NHA - National Prep Test 2

1. Personnel policies and procedures are considered:

A set of legal obligations between the facility and it's employees

A distortion of facts

Elimination of the facts

Elimination of false statements

2. A major goal of the activities program in a nursing facility is to:

Produce handcrafts for fairs

Produce income to buy resident activity materials

Involve residents in personally satisfying activities

Keep residents out of their rooms as much as possible

3. Strategic planning:

Should be limited to top management

Has decreased in recent years

Is very time consuming and inefficient

Helps the facility reevaluate its mission and identify its long term goals

4. The major reason that the administrator should try to prevent employee turnover is:

The labor market cannot supply qualified replacements

The cost of recruiting and training new employees

The cost of unemployment compensation

New employees tend to have poorer work attitudes

5. In the process of planning, the administrator should:

Establish a five year plan

Set up a plan and review it every two years

Establish a plan and review it only when a crisis occurs

Constantly check, recheck and modify the plan if necessary

6. Nursing home residents are most frequently injured by:

Falls

Burns

Employees

Lacerations

7. The correlation between job satisfaction and productivity is:

Highly positive

Highly negative

Weakly positive

Weakly negative

8. Pressure sores may be caused by all of the following except:

Prolonged stay in bed

Wet bed clothing

Improper care of pressure points

Too much exercise

9. Incontinency means:

Urinary blockage

Loss of mental ability

Inflammation of the muscles

Involuntary passage of urine

10. A resident suffering from glaucoma should be referred to a (an):

Dermatologist

Ophthalmologist

Oncologist

ENT specialist

11. The Fair Labor Standards Act concerns itself primarily with:

Mediation

Arbitration

Wages and hours of employment

Union activities

12. The social worker might be most helpful in which of the following types of residents?

Depressed and withdrawn

Bedridden

Uncoordinated

Hard of hearing

13. The best type of fire extinguisher to use for a Class B (flammable liquid) fire is a:

Class B fire extinguisher that uses CO2 or dry chemicals

Sodium chloride fire extinguisher

Plain water pump

Soda acid fire extinguisher

14. The cause of depreciation is:

Decrease in value due to age, wear and tear, and action of the elements

Decrease in value due to depletion of materials and supplies

Loss of value due to decrease in volume of business

Loss of value due to decrease in quality of output

15. As an element of organizing, basic departmentalization:

Is set up and regulated by the Federal government

Is the same in every nurisng facility

Groups people and activities together, assigns roles and delegates authority

Should only be done when the facility first opens

16. When a documentation error is made in the resident's medical chart, the correct action is to:

Draw a line through the error, enter correct information, initial and date

Draw a line through the error, enter correction information, physician initial

Erase the error, enter correct information, nurse initial

Block out the error, enter correct information, nurse initial

17. A physical therapist:

Treats only ambulatory patients

Teaches hand to eye coordination

Treats, evaluates, and tests patients' muscles

Primarily teaches patients how to use crutches

18. The best means of controlling disease spread in a facility is:

Proper hand washing after each nursing procedure

Fumigation of area where a communicable disease is noted

Isolation of the diseased patient as long as they are contagious

Aseptic cleaning of isolation areas

19. Personnel policies should be:

Placed on bulletin boards

Discussed only with department heads

Given to each employee to read and discuss

Designed by administration for all supervisors

20. The ability to convert assets to cash is:

Turnover

Solvency

Depreciation

Liquidity

21. It is reasonable to expect that employees who are not formally evaluated by their supervisor will:

Make less progress than those who are evaluated

Make more progress than those who are evaluated

Experience no adverse effects from the lack of evaluation

Make about the same progress as those who are evaluated

22. What would be the primary benefit of public relations to a nursing home?

Reducing competition with other facilities

Strenghthening bonds between community and facility

Improving image within the facility

Reducing employee absenteeism and turnover

23. The administrator should require cost reports at least monthly from the food service manager that includes all of the following except:

Cost of utilities

Total cost per meal

Raw food cost per meal

Cost of meals per patient day

24. Controlling is:

Synchronizing the efforts of others

Communicating with employees

Overall setting of objectives

Setting of goals or objectives, checking performance, and talking corrective actions

25. Medicaid utilization review guidelines are established by the:

State

Facility

Medical director

Medical government

26. The internal recruitment device of letting all employees know of a job vacancy is:

Promotion

Seniority preference

Job posting

Employment at will

27. The primary objective in a pressure sore program is:

Prevention

Proper treatment

Proper documentation

Prevention of complications

28. The Fair Labor Standards Act requires that employees must be:

Given sick leave

Paid for overtime

Paid for vacation

Given termination pay

29. The term proprietorship as it relates to the nursing home industry means:

State owned facility

Nonprofit facility

Federally owned facility

Privately owned facility

30. Forecasting has become more important in today's nursing facility environment. The accuracy of an administrator's forecasts will affect the ultimate success of the facility's plans. Forecasts, therefore, are expected to be:

Strictly scientific

90% accurate

A reasonable estimate of what reality will be in the future

Complex, statistical and technical

31. The goal of rehabilitation services is to:

Get residents well and send them home

Correct coordination problems

Re-establish eye/hand coordination

Help residents live at their fullest potential

32. Metastasis is a health care term properly defined as:

A static condition between a diseased organism and the immune system

The appearance of certain trace metals in the bloodstream

The spread of diseased cells or cancer throughout the body

A condition found in most renal patients

33. The document outlining duties, authority, examples of work qualifications is a:

Job assignment

Job analysis

Job evaluation

Job description

34. Benign means:

Acute

Normal

Cancer

Non-malignant

35. All Schedule II drugs must be stored:

In separate container

In separate cabinets

In separate containers and separate cabinets

Under double lock and key

36. When an asset is depreciated, it's cost is:

Prepaid

Adjusted to reflect its increase in value over time

Allocated to expense over a 20 year period

Allocated to expense over it's estimated useful life

37. Discharge planning for newly admitted resident should begin:

Within 48 hours of admission

Within 72 hours of admission

Within 7 days of admission

At the time of admission

38. Which of the following could be a revenue producing department or center in a nursing home?

Nursing

Maintenance

Payroll

Plant Operations

39. A procedure is:

A detailed statement to accomplish a task

A broad guide to thinking

A program to accomplish goals

A set of policies

40. Medications may be taken home only when:

Resident can follow medication instructions

Cost replacement drugs are excessive

Resident has paid for all of the drugs

The physician authorizes it in writing

41. Which one of the functions of management would be accomplished first?

Actuating

Planning

Organizing

Staffing

42. The purpose of a medical record is to:

Protect the facility

Provide continuous information for research

Provide the necessary information for utilization review

Provide continuous information on the patient's condition

43. When a fire occurs, who is in charge until the firemen arrive?

The administrator

The highest ranking person on duty

The director of nursing

The charge nurse

44. Which of the following should not be included in the initial orientation of new employees?

Tour of the facility

Discussion of personnel policies

Introduction to one's unit and co-workers

Lecture on patient care

45. Fringe benefit packages usually include all except:

Health insurance

Sick leave pay

Vacation pay

Personal liability insurance

46. In a SNFall drug regimens must be reviewed at least:

Every 60 days by a pharmacist

Every 30 days by a nurse

Every 30 days by a pharmacist

As often as requested

47. The accounting system required by Medicare is:

Accrual

Cost

Cash

Analysis

48. Teamwork occurs when:

A group of employees are eager to complete their work on time

Employees do not feel overworked

Administrators adn employees share goals and knowledge and have open communication

A supervisor is able to get all his/her employees to perform tasks properly

49. The rehabilitation therapists (PT,OT, ST) are required to do which of the following in treating nursing home residents:

Do their work according to physician orders

Instruct nursing care personnel in rehabilitation

Do their own billing for Medicare and Medicaid

Provide their equipment and supplies

50. Patient rooms must meet all of the following requirements except:

Direct access to corridors

An outside exposure

Call system to the nurse's station

Equipped with a private toilet

51. Market opportunity research should be conducted:

Once a year

Only when there is a strong competition

Before beginning a marketing program

Primarily to assist public relations

52. When a medication has an automatic stop order, the nurse should call the physician:

True

False

When a medication has an automatic stop order, it means that there is a predefined duration or limit for administering that medication, after which it should be discontinued or reevaluated by the physician. In such cases, it is the responsibility of the nurse to contact the physician to discuss whether the medication should be continued, adjusted, or stopped based on the patient's condition and medical orders. Communication between healthcare professionals is crucial to ensure patient safety and appropriate care.

Explanation

When a medication has an automatic stop order, it means that there is a predefined duration or limit for administering that medication, after which it should be discontinued or reevaluated by the physician. In such cases, it is the responsibility of the nurse to contact the physician to discuss whether the medication should be continued, adjusted, or stopped based on the patient's condition and medical orders. Communication between healthcare professionals is crucial to ensure patient safety and appropriate care.

