NAB Relias study material exam with correct answers 2024

Informed Consent - answer-legal term meaning that a person with mental capacity or their legal guardian has given permission for medical treatment once the provider has explained the options, risks, and benefits Agesim - answer-Prejudicial treatment of the elderly based on stereotypes Long Term Care Facility - answer-Licensed Facility that provides nursing and personal care to those who are chronically ill or unable to take care of daily living needs. ( Also called Nursing Home or Convalescent Care Facility) Scope - answer-Extent or magnitude of deficient facility practice on care recipient/ client/ patient outcome. There are 3 levels ( as described in the Federal Enforcement Grid for nursing homes) Medically Necessary - answer-Services or supplies that are needed for the diagnosis or treatment of a medical condition and meet accepted standards of medical practice Aging in Place - answer-Accommodating the changing needs of older adults while living in familiar surroundings Mission Statement - answer-Statement of the purpose of the organization and its reason for existing. It is usually rather brief ( sentence or two and does not present detailed info about the day to day operations of the organization Not-for-Profit - answer-Organization operated solely for social welfare, or for any other purpose except for profit; no part of the organizations income is payable to, or is otherwise available for the personal benefit of, any proprietor or member Goals or Objectives - answer-End points that activities are directed toward. They should be specific, measurable and attainable Misappropriation - answer-Deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a care recipients ( patient/client) belongings or money without the care recipient/patient/clients consent Disaster - answer-Sudden emergency occurrence beyond the control of the licensee, whether natural , technological, or man-made, that renders the licensee unable to operate the facility or makes the facility uninhabitable Transition - answer-A move from one care setting( Hospital, nursing home, or home) to another. Care during the move involves coordination and communication among patient, providers, and family caregivers. Delegation of Authority - answer-The process that a manager uses in assigning duties and responsibilities to a subordinate and giving the subordinate the authority necessary to accomplish the assignment Quality Assurance - answer-Planned and systematic pattern of all actions necessary to ensure that services conform to established technical requirements or standards Rehabilitation ( Rehab) - answer-services to help people get back their mental ( thinking and feeling) and physical( body) functions lost due to injury or illness. Rehabilitation may be given at the hospital or in a nursing home, special facility, or the patients home Residential Care homes - answer-type of assisted living facility that provides 24-hour housing and services. In some states, residential care and assisted living facilities are regulated by the same state rules and regulations Procedures - answer-step by step guides to actions that establish a required method for handling activities Standard of Care - answer-Duty to have and to use the degree of knowledge and skill that is usually possessed and used by competent, prudent similar health care providers in like or similar circumstances federal poverty level - answer-income standard that the federal government issues annually that reflects increases in prices, measured by the consumer price index Home Health Nurse - answer-nurse that works in a home care environment Symptom - answer-physical or mental feature that may indicate a disorder or disease equity value - answer-fair market value of property minus any liabilities on the property such as mortgages or loans Vision Statement - answer-Statement giving a broad, inspirational image of the future that an organization is aiming to achieve Bereavement - answer-the act of grieving someones death. Includes the process of recovery or healing from the death. Although there are similarities in the ways people respond to grief, there are also marked differences. Each person will grieve in their own way and time Preventative maintenance - answer-proper maintenance of equipment as designated by the manufacture to ensure the continuing functioning of equipment, safely and properly licensure - answer-Granting of a license to a provider that has been determined to meet a states requirements for operations For Profit - answer-An institution, corporation, or other legal entity that is organized for the profit or benefit of its shareholders or other owners Telephone reassurance program - answer-purchased service to provide reassurance calls that check on the safety and well-being of older adults at home. They calls can also offer reminders Clinical Information system - answer-information technology that is designed to be used by various clinicians to support the delivery of patient ( resident) care State operations manual ( SOM) - answer-current set of requirements and guidelines to surveyours. current edition with changes in red can be dowloaded form the CMS website Guardianship - answer-process in which the court-appointed guardian is named. The process may take a long time and is often complex and costly Acuity - answer-Acuteness as of an illness. the greater the acuity the more nursing care or other services that are needed foster care homes - answer-a place where care and services are provided. the number of care recipients served in these homes may vary from state to state but they are usually designed to be a homelike setting Companion - answer-Serves a non-medical role in a patients life. Companion Care Services cater to seniors, new and expectant parents and other individuals. Companions perform duties such as reminder services ( medications, dates, routines) assisting with mobility, providing companionship, preparing meals and feeding, escorting to appointments, organizing and reading mail, entertaining and more Agency's initial date of medicare certification - answer-the date that medicare officially determined that an agency meets federal requirements to provide home health care, hospice, or skilled nursing Certified ( certification) - answer-state government agencies inspect health care providers, including home health agencies, hospitals, nursing homes, and dialysis facilities as well as other health care providers. these provides are approved or certified if they pass inspection. Medicare and Medicaid only cover care given by providers who are certified by medicare. Being certified isn't the same as being accredited resident centered care - answer-practices that encourage residents to be involved in making decisions about their care and daily activities; examples of resident-centered dietary functions include cook to order eating