NAB CORE Examination – Association of Long National Term Care Administrator Boards (NAB) – Edition – 2026/2027 Verified Questions and Answers

NAB CORE Examination – Association of Long National Term Care Administrator Boards (NAB) – Edition – 2026/2027 Verified Questions and Answers When a family is being interviewed regarding a provision of services, the first course of action should be to: - 1. discuss the healthcare organization's rate structure 2. inquire about the potential care recipient's needs 3. give tour of the healthcare organization 4. talk about the healthcare organization's strengths compared to the competition's 2. inquire about the potential care recipient's needs When marketing a healthcare organization, the market is considered to be all of the individuals: 1. living within an established radius of the healthcare organization 2. enrolled in the Medicaid or Medicare programs 3. with a demand for their service of product 4. discharging from an acute care hospital 3. with a demand for their service of product Ethics are the beliefs or attitudes that make up which kind of organizational values? 1. Humanitarian 2. Religious 3. Moral 4. Civic 3. Moral A cognitive care recipient, whose spouse is living, does not have an advance directive or a Do Not Resuscitate (DNR) order. The care recipient's daughter has financial Power of Attorney, and the son has Healthcare of Power of Attorney. A DNR order can be authorized by the: 1. care recipient's son 2. care recipient 3. care recipient's spouse 4. physician 1. care recipient's son Establishing and Implementing policies regarding the management and operations of a healthcare organization is the responsibility of the: 1. department managers 2. chief executive officer 3. care recipient 4. governing body 2. chief executive officer All employees in a healthcare organization should be working toward the organization's purpose, which described in the healthcare organization's: 1. articles of incorporation 2. governance body 3. organization charts 4. mission statement 4. mission statement PRN means: 1. administer as necessary 2. pain reducing narcotics 3. dispense at bedtime 4. care recipient refusal and noted 1. administer as necessary Changing a bathing schedule to meet the care recipient's time preference is an example of: 1. permanent assignment 2. person-centered care 3. green living 4. time management 2. person-centered care Mrs. J has completed a Do Not Resuscitate (DNR) form. A friend of hers comes to the office, upset that Mrs. J has chosen to have a DNR, and asks for a copy of the DNR to discuss it with Mrs. J. The staff should: 1. not release the DNR because it cannot be changed once it has been signed 2. call Mrs. J's physician to release the form to the visitor 3. release the form so the friend can help Mrs. J understand the DNR 4. not release the form because of confidentiality 4. not release the form because of confidentiality Care recipients who elect to receive hospice benefits should receive: 1. pain relief and symptom management 2. notice that their stay can continue for a maximum of six months 3. additional life-sustaining services that are covered by Medicare 4. priority admission to an acute-care hospital 3. additional life-sustaining services that are covered by Medicare One of the most commonly diagnosed mental illnesses in the elderly is: 1. depression 2. obsessive-compulsive disorder 3. schizophrenia 4. paranoia 1. Depression The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures a care recipient's right to: 1. select and change their personal physician 2. request restrictions on certain uses and disclosures of personal health information 3. select treatment options based on religious preference 4. designate who can make decisions on their behalf 2. request restrictions on certain uses and disclosures of personal health information Larry is a care recipient at a healthcare organization. He has told several care recipients he has cancer. Another care recipient comes to the office to learn more about Larry's situation. Regarding Larry's personal information, staff: 1. must tell Larry not to discuss his condition with anyone but the physician 2. may not discuss Larry's situation without his permission 3. must explain to Larry about keeping his medical information confidential 4. can talk about Larry's situation to other care recipients 2. may not discuss Larry's situation without his permission Which of the following statements about care recipient needs is most accurate? 1. Most care recipients need to adjust to placement in a healthcare organization and to adapt to the routines and patterns of the healthcare organization 2. The care recipient's needs are identified through a review of the care recipient's physical, mental, and emotional history 3. The healthcare organization must seek to collaborate information provided by the care recipient, since people tend to overlook their own shortcomings 4. Factors to be considered in identifying care recipient needs include former occupation, leisure activities, and cultural factors 2. The care recipient's needs are identified through a review of the care recipient's physical, mental, and emotional history Hospice care is usually provided to those care recipients determined to be terminally ill and who have approximately how long to live? 1. 1 month ' 2. 3 months 3. 6 months 4. 12 months 3. 6 months An individual that a person can designate to make complex healthcare decisions on their behalf is known as a: 1. personal representative 2. proxy decision maker 3. surrogate decision maker 4. legal representative 4. legal representative Alternatives to an advance directive include a: 1. living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order 2. Durable Power of Attorney, last will and testament, and living trust 3. right of survivorship, Do Not resuscitate (DNR) order, and appointment of executor 4. living trust, living will, and medical order for life-sustaining treatment 1. living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order A symptom of dehydration is: 1. difficulty walking 2. diarrhea 3. vomiting 4. poor skin turgor 4. poor skin turgor One goal of effective dementia care is to: 1. protect care recipients from all safety hazards regardless of abilities and needs 2. treat all care recipients the same to avoid favoritism and prevent staff from getting too close to care recipients 3. provide personalized care based on knowledge of care recipients abilities and needs 4. ensure that all decisions are made by a care recipient's family members 3. provide personalized care based on knowledge of care recipients abilities and needs An administrator decides to have care recipients participate in menu planning and grocery shopping. This policy would: 1. free staff members for other duties 2. violate sanitation regulations 3. reduce dietary costs 4. help care recipients to maintain a sense of involvement and of being needed 4. help care recipients to maintain a sense of involvement and of being needed ROM is an abbreviation for: 1. range of motion 2. rehabilitative outcome measurement 3. rehabilitative outcome management 4. range of measurement 1. range of motion What word is defined as an acquired, persistent impairment of intellectual function with compromise in at least three spheres of mental activity? 