NAB NHA Final Practice Exam Questions and Answers Latest 2023 (Already Graded 100%)

NAB NHA Final Practice Exam Questions and Answers Latest 2023 (Already Graded 100%) The comprehensive care plan must - Answer (ii) Prepared by an interdisciplinary team, that includes but is not limited to— (A) The attending physician. (B) A registered nurse with responsibility for the resident. (C) A nurse aide with responsibility for the resident. (D) A member of food and nutrition services staff. (E) To the extent practicable, the participation of the resident and the resident's representative(s). An explanation must be included in a resident's medical record if the participation of the resident and their resident representative is determined not practicable for the development of the resident's care plan. (F) Other appropriate staff or professionals in disciplines as determined by the resident's needs or as requested by the resident. The activities program must be directed by a qualified professional who is a qualified therapeutic recreation specialist or an activities professional who — - Answer (i) Is licensed or registered, if applicable, by the State in which practicing; and Is: (A) Eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after October 1, 1990; or (B) Has 2 years of experience in a social or recreational program within the last 5 years, one of which was full-time in a therapeutic activities program; or (C) Is a qualified occupational therapist or occupational therapy assistant; or (D) Has completed a training course approved by the State. Certified Nursing Aide dementia training - Answer 8 hours a year Re-registration for CNA - Answer Re-registration each 2 years and must have worked 8 hours in those 2 years. Social worker requirements - Answer More than 120 bed facility and the social worker must have at least bachelors degree in social work or in human services field (sociology, special ed, rehab, counseling, psychology etc) PLUS one year supervised SW experience working with individuals in a health care facility. Span of management - Answer How many employees a supervisor can effective supervise. Usually 8-12 at line level. |DEPENDS:|- difficulty of task|- clearness of policies/procedures|- training|- how well supervisor communicates|- experience|- closeness of control required Unity of command - Answer employee has only one supervisor insofar as possible. need clear authority lines - promotes job satisfaction, teamwork. Laissez-faire - Answer Gives instructions and leave alone, easy going and supportive. May work for professional staff, and for highly motivated, capable staff. Democratic - Answer Allow employee input on how things are done. Majority rules. A factor in TQM. Admin must retain veto power, cannot be 100% democratic. Paternal, sympathetic, parenting - Answer You do your job-I'll take of leave, raises, benefits Autocratic - Answer Dictatorial, threatening, intimidating. No confidence in staff; he knows all. "Don't care if he likes me or not - just so work gets done." Situational - Answer Leaders adapt their style at times to meet the circumstances in which they are working and/or the type of employee they are leading. OSCAR System - Answer Online Survey Certification and Reporting (OSCAR) system - All Nursing homes must input assessment and care plan information. Surveyors use in planning focus of survey. Risk Management - Answer Program to reduce occurrences (incidents) that may lead to action damaging to facility and it's reputation. Economic loss through tort action-civil suit. Primarily to protect facility, but also to protect residents, staff, and visitors. Deficiency scope - Answer How many residents involved - -isolated - one or a limited number of residents affected; occurs occasionally in limited number of locations -pattern - more than very limited number of residents are affected. -widespread - pervasive in facility, systematic, affected large portion or all of the facility. Level of deficiency - Answer How much harm to residents: -Level 1 - No Actual harm with potential for minimal harm; minor negative impact on residents -Level 2 - No actual harm with potential for more than minimal harm; Example: Medication error rate, harm of short duration as falls, a laceration, etc. easy to remedy. -Level 3 - Actual harm that is not immediate jeopardy. A negative outcome that has comprised resident's ability to maintain or reach highest level of functioning. Example: pressure sore of urinary tract infection occuring after admission. Level 4 - Immediate jeopardy. Immediate corrective action necessary because noncompliance in one or more requirements has caused or is likely to case serious injury or harm, impairment or death. Example: nurse call system not functioning, severe staffing shortages. Plan of correction (exit interview from surveyor) - Answer Facility submits plan of correction showing: -how corrective action will be taken for residents affected by deficient practice -how facility will identify other residents having potential to be affected by the deficient practice -what measures or changes will be made to ensure non-recurrence. -how corrective actions to be monitored to ensure non-recurrence. delusions - Answer false beliefs, often of persecution or grandeur, that may accompany psychotic disorders Hallucinations - Answer false sensory experiences, such as seeing something in the absence of an external visual stimulus Dementia - Answer a slowly progressive decline in mental abilities, including memory, thinking, and judgment, that is often accompanied by personality changes Alzheimer's disease - Answer an irreversible, progressive brain disorder, characterized by the deterioration of memory, language, and eventually, physical functioning Uniform (minimum) data set (MDS) - Answer use instrument specified by the state and approved by CMS, describe resident's present level of functioning in four activities of daily liviing (ADL'S) and potential for improvement or regression. How long must the facility keep MDS assessments? - Answer Must keep 15 months of MDS records Frequency of MDS assessments (long term care) - Answer Must complete assessment 14 days after admission, quarterly (no more than 92 days), annual (full), significant changes. Frequency of MDS assessments (short term rehab) - Answer 5 day, 14 day, 30 day, 60, 90, and if there is a significant change Significant change - Answer -must see deterioration or improvement in 2 or more ADL's that we do not expect to be improved in itself. -deterioration of two or more ADL's, in cognitive abilities, or communication that appears permanent -loss of ambulation or use of hands to grasp small object to feed or groom -deterioration in mood or behavior to the point where daily problems arise, or relationship problems develop -deterioration of health status -improvement to point where care is no longer needed Dental Service - Answer Provide or obtain from outside services -24 hour emergency care-acute pain, damaged tooth. -Routine inspection, cleaning, filling -Payment - SNF not required to pay for Medicare resident; may charge -Prompt referral, appointment, transportation -Poor dentition a major factor in malnourishment -Charges may be made to Medicare, private pay residents. Medicaid requires facility provide emergency and routine care - not required to pay for services not reimbursed. Emergency Medication Kit - Answer Belongs to pharmacist. (approved by State Board of Pharmacy) -an emergency kit license posted on med room wall. Crash Cart - Answer contains materials both nurses and MDs use Hearing deficit and balance - Answer must have proper treatment and assistive devices, appointments, and transportation to specialist. -Facility does not provide services and hearing aids, but ensures availability Restraints - Answer a physical or chemical way to restrict voluntary movement or behavior -Cannot release self-leg, arm, hand mitts, safety ties, or vests, wheelchair safety belts, bed rails.. (limits access to body and environment.) -Use only to control harmful behavior, never for convenience, discipline, or when necessary for treatment -physician orders - if resident chooses restraint it is considered therapeutic intervention - bed rail, belt for chair - informed consent (legal representative if incapable) ***** Monitoring - every 30 minutes, release for 10 minutes every 2 hours - a standard practice. -CMS goal: restraint free Alternatives-remove from