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NAB Quiz (1)

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StimulatingSugilite2002
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A resident was admitted to a facility on November 10. The comprehensive assessment was completed on November 27th. Per OBRA 1987, the comprehensive assessment was completed.

Late

The ___ has ultimate legal responsibility for the operation of a nursing facility.

4 Governing body

Per OBRA 1987, air temperature is measured ____

  1. Just above the floor

The ____ requires employers to give workers time off for illness or to care for a sick family member.

<ol start="2"> <li>Family Medical Leave Act</li> </ol> Signup and view all the answers

The ___ hires, supervises and can fire the administrator

<ol start="3"> <li>Governing body</li> </ol> Signup and view all the answers

The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification requirements. The administrator should ___.

<ol start="4"> <li>Reprimand the DON</li> </ol> Signup and view all the answers

The rights of an individual determined by a court to be incompetent would be exercised by a(n) ____.

<ol start="2"> <li>A person appointed by a court or court guardian</li> </ol> Signup and view all the answers

The maintenance director submitted a request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine months he has worked for the facility. The administrator should ___.

<p>Inform the maintenance director he must have worked 12 months to be eligible for FMLA</p> Signup and view all the answers

Per OBRA 1987, a resident has the right to review all their records within of an oral or written request (excluding weekends and holidays).

<p>24 Hours</p> Signup and view all the answers

The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed .

<p>Timely</p> Signup and view all the answers

The comprehensive assessment must be signed by ____.

<p>Registered Nurse</p> Signup and view all the answers

The ___ has legal responsibility for the day to day operation of a skilled nursing home.

<p>Administrator</p> Signup and view all the answers

The ___ is responsible for the day-to-day management of the facility’s nursing program

<ol start="3"> <li>Director of Nursing</li> </ol> Signup and view all the answers

CMS stands for ____.

<p>Centers for Medicaid and Medicare Services</p> Signup and view all the answers

HHS stands for ___.

<ol> <li>Health and Human Services</li> </ol> Signup and view all the answers

The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7, 2007, June 21 2007 and November 15, 2007. The administrator should ____.

<p>Change the meeting dates to the first Tuesday of January, April, July and October to bring the facility into compliance with OBRA 1987</p> Signup and view all the answers

A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated?

<p>3</p> Signup and view all the answers

A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, 2007, July 29 and Sept 4. With respect to required physician visits per OBRA 1987, the facility

<p>Was in compliance and would not be cited</p> Signup and view all the answers

The ___ has legal responsibility to adopt and implement facility policies.

<p>Governing body</p> Signup and view all the answers

A resident was admitted on June 1. The attending physician charted a visit and physical examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987 with respect to required physician visits, the facility ____.

<p>Would be cited for a late visit in November</p> Signup and view all the answers

A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of physicians who cared for residents in the facility in their admission packet. The facility assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility ____.

<p>Was out of compliance and would be cited</p> Signup and view all the answers

A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident’s door, identifies herself as a house keeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be .

<p>In-serviced</p> Signup and view all the answers

____ is not an element of a Total Quality Management (TQM) program.

<p>Centralize decision making to improve customer service</p> Signup and view all the answers

The ___ is responsible to prepare and serve nutritious meals under sanitary conditions.

<p>Dietary Department</p> Signup and view all the answers

All furniture, equipment, boxes and supplies must be elevated ____ inches above the floor to allow the floor directly underneath to be cleaned.

<p>6</p> Signup and view all the answers

____ is the most comprehensive and effective improvement model.

<p>Total Quality Management</p> Signup and view all the answers

The ____ coordinates all work activities in the facility and resolves conflict between departments.

<p>Administration Department</p> Signup and view all the answers

What does HCFA stand for?

<p>Health Care Financing Administration</p> Signup and view all the answers

What is the minimum length for telephone cords?

<p>29 inches</p> Signup and view all the answers

What action should the governing body take when the hours of the dietary service manager are reduced?

<p>Reprimand the administrator</p> Signup and view all the answers

What is the primary effect of adding baking soda to food?

<p>Palatability</p> Signup and view all the answers

What is the focus of the resident’s quality of life and physical condition?

<p>Outcomes</p> Signup and view all the answers

Which one is not typical of a Total Quality Management (TQM) program?

<p>Minimal training of staff</p> Signup and view all the answers

In the given scenario, who would the administrator ask to help a resident who recently lost her husband and is tearful and worried about paying for her stay?

<p>Social Services director</p> Signup and view all the answers

How many inches above the floor must electrical switches be located?

<p>15</p> Signup and view all the answers

Which disease is characterized by stooped posture, shuffling gait, garbled speech, and tremors?

<p>Parkinson’s disease</p> Signup and view all the answers

What are the minimum and maximum decibels above normal for hearing aid compatible phones in nursing homes?