1. Alzheimer's 2. Delirium 3. Dementia 4. Encephalopathy 3. Dementia Person-centered care is a transformation from an institutional model of care to a: 1. customer full-assist model 2. healthcare model 3. consumer-directed model 4. staff-directed model 3. consumer-directed model Which of the following items expresses a person's end-of-life wishes for medical treatment? 1. Guardian Appointment Order (GAO) 2. Physician Orders for Life-Sustaining Treatment (POLST) 3. Patient Self-Determination Act (PSDA) 4. Oregon Death with Dignity Act (ODWDA) 2. Physician Orders for Life-Sustaining Treatment (POLST) Delirium is a medical issue defined as a: 1. state of mental confusion characterized by disorientation 2. slow onset of cognitive deficits 3. cognitive decline not connected to other conditions 4. progressive illness that causes memory lapses 1. state of mental confusion characterized by disorientation A foreign-language-speaking care recipient is admitted to a healthcare organization. The foreign language spoken by the care recipient is not commonly spoken in the region where the organization is located. As part of communicating care recipient rights, the organization should: 1. have the care recipient write a signed statement verifying that the care recipient understands care recipient rights 2. explain the rights to a representative of the care recipient who can then explain the rights to the care recipient 3. use pictures to explain the rights to the care recipient 4. provide a written translation to the care recipient 1. have the care recipient write a signed statement verifying that the care recipient understands care recipient rights A care recipient has been diagnosed with a terminal disease to participate in therapies to prolong life. The healthcare organization should offer consultation on which of the following services? 1. Physiatrist 2. Oncology 3. Palliative care 4. Hospice care 3. Palliative care A direct cost is: 1. allocated equally to all areas of the budget 2. charged to a specific billing period 3. documented by proper accounting procedures 4. linked to a specific objective, responsibility, or function 4. linked to a specific objective, responsibility, or function A guest falls and is injured while visiting a healthcare organization's office. Which one of the following types of insurance would cover this injury? 1. General liability insurance 2. Property insurance 3. Professional liability insurance 4. Workers' compensation insurance 1. General liability insurance When the actual supply cost substantially exceeds the expected cost, the administrator should initially: 1. tightly control products 2. investigate probable breach of security 3. review production schedules 4. examine methods of inventory 2. investigate probable breach of security Which type of financial statement is derived from analysis of other statements and has more detail on financial activity? 1. Profit and loss 2. Cash flow 3. Changes in financial position 4. Retained earnings 1. Profit and loss Most often a third-party payer, such as a Medicaid or a long-term insurer, will negotiate a lower rate for services rendered. The difference of funds that is uncollectables between the full charges and the amount that is actually paid by a third party payer is called: 1. expense allowances 2. deductions from revenue 3. contractual allowances 4. revenue write-off 3. contractual allowances If overall revenue declines and census remains stable, an important financial area to review would be: 1. balance depreciation 2. asset allocation 3. ancillary revenue 4. interest income revenue 3. ancillary revenue A healthcare organization has just purchased equipment for a total cost of $15,000. The equipment has a useful life of five years and the administrator is planning to charge a depreciation expense of $3,000 per year. Which depreciation method is being used? 1. Sum of the years' digits depreciation 2. Declining balance depreciation 3. Straight-line depreciation 4. Accelerated depreciation 3. Straight-line depreciation Utilizing the FIFO inventory method, which supply would be used last? Supply A 12/1/2016 Supply B 12/20/2016 Supply C 1/4/2017 Supply D 2/3/2017 1. Supply A 2. Supply B 3. Supply C 4. Supply D 1. Supply A Which of the following best describes a primary difference between a not-forprofit and a for profit organization? 1. A for-profit organization may distribute profits to its shareholders 2. A for-profit organization receives pledges as part of its revenue base 3. A not-for-profit organization may pay bonuses out of its profits 4. A not-for-profit organization need not record charitable contributions 1. A for-profit organization may distribute profits to its shareholders The LIFO and FIFO methods of inventory costing both accounts for the effects of which of the following factors on the price of inventory? 1. Salvage value 2. Depreciation. 3. Supply and demand 4. Inflation and deflation 2. Depreciation. The operating performance for a specific span of time is measured by the: 1. operating budget 2. balance sheet 3. statement of financial condition 4. income statement 4. income statement An employee who believes that he or she has been discriminated against according to the Americans with Disabilities Act (ADA) must file a complaint with the: 1. Social Security Administration (SSA) 2. National Labor Relations Board (NLRB) 3. Occupational Safety and Health Administration (OSHA) 4. Equal Employment Opportunity Commission (EEOC) 4. Equal Employment Opportunity Commission (EEOC) A healthcare organization's employee handbook: 1. is generally considered the property of the employer 2. can be considered an enforceable contact between employer and employee 3. should be written clearly enough to leave no latitude for interpretation 4. should be written in lay terms and kept in the administrator's office 3. should be written clearly enough to leave no latitude for interpretation An employee with 30 years' experience at a healthcare organization was not chosen to attend a training and ask the supervisor why. The supervisor said, "You've been with the company for a long time, and I assumed you would retire before then." In doing so, the supervisor: 1. did not discriminate, by assuming someone of retirement age would retire 2. discriminated against the employee because of the employee's age 3. discriminated against the employee, as the employee obviously had seniority 4. did not discriminate, as the employee was not a high performer 2. discriminated against the employee because of the employee's age In deciding which style of management to employ while running the day-to-day operations of a healthcare organization, the administrator's best approach is to: 1. use a mix of all styles while integrating it into the overall organization, goals, and operation 2. consult with the governing body and comply with federal policies, guidelines, and procedures 3. determine the strength and weaknesses of the staff and implement a performance incentive program 4. choose a firm and goal-oriented style in order to command respect from colleagues and subordinates 1. use a mix of all styles while integrating it into the overall organization, goals, and operation If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the: manufacturing producer Emergency exits must have which of the following components? 1. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way) 2. Exit sign (must be lit), exit access (corridor), and exit (must be double doors) 3. Exit sign, exit access (lit corridor), and exit door (locked from outside) 4. Exit access (lit corridor), exit (must be double doors), and exit discharge (three feet of clear sidewalk) 1. Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way) Which of the following Occupational Safety and Health Administration (OSHA) violations is least likely to be associated with a fine? - 1. Serious 2. Non-serious 3. De minimus 4. imminent danger 3. De minimus The administration of the budget by the administrator: 1. requires intervention by the governing body 2. is more costly than by staff 3. is a controlling function 4. is also part of the planning 1. requires intervention by the governing body Healthcare organizations are in the business of marketing: 1. assistance 2. compassion 3. wellness 4. services 4. services A care recipient in a long-term care healthcare organization disagrees with management's decision regarding an aspect of care. The care recipient feels that is could adversely affect the health, safety, welfare, or rights of care recipients. The individual or group most responsible for acknowledging, investing, and resolving the concern is the: 1. ombudsman 2. social worker 3. care recipient council president 4. governing body 2. social worker Stakeholders are defined as: 1. any constituent group that has an interest in what outcomes the organization procedures 2. the individuals who have the most to lose financially if the organization closes 3. any group of investors who own stock in the organization 4. the staff, physicians, and local groups who want to see the organization succeed 3. any group of investors who own stock in the organization The purpose of a corporate compliance plan is to: 1. reduce fraud and abuse and to establish internal controls for responsible organization conduct 2. avoid charges of price-fixing and the violation of federal anti-kickback statutes 3. identify the corrective steps necessary for the removal of quality indicator flags from a healthcare organization's profile 4. establish policies and procedures for conducting criminal background checks on all officers and directors 1. reduce fraud and abuse and to establish internal controls for responsible organization conduct The primary benefits of management by walking around are: 1. listening, teaching, and facilitating 2. evaluating, controlling, and planning 3. listening, planning, and organizing 4. directing, evaluating, and innovating 3. listening, planning, and organizing What function of the management process includes gathering information and input? 1. Directing 2. Decision-making 3. Controlling 4. Organizing 4. Organizing Management by walking around is an approach that allows the administrator to: 1. see first-hand the needs of the care recipient 2. control the staff in order to minimize care recipient and family complaints 3. ensure the healthcare organization's license is not in jeopardy due to regulatory compliance 4. innovate new approaches and physical plant improvements to enhance public relations 1. see first-hand the needs of the care recipient Bylaws are defined as: 1. corporate duties delegated to the administrator 2. state laws establishing the healthcare organization's scope of practice 3. adopted rules governing the internal affairs of an organization 4. the rules whereby a corporation is created under the laws of a state 3. adopted rules governing the internal affairs of an organization Another term for articles of incorporation is: 1. charter 2. by-laws 3. constitution 4. governing rules 1. charter The law may hold the organization liable for the fort committed by each of the following individuals except an: 1. independent contractor 2. employed attending physician 3. administrator 4. officer of the late organization 1. independent contractor A comprehensive decision-making process based on future predictions that establishes the blueprint for a healthcare organization strategy is: 1. the best way to establish day-to-day staffing needs 2. an effective process in analyzing market conditions 3. an effective tool to create a mission statement 4. the purpose of planning 2. an effective process in analyzing market conditions The style of leadership that encourages and values the input of staff is known as: 1. democratic leadership 2. participative leadership 3. autocratic leadership 4. directional leadership 2. participative leadership Procedures are best defined as: 1. step-by-step instructions for how a specific task is to be carried out 2. statements that contain some degree of freedom with further interpretation needed 3. operational statements that are handed down from the governing body to the administrator 4. statements that are governed by the caregiver council 1. step-by-step instructions for how a specific task is to be carried out The term ethics deals with: 1. the proper procedure and protocol between purchasing department vendors 2. the decision-making process of determining the ultimate values and standards by which we judge our actions 3. the ombudsman process of advocating and conveying a care recipient concerns to management 4. personality conflicts between co-workers and/or between staff and management 2. the decision-making process of determining the ultimate values and standards by which we judge our actions Principles that reflect the moral foundation and guiding ideology of an organization are best described as its: 1. philosophy 2. mission 3. vision 4. values 4. values Healthcare organizations are required by the Occupational Safety and Health Administration (OSHA) to maintain a log and summary of occupational injuries and illnesses and to display the log in the healthcare organizations: 1. at the onset of injury or illness 2. within five days of an injury or illness 3. quarterly 4. annually 4. annually Under the Americans with Disabilities Act of 1990 (ADA), which of the following is considered a reasonable accommodation for an employee with a disability? 1. Allow payroll deductions to purchase adaptive equipment 2. Switching offices to accommodate the employee 3. Offering internal job opportunities to the employee 4. Acquiring or modifying equipment for their use 2. Switching offices to accommodate the employee In order to be in compliance with the Immigration Reform and Control Act of 1986, an I-9 Form must be completed within what time period after the first date of employment? 1. 24 hours 2. 72 hours 3. 5 days 4. 90 days 2. 72 hours Which of the following is a duty an employer has under the Occupational Safety and Health Act of 1970 (OSH Act)? 1. Provide employee with fully lighted parking 2. Furnish employment free of recognized hazards 3. Offer safety guards for the sharpest objects 4. Assure Safety Data Sheets (SDS) are available during regular office hours 2. Furnish employment free of recognized hazards Which questions may not be asked of a job applicant by a prospective employer? 1. What kind of discharge did you receive from the military 2. How would your previous boss describe you? 3. Why would you make a good employee? 4. What were your duties in your previous position? 