RCAL NABS QUESTIONS AND
ANSWERS
Which\of\the\following\helps\to\control\community\risk\by\evaluating\current\incidents**\-\
ans✔A.\shared\risk\agreement\Safety\committee\programs
Which\department\is\responsible\for\oversight\of\resources\activities\-\ans✔Administration
What\does\a\good\cultural\fit\refers\to\-\ans✔Values\and\beliefs\of\the\facility
which\of\the\following\are\hiring\requirements\of\caregivers\(NAC\449.196)\?\-\ans✔ability\
to\read\and\write\English
OBRA\is\known\as\-\ans✔Omnibus\Budget\Reconciliation\Act\of\87.\Also\known\as\the\
Federal\Nursing\Home\Reform\Act.\This\was\enacted\to\protect\the\rights\of\patients\in\
long-term\care\facilities\such\as\nursing\homes,\skilled\nursing\facilities,\and\assisted\
living\homes.\(1987)\it\is\a\federal\law\that\establishes\regulations\for\nursing\facilities\and\
nurse\aide\training\facilities.\The\Intent\of\OBRA:\is\to\improve\the\quality\of\life\for\
residents\in\nursing\facilities.
Restrictions\of\Admission\-\ans✔A\facility\shall\not\admit\or\allow\to\remain\in\the\facility\
any\person\that\is\bedfast,\requires\restraint,\requires\confinement\in\locked\quarters,\or\
require\skill\nursing\or\other\medical
Two\competent\residents\are\involved\in\a\sexual\relationship.\The\families\of\both\
residents\are\angry\and\demand\that\the\administrator\force\the\residents\to\ends\the\
relationship.\What\is\the\best\course\of\action?\-\ans✔And:
Respect\the\residents'\wishes\and\ensure\their\privacy
-refer\the\The\situation\to\social\services\and\adjust\the\service\plan
-involved\in\woodsman\in\the\situation
-Refer\to\the\ethics\committee\for\discussion
The\document\best\used\to\set\realistic\expectations\between\the\RCAL\community\and\
the\resident\is\the\-\ans✔Service\plan\agreement
One\goal\of\assisted\living\is\to\help\seniors\remain\as\independent\as\possible\by\
providing\-\ans✔Daily\structure\and\fixed\schedules\for\meals\and\activities
,When\a\resident\is\not\competent\to\make\a\medical\decision\the\court\may\appoint\a\-\
ans✔Legal\Guardian
An\example\of\insurance\that\is\generally\required\by\federal\state\law\is\-\ans✔Workers\
compensation.\All\business\are\required\by\Federal/State\law\to\cover\any\employees\
who\may\be\injure\while\working\on\the\job
In\regard\to\managing\a\residents\personal\funds,\the\healthcare\organization\-\
ans✔Should\have\a\written\authorization\to\manage\the\residents\personal\funds
A\RCAL\community\has\yard\service\performed\in\May\for\$500.\But\does\not\pay\the\
vendor\until\June.\The\$500\expenses\is\an\example\of\-\ans✔Accrual-based\accounting
Which\insurance\policy\protects\against\claims\alleging\that\negligence\or\inappropriate\
action\resulted\in\bodily\harm\or\property\damage\-\ans✔Property\and\Casualty\Insurance
A\resident\has\the\right\to\participate\in\social,\religious\and\community\activities\provided\
these\do\not\-\ans✔Conflict\with\the\orders\of\the\physician
A\resident\with\dementia\at\a\healthcare\organization\likes\to\help\fold\clothes\and\set\
tables,\asking\this\resident\to\help\-\ans✔Is\a\way\to\engage\the\resident\in\something\
enjoyable\and\enhances\person\centered\care
The\primary\purpose\of\an\initial\care\recipient\assessment\is\to\determine\-\ans✔Overall\
Functional\Status
The\best\way\for\the\administrator\to\get\feedback\about\dining\services\is\-\ans✔Through\
the\resident\council
If\contracted\laundry\services\for\the\residents\personal\clothing\are\provided\off\site\-\
ans✔The\use\of\commercial\laundry\equipment\by\the\contractor\is\required\by\the\health\
department
Mary\J\suffers\from\dementia.\No\matter\how\many\times\the\staff\explains\something\to\
her\she\doesn't\seem\able\to\accomplish\the\task.\Which\of\the\following\is\the\best\
solution\-\ans✔Task\breakdown
The\best\way\to\manage\urinary\incontinence\is\-\ans✔Regularly\schedule\toileting
Criteria\for\move\out\from\the\RC/AL\community\should\be\disclosed\at:\-\ans✔Part\of\the\
move\in
A\major\consideration\in\creating\a\comprehensive\activities\program\is\that\the\activity\
director\understands\the\-\ans✔Nature\and\extent\of\care\recipient's\disabilities
, For\residents\with\dementia,\optimal\food\consumption\is\best\achieved\by:\-\ans✔Good\
screening,\proper\nutrition\and\hydration,\and\pleasant\meal\times
A\prearranged\contract\with\local\agencies\is\part\of\an\RCAL\community's\disasters\plan\
because\this\will\ensure\-\ans✔That\the\community\will\have\whatever\is\needed\to\keep\
residents\safe\and\relatively\comfortable\during\and\emergency
One\of\the\fundamental\elements\of\effective\dementia\care\is:\-\ans✔Creating\a\
specialized,\secure\and\quiet\environment\for\patients\with\dementia
Information\should\be\added\to\an\individual\service\plan:\-\ans✔At\a\minimum\when\the\
resident\has\a\significant\change\of\condition
A\small\fire\has\started\in\a\resident\bedroom.\The\life\safety\code\(LSC)\directs\the\staff\
to\first:\-\ans✔Remove\the\resident\and\any\other\persons\from\the\room
In\Life\safety\Code\(LSC),\fire\extinguishers\are\listed\by\which\of\the\following\
classifications\-\ans✔A,\B\and\C
An\example\of\creating\a\dementia\living\environment\that\integrates\residential\features\
with\clinical\and\social\aspects\is:\-\ans✔Incorporating\natural\elements\such\as\animals\
and\plants
An\employee\working\overtime\sees\a\supervisor\and\a\coworker\kissing\in\the\
unoccupied\room\an\hour\after\their\shift\has\ended.\The\next\day,\the\supervisor\tells\the\
employee\you\do\not\need\to\mention\what\you\saw\yesterday.\We\are\all\adults\here,\and\
what\we\do\after\hours\is\our\own\business.\The\employee\feels\threatened.\Is\an\
example\of\sexual\harassment?
