FILE_6397.docx

National Exam National Exam 1 This is a timed exam. You have exactly 3 hours to complete the exam Stan Mucinic, LNHA EXAMprofessional.com [email protected] 561-255-8213 LEGAL NOTICE INDIVIDUALS ENROLLED IN THE “NATIONAL NURSING HOME ADMINISTRATION LICENSING COURSE” ARE PURCHASING THE PROFESSIONAL...

National Exam National Exam 1 This is a timed exam. You have exactly 3 hours to complete the exam Stan Mucinic, LNHA EXAMprofessional.com [email protected] 561-255-8213 LEGAL NOTICE INDIVIDUALS ENROLLED IN THE “NATIONAL NURSING HOME ADMINISTRATION LICENSING COURSE” ARE PURCHASING THE PROFESSIONAL KNOWLEDGE OF THE INSTRUCTOR TO ASSIST THE STUDENT TO PREPARE FOR THE NATIONAL “NURSING HOME ADMINISTRATOR’S” EXAM. The course is a 5-week intensive self-study test preparation program designed to provide the student a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely. The student and instructor can negotiate additional instruction time and fees if necessary. THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM. An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation. A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees. Contact Information You may contact Stan Mucinic by email [email protected] with any questions or after you score each exam. Mock National Exam 1 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 Timely Within the grace period In accordance with OBRA 1987 The has ultimate legal responsibility for the operation of a nursing facility. Medical Director Nursing home Administrator Long term care ombudsman Governing body Per OBRA 1987, air temperature is measured. At ceiling level At level with the thermostat control box Just above the floor 18 inches below the ceiling The requires employers to give workers time off for illness or to care for a sick family member. Equal Employment Opportunity Act Family Medical Leave Act Health Insurance Portability and Accountability Act Civil Rights Act The hires, supervises and can fire the administrator. State health department CMS Governing body State nursing home licensing board The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification requirements. The administrator should. Be very pleased Commend the Director of Nursing for thoroughly training staff Recommend other facilities implement the same practice Reprimand the DON The rights of an individual determined by a court to be incompetent would be exercised by a(n). Attorney in Fact A person appointed by a court or court guardian Durable power of attorney Ombudsman 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. Approve the request Inform the maintenance director he must have worked 12 months to be eligible for FMLA Approve the request but inform the employee that he must pay for the full cost of his insurance benefits. Inform the employee that taking care of an ill parent is not covered under the FMLA Per OBRA 1987, a resident has the right to review all their records within of an oral or written request (excluding weekends and holidays). 24 hours 36 hours 48 hours 72 hours The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed. Late Timely Out of compliance with OBRA 1987 Within the grace period The comprehensive assessment must be signed by. MDS Coordinator Registered Nurse Medical Director Attending Physician The has legal responsibility for the day to day operation of a skilled nursing home. Governing body Medical Director Director of Nursing Administrator The is responsible for the day-to-day management of the facility’s nursing program. Governing body Medical Director Director of Nursing Administrator CMS stands for. Central Medicaid Services Centers for Medicaid and Medicare Services Center for Medicare Services Center for Medical Services HHS stands for. Health and Human Services Human and Health Services Higher Health Services Health Services Administration 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. Be reassured the meetings were held timely Change future meeting dates to January, May, July and September to bring the facility into compliance with OBRA 1987 Change the meeting dates to ensure he or she can attend the meetings are required Change the meeting dates to the first Tuesday of January, April, July and October to bring the facility into compliance with OBRA 1987 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? 1. 1 2. 2 3. 3 4. 