1. What kind of discharge did you receive from the military The purpose of the Occupational Safety and Health Act (OSH Act) of 1970 is to: 1. define the rights of both employees and employers, encourage collective bargaining, and eliminate certain harmful labor practices 2. present recommendations to employers relating to safe and healthful working conditions for every worker in the United States 3. create policies and procedures for facilities with regard to employee/employer health concerns 4. provide each employee with a safe workplace free from recognized hazards 4. provide each employee with a safe workplace free from recognized hazards Which of the following is a mechanism for keeping employees informed of their strengths and weaknesses on the job? 1. Performance evaluation 2. Staff meeting 3. Documented consultation 4. Written warning 1. Performance evaluation A program that is designed to maintain equipment in order to keep it working properly is known as a/an? 1. preventive maintenance program 2. equipment replacement program 3. preventative repair program 4. equipment modification program 1. preventive maintenance program Gowns, gloves, and eye protection are examples of: 1. normal work clothes 2. personal protective equipment 3. optional equipment paid for by the employee 4. optional equipment paid for by the employee 2. personal protective equipment In the event of fire drills and actual fire emergencies, the Life Safety Code (LSC) recommends that the administrator should teach staff to first: 1. immediately pull the fire alarm 2. extinguish the fire with fire extinguishers 3. rescue and remove anyone in immediate danger 4. confine and contain smoke and fire 3. rescue and remove anyone in immediate danger The lockout/tagout program is designed to protect employees from hazards related to: 1. medicine 2. chemicals 3. fire 4. energy 4. energy A care recipient who uses a walker to get to the dining room is told by an employee to leave the walker outside the room. With regard to the Americans with Disabilities Act of 1990 (ADA), the healthcare organization: 1. must provide a space in the dining room for wheelchairs and walkers 2. may formulate its own regarding the use of walkers 3. must discipline the employee for violating the care recipient's rights 4. should have a caregiver escort the care recipient to the dining room 1. must provide a space in the dining room for wheelchairs and walkers the false claims act, which seeks to hold entities liable for submitting false or fraudulent claims for reimbursement to the federal government is also known as the 1. whistleblower act 2. sunshine act 3. stark act 4. anti-kickback act 1. whistleblower act The national movement known as culture change was created to: 1. improve quality of life for seniors 2. enable staff to make decisions for seniors 3. provide care for seniors based on their diagnosis 4. provided structured activities for seniors 1. improve quality of life for seniors Which of the following professionals is authorized to dispense medications? A. registered nurse B. licensed nurse, physician and, in some states, medication aide. C. licensed nurse and physician D. pharmacist D. pharmacist Aphasia occurs frequently as a result of: A. a stroke B. diabetes C. death of a spouse D. pressure ulcers A. a stroke A check should generally be issued only when which one of the following is available and properly signed? A. purchase order B. lien C. warranty D. general ledger A. purchase order Which class of fire extinguishers is appropriate for use on a grease fire? A. A B. B C. C D. D B. B The age-related clouding of the lens of the eye is called: A. macular degeneration B. a cataract C. glaucoma D. conjunctivitis B. a cataract In collective bargaining, when labor and management select a third party to decide an issue, and agree to accept that third party's decision as final andbinding on both sides, the process is called: A. mediation B. Arbitration C. conciliation D. subrogation B. Arbitration Cultural diversity in an organization's delivery of services would entail all EXCEPT which one of the following? A. Educating staff in the distinctive beliefs and values held by the various ethnic and racial groups being served. B. Using interpreters and in other ways trying to eliminate language barriers between staff and clients. C. Getting staff to identify how their own biases regarding people of other religious backgrounds may affect their care-giving. D. Offering customers of different ethnic and racial backgrounds the same food and beverages in order to foster a sense of community and equality D. Offering customers of different ethnic and racial backgrounds the same food and beverages in order to foster a sense of community and equality Which of the following is part of the manager's controlling function? A. Developing rules B. Writing job descriptions C. Disciplining staff who break rules. D. Doing a SWOT analysis. C. Disciplining staff who break rules. What was the quarterly turnover rate at an organization that had 18 separations in the quarter, and that averaged 225 employees in the first month, 220 employees in the second month, and 215 employees in the third month of the quarter? A. 8 percent B. 18 percent C. 92 percent D. 32 percent A. 8 percent Which of the following is a chronic disease? A. pneumonia B. botulism C. Parkinson's disease D. shingles C. Parkinson's disease Spread of cancer cells from one part of the body to another is referred to as... A. dysphagia C. myasthenia B. metastasis D. necrosis B. metastasis An organization has $600,000 in assets and $500,000 in liabilities. Which of the following statements is best supported by this information? A. This organization is in financial trouble. B. This organization has $100,000 in cash on hand. C. This organization has enough revenue to cover expenses. D. Owners equity is $100,000 D. Owners equity is $100,000 Which one of the following statements is true regarding reference checking and reference giving in the screening of job candidates? A. Reponses to reference checks must be factual and reflect only information contained in the written personnel records. B. Department managers have a duty to exercise their professional judgment in responding to requests for references on former employees. C. Checking candidate references and responding to reference requests is best done by department managers rather than the organization's HR specialists. D. Checking references is a helpful but not a critical step in candidate screening A. Reponses to reference checks must be factual and reflect only information contained in the written personnel records. Advantages of the participatory method of budget making include all except which one of the following? A. Input into the budget by staff members who are knowledgeable about daily operations B. Low consumption of time and effort C. Greater awareness by department heads of the facility's resource and the needs of other departments D. Greater willingness by department heads to comply with the budget - B. Low consumption of time and effort The type of therapeutic diet often prescribed for people with hypertension is A. low fat B. low sodium C. bland D. liquid B. low sodium Which of the following describes the line-staff relationship between a department head and a consultant? A. Both are in line positions. B. Both are in staff positions. C. The department head is in a staff position and