NAB EXAM - Customer Care, Supports,
and Services
Dementia Education Requirement - Answer-All employees including volunteers must be
trained/educated in dementia and abuse prevention
Federal nursing staffing requirements - Answer-The federal regulation does not give a specific staffing
ratio - instead the regulation states the facility must have sufficient nursing staff to meet the needs of its
residents. "the appropriate competencies and skills sets to provide nursing and related services to
assure practicable physical, mental, and psychosocial well-being of each resident, as determined by
resident assessments and individual care plans and considering the number, acuity and diagnoses of the
facility's resident population must be provided.
According to LeadingAge staffing should be considered based on 4 different components - Answer-
facility census and its acuity levels
the range of the residen't's needs and diagnoses
the content of the individual plans of care
and the training, experience, and skill sets of the staff
Nursing facilities are mandated to use the services of an RN for ___ consecutive hours per day and ___
days per week - Answer-8; 7
,Regulations pertaining to the charge nurse - Answer-Facility must have a designated charge nurse on
each tour of duty
Can the DON serve as the charge nurse - Answer-The DON may serve as the charge nurse only when the
facility has an average of 60 or fewer residents/day
DON qualifications - Answer-DON must be an RN
Charge nurse qualifications - Answer-RN or LPN
CMS waivers in charge nurse and DON staffing - Answer-Medicare waivers are granted by CMS;
Medicaid waivers may be granted by the state
OBRA definition of CNA - Answer-any individual providing nursing or nursing-related services to
residents in a facility and who is not a licensed health professional, a registered nurse, a registered
dietitian, or someone who volunteers to provide such services w/o pay.
Federal employment standards for CNAs - Answer-certification and continuing education requirements
Paid Feeding Assistants (requirements and who do they work under) - Answer-A CMS approved position
The aides must complete a state-approved training course
Work under an RN or LPN
Surveys and staffing: what they will observe for resident needs - Answer-1) if staff are responsive to
resident needs and assistance
2) there is little delay in answering resident calls or needs for assistance
,3) nursing staff are always nearby or responsible
4) residents seeking staff have little difficulty locating a staff member when the need arises
5) residents do not have to call repeatedly for assistance
Surveys and staffing: what they will observe for daily staffing data - Answer-Surveyors will check to
enusre that the facility's daily staffing is posted in a prominent place that is accessible to visitors as well
as residents
Data needed:
facility name
Date
Census
total number and actual hours worked by the following categories of licenses and unlicensed nursing
staff directly responsible for resident care: RN; LPN; CNAs
How long must daily staffing sheets be kept on file - Answer-18 months or whichever is required by the
state whichever is greater
Quality of care - Answer-resident care practices utilized by staff must reflect quality of care which
promotes the highest practicable physical, mental, and psychosocial well-being
Resident care management should use ___ approach - Answer-holistic
what are the most significant aspects of resident care practices - Answer-staff attitudes
Late loss ADLs - which have the largest impact on a facility's Quality Measure
, There is a direct relationship of these ADL with the 5 start Quality Measure score and the RUG level -
Answer-Bed mobility
transfer
eating
toilet use
11 ADLs listed on MDS - Answer-bed mobility
transfers
walk in room
walk in hall
locomotion on unit
locomotion off unit
dressing
eating
toilet use
personal hygiene
bathing
bed mobility
transfer
eating toilet use
average LOS for a short term rehab patient - Answer-30 days or less
IADLs - Answer-telephone use
shopping
food prep
and Services
Dementia Education Requirement - Answer-All employees including volunteers must be
trained/educated in dementia and abuse prevention
Federal nursing staffing requirements - Answer-The federal regulation does not give a specific staffing
ratio - instead the regulation states the facility must have sufficient nursing staff to meet the needs of its
residents. "the appropriate competencies and skills sets to provide nursing and related services to
assure practicable physical, mental, and psychosocial well-being of each resident, as determined by
resident assessments and individual care plans and considering the number, acuity and diagnoses of the
facility's resident population must be provided.
According to LeadingAge staffing should be considered based on 4 different components - Answer-
facility census and its acuity levels
the range of the residen't's needs and diagnoses
the content of the individual plans of care
and the training, experience, and skill sets of the staff
Nursing facilities are mandated to use the services of an RN for ___ consecutive hours per day and ___
days per week - Answer-8; 7
,Regulations pertaining to the charge nurse - Answer-Facility must have a designated charge nurse on
each tour of duty
Can the DON serve as the charge nurse - Answer-The DON may serve as the charge nurse only when the
facility has an average of 60 or fewer residents/day
DON qualifications - Answer-DON must be an RN
Charge nurse qualifications - Answer-RN or LPN
CMS waivers in charge nurse and DON staffing - Answer-Medicare waivers are granted by CMS;
Medicaid waivers may be granted by the state
OBRA definition of CNA - Answer-any individual providing nursing or nursing-related services to
residents in a facility and who is not a licensed health professional, a registered nurse, a registered
dietitian, or someone who volunteers to provide such services w/o pay.
Federal employment standards for CNAs - Answer-certification and continuing education requirements
Paid Feeding Assistants (requirements and who do they work under) - Answer-A CMS approved position
The aides must complete a state-approved training course
Work under an RN or LPN
Surveys and staffing: what they will observe for resident needs - Answer-1) if staff are responsive to
resident needs and assistance
2) there is little delay in answering resident calls or needs for assistance
,3) nursing staff are always nearby or responsible
4) residents seeking staff have little difficulty locating a staff member when the need arises
5) residents do not have to call repeatedly for assistance
Surveys and staffing: what they will observe for daily staffing data - Answer-Surveyors will check to
enusre that the facility's daily staffing is posted in a prominent place that is accessible to visitors as well
as residents
Data needed:
facility name
Date
Census
total number and actual hours worked by the following categories of licenses and unlicensed nursing
staff directly responsible for resident care: RN; LPN; CNAs
How long must daily staffing sheets be kept on file - Answer-18 months or whichever is required by the
state whichever is greater
Quality of care - Answer-resident care practices utilized by staff must reflect quality of care which
promotes the highest practicable physical, mental, and psychosocial well-being
Resident care management should use ___ approach - Answer-holistic
what are the most significant aspects of resident care practices - Answer-staff attitudes
Late loss ADLs - which have the largest impact on a facility's Quality Measure
, There is a direct relationship of these ADL with the 5 start Quality Measure score and the RUG level -
Answer-Bed mobility
transfer
eating
toilet use
11 ADLs listed on MDS - Answer-bed mobility
transfers
walk in room
walk in hall
locomotion on unit
locomotion off unit
dressing
eating
toilet use
personal hygiene
bathing
bed mobility
transfer
eating toilet use
average LOS for a short term rehab patient - Answer-30 days or less
IADLs - Answer-telephone use
shopping
food prep