4 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. Was in compliance and would not be cited Is not responsible to ensure timely physician visits Was out of compliance and would be cited The facility would only be cited if there was actual harm to a resident The has legal responsibility to adopt and implement facility policies. Medical Director Director of Nursing Governing body Administrator 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. Complied with required physician visits Would be cited for a late visit in November Is not responsible for late physician visits and would not be cited The facility would only be cited if there was actual harm to a resident 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. Was out of compliance and would be cited Fully complied with all requirements Must transfer these residents to another facility Must immediately transfer these residents to the care of the medical director 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. Commended for her efficiency in keeping to her schedule Promoted to Director of Housekeeping Services In-serviced Transferred to the night shift is not an element of a Total Quality Management (TQM) program. Constantly improving production and service Making workers responsible for quality at the source Total involvement of management Centralize decision making to improve customer service The is responsible to prepare and serve nutritious meals under sanitary conditions. Nursing Department Activities Department Dietary Department Administration Department All furniture, equipment, boxes and supplies must be elevated inches above the floor to allow the floor directly underneath to be cleaned. 1. 3 2. 6 3. 9 4. 12 is the most comprehensive and effective improvement model. Total Quality Management Quality Assurance Continuous Improvement Performance Improvement The coordinates all work activities in the facility and resolves conflict between departments. Nursing Department Activities Department Dietary Department Administration Department HCFA stands for _. Health Care Financing Authority Health Costs Financing Administration Health Care Financing Administration Health Care Financing Agency Telephone cords must be a minimum length of. 12 inches 15 inches 24 inches 29 inches 3O To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should. Commend the administrator for substantial cost savings immediately increase the manager’s hours to 30 hours per week Restore the dietary manager’s hours to full time and eliminate the consultant dietician Reprimand the administrator Adding baking soda to food will primarily affect its. Nutritive value Palatability Attractiveness Temperature The resident’s quality of life and physical condition is the focus of:. Structure Process Outcomes All of the above is not typical of a TQM program. Empowering employees Use of teams Individual responsibility Minimal training of staff A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the to help her. Nursing department Social Services director Administrator Business office Electrical switches must be located at a minimum of inches above the floor. 1. 6 2. 12 3. 15 4. 24 Stooped posture, shuffling gait, garbled speech and tremors are symptoms of. Senile dementia Alzheimer’s Parkinson’s disease Muscular Sclerosis Nursing homes must have hearing aid compatible phones with volume control that can adjust the volume between a minimum of and a maximum of decibels above normal. 1. 6, 11 2. 12, 18 3. 15, 20 4. 20, 29 Grab bars and railings must support a minimum weight of pounds. 1. 100 2. 150 3. 200 4. 250 The emergency generator must be visually inspected and checked. Daily weekly Monthly Quarterly Federal resident care standards are now and and are no longer considered minimal standards. State of art, maximal Outdated, irrelevant Disputed, questioned Voluntary, mammal The largest payor source for long term care is. Private pay Managed care Medicare Medicaid The average short term stay for a Medicare resident is. 15 days 30 days 45 days 90 days ANSI stands for. American National Standards Institute Association of National Safety Inspectors Architectural National Safety Institute Agency for National Safety Initiatives Non-compliance affecting a limited number of residents and locations would be assigned a scope of. Isolated Patterned Widespread Saturated TQM is not characterized by. Most comprehensive and involved Minimal involvement of upper management An interdisciplinary approach Most effective quality improvement model Administrators consult to compare outcomes to expectations. Governing body State surveyors Policies and plans of actions Residents and families A resident with Parkinson’s would not benefit by. Range of motion exercises Bed rest Reality orientation using clocks and, calendars Attending church services and visits with friends and family The states cannot to compel facilities to correct class 1 deficiencies found during Inspections. Require a plan of action by a facility to correct deficiencies Impose daily fines Impose a moratorium on new admissions, suspension or revocation of license Impose civil or criminal penalties 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. Level 1 Level 2 Level 3 Level 4 Parking spaces must be at least ” wide with an accessible handicap aisle at least ” wide. 1. 36”, 48” 2. 96”, 60” 3. 46’, 52” 4. 