the consultant is in a line position. D. The department head is in a line position and the consultant is in a staff position. D. The department head is in a line position and the consultant is in a staff position. When milk and meat must be refrigerated, they should be held at or below how many degrees Fahrenheit? A. 50 B. 32 C. 41 D. 0 C. 41 Which of the following is not usually a sign of depression? A. feelings of sadness B. bodily complaints C. loss of appetite D. complete loss of language skills D. complete loss of language skills Which one of the following statements is true about the capital budget? A. It includes all anticipated revenues and expenses. B. It lists approved equipment purchases and major improvements for the budget year. ' C. It projects all operating costs and consolidates the information in a single document. D. It projects cash receipts and disbursements for each month or shorter period. B. It lists approved equipment purchases and major improvements for the budget year. ' Which one of the following statements is true regarding the "8 and 80" option? A. The maximum hours that can be worked by non-exempt staff are 8 in a 24-hour period and 80 in a 14-day period. B. Wages at overtime rates are paid for all hours worked over 8 in each 24-hour period, but only after 40 hours have been worked in a 14-day period. C. Wages at overtime rates are paid for all hours worked in excess of 8 in a 24- hour period and 80 in a 14-day period D. Wages at the overtime rate are paid for any hours over 40 in a 8-day period, and for any hours over 80 in a 14-day period C. Wages at overtime rates are paid for all hours worked in excess of 8 in a 24- hour period and 80 in a 14-day period Wages at the overtime rate are paid for any hours over 40 in a 8-day period, and for any hours over 80 in a 14-day period Wages at overtime rates are paid for all hours worked in excess of 8 in a 24-hour period and 80 in a 14-day period ADA accessibility standards are aimed at making buildings used by the public accessible to which one of the following? A. persons with dementia B. persons with disabilities C. the elderly D. fire department and other emergency response teams B. persons with disabilities A list of the types and amounts of services that have been rendered would be found in which of the following? A. clinical record B. care plan C. comprehensive assessment form D. policies and procedures manual A. clinical record According to OSHA rules, all work-related injuries and illnesses must be recorded if they result in any EXCEPT which one of the following? A. one or more days away from work B. first aid C. restricted work activity D. transfer to another job B. first aid Medicare is a... A. federal welfare program for the poor B. federal welfare program for aged and disabled persons C. social insurance program for the poor D. social insurance program for aged and disabled persons D. social insurance program for aged and disabled persons Which of the following costs is the best example of a fixed cost? A. Salary of the director of nursing B. Medical supply costs C. Postage for sending residents' bills D. Electricity costs A. Salary of the director of nursing Fire drills shall be conducted how often, at a minimum? A. once each quarter B. once each quarter on each shift C. once each year on each shift D. once each month on each shift B. once each quarter on each shif A corporation's distributions of profit to its shareholders are called... A. contributions B. participations C. dividends D. surpluses C. dividends Which of the following is most likely to be an expression of tardive dyskinesia? A. fainting B. dry mouth C. involuntary jaw movements D. urinary incontinence C. involuntary jaw movements What should be the temperature range in a dry storage area? A. 50 to 70 degrees F. B. Below 45 degrees F. C. 60 to 80 degrees F. D. 72 to 82 degrees F A. 50 to 70 degrees F Which of the following types of drugs is given to a stroke victim? A. antihistamine B. anticoagulant C. antipsychotic D. antidepressant B. anticoagulant Effective delegation of authority occurs when... A. subordinates are given the responsibility to complete a task, but all authority is retained by the supervisor. B. decisions are made by the lowest person in the organization who iscapable and authorized to make decisions. C. tasks are delegated to subordinates who do not as yet have the necessary competence for the tasks, so that they will learn from the experience. D. only part of a job, rather than the whole job, is delegated to subordinates B. decisions are made by the lowest person in the organization who iscapable and authorized to make decisions. Mr. Luchetti enjoys talking about his adventures as a merchant seaman and hardly ever talks about the present. When he brings up those memories, what should a caregiver do? A. Stay silent and continue with care-giving tasks. B. Tell him not to dwell on the past. C. Change the subject by telling him about the activities scheduled for later in the day D. Tell him how interesting it must have been in those days and ask some questions about his experiences. D. Tell him how interesting it must have been in those days and ask some questions about his experiences. If someone needs to be fed by a tube that is passed through an artificial opening in the abdomen into the stomach, that person would need a ___________________ tube. A. gastrostomy B. jejunostomy C. nasogastric D. endotracheal A. gastrostomy A resident incurs a serious injury that may have been caused by a defect in the wheel chair he was using. After the facility learns about this event, among the reports that it must make is which one of the following? A. Immediately to the FDA B. Within 10 working days to the FDA and to the wheel chair manufacturer C. Immediate to the wheel chair manufacturer D. Within 10 working days to the wheel chair manufacturer D. Within 10 working days to the wheel chair manufacturer In financial recording, every transaction is first recorded in which one of the following? A. journal B. ledger C. prospectus D. book of posting entries A. journal A common mistake made in hiring is: A. interviewing a lot of applicants. B. having a supervisor make the choice. C. hiring the first qualified person available. D. saying too much about what the job entails. - C. hiring the first qualified person available The Family Medical Leave Act requires employers to provide protected leave to eligible employees to care for all except which one of the following relatives when they have a serious health condition? A. son or daughter B. spouse C. parent D. mother-in-law or father-in law D. mother-in-law or father-in law Which of the following is NOT an advantage of a corporation? A. continued existence despite the death or disability of the owners B. ease in operating in various states because it is organized and created under federal statutes C. potential for growth by the sale of stock D. limited liability of stockholders B. ease in operating in various states because it is organized and created under federal statutes Who orders a therapeutic diet? A. dietician B. attending physician C. food service manager D. supervisory nurse B. attending physician A facility might have to turn over to a court a copy of a resident's clinical record in response to an order called: A. subpoena duces tecum