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75 Cards in this Set
- Front
- Back
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2) As required by Federal Law, nursing facilities that are directly responsible for resident care must post daily for each shift the number of: |
licensed and unlicensed nursing staff
RNs and licensed practical vocational nurses (LPNs/LVNs)
Total staff per unit
nurse aides per unit
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3) In the process of devceloping the policies and procedures for a risk managment program, one of the administrator's major concerns should be to: |
Focus on physician notification of abnorrmal values and nursing actions
assure that contract services are timely and adequate in their quality
develope a system that focuses on reducing the potential for legal exposure.
incorporate good communication and objectivity |
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1) A survey agency must conduct an Extended Survey within how many calendar days after the completion of a Standard Survey that found that a nursing facility had furnished substandard quality of care? |
10 14 15 30
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4) The most negative consequence of serious conflict resolution is: |
sharing critical information to prevent future problems
leaking confidential information to involved parties
losing an employee after the situation has been resolved
making decisions that neither party supports |
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5) A nursing facility administrator receives a voice message from a local news reporter who is a friend of the administrator's child. The reporterdemands that the administrator returns the call to provide "information regarding the poor care" of the reporter's friend's parent and states that their conversation will be " off the record". From a public relations perspective, the administrator should: |
not return the call
return the call, be polite, and be aware that the conversation will not actually be "off the record"
return the call and tell the repolrter only that the facility has no comment at this time
return the call and calmly but firmly insist that thte press has no right to be involved
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6) The entity or individual that is legally responsible for establishing and implementing management policies for a nursing facility is the: |
state licensing and certification agency governing body owner of the facility administrator |
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7) Which of the following situations is an example of respondeat superior? |
A private duty nurse on contract carelessly dumps a resident from a wheelchair, causing injuries to the resident
A physician prescribes a medication for a resident without consulting the medical chart, causing the resident to become hospitalized due to an allergy to the medication
A nurse aide carelessly leaves the side rail down when changing an occupied bed, causing the resident to roll onto the floor and become injured
A nurses aide hurries down the hall to answer a call light and knocks down a resident, who is not injured |
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8) A nursing facility has deficiencies that constitute immediate jeoparrdy to its residents. The facility receives notice that it will have a civil penalty imposedon a daily basis. The potential monetary range for this civil penalty is: |
$50- $1000
$500- $3000
$1000-$3000
$3050- $10,000 |
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9) Which of the following investigative protocols is required on every standard nursing facility survey? |
Hydration
Dining and food service
Abuse prohibition
Nursing services, sufficient staffing
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10) When a surveyor deman1ds a complete roster/ sample matrix, the nursing facility must supply this information within how many hours? |
1 4 12 24
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11) The administrator should ensure that all professional personnel providing services are: |
Legal US citizens
independent contractors or vendors
duly licensed under federal law
providing services within their swcope of practice |
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12) Which of the following actions is a clearly stated role of the nursing facility's governing body? |
Negotiating all outside vendor contracts
Ensuring that the facility meets state and federal guidelines
Overseeing the hiring of the medical director
Excercising general direction over the facility |
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13) A medicare provider who has been terminated under 42 CFR 489.53 wishes to be reinstated. Which of the following must be used to verify that the provider is capable of achieving and maintaining substantial compliance with all applicable participation requirements? |
reasonable assurance
best practice
administrative law
survey enforcement
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14) In negotiating a transfer agreement, a nursing facility's administrator must ensure that the hospital: |
has adequate staffing levels to accomodate the residents
is certified by the Joint Commision (TJC)
will admit the facilities resident's in a timely manner
must be within a 50 mile radius of the facility |
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15) Having left the nursing facility, the state must revisit the facility within how many days of the last correction date on the plan of correction? |
23
45
60
120 |
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16) The most commonly overlooked component of a marketing plan is: |
identifying management strength and weaknesses
determining when to revise the program
follow up on the programs effectiveness
preparing an accurate budget for the plan |
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17) Many fall provention programs fail and put the nursing facility at risk for law suits because the fall prevention program is NOT: |
complex
implemented
in writting
identifiable |
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18) When budgeting for a related expense all of the following would be incorportated into the total anticipated acquisition cost of the asset EXCEPT: |
the interest on the money borrowed
the salvage value
shipping and delivering fees
installation expense |
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19) If a 100 bed facility is 90% occupied and the salary of the DON is $45,000, the annual cost per resident for the position is: |
$450
$500
$540
$1080 |
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20) Future capital expenditures should be predicated upon: |
short term planning and working capital
long-range planning and organizational objectives
operational planning and working capital
operational planning and operating capital |
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21) Which of the following costs is an example of a fix cost? |
salary of the DON
food in the dietary department
disposable medical supplies
postage for resident billing |
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22) The following table presents cost-benefit information for a new program. Cost Benefit Year 1 $16000 $10000 Year 2 $1000 $8000 Year 3 $1000 $6000 Year 4 $1000 $4000 Year 5 $1000 $2000
Which of the following formulas represents the correct calculation of the return on investment of the new program for the five-year peroid shown?
