NAB Examination (NAB NHA Examination)With Complete Solutions 2023

NAB Examination Gerontologists Categories - How is Young-Old Defined? - ANS 65 to 74 years old Gerontologists Categories - How is Old-Old Defined? - ANS 75 to 84 years old Gerontologists Categories - How is Oldest-Old Defined? - ANS Over 85 + years old The morning meal must be served within how many hours after the previous meal? - ANS 14 Hours, if the required evening snack is substantial and the resident approves 16 hours may elapse A full time social worker is required if the facility has more than how many beds? - ANS 120 Beds What qualifications are required of a full time social worker? - ANS BS (Bachelors of Science) in Social work, psychology or rehabilitation counseling. Also, 1 year of supervised social work experience in a health-care setting When can the DON act as charge nurse? - ANS When ADC (Average Daily Census) is 60 or lower What is a substantial weight loss or gain? - ANS 5% gain/loss in one month or a 10% gain/loss in a 6 month period How often are physicians required to visit their patients? - ANS Once every 30 days for the first 90 day period, then at least every 60 days thereafter A comprehensive care plan must be developed with how many days of MDS completion? - ANS 7 Days (Medicare or 14 days Medicaid) If marked PRN a medication is administered? - ANS As Needed If marked BID a medication is administered? - ANS Twice a Day If marked TID a medication is administered? - ANS Three Times a Day If marked QID a medication is administered? - ANS Four Times a Day If marked QD a medication is administered? - ANS Every Day If marked QOD a medication is administered? - ANS Every Other Day If marked HS a medication is administered? - ANS At Bedtime If marked AC a medication is administered? - ANS Before Meals If marked PC a medication is administered? - ANS After Meals If marked PO a medication should be given by which route? - ANS Orally (by mouth) If marked R a medication should be given by which route? - ANS Rectally If marked IV a medication should be given by which route? - ANS Intravenously If marked IM a medication should be given by which route? - ANS Intramuscularly If marked OD a medication should be given by which route? - ANS Right Eye If marked OS a medication should be given by which route? - ANS Left Eye If marked OU a medication should be given by which route? - ANS Both Eyes If marked AD a medication should be given by which route? - ANS Right Ear If marked AS a medication should be given by which route? - ANS Left Ear If marked AU a medication should be given by which route? - ANS Both Ears Quality Indicator sentinel health event signified by QI 11? - ANS Prevalence of Fecal Impaction Quality Indicator sentinel health event signified by QI 15? - ANS Prevalence of Dehydration Quality Indicator sentinel health event signified by QI 24? - ANS Prevalence of Stage 1-4 Pressure Ulcers Quality Indicators (QI) will be flagged at what percentage? - ANS 90% Percentile (the higher the % the worse the flag) Activities of Daily Living (ADL) include? (5 areas) - ANS Ambulation/Locomotion, Eating, Toileting, Grooming/Personal Hygiene/Bathing, and Communicating How are Controlled Substances rated? - ANS On a Schedule from 1 to 5. The higher the # the more controlled the substance. What controls are necessary for #2 scheduled substance? - ANS Must have Separate Locked Storage. Must be Accounted for Each Shift. If an applicant isn't hired how long must their application be kept in file? - ANS 1 Year How many hours of In-Service must C.N.A.'s have each year? - ANS 12 hours How long can aides work before they become certified? - ANS 4 Months (i.e.. They are going through classes or waiting to take a test for certification) A facility must give how many days notice to a Union for a desired contract change? - ANS 90 Days A Union must give how many days notice before a strike? - ANS 10 Days An I-9 must be retained for how long? - ANS 3 years from the date of hire or until 1 year after termination (whichever is later) Employees returning from Military leave must apply to return to work within how many days of discharge? - ANS 90 Days What does FMLA stand for? - ANS Family and Medical Leave Act What benefits does FMLA provide? - ANS 12 Weeks unpaid leave How many days notice must an employee give to go out on FMLA? - ANS 30 Days Notice An accidental death must be reported to OSHA within what time frame? - ANS Within 8 hours Type of leadership known as Top down leadership? - ANS Autocratic Balance sheet is made up off which three items? - ANS Assets, Liabilities, and Owners Equity (all on a particular date) An Income Statement shows? - ANS Revenues and Expenses Liabilities that may or may not be incurred by a facility depending on the outcome of a future event? - ANS Contingent Liabilities (ex. Court Case) A fixed daily payment? - ANS Per Diem Residents funds in excess of what amount must be kept in an interest bearing account? - ANS Medicaid- $50; Medicare-$100 (Cash + Current Receivables) / Current Liabilities = - ANS Acid Test Ratio Current Assets / Current Liabilities - ANS Current Ratio Under double entry rules increases in