B. respondeat superior C. warranty D. habeas corpus A. subpoena duces tecum Which of the following types of therapists is especially trained to assist a resident in regaining the ability to swallow food? A. occupational therapist B. physical therapist C. orthotist D. speech-language pathologist D. speech-language pathologist A Safety Data Sheet (SDS) (formerly called a Material Safety Data Sheet, or MSDS) must contain which of the following sets of information about a hazardous chemical? A. precautions for safe handling, emergency and first aid procedures, phone number of a poison control center B. signs and symptoms of exposure, known acute and chronic health hazards, recommended brands and sources C. odor, signs and symptoms of exposure, first aid procedures D. whether gloves, eye protectors, or other protective clothing is required during use; whether the chemical is listed as a cancer-causing agent); net weights of containers commonly available for purchase C. odor, signs and symptoms of exposure, first aid procedures The person who should most often be called upon to resolve employee problems and grievances is: A. the facility or agency administrator B. the immediate supervisor C. a labor union representative D. the governing body B. the immediate supervisor Advertising is usually differentiated from public relations by which one of thefollowing features? A. promotion of a product B. targeting to market segments C. use of paid media D. concern with image C. use of paid media . The initial orientation of new employees would not include a review of: A. fire and disaster procedures B. functions of all the departments C. sick call policy D. medication administration procedures D. medication administration procedures Under the accrual basis of accounting, revenues are recorded when ____________and expenses are recorded when ____________________. A. cash is received -- cash is paid out B. revenues are earned -- expenses are incurred C. revenues exceed expenses -- expenses exceed revenues D. the fiscal year ends -- expenses are incurred - B. revenues are earned -- expenses are incurred A physician who specializes in physical rehabilitation is a ______________. A. physiatrist B. osteopath C. geriatrician D. physicalist A. physiatrist Which one of the following is NOT a requirement for handicapped parking spaces? A. At least one accessible space per 25 spaces in the parking lot. B. An access aisle at least 60 inches wide. C. Location on the shortest accessible route of travel from the adjacent parking lot to an accessible building entrance. D. Cross-hatching across the entire width of the space. D. Cross-hatching across the entire width of the space. When an employee in the course of carrying out job duties commits a negligent act that results in an injury to a customer, who may the customer sue in civil court for monetary damages? A. the employee only B. the employer only C. the employer and the employee D. the employer, the employee, and the employee's labor union, if any. - C. the employer and the employee How many full-time employees (FTEs) do you have if you have two employees who work 2,080 hours per year, and 4 employees who work 1,040 hours per year? A. 2 B. 4 C. 6 D. 3 B. 4 Hemiplegia refers to: A. paralysis on one side of the body. B. paralysis of both legs. C. paralysis of both arms. D. paralysis of all four extremities A. paralysis on one side of the body. Under the straight-line method, what would be the annual depreciation expense for a piece of equipment having a cost of $6,000, a manufacturer's warranty for 2 years, and an estimated useful life of 6 years? A. $1,000 B. $3,000 C. $6,000 D. An amount that decreases each year over a six-year period A. $1,000 The rights of a person who has been declared incompetent by a state court are exercised by A. the facility B. an individual designated by the resident C. an individual appointed by the court D. a member of the resident's immediate family C. an individual appointed by the court hat is a major symptom of clostridium difficile? A. diarrhea B. persistent cough C. involuntary limb movements D. difficulty swallowing A. diarrhea Holistic care refers to care that: A. is based on an interdisciplinary team approach. B. shows concern for the whole person, not just physical aspects. C. assumes that healing is most likely to be based on religious faith. D. is directed to the whole families of residents and not just to the residents as individuals. B. shows concern for the whole person, not just physical aspects. Which of the following would be the best agency to assist a residential facility in developing its Fire Safety Plan? A. OSHA B. NFPA C. the state survey agency D. the local fire department D. the local fire department Return on equity is calculated by A. dividing annual net income by owner's equity. B. subtracting liabilities from assets. C. subtracting expense from revenues. D . dividing long-term debt by owners' equity. A. dividing annual net income by owner's equity. Which one of the following is a question that an employer may legally ask of job applicants? A. Where were you born? B. Do you have any physical problems or injuries? C. Have you ever been treated for drug abuse? D. Can you speak and understand Spanish? D. Can you speak and understand Spanish? In a corporation, which of the following documents specifies the functions and composition of the governing board of directors? A. bylaws B. articles of incorporation C. prospectus D. policies and procedures manual A. bylaws If a resident begins showing mental confusion, impaired judgment, and balance problems, which of the following possible causal factors should be considered first? A. conflict with a roommate B. malnutrition C. adverse drug reaction D. a foot injury C. adverse drug reaction Which of the following would NOT be part of an LTC organization's efforts to develop a culture of safety? A. Assessing the needs of customers for supervision. B. Obtaining verbal or written consent from customers to relieve the organization of responsibility for adverse events. C. Encouraging staff to report customer risks and environmental hazards. D. Providing safety training to customers and their families B. Obtaining verbal or written consent from customers to relieve the organization of responsibility for adverse events. The use of a disinfectant by environmental services staff should correspond to the rating for that product that is on the container label and that is issued by the A. Environmental Protection Agency (EPA) B. Food and Drug Administration (FDA) C. U.S Department of Agriculture (USDA) D. Occupational Safety and Health Administration (OSHA) A. Environmental Protection Agency (EPA) A department head announces new personnel rules to subordinates at a meeting. This communication would be an example of the ________________ direction of communication. A. vertical B. lateral C. horizontal D. diagonal A. vertical When a physician refers to a patient's prognosis, the reference is to A. the patient's willingness to comply with medical orders B. a medical procedure C. the patient's chances for recovery D. a part of the body C. the patient's chances for recovery The main aim of employee discipline should be to... A. enable the supervisors to assert their authority. B. satisfy the demands of customers C. comply with the requirements