Question 1 Quiz PDF

**Question 1** **1 / 1 pts** During the annual survey, the surveyor observed the nurse failing to give two doses of prescribed medication, another dose with the wrong strength, one resident was given the wrong medication, and one PRN was not given out of 100 scheduled doses administered. What was...

**Question 1** **1 / 1 pts** During the annual survey, the surveyor observed the nurse failing to give two doses of prescribed medication, another dose with the wrong strength, one resident was given the wrong medication, and one PRN was not given out of 100 scheduled doses administered. What was the medication error rate?    2%      4%      6%   **Correct!**    5%     **Question 2** **1 / 1 pts** A neurological syndrome that causes slow, rhythmical, automatic movements in generalized or singular muscles groups and is caused by psychotropic medications is known as    Lewy Body Dementia.      Essential Tremor.      Parkinson\'s Disease.   **Correct!**    Tardive Dyskinesia.     **Question 3** **1 / 1 pts** What is the goal of quality improvement? **Correct!**    Continue to improvement on services that you provide      Reduce costs      Take a look at how procedures are being preformed      Improving the status quo     **Question 4** **1 / 1 pts** Who must be on the quality assessment and assurance (QAPI) committee?    Director of nurses, Medical Director or designee, administrator, and four other facility members.      Director of nurses, Medical Director or designee, leadership team, and three other facility members.   **Correct!**    Director of nurses, Medical Director or designee, and three other facility members.      Director of nurses, Medicare Director or designee, leadership, and four other facility members.     **Question 5** **0 / 1 pts** Which area meets CMS approval for posting the annual and complaint surveys?    Behind the nurses\' station **You Answered**    A locked display case located in the main lobby   **Correct Answer**    In a binder on an open shelf in the main lobby      In the DON\'s office   **Question 6** **1 / 1 pts** Who decides the allowable number of days a facility holds a resident\'s bed when they take therapeutic leave or go to the hospital?     CMS.      The individual State.   **Correct!**    The individual State with CMS approval.      The facilities policy and procedure.     **Question 7** **1 / 1 pts** Staff actions such as humiliation, harassment, threats of punishment, or deprivation are     physical abuse.      verbal abuse.   **Correct!**    mental abuse.      sexual abuse.     **Question 8** **1 / 1 pts** Temporary involuntary separation may be used as a therapeutic measure to reduce a resident\'s agitation when determined by a professional staff member and    attending physician.   **Correct!**    is part of the plan of care.      DON.      the administrator.     **Question 9** **1 / 1 pts** When an older adult is having difficulty retrieving information, you should respond by    call the doctor to get a diagnosis of dementia.      telling the family.   **Correct!**    Reassure the elder that this can be normal.      making a joke about it.     **Question 10** **1 / 1 pts** Which of the following is more likely to go unnoticed by staff?    Incontinence      Strokes      Irritable Bowl Syndrome   **Correct!**    Depression     **Question 11** **1 / 1 pts** Sexual urges for older adults    are nonexistent as they age.   **Correct!**    continue throughout their life.      should not be allowed in a nursing home.      decline at age 50.     **Question 12** **1 / 1 pts** The DON may serve as a charge nurse when the facility has an average daily occupancy of     40 or fewer residents, 7 days a week.      60 or fewer residents, 5 days a week.      40 or fewer residents, 5 days a week.   **Correct!**    60 or fewer residents, 7 days a week.   Principles of Healthcare Administration F727   **Question 13** **0 / 1 pts** The essential difference between the emergency drug kit and a crash cart is:    Medicaid must approve the contents of the crash cart, contents of the emergency drug kit must be approved by the state pharmacy board.      there is no difference as both may contain the same items; however, the crash cart contains more.   **Correct Answer**    the emergency drug kit contents are those used by the nurse; the crash cart contents are used by both the nurse and the physician.   **You Answered**    the emergency drug kit is used during common emergencies; the crash cart is used only in life-threatening emergencies.     **Question 14** **0 / 1 pts** Which department must always use soap and water when washing their hands? **Correct Answer**    Dietary employees   **You Answered**    Nursing employees      Housekeeping employees      Laundry employees     **Question 15** **1 / 1 pts** Which act requires nursing homes to provide written information about Advance Directives?    The Advance Directive Act      The Five Wishes Act      The Resident Self-Determination Act   **Correct!**    The Patient Self-Determination Act     **Question 16** **1 / 1 pts** Medicare is     insurance provided by an insurance agent.   **Correct!**    health insurance for the aged.      health care based on a limited income.      100% financed by the federal government.     **Question 17** **1 / 1 pts** The ultimate goal of OBRA\'s use of restraints is: **Correct!**    a restraint free facility.      study of the adverse effects of restraints.    proper monitoring of all physical restraints.      minimum use of chemical restraints.     **Question 18** **1 / 1 pts** Which department is the enforcement agency of the Health Insurance Portability and Accountability Act (HIPAA? **Correct!**    Department of Health and Human Services Office for Civil Rights.      Department of Health and Human Services Office for Regulations and Enforcement.      The Department of Justice.      Centers for Medicare and Medicaid Services.     **Question 19** **1 / 1 pts** This eye disease may develop rapidly or worsen over time and is the leading cause of vision loss among older adults. **Correct!**    Age-Related Macular Degeneration      Glaucoma      Cataracts      Conjunctivitis   Principles of Healthcare Administration    **Question 20** **1 / 1 pts** The acronym OBRA means:    Omnibus Budgetary Reconciliation Act of 1987   **Correct!