandard care? A-L
Definition
substandard care would begin with the letter F (except G)
Term
what is the first stage of the annual survey?
Definition
offsite preparation where the surveyors review the facility's prior surveys, incident reports, ombudsman reports, quality indicators and other information from the OSCAR.
Term
Which stage is where the survey team sits down with staff and discloses the results of the annual survey?
Definition
the exit conference the team sits down with staff and discloses the results of the annual survey.
Term
which stage of the annual survey involves the team leader sitting down with the facility staff and discuss the survey about to take place and what records they will need to see?
Definition
the entrance conference the team sits down with the staff and discusses the survey about to take place and what they will need to see.
Term
which phase of the survey involves the team walking around the facility and identifying the layout of the facility?
Definition
the facility tour.
Term
which phase of the survey involves the survey team identifying which people they want to talk to and records they want to review?
Definition
sample or MDS sample selection.
Term
which stage of the survey identifying which deficiencies, if any, the facility will be cited for?
Definition
information analysis.
Term
which phase of the survey involves the survey team observing residents and staff, taking notes, interviewing the resident council and other residents?
Definition
information gathering.
Term
what is the correct order of the steps of an annual survey?
Definition
1. offsite preparation
2. entrance conference
3. sample selection
4.information gathering
5. information analysis
6. exit interview
Term
What do the initials EKG stand for?
Definition
electro kardio(cardio) gram (measures heart activity)
Term
what do the initials CVA stand for?
Definition
cerebral vascular accident
Term
what is a CVA
Definition
a stroke
Term
what is a myocardial infarct?
Definition
heart attack.
Term
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?
Definition
within 10 days of the exit interview.
Term
within how many days must a facility submit a plan of correction in response to any alleged deficiencies?
Definition
you must submit a plan of correction within 10 days from the receipt of the report of deficiencies.
Term
when is your date certain for re-survey; the earliest the survey team can return to verify the facility corrected all cited deficiencies?
Definition
30 days from the date the survey team exited the facility.
Term
what is the number of the form that you will receive detailing any deficiencies found during an annual or complaint survey?
Definition
2567
Term
you have how many days to file a request for administrative hearing to dispute a citation?
Definition
10 days from the date you receive the 2567
Term
what is an IDR
Definition
An informal dispute resolution (i.e. sending a letter to the survey team leader or requesting a face to face meeting with the local licensing office to dispute a citation).
Term
what is FDR?
Definition
an FDR is a formal dispute which involves requesting a hearing before an administrative law judge within 20 days of receipt of the 2567.
Term
what does CASPER stand for?
Definition
CASPER stands for certification and survey provider enhanced reports.
Term
If I wanted to know how much money I made last night I would look at the____?
Definition
Profit Loss statement.
Term
who enforces the rehabilitation act of 1973?
Definition
the EEOC
Term
which survey type is the annual survey?
Definition
a standard survey
Term
which survey is a complaint survey?
Definition
an abbreviated standard survey
Term
which survey type would you be subject to if the surveyors find substandard care during a annual survey?
Definition
an extended survey would be imposed if the surveyors found substandard care during an annual survey.
Term
which survey type is used to verify a facility corrected any cited deficiencies where the facility was cited for no more than a level F?
Definition
a re-survey is done to verify a facility corrected any cited deficiencies where the facility was cited for no more than a level F citation.
Term
which survey type would you be subject to if the surveyors find substandard care during a complaint survey?
Definition
a partial extended survey would be imposed if the surveyors find substandard care during a compliant survey.
Term
what is a psychiatrist?
Definition
a physician who specializes in mental disorders.
Term
what is an MDS?
Definition
minimum data set
Term
what is the purpose of the MDS?
Definition
the MDS is required to maintain a continuing evaluation of each residents physical, mental and psychosocial well-being throughout the year.
Term
what is the standard of care a facility must provide each resident per OBRA 1987?
Definition
a facility must maintain each resident's highest practical physical, mental and psychosocial well-being throughout the year.
Term
what is the standard you must provide residents with respect to the facility environment per OBRA 1987?
Definition
YOU MUST PROVIDE RESIDENTS AN ENVIRONMENT THAT IS HOMELIKE AND DE-EMPHASIZES THE INSTITUTIONAL LOOK OF MOST NURSING HOMES.
Term
what is type 1 diabetes and what treatment is required?
Definition
type 1 diabetes is insulin dependent diabetes and is treated with regular insulin injections.
Term
what is type 2 diabetes and what treatment is required?
Definition
type 2 diabetes is adult onset and is treated with diet, exercise, and pills.
Term
what does CMS stand for?
Definition
centers for Medicare and Medicaid services.
Term
how often must a facility be surveyed?
Definition
every 15 months.
Term
what is a class 1 deficiency?
Definition
no harm no potential for harm
Term
what is a class 2 deficiency?
Definition
no harm but potential for harm
Term
what is a class 3 deficiency?
Definition
harm but not immediate jeopardy
Term
what is a class 4 deficiency?
Definition
harm and immediate jeopardy
Term
A class A fire extinguisher would be used to put out a ____ fire?
Definition
paper or wood fire
Term
a class B fire extinguisher would be used to put out a ___fire?
Definition
flammable liquid fire
Term
a class C fire extinguisher would be used to put out a ____ fire?
Definition
electrical fire
Term
a class D extinguisher would be used to put out a ___ fire?
Definition
flammable metals
Term
an MDS must be signed by a _____?
Definition
RN
Term
a care plan must be signed by a ___?
Definition
RN
Term
a comprehensive assessment must be completed within _____ days of admission to a facility?
Definition
14 days
Term
a care plan must be completed within ___days of the completion of the MDS?
Definition
7
Term
a significant change must be processed within ___ days?
Definition
14 days
Term
a comprehensive assessment must be reviewed every ___ and completely updated ___.
Definition
reviewed every 3 months and updated annually or since last significant change.
Term
a care plan must be reviewed every ___days and completely updated ___.
Definition
reviewed every 3 months and updated annually or every time the MDS is revised.
Term
reaching out to the community and strengthening your relationship with the community organizations is called ________.
Definition
public relations
Term
what would be the basis for a resident to file a tort against a nursing facility?
Definition
if the resident were injured by a staff.
Term
what does OIG stand for?
Definition
office of the inspector general. this is the inspector general for DHS which oversees CMS.
Term
what does the OIG do?
Definition
the OIG investigates Medicare/Medicaid fraud.
Term
which national organization represents health care administrators?
Definition
the American college of health care administrators.
Term
which organization represents for profit nursing homes?
Definition
the AHCA
Term
which national organization represents non-profit long term care facilities?
Definition
AAHSA
Term
what does DHHS stand for and what do they do?
Definition
department of health and human services they administer the social security administration, CMS, HCFA, and the FD
Term
what organizations provides research for OSHA?
Definition
NIOSH
Term
what does OSHA stand for?
Definition
occupational safety and health act or the occupational safety and health administration which enforces the act.
Term
what does OSHA do?
Definition
OSHA protects American workers by ensuring a safe work place.
Term
who enforces OSHA?
Definition
the occupational safety and health administration enforces OSHA
Term
which organization sets the standards for the American with disabilities act?
Definition
ANSI or the American national standards institute sets the standards for the ADA.
Term
which organization develops and publishes the life safety code?
Definition
NFPA
Term
which life safety code do we follow?
Definition
safety code of 2000
Term
what is the purpose of the life safety code?
Definition
it is designed to prevent deaths due to structural fires.
Term
the civil rights act of 1964 prohibits discrimination on the basis of ____, ____, ____, ____, and ____.
Definition
(RRGCN) race, religion, gender, color, and national origin.
Term
which entity enforces the provisions of the Americans with disabilities act with respect to discrimination in employment based on physical disabilities?
Definition
the architectural barriers compliance board
Term
which federal law prohibits discrimination against workers 40 years and older?
Definition
the age discrimination in employment act ADEA
Term
how many employees does an employer need to have to be subject to the age discrimination act?
Definition
20
Term
which entity enforces the equal employment opportunity act?
Definition
the EEOC
Term
what is the standard we use today to determine if discrimination in hiring employees has occurred per the EEOA?
Definition
adverse impact is the standard we use.
Term
if I hire additional minorities because I did not meet the minimum required by the EEOA, this is called_____ hiring.
Definition
ratio hiring
Term
if I hire 10 white people then how many minority people to I have to hire per EEOA?
Definition
I need to hire 80% of the majority or 80% x 10 = 8 minorities.
Term
what does NFPA stand for?
Definition
NFPA stand for national fire protection act
Term
what does ANSI stand for
Definition
American national standards institute.
Term
what does NFPA do?
Definition
researches and publishes the life safety code. it does not enforce the code.
Term
what does ANSI do?
Definition
develop and publish the Americans with disabilities act. it does not enforce the act.
Term
what entity enforces the life safety code?
Definition
NFPA
Term
which entity enforces the ADA with respect to access to public buildings by the handicapped?
Definition
the architectural barriers compliance board.
Term
which entity enforces the discrimination in pregnancy act?
Definition
EEOC
Term
which entity enforces the civil rights act?