of regulatory agencies. D. prevent a recurrence of unacceptable conduct. D. prevent a recurrence of unacceptable conduct. A PRN medication order means the medication: A. should be taken at bedtime B. can be administered as needed C. must be given immediately D. should be taken after food or meals B. can be administered as needed Which of the following is NOT a way to improve the functioning of committees? A. Carefully define the duties of the chairman. B. Prepare an agenda and send it to members in advance of the meeting. C. Keep and distribute committee minutes D. Keep discussion to a minimum and bring motions to a vote as rapidly as possible D. Keep discussion to a minimum and bring motions to a vote as rapidly as possible If a facility has a current ratio of 1.00 or higher, which of the following statements is most likely to be true? A. It will have difficulty in paying its bills. B. It should consider raising its rates charged to private-pay residents. C. Its current assets exceed its current liabilities. D. Its revenues exceed its expenses. C. Its current assets exceed its current liabilities One of the main roles of an ombudsman is to A. inspect LTC facilities and enforce state licensing law. B. provide legal advice on legal problems. C. screen applicants for admission to nursing homes to ensure appropriate placement of persons with serious mental illness or mental retardation. D. seek informal resolution of the problems that residents of nursing homes and assisted living communities may have with facility management. D. seek informal resolution of the problems that residents of nursing homes and assisted living communities may have with facility management. In addition to placing wet floor signs to ensure that no one walks on a wet floor, which of the following is part of the correct procedure for mopping a hallway? A. Close off the entire hallway, mop the entire hallway, and then open the hallway only when it is dry. B. Mop no more than one yard of the full hallway width at a time. C. Mop the entire hallway, then place a non-skid runner down the entire length until the hallway is dry. D. Mop one half of the length of the hallway at a time, leaving the other half open to traffic. D. Mop one half of the length of the hallway at a time, leaving the other half open to traffic. "A general statement that guides thinking and action, and permits interpretation" is the definition of which one of the following? A. rule B. policy C. program D. procedure B. policy One name given to the adverse physical and psychosocial effects resulting from a move from a familiar environment to an unfamiliar environment is: A. transfer trauma C. sundowner's syndrome B. paraplegia D. bipolar disorder - A. transfer trauma A meaningful staff development program begins with A. selection of the instructor B. development of a course outline C. an assessment of employee needs for training D. selection of a teaching method C. an assessment of employee needs for training Tylenol is an example of ... A. an antibiotic B. an analgesic C. an antihypertensive D. a sedative B. an analgesic Why should an administrator get department heads involved in the budgetmaking process? A. To comply with state licensing and federal certification requirements. B. To obtain more accurate cost estimates and more control over costs. C. To satisfy a Generally Accepted Accounting Principle (GAAP). D. To conserve time in developing a budget B. To obtain more accurate cost estimates and more control over costs. Who pays the tax under the Federal Unemployment Tax Act? A. employee only B. employer only (in all but a few states) C. employer and employee equally, in all states D. employer and employee, but at different rates B. employer only (in all but a few states) If a stroke survivor takes a long time in putting on his shirt, the care-giver should A. ignore this so as not to embarrass him. B. put the shirt on for him. C. encourage the person in his efforts. D. set a time limit for completing the task C. encourage the person in his efforts. An employee who is dissatisfied is most likely to...? A. quit. B. work fewer hours. C. ask for a raise. D. produce less D. produce less Which of the following is the most prudent approach to pest control? A. open traps B. above-ground poison bait C. contracting with a licensed pest control company D. aerosol sprays applied by staff C. contracting with a licensed pest control company Which of the following is the best activity for a customer with multiple sclerosis? A. Attending community-based events, such as concerts. B. Any of the activities that he or she enjoyed in his or her past. C. An activity that meets that person's assessed needs, abilities, and preferences. D. Working on puzzles and other "brain games." C. An activity that meets that person's assessed needs, abilities, and preferences. Steps to be taken in the investigation of an allegation of staff-on-customer abuse include all of the following except which one? A. Interview the alleged victim and any witnesses, but respect the right of the alleged perpetrator to not self-incriminate B. Examine the alleged victim for signs of injury (both physical and psychosocial). C. Protect evidence that could be used in a criminal investigation. D. Observe interactions between the alleged victim and staff. A. Interview the alleged victim and any witnesses, but respect the right of the alleged perpetrator to not self-incriminate If an employee has a habit of coming to work late, an appropriate supervisory response would be to A. suspend the employee without pay. B. discuss the matter with the employee in a private conference. C. reprimand her in the presence of her workmates. D. report this to the state licensing authority. - B. discuss the matter with the employee in a private conference Transferring of a journal entry to an account in a ledger is called A. journalizing B. reconciliation C. posting D. a trial balance C. posting When should preventive maintenance be done? A. According to a schedule. B. Only when physical inspection of the equipment shows wear and tear. C. Only for equipment with a long estimated useful life. D. After the first breakdown of an equipment item. A. According to a schedule. Which of the following is NOT true regarding delirium? A. Usually develops rapidly (over a few days or hours). B. Part of the normal aging process. C. Commonly mistaken for a stage of dementia. D. May be a side effect of many kinds of medications B. Part of the normal aging process. A plan of care should include all of the following EXCEPT: A. nursing diagnoses. B short- and long-term goals. C. types of ADL assistance and other interventions D. fees to be charged, and party responsible for payment D. fees to be charged, and party responsible for payment Purposes for fire and other disaster drills include all EXCEPT which one of the following A. Identifying equipment shortcomings. B. Clarifying roles and responsibilities. C. Minimizing coordination and communications with public safety and other community agencies. D. Pinpointing staff training needs. C. Minimizing coordination and communications with public safety and other community agencies. Which of these is not a legal question that employers may ask of job applicants? A. Are you able to perform the essential functions of this job with or without a reasonable