<p>12, 18</p> Signup and view all the answers

What is the minimum weight that grab bars and railings must support?

<p>250 pounds</p> Signup and view all the answers

How often must the emergency generator be visually inspected and checked?

<p><strong>Weekly</strong></p> Signup and view all the answers

Federal resident care standards are now ____and ____and are no longer considered minimal standards.

<p>State of art, maximal</p> Signup and view all the answers

Which payor source is the largest for long term care?

<p>Private pay</p> Signup and view all the answers

What is the average short term stay for a Medicare resident?

<p>90 days</p> Signup and view all the answers

What does ANSI stand for?

<p>American National Standards Institute</p> Signup and view all the answers

What would non-compliance affecting a limited number of residents and locations be assigned a scope of?

<p>Isolated</p> Signup and view all the answers

TQM is characterized by all of the following EXCEPT:

<p>Minimal involvement of upper management</p> Signup and view all the answers

Who do administrators consult to compare outcomes to expectations?

<p>Policies and plans of actions</p> Signup and view all the answers

What would a resident with Parkinson’s not benefit from?

<p>Bed rest</p> Signup and view all the answers

What can states not do to compel facilities to correct class 1 deficiencies found during inspections?

<p>Require a plan of action by a facility to correct deficiencies</p> Signup and view all the answers

A ___ violation is where the severity of negative outcomes that compromises a resident’s ability to maintain the highest physical, mental and psychosocial well-being.

<p>Level 3</p> Signup and view all the answers

Parking spaces must be at least ____” wide with an accessible handicap aisle at least ” wide.

<p>96”, 60”</p> Signup and view all the answers

What is the correct term for a broad statement of goals?

<p>Mission statement</p> Signup and view all the answers

When should long-term residents be surveyed regarding satisfaction with services?

<p>Annually</p> Signup and view all the answers

Which of the following is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?

<p>A healthcare facility accredited by JCAHO is exempt from state and federal inspections</p> Signup and view all the answers

When does communication occur?

<p>A message is transmitted by one person and received and decoded and understood by the other person</p> Signup and view all the answers

What does NFPA stand for in the context provided?

<p>National Fire Protection Association</p> Signup and view all the answers

According to the Nursing Facilities Protection Act, how long must the emergency generator be run under full load?

<p>30 minutes, month</p> Signup and view all the answers

When can the fire alarm be silenced during a fire drill as per the Nursing Facilities Protection Act?

<p>10 PM and 6 AM</p> Signup and view all the answers

Who is responsible for assembling and analyzing incident reports, infection rates, safety issues, medication errors and restraint use according to the Nursing Facilities Protection Act?

<p>Quality assurance committee</p> Signup and view all the answers

Which organization publishes and promotes fire safety in nursing homes?

<p>NFPA</p> Signup and view all the answers

What does 'listening intently, acceptance, empathy and understanding the message' describe in the context of communication?

<p>Active listening</p> Signup and view all the answers

What is the focus of the nursing home survey/inspection process?

<p>Outcomes</p> Signup and view all the answers

Who enforces the Americans with Disabilities Act construction standards?

<p>Architecture and Transportation Barriers Compliance Board</p> Signup and view all the answers

What is the main purpose of a grievance procedure in a nursing home?

<p>Monitoring consumer satisfaction</p> Signup and view all the answers

Who must nursing facilities be licensed by?

<p>State</p> Signup and view all the answers

What is the responsibility of facilities licensed by the state and certified to receive Medicare and Medicaid reimbursement?

<p>State and federal inspection</p> Signup and view all the answers

What process does the administrator engage in when challenging the findings and citations issued during a survey?

<p>Formal dispute resolution process</p> Signup and view all the answers

Who develops the Americans with Disabilities Act construction standards?

<p>ANSI</p> Signup and view all the answers

What do patients and family primarily look for when selecting a nursing home?

<p>Variety and quality of food</p> Signup and view all the answers

By whom must facilities licensed by the state be certified to receive Medicare and Medicaid reimbursement?

<p>State and federal inspection</p> Signup and view all the answers

What must all nursing facilities be licensed by?

<p>State</p> Signup and view all the answers

Who is responsible for overseeing federal inspection of resident care in nursing facilities?

<p>CMS</p> Signup and view all the answers

What type of reports for nursing homes available through the CMS would not include the nursing home watch list?

<p>Nursing home watch list</p> Signup and view all the answers

What does a state survey team NOT review prior to entering a facility?

<p>Resident council minutes</p> Signup and view all the answers

Who is responsible for identifying and addressing safety hazards in nursing facilities as required by OSHA?

<p>Safety committee</p> Signup and view all the answers

How many different survey types are there in the federal nursing home certification survey program?

<p>5</p> Signup and view all the answers

Which phase of the state survey involves gathering information from OSCAR, the ombudsman, and other sources prior to entering a facility?