53. A resident council in a nursing facility is effective when:

All residents participate

It has a strong leader and committees

It has the support of the administrator and staff

It is attended and directed by the patient activities coordinator

54. A nasogastric tube is used to aspirate fluids from the:

Stomach

Intestines

Urinary tract

Nose

55. Employee accidents uaually result from:

Slipping on wet floors

Usafe employee behavior

Back sprains

Needle punctures

56. Chronic means:

Appearing sporadically

Of long duration

Mild and long term

Extremely debilitating and long term

57. Requirements which nursing homes must meet to provide services to Medicare and Medicaid patients are called:

By-laws

Sanctions

Articles of incorporation

Requirements of participation

The requirements of participation are a set of standards that nursing homes must meet to be eligible to receive Medicare and Medicaid funding. These requirements cover various aspects of care, including resident rights, quality of care, and safety standards. Nursing homes that fail to meet these requirements may face sanctions, including fines or termination from the Medicare and Medicaid programs.

Explanation

The requirements of participation are a set of standards that nursing homes must meet to be eligible to receive Medicare and Medicaid funding. These requirements cover various aspects of care, including resident rights, quality of care, and safety standards. Nursing homes that fail to meet these requirements may face sanctions, including fines or termination from the Medicare and Medicaid programs.

58. The primary purpose of written personnel policies and procedures is to:

Comply with Federal & State standards

Provide guidelines for supervisors to use in leading employees

Establish guidlines for the performance and behavior of employees

Discourage labor unios from trying to organize the facility

59. When working with a resident who has had a stroke and has difficulty buttoning her robe, an employee should:

Button the robe for the resident

Ignore the resident's problem so she won't get embarrassed

Encourage the resident to try to do it herself

Ask the occupational therapist to teach her

60. The resident care plan is coordinated by the Resident Service Director and consists of:

The diagnosis, prognosis and treatment prescribed by the physician

The nursing care plan for the specific period of time

A planned course of action designed to help meet resident needs

A planned course of action setting goals for ambulation and self care

61. The term prognosis is defined as:

A determination of the resident's cause of disability

Outlook for the resident's future condition

Assessment of the resident's present health condition

Evaluation of the resident's treatment program

62. A nurisng home has an average daily census of 110 residents during the month of January. Total food cost for the month was $13,200. What was the food cost per resident day?

$150

$120

$170

$160

To calculate the food cost per resident day, we divide the total food cost for the month by the average daily census:

Food cost per resident day = Total food cost / Average daily census

Given: Total food cost = $13,200 Average daily census = 110 residents

Food cost per resident day = $13,200 / 110 = $120

Therefore, the food cost per resident day is $120.

Explanation

To calculate the food cost per resident day, we divide the total food cost for the month by the average daily census:

Food cost per resident day = Total food cost / Average daily census

Given: Total food cost = $13,200 Average daily census = 110 residents

Food cost per resident day = $13,200 / 110 = $120

Therefore, the food cost per resident day is $120.

63. Management or supervision is defined as:

Getting work done with and through other people

Directing others but pitching in to help

Handling finances, keeping records and letting others do their work

Telling employees what to do and leaving the rest to them

64. Who compiles the Life Safety Code?

American National Standards Institute

The Federal Government

National Fire Protection Association

Occupational Safety and Health Administration

65. Nursing facilities have both current and long-term assets. Which of the following are current assets?

Anything currently owned by the facility

Cash or other things that can be quickly converted to cash

Buildings, land and equipment

Cash or other assests that will eventually be used up

66. How often should the emergency generator be tested under full load for 30 minutes?

Weekly

Monthly

Bimonthly

Quarterly

67. Span of management is:

The number of employees on the payroll

The number of employees a supervisor can effectively supervise

The number of employees reporting to the administrator, directly and indirectly

The capacity of the administrator to determine who is working for him

68. The biggest cost control problem in a facilit is:

Purchasing

Theft

Employees

Vendors

69. Which of the following indicates to the administrator that the facility's activity program is effective?

Each resident takes part only in activities he or she wishes to take part in

More residents are involved as observers or participants

More community people are involved in the activities program

There is in increase in bingo participation

70. Which of the following are analgesics?

Penicillin and sulfa

Darvon and aspiring

Valium and librium

Milk of magnesia and cascara

71. When the balance of an account exceed the sum of the debits to that account, it is referred as:

An entry

A credit entry

A credit balance

A deficit balance

72. The Omnibus Budget Reconciliation Act of 1987 requires one of the following:

The immediate release of any resident who has been physically restrained

Evidence of a multidisciplinary assessment and plans for the resident's discharge