accommodation? B. Would you demonstrate how you would perform a job function? C. Are you able to meet the attendance requirements of this job? D. Do you have a disability that would interfere with your ability to perform D. Do you have a disability that would interfere with your ability to perform When assisting a person who is recovering from a stroke to put on a blouse, the care-giver encourages the person to put on by herself the one sleeve she is capable of manipulating, and then offers assistance with the other sleeve that the person has difficulty with. In this way, the care-giver is practicing the ideal of... A. task segmentation B. reality orientation C. remotivation D. redirection A. task segmentation The primary focus for a safety committee should be to study incident and accident reports and A. determine if any facility rules were violated and recommend disciplinary actions for the violators. B. tabulate patterns and trends, and make reports to OSHA, the state licensing agency, and insurance carriers. C. identify safety issues and recommend accident prevention measures to the administrator. D. provide input for resident care plans and employee performance appraisals. - C. identify safety issues and recommend accident prevention measures to the administrator. On a balance sheet, net accounts receivable is calculated by subtracting which of the following from gross accounts receivable? A. allowance for bad debt B. depreciation expense C. aging of accounts receivable D. notes receivable A. allowance for bad debt Communication is successful when A. messages are in writing B. there is a face-to-face conversation between sender and receiver. C. messages flow upward as well as downward in the organization. D. the sender and the receiver have a shared understanding of the message. - D. the sender and the receiver have a shared understanding of the message. - When a customer is having a seizure, the care-giver should A. hold down the person. B. cushion the person's head and loosen tight clothing around the neck. C. put the person's anti-seizure medicine in his mouth. D. roll the person on his or her back to prevent choking or vomiting. B. cushion the person's head and loosen tight clothing around the neck Which of the following is NOT a desirable step in the employee disciplinary process? A. Making it clear how the employee's performance or behavior failed to meet expectations. B. Making a written record of oral warnings for placement in the employee'spersonnel file. C. Including a period of suspension, as well as an investigation, as parts of any disciplinary action. D. Giving the employee an opportunity to explain or defend their performance C. Including a period of suspension, as well as an investigation, as parts of any disciplinary action. The Fair Labor Standards Act does NOT include A. rights and restrictions on collective bargaining by labor unions. B. requirements for overtime pay. C. a nationwide minimum wage. D. limitations on the hiring of children A. rights and restrictions on collective bargaining by labor unions. Organizational characteristics that might increase the risk for staff-on-customer abuse include all EXCEPT which one of the following? A. Chronic staffing shortages B. Stressful working conditions C. Poor training for care-giving responsibilities D. Use of volunteers in the activity program - D. Use of volunteers in the activity program Which one of the following is it lawful for supervisors to communicate to employees during a union organizing drive? A. Threats to discontinue benefits to employees who support the union. B. Information on the union's dues and strike record. C. Inquiries of the employees on how they will vote in a union election. D. Promise of a pay increase to employees if they do not support the union. - B. Information on the union's dues and strike record. Fill in the blanks: OSHA requires employers to report within _____________ any work-related accident that results in the hospitalization of _____________. A. five working days -- a single employee B. 24 hours -- a single employee C. 8 hours -- three or more employees D. 24 hours -- three or more employees B. 24 hours -- a single employee A person who commits a tort is called a A. tort-feasor B. plaintiff C. surrogate D. tort-master A. tort-feasor Workers Compensation provides which one of the following? A. full medical and hospital payments B. partial medical and hospital payments C. punitive damages D. replacement of all lost wages A. full medical and hospital payments Which of the following is the best temporary investment for an organization's surplus funds that must remain liquid? A. stocks B. bonds C. mutual funds D. money market account D. money market account . Leadership development training should be provided to A. Administrators and AITs B. Administrators, AITs, and department heads C. Administrators, AITs, department heads, and other supervisory staff D. All employees D. All employees Incident reports should be made out for... A. only serious injuries to customers and employees. B. all injuries to customers and serious injuries to employees. C. all incidents to customers, employees, and visitors that either resulted in injury or that may have resulted in injury. D. only for those accidents that were caused by negligence and not by intent. C. all incidents to customers, employees, and visitors that either resulted in injury or that may have resulted in injury The process by which an organization demonstrates voluntary compliance with the standards of a non-governmental standard-setting body, such as The Joint Commission, is called A. licensure B. accreditation C. waiver D. reciprocity B. accreditation Which of the following is NOT a proper method for thawing frozen food? A. Holding it in a refrigerator. B. Directly cooking it. C. Immersing it in a basin of cold water (70°F. or below) D. Microwaving it immediately prior to cooking it. C. Immersing it in a basin of cold water (70°F. or below) An organization is considering the purchase of a piece of equipment that costs $6,000 and has a useful life of 10 years (with no salvage value). It is estimated that the item will reduce annual operating costs by $800 over each of the next ten years. What would be the payback period? A. 7.50 years B. 1.33 years C. 0.75 years D. Cannot be determined with the provided information A. 7.50 years Which of the following is a disadvantage of internal recruitment of personnel (versus recruiting from external sources)? A. The employer will have less knowledge of the strengths and weaknesses of job candidates. B. Job candidates will know little about the organization, and therefore their risk of becoming dissatisfied on the job is greater. C. New ideas and innovations are less like to be brought to the organization. D. Attracting and evaluating potential employees is more difficult C. New ideas and innovations are less like to be brought to the organization. The term for inability to use a utensil due to loss of ability to coordinate learned movements is A. amnesia B. agnosia C. aphasia D. apraxia D. apraxia The identification of staff positions, their duties, and the skills and training required to perform the duties, are aspects of which one of the following core management functions? A. planning B. organizing C. controlling D. motivating B. organizing