NAB practice test a

NAB Practice Test A A physical restraint must be removed from the resident how often? Ans- Every two hours "Incontinent" Ans- Causes a person to lose control of excretory functions The most significant aspect of resident care is Ans- The attitude towards residents Nursing hours required per resident day are established by Ans- State with federal approval Nosocomial infections are infections associated with Ans- Institutionalizations Assume that 90 doses of medication were prescribed by the MD to be administered in a given time period. However, 3 doses ordered were not given and the 1 dose was incorrectly administered as prescribed. What was the medication error rate? Ans- 4.4% The facility may transfer or discharge a resident from the facility for what reasons Ans- can't be met longer requires service re to pay A discharge summary may be: Ans- The last progress note OBRA envisions that the function of several previously free-standing committees can now be included in the quality assessment and assurance committee. Which of the following would remain a free standing committee? Ans- Ethics Social workers in a nursing facility may provide what services Ans- eling zation of community resources ces provided by the interdisciplinary team Social work has been defined as a problem-solving process geared to helping people help themselves. The problem most likely to affect resident as they are faced with nursing facility placement is: AnsAnxiety related to the unknown The administrator and every employee in a nursing facility must be aware and knowledgeable of residents rights. In a 140-bed facility the initial explanation of the residents rights to the resident and family is usually the responsibility of Ans- The social worker Counseling, group activities, and social functions appear to be productive therapeutic techniques for depressed residence. which signs are typically displayed by depressed residents? Ans- Sadness, loss of interest in ppl, sense that a great effort is needed to preform activities If a resident is declared mentally incompetent in a court of law, the rights of the resident are usually assigned to? Ans- Legally responsible party The primary purpose of encouraging all able residents to eat in the dinning room is to: Ans- Provide interactions The problem most likely to affect residents as they are faced with facility placement is: Ans- Anxiety related to the unknown What type of therapy works best with dementia resident Ans- Validation therapy All menus must be approved by Ans- A qualified dietition Hot food must leave the kitchen at a temperature of at least Ans- 140 degrees Fahrenheit The percentage of weight loss for a resident who previously weighed 180lbs and now weighs 171 lbs is Ans- 5% 180-171=9 9divided by 180=5 If a facility has 100 residents and it requires preparation time of 12 labor minutes per meal, how many labor hours are required per week? Ans- 420 hours 12 min x3 times a day=36 36minutes a day x 7days=252 minutes a week 252 minutes a week x 100 residents=25,200 minutes for all residents 25,200 divided by 60 minutes in an hour= 420 hours The maximum number of hours allowed between serving the evening meal and breakfast the following day is Ans- 14 hrs Under OBRA, the regulations for a skilled-nursing facility requires that residents must be seen by a physician every 30 days during the first 90 days after admission and thereafter Ans- Once every 60 days Nursing facilities are responsible for providing and/or obtaining dental services for the residents. Unless otherwise documented, who is usually responsible for payment of these services Ans- The resident/family Under OBRA, who is required to be a member of the quality assessment and improvement committee? Ans- Physician Director of nursing Three staff member( not nursing home administrators) Residents are most easily encouraged to participate in activities if they are Ans- Personally satisfying The goal for actives is focused on Ans- Participation and enjoyment The ed's main role in activities is to Ans- Visit, observe and support The use of calendars, clocks, and signs is an integral part of a program of Ans- Reality orientation what determines the success of an activity Ans- Number of participants The primary purpose of medical records is to Ans- Provide of continuity of care How many records must be reviewed for a facility with 120 beds when state comes in for survey Ans- 5 charts The primary value of systematics organizing medical record forms is for Ans- Accessibility An assessment of a residents condition results in Ans- a description of the current status Medical records belong to Ans- The facility The first steps in implementing information-security programs for computer-based and paper records are to Ans- Develop and enforce standards and safeguards to ensure the protection of resident records OBRA regulations require that the clinical records of residents contain Ans- Progress notes, resident assessments, plan of care Standard medical practice requires that medication orders may be written or oral. However, if oral, they can be given to Ans- Pharmacist, licensed nurse, other physician Which of the following drugs reduces pain Ans- Analgesic If a pharmacy delivers a medication with a marred label Ans- The medication and container must be returned to the pharmacy The drug regimen of each resident must be reviewed at least once a month by Ans- A licensed pharmacist Standard pharmacy and medication procedures for storage requires that only ___________ should be stored in the drug room Ans- Drugs for external use OBRA requires that specialized rehabilitative services Ans- Must be prescribed by a licensed physician The therapists work is not fully accomplished unless the staff Ans- Are involved in the process of helping the resident In a health care facility, an important aspect of communication which is often overlooked is AnsConfidentiality Written communication Is preferred over oral communication when the information Ans- Must pass through several levels of management The most effective form of communication is Ans- Face to face When dealing with employees, supervisors contribute most effectively to good morale in their department when they Ans- Discipline consistently and fairly When an employee makes an error or requires discipline, they should be corrected: Ans- Immediately and in private Usually a garnishment directs an employer to withhold a designated portion of an employees pay and: Ans- Remit it to the proper government agency What are objectives of performance evaluations Ans- g employees feedback about work performance ting them towards an organizational goal ding a basis for management to use in deciding promotions During an interview what questions are ED's allowed to ask questions regarding Ans- Previous job/school experiences During an interview, ED's NOT allowed to ask questions regarding Ans- Physical/health problems Ownership of a house/car Number of children/marital status During one year, a 100 bed facility with 90 employees experienced 25 resignations and had to discharge 10 employees. What was the annual employee turnover rate Ans- 39% 35 divided by 90 The major problem with on-the-job training in a nursing home is Ans- The day to day time demand made on the trainers The primary function for personal management is Ans- Staffing The primary function of a job description is Ans- O