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10000/16000 = 62.5%
10000/15000 = 67%
30000/20000 = 150%
30000/16000 = 187.5% |
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23) Which of the following indicators measures overall profitability? |
Change in working conditions
Days in accounts receivable
Debt-to-equity ratio
Return-on-assets ratio |
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24) The financial benefits realized by purchasing supplies in larger quantities are often offset by which of the following types of cost? |
Storage and labor
Opportuntiy and Storage
Delivery and Opportunity
Labor and Delivery |
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25) If a nursing facility needs to purchase a piece of equiptment four years from today and it can invest at an 10% compound interest, how much would the facility have to invest today to have approximately $14,640 in four years? |
$8000
$9000
$10000
$12000 |
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26) Budget reports are most useful for managerial control when they: |
allow for control measures to function when authority is decentralized
allow for the measurement of performance against established standards
come from headquarters to individual nursing facilities of multi-institutional systems
come fromn performance appraisal at all organizational levels |
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27) The nursing facility should prepare an overall plan and budget that is reviewed and updated: |
quarterly
every 6 months
annually
every 2 years |
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28) A nursing facility billed Medicare $3210 for a resident nursing services for October. Medicare paid the facility $2525. What is the contractual allowance? |
$685
$2525
$3210
$5735 |
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29) A nursing facility must ensure that it is free of medication error rates of: |
5% or greater
5% or less
10% or greater
10% or less |
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30) A nursing facility may use paid feeding assistants who have completed a state approved training course of at least how many hours of training? |
4
6
8
12 |
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31) A nursing facility has an average daily census of 120 for the month of February. The infection control nurse finds 30 nosocomial infections during that month. The nosocomial infection rate for February is: |
15%
25%
30%
40% |
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32) A resident with dysphagia is at greatest risk for: |
chronic renal failure
congestive heart failure
aspiration pneumonia
sesnsory deprivation |
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33) The pre-admission screening resident review (PASRR) provision of the OBRA is intended to: |
prevent inappropriate placement in nursing facilities of the seriously mentally ill and retarded
follow up case management assignments of all social work personnel
ensure that psychotropic drugs are appropriately prescribed for the mentally ill
compare the level of care in the given nursing facility to that in a average nursing facility |
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34) cant read |
cant read it |
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35) Which of the following outcomes is the BEST indicator that a recreation program has been effective? |
The scheduling of a variety of activities
A reduction in resident medication.
An increase in resident responsiveness as observers or participants
An increase in attendance at activities programs |
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36) The acceptable temperature range for storing all potentially hazardous foods under refrideration is: |
15-20F
32-37F
36-41F
48-53F |
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37) A mentally competent female resident in a nursing facility tells a nursing aide that she has had a consensual sexual incounter with a male resident. The nurse aid must notify: |
No one
The female resident's family
The charge nurse
The administrator |
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38) A resident contracts with a hospice company while in a nursing facility. The care plan is the responsiblility of the: |
Attending physician
DON
Hospice Provider
Nursing Facility |
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39) Which of the following procedures applies when handling a food tray for a resident in isolation? |
Leftovers must be saved per residents request and returned to kitchen
Leftovers must be saved by residents request and left by the bed side
The tray must be returned to the kitchen to be disposed
All utensils entering the isolation room must be disposable |
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40) When a resident dies in the nursing facility, the death certificate must be signed by the: |
Medical examiner
Attending physician
Charge Nurse
Medical Director |
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41) A physician orders an expierimental AIDS medication for a resident with a court appointed guardian. The resident wants to take the medication, but the residents family doesn't want to be part of the expieriment. The decision will be made by the: |
Physician
Guardian
Family
Resident |
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42) A volunteer contacts an administrator requesting to do a nurse aide's duties without pay. According to the regulations of OBRA the administrator should: |
ask the volunteers age, and if the volunteer isnt over age 65, set up an appt. for a regular hiring interview
respond positively and schedual one day of orientation devoted to nurse aide duties
respond positively and set up a schedual for the volunteers mandatory nurse aide training and competency evaluation
tell the volunteer that performing the nurse aid duties is not possible, but their are many other volunteer oportunities available |
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43) A qualified social worker is required on a full time basis for all: |
Nursing Facilities
Medicare Certified Nursing Facilities with 100+ beds
Medicaid Certified Nursing Factility with 110+ beds
Nursing Facilities with more that 120 beds |
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44) Establishing a record system for the receipt and disposition of all ocntrolled drugs to ensure an accurate reconciliation is the responsibility of the: |
DON
Medical Director
Pharmacy Provider
Pharmacy Consultant |
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45) All therapeutic menus must be planned by a: |
Registered Dietition
Certified Dietary Manager
Attending Physician
Food Service Supervisor |
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46) When a medication is discontuinued it should be: |
Removed from the nursing unit
Saved in case it is reordered
Destroyed within 24 hours
Destroyed within 48 hours |
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47) Admission Orders written by a physician are required: |
24 hours prior to admission
At the time each resident is admitted
Within 48 hours of admission
Prior to the first interdisciplinary care plan meeting |
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48) The medication regimen of each resident must be reviewed by a licensed pharmacist: |
as needed
as ordered
at least monthly
at least quarterly |
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49) When residents under medicare or medicaid are discharged from a nursing facility, the residents may take medications with them if the: |
