NAB NHA Exam Question Bank (Complete Questions and Answers) Latest 2023/2024 Rated A+

NAB NHA Exam Question Bank (Complete Questions and Answers) Latest 2023/2024 Rated A+ Toilets and handrails - height correct answertoilets (Also ADA for staff) seat **17" to 19" height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined by state and CMS||(easier to replace with handicapped toilet) Handrails correct answeroutside ramp, stairwell, bathroom required by ANSI, and specific height.||CMS requires in corridors.||ADAAG specifies all 34" to 38" in public places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI| Monitored correct answermonitored nationally the Office of Civil Rights monitors ANSI. States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored by State Agency handling LSC and ANSI. Alarms correct answerflashing alarms for deaf, sound alarms for blind, tactile warnings for blind to identify danger areas. Grating correct answerNo greater than one-half inch; openings perpendicular to travel rout, if elongated. Threshold correct answerno more than 1/2 inch on entrance and exit doors, except exterior sliding door can be 3/4 inch in height GROUNDS and parking correct answerMaintenance cost-mowing biggest. State decides on number of parking spaces per bed. Water correct answerwater must have backup source of supply. Temperature established by state. Automatic Control Valves. (surveyors will ask for contract) (110 degrees in GA) Ventilation correct answerAll areas ventilated to outside - window, mechanical ventilation, or combination. | a. good movement (state determines| b. acceptable humidity/temperature levels (state determines)| c. surveyor rating:| A= Good movement; acceptable temp/humidity/odor levels| B= Little movement; temp/humidity/odor levels less acceptable.| C= No movement; temp/humidity/odor levels unacceptable. Residents and staff apprea distressed due to levels. Pest control correct answerPREVENTION PROGRAM BEST; use contractor and staff||no traps, poisons, sticky fly paper.||advantage - to use pest control service:||licensed and trained in use of all pesticides, how to rotate chemicals to prevent buildup of resistance. ||(close garbage bin: attracts pests) Space and Equipment correct answerFacility must provide sufficient space and equipment for dining, healthcare services, recreation and rehabilitation. ||Sufficient means enough to enable staff to provide residents with needed services as identified in the plan of care.| - space large enough to accommodate usual number that use it; must be accessible.| - accommodate wheelchairs, walkers, other ambulatory devices.| - rehab areas have exercise equipment, storage for supplies and equipment. Monitoring correct answerStates decide who will monitor LSC and ANSI/ADAAG standards. the monitor may be the State Medicaid Agency, State Fire Marshall, or other. If it is an agency other than State Medicaid, the monitoring agency must coordinate its findings with the Medicaid agency. Preventative Maintenance definition. correct answerchecking all systems, including roof, on regular basis and documenting.||roof protects all other assets. (log or cards) 3 points of Preventative Maintenance correct answer1. Value:| Everything safe and operative for resident care (#1)| saves downtime| small reparis cost less than complete breakdown| equipment and systems last longer|2. personnel - major error in hiring|3. work orders environmental quality - clean, attractive, home. correct answer1. housekeeping - procedures for floors, rooms, aseptic cleaning, storage of materials, ODOR CONTROL, role in infection control, equipment care, safety|2. homelike - residents brings own belongings as long as it does not interfere with staff work or infringe on other residents' rights. de-emphasize institutional look. | a. sound - comfortable, does not interefre with hearing. background noise under resident control. Level not require staff to raise voices. consider differences in room assignments.| b. lighting - adequate for resident/staff to perform. comfortable - minimize glare, GIVE RESIDENT CONTROL. environmental design correct answernow part of all new construction. Must be designed to provide most attractive, comfortable, usable environment. | a. landscaping - all grounds, nursing home sign.| b. choice of colors.| c. room size- too small?, adequately designed?| d. medical records storage| e. parking - inconspicuous| f. functional equipment - not just fancy. linen supply and laundry correct answerclean linens in good condition, not ragged, stained. what resident clothing will launder?| a. monitoring costs - bulk soap, temperatures, overloading/under loading, overydrying, filters| GUIDELINES- after 10 years of use, maintenance cost usually justify replacement of equipment| b. Theft| Occupational Safety and Health Administration (OSHA) correct answerprograms OSHA falls under U.S. Department of Labor safety and infection control program - correct answercomplete procedures for all staff to follow best infection control. committee may be desirable. universal precautions correct answerchecked by OSHA; includes|-CDC HAND WASHING procedures. NOW recommend use of alcohol-based solution to cleanse hands (except dietary employees)|-SOILED LINENS and bedclothes means used linens.|-Contaminated linen is soiled by blood or other potentially infectious materials. Mishandling is most frequent exposure to communicable materials. OSHA requires contaminated to be containerized at location. aseptic cleaning of isolation area. |OSHA APPROVED SPILL KITT*** CMS STANDARDS for infection control correct answerinvestigate, control, prevent infections|set up f||f| employee with communicable diseases or skin lesions can have contact with food or residents|hand washing after each direct resident contact|handle, process, store, and transport linens in manner to prevent spread of infection blood born pathogens (BBP) correct answerfocused on AIDS and Hepatitis B. (OSHA) Training for BBP correct answerall staff trained in how to handle| 1. blood spills and materials that may be infected, and | 2. exposure incidents PERSONAL PROTETIVE EEQUIPMENT (PPE) correct answerFACILITY MUST PROVIDE GLOVES, GOWNS, LAB COATS, FACE SHIELDS, EYE PROTECTION, MOUT PIECES, AND RESUSCITATION BAS, POCKET MASKS, OR OTHER VENTILATION DEVICES. TRAINED TO USE