NAB Exam questions with verified solutions

5 essential ADLs eating, dressing, toileting, bathing, transferring RUGs Resource Utilization Categories MDS Minimum Data Set RAPs Resident Assessment Protocols RI Resident Assessment Instrument Includes: Id and demographic info; routine; cognitive pattern; communication; vision; mood/behavior; psychosocial; physical/structural; continence; diagnoses and health conditions; dental/nutritional statue; skin condition; activity pursuits; dc potential; documentation of summary info regarding RAPs; documentation of participation in assessment. Process must include observation; resident communication; communication with direct care staff on all shifts. Complete w/i 14 days of admission (excludes readmission w/no significant change in condition); w/i 14 days of significant change in status; no less than every 12 months. Quarterly Assessments Required every 3 months. Assessments Prior 15 months worth kept in med record. Must be encoded and able to transmit within 7 days of completion--admissions, annuals, quarterlies, significant changes, subset for resident transfer/reentry/dc/death; and/or, face-sheet info if no admission assessment. Must transmit monthly all prior month assessments. RN must coordinate assessments w/ participation of other health professionals RN must sign and certify complete and accurate. Individuals completing sections must sign and certify accurate and complete. Penalty for falsifying up to $1000, causing others to falsify up to $5000 per assessment. Care plan Must be comprehensive and written with measurable goals/timetables and include services provided and refused by exercising of rights. Completed within 7 days of assessment by interdisciplinary team. Include resident and family. Reviewed/revised after each assessment. Pharmacy Consultant Review Monthly review of medications for residents. Irregularities reported to attending and DON. Calculation for raw food cost cost per resident per day x census Exit signs & lights 90 minute battery or on generator Tested monthly Duration test yearly fire extinguishers inspected monthly annual servicing disaster drills two times per year Fire drills once per shift per quarter fire sprinkler inspections quarterly smoke detector inspections two times per year electrical panel 18 inches right/left 36 inches in front--floor to ceiling building temps not to exceed 81 (typically 68 or 72 min) means of egress 8 feet unobstructed exterior must have a light and be navigable accessing a public walkway generator run weekly under load monthly fire alarm tests monthly (full audible and visual) extension cords/multiple outlet strips none at all, strips for computer peripherals only dryers lint traps cleaned every 3 loads or every 2 hours Medication Rooms Can't exceed 77 degrees Must be locked Oxygen Rooms Non combustible floor &/or in room Switch 60 inches above the floor or outside of room Vented directly to outside Must be locked Signage--"transfer in progress" & "door must remain closed during transfer" (as app); "no smoking"; "oxygen in use" Tanks must be secured (top ⅓ of tank or approved holder) Smoking Areas Extinguisher present Self closing metal ashtray Metal, self-closing disposal container Non combustible furnishings Signage: No smoking within 5 feet of oxygen use & No smoking while Oxygen in use Must be designated as smoking area Non combustible landscaping within 15 feet Enclosed courtyard Must have "No Exit" sign Delayed egress device must drop out immediately upon activation of smoke/fire alarm alarm must sound within 2 seconds and door must release in 30 seconds once pressure is applied one delayed egress device in path of egress (ie only one set of doors can be delayed until you get outside) Fire evac plan Post at each exit door Protrusions in hallways No more than 6 inches Resident Rights Must inform orally and in writing, in a language understood rights Review record w/i 24 hours (excluding holidays & weekends) Receive copies of record w/i 2 days Must provide written info on: protection of funds, medicaid requirements/eligibility including spousal impoverishment info, names/addresses/phone info of state client advocacy groups/licensure office/ombudsman/protection & advocacy network, Medicaid fraud control unit, and statement res may file complaint with state re: resident abuse, misappropriation of property, non-compliance with advance directives reqs. Must provide physician information for contact Must provide oral/written info on how to apply for Medicare/Medicaid benefits Must notify resident/family when accident occurs resulting in injury or potential for physician contact; significant change; need to alter tx significantly; or need to transfer/discharge res from facility; Change in resident room or roommate; Change in resident rights Deposit of funds: $50 must be held in interest bearing account; no co-mingling of resident funds with facility funds or others aside from residents only. Must provide statement of individual account quarterly & upon request. Must notify Medicaid residents when funds approaching $200 or resource limit and that exceeding resource limit may lose eligibility for Medicaid. Must convey final balance within 30 days of death. Facility must provide assurance of funds security. Must inform res/family of items for which charge will be incurred and amount. Free Choice and Privacy/Confidentiality: choose own dr, participate in care plan, deny release of records (unless transfer related or req'd by law) Examination of most recent survey and plan or correction--must be posted as available Private correspondence and telephone use. Self-administer medication when interdisciplinary team deems safe. Transfer/Discharge Must permit resident to remain in facility and not transfer or discharge unless: medically necessary, when health improved and services no longer needed, safety or health of others is endangered, res failure to pay (after reasonable notice), facility ceases to operate. Clinical record must be documented by physician. Must notify resident and/or legal rep in writing of transfer and reason specified above, and document notice given in med record. Must provide 30 days notice of transfer/discharge unless b/c: medically necessary; health/safety of residents endangered; health improved; resident in facility 30 days. Written notice must include: reason; effective date of transfer/dc; location to which res is transferred/dc'd; right to appeal to state; name/address/phone of ombudsman; info for developmental disabilities or mentally ill protection/advocacy groups for those facilities. Must provide sufficient preparation and orientation regarding transfer/dc. Bed Hold Policy and Readmission Must provide written info including duration of bed hold policy and bed hold period prior to transfer to hospital or therapeutic leave; and at time of transfer must provide written notice specifying duration of bed hold. If leave exceeds bed hold, facility must have written policy addressing readmission immediately upon first availability of a bed in a semi-private (if res requires facility services and is eligible for Medicaid). If composite distinct part--must be returned to same area or given option of returning to that location upon first available bed. Activities Program Must be directed by qualified professional: qualified therapeutic rec specialist (licensed/registered by the State and is eligible for certification as a therapeutic rec specialist or activities professional by recognized accrediting body; OR, has 2 yrs experience in social or recreational program within last 5 years, one of which was full time in a patient activities program in healthcare setting; OR is a qualified OT or OTA; OR, has completed a training course approved by State. Social Services Must provide medically-related social services for physical, mental and psychosocial wellbeing of residents (120 beds must have full-time). Qualified SW has Bachelor's degree in social work or human service field; AND, 1 yr supervised social work experience in health care setting working directly with individuals.