assets and expenses are recorded as? - ANS Debits Under double entry rules decreases in assets and expenses are recorded as? - ANS Credits Under double entry rules increases in Liability, Revenue and Capital accounts are recorded as? - ANS Credits Under double entry rules decreases in Liability, Revenue and Capital accounts are recorded as? - ANS Debits Services which are not generally provided to most residents and which may be separately billable? - ANS Ancillary Services (ex. Labs, Radiology, Pharmacy Services, and Rehab Therapies) Thresholds may not rise over? - ANS 1/4 Inch What is the acceptable air temperature range in a facility? - ANS 71 - 81 Degrees Fahrenheit Soiled Linen carts should be decontaminated how often? - ANS Weekly (minimum) or ASAP when visibly contaminated. A Hazard posed by medications is a? - ANS Health Hazard (Chemical) A Hazard posed by surroundings is a? - ANS Physical Hazard How often must fire drills be performed? - ANS Quarterly (4 times a year for each shift) What is the minimum width of egress doors? - ANS 32 Inches How often must the QA Committee meet? - ANS Quarterly The QA Committee meeting must include whom? - ANS DON, a Physician, and Three other Staff Members A resident's room must have at least how much useable space? - ANS 80 .. Minimum area in a single (private) resident room? - ANS 100 .. For Profit Organizations are governed by? - ANS A Board of Directors Non-Profit Organizations are governed by? - ANS A Board of Trustees What are the 5 levels of needs in Maslow's Hierarchy? - ANS 1) Food (physiological); 2) Safety; 3) Love; 4) Power (esteem); 5) Self-Actuating Needs (ex. Fulfilling ones potential) Theory X advocates? - ANS The use of Fear of Punishment to motivate (assumes employees are inherently lazy and dislike work) Theory Y advocates? - ANS Rewards employees for accomplishing goals (assumes employees like work as much as play) Theory Z advocates? - ANS Participation in Nature. Employees have input into how their work is done and how decisions are made. What does Herzberg's Two Factor Theory teach regarding employees negative feelings about work? - ANS Generally associated with the environment in which they are working. What does Herzberg's Two Factor Theory teach regarding employees positive feelings about work? - ANS When employees feel good about work they associate it with the work itself. Herzberg's dissatisfaction factor equates to? - ANS Hygiene Factors (ex. Status, Job security, salary, fringe benefits, work conditions) Herzberg's satisfaction factor equates to? - ANS Motivators (ex. Challenging work, recognition, responsibility) Type of authority characterized by direct supervision over a subordinate? - ANS Line Authority Type of authority characterized by advisory capacity? - ANS Staff Authority The Safety Medical Devices Act requires that a serious injury or death be reported to whom and when? - ANS Incidents resulting from medical devices causing death or serious injury must be reported to SMD within 24 hours and to the FDA within 10 days. The Fair Labor Standards Act requires overtime be computed how and what rate? - ANS OT computed at 1 1/2 times the regular pay rate. Based on 14 day period with any time over 8 hrs daily and over 80 hrs in the 14 day period being overtime. To avoid retraining and a competency evaluation program a C.N.A. must work continuously for how long? - ANS 24 Consecutive Months What does QAC stand for? - ANS Quality Assurance Committee The use of 9 or more medications for a given resident? - ANS Polypharmacy OT? - ANS Occupational Therapy PT? - ANS Physical Therapy ST? - ANS Speech Therapy What is the Medicare definition of Hospice Care? - ANS Supportive care provided to terminally ill patients and their families in the final 6 months of a patients life. Palliative Care is defined as? - ANS Management and support provided for reduction or abatement of pain. Doesn't include treatment to cure medical condition or to artificially prolong life. The Age Discrimination Act protects employees in what age group? - ANS 40 to 70 years old. How often must form 941 be filed by employers? - ANS Quarterly, Form 941 is the Employers Quarterly Federal Tax Return What information is included in Form 941? - ANS Amount witheld for federal income taxes and the employer's & employee's share of FICA and Medicare taxes. Residents paying in this manner may be billed in advance? - ANS Self pay residents (third party programs may not be billed in advance) Residents must be notified when their account rises to within what amount of the resource limit the state has established? - ANS Within $200 of the limit (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = - ANS Days of Cash Days of Cash - ANS (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = Net Resident Accounts Receivable from all Sources / (Net Patient Revenue / 356) = - ANS Days in Resident Accounts Receivable Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = - ANS DSO (Daily Sales Outstanding) DSO (Daily Sales Outstanding) - ANS Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = The operating budget is composed of what two categories? - ANS Revenue and Expense Categories