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National Mock Exam 10 & 11
National Mock Exam 10 & 11
64 terms
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1
Physical therapists, occupational therapists, and speech therapists must be .
Certified
Board Certified
A member of a professional organization
Licensed
2
The first step in developing an in-house computer network is to:
Req proposals from softw & hardware vend, then compare them for suitability
Evaluate security features to ensure they meet HIPPA
Assess extent of training staff would need
Define system objectives in terms of what facility needs
3
The administrator begins work when the owners or governing body
set forth
the for______ the organization.
Full Rules
Day to day rules and regulations
Procedures to be followed
Mission statement
4
The need for continued restraints should be re-evaluated and documented every .
2 hrs
24 hrs
30 min
8 hrs
5
A fac that practices universal precautions can admit res with HIV/AIDS. However a res with HIV could not be isolated if
They had an outbreak of an opportunistic communicable disease
The individuals roommate has an open wound and uses the bathroom
The restriction on res activities is lifted once the disease is resolved.
They have poor hygiene and are unable to contain their bodily fluids
6
Which would
not
meet federal requirements for lab and radiological tests?
Only a licensed physician can order lab or radiological tests
The attending phys must be notified within 72 hours of all test results
Test results must be documented and filed in the resident chart
Tests must be timely and accurate
7
A facility must clean a minimum of lbs of clothing, bedding and linen per resident per day
10
15
20
5
8
A nursing facility fire protection standards are specified by .
OSHA
ANSI
Life Safety Code
Underwriter’s Laboratory
9
Holistic medicine pertains to .
Spiritual healing
End of life care
Keeping an individual pain free
Attend to the person & treating the underlying disease & not just the symp
10
When an administrator projects future trends and needs this is called .
Organizing
Controlling Quality
Forecasting
Directing
11
According to OBRA regulations, the surveyor is required to interview all of the following except:
Facility residents
Family council members
The long term care ombudsmen
Nursing staff
12
A res cond has changed significantly, suggests a need for transfer, but no emerg action is req. The fac should first
Allow the res or guardian to select the most appropriate fac for transfer
Determine if another facility could immediately meet the resident’s needs
Determine whether a new care plan could meet resident’s needs
Obtain physician’s order for discharging the resident to another facility
13
Feeding assistants must be supervisedby a(n) .
Registered Dietician and Licensed Nurse
Registered Nurse and Licensed Practical Nurse
Occupational and Physical Therapists
Speech Therapist and Registered Nurse
14
Which one of the following statements is correct with regard to nurse aid regular in service education?
It is a remedial process restricted to those who are lacking tech expertise
It should be provided at workshops outside thefacility
It is the responsibility of individual employees
It should be based on areas of weakness identified in evaluations
15
An administrator can contest in writing a citation for non-compliance by which appeal process?
Informal dispute resolution process
Formal dispute resolution process
Conflict resolutionprocess
Mediation process
16
A nursing facility’s fire protection standards are specified by:
NFPA life safety code
OSHA
Underwriter’s lab
ANSI
17
Cash flow will be improved if there is .
A decrease in accounts payable
A decrease in accounts receivables
An increase in census
An increase in inventory
18
A fire extinguisher would be used for an eleCtriCal fire
D
A
B
C
19
Which of the following is the management style associated with leaders who value their workers & solicit their participa
Team management
Country club management
Management by objectives
Task management
20
Per the IRS, employee tax records must be kept for .
4 YRS
5 YRS
11 YRS
10 YRS
21
is the
least
contributing factor to high employee turnover
Limited orientation
Lack of policies and procedures
Inadequate in-services
Incomplete background checks and hiring policies
22
Strategies are plans of action that largely focus on .
Involvement of all employees
Methods of solving problems
Staff
Long range goals
23
Although administrators may utilize the expertise of the dietary staff, they must know something about:
Food needs of the elderly
Safety with regard to food preparation
Sudden unexplained weight loss
Nutrition theories
24
Admin need to understand how case mix determines Medicare reimbursement rates. The higher the case mix or RUG score is
The lower the acuity and the lower the reimbursement rate
The faster the facility is paid
The higher the acuity and the higher the reimbursement
The faster the resident will be discharged
25
A resident who enters a facility without an indwelling catheter can be catheterized when .
None of the above
The resident’s clinical condition demonstrates a need for one
The resident requests it
Ordered by a physician
26
uses the social environment as treatment.
Resocialization
Reality orientation
Attitude therapy
Milieu therapy
27
is not a chronic disease.
Arteriosclerosis
Pneumonia
CHF
Osteoporosis
28
Where a res was admitted without a decubitis sore & devel an avoidable stage IV decubitis sore the fac would cited for
Level 1 – No harm
Level 3 – actual harm
Level 4 citation – immediate jeopardy
Level 2 – no actual harm but potential for more than minimal harm
29
Which is true?
Governing body hires the adm but should review & approve his/her mgnt tech
Governing body should be equally concerned about the admin management tech
The adm oversees the fac, while the governing body eval their management.