Definition
EEOC
Term
what is the main objective of the equal pay act?
Definition
to ensure that females are paid the same wages as males for the same work.
Term
what is Plegia?
Definition
paralysis
Term
what is paraplegia?
Definition
paralyzed from the waist down
Term
what is quadriplegia?
Definition
paralyzed from the neck down
Term
what is hemiplegia?
Definition
paralyzed on one side of the body
Term
what does FMLA stand for?
Definition
family medical leave act
Term
how long do you have to work for an employer to be eligible for FMLA?
Definition
12 months or 1250 hours
Term
how many compensatory hours can you accrue each year?
Definition
not more than 240 (time off to compensate exempt employees for hours they work and are not paid time and a half)
Term
true or false- the employer must provide an employee paid leave while on FMLA?
Definition
False. the can be required to use up any vacation and sick leave before you go to unpaid status.
Term
True or false- the employer is not required to pay for health insurance premiums while an employee is on FMLA?
Definition
False. the employer is required to pay for health insurance premiums while an employee is on FMLA. you must pay it back if you do not return to work.
Term
True or false- if an employee worked 11 months and 1300 hours they would not be entitled to FMLA because they need to work 12 months to qualify?
Definition
false. they worked more than 1250 hours
Term
the administrator of a facility is considered ________ and may not be entitled to overtime pay.
Definition
the administrator is considered overtime exempt or salaried.
Term
an exempt employee would or would not be entitled to over time pay?
Definition
not entitled
Term
an employee who punches in on a time clock is considered _____ for purposes of overtime pay?
Definition
hourly or non-exempt.
Term
a salaried employee would or would not be entitled to overtime pay?
Definition
would not be entitled
Term
an hourly employee is or is not an overtime exempt employee?
Definition
not an overtime exempt employee. they must be paid overtime.
Term
what is respondent superior?
Definition
MUST KNOW!! is a Latin term that means the superior must respond for the inferior or servant. the employer must pay for injury or damage to third persons caused by employees.
Term
what is the federal liability act?
Definition
it says the employer must pay for the medical bills and lost time for a worker injured on the job.
Term
which entity licenses nursing homes?
Definition
the state licenses each nursing home
Term
which entity certifies nursing homes for Medicaid and Medicare?
Definition
CMS
Term
if a facility is subject to a federal survey, which type of tag would they receive? (F,N, or K tag)
Definition
F or Federal tag
Term
if a facility is subject only to a state survey which type if tag would they receive? (F, N, or K)
Definition
N tag or Non- federal tag. in OK they are LL
Term
if a facility had any life safety violations, which type of tag would they receive? ( F, N, K )
Definition
K
Term
which federal agency administers Medicare and Medicaid contracts?
Definition
the CMS
Term
what do we mean by substandard care?
Definition
a resident was harmed and is a class level 3 or 4 violation (excepting the G rating which is not considered to be substandard quality of care)
Term
how often do businesses file business taxes?
Definition
quarterly
Term
which tax form do businesses use to file FICA and workers comp taxes?
Definition
form 941
Term
which tax form do employers provide employees at the end of year that is a statement of their wages and taxes paid?
Definition
W-2
Term
which tax form do you fill out to declare your tax individual exemptions?
Definition
W-4
Term
which law requires workers to complete an I-9
Definition
the immigration law
Term
within how many days does the I-9 need to be completed from the date of hire?
Definition
3 days
Term
which federal law requires employers to pay their employees a minimum wage?
Definition
the fair labor standards act
Term
what does SMDA stand for?
Definition
safe medical devices act
Term
how many days do you have to report any injuries from a medical devise?
Definition
10 days
Term
who do you report injuries related to any medical device?
Definition
to the manufacturer and the FDA
Term
what is the difference between a power of attorney and a durable power of attorney?
Definition
power of attorney is for financial matters only and a durable power of attorney can be for both financial and health care decisions as well.
Term
if a person were declared not competent to make their own decisions by a court, who would make decisions for that individual?
Definition
a guardian
Term
what is a living will?
Definition
a living will specifies whether an individual wants artificial life prolonging measures if they cannot sustain bodily functions on their own.
Term
what does PSDA stand for?
Definition
patient self determination act
Term
what does the PSDA require a facility to do?
Definition
inform a resident they have the right to make an advanced directive but cannot require them to do so.
Term
how many years do you have to keep the OSHA medical records?
Definition
course of employment plus 30 years
Term
you must enter all recordable injuries into the OSHA summary log of occupational injuries and illnesses within how many days?
Definition
7 days
Term
which types of injuries must be reported of OSHA?
Definition
any injuries that require medical attention or lost time.
Term
how do you report injuries to OSHA?
Definition
you enter most into the summary log and supplemental log of injuries and illnesses within 6 days. if several workers are hospitalized or killed then you must call within 8 hours.
Term
how many employees do you need to be subject to the OSHA injury reporting requirement?
Definition
11 employees
Term
who requires a safety committee?
Definition
OSHA requires a safety committee
Term
how often must the safety committee meet?
Definition
the safety committee must meet monthly
Term
how often must the quality assurance committee meet per OBRA 1987
Definition
the quality assurance committee must meet quarterly.
Term
who requires nursing home staff to use universal precautions?
Definition
OSHA
Term
what is the difference between universal precautions and standard precautions?
Definition
universal precautions are gloves and gown and hand washing. standard precautions means total body protection and involves a gown, face mask, gloves and head covering.
Term
what does OSHA blood borne pathogen program require an employer to do?
Definition
a written plan in case of exposure.
Term
what is the focus of the OSHA hazard communication standard?
Definition
the MSDS
Term
true or false...OSHA requires employees to have a physical exam.
Definition
false
Term
if OSHA did require a physical exam for post hire employees, what physical exam do they require before working with residents?
Definition
a TB test and hepatitis vaccine
Term
how often do workers have to have a physical exam?
Definition
annual TB test and offer Hepatitis B exam
Term
what is the OSHA general duty clause?
Definition
OSHA general duty clause requires employers to provide workers a safe work place.
Term
if 3 or more workers are hospitalized or killed, how must you notify OSHA and within what time frame? How long do you have?
Definition
with in 8 hours via telephone
Term
what does HIPAA stand for?
Definition
health insurance portability and accountability act
Term
what did hipaa require when first past?
Definition
make a workers insurance portable by limiting the period of time workers new insurance company can refuse to cover pre-existing conditions.
Term
which federal labor law required employers to bargain collectively with unions?
Definition
Wagner act requires employers to bargain collectively with unions.
Term
what do we mean by employees right to know?
Definition
relates to the MSDS
Term
which federal law prohibited federal courts from issuing a order preventing unions from striking?
Definition
the Norris LaGuardia act
Term
which federal law created the national labor relations board?
Definition
the Taft Hartley act
Term
a union must give employers ____ days notice before they can strike?
Definition
10 days
Term
must provide_____ days notice of an intent to change an existing union contract.
Definition
90 days
Term
employers must provide employees training in any changes in OSHA laws within ___days.
Definition
90 days
Term
a nursing home may have ___ bargaining units?
Definition
2
Term
The ___ must approve any bargaining units.
Definition
national labor relations board
Term
the nursing home bargaining units may only represent which employees?
Definition
only 2 units... professional and non-professional
Term
the president may halt a union strike for how many days?
Definition
80 days
Term
what is the only thing an employer or manager may tell workers about the benefits of a union?
Definition
they may tell them 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 a union
Term
what is a mission statement?
Definition
a mission statement is simply the purpose of a corporation.
Term
which document is the governance of a corporation?
Definition
the by-laws are the governance of a corporation. by these laws we govern.
Term
which document is filed with the state to form a corporation?
Definition
the certificate of incorporation
Term
which document details the name of the corporation, the officers and directors, the number and amount of stock to be issued, and how the corporation will be run?
Definition
the by-laws
Term
who has ultimate legal responsibility for the operation of a nursing home?
Definition
the governing body
Term
who has responsibility for the day to day operation of a nursing home?
Definition
the governing body has responsibility for the day to day operation of a nursing home; the administrator operates under the policies of the governing body.
Term
who must supervise union elections?
Definition
the national labor relations board
Term
who must make the critical decisions for a nursing home?
Definition
the governing body
Term
who must approve the budget for a nursing home?
Definition
the governing body
Term
who must implement facility policies in a nursing home?
Definition
the governing body
Term
who must develop the mission statement for a nursing home?
Definition
the governing body
Term
what questions or question can you ask a job applicant about their prior criminal background?
Definition
have you ever been convicted---can not ask if you have ever been arrested.
Term
what questions can you ask a job applicant about their health?
Definition
can they do the tasks of the job--show them a job description
Term
who must determine if a job applicant requires special accommodation under ADA?
Definition
a physician
Term
John smith was newly hired by ABC nursing home today. John came from another nursing home where he participated in the company's major medical plan. John's new health insurance plan with his new employer will become effective in 90 days. John has a serious heart condition and is worried about having continuous coverage to pay for his expensive monthly bills. Under HIPPA can the new insurance company preclude coverage for john's heart condition, which is a pre-existing condition, and if so, for how long?