**    Omnibus Budget Reconciliation Act of 1987      Omnicare Budget Reconciliation Act of 1987      Omnibus Budget Reconciliation Association of 1987     **Question 21** **0 / 1 pts** An activity most effective for residents living with dementia is     morning walks or exercise classes.   **You Answered**    music programs. **Correct Answer**    those matched to their prior lifestyle.    playing bingo.     **Question 22** **0 / 1 pts** Which of the following licensed facilities can be used as an acute bed or long term care bed? **You Answered**    Skilled Nursing Facility      Free Standing      Nursing Facility   **Correct Answer**    Swing Bed     **Question 23** **1 / 1 pts** Since moving into the nursing home, Martha and Bill have developed a close consensual relationship.  One afternoon a CNA enters Martha\'s room, pulls back the privacy curtain, and observes Martha and Bill having sex.  She pulled the curtain back to where it was and reported the incident to the charge nurse.  In anger, Bill goes to the administrator\'s office and threatens to sue the facility.  What is the administrator\'s next step?    Call the facility social services person immediately.      Separate Martha and Bill immediately and prevent them from seeing each other.   **Correct!**    Review its policy on consensual relationships with all staff.      Notify the children of Martha and Bill immediately.     **Question 24** **1 / 1 pts** Residents who have six months or less life expectancy (if the disease runs its normal course) can recieve **Correct!**    hospice care.      respite care.      home and community based services.      assisted living care.     **Question 25** **1 / 1 pts** This care is focused on providing comfort and support to the patient\'s family members, and the patient may be admitted to an in-patient setting for up to five days.    Palliative Care.      Hospice Care.   **Correct!**    Respite care.      Continuous Home Care.     **Question 26** **1 / 1 pts** XYZ nursing home admits a resident with an intellectual disability before a level 2 preadmission screening is conducted.  What will possibly happen next?    Nothing.   **Correct!**    The facility may not be reimbursed for that resident.      Call corporate office for advise.      Require a preadmission screening be completed immediately.     **Question 27** **1 / 1 pts** A resident\'s baseline care plan must be  **Correct!**    within 48 hours of admission.      within 72 hours of admission.      within 5 days of admission.      within 24 hours of admission.     **Question 28** **1 / 1 pts** A nursing facility must be licensed to operate and** **certified to receive Medicaid and/or Medicare payments.  Which comes first?    Certification      Contacting the DHHS   **Correct!**    Licensure      Contacting Ceritifcate of Need   Principles of Healthcare Administration   **Question 29** **1 / 1 pts** Who certifies and assigns the provider number to a nursing home? **Correct!**    CMS      The State Surveyors      Corporate Office      State Surveying Agency     **Question 30** **1 / 1 pts** A skilled nursing facility and the nursing facility must employ a social worker when **Correct!**    the facility has 120 beds or more.    the facility has 119 beds or less.    the facility has 119 beds or more.      the facility has 120 beds or less.   **Question 31** **1 / 1 pts** Staff may attend family and resident councils when    there are meetings.      they have a report to submit.   **Correct!**    they are invited.      ever possible.     **Question 32** **1 / 1 pts** The three items that a dietary manager needs to provide the administrator in the weekly reports for cost management are the number and type of meals served, total raw food cost, and raw food cost per resident day.    Number of alternative meals requested by and served to residents and number of free meals provided to staff or visitors. **Correct!**    Number and type of meals served, total raw food cost, and raw food cost per resident day.    Number and type of meals served, total raw food cost, and daily cost to serve one resident.    Number and type of meals served, number of special diets, and total raw food costs.   **Question 33** **1 / 1 pts** The facility has a daily census of 50 residents during a 30-day month which makes the actual number of days 1500.  The total raw food cost from invoices is \$6000.  What is the per resident day (PPD)?    \$5.00      \$3.50      \$3.00   **Correct!**    \$4.00     **Question 34** **1 / 1 pts** Which two food classes are most likely to cause allergic reactions in residents?    Bread and cereal    Eggs and beef **Correct!**    Dairy products and seafood    Fats and oils Principles of Healthcare Administration   **Question 35** **1 / 1 pts** The specific minimum daily food inventory that some States require is    five-day supply of perishables and staples.      week\'s supply of perishables and staples.    three-day supply of perishables and ten day supply of staples.   **Correct!**    three-day supply of perishables, seven days supply of staples.     **Question 36** **1 / 1 pts** Potentially hazardous foods should be stored at    42 degrees F or below.   **Correct!**    41 degrees F or below      32 degrees F or below.      46 degrees F or below.     **Question 37** **1 / 1 pts** A physician must see the resident every 30 days for the first 90 days after admissions and at least once every     other year thereafter.   **Correct!**    60 days thereafter.      year thereafter.      90 days thereafter.     **Question 38** **1 / 1 pts** The nursing facility is responsible for all of the following services related to dental care except    emergency dental care.      access to regular dental care.      transportation when needed.   **Correct!**    payment to the dentist.     **Question 39** **1 / 1 pts** In planning a resident activity program, a primary goal should be to    provide the satisfaction of making a finished project.      lessen the work load on the CNAs by keeping the resident busy.   **Correct!**    focus on participation and enjoyment.      develop individual skills.     **Question 40** **0 / 1 pts** When the pharmacist finds irregularities in the drug regimen, it must be reported to     the administration and medical director.   **Correct Answer**    the DON, attending physician, and Medical Director.   **You Answered**    the attending physician or the DON.      the administrator.