NAB test exam

NAB Test Exam Already Graded A+ A resident was admitted to a facility on November 10th. The comprehensive assessment was completed on November 27th. Per OBRA 1987, the comprehensive assessment was completed __________________. 1. Late 2. Timely 3. Within grace period 4. In accordance with OBRA 1987 Ans- 1. Late The __________________ has ultimate legal responsibility for the operation of a nursing facility. 1. Medical director 2. Nursing home administrator 3. Long-term care ombudsman 4. Governing body Ans- 4. Governing Body Per OBRA 1987, air temperature is measured __________________ 1. At ceiling level 2. At level with the thermostat control box 3. Just above the floor 4. 18 inches below the ceiling Ans- 3. Just above the floor The __________________ requires employers to give workers time off for illness or to care for a sick family member. 1. Equal Employment Opportunity Act 2. Family Medical Leave Act 3. Health Insurance Portability and Accountability Act 4. Civil Rights Act Ans- 2. Family Medical Leave Act The __________________ hires, supervises, and can fire the administrator. 1. State health department 2. CMS 3. Governing Body 4. State nursing home licensing board Ans- 3. Governing body The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification requirements. The administrator should __________________. 1. Be very pleased 2. Commend the DON for thoroughly training the staff 3. Recommend other facilities implement the same practice 4. Reprimand the DON Ans- 4. Reprimand the DON The rights of an individual determined by a court to be incompetent would be exercised by a(n) __________________. 1. Attorney in fact 2. A person appointed by a court or court guardian 3. Durable power of attorney 4. Ombudsman Ans- 2. A person appointed by a court or court guardian The maintenance director submitted a request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine months he has worked for the facility. The administrator should __________________. 1. Approve the request 2. Inform the maintenance director he must have worked 12 months to be eligible for FMLA 3. Approve the request but inform the employee that he must pay for the full cost of his insurance benefits 4. Inform the employee that taking care of an ill parent is not covered under FMLA Ans- 1. Approve the request Per OBRA 1987, a resident has the right to review all their records within __________________ of an oral or written request (excluding weekends and holidays). 1. 24 hours 2. 36 hours 3. 48 hours 4. 72 hours Ans- 1. 24 hours The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed __________________. 1. Late 2. Timely 3. Out of compliance with 1987 4. Within the grace period Ans- 2. Timely The comprehensive assessment must be signed by __________________. 1. MDS coordinator 2. Registered nurse 3. Medical director 4. Attending physician Ans- 2. Registered nurse The __________________ has legal responsibility for the day-to-day operation of a skilled nursing home. 1. Governing body 2. Medical director 3. Director of nursing 4. Administrator Ans- 4. Administrator The __________________ is responsible for the day-to-day management of the facility's nursing program. 1. Governing body 2. Medical director 3. Director of nursing 4. Administrator Ans- 3. Director of nursing CMS stands for __________________. 1. Central Medicaid Services 2. Centers for Medicaid and Medicare Services 3. Center for Medicare Services 4. Center for Medial Services Ans- 2. Centers for Medicaid and Medicare Services HHS stands for __________________. 1. Health and Human Services 2. Human and Health Services 3. Higher Health Services 4. Health Services Administration Ans- 1. Health and Human Services The new administrator starts December 1, 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7, 2007; June 21, 2007; and November 15, 2007. The administrator should __________________. 1. Be reassured the meetings were held timely 2. Change future meeting dates to January, May, July, and September to bring he facility into compliance with OBRA 1987 3. Change the meeting dates to ensure he or she can attend the meetings are required 4. Change the meeting dates to the first Tuesday of January, April, July, and October to bring the facility into compliance with OBRA 1987 Ans- 4. Change the meeting dates to the first Tuesday of January, April, July, and October to bring the facility into compliance with OBRA 1987 A resident was only given lunch that day, given the wrong medication in the morning, had her room changed without notification, and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated? 1. 1 2. 2 3. 3 4. 4 Ans- 3. 3 A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, July 29, and September 4. With respect to required physician visits per OBRA 1987, the facility __________________. 1. Was in compliance and would not be cited 2. Is not responsible to ensure timely physician visits 3. Was out of compliance and would be cited 4. The facility would only be cited if there was actual harm to a resident Ans- 1. Was in compliance and would not be cited The __________________ has legal responsibility to adopt and implement facility policies. 1. Medical director 2. Director of nursing 3. Governing body 4. Administrator Ans- 3. Governing body A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, July 29, September 4, and November 17. With respect to required physician visits per OBRA 1987, the facility __________________. 