The ban of the use of physical restraints applied to old and new equally

That chemical restraint is substituted for physical restraints whenever possible

73. A goal or objective is:

A plan that states how a task should be done

A general idea of what you want done

The end result toward which activity and effort are directed

A little used planning concept in management

74. Most people are asked to serve on boards because they:

Are experienced in serving on boards

Are knowledgeable in problems in long term care

Know the difference between board duties and management duties

Are successful in managing some other business or career

75. Which agency has as its primary goal to ensure buildings is accessible to the physically handicapped?

American National Standards Institution

National Fire Protection Standards Association

Occupational Safety and Health Administration

Health Care Financial Association

76. Net worth is:

Total assets less total liabilities

Gross profit less outstanding accounts

Accounts receivable and cash on hand, less liabilities

Current assets less current liabilities

77. A policy is:

A detailed statement

A broad guideline to thinking and the setting of boundaries

A set of plans

A procedure

78. Fringe benefits do not include:

Holidays

Sick leave

Overtime

Group insurance

79. The procedure that helps schedule work and prevent duplication in maintenance and housekeeping is referred to as:

Preventative maintenance

Rotation scheduling

Priority scheduling

Work orders

80. The role of the NHA in the management of the nursing home is:

To set facility goals and formulate the mission statement

To approve and carry out the budget

To advise the board, then organize and carry out the directives of the board

To act as an agent of the owner or shareholder

81. The 8/80 system of scheduling means an employee may:

Work only 40 hours per week during the two week pay period without being paid overtime

Choose the days he wants to work in order to do 80 hours in the two week pay period

82. What portion of the unemployement insurance tax is paid by the employer?

50%

75%

100%

None

83. The allocation of the original cost of a non-current intangible asset over a period of time specified by the government is called:

Amortization

Depreciation

Allocation

Accrual accounting

84. A balance sheet is a statement of financial position which:

Summarizes income and expenses at a specific time

Shows net worth at a given time

Summarizes owner equities at a given time

Summarizes assets, liabilities, and stockholders equity at a specific time

85. A hallucination is:

A retreat from reality

A misinterpretation of sensory experience

An experience which is capable of being perceived by the patient

A sensory experience occurring independently of stimulation from the environment

86. A perpetual inventory system is one that:

Is done by counting materials on hand

Reflects cost of materials based on actual usage

Must be done by computer

Is done at the end of each fiscal year

87. The basic functions of management are:

Planning, staffing, leading, budgeting, coordinating, leading, personnel

Staffing, budgeting, coordinating, leading, personnel

Organizing, staffing, planning, budgeting, leading

Planning, organizing, staffing, leading, controlling

88. An example of a current liability is:

Mortage note on real estate

Chattel mortgage on a new automobile

FICA taxes

Five year signature note

89. Marketing health care is more difficult than marketing many products because:

It is more expensive

The public is opposed to nursing homes

People don't want to be reminded that they are aging

Many people don't believe a profit should be made on health care

90. In planning a budget, it is most important to know:

Assets and liabilities

Net profit and net worth

Past cost and future cost

Past experience and projected expectations

91. The principle of Unity of Command means that:

All managers int he facility should give the same answers to staff questions

No staff member should report to more than one supervisor for any given function

Only the administrator can issue commands that substantially affect the way members act

Staff members may seek the advice of any manager in the facility as long as they get one answer

92. All doors except those to bathrooms must be at least ________ inches in width and fire-rated.

15

20

32

41.5

All doors except those to bathrooms must be at least 32 inches in width and fire-rated.

Explanation

All doors except those to bathrooms must be at least 32 inches in width and fire-rated.

93. Who requires audible and flashing fire alarms in LTC facilities?

Titles XVIII & XIX

ANSI

OSHA

State regulatory agencies

94. All facilities are to be free of insects and rodents, however, usually state laws prohibit the use of all of the following except:

Sprays

Open traps

Poisoned baits

Sticky flypaper

95. To determine the capability to meet short-term cash needs, an administrator would use the:

Trial balance

Balance sheet

Financial report showing cash receipt and disbursement ledger leading to a net change in cash during a given period

Profit and loss statement

96. When the union sets out to organize a facility, the administrator cannot:

Ask employees if they attend union meetings

Express his views that a union is not helpful

Hold employee meetings in which weaknesses of unios and unlawful union acitivity are discussed

Discipline employees who discuss union activities while working on the job

97. All walks must be at least:

36 inches wide

48 inches wide

54 inches wide

60 inches wide

98. Depreciation of equipment is considered:

An asset

A fixed cost

A variable cost

A part of net worth

99. The primary reason bank statements should be reconciled as soon as they are received is:

Banks often charge checks and make deposits to the wrong accounts

Neither the bank statement nor the facility ledger account may show the exact same balance

The cash ledger account must always be adjusted to the true balance shown on the bank's statement

Reconciliation is a good means of checking on the efficiency of the facility bookkeeper's performance

100. When OSHA finds unsafe or unhealthy working conditions in a facility, it can impose all penalties except:

Close the business

Fines

Imprisonment

Citations

NHA - National Prep Test 2

1. Personnel policies and procedures are considered:

2.