Definition
for up to 12 months
Term
John smith was newly hired by ABC nursing home today. John came from another nursing home where he participated in the company's major medical plan. John's new health insurance plan with his new employer will become effective in 90 days. John has a serious heart condition and is worried about having continuous coverage to pay for his expensive monthly bills. how could john secure insurance coverage for his medical expenses during his 90 day probationary period and during any period of time coverage would be excluded under his new policy?
Definition
under COBRA under his previous employers health plan for up to 12 months, provided he pays the full cost of the insurance. then the new plan has to cover him in full the day his coverage becomes effective.
Term
John smith was newly hired by ABC nursing home today. John came from another nursing home where he participated in the company's major medical plan. John's new health insurance plan with his new employer will become effective in 90 days. John has a serious heart condition and is worried about having continuous coverage to pay for his expensive monthly bills. under what circumstances would john be covered from day 1 by his new insurance plan without any exclusionary period?
Definition
if john produced a certificate of coverage under COBRA
Term
John smith was newly hired by ABC nursing home today. John came from another nursing home where he participated in the company's major medical plan. John's new health insurance plan with his new employer will become effective in 90 days. John has a serious heart condition and is worried about having continuous coverage to pay for his expensive monthly bills. what is the minimum time john would be entitled to COBRA?
Definition
18 months
Term
what is the purpose of COBRA and how would it help your employees if you had to counsel them upon termination of their employment and insurance benefit?
Definition
COBRA was designed to allow workers with pre-existing conditions to move from one employer to another without losing insurance coverage for pre-existing conditions. with the certificate of coverage they are covered in full by the new employer.
Term
what is a facility policy?
Definition
a broad statement of a goal
Term
why do we have policies for everything we do in a nursing home?
Definition
the purpose for policies and procedures to provide guidance to staff to allow the facility to run 24 hours a day even when managers are not physically present in the building.
Term
what is a procedure?
Definition
a procedure is a step by step description on how to implement a policy.
Term
if a resident was harmed because a nurse gave a resident the wrong medication, which insurance policy would cover you?
Definition
malpractice or professional liability insurance will cover you if a resident was harmed because a nurse gave a wrong medication.
Term
if an employee damages the facility van resulting in costly repairs, which insurance policy would cover you?
Definition
Auto insurance
Term
if a nurse aide punches a family member causing serious injury, which insurance policy will cover you?
Definition
general liability
Term
if a wind storm blows the roof off a facility, which insurance policy would cover you?
Definition
property insurance
Term
an electric power transformer blows up down the block, and your facility loses power for a week and you lose $100,000 in income. which insurance policy would cover you?
Definition
business interruption insurance
Term
someone breaks into the facility safe and steals $1000 which insurance policy covers you?
Definition
burglary insurance
Term
the CEO is sued by shareholders for mismanaging the company and losing money. which policy will cover you?
Definition
officers and directors insurance
Term
how many fire drills do you need per year?
Definition
12 all 3 shifts per quarter
Term
the emergency generator must switch on within __ if there is a loss of power?
Definition
10 seconds
Term
it cannot take more than __ lbs of pressure to operate a faucet?
Definition
5 lbs
Term
it cannot take more than __ lbs of pressure to operate a water fountain?
Definition
5lbs
Term
it cannot take more than ___ lbs of pressure to flush a toilet?
Definition
5 lbs
Term
a railing or grab bar must support a minimum of ___lbs?
Definition
250 lbs
Term
a telephone cord must be minimum of ___inches long?
Definition
29 inches
Term
you must have ___days of emergency food?
Definition
7 days
Term
must prepare the menu ___days in advance?
Definition
30 days
Term
must keep the menu ___days?
Definition
30 days
Term
what information is recorded on the OSHA summary log of injuries?
Definition
date of injury, employee name, type of injury, and any restrictions: this is only a summary.
Term
what information is recorded on the OSHA supplemental log?
Definition
it is your accident investigation form and contains all of the detailed information about the incident.
Term
when do you have to post the OSHA year end summary?
Definition
annually and posted where employees can sassily see it at least during January and February of each year.
Term
what information is on the OSHA year end summary?
Definition
it is essentially the summary log but you may need to redact employees names and confidential medical conditions
Term
what does MSDS stand for?
Definition
material safety data sheet
Term
what is hepatitis?
Definition
an inflammation of the liver
Term
what is arthritis?
Definition
inflammation of the joints
Term
what is nephritis?
Definition
inflammation of the kidneys
Term
who must approve the resident care plan?
Definition
the medical director
Term
how often must all facility policies be reviewed?
Definition
annually
Term
who must attend quality assurance committee meetings?
Definition
the DON, a physician and 3 staff members. the NHA does not need to attend.
Term
what is respondeat superior?
Definition
Latin term meaning holds the employer responsible for the acts of the employees within the scope of their employment.
Term
a window sill cannot be higher than ___ inches.
Definition
36 inches
Term
the livable space in a resident room would not include___?
Definition
would not include the bathroom, closet, vestibule, or hallway.
Term
a semi private room must have a minimum of __square feet of living space per person?
Definition
80
Term
a private room must have a minimum of ___ square feet?
Definition
100
Term
high forward reach from a wheel chair is ____ inches?
Definition
48 inches
Term
side reach from a wheelchair is ___inches?
Definition
9-54 inches
Term
toe clearance is ____ inches?
Definition
9 inches
Term
knee clearance is ____ inches?
Definition
27" high 30" wide and 19" deep under the sink.
Term
what are the requirements for a closet in a residents room?
Definition
30 x 48 inch clear floor space. a clothes rack and a shelf not higher than 54 inches high (side reach)
Term
what furniture are you required to provide residents in the resident room per OBRA 1987?
Definition
bed, mattress, side table, dresser with drawers, chair, bed pan, and window or door with a window to the outside.
Term
what is the temperature of the final rinse cycle of a hot water dishwasher?
Definition
180
Term
what is in each compartment of a 3 compartment sink?
Definition
1. warm sudsy water, 2. clear water to rinse and 3. sanitizing solution
Term
must have a wheelchair passing lane every ___ feet?
Definition
200 feet
Term
two wheelchairs require ____inches to pass?
Definition
60 inches
Term
a wheelchair is ___ inches wide?
Definition
30 (24-27 is standard
Term
the width of the bathroom door in a resident bedroom is a minimum of ___ inches wide?
Definition
32 inches
Term
a door on the fire exit corridor must be ___ inches think with a ___core and ___ minutes of fire rating?
Definition
1 3/4"thick, solid wood core, and 20 minute fire rating
Term
lighting of the means of egress must be continuous with exit floor surfaces illuminated at the level of ___ foot candle light from the _____.
Definition
1 foot
Term
every facility must be divided into a minimum of ___ smoke compartments.
Definition
2
Term
fire exits must be located ____ from each other.
Definition
as far away as practical from each other
Term
a fire exit corridor cannot be longer than ___feet
Definition
150 feet
Term
the distance from the inside a resident room to the fire exit corridor cannot exceed ___ feet
Definition
50 feet
Term
the emergency electrical generator must be inspected ____
Definition
weekly
Term
the distance from inside a residents room to the outside fire exit cannot exceed ___ feet
Definition
200 feet
Term
the emergency generator must be tested under full load for ___ minutes every ____
Definition
30 minutes every month
Term
food must be stored ___ inches off the floor.
Definition
6 inches
Term
cannot store any object above ___ inches from the ceiling.
Definition
18 inches
Term
you must keep the residents contract for ____ years
Definition
5
Term
you must keep the residents chart for ___ years
Definition
5
Term
the resident chart belongs to the ____
Definition
facility
Term
you must make records available for inspection within ___ hours of request
Definition
24
Term
you must provide copies of residents records with in ____ hours of request
Definition
48
Term
what can you specifically charge a resident when providing photocopies of their records
Definition
a per page copy charge and the actual time required to copy the records
Term
can you charge a resident for the time to locate records?
Definition
no
Term
can you charge a resident a per page copy charge?
Definition
yes
Term
can you charge a resident for the time to type a bill?
Definition
no
Term
air temperature is measured from the ____?
Definition
3 feet above the floor
Term
per obra 1987, the comfortable air temperature range in a facility is between ___and ____ degrees?
Definition
71-81 degrees
Term
a handrail on a staircase must extend ___inches beyond the bottom and top step?
Definition
12 inches
Term
the landing on a staircase must be a minimum of ____ square feet?
Definition
60 (not verified?)
Term
a hallway or ramp must have a minimum width of ___ feet wide?
Definition
8 feet wide
Term
a carpet cannot have a pile higher than ___ inches?
Definition
1/2
Term
true or false. you can use extension cords in a facility?
Definition
false
Term
what does RACE stand for?
Definition
remove, alert, confine, evacuate/extinguish.
Term
how often must your emergency plan be approved and by whom?
Definition
by the county emergency management plan
Term
who must improve your fire plan and how often?
Definition
local fire department annually
Term
true or false-- you must have glass panels in the double doors of a fire compartment.
