NAB NHA COMPREHENSIVE TEST BANK
COMPLETE QUESTIONS AND ANSWERS
PRACTICE SOLUTION VERIFIED
◉ Life Safety Code (LSC). Answer: Entire construction plan and
materials meet LSC standards|||CMS requires unless have waiver or
exception. CMS grants waivers on SNFs; states on NFs
◉ (NFPA). Answer: National Fire Protection Association ||established
LSC
◉ Purpose of LSC. Answer: to provide reasonable degree of safety
from fire.
◉ Waivers for Life Safety Code. Answer: If CMS finds a state fire
and safety code adequately protects residents and personnel thenLSC
does not apply. OLder facilities may obtain a waiver if they are and
have been in compliance with an older addition of LSC as specified
by CMS.||Before a nursing home may be built it must present
architectural plant to State Medicaid or designated agency that
approves construction. All major renovations, such as additional beds,
change in utilization of space, and so on must receive approval. The
state provides guidelines on what must be a approved. Upkeep and
repairs do not require prior approaval.
,◉ Blue Prints. Answer: keep as-built plans available for surveyors
who do LSC inspection as well as for repair persons who may need
prints for big jobs.
◉ LSC and other standards. Answer: Building and contact standards
are set by LSC, CMS, ANSI/ADAAG - (dependent on which the state
chooses) and state and local codes. ||- for handicapped|-follow which
on specific state requires (ANSI/ADAAG)
◉ LSC and ANSI/ADAAG. Answer: LSC accepts both standards so
they are essentially all LSC standards. Administrator does not need to
know EVERY standard, but must keep a copy of the "LSC
Handbook" as reference. The architect who designs the facility must
know and incorporate all LSC and other standards, but it is advisable
for the NHA to check his building to ensure compliance.
◉ LSC, ANSI/ADAAG, and CMS. Answer: **- building materials -
fire-rate according to number of stories. 2 hour and 1 hour rating|**-
sprinklers - new buildings have automatically activated by
smoke/heat|- exits - no room more than 100 feet from exit. Lighted
exit signs of specific size. |- walls extend continuously to roof deck of
next floor. wall finish must meet flame-spread requirements ( have
certificate of this)|- furnishings - curtains and carpet must meet fire
rating|- rooms - CMS requirements - 4 residents to room MAX. 80 sq
ft/resident (multi-resident room), 100 sq ft for single occupancy.
◉ requirement for rooms|. Answer: - direct access to corridor|- outside
window (CMS) or door (LSC)|- privacy|- furnishing| separate bed,
proper size and height| bedding appropriate to climate| individual
, closet space| bedside table| comfortable chair| enough overbid tables
to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing
facilities (CMS)|- resident call system (CMS, LSC) 24/7 - back up
system available|- temperature range (71-81 degree F) (three feet
above floor), states set actual, A/C not required
◉ Doors. Answer: All 44" or more in new construction (41.5
opening)|outside doors open egress.|no locks on resident door except
staff has key (LSC)||Bathroom door 32" (ANSI/ADAAG)||Fire Doors
with automatic hold-open devices required in corridors||(over bed
tables not required for patient)
◉ corridors. Answer: no dead-ends (LSC)||8 feet wide (CMS)
◉ Floors. Answer: at or above ground level. (LSC) |Fire rating if
carpeted. (LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
◉ Fire alarms. Answer: flashing and audible. |connect with local fire
dept, if possible|must have NFPA 71 certification of fire alarm service|
◉ smoke detectors. Answer: approved detectors requried
◉ smoking. Answer: written regulations, enforced. |smoking ares with
non-combustible ashtrays, metal containers with self-closing
lids.|Prohibited areas include resident rooms and beds, oxygen,
flammable liquid storage.|proper signs posted.|supervise non-
responsible.
COMPLETE QUESTIONS AND ANSWERS
PRACTICE SOLUTION VERIFIED
◉ Life Safety Code (LSC). Answer: Entire construction plan and
materials meet LSC standards|||CMS requires unless have waiver or
exception. CMS grants waivers on SNFs; states on NFs
◉ (NFPA). Answer: National Fire Protection Association ||established
LSC
◉ Purpose of LSC. Answer: to provide reasonable degree of safety
from fire.
◉ Waivers for Life Safety Code. Answer: If CMS finds a state fire
and safety code adequately protects residents and personnel thenLSC
does not apply. OLder facilities may obtain a waiver if they are and
have been in compliance with an older addition of LSC as specified
by CMS.||Before a nursing home may be built it must present
architectural plant to State Medicaid or designated agency that
approves construction. All major renovations, such as additional beds,
change in utilization of space, and so on must receive approval. The
state provides guidelines on what must be a approved. Upkeep and
repairs do not require prior approaval.
,◉ Blue Prints. Answer: keep as-built plans available for surveyors
who do LSC inspection as well as for repair persons who may need
prints for big jobs.
◉ LSC and other standards. Answer: Building and contact standards
are set by LSC, CMS, ANSI/ADAAG - (dependent on which the state
chooses) and state and local codes. ||- for handicapped|-follow which
on specific state requires (ANSI/ADAAG)
◉ LSC and ANSI/ADAAG. Answer: LSC accepts both standards so
they are essentially all LSC standards. Administrator does not need to
know EVERY standard, but must keep a copy of the "LSC
Handbook" as reference. The architect who designs the facility must
know and incorporate all LSC and other standards, but it is advisable
for the NHA to check his building to ensure compliance.
◉ LSC, ANSI/ADAAG, and CMS. Answer: **- building materials -
fire-rate according to number of stories. 2 hour and 1 hour rating|**-
sprinklers - new buildings have automatically activated by
smoke/heat|- exits - no room more than 100 feet from exit. Lighted
exit signs of specific size. |- walls extend continuously to roof deck of
next floor. wall finish must meet flame-spread requirements ( have
certificate of this)|- furnishings - curtains and carpet must meet fire
rating|- rooms - CMS requirements - 4 residents to room MAX. 80 sq
ft/resident (multi-resident room), 100 sq ft for single occupancy.
◉ requirement for rooms|. Answer: - direct access to corridor|- outside
window (CMS) or door (LSC)|- privacy|- furnishing| separate bed,
proper size and height| bedding appropriate to climate| individual
, closet space| bedside table| comfortable chair| enough overbid tables
to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing
facilities (CMS)|- resident call system (CMS, LSC) 24/7 - back up
system available|- temperature range (71-81 degree F) (three feet
above floor), states set actual, A/C not required
◉ Doors. Answer: All 44" or more in new construction (41.5
opening)|outside doors open egress.|no locks on resident door except
staff has key (LSC)||Bathroom door 32" (ANSI/ADAAG)||Fire Doors
with automatic hold-open devices required in corridors||(over bed
tables not required for patient)
◉ corridors. Answer: no dead-ends (LSC)||8 feet wide (CMS)
◉ Floors. Answer: at or above ground level. (LSC) |Fire rating if
carpeted. (LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
◉ Fire alarms. Answer: flashing and audible. |connect with local fire
dept, if possible|must have NFPA 71 certification of fire alarm service|
◉ smoke detectors. Answer: approved detectors requried
◉ smoking. Answer: written regulations, enforced. |smoking ares with
non-combustible ashtrays, metal containers with self-closing
lids.|Prohibited areas include resident rooms and beds, oxygen,
flammable liquid storage.|proper signs posted.|supervise non-
responsible.