No.\because\it\did\not\happen\to\the\witnessing\employee
No.\because\the\incident\happened\after\the\supervisor\coworkers\shift\had\ended
Yes.\because\it\is\morally\reprehensible\and\ethically\unacceptable
Yes.\because\the\conduct\only\need\to\be\offensive\to\the\witnessing\employee\-\
ans✔Yes,\because\it\is\morally\reprehensible\and\ethically\unacceptable
Two\simple\techniques\for\minimizing\the\spread\of\microorganisms\along\floors\when\
wet\mopping\are:\-\ans✔Utilizing\a\double\bucket\mopping\technique\and\frequent\
changing\mop\water
Whether\or\not\the\state\sets\a\minimum\number\of\staff\or\staffing\hours,\communities\
should\staff\based\on\the\-\ans✔Resident\care\needs
The\occupational\safety\and\health\administration\(OSHA)
a.\Provides\rights\and\protection\for\participants\in\group\health\plans\-\ans✔Requires\
employers\to\maintain\a\log\of\certain\injuries\and\illnesses
ANSWERS
Which\of\the\following\helps\to\control\community\risk\by\evaluating\current\incidents**\-\
ans✔A.\shared\risk\agreement\Safety\committee\programs
Which\department\is\responsible\for\oversight\of\resources\activities\-\ans✔Administration
What\does\a\good\cultural\fit\refers\to\-\ans✔Values\and\beliefs\of\the\facility
which\of\the\following\are\hiring\requirements\of\caregivers\(NAC\449.196)\?\-\ans✔ability\
to\read\and\write\English
OBRA\is\known\as\-\ans✔Omnibus\Budget\Reconciliation\Act\of\87.\Also\known\as\the\
Federal\Nursing\Home\Reform\Act.\This\was\enacted\to\protect\the\rights\of\patients\in\
long-term\care\facilities\such\as\nursing\homes,\skilled\nursing\facilities,\and\assisted\
living\homes.\(1987)\it\is\a\federal\law\that\establishes\regulations\for\nursing\facilities\and\
nurse\aide\training\facilities.\The\Intent\of\OBRA:\is\to\improve\the\quality\of\life\for\
residents\in\nursing\facilities.