Definition
true
Term
true of false-- the double doors of a fie compartment must swing in the same direction?
Definition
false the double doors must both swing in opposite directions
Term
true or false--the walls of a smoke compartment have a fire rating of 1 hour?
Definition
false they have a fire rating of 2 hours
Term
must have battery power to power the emergency lighting for __ hours.
Definition
1 1/2 hours
Term
the width of an interior staircase must be a minimum of __inches.
Definition
44 inches
Term
how is the fire alarm activated (automatically or manually?)
Definition
manually
Term
the fire exit door swings inward or outward?
Definition
outward, if the bodies pile up inside the door still swings open
Term
the door that leads from a resident room to the main hallway must be a minimum of ___ inches wide?
Definition
44 (enough clearance for a bed)
Term
true or false--the window in a resident's room must open?
Definition
false
Term
an incline or slope of more that 1/2 inch requires ____?
Definition
ramp treatment
Term
an incline or slope of less than 1/2 inch requires ___?
Definition
a beveled edge
Term
a semi private room with 4 residents would require ___ square feet?
Definition
320 sq ft
Term
every resident should have a physical exam at least ____?
Definition
quarterly per the MDS
Term
a sidewalk must be a minimum of ___ feet wide?
Definition
3 feet
Term
skilled therapy that focuses on then lower body and strengthening weight bearing muscles is called____?
Definition
physical therapy
Term
which therapist are concerned with the upper body and ADL's?
Definition
Occupational therapists
Term
which therapists evaluate residents for speech and swallowing problems?
Definition
speech therapists
Term
who can prescribe skilled therapy?
Definition
only a physician
Term
who can dispense medication?
Definition
only a pharmacist
Term
the maximum number of residents you can have in a resident bedroom is ___ people?
Definition
4
Term
which therapy uses heating pads?
Definition
both occupational and physical therapy
Term
name 3 types of liquid thickeners?
Definition
nectar, pudding, honey
Term
what is a therapeutic diet?
Definition
any diet that deviates from the regular menu
Term
who can prescribe a therapeutic diet?
Definition
only a physician
Term
what are examples of a therapeutic diet?
Definition
soft, liquid, diabetic
Term
how many hours can pass from the evening meal till breakfast without a snack?
Definition
14 hours
Term
how many hours can pass from the evening meal till breakfast with a snack?
Definition
16 hours
Term
who must prepare the menu?
Definition
registered dietician
Term
what does palatable mean?
Definition
pleasant to taste
Term
what are examples of mechanically altered food?
Definition
puree, mechanical soft, etc.
Term
name 3 ways food can be prepared or stored that destroys its nutritive value?
Definition
over boil in water, ass baking soda, leave uncovered in the refrigerator
Term
physical restraints are checked every ___ removed every ___ for ___hours.
Definition
removed every 2 hours, leave residents out of restraints for 1 hour and check every 30 minutes
Term
the loss of urine and bowl control is called?
Definition
incontinence
Term
when urine is accidently released when an individual sneezes or coughs or laughs is called?
Definition
stress incontinence.
Term
minimum daily nursing hours are set by _____.
Definition
the state and federal approval
Term
infections residents develop after an initial admission to a facility is called?
Definition
nosocomial (from within) infections. infections not developed in hospital or home.
Term
nursing home placement causes anxiety because of _____
Definition
the fear of the unknown
Term
a ____ would exercise the rights of a person declared incompetent by a court.
Definition
a legally responsible person or court appointed guardian
Term
a resident ___ be required to sign an advanced directive as a condition of admission
Definition
cannot
Term
an attending physician must visit residents __ days for the first 3 moths (90 days) and then ___thereafter.
Definition
once every 30 days for first 3 months then every other month
Term
the facility must make dental services available. the ___ is responsible to pay for such services.
Definition
yes they must be made available the resident or family must pay for them.
Term
an otologist deals with
Definition
hearing loss
Term
residents are encouraged to participate in activities _____.
Definition
that are personally satisfying to them and give them a sense of belonging.
Term
activities should focus on ______
Definition
resident enjoyment and participation.
Term
assessment of a residents condition produces a description of their ___ status.
Definition
current status (this is the MDS requirement and requires a physical exam every 3 mo.)
Term
_____ provides pain relief.
Definition
analgesics (aspirin)
Term
outdated, deteriorated or discontinued drugs may or may not be stored in the drug room.
Definition
should not be stored in the drug room.
Term
ambulate means to _____
Definition
walk
Term
listening intently, connecting with the speaker and acknowledging you hear their concerns is called ____.
Definition
active listening
Term
the most effective form of communication is _____
Definition
face to face
Term
the most you can earn each month and still be eligible for Medicaid is___
Definition
$2094 (2012 figure)
Term
reality orientation is_____
Definition
involves calendars, clocks and signs
Term
a court order to deduct monies from a workers paycheck to repay a debt is called a _____
Definition
garnishment
Term
the main function of personnel management is ____
Definition
staffing
Term
referrals from ___ is the best source for new hires.
Definition
current employees
Term
solid lines show ____on an organizational chart.
Definition
line authority
Term
department managers have ____ authority.
Definition
line authority
Term
a charge nurse has ___ authority.
Definition
line authority.
Term
______ depreciation depreciates evenly over a set period of years
Definition
straight line
Term
the DON is responsible to supervise the ____
Definition
the nursing staff
Term
the medical director coordinates the ____ in the facility.
Definition
physician services
Term
the ___can act in the place of an attending physician in an emergency.
Definition
medical director
Term
the __ is responsible to ensure resident rights are respected.
Definition
administrator
Term
overtime is required by the ___
Definition
fair labor standards act
Term
vacation , sick leave are required by law or provided at the employers discretion?
Definition
they are employee benefits provided at the employers discretion.
Term
personnel policies are found in the __
Definition
employee handbook
Term
which accident accounts for most resident injuries?
Definition
falls
Term
___ depreciation claims most depreciation deduction in the first years of an assets life
Definition
accelerated depreciation
Term
assets appear on the ___
Definition
balance sheet
Term
expenses appear on the ___
Definition
the profit and loss statement (income statement)
Term
liabilities appear on the ___
Definition
balance sheet
Term
how do you calculate working capital?
Definition
working capital= current assets - current liabilities
Term
what is the accounting equation?
Definition
assets = liabilities + shareholders equity (ALC or Assets=liabilities + capital)
Term
what is your business plan?
Definition
your budget is you business plan (is an outline of your business purpose)
Term
__ inventory keeps count of inventory supplies throughout the year
Definition
perpetual is the best because it keeps count of inventory supplies throughout the year
Term
__ is where the inventory is only counted once a year
Definition
periodic
Term
FIFO is?
Definition
first in and first out (older inventory used first)
Term
LIFO is?
Definition
last in and first out (newer inventory used first)
Term
current ratio is calculated by ___?
Definition
dividing current assets by current liabilities
Term
when your assets are able to meet your current liabilities this is called?
Definition
liquidity
Term
what is FUTA?
Definition
federal unemployment tax act refers to unemployment taxes
Term
how often is the balance sheet prepared?
Definition
annually at years end
Term
what document summarizes the assets, liabilities, and capital (or net worth or equity) on a certain date?
Definition
the balance sheet
Term
if you wanted to know how much your business was worth you would look at the ____
Definition
balance sheet
Term
annual audits are done by __ are necessary to verify the information in financial statements.
Definition
independent certified public accountants
Term
an effective maintenance program emphasizes_____
Definition
preventative maintenance
Term
work orders must include ____, ____,___
Definition
location, problem, authorized signature
Term
the maintenance cost of aging capital equipment justifies replacement in __ years.
Definition
10 years
Term
must close doors in a fire to contain ____
Definition
smoke
Term
facilities are constructed of ___ materials
Definition
non combustible
Term
the term lock out tag out refer to preventing staff and residents from hazardous energy discharges (electrocution)
Definition
refers to the OSHA requirement to protect staff and residents from hazardous discharges
Term
pest control programs can or cannot use open traps sticky fly paper poison bait
Definition
cannot
Term
MSDS material sheets are required by___
Definition
OSHA
Term
under respondeat superior, both the employer and the employee are liable for wrongful acts of employees to third parties (residents and visitors)
Definition
both are responsible
Term
where oxygen is in use in a room you are required to __as required by rule not law.
Definition
display a no smoking sign must be posted outside the room
Term
where would you correct a mistake made in the journals
Definition
the general journal
Term
prepares for future eventualities and uncertainties is called ____
Definition
strategic planning
Term
rookie managers make the mistake of ___
Definition
over managing
Term
what are general statements that guide thinking?
Definition
policies
Term
what is the most effective way for an administrator to verify what is actually going on in a facility?
Definition
management by walking around (MBWA)
Term
what is MBWA?
Definition
Leadership starts with visibility, management by walking around
Term
the ombudsman program is funded by the ___
Definition
administration on aging (older Americans act)
Term
where would you record prepaid expenses?
Definition
the general fund
Term
which form of therapy uses the environment as treatment?
Definition
milieu therapy so does occupational and speech
Term
true or false--seniors lose interest in intimacy and sex as they age?