schedules, resident involved menu planning, and buffet style or family dining meal service home and community based services ( HCBS) - answer-services and service settings in the community such as adult day services, home delivered meals or transportation services designed to help people stay in their homes as independently as possible. may serve a variety of targeted population groups such as persons with mental illnesses intellectual or developmental disabilities an/or physical disabilities Advisory Board - answer-Group generally made up of members of a community to provide direction, feedback, and advice to top management in various advisory capacities as determined by the organizations by-laws quality improvement - answer-method of evaluating and improving processes of care recipient care that emphasizes a multidisciplinary approach to problem solving and focuses not on individual but systems of care recipient care that might be the cause of variations Exception - answer-when a facility or agency requests a written variance to be grated/allowed from the local, state, or federal authority from a regulation or provision of riles. Examples of this could be and exemption to a physical plant that does not meet new construction standards, an exemption to property taxes for a not for profit organization, and an exemption to receive a higher rate for medically complex care recipients Charitable remainder trust - answer-special tax-exempt irrevocable trust written to comply with federal tax laws and regulations. you transfer cash or assets into the trust and may receive some income from it for life or a specified number of years ( not to exceed 20) the minimum payout rate is 5 percent and the maximum is 50 percent. At you death the remaining amount in the trust goes to the charity that you designated as part of the trust arrangement Statement of Deficiency ( SOD) - answer-Written summary of noncompliance with regulations found during a provider survey or complaint investigation General Medicaid Eligibility Requirements - answer-There are many pathways to being eligible for Medicaid. For example, most states provide medicaid to anyone who is recieving benefits under the supplemental security income (SSI) program, adminsitered by the social security administration. The SSI program provides financial assistance to needy persons with a disability or ages 65 or older. A number of states provide Medicaid to older adults or persons with a disability with an income that is below 100 percent of the federal poverty level. However, in general you must be a care recipient of the state in which you are applying, either US citizen or legally admitted alien age 65 or over or meet Medicaid rule for disability or blind Intermediate Care ( traditional care) - answer-often takes place after a hospital visit but before an individual has recovered enough to take care of his or her self. It is meant to provide a measure of independence to the individual while he or she is still relatively dependent on someone else for care Code of Federal Regulations ( CFR) - answer-The federal congress passes laws for which implementing rules are written and enforced. These are the federal requirements and guidelines to surveyors; guidelines issued by the federal government interpreting how a given law is to be administered Reverse Mortgage - answer-type of loan based on home equity that enables older homeowners ( age 62 or older) to convert part of the equity in their homes into tax-free income without having to sell the home, give up title, or take on a new monthly mortgage payment. Instead of making monthly payments to a lender, as you do with a regular mortgage, a lender makes payments to you. The loan, along with financing costs and interest on the loan does not need to be repaid until the homeowner dies or no longer lives in the home Home- Delivered Meals ( Meals on Wheels) - answer-Meals brought to people who cannot prepare their own meals or are homebound ( cannot leave their home) AAA - answer-Area Agency on Aging ADLs - answer-Activities of daily living ADR - answer-Adverse Drug Reaction ADRCs - answer-Aging and Disability Resource Centers APS - answer-Adult Protective Services ADA - answer-Americans with Disability Act ALF - answer-Assisted Living Facilities CAA - answer-Care Assessment Area CMS - answer-Center for Medicare and Medicaid CNA - answer-certified nursing assistant CFR - answer-code of federal regulations CCRC - answer-Continuing care retirement communities CQI - answer-continuous quality improvement DAVE - answer-Data assessment and verification DON - answer-Director of Nursing DNS - answer-Director of Nursing Services DNI - answer-Do not intubate DNR - answer-Do not resuscitate DME - answer-Durable medical equipment DPOA - answer-Durable power of Attorney EEOC - answer-Equal Employment opportunity commission FCSP - answer-Family caregiver support program FMLA - answer-Family medical leave act FDA - answer-Food and Drug Administration HIPAA - answer-Health Insurance portability accountability act HCBS - answer-Home and Community Based Services HHA - answer-Home Health Aide ICF/ IDD - answer-Intermediate Care Facilities for Individuals with Intellectual Disabilities LPN - answer-Licensed practical nurse LSC - answer-Life Safety Code LTC - answer-Long term care MDS - answer-Minimum date sheet NFPA - answer-National Fire Protection Association NSAIDs - answer-Non-steroidal anti-inflammatory drugs NP - answer-Nurse Practitioner SNF - answer-Skilled nursing facility OSHA - answer-Occupational Safety and Health Administration OT - answer-Occupational Therapist OBRA - answer-Omnibus Budget Reconciliation Act of 1987 PEG - answer-Percutaneous Endoscopic Gastrostomy PERS - answer-Personal Emergency Response System PIF - answer-Personal Incidental Funds PA - answer-Physician assistant POLST - answer-Physician orders for life sustaining treatment POC - answer-Plan of correction PASRR - answer-Preadmission screening and resident review PCP - answer-Primary care provider QAPI - answer-Quality assurance performance improvement RAI - answer-Resident assessment instrument RD - answer-Registered Dietician RN - answer-Registered Nurse RPH - answer-Registered Pharmacist RPT - answer-Registered Physical Therapist RUGS - answer-Resource Utilization Groups SDS - answer-Safety data sheets SHIP - answer-State health insurance program SOM - answer-State operations Manual SSI - answer-supplemental security income document that gives seriously- ill patients more control over their end of life care including medical treatment extraordinary measures and CPR - answer-physician orders for life sustaining treatment ( POLST) look back period - answer-5 year period prior to a persons application for medicaid payment of long term care services. medicaid agency determines if any transfers of assets have taken place during that period that may disqualify the applicant from receiving medicaid benefit