<p>Off-site preparation</p> Signup and view all the answers

What is the phase of the state survey where the survey team analyzes and compares observations and findings called?

<p>Data analysis</p> Signup and view all the answers

Which entity is responsible for federal inspection of resident care in nursing facilities?

<p>CMS</p> Signup and view all the answers

What is the name of the phase in which the survey team gathers information from OSCAR, the ombudsman, and other sources before entering a facility?

<p>Off-site preparation</p> Signup and view all the answers

Which entity is responsible for identifying and addressing safety hazards in nursing facilities as required by OSHA?

<p>Safety committee</p> Signup and view all the answers

How many days does the administrator have to prepare a plan of correction for all deficiencies cited in the survey?

<p>10 days</p> Signup and view all the answers

What is communication from subordinates directed to upper management called?

<p>Upward communication</p> Signup and view all the answers

What level of deficiency has the potential for no more than minor negative impact on a resident?

<p>Level 1</p> Signup and view all the answers

Which factor has the least impact on influencing a resident or their family in choosing a facility?

<p>Media ads</p> Signup and view all the answers

At what point should short term residents be surveyed about satisfaction with services?

<p>Within 30 days from discharge</p> Signup and view all the answers

What technology connects cell phones, hand held devices and keyboards to a computer by high speed cable?

<p>Fire wire</p> Signup and view all the answers

How long does the implementation of a TQM program typically take?

<p>5-10 years</p> Signup and view all the answers

What is the key consideration in determining the minimum level of staffing in a nursing facility?

<p>Patient acuity levels</p> Signup and view all the answers

What is managing risks of negative outcomes called?

<p>Risk management</p> Signup and view all the answers

What is the key to a successful TQM program?

<p>Training</p> Signup and view all the answers

What does a tag indicate according to the provided text?

<p>Substandard care was found</p> Signup and view all the answers

What is the phase of the state survey where the survey team discusses the findings with the administrator, DON, and department heads called?

<p>Exit conference</p> Signup and view all the answers

When services in a facility are inconsistent from day to day and from shift to shift, it is known as?

<p>Inconsistency rule</p> Signup and view all the answers

What is the communication between staff of equal rank or status called?

<p>Horizontal communication</p> Signup and view all the answers

When consumers perceive a facility renders poor care due to the performance of one employee, this is called:

<p>None of the above</p> Signup and view all the answers

What does the survey team send the administrator if the facility was substantially in compliance with only isolated or minor problems which caused no actual harm, and no plan of correction is required?

<p>Notice of isolated deficiencies</p> Signup and view all the answers

Which residents are most at risk for pressure ulcers?

<p>Those with a history of skin problems</p> Signup and view all the answers

What is the primary factor that puts residents at risk for pressure ulcers?

<p>Immobility or limited mobility</p> Signup and view all the answers

What is a common contributing factor for residents at risk of developing pressure ulcers?

<p>bed or chair ridden</p> Signup and view all the answers

The organization responsible for researching safety protocols to protect workers in the work place from diseases and occupational hazards is NIOSH. NIOSH stands for ____?

<p>National Institute for Occupational Safety and Health</p> Signup and view all the answers

Per OBRA 1987, resident medical records must be retained for a minimum of year(s) from discharge

<p>5 year</p> Signup and view all the answers

____ would not be covered by Medicare.

<p>Television</p> Signup and view all the answers

The width required for 2 wheelchairs to pass is

<p>60 inches</p> Signup and view all the answers

_____ can provide nursing aide services and be included in calculating minimum staffing hours.

<p>Private duty nurses practical nurse employed by the facility</p> Signup and view all the answers

Managing risks of negative outcomes is called ___.

<p>Risk management</p> Signup and view all the answers

The nosing on a stair must project no more than ___.

<p>1 1/2</p> Signup and view all the answers

Smoke detectors must be located no further than ___feet apart and no more than ___ feet from any wall.

<p>30,15</p> Signup and view all the answers

Minimum wheelchair passing width for two wheelchairs is ___ inches.

<p>60</p> Signup and view all the answers

Minimum clear width for a single wheelchair is ___” continuously and ____” at any one point.

<p>36”, 32”</p> Signup and view all the answers

There must be a passing space in an accessible route for wheelchairs every __feet.

<p>200 feet</p> Signup and view all the answers

A passenger loading zone must be at least ___” wide and ___” long.

<p>60” wide and 20 feet long</p> Signup and view all the answers

The force required to open all doors, flush a toilet, operate faucet handles, and operate a water fountain cannot exceed ___lbs of pressure.

<p>5</p> Signup and view all the answers

Minimum wheelchair turning space is ___inches.

<p>60”</p> Signup and view all the answers

The high forward reach from a wheel chair is ___.

<p>48”</p> Signup and view all the answers

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