Definition
false
Term
state survey process is __ based
Definition
outcomes
Term
attracting customers to buy the facilities services and fill empty beds is called_____
Definition
marketing
Term
management communication between the facility and the public and managing the facility's image is called____
Definition
public relations
Term
____is the least effective way to market a facility.
Definition
advertising in print media and tv ads
Term
___is the most effective way to market a facility
Definition
word of mouth
Term
true or false--a facility is unable to manage a resident with AIDS must not admit a resident with that diagnosis or must discharge if a current resident.
Definition
false-false they are able to care for the resident using universal precautions
Term
name the 6 legal reasons to involuntarily discharge a resident against their will.
Definition
1. it is necessary to meet the residents welfare the residents welfare can not be meet by the facility.
2.the residents health has improved significantly and services provided are not longer needed.
3. the safety of the individuals in the facility is endangered.
4. the health of individuals in the facility would be endangered
5. the resident has failed, after reasonable appropriate notice, to pay.
6. the facility ceases to operate
Term
If a resident is given an anti-psychotic, the physician must document ________ in the chart per OBRA 1987.
Definition
A rationale or reason for the use of the anti-psychotic
Term
Name 2 revenue centers in a nursing home
Definition
Nursing, Physical Therapy, Dietary(sells meals)
Term
Name 3 expense centers in a nursing home
Definition
Social Services, Nursing, Physical Therapy, Maintenance, etc.
Term
CARF stands for the ____________
Definition
the Commission on Accreditation of Rehab Facilities
Term
Must monitor physical restraints every _____ minutes
Definition
every 30 minutes
Term
DON can serves as a charge nurse with _______
Definition
60 beds or less
Term
True or false - the administrator must implement all recommendations of the Resident council
Definition
False. The administrator must respond to recommendations but is not required to implement them
Term
How soon should supplies just delivered to the facility be secured behind locked doors?
Definition
Immediately. Do not leave supplies in the hallway or public areas
Term
When supplies are delivered to a facility, what is the correct procedure to verify the items delivered?
Definition
Check each item delivered against the invoice and manifest and confirm receipt. Items are almost always missing - demand a refund.
Term
Carcinoma is _________
Definition
cancer
Term
A doctor involved with causes of diseases is a ___________
Definition
Pathologist
Term
Who is responsible to implement resident care policies in a SNF?
Definition
The medical director
Term
Physicians must write, date and sign progress notes at ___________
Definition
each visit
Term
True or False - A facility may but is not required to have a transfer agreement with one or more hospitals approved for participation under Medicare or Medicaid
Definition
Every facility must have a transfer agreement with at least one hospital - To EXCHANGE MEDICAL INFORMATION PER HIPAA
Term
Under PBRA, the quality improvement committee must meet at least _________
Definition
at least quarterly
Term
Significant weight loss for 1 month is ________ percent
Definition
5 %
Term
Significant weight loss for 3 months is ________ percent
Definition
7.5 %
Term
Significant weight loss for 6 months is ________ percent
Definition
10 %
Term
The maximum in assets you can have and qualify for Medicaid is $__________
Definition
$2,000
Term
Care plans address activities appropriate for each resident based on the __________
Definition
comprehensive assessment
Term
Main job of activity director is to _____________
Definition
complete assessments and identify interests
Term
What three things must the facility written fire plan address?
Definition
The use of an alarm, transmission of an alarm, a procedure to isolate and extinguish a fire, a plan to remove any persons in proximity to fire and a fire evacuation plan. Just remember R-A-C-E.
Term
_________ mandates that the governing body approve all facility policies
Definition
OBRA 1987
Term
Request by a resident to see their medical records can be submitted ______
Definition
either orally or in writing
Term
Topical drugs are for _______ use
Definition
external use only
Term
Drugs should be administered _______ after they are prepared
Definition
within one hour
Term
STAT means _________
Definition
Immediately
Term
The sum of all activities to create desired changes in the quality care is the definition of __________
Definition
Quality Improvement
Term
Who is responsible to ensure drug records are in order and accounted for?
Definition
Consultant pharmacist
Term
Who must store and record drugs self administered by residents?
Definition
Nursing staff
Term
Residents have the right to self administer drugs if approved by the _______
Definition
inter disciplinary team
Term
If a medication has a stop order - when must the nurse notify the physician?
Definition
Before the last dose is administered
Term
Must offer therapeutic activities based on a resident's ___________
Definition
interests and hobbies
Term
Management by walking around would not involve _________
Definition
taking corrective action
Term
The primary purpose of a safety program is to __________
Definition
prevent or minimize accidents or injuries
Term
Administrator communication with family is or is not privileged communication (protected from disclosure by law)
Definition
It is not privileged communication. (Attorneys, doctors, and clergy have confidential privilege.
Term
HIPAA limits the exclusion period for pre existing conditions to ___ months
Definition
12 months
Term
Under the Family Medical Leave Act, an employee can or cannot be required to use up leave time as part of the 12 weeks of FMLA they are entitled to each year
Definition
They can be required to is up leave time
Term
Under the ADA, employees can or cannot be required to submit to a fitness for duty exam relevant to their job after being hired
Definition
they can be required to submit a fitness for duty exam
Term
True or False - Can require a medical exams prior to an offer to hire
Definition
False, only after hire
Term
The process of determining job tasks, employee behavior and skills necessary for a job is called a ________
Definition
Job analysis
Term
A collection of tasks that can be performed by one person is called a _________
Definition
a job
Term
Affirmative action refers to _____
Definition
hiring practices
Term
What is the difference between a leader and a manager
Definition
A manager maintains the status quo and resists change whereas a leader is forward thinking and understands the need to innovate, adapt and change
Term
True or False - Employees not formally evaluated by their supervisor can be expected to make good progress
Definition
False
Term
Which entity enforces the Fair Labor Standards Act?
Definition
The Department of Labors
Term
Employment is will allows an employer to _______
Definition
fire an employee without cause
Term
Budgets are based on __________
Definition
past experience and future expectations
Term
Under GAAP, what is the entity principle?
Definition
The owner of a corporation is separate from the company and cannot take cash from the register and not record the transaction.
Term
The accrual method of accounting is required by __________
Definition
Medicare and Medicaid
Term
Income and expenses are recorded in accrual method when __________
Definition
incurred
Term
Depreciation is correctly defined as the decrease in value due to ________
Definition
wear and tear and obsolescence
Term
An amortization is a schedule showing _____________
Definition
interest and principal owed to a creditor
Term
Working capital is calculated by __________
Definition
Working capital equals current assets minus current liabilities
Term
What is the most costly fringe benefit?
Definition
Vacation
Term
Identifying and solving problems before they get out of hand is called ___________
Definition
Risk management. Purchasing insurance decreases your risks.
Term
Workers compensation premiums are based on __________
Definition
how many employees are collecting workers compensation benefits
Term
The key to inventory control is to _________
Definition
standardize supplies, organize a central purchasing department and control the number of people authorized to purchase
Term
A fiscal intermediary is an ______ who processed Medicare or Medicaid claims
Definition
insurance company
Term
Employees pay _______ of their FICA tax
Definition
50%
Term
When is a transaction recorded in the cash accounting system?
Definition
In the cash basis of accounting a transaction is recorded when a bill is actually paid or cash is actually received.
Term
How does a business pay its payroll taxes?
Definition
Quarterly on form 941
Term
Which federal law requires written policies and procedures to protect patient info
Definition
HIPAA
Term
Principal cause of odors in nursing homes is ___________
Definition
Incontinence
Term
Most common accident in nursing homes to employees is __________
Definition
lacerations/cuts
Term
All personal appliances brought into a facility must be inspected by the ______ to ensure it is safe before it can be plugged in
Definition
Maintenance
Term
Egress is __________
Definition
outward
Term
Ingress is __________
Definition
inward
Term
In GAAP, what is the Conservatism principle?
Definition
It states that you must use the lower valuation when deciding which depreciation schedule to use to calculate the value of your assets
Term
In GAAP, what is the Objective Evidence Principle?
Definition
It states you must use source documents to evidence your transactions
Term
Disclosure of ownership requires facilities to _____________
Definition
It requires licensees to notify the state licensing agency of changes in corporate officers, administrator and director of nursing
Term
Which form of doing business provides the most limited liability?
Definition
Corporations provide the most limited liability
Term
True or False - Non profit corporations own most nursing homes
Definition
False - For profit corporations own most nursing homes
Term
Which document contains rules, regulations and a mission statement
Definition
Bylaws
Term
Other than an emergency, must give a resident _____ days advance notice of transfer or discharge
Definition
30 days
Term
A resident can work for the facility provided it is recorded in the ________
Definition
plan of care
Term
What are source documents under GAAP?
Definition
Source documents include invoices, receipts, and cancelled checks. They are objective evidence of the transaction and include receipts for bills that have been paid, bills for invoices for money owed by the facility, bank statements indicating interest earned periodically, and case receipts for money received each day or designated period
Term
True of False - the Governing body creates or implements procedures
Definition
False
Term
The conscientious use of assets is called ____________
Definition
Stewardship
Term
Who hires most staff in a nursing home?