1. Complied with required physician visits 2. Would be cited for a late visit in November 3. Is not responsible for late physician visits and would not be cited 4. The facility would only be cited if there was actual harm to a resident Ans- 2. Would be cited for a late visit in November A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of physicians who cared for residents in the facility in their admission packet. The facility was assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility __________________. 1. Was out of compliance and would be cited 2. Fully complied with all requirements 3. Must transfer these residents to another facility 4. Must immediately transfer these residents to the care of the medical director Ans- 1. Was out of compliance and would be cited A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident's door, identifies herself as a housekeeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be __________________. 1. Commended for her efficiency in keeping to her schedule 2. Promoted to director of housekeeping services 3. In-serviced 4. Transferred to the night shift Ans- 3. In-serviced __________________ is not an element of a Total Quality Managment (TQM) program 1. Constantly improving production and service 2. Making workers responsible for quality at the source 3. Total involvement of management 4. Centralize decision making to improve customer service Ans- 4. Centralize decision making to improve customer service The __________________ is responsible to prepare and serve nutritious meals under sanitary conditions. 1. Nursing department 2. Activities department 3. Dietary department 4. Administration department Ans- 3. Dietary department All furniture, equipment, boxes, and supplies must be elevated __________________ inches above the floor to allow the floor directly underneath to be cleaned. 1. 3" 2. 6" 3. 9" 4. 12" Ans- 2. 6" __________________ is the most comprehensive and effective improvement model. 1. Total Quality Management 2. Quality Assurance 3. Continuous Improvement 4. Performance Improvement Ans- 1. Total Quality Management The __________________ coordinates all work activities in the facility and resolves conflicts between departments. 1. Nursing department 2. Activities department 3. Dietary department 4. Administration department Ans- 4. Administration department HCFA stands for __________________. 1. Health Care Financing Authority 2. Health Costs Financing Administration 3. Health Care Financing Administration 4. Health Care Financing Agency Ans- 3. Health Care Financing Administration Telephone cords must be a minimum length of __________________. 1. 12 inches 2. 15 inches 3. 24 inches 4. 29 inches Ans- 4. 29 inches To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should __________________. 1. Commend the administrator for substantial cost savings 2. Immediately increase the manager's hours to 30 hours per week 3. Restore the dietary manager's hours to full time and eliminate the consultant dietician 4. Reprimand the administrator Ans- 4. Reprimand the administrator Adding baking soda to food will primarily affect its __________________. 1. Nutritive value 2. Palatability 3. Attractiveness 4. Temperature Ans- 1. Nutritive value The resident's quality of life and physical condition is the focus of __________________. 1. Structure 2. Process 3. Outcomes 4. All of the above Ans- 3. Outcomes __________________ is not typical of a TQM program. 1. Empowering employees 2. Use of teams 3. Individual responsibility 4. Minimal training of staff Ans- 4. Minimal training of staff A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the __________________ to help her. 1. Nursing department 2. Social services director 3. Administrator 4. Business office Ans- 2. Social services director Electrical switches must be located at a minimum of __________________ inches above the floor. 1. 6 2. 12 3. 15 4. 24 Ans- 3. 15 Stooped posture, shuffling gait, garbled speech, and tremors are symptoms of __________________ . 1. Senile dementia 2. Alzeheimer's 3. Parkinson's disease 4. Muscular sclerosis Ans- 3. Parkinson's disease Nursing homes must have hearing aid compatible phones with volume control that can adjust the volume between a minimum of __________________ and a maximum of __________________ decibels above normal. 1. 6, 11 2. 12, 18 3. 15, 20 4. 20, 29 Ans- 2. 12, 18 Grab bars and railings must support a minimum weight of __________________ pounds. 1. 100 2. 150 3. 200 4. 250 Ans- 4. 250 The emergency generator must be visually inspected and checked __________________. 1. Daily 2. Weekly 3. Monthly 4. Quarterly Ans- 2. Weekly Federal resident care standards are now __________________ and __________________ and are no longer considered minimal standards. 1. State of the art, maximal 2. Outdated, irrelevant 3. Disputed, questioned 4. Voluntary, mammal Ans- 1. State of the art, maximal The largest payor source for long-term care is __________________. 1. Private pay 2. Managed care 3. Medicare 4. Medicaid Ans- 4. Medicaid The average short-term stay for a Medicare resident is __________________ . 1. 15 days 2. 30 days 3. 45 days 4. 90 days Ans- 2. 30 days