24”, 38” A broad statement of goals is a _. Plan of action Mission statement Policy Procedure Long term residents should be surveyed regarding satisfaction with services. Just before state inspection/survey Annually As requested by resident council Shortly after discharge Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)? JCAHO is a private organization that accredits hospitals and nursing homes JCAHO can impose civil fines JCAHO accreditation and membership is voluntary for nursing homes A healthcare facility accredited by JCAHO is exempt from state and federal inspections Communication occurs when. A message is transmitted from one individual to another A message is transmitted by one person and received by another A message is transmitted by one person and received and decoded by another person A message is transmitted by one person and received and decoded and understood by the other person NFPA stands for. National Fire Protection Agency National Fire Publications Administration National Fire Protection Association Nursing Facilities Protection Act The emergency generator must be run under full load for every. 30 minutes, month 30 minutes, quarter 60 minutes ,month 60 minutes, week The fire alarm can be silenced during a fire drill conducted between the hours of. 11 AM and 7 PM 10 PM and 6 AM 11 AM and 3PM 8 AM and 4 PM The is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use. Safety committee Risk management committee Quality assurance committee Social committee publishes and promotes fire safety in nursing homes. OSHA NFPA ANSI ADA Listening intently, acceptance, empathy and understanding the message describes. Unconditional positive regard Active listening Compassionate communication None of the above Patients and family look for when selecting a nursing home. Variety and quality of food Good rehab department Timely communication with nursing staff Well known corporate name The Americans with Disabilities Act construction standards are enforced by. NFPA ANSI Architecture and Transportation Barriers Compliance Board EEOC The Americans with Disabilities Act construction standards were developed by. NFPA ANSI Architecture and Transportation Barriers Compliance Board EEOC A mechanism to monitor consumer satisfaction and address other concerns is called the. Grievance procedure Mediation procedure Arbitration procedure Satisfaction procedure The nursing home survey/inspection process focuses on. Structure Process Outcomes None of the above All nursing facilities must be licensed by the. State CMS HCFA None of the above Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must submit to. State inspection only State and federal inspection Federal inspection only CMS When the administrator writes a letter to the local state survey office to challenge the findings and citations issued during a survey, the administrator is using the. Informal dispute resolution process Formal dispute resolution process Civil court mediation By filing an appeal directly to the U.S. Supreme Court Per OBRA 1987, a nursing home must maintain the highest for residents? Physical, mental and psychosocial well being Psychosocial and physical status Social, dietary and ambulatory well being Physical and mental well being When a facility requests a hearing before an administrative law judge to challenge the findings made during a state survey, the facility is using the. Informal dispute resolution process Formal dispute resolution process Civil court mediation By filing an appeal directly to the U.S. Supreme Court Federal inspection of resident care in nursing facilities is overseen by __. Long term care ombudsman Area Agency on Aging CMS OSHA Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following? Facility characteristics Nursing home watch list Facility profile Resident level summary Prior to entering a facility, a state survey team would not review the. Facility compliance report Most recent compliance survey/inspection Ombudsman reports and investigations Resident council minutes The is responsible to identify and address safety hazards that can injure residents and staff and is required by OSHA. Safety committee Risk management committee Quality assurance committee Social committee The federal nursing home certification survey program has a total of different survey types. 1. 1 2. 2 3. 5 4. 7 The phase of the state survey where the survey team gathers information from OSCAR, the ombudsman and other sources prior to entering a facility is called _. Initial tour Exit conference Off-site preparation Entrance conference The phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found and their severity is called. Sample selection Exit conference Information gathering Information analysis Nursing homes must be inspected every. 12 months 15 months 24 months 30 months An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server is called. Email Fire wire Bluetooth High frequency radios A finding of ‘substandard care” requires the survey team to have evidence of. Insufficient nursing staff Immediate jeopardy to resident care than has or likely to cause serious injury or death Inadequate policies and procedures Financial instability A tag would indicate substandard care was found. 