Definition
Mostly done by department heads not governing body
Term
What is Time Period Principle under GAAP?
Definition
It states that you must use the same time period from year to year (calendar or fiscal year)
Term
A person who dies without a will is _________
Definition
intestate
Term
What is the Consistency Principle under GAAP?
Definition
It states that you must use the same accounting system year from year - can't use accrual one year and cash system the next year
Term
True or False - The ombudsman can review a resident's records without the residents consent
Definition
False
Term
Demographic information relates to ________
Definition
age, family size, sex, education level, occupation and religion
Term
What is the Continuing Concern Principle under GAAP?
Definition
That a company will still be in business next year and the year after that
Term
Marketing is concerned with _________
Definition
filling your beds
Term
When decisions are made at the lowest level authorized to make them this is called __________
Definition
Effective delegation
Term
Becoming neurotic is a psychological or physiological change
Definition
psychological
Term
Slowed reflexes is a psychological or physiological change
Definition
physiological change
Term
Autism is or is not a developmental illness
Definition
It is a developmental illness
Term
What percentage of residents selected to be interviewed during a survey most be interviewable?
Definition
50%
Term
The purpose of a transfer agreement between facilities is to provide ______
Definition
an interchange of medical information
Term
A resident to be admitted to a nursing home must have a physical evaluation or examination done ______ days prior to admission or _____ hours after admission
Definition
5 days prior to admission or 48 hours after admission
Term
Adaptive feeding equipment must be prescribed by a _______ or __________
Definition
physician or occupational therapist
Term
An ophthalmologist is a medical doctor that treats __________
Definition
visual disorders
Term
A professional who grinds lenses for glasses is called __________
Definition
an optician
Term
The main purpose for a resident council is __________
Definition
they give residents a sense of control over their lives
Term
The MDS has _______ triggers
Definition
18 triggers
Term
The _______ is responsible to check resident drug regimens monthly
Definition
the pharmacist
Term
The _______ consultant is responsible to verify facility drug records.
Definition
the pharmacist consultant
Term
The pharmacist consultant does or does not dispense or dispose of drugs.
Definition
The pharmacist consultant does not. The pharmacy under contract does
Term
A private room, television, and phone are or are not covered by Medicare or Medicaid
Definition
they are not covered
Term
PRN means __________
Definition
as requested
Term
STAT means ___________
Definition
immediately
Term
P.O. means ___________
Definition
by mouth
Term
NPO means ___________
Definition
nothing by mouth
Term
True or False - Internal and external meds may be kept in the same drawer or area
Definition
False. They must be kept apart and stored in different drawers on the medical cart.
Term
True or False - Sexuality drastically diminishes with age
Definition
False
Term
A resident must be given a physical examination at least __________
Definition
every 3 months to keep assessment accurate (MDS)
Term
Discharge planning is started _________
Definition
upon admission
Term
The most common cause of infection in a nursing home is ___________
Definition
exposure to visitors and employees
Term
Bedfast means being confined to a bed all of the time within the past __ days
Definition
7 days
Term
Privacy considerations include privacy curtains, knocking on doors and understanding each individuals needs for privacy
Definition
Privacy considerations include privacy curtains, knocking on doors and understanding each individuals needs for privacy
Term
Calculate percentage of occupancy when you have 120 beds and 87 are occupied?
Definition
Approximately 73% 87/120=72.5
Term
Which document specifies an individuals preference for the use of life prolonging measures such as tube feedings and ventilators?
Definition
Living will
Term
A person who makes a will is called a ________
Definition
testator
Term
An individual who executes or carries out a will is called an _________
Definition
executor
Term
A power of attorney covers __________
Definition
only financial affairs
Term
A durable power of attorney covers _________
Definition
both financial and health care
Term
Involuntary movements of the head, lips, tongue, face and extremities, including lip smacking movement is called ___________
Definition
Tardives Dyskinesia
Term
If an administrator notices a resident is deteriorating, he should __________
Definition
as a nurse to evaluate the patients overall condition and report it to the physician
Term
Which program must have a active volunteer program?
Definition
Activities program must have volunteers working for them
Term
The primary reason residents should be encouraged to eat in the main dining room is to _________
Definition
encourage them to socialize with other residents and to get out of their room
Term
When surveyors review a resident chart, they want to see primarily _______?
Definition
They are less concerned with how often info is noted in the chart than the sufficiency of that info to describe residents progress and care provided
Term
When two or more drugs are taken at the same time and produce unwanted side effects this is called ________?
Definition
Drug interaction
Term
ROM means ________?
Definition
range of motion
Term
True or False - Sitters and private duty nurses are employees of a facility
Definition
False
Term
Main goal of physical therapy is to _____?
Definition
help residents to live life to their fullest
Term
Using labor pools can substantially _______?
Definition
decrease the continuity of care
Term
The best way to evaluate a job applicant is the __________?
Definition
Interview
Term
Cannot hire a non certified aide _______
Definition
for more than 4 months without passing the exam
Term
The results of all abuse investigations by facility staff must be reported to the state within __ days
Definition
5 days
Term
What are the minimum requirements for a social worker?
Definition
must have a bachelors degree in social work and one year experience
Term
OBRA requires ___ hours of nursing aide in services each year
Definition
12 hours
Term
Primary purpose of financial information is to ___________
Definition
enable administrators to make decisions
Term
Weekend overtime wages are an operating expense - i.e. electricity bills, payroll, medical supplies, and food costs are costs to operate the facility
Definition
Weekend overtime wages are an operating expense - i.e. electricity bills, payroll, medical supplies, and food costs are costs to operate the facility
Term
Buying a computer or repaving the parking lot are capital costs
Definition
Buying a computer or repaving the parking lot are capital costs
Term
All costs reported to Medicaid are due within 90 days of end of fiscal year
Definition
All costs reported to Medicaid are due within 90 days of end of fiscal year
Term
A hazard area needs _____ hour(s) fire protection of automatic extinguishing system
Definition
1 hour fire protection
Term
The most effective to prevent spread of germs in a nursing home is ________?
Definition
Hand washing
Term
An isolation room does or does not need a private bath or shower?
Definition
Does not need a private bath or shower
Term
Who determines the hazards of a product and prints the MSDS?
Definition
the manufacturer
Term
A handicapped parking spot must be at least ____ feet wide
Definition
13 feet
Term
A walkway must be at least ___ feet wide
Definition
3 feet
Term
The fire rating of building materials is determined by the __________
Definition
the life safety code
Term
The travel distance between a class B or C fire extinguisher cannot be more than ___ feet
Definition
50 feet
Term
Which entity enforces the SMDA?
Definition
The FDA
Term
OSHA's color is ______
Definition
green
Term
Ultimate mission of a nursing home is to ________
Definition
provide quality resident care
Term
GAAP means ___________
Definition
Generally Accepted Accounting Principles
Term
Which documents contains rules and regulations that detail purpose and mission, corporate membership and overall financial management?
Definition
Bylaws
Term
Who must be notified in the event of a significant change in a resident's condition?
Definition
The attending physician, resident, and legal rep must be notified
Term
Medicare is an insurance program for ___________
Definition
Americans over 65
Term
Medicaid provides health care for ________
Definition
the poor and the elderly
Term
What is a resident classification system used by nursing homes to determine reimbursement from Medicare?
Definition
RUG (Resources Utilization Groups)
Term
Main job of the local ombudsman is to ____________
Definition
investigate and resolve complaints
Term
The open market ruling in 1977 relates to ______________
Definition
advertising health services
Term
If contacted by a union representative for collective bargaining, the administrator should _______________
Definition
call a lawyer who specializes in labor relations
Term
Resident funds held in trust must be refunded to his or her estate within ____ days of death with a final accounting
Definition
30 days
Term
What is the main cause of a decubitis sore?
Definition
blood supply cut off to the tissues in the skin and muscle
Term
Which skilled therapist can work as a therapeutic activities director or consultant?
Definition
The occupational therapist since they are familiar with ADL's
Term
Who can supervise feeding assistants in a nursing home?
Definition
A licensed nurse (RN or LPN)
Term
Dealing with press releases and news conferences is called ____________
Definition
Public relations
Term
Who enforces HIPAA violations?
Definition
OCR (the Office of Civil Rights)
Term
Mental changes in elderly is usually caused by ____________
Definition
Mental changes in elderly is usually caused by ____________
Term
What is an LPN?
Definition
a licensed practical nurse
Term
What is a LVN?
Definition
a licensed vocational nurse
Term
True or False - State and federal agencies can impose civil or criminal penalties
Definition
False - Only a civil or criminal court can do that
Term
Must inform residents of their rights _____________
Definition
before or during admission
Term
The most common psychological problem of the elderly is ___________
Definition
Depression
Term
Regulations are published in the ______
Definition
The Code (or CFR...Code of Federal Regulation)
Term
Benign means a cell mass is __________
Definition
not malignant
Term
Residents can take home medications if approved in writing by ___________
Definition
their attending physician
Term
Aphasia is ____________
Definition
difficulty speaking; it's the inability to interpret or formulate language
Term
Dysphagia is _______________
Definition
difficulty swallowing
Term
What is MBWA?