Medications are not narcotics
Pharmacy consultants approves the request
Attending Physician gives written permission
Residents or their responsible parties sign a release |
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50) The most common linked for transmission of methicillin- resistant staphylococcus aureus between colonized or infected residents is: |
Direct care personnel
Frequent hospital transfers
Contaminated needles
Other residents |
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51) A nursing facility must conduct a comprehensive assesment of a resident within how many calendar days after admission, excluding readmissions in which there is no significant change? |
5
7
14
21 |
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52) From the POV of a nursing facility, the prevention of pressure sores is important because: |
the cost of treatment is far higher than the cost of prevention
the resident who develope pressure sores become completely immobilized
few facilities are properly equipt to treat pressure sores successfully
failure to cure cases of pressure sores in a facility can bring about rising incidence of complaints about the facilities level of care |
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53) The Primary role of the registered dietition in the NF is to: |
ensure that adequate food supplies are available at the facility at all times
plan and conduct in service education programs
develope physician ordered menus that meet residents nutritional needs
Complete all residents dietary assessments |
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54) a cluster of infections involving multiple residents in a NF is refered to as: |
pandemic
epidemic
endemic
localized |
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55) in a NF, the primary value of work orders is the: |
improvment in efficiancy and reduction in cost
elimination of duplicate efforts
time saved by the facility
scheduling of work to be done
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56) At a minimum, fire drills should be conducted on eadch shifthow many times annually? |
3
4
6
12
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57) When alcohol-based hand cleaners are available for use, whichof the dfollowing precautions is NOT required to be taken? |
Mounting dispensers in sprinklered areas if installedon carpeted surfaces
Installing dispensers in corridors that are at least 72 inches wide
placing dispensors at least 30 inches away from each other
Placing dispensors away from electrical outlets |
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58) Procedures necessary for handling body fluids are known as: |
sterilization
standard precautions
infection control
isolation techniques |
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59) Which of the following methods is the best means of auditing a safety program? |
conducting more fire drills
examining resident records
evaluating the accident log
appointing a safety manager |
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60)Resident and staff safety takes precedence over: |
comfort
environment
resident health
resident choice |
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61) The Safe Medical Device Act (SMDA) requires a nursing facility to report tot he Food and Drug Administration (FDA) and/or the manufacturer every incident that reasonably suggests that a medical device caused: |
emergency care
minor illness
minor injury
serious injury |
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62) Which of the following organizations prepares the Life Safety Codes? |
NFPA
FSA
OSHA
SFMB |
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63) According to the federal regulations, in gthe event that a facility loses electrical power, to which system must the emergency generator supply power? |
Fire Detection
Nurse Call
Heating
Telephone |
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64) The only feasible method of obtaining equity in compensation is a job: |
analysis
evaluation
description
classification |
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65) Which of the follolwing situations is an example of informal communication? |
A group of nurses discussing a new absenteeism policy
An administrator writing a memo to department heads
the director fo nursing interviewing a new hospice provider
the housekeeping supervisordiscussing new infection control procedures at a staff meeting
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66) Conflict and administration intervention become necessary when conflict may potentially: |
threaten organizational goals
challenge leadership styles
expose certain problems
force changes in current rules |
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67) Assisting managers in creating a favorable work environment is referred to as management of: |
compensation
labor relations
risk
benefits |
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68) The commonly used formula to calculate the employee turnover rate is the: |
average number of employees/ total number of employee seperations
average number of employees/ total number of employee seperations multiplied by 100
total number of employee seperations/ the average number of employees
total number of employee seperations/ the average number of employees multiplied by 100 |
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69) One reason to conduct an exit interview is to: |
identify personality types to exclude from the hiring process
discover reasons for high turnover in a particular department
convey the whole staff's regret about the employee's departure
provide the employee with the true reasons for being fired |
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70) The best way to ensure that an employee understands an order is to: |
repeat all directions twice
give all directions in writing
ask if the employee understands
ask what the employee is going to do |
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71) The most effective way to give employees of a NF an accurate picture of their job requirement is through: |
a discussion during an interview
a formal orientation program
written job descriptions
on-the-job training |
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72) An employer sponsored program that provides confidential professional services to help employees resolve problems that areaffecting their personal lives or job performance is known as an employee: |
professional development program
safety program
assistance program
performance program |
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73) As a means of providing employee benefits, a cafeteria plan: |
allows employees to eat in the NF cafeteria at no cost to the employee
pays for certain employee benefits with pre-tax dollars from a selected "menu"
allows employees to choose their benefit packages from a "menu" without restrictions on benefit allocation
reduces an employer's withholding taxes, but offers little benefit to employees |
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74) Day-to-Day personnel policies, procedures, and rules are summarized in a/an: |
orientation manual
job description
employee handbook
human resource manual |
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75) Which of the following types of incident is the most common category of serious employee injury reported in NF? |
needle stick
cuts and bruises
lifting injuries
burns in the kitchen |