1. F250 D 2. F371 E 3. F377 J 4. F251 F The phase of the state survey where the survey team sits down with the administrator, the DON and department heads to discuss the findings of the survey team is called. Entrance conference Exit conference Information gathering Information analysis When services in a facility are not consistent from day to day and from shift to shift this is called. Intangibility rule Inconsistency rule Inseparability rule None of the above Communication between staff of equal rank or status is called. Upward communication Downward communication Horizontal communication 4. None of the above When consumers perceive a facility renders poor care because of the performance of one employee, this is called. Intangibility rule Inconsistency rule Inseparability rule None of the above Upon completion of a survey, the survey team sends the administrator which of the following if the facility was substantially in compliance, had only isolated or minor problems which caused no actual harm, and no plan of correction is required? Form 2567 Notice of isolated deficiencies Form 2560 Form I-9 The administrator has days to prepare a plan of correction for all deficiencies cited in the survey. 10 days 15 days 30 days 45 days Communication from subordinates directed to upper management is called. Downward communication Horizontal communication Upward communication None of the above A violation or deficiency with the potential for no more than minor negative impact on a resident is a deficiency. Level 1 Level 2 Level 3 Level 4 has/have the least impact on influencing a resident or their family in choosing a facility. Physician referrals Hospital discharge planners Media ads Word of mouth Short term residents should be surveyed about satisfaction with services. Upon admission Weekly Monthly Within 30 days from discharge A technology that connects cell phones, hand held devices and keyboards to a computer by high speed cable is called. Email Fire wire Bluetooth Facsimile machines Implementation of a TQM program takes between. 1-2 years 2-5 years 5-10 years 10-15 years The key consideration in determining the minimum level of staffing in a nursing facility is. Patient acuity levels Direction from corporate Federal and state staffing requirements Facility census Managing risks of negative outcomes is called. Risk management Arbitration Conflict resolution Mediation The key to a successful TQM program is. Leadership Training Processes Commitment to customer service An organizational chart shows the reporting relationship between staff. A solid line on the chart denotes. Staff authority Line authority Volunteer status Advisory authority A parking lot with 100 parking spaces would require handicap accessible parking spots. 1. 1 2. 2 3. 4 4. 6 The most effective marketing tool for a nursing home to attract new residents is/are. Ads in newspapers Ads on television A tour of the facility Health care fairs A violation with no more than minimal physical, mental or psychological discomfort is a deficiency. Level 1 Level 2 Level 3 Level 4 Believing something that is not based in reality is called. Hallucination Delusion Histrionic Narcissistic Communication directed from upper management to lower level managers and staff is called. Upward communication Horizontal communication Downward communication Vertical integration Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of. Isolated Patterned Widespread Saturated can provide nursing aide services and be included in calculating minimum staffing hours. Student nurses Volunteers Private duty nurses A licensed practical nurse employed by the facility Managing risks of negative outcomes is called. Risk management Arbitration Conflict resolution Mediation The nosing on a stair must project no more than. 1. ½” 2. 1” 3. 1 ½” 4. 2” Smoke detectors must be located no further than feet apart and no more than feet from any wall. 1. 10, 3 2. 6, 6 3. 30, 15 4. 50, 20 Minimum wheelchair passing width for two wheelchairs is inches. 1. 30” 2. 34” 3. 60” 4. 72” Minimum clear width for a single wheelchair is ” continuously and ” at any one point. 1. 24” ,32” 2. 36”, 32” 3. 34”, 29” 4. 32”, 46” There must be a passing space in an accessible route for wheelchairs every feet. 100 feet 150 feet 200 feet 400 feet A passenger loading zone must be at least ” wide and ” long. 30” wide and 15 feet long 36’ wide and 20 feet long 45” wide and 15 feet long 60” wide and 20 feet long The force required to open all doors, flush a toilet, operate faucet handles, and operate a water fountain cannot exceed lbs of pressure. 1. 5 2. 7 3. 10 4. 15 Minimum wheelchair turning space is inches. 1. 30” 2. 34” 3. 60” 4. 72” The high forward reach from a wheel chair is. 1. 24” 2. 36” 3. 42” 4. 48” The side reach from a wheelchair is between _” and ” off the floor. 1. 6” – 24” 2. 9” – 54” 3. 12” – 24” 4. 18” – 36” A change in level surface over ½ inch. May be vertical and without edge Requires ramp treatment Requires a beveled edge Requires rubber bumpers A change between ¼ and ½ inch in level surface. May be vertical and without edge Requires ramp treatment Requires a beveled edge Requires handrails A fire extinguisher is checked and serviced. Monthly, semiannually Quarterly, annually Annually, bi - annually Semi-annually, annually Each level or story of a building that houses patient sleeping and treatment areas must be divided into smoke compartments. 