What first name or nickname would you like us to use?

2. A major goal of the activities program in a nursing facility is to:

3. Strategic planning:

4. The major reason that the administrator should try to prevent employee turnover is:

5. In the process of planning, the administrator should:

6. Nursing home residents are most frequently injured by:

7. The correlation between job satisfaction and productivity is:

8. Pressure sores may be caused by all of the following except:

9. Incontinency means:

10. A resident suffering from glaucoma should be referred to a (an):

11. The Fair Labor Standards Act concerns itself primarily with:

12. The social worker might be most helpful in which of the following types of residents?

13. The best type of fire extinguisher to use for a Class B (flammable liquid) fire is a:

14. The cause of depreciation is:

15. As an element of organizing, basic departmentalization:

16. When a documentation error is made in the resident's medical chart, the correct action is to:

17. A physical therapist:

18. The best means of controlling disease spread in a facility is:

19. Personnel policies should be:

20. The ability to convert assets to cash is:

21. It is reasonable to expect that employees who are not formally evaluated by their supervisor will:

22. What would be the primary benefit of public relations to a nursing home?

23. The administrator should require cost reports at least monthly from the food service manager that includes all of the following except:

24. Controlling is:

25. Medicaid utilization review guidelines are established by the:

26. The internal recruitment device of letting all employees know of a job vacancy is:

27. The primary objective in a pressure sore program is:

28. The Fair Labor Standards Act requires that employees must be:

29. The term proprietorship as it relates to the nursing home industry means:

30. Forecasting has become more important in today's nursing facility environment. The accuracy of an administrator's forecasts will affect the ultimate success of the facility's plans. Forecasts, therefore, are expected to be:

31. The goal of rehabilitation services is to:

32. Metastasis is a health care term properly defined as:

33. The document outlining duties, authority, examples of work qualifications is a:

34. Benign means:

35. All Schedule II drugs must be stored:

36. When an asset is depreciated, it's cost is:

37. Discharge planning for newly admitted resident should begin:

38. Which of the following could be a revenue producing department or center in a nursing home?

39. A procedure is:

40. Medications may be taken home only when:

41. Which one of the functions of management would be accomplished first?

42. The purpose of a medical record is to:

43. When a fire occurs, who is in charge until the firemen arrive?

44. Which of the following should not be included in the initial orientation of new employees?

45. Fringe benefit packages usually include all except:

46. In a SNFall drug regimens must be reviewed at least:

47. The accounting system required by Medicare is:

48. Teamwork occurs when:

49. The rehabilitation therapists (PT,OT, ST) are required to do which of the following in treating nursing home residents:

50. Patient rooms must meet all of the following requirements except:

51. Market opportunity research should be conducted:

52. When a medication has an automatic stop order, the nurse should call the physician:

53. A resident council in a nursing facility is effective when:

54. A nasogastric tube is used to aspirate fluids from the:

55. Employee accidents uaually result from:

56. Chronic means:

57. Requirements which nursing homes must meet to provide services to Medicare and Medicaid patients are called:

58. The primary purpose of written personnel policies and procedures is to:

59. When working with a resident who has had a stroke and has difficulty buttoning her robe, an employee should:

60. The resident care plan is coordinated by the Resident Service Director and consists of:

61. The term prognosis is defined as:

62. A nurisng home has an average daily census of 110 residents during the month of January. Total food cost for the month was $13,200. What was the food cost per resident day?

63. Management or supervision is defined as:

64. Who compiles the Life Safety Code?

65. Nursing facilities have both current and long-term assets. Which of the following are current assets?

66. How often should the emergency generator be tested under full load for 30 minutes?

67. Span of management is:

68. The biggest cost control problem in a facilit is:

69. Which of the following indicates to the administrator that the facility's activity program is effective?

70. Which of the following are analgesics?

71. When the balance of an account exceed the sum of the debits to that account, it is referred as:

72. The Omnibus Budget Reconciliation Act of 1987 requires one of the following:

73. A goal or objective is:

74. Most people are asked to serve on boards because they:

75. Which agency has as its primary goal to ensure buildings is accessible to the physically handicapped?

76. Net worth is:

77. A policy is: