NAB Practice Questions and Answers

NAB Practice Questions and Answers Written policies and procedures are used by the facility for all of the following except: 1. To communicate what management expects in any situation 2. To prepare staff for dealing with emergency situations 3. To establish the management style for operating the facility 4. To set guidelines for staff to follow in delivery of care 3 When admitted to the nursing home, which of the following is not required to be given to the resident? 1. The resident's rights and rules and regulations governing resident conduct and responsibilities during the stay in the facility 2. Services to be provided and their associated cost 3. The federal standards and state licensing rules for nursing facilities 4. information regarding an advance directive 3 In the case of non-Medicare Part A residents, the initial resident assessment must be completed: 1. Within 10 days of admission 2. Within 14 days of admission 3. Within the first week of admission 4. Prior to formally admitting the resident 2 According to the federal certification standards, the QA committee is required to meet? 1. When a problem arises that requires immediate attention 2. At least twice a year 3. At least quarterly 4. When directed by the medical director 3. CMS requires the QA committee to meet quarterly A resident is admitted to a nursing home that has been certified as a SNF only. Which of the following is not required to be adhered to by the facility? 1. State medicaid standards for payment 2. SNF regulations 3. State licensing regulations 4. Office of civil rights laws 1 Unless a waiver has been secured, a registered nurse is required to be in the facility? 1. At least eight hours within every 24 hour period 2. At least eight consecutive hours a day, seven days a week 3. At least eight consecutive hours Monday through Friday 4. There is no minimum number of hours required 2 Restorative care must be provided: 1. Only with the order of the facility's physical therapist 2. By specialized qualified staff for which the facility has contracted services 3. Only if the resident can't provide his/her own care 4. By nursing staff based on a comprehensive assessment 4 The facility staff will determine what the needs of the resident are based on: 1. Quality indicator reports 2. Family interviews 3. The MDS assessments 4. Quality measures 3 Physician vists are required: 1. Monthly after the initial required visits 2. Quarterly after the initial required visits 3. Every 60 days after the inital required visits 4. Twice a year after the initial required visits 3 Which one below is an exception to when a facility may release resident identifiable information under the HIPAA Privacy Standard without the residents permission? 1. For a research study conducted by CMS 2. When any immediate family member requests it 3. To consumer groups 4. When a resident is transferred to another health care institution 4 Standard precautions are to be used when providing personal care to: 1. All residents 2. Residents with AIDS 3. Residents with Hepatitis 4. Residents with Tuberculosis 1 All of the following are barriers regarding the recognition of chronic pain except for: 1. Cognitive impairment and communication barriers hinder a resident's ability to report pain or respond to caregiver's questions regarding pain 2. Staff who are utilizing valid tools to screen for pain 3. Elderly may not show verbal or non-verbal symptoms of pain 4. Staff may not have knowledge of or be skilled in assessing pain 2 The instrument the staff utilizes to screen for pain doesn't create any type of barrier for them to determine if the resident is experiencing pain. All of the other are related to the ability of the resident to express pain or the staff to evaluate the presence of pain. Which of the following does not support resident center care concept? 1. Upon admission the resident indicates a preference to bathe at night; the facility policy requires all baths to be given on the day shift 2. Breakfast is served from 630a-800a; the resident chooses to sleep until 900a so the nursing staff makes sure cereal and milk are available at 900a 3. Upon admission the resident was allowed to bring his personal recliner to the facility to furnish his room 4. Prior to living in the nursing facility the resident enjoyed fishing; the activity staff arrange for the resident to attend the annual fishing rodea located 30 miles from the facility 1 Facilities are expected to provide a pleasant dining experience for all residents. This includes all except: 1. Provideing well-lit, well ventilated dining room 2. Provideing adequate space and seating accomodations 3. Maintaining a level of dignity when serving all residents 4. Serving residents without attempting to honor resident food preferences 4 Which one of the following is not a correct policy for dietary services? 1. Receiving of food for facility use must be from approved sources 2. Storage of food brought in by staff must be stored separately from facility food 3. Facilities are required to provide a therapeutic diet, prescribed by the dietary consultant, when a nutrition problem exists 4. A specific food temperature level is required at the time of serving 3 One specified reason for a "significant change" comprehensive reassessment is an unplanned wight loss of either ___% over 30 days or ___ over 180 days? 1. 5%, 7% 2. 7% 10% 3. 5%, 10% 4. 10%, 29% 3 Which one of the following statements is true for the medical director? 1. May also serve as an attending physician 2. Must be a member of the facility's QA committee 3. Must be seen by the resident at least every 30 days after the inital required visits 4. Must personally approve each order for each individual to be admitted to the facility 1 Which one of the following statements is true regarding a facility providing medically related social services to the facility? 1. A facility must have a full-time qualified social worker on staff for each work shift except weekends 2. A facility's qualified social worker must have a BA degree in social work and one year of supervised experience in a health care setting working with individuals 3. A facility must have one qualified social worker for each 75 residents 4. A facility's qualified socail worker's bachelor's degree can be in a human services field or in another degree with one year of supervised social work experience in a health care setting working directly with individuals 4 Nurse aids must have a minimum of ___ hours of in-service training annually? 1. 6 2. 10 3. 12 4. 16 3 Which one of the following statements is true? 1. Any employee may serve as a feeding assistant when the need desires 2. A family member must complete a state-approved training course for feeding assistants before assisting with feeding his/her family member 3. Paid feeding assistants must successfully complete a state-approved training course 4. A family member is not allowed to feed his/her relative 3 Which changes in the dietary department would most closely reflect the principles behind culture change? 1. Providing set meal service times with little flexibility to maintain a daily routing for the residents 2. LIberalizing therapeutic diets to provide more food choices to resients 3. Increasing the number of pureed or soft diet orders to make feeding easier for the staff 4. Structuring meal times to the benefit of staff schedules 2 Which one of the following is not a function of the activities director? 1. To ensure that the culture, functional ability, cognitive level, and background of the individuals contribute to enhanving personal identity, self-esteem and dignity of the resident 2. Develops the restorative therapy program for each resident 3. He/she is a part of the comprehensive assessment team within the facility 4. May form small groups (clubs) to include resident of like interests 2 If a resident refuses to consume all of a meal initially given to him/her the nursing staff should? 1. Do nothing; it is the resident's right to refuse meals 2. Document that the resident was being uncooperative for that particular meal 3. Offer a suitable meal replacement or nutrition supplement to provide adequate calories 4. Force-feed the resident the meal as served 3 Which of the following statements is correct regarding activities provided through the activities department of a facility? 1. Spiritual activities are not permitted in a facility that receives federal funding 2. Manicures/pedicures, hair styling, and makeovers may be considered part of the activities program 3. Trips to casinos and other gaming type facilities, museums, fishing events, etc. are not permitted because of the liability for facilities 4. Most activities, which are scheduled by the activity director, should be of a physical nature in order to help residents increase or maintain their mobility 2. These activities are defined as acceptable activities in the Survey Operations Manual - Tag F248 Which of the following statements is correct about naso-gastric tube feeding while in a facility? 1. An individual who needs to be fed may be given a naso-gastric tube to make eating easier for the resident 2. The facility must ensure that the resident receives appropriate treatment to restore, if possible, normal eating skills. 3. With the family's permission, the resident may be given a naso-gastric tube. 4. The initial assessment demonstrates that the resident's clinical condition indicates he/she can't eat by himself/herseal 4. If the "comprehensive assessment" of a resident's clinical condition demonstrates that use of a tube was unavoidable, the facility must ensure that the resident receives the appropriate treatment to restore, if possible, normal eating skills. According to federal certification standards, when a nourishing snack is provided at bedtime, up to _____ may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal plan. 1. 12 hours 2. 16 hours 3. 14 hours 4. 15 hours 3 ____________ refer to any endeavor in which a resident participates that is intended to enhance his/her sense of well-being and to promote or enhanve physical, affective, spiritual, cognitive, and emotional health. 1. Activities of dialy living 2. instrumental activities of daily living 3. activies 4. occupational therapies 3. This is the definition of activities in the Survey Operations Manual under tage F248 How many hours a day must the facility provide a resident with access to physical services or with transportation to a hospital emergency room? 1. 8 2. 12 3. 18 4. 24 4 In the event of an error in administration of medication, which of the following should be notified first? 1. Report to the attending physician 2. Report the error to the DON 3. Report to administrator 4. Report to the family 1. When a medication error has occurred the resident's condition at the time is the most important consideration. The resident must be assessed and the physician must be immediately notified of the physical findings and the details of the medication error so the appropriate medical intervention can be initiated A valid court order directing that medical records be made available to a given third party, or revealed in a given circumstance, must be honored: 1. Only if the resident has raised the issue of his/her medical care in a law suit 2. But the resident's consent is required if the third party is an insurance company 3. Only with the resident's consent 4. The resident's consent is not required 4. A resident's medical record must be kept confidential and free from any unauthorized disclosure without the resident's consent except when release is required by law, transfer to another facility, or the resident requests his/her chart Medications not given as intended by the prescriber, as required by the drug manufacturer, or according to acceptable professional standards is: 1. Polypharmacy 2. Drug regimen 3. Medication error 4. Drug therapy 3. Not administering a drug as required is a medication error. Polypharmacy is taking too many medications, drug reimen is the plan to be followed in given drugs, and drug irregularity is giving drug without medical reason Facility employees are allowed to serve as feeding assistants during meal time as long as they meet certain requirements. Which of the following statements is NOT true? 1. Feeding assistants must work under the supervision of a RN or LPN 2. Feeding assistants can only assist resident who have no difficulty swallowing 3. Feeding assistants must complete a state-approved training program 4. Feeding assistants can assist residents who are at rish for aspiration 4. Feeding assistants are not allowed to feed residents who have complicated feeding problems such as difficulty swallowing, aspiration risk, and feeding tube Which one of the following is not a step used by management to deal with unexcused absences or excessive abstenteeism by an employee? 1. Interviewing employee upon return to work 2. Stating policies after an infraction 3. Recognizing the worker's positive work performance as a means of encouragement 4. Imposing penalties for unexcused and excessive absences. 3. A worker would not be given praise for their work if they had excessive absenteeism as their work performance would not be positive if they were missing work