1. 2 2. 4 3. 6 4. 8 Vision panels are in swinging doors. Optional Not allowed Required None of the above The maximum window sill height for a window in a resident’s room is inches above the floor. 1. 24” 2. 34” 3. 36” 4. 38” Doors must be ’ thick, solid bodied core, or with minutes of resistance fire rating. 1 ½ “, composite, 60 minutes 1 ¾”, wood, 20 minutes 1”, metal, 15 minutes 2”, wood, 30 minutes The facility quality assessment and assurance committee must meet at least. Monthly Quarterly Annually Semi-annually The QA&A Committee does not need to include. The Administrator A registered nurse A physician Three staff members Communicating through memos, meetings and follows lines of the organization chart is an example of. Informal communication Formal communication Vertical communication Downward communication Staff chatting informally in the break room is an example of. Informal communication Formal communication Vertical communication Downward communication ADA guidelines and standards are developed and approved by. ANSI NFPA Architectural and Transportation Barriers Compliance Board EEOC Railings and grab bars must bear the weight of lbs or more. 50 lbs 150 lbs 200 lbs 250 lbs The maximum audible alarm decibel level is. 1. 95 2. 105 3. 120 4. 130 A nursing home must have a(n) operated fire alarm system that is monitored. Automatically, visually Manually, electronically Digitally, continuously Mechanically, periodically Activating or pulling a fire alarm automatically activates all of the following except: Fire Alarms Fire Sprinklers Door releases Emergency Generator Phones must be fitted with a cord no shorter than inches. 1. 16” 2. 30” 3. 29” 4. 60” Landings are required at the bottom and top of each stairway run and must have a minimum width of. 36 square feet 48 square inches 60 square inches 96 square inches Doors must have a clear width of ” at openings and must be at a ” angle to an accessible route. 1. 24”, 45° 2. 44”, 60° 3. 32”, 90° 4. 46”, 180° The automatic smoke and fire detection systems must be connected to each other. Electronically Manually Digitally Visually The specifies the number of directors, number of shares to be issued, and governs how the corporation is to be run. Bylaws Certificate of Incorporation Stock certificate Debenture A review of care provided patients for appropriateness and cost effectiveness is called. Utilization review Literature review Peer review Billing review A permit required before a nursing facility can begin construction is called a. Certificate of waiver Certificate of need Certificate of occupancy None of the above A violation with a severity requiring immediate action due to risk of injury, harm, impairment or death to a resident is a. Level 1 Level 2 Level 3 Level 4 The states and the CMS cannot impose.: Temporary management of the facility Termination of certification/licensure Daily money fines up to $10,000 Civil and criminal penalties A leader who makes decisions based on staff consensus is using the Dictatorial style Democratic style Laizze faire style Punitive style A leader who delegates decision making to subordinates while setting larger objectives is using the. Dictatorial style Democratic style Laizze faire style Punitive style An effective leader would not. Take advantage of future opportunities Make good decisions and few disastrous ones Demonstrate caring for employees Have one set response for every situation The fastest growing sector of the health care industry is. Long term care Acute care Home health care Congregate living The current trend is to move individuals from institutional care to which is less expensive. Nursing homes Hospitals Adult day care Home health care Management by Walking Around does not involve. Walking around each day Engaging in listening Talking informally to staff Taking action on the spot An employee who has decision making authority with the same force and effect as if made by the administrator has. Line authority Staff or advisory role Supervisory role Executive authority Upper managers do not. Interact with the owners and the governing body Have responsibility for overall management of a facility Make policy that affects all employees Usually write procedures Middle managers do not. Report to upper management Adopt policies Need good communication skills to deal with upper and lower managers Include the director of nursing Nursing aides are required to have a minimum of hours of in-service training per year under OBRA 1987. 16 hours 12 hours 18 hours 24 hours The ultimately determines if a nurse aide is competent. Administrator DON State surveyors Long term care ombudsman A charge nurse is. Lower management Upper management Middle management Both 2 and 3 above A nurse aide enrolled in a state approved training program but has not completed the program at time of hire has to complete the program. 