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Wisconsin NHA Exam Bank Questions
With Revised Answers
How much of a supply of an individual resident's drugs may be held by facility? -
answers✔✔The supply shall not exceed 4 days for any one resident.
Advanced practice nurse prescriber - answers✔✔A person who has been granted a certificate
to issue prescription orders
Authorized prescriber - answers✔✔A person licensed in this state to prescribe medications,
treatments, or rehabilitative therapies
"Dietitan" means a person who is any of the following.... - answers✔✔a) certified under
s.448.78 stats
b) licensed or certified as a dietitian in another state
What is "full-time"? - answers✔✔37.5 hours each week devoted to facility business
What is "IMD"? - answers✔✔Institution for Mental Diseases
What is intensive skilled nursing care? - answers✔✔care requiring specialized nursing
assessment skills and the performance of specific services and procedures that are complex
because of the resident's condition or the type or number of procedures that are necessary
What is an "intermediate care facility"? - answers✔✔a Nursing Home which is licensed by
the department as an intermediate care facility to provide intermediate nursing care
What is "intermediate nursing care"? - answers✔✔Basic care consisting of physical,
emotional, social and other rehabilitative services under periodic medical supervision. The
nursing care requires the skill of a registered nurse for observation and recording of reactions
and symptoms, and for supervision of nursing care.
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What is "involuntary administration of psychotropic medication"? - answers✔✔It can mean
any of the following:
a) placing psychotropic medication in an individual's food or drink with knowledge that the
individual protests receipt of the psycho tropic medication
b) Forcibly restraining an individual to enable administration of psychotropic medication
c) Requiring an individual to take psychotropic medication as a condition of receiving
privileges or benefits
What does "limited nursing care" mean? - answers✔✔It means simple nursing care
procedures required by residents with long-term illnesses or disabilities in order to maintain
stability and which can be provided safely only by or under the supervision of a person no
less skilled than a licensed practical nurse who works under the direction of a registered
nurse.
What is a "nursing assistant"? - answers✔✔A person who is employed primarily to provide
direct care services to residents but is not registered or licensed.
What is a "physician extender"? - answers✔✔A person who is a physician's assistant or a
nurse practitioner acting under the general supervision and direction of a physician
What does "protest" mean? - answers✔✔To make more than one discernible negative
response, other than mere silence, to the offer of, recommendation for, or other proffering of
voluntary receipt of psychotropic medication. "Protest" does not mean a discernible negative
response to a proposed method of administration of the psychotropic medication.
How long is "Recuperative care" anticipated to be provided for? - answers✔✔For a period of
90 days or less for a resident whose physician has certified that he or she is convalescing or
recuperating from an illness or a medical treatment.
How long is "respite care" anticipated to be provided for? - answers✔✔For a period of 28
days or less for the purpose of temporarily relieving a family member or other caregiver from
his or her daily caregiving duties
What does short-term care mean? - answers✔✔It means recuperative care or respite care
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In determining whether a service is skilled, what three criteria shall be used? - answers✔✔1.
The service would constitute a skilled service where the inherent complexity of a service
prescribed for a resident is such that it can be safely and effectively performed only by or
under the supervision of professional personnel;
2. The restoration potential of a resident is not the deciding factor in determining whether a
service is to be considered skilled or unskilled. Even where full recovery or medical
improvement is not possible, skilled care may be needed to prevent, to the extent possible,
deterioration of the condition or to sustain current capacities; and
3. A service that is generally unskilled would be considered skilled where, because of special
medical complications, its performance or supervision or the observation of the resident
necessitates the use of skilled nursing personnel.
What does "supervision" mean? Does it require continuous presence of supervisor in same
building as assistant? - answers✔✔At least intermittent face-to-face contact between
supervisor and assistant, with the supervisor instructing and overseeing the assistant, but does
not require the continuous presence of the supervisor in the same building as the assistant.
What does "tour of duty" mean? - answers✔✔A portion of the day during which a shift of
resident care personnel are on duty.
What is a "unit does drug delivery system"? - answers✔✔A system for the distribution of
medications in which single doses of medications are individually packaged and sealed for
distribution to residents
Requirements of licensure of an institution for mental diseases - answers✔✔1. The
conversion of all or some of the beds within the facility will result in a physically identifiable
unit of the facility
2. The IMD shall have a minimum of 16 beds
3. The conversion of beds to or from an IMD shall not increase the total number of beds
within the facility; and
4. The facility has submitted an application under subs.2 and 3 to convert all or a portion of
its beds to an IMD and the department has determined that the facility is in substantial
compliance with this chapter.
How many beds must an IMD have to be licensed? - answers✔✔16
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How often may a facility submit an application for conversion of beds to or from an IMD? -
answers✔✔No more than 2 times a year
What must be included in an application for an IMD license? - answers✔✔1. The identities of
all persons or business entities having the authority in management of the facility
2. Identities of all persons or business entities having any ownership interest whatsoever in
the building/land
3. The identities of all creditors holding a security interest in the premises
4. Disclosure of any relationship or connection between the old licensee and the new
licensee- same with owners
5. Disclosure of any financial failures
When applying for license, the applicant shall submit evidence to establish that he or she has
sufficient resources to permit operation of facility for a period of how long? - answers✔✔6
months
When determining if a facility is "fit and qualified" the department shall review survey and
complaint investigation findings for each facility which the application is affiliated or was
affiliated during the past how many years? - answers✔✔5
How long does the department have to approve or deny the complete application after
receiving it? - answers✔✔60 days
What are the two types of license? - answers✔✔Probationary and regular
What a probationary license? - answers✔✔If the applicant has not been previously licensed
under this chapter or if the facility is not in operation at the time application is made, the
department issues a probationary license.
How long is the probationary license valid for? - answers✔✔12 months ... If the applicant is
found to be fit and qualified and in substantial compliance with this chapter, the department
shall issue a regular license upon expiration of the probationary license.