Definition
Management by walking around is a management style and the best way to communicate with staff
Term
When the DON requests a meeting with the administrator, this is ___________
Definition
upward communication
Term
Which manager should be the first to resolve a worker grievance?
Definition
The immediate supervisor
Term
Work should be assigned to staff based on ___________
Definition
individual responsibilities
Term
An employee wage evaluation program should be based on __________
Definition
merit (performance based)
Term
Need a vote of ____ of all workers to vote in a union.
Definition
50% plus one
Term
True or False - Employees on medical leave must be given their jobs back when they return
Definition
True
Term
True or False - Can request family leave for divorce or separation
Definition
False
Term
Need a ___ day qualifying stay in a hospital to be admitted to a skilled nursing facility
Definition
3 day qualifying stay
Term
Which type of corporation can choose any 12 month period as its fiscal year
Definition
A "C" corporation
Term
Which expense is the largest expense in a nursing home
Definition
Labor
Term
Must complete a form ____ for employees receiving compensation other than regular salary
Definition
Form 1099
Term
IRS records must be saved for __ years
Definition
4 years
Term
Must notify the ____ if management changes, the administrator changes, or if officers of the company change
Definition
The state licensing authority
Term
The owner's assets of a business are called ___________
Definition
Equities
Term
Medicare resident funds totaling less than $100 do or do not need to be placed in an interest bearing account
Definition
Funds under $100 need to be placed in an interest bearing account
Term
The air in a nursing home must be changed every _____ minutes
Definition
6 minutes
Term
_______ do not clean the kitchen to prevent cross infection from resident rooms
Definition
House keepers
Term
Minimum width of a resident bedroom is determined by ___________
Definition
the state
Term
A wheelchair needs ___ inches in diameter to make a 180 degree turn
Definition
60 inches in diameter
Term
Privacy curtains and all other obstacles must hang or sit __ inches from the ceiling to avoid blocking water sprinklers
Definition
18 inches
Term
______ establishes the standards for width of a parking space for handicapped
Definition
ANSI (American National Standards Institute)
Term
The ______ is required to develop a written hazard communication policy
Definition
The employer
Term
_____ is the main cause of death from fire
Definition
smoke
Term
What does a citation or deficiency with a "K" denote?
Definition
the facility was not in compliance with the life safety code
Term
A facility with 60 parking spaces must have ____ handicapped spaces
Definition
3 spaces (1 to 25)
Term
Handrails must be ___ inches from the floor on ramps and stairways
Definition
30-34 inches from the floor. Handrail gripping surface shall be mounted between 34-38" above stair nosings.
Term
The word _____ means mandatory in laws and regulations
Definition
"Shall"
Term
The word _____ means optional
Definition
"May"
Term
A violation with a "N" tag means the violation was a state or federal requirement?
Definition
An "N" tag is a state tag of "Non-Federal" tag. In Oklahoma, the "Local" or state tags are "LL." "K" is for Life Safety Code and "F" is Federal tag
Term
An organizational chart does or does not show informal relationships
Definition
Does not show informal relationships
Term
Management by objectives is where _____
Definition
the supervisor and worker jointly set the workers performance goals
Term
A sensory experience that is independent of stimulation from the environment is called a(n)____________
Definition
Hallucination
Term
How do you calculate the current ratio?
Definition
Current ratio is calculated by dividing current assets by current liabilities
Term
A civil wrong is a __________
Definition
a tort
Term
a subpoena requires _________
Definition
personal appearance at a hearing or trial
Term
Trial subpoena requires attendance at ____________
Definition
a trial to testify
Term
True or False - A facility can require a resident to sign advanced directive
Definition
False
Term
A law passed by an agency is called a ____________
Definition
Regulation
Term
Which document outlines job duties?
Definition
A job description
Term
A law passed by a town or city is called a ____
Definition
an ordinance
Term
The complaint survey is an _____ survey
Definition
abbreviated standard survey
Term
Which therapy uses social environment?
Definition
Milieu therapy
Term
Which document or documents would include revenue, expenses, assets, liabilities and capital?
Definition
The financial statements (the profit and loss statement and balance sheet both would have this information)
Term
Which federal law recognized workers' rights to bargain collectively?
Definition
Wagner Act
Term
A law passed by the state legislature is called a _________
Definition
statute
Term
A legal document that spells out a person's preferences concerning life sustaining treatment is a ______
Definition
Living will
Term
A federal law that provides union members a bill of rights is called _______
Definition
Landrum Griffin Act
Term
Which law recognized workers right to strike?
Definition
Norris LaGuardia Act
Term
Must provide resident __ days advance notice of any changes in charges or policy
Definition
14 days advance notice
Term
An ____ provides training in adaptive feeding devices
Definition
OT
Term
________ is where fluid in the eye builds up pressure in the optic nerve causing intense pain and blindness
Definition
Glaucoma
Term
Federal regulations are published in the ____________
Definition
Federal Register
Term
What is the primary reason you would invite the fire department to provide staff training in fire emergency measures at your facility?
Definition
Have them get familiar with your building
Term
Intentionally not providing a prescribed dose to lower the concentration of drug in body is called _________
Definition
Drug holiday
Term
Where a facility has an outside provider provide in-house dialysis, the facility must _______ to protect resident rights?
Definition
Must have a transfer agreement with each dialysis center to allow sharing of medical information
Term
To determine the capabilities of a facility to meet short term cash needs, you would look at the ________
Definition
the cash flow statement
Term
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?
Definition
30 nurses - 120*2 hours each = 240 hours divided by 8 = 30 nurses
Term
I spend $15,000 on food in June. I had an average of 100 residents each day that month. How much did I spend per resident per day in June?
Definition
$5 per resident per day. 100*30 days = 3000 resident days in June. 15000/3000 = $5
Term
I spend $7100 in June on maintenance supplies. I have 100 beds with 90% occupied on average each day. How much money did I spend per resident per day?
Definition
$3 per day. ~90 residents per day. 90*30 days = 2700 resident days $7100/2700 = $3
Term
Which federal laws require a poster?
Definition
OSHA, ADA, FSLA
Term
Cash flow is the cash receipts minus _________
Definition
cash disbursements
Term
Ramps and corridors must be a minimum of ____ feet wide
Definition
8 feet
Term
What is the procedure to wash hands?
Definition
Apply soap fingertips to forearms, scrub under fingernails, wash under warm running water for a minimum of 15-20 seconds
Term
Labor costs total between ____ to 60%
Definition
50%-60%
Term
Social security is a ____ tax
Definition
a payroll tax
Term
Name 2 inventory valuing methods
Definition
FIFO and LIFO
Term
True or False - Filling a bowl with standing warm water to wash hands is an acceptable practice
Definition
False
Term
Mirrors and towel racks are mounted no more than ___ inches from floor
Definition
40 inches
Term
A debt to equity ratio should be less than __________
Definition
less than 1.0 to 1.0
Term
Which federal law requires employers to notify a job applicant if a consumer credit check is required?
Definition
The Federal Fair Credit Act
Term
Which federal law limits how much creditors can garnish from your paycheck?
Definition
The Consumer Credit Protection Act
Term
Life safety code sets fire rating of buildings and was developed and published by ________
Definition
the American National Standards Institute (ANSI)
Term
A law requires an employer to pay for injuries to third parties caused by employees is called __________
Definition
Respondent Superior
Term
Which federal law requires the employer to pay for worker on the job injuries?
Definition
Federal Employer Liability Act
Term
A facility that has no deficiencies would have a _____ license
Definition
Standard License
Term
A facility with outstanding deficiencies would have a ____ license
Definition
Conditional license
Term
Long term goals are for ____ or more years
Definition
3 or more years
Term
A change in ownership, DON or management could trigger a ____ survey
Definition
a partial extended survey
Term
A facility that takes only private pay residents would be subject t a _____ survey
Definition
a state survey (N tags)
Term
A stage 4 pressure sore that developed from a stage 1 or stage 2 while in your facility would warrant _________
Definition
immediate jeopardy or a level 4 citation
Term
It is best to use _______ questions in eliciting info during an job interview
Definition
Open ended questions
Term
The number of required fire drills is determined by ________
Definition
The Life Safety Code
Term
Which federal law requires a Director of Nursing, Medical director, Registered Dietician and Consulting pharmacist?
Definition
OBRA 1987
Term
Which law requires a Quality Assurance Committee?
Definition
OBRA 1987
Term
A resident must have a medical evaluation done within ___ days unless examined within ___ days prior to admission (at the hospital)
Definition
must be done within 2 days unless examined within 5 days prior to admission.
Term
Which federal law regulates the federal minimum wage?
Definition
The Fair Labor Standards Act?
Term
Which federal law requires overtime?
Definition
The Fair Labor Standards Act?
Term
The formula to determine body weight loss ________
Definition
The formula to determine body weight loss is divide the usual weight - actual weight by the usual weight times 100
Term
How many days do you have to report non-fatal accidents to OSHA?
Definition
7 days
Term
How many employees do you need to be subject to the EEOA?