Restrictions\of\Admission\-\ans✔A\facility\shall\not\admit\or\allow\to\remain\in\the\facility\
any\person\that\is\bedfast,\requires\restraint,\requires\confinement\in\locked\quarters,\or\
require\skill\nursing\or\other\medical
Two\competent\residents\are\involved\in\a\sexual\relationship.\The\families\of\both\
residents\are\angry\and\demand\that\the\administrator\force\the\residents\to\ends\the\
relationship.\What\is\the\best\course\of\action?\-\ans✔And:
Respect\the\residents'\wishes\and\ensure\their\privacy
-refer\the\The\situation\to\social\services\and\adjust\the\service\plan
-involved\in\woodsman\in\the\situation
-Refer\to\the\ethics\committee\for\discussion
The\document\best\used\to\set\realistic\expectations\between\the\RCAL\community\and\
the\resident\is\the\-\ans✔Service\plan\agreement
One\goal\of\assisted\living\is\to\help\seniors\remain\as\independent\as\possible\by\
providing\-\ans✔Daily\structure\and\fixed\schedules\for\meals\and\activities
,When\a\resident\is\not\competent\to\make\a\medical\decision\the\court\may\appoint\a\-\
ans✔Legal\Guardian
An\example\of\insurance\that\is\generally\required\by\federal\state\law\is\-\ans✔Workers\
compensation.\All\business\are\required\by\Federal/State\law\to\cover\any\employees\
who\may\be\injure\while\working\on\the\job
In\regard\to\managing\a\residents\personal\funds,\the\healthcare\organization\-\
ans✔Should\have\a\written\authorization\to\manage\the\residents\personal\funds
A\RCAL\community\has\yard\service\performed\in\May\for\$500.\But\does\not\pay\the\
vendor\until\June.\The\$500\expenses\is\an\example\of\-\ans✔Accrual-based\accounting
Which\insurance\policy\protects\against\claims\alleging\that\negligence\or\inappropriate\
action\resulted\in\bodily\harm\or\property\damage\-\ans✔Property\and\Casualty\Insurance
A\resident\has\the\right\to\participate\in\social,\religious\and\community\activities\provided\
these\do\not\-\ans✔Conflict\with\the\orders\of\the\physician
A\resident\with\dementia\at\a\healthcare\organization\likes\to\help\fold\clothes\and\set\
tables,\asking\this\resident\to\help\-\ans✔Is\a\way\to\engage\the\resident\in\something\
enjoyable\and\enhances\person\centered\care
The\primary\purpose\of\an\initial\care\recipient\assessment\is\to\determine\-\ans✔Overall\
Functional\Status
The\best\way\for\the\administrator\to\get\feedback\about\dining\services\is\-\ans✔Through\
the\resident\council
If\contracted\laundry\services\for\the\residents\personal\clothing\are\provided\off\site\-\
ans✔The\use\of\commercial\laundry\equipment\by\the\contractor\is\required\by\the\health\
department
Mary\J\suffers\from\dementia.\No\matter\how\many\times\the\staff\explains\something\to\
her\she\doesn't\seem\able\to\accomplish\the\task.\Which\of\the\following\is\the\best\
solution\-\ans✔Task\breakdown
The\best\way\to\manage\urinary\incontinence\is\-\ans✔Regularly\schedule\toileting
Criteria\for\move\out\from\the\RC/AL\community\should\be\disclosed\at:\-\ans✔Part\of\the\
move\in
A\major\consideration\in\creating\a\comprehensive\activities\program\is\that\the\activity\
director\understands\the\-\ans✔Nature\and\extent\of\care\recipient's\disabilities
, For\residents\with\dementia,\optimal\food\consumption\is\best\achieved\by:\-\ans✔Good\
screening,\proper\nutrition\and\hydration,\and\pleasant\meal\times
A\prearranged\contract\with\local\agencies\is\part\of\an\RCAL\community's\disasters\plan\
because\this\will\ensure\-\ans✔That\the\community\will\have\whatever\is\needed\to\keep\
residents\safe\and\relatively\comfortable\during\and\emergency
One\of\the\fundamental\elements\of\effective\dementia\care\is:\-\ans✔Creating\a\
specialized,\secure\and\quiet\environment\for\patients\with\dementia
Information\should\be\added\to\an\individual\service\plan:\-\ans✔At\a\minimum\when\the\
resident\has\a\significant\change\of\condition
A\small\fire\has\started\in\a\resident\bedroom.\The\life\safety\code\(LSC)\directs\the\staff\
to\first:\-\ans✔Remove\the\resident\and\any\other\persons\from\the\room
In\Life\safety\Code\(LSC),\fire\extinguishers\are\listed\by\which\of\the\following\
classifications\-\ans✔A,\B\and\C
An\example\of\creating\a\dementia\living\environment\that\integrates\residential\features\
with\clinical\and\social\aspects\is:\-\ans✔Incorporating\natural\elements\such\as\animals\
and\plants
An\employee\working\overtime\sees\a\supervisor\and\a\coworker\kissing\in\the\
unoccupied\room\an\hour\after\their\shift\has\ended.\The\next\day,\the\supervisor\tells\the\
employee\you\do\not\need\to\mention\what\you\saw\yesterday.\We\are\all\adults\here,\and\
what\we\do\after\hours\is\our\own\business.\The\employee\feels\threatened.\Is\an\
example\of\sexual\harassment?
No.\because\it\did\not\happen\to\the\witnessing\employee
No.\because\the\incident\happened\after\the\supervisor\coworkers\shift\had\ended
Yes.\because\it\is\morally\reprehensible\and\ethically\unacceptable
Yes.\because\the\conduct\only\need\to\be\offensive\to\the\witnessing\employee\-\
ans✔Yes,\because\it\is\morally\reprehensible\and\ethically\unacceptable
Two\simple\techniques\for\minimizing\the\spread\of\microorganisms\along\floors\when\
wet\mopping\are:\-\ans✔Utilizing\a\double\bucket\mopping\technique\and\frequent\
changing\mop\water
Whether\or\not\the\state\sets\a\minimum\number\of\staff\or\staffing\hours,\communities\
should\staff\based\on\the\-\ans✔Resident\care\needs
The\occupational\safety\and\health\administration\(OSHA)
a.\Provides\rights\and\protection\for\participants\in\group\health\plans\-\ans✔Requires\
employers\to\maintain\a\log\of\certain\injuries\and\illnesses