3 months 4 months 9 months 12 months A nurse aide must complete 16 hours of initial training in all of the following except? Basic restorative skills Basic nursing skills Social Services needs How to apply physical restraints A nurse aide must complete initial 16 hours of training in all of the following except? Resident rights Respecting resident rights How to administer medication Promoting resident rights An intentional act or threat causing fear in another with reasonable expectation of harm is called a(n). Assault Battery Tort All of the above The is the foundation that guides an organization. Mission statement Philosophy Bylaws Charter The communicates the purpose of the organization. Mission statement Philosophy statement Bylaws Articles of incorporation The specifies the composition of the governing body, functions, timing of corporate meetings and the purpose of a corporation. Mission statement Philosophy Bylaws All of the above The establishes the strategic plan. Administrator Governing Body State Department of Corporations Department managers The overall style of governing how people relate to each other and that binds an organization is called. Corporate culture Norms Values Vision Authority granted to the governing body by state law is called. Express authority Implied authority Line authority Staff authority The has ultimate responsibility for management and quality of care in a facility. Administrator Medical Director Governing Body Director of nursing The governing body of a facility is generally for acts of employees. Not personally liable Legally personally liable Liable if bylaws impose such personal liability None of the above The mission statement and facility policies are created and implemented by the. Administrator Governing body OBRA ‘97 Corporate bylaws Mock Exam 1 - ANSWER KEY 1 A comprehensive assessment is due 14 days after admission or by Nov 24th. It was late 4 The governing body has ultimate responsibility for management of the facility 3 Air temperature is measured just off the floor 4 2 5 3 6 4 7 2 8 2 Employee must work both 1250 hours and 12 months to use Family Medical Leave; and must continue to pay for insurance premiums while employee is on leave 9 1 10 2 Care plan must be done within 7 days of comprehensive assessment or by June 8th 11 2 4 The governing board has ultimate responsibility for resident care and managing the facility. The administrator is responsible for day to day operation 3 The DON is a registered nurse is responsible to manage the nursing staff to follow physician orders to adhere to professional standards 14 2 15 1 4 The quality assurance committee must meet at least quarterly per OBRA 1987 3 A bath is not a resident right. RULE OF THUMB. If they give two examples then the answer is one right was violated, If they give you three examples then 2 rights were violated, if they give you 4 examples then 3 rights were violated. 1 With the 1o day grace period, the physician has 40 days to visit and examine resident First 3 months and they have 70 days to visit the resident from the 4th month on.The facility will be cited if the physician visits are not timely. 19 3 2 Physician had 70 days to visit resident. The next visit after Sept 4 was due Nov 3.and with the 10 day grace period the last day was Nov 13th. The visit occurred on Nov 17th 1 Facility must inform residents both orally and in writing that they have a right choose physician and must provide them the names, address and phone numbers of attending physicians. Their personal physician can see them if they agree to. 3 Although the house keeper knocked and announced who she was, the resident had to acknowledge her presence and give permission to enter the room and it did not happen. 4 The main focus of TQM is to train front line workers to make decisions 24 3 25 2 26 1 27 4 28 3 29 4 4 Must employ a dietary manager fill time. The administrator should be reprimanded. 1 Overcooking food in boiling water, adding baking soda and poorly storing food diminishes the vitamin and mineral content of food 3 Outcomes are focused on actual results and not processes 4 Extensive staff training so residents do need to wait for the NHA to come in for a bed pan 2 Social services provides emotional support and interventions for psycho-social and financial problems 35 3 36 3 37 2 Any public telephones or other phones available to residents should be hearing aid compatible with volume controls 38 4 39 2 40 1 41 4 42 2 They leave after 21 - 30 days when their $124 a day co-pay kicks in or $3000 a month 43 1 44 1 45 2 TQM involves engagement by upper management 46 3 47 2 Parkinson’s involves muscle rigidity and cognitive impairment resident benefit by exercise programs and reality orientation and memory exercised 48 4 49 3 50 2 51 3 52 2 53 2 54 4 55 3 56 1 57 2 58 3 59 2 60 2 61 1 62 3 63 2 ANSI is a private organization that researches and publishes the ADA 64 1 65 3 66 1 67 2 68 1 69 1 70 2 71 3 72 2 73 4 74 1 75 3 76 3 The Online Survey and Certification Reports contains all MDS data is setup by the CMS 77 4 78 2 79 1 80 2 81 3 A tag of “G” or above is indicative of substandard care 82 2 83 2 84 3 85 3 Quest # Answer Explanation 86 2 87 88 1 3 You only have 30 days from the time the survey team exits