Both the governing body & the admin focus on mgnt tech and effectiveness.
30
Transmission difficulties, premature evaluations, and filtering are all forms of:
Communication barriers
Poor care
Poor management
Information technologybarriers
31
With regard to budget preparation, which is true:
Income projec should always be increased to at least projections of expense
Ensure expenses stay within income projections.
When projecting expenses, one must make a careful review of liabilities
Income and expense budgets have no relations to one another
32
Metastasis is defined as .
A chronic blood disorder
A disorder where organs deteriorate
Movement of bacteria or body cells from one part of the body to another
A condition that results in death
33
An employment interview in which the interviewer
refrains from influencing
the applicant’s remarks is known as
Probing interview
Patterned interview
Non-directive interview
In-depth interview
34
Which of the following management styles provides least direction and support to staff?
Coaching
Delegating
Supporting
Directing
35
What is the
minimum
frequency that medication regimen of each resident must be reviewed by a licensed pharmacist
Quarterly
Bimonthly
Monthly
Semiannually
36
Overhead expenses such as depreciation are considered a(n) cost.
Direct
Indirect
Semi Variable
Variable
37
Ramp handrails must extend horizontally inches beyond the top and bottom of ramp runs.
12
10
24
18
38
The Title XIX fiscal intermediary is selected by the .
DHHS
Governing Body
THE STATE
CMS
39
A device that uses radiation to produce images of the body is called a(n) .
Sonogram
MRI
X-Ray
PET scan
40
In the evaluation of a new project, a pro forma financial statement would serve to:
Provide information regarding community benefit
Present the pros and cons of proceeding with the project
Secure board approval for implementation
Outline assumptions and analyze financial consequences.
41
The single indicator of a job applicant’s success in a job is .
Testing results
Past job performance
The interview
The resume
42
The is responsible for quality of medical care in afacility.
Administrator
Medical Director
Attending physician
QA Committee
43
If a union wishes to renegotiate a contract w/an employer, it must notify the employer within ? days of the exp date
120
30
90
60
44
“Treating all residents with respect” is described as a .
Norm
Precedent
Value
Philosophy
45
When the facility rewards positive employee performance, then:
Punishing substandard employee performance becomes more important
Only the recognized employee’s performance typically improves
Employee performance generally improves
Employee performance usually improves briefly, then declines
46
Under Title XVIII and XIX, “mandatory” means .
Could
May
Shall
Should
47
An accurate measurement of net income, is obtained when accrued income for each resident is allocated to the period the
Payment from the resident was received
Resident resides in the facility
Resident is billed for services rendered
Expenditures related to resident care was incurred
48
Standardized patterns of req behavior developed by the facility to enable staff to accomplish necessary work are called
Behavior Patterns
Values
Norms
Roles
49
The is the most comprehensive way to measure a job applicant’s skills
Resume
Interview
Reference Check
Aptitude Test
50
A
summary
of changes in assets, liabilities, stockholders’ equity, revenues, and expenses is known as a(n)
Audit
Axxount
Journal
Ledger
51
A
detailed plan
of action of what each employee is to do when the fire alarm sounds is called
Procedures
Controls
Protocols
Policies
52
A Quality assurance committee must meet at least .
Biannually
Quarterly
Annually
Once per month
53
The resp to provide services that respect an ind dignity & uniqueness relates most directly to the ethical principle of
Privacy
Compliance
Autonomy
Beneficence
54
Primary
criterion for Medicaid is:
Disability Status
Income
Disease
Age
55
A fire extinguisher would be used for a kerosene fire.
C
D
B
A
56
When a resident who is
not
covered by Medicare places money in a resident trust fund, the facility is
Required to pay interest only if contains more than $100.00
Always required to pay interest
Required to pay interest if in an interest bearing bankaccount
Required to pay interest only if contains more than $50.00
57
is not a nosocomial disease.
Decubitis sores
Pneumonia
HIV
weight loss
58
requires specific employee training.
Medicare
EEOC
COBRA
FLSA
59
Which is the BEST method of increasing a facility’s cash position?
Issuing shares of stock
Collecting accounts receivables
Increasing the census
Admitting more Medicare residents
60
All meals are prepared in accordance with the orders of the:
Dietician
Medical Director
Resident
Attending Physician
61
An NHA should be primarily concerned with which of the following .
Overall quality of care
Providing a safe environment for residents
Making a profit
Balancing staff patterns
62
When an administrator
compares
actual results to projected results this is called .
Directing
Controlling Quality
Forecasting
Organizing
63
The percentage of weight loss is calculated as
Ideal Weight – usual weight divided by usual weight x 100
Weight loss – usual weight divided by usual weight x 100
Actual Weight – usual weight divided by usual weight x 100
Usual weight – actual weight divided by usual weight x 100
64
When an administrator takes steps to
resolve
a deficient situation this called .
Directing
Organizing
Forecasting
Controlling Quality