Definition
15 working; more than 20 a year
Term
Which federal law specifies the requirements for handicap access to public buildings?
Definition
The Americans with Disabilities Act
Term
True or False - Must provide any pay for emergency dental care for Medicaid residents if they cannot afford such care
Definition
True
Term
Who is the corporate compliance officer in the nursing home?
Definition
The nursing home administrator
Term
What is the RAI and what is it comprised of?
Definition
The Resident Assessment Instrument. It consists of the MDS, RAPS and instructions on how to use the RAI
Term
Employees must be trained in safety procedures (lock out, tag out, universal precautions, hazard communication policy) within what time frame?
Definition
immediately after hire and before they actually start working
Term
which federal law requires employers to provide health insurance?
Definition
none
Term
which federal law requires employers to provide vacation and sick leave?
Definition
none
Term
which federal law requires overtime be paid to employees?
Definition
fair labor standards act
Term
which federal law requires employers to provide terminated employees a certificate of coverage upon termination or separation?
Definition
COBRA
Term
which federal law prohibits paying for Medicare referrals?
Definition
ethics in patient referrals act (cannot pay or give providers gifts, of free pens or pads as inducement for referrals)
Term
COBRA provides workers the right to keep their insurance for __ months after termination.
Definition
18 months
Term
a __ corporation can choose any 12 month period as its fiscal year
Definition
a "c" corporation cab choose any 12 month period ("c" for calendar year)
Term
schedule 1 drugs are ___
Definition
illegal narcotics and not allowed in the facility
Term
a group of symptoms which occur together is called a ___
Definition
syndrome
Term
a Levin tube is__
Definition
a naso-gastric tube
Term
which staff members have the least training?
Definition
housekeepers
Term
true or false-money is the number one reason for employee longevity
Definition
employee relationships with residents and coworkers is the main reason for retention.
Term
salary increases should be based on
Definition
performance/merit
Term
the budget should be reviewed every ___ and prepared ____
Definition
reviewed every 30 days and prepared annually
Term
shareholders of a ____ corporation are taxed as a partnership or as a salary
Definition
"S" corporation
Term
all doors in a facility except for bathroom and toilet must be ___ inches wide
Definition
44 inches wide
Term
a toilet seat for disabled must be between ___ and ____ inches high
Definition
17 and 19 inches high
Term
per resident per day standard to launder sheets, blankets, etc is __ lbs
Definition
8-10 lbs
Term
the maximum corridor length allowed without a smoke stop is __ feet
Definition
150 feet
Term
must have one fire extinguisher every __ square feet
Definition
2500 square feet
Term
which federal law prohibits providers from entering into agreements with other providers to set Medicare rates or to self refer to their own facilities.
Definition
the Robinson Patman act
Term
true or false-a non-profit can issue stock?
Definition
false- they are exempt and do not issue stock
Term
must provide residents with vision problems a copy of their resident rights in_____
Definition
large print
Term
if a resident does not speak predominate language, then the facility must provide ___
Definition
an interpreter or written translation in their language
Term
blind residents must be provided a copy of their resident rights in ___
Definition
braille
Term
true or false-if a resident has been provided a written copy of their rights then the facility has met their legal obligation
Definition
must inform residents of their rights both verbally and in writing
Term
which manager should do an employees performance appraisal?
Definition
the employees immediate supervisor
Term
what is Maslow's most basic need in the hierarchy of needs
Definition
physiological (air, shelter, water, food, sleep, sex)
Term
what is Maslow's highest need in the hierarchy of needs?
Definition
per Maslow's it is self realization
Term
a resident with audio logical problems would be referred to a ___
Definition
an otologist
Term
if a resident suffered a myocardia infarction which therapy would be best for them?
Definition
a cardiac recovery program
Term
when all nursing staff report directly to the director of nursing, this is called?
Definition
unity of command
Term
resident that are both __and __ are most at risk for injuries because they are able to move around but exercise poor risk awareness
Definition
ambulatory and incompetent are most at risk
Term
e-coli comes from
Definition
beef
Term
a dark area under the skin containing fluid is called a__
Definition
hematoma
Term
salmonella comes from ___
Definition
chicken
Term
persons over 65 use an average of __ drugs
Definition
7.2
Term
what are two major reasons for the increased stress nurses are experiencing in long term care?
Definition
increased acuity and shorter resident stays
Term
a loss of appetite is called?
Definition
anorexia
Term
the number of accounts outstanding for more than 50 days should not exceed __
Definition
5%
Term
overtime is an __ expense
Definition
operating
Term
the ____ lists all accounts in the general ledger
Definition
chart of accounts
Term
the debt to equity ratio should be less than ___
Definition
1.0 to 1.0
Term
65 % of resident accidents occur in the ___
Definition
bedroom
Term
in multi bed rooms, the minimum distance between beds is ___ feet
Definition
3 feet
Term
which is the best recovery program a resident who suffered a cerebrovascular accident?
Definition
stroke recovery program
Term
bathroom and toilet doors must be at least __ inches wide
Definition
32 inches wide
Term
the ___ enforces the FLSA
Definition
EEOC does not enforce the FLSA that is the is dept of labor
Term
substituting one person for another in regard to a lawful claim is called?
Definition
subrogation
Term
the __ specifies time limit to bring a lawsuit
Definition
statute of limitations
Term
true or false-sharps must be discarded immediately after use
Definition
true
Term
true or false---OBRA categorizes resident rights
Definition
true
Term
when an agitated resident is given a drug to calm them down, this is an example of a ___
Definition
chemical restraint
Term
doxidan is a ___
Definition
laxative
Term
schedule II drugs can or cannot be refilled without a physicians new prescription
Definition
cannot be filled
Term
the facility needs to provide adequate space in the dining room and spacing between tables to ___
Definition
maneuver around the room
Term
where bacteria cells (cancer) move from one part of the body to another it is called _____
Definition
metastasis
Term
how do you calculate required living space in a resident room?
Definition
living space less the bathroom, vestibule or hallway
Term
the need for physical restraints should be re-evaluated every __ hours
Definition
2 hours
Term
a resident who has approved to self administer drugs overdoses by mistake and is hospitalized. when the resident is ready to be released and return to the facility, the facility should?
Definition
re-admit them and re-assess their ability to self administer
Term
the consultant dietician is responsible to
Definition
review the resident's nutritional intake and weight loss and record their food preferences
Term
low sodium diets are for ___
Definition
high blood pressure
Term
a facility must keep ____ months of resident assessments on the resident chart?
Definition
15 months
Term
must have a charge nurse on which shift?
Definition
all
Term
in the cash system, transactions are recorded when ___
Definition
cash changes hands
Term
major cause of overtime is
Definition
absenteeism
Term
best indicator of new hires ability to succeed in a job is ____
Definition
prior job performance
Term
in accrual system, income and expenses are recorded when ___
Definition
when incurred (the date of the invoice)
Term
the national standard is to staff one hour per day of housekeeper time per __ square feet
Definition
1000 sq feet
Term
when inventory is increased cash flow is ___
Definition
decreased
Term
non profits can or cannot pay dividends
Definition
cannot
Term
true or false- the current ratio should be no less than 2.0 to 1.0
Definition
true, less than 1.0 indicates you have more liabilities than assets.
Term
restorative nursing is provided by___
Definition
nursing assistance
Term
standard precautions deals with handling ___
Definition
body fluids by total body protection
Term
prior to hiring a nurse aide, the administrator must check the ____
Definition
state nurse aide registry
Term
the principal difference between Medicare and Medicaid is that Medicare is ___ and Medicaid is an insurance for ____
Definition
Medicare is an insurance program based on age where insured pay premiums and co pays. Medicaid is an insurance for the poor and elderly based on income.
Term
Medicare fraud is reported to
Definition
OIG or office of inspector general
Term
recreational therapists is or is not specialized therapist
Definition
is not specialized
Term
per theory X, employees do or do not want to work
Definition
they do not want to work
Term
short term residents should be surveyed
Definition
30 days after discharge
Term
an ostomy bag is connected to the body through ___
Definition
the stomach wall
Term
ling term residents are surveyed ____
Definition
annually
Term
anti-coagulant is used to ____
Definition
prevent the cells in the blood from clotting
Term
a bruising of the skin is called a
Definition
a contusion
Term
must have a registered nurse __ hours per day, 7 days a week
Definition
8
Term
a sphygmomanometer is used to measure__
Definition
blood pressure
Term
a nurse aide must have ___ hours of in-service per year
Definition
12 hours
Term
what information do you need on a drug label?
Definition
resident name, drug name, dosage, mode of administration, how often to take, doctors name
Term
what information do you not need on a drug label?
Definition
the manufacturers name
Term
the __ summarizes the debits and credits
Definition
ledger (or general ledger)
Term
if I wanted to know the financial well being of a company I would look at the ___
Definition
balance sheet
Term
if I wanted to know how much I was worth I would look at the ___
Definition
balance sheet
Term
who must approve and implement resident care policies?
Definition
medical director
Term
employment at well means that an employer can
Definition
terminate a worker without cause
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