to achieve full compliance – your date certain for resurvey is 30 days, they have 10 days to submit the 2567 to you and you have 10 days to the plan of correction 89 1 90 3 91 4 92 2 93 3 94 1 95 1 96 2 97 2 98 3 Need 1 handicap parking space per 25 parking slots 99 3 100 2 A level 1 would be no more than minor impact a level 2 involves actual discomfort 101 2 102 3 103 2 104 4 105 1 106 3 107 3 108 3 109 2 110 3 111 4 112 1 113 3 114 4 115 2 116 2 117 3 118 2 119 1 120 3 121 3 122 2 123 2 124 1 125 2 126 1 127 1 128 4 129 3 130 2 The fire alarm is manually operated because you need to “pull” the alarm 131 4 132 3 133 3 134 3 135 1 136 1 137 1 138 2 139 4 140 4 141 2 142 3 143 4 A manager must adapt their style and response to different situations 144 3 145 4 146 4 147 1 148 4 149 2 150 2 151 3 152 1 153 2 154 4 155 3 156 1 157 2 158 1 159 3 160 2 161 1 162 1 163 3 164 1 165 2 Review the study aids after the answer sheet below Answer Sheet – National Exam 1 Date _____ Score _____ 1 36 71 106 141 2 37 72 107 142 3 38 73 108 143 4 39 74 109 144 5 40 75 110 145 6 41 76 111 146 7 42 77 112 147 8 43 78 113 148 9 44 79 114 149 10 45 80 115 150 11 46 81 116 151 12 47 82 117 152 13 48 83 118 153 14 49 84 119 154 15 50 85 120 155 16 51 86 121 156 17 52 87 122 157 18 53 88 123 158 19 54 89 124 159 20 55 90 125 160 21 56 91 126 161 22 57 92 127 162 23 58 93 128 163 24 59 94 129 164 25 60 95 130 165 26 61 96 131 27 62 97 132 28 63 98 133 29 64 99 134 30 65 100 135 31 66 101 136 32 67 102 137 33 68 103 138 34 69 104 139 35 70 105 140 Date Score ADDENDUM A Critical Study Aids Survey Types Annual Survey = standard survey -- extended survey Complaint survey = abbrev. Standard survey -- partial extended survey Resurvey Class 1 – minor – no harm and no potential for harm Class 2 – minimal – no harm but potential for harm Class 3– compromised – actual harm Class 4– immediate jeopardy The Annual survey is the standard survey – if actual harm found then facility is subject to an extended survey The Complaint Survey is the abbreviated standard Survey – if actual harm is found then the facility is subject to Survey Partial Extended Resurvey is when they come to check you are in compliance with the 2567 Plan of Correction Survey Violation Matrix VIOLATION MATRIX IU Immediate Jeopardy Actual Harm Harm minimal No Harm/Potential Harm Minor No Harm/No Potential Harm Weight Loss SCOPE CLASS isolated Patterned Widespread 4 J K L 3 G H I 2 D E F 1 A B C Copyright © 2005-2020 Stan Mucinic. All rights reserved Page 30 of 35 MDS – Care Plan Comprehensive Assessment (MDS) 14 Days Initial MDS done within 14 days of admission A complete comprehensive assessment must be done every 12 months/significant change change Reviewed quarterly Must be signed off by RN Significant change must be processed within 14 days The MDS must be encoded within 7 days of signed off by the RN Comprehensive Care Plan (Care Plan) 7 days Initial care plan done within 7 days of completion of the MDS (comprehensive assessment) Must be done no later than 21 days from date admission Reviewed: Quarterly Must be signed by RN/resident/family members General Journal and General Ledger Performance Review Errors Matrix Error of Central Tendency The manager rates all employers as average “towards the center” Halo Effect Rates employees on a single aspect of their performance or personality “Always late” or makes them laugh and fun to have them around but they do not actually do anything Leniency Error The manager does not want to be the bad guy and write up and fire a poor performing employees and rates them as acceptable although they are below expectations and should be written up and fired Decubitus or Pressure Sores A decubitis (De-cue-be-tus) sore is an opening in the upper and deeper layer of the skin caused by lack of oxygen to skin tissue cells or friction/sheering by bones rubbing against the skin. Stages of a Decubitus Sore: Stage 1 (red or inflamed patch of skin that is visibly red but unbroken skin) Stage 2 – (Presents as a blister or open sore that extends from the dermis (skin surface) to the subcutaneous fat) Stage 3 – The acute inflammation extends down through subcutaneous fat and deep down into the fascia tissue) Stage 4 Presents a deep would or ulceration down to the bone. FINANCIAL CHEAT SHEET You will create these charts in the exam and just match up the terms with their respective chart. Balance Sheet No Liabilities cross Assets over Net worth Capital Equity Financial Well being For instance is the questions talks about revenues or expenses, none of the terms in balance sheet chart can be the answer. So if the choices were: Income Revenue Profit Capital #4 would be the answer because it would not be found on profit and loss statement. Try using these charts in exams 4 and 5 and the remaining exams. ANSI - NFPA American National Standards Institute Researches, develops and publishes the AMERICANS with Disabilities Act DOES NOT ENFORCE IT!!! National FIRE Protection Association Researches, develops and publishes the Life Safety Code (FIRE Code) DOES NOT ENFORCE IT!!!