NAB Exam- (Everything that is needed to know) 2023/2024

NAB Exam A line authority position is characterized by - Correct answer-Decision making vested in the supervisor An example of line authority is - Correct answer-Administrator Major schools of thought regarding source of authority are - Correct answer-formal and subordinate acceptance The scope of authority in the operation of the nursing facility is greatest at which level - Correct answer-Ownership Ultimate authority in a private corporate nursing facility is with the - Correct answer- Board of directors Managerial authority is power - Correct answer-to command, issue orders or exact action by subordinates Decentralized authority is characterized by - Correct answer-process of delegating authority Centralized authority is - Correct answer-vesting decision making in top managment Authority vested in a supervisory nurse is - Correct answer-middle management authority Decision making authority is when a supervisor - Correct answer-hires, fires and makes judgmental decisions Concepts of modern management recommend that an effective administrator will delegate - Correct answer-operational authority Unity of command refers to - Correct answer-reporting to one supervisor Which of the following forms of business is considered the oldest form of business - Correct answer-sole proprietorship The term proprietorship as it relates to the nursing facility industry means - Correct answer-privately owned The majority of nursing facility beds in the united states are owned by - Correct answer- corporations Which of the following forms of ownership must have articles drawn up and reduced to writing? - Correct answer-corporation Under which form of ownership would the administrator have the greatest latitude of authority and decision making? - Correct answer-Sole proprietorship All but one are considered advantages of sole proprietorship - Correct answer-Unlimited liability All but one are considered disadvantages of a partnership - Correct answer-Retention of valuable employees A corporation is - Correct answer-a legal entity created by law to carry on a business or profession Which one of the following forms of business ownership is considered the most important? - Correct answer-Corporation A nonprofit corporation is one which - Correct answer-makes a profit but returns it to the operation of business Pursuant to the Code of Federal Regulations, 42 CFR part 483, a facility wishing to participate in medicare must have - Correct answer-a governing body The role of the governing body pursuant to the Code of Federal Regulation 42 CFR Part 483 is to - Correct answer-establish and implement policies regarding management and operation of the facility The Code of Federal Regulations 42 CFR part 483 requires that the facility disclose - Correct answer-officers, directors, agents, or management employees The role of the administrator in a modern nursing facility is to - Correct answer-advise the governing body and carry out their decisions According to the Code of Federal Regulations 42 CFR Part 483 the administrator appointed by the governing body must be - Correct answer-licensed by the state and responsible for the management of the facility An objective may be defined as - Correct answer-organizing The first step in planning is - Correct answer-setting the objectives of the organization Effective management is best carried out by following which method? - Correct answer- management by objectives Management by objectives involves - Correct answer-plurality of objectives Which of the following objectives would be considered first in establishing a new nursing facility? - Correct answer-Type of facility An administrator of a proprietary nursing facility should be primarily concerned with which one of the following objectives? - Correct answer-Quality of care Which one of the functions of management would be accomplished first? - Correct answer-planning Relative to setting objectives, which task listed below would be of primary importance for the administrator to accomplish? - Correct answer-constantly review and reassess objectives of the nursing facility Which one of the following statements is true? - Correct answer-Every department in the nursing facility should have goals or objectives Since there is a plurality of objectives in a nursing facility, the facility should concern itself with - Correct answer-long and short term goals Planning is primarily concerned with - Correct answer-use of facts to determine course of action for the future Strategic planning - Correct answer-helps the facility to re evaluate its mission and identify its long term goals. Planning on a broad scale is carried on primarily by a - Correct answer-administrator Planning involves all but one of the following - Correct answer-personnel decisions Which of the following is not a function of the administrator? - Correct answer-ultimate approval of all policies (governing board does that) Planning at the top level of management is best characterized as - Correct answer- broad, far-reaching, and basic In the process of planning, which guideline should be followed? - Correct answer- involve as many managers as possible Considering the functions of management such as: directing, organizing, coordination, controlling and planning, which of these functions would be first? - Correct answer- planning The technique of forecasting is important in the modern nursing facility. The accuracy of the administrator's forecasts will affect the success of planning. Forecasts are expected to be - Correct answer-a reasonable estimate of what reality will be in the future In the process of planning, the administrator should - Correct answer-constantly check, recheck, and modify the plan if necessarry A short range plan covers which time period? - Correct answer-1-2 years A long range plan covers - Correct answer-3-5 years The function of management called organizing is best described as - Correct answerthe process of grouping various activities of a similar nature and establishing authority relationships At which operational level in a nursing facility does organizing take place? - Correct answer-at all dept levels within the organized structure The mission statement of a nursing facility - Correct answer-explains the goals and objectives to the facility Span on management is the - Correct answer-number of employees a supervisor can effectively handle The schematic drawing representing the functional operation of a nursing facility structure is called the - Correct answer-organizational chart Service departments of a nursing facility can best be described as - Correct answer- departments that facilitate, aid and assist other departments An example of a service department in a nursing facility is the - Correct answer- personnel office Line authority structure is best described as a situation in which - Correct answer-a superior delegates authority to a subordinate who, in turn, delegates his or her authority forming a line from the top to the bottom level of the organization A line authority position exists when the executive - Correct answer-makes final decisions regarding departmental functioning An example of a line authority position in a nursing facility is the - Correct answer- administrator An example of a staff authority position in a nursing facility is the - Correct answer- administrative assistant The primary function of a staff authority position is - Correct answer-aid, assist, and advise the department heads All but one of the following would be considered contractual services in a nursing facility - Correct answer-Nursing director A standing committee is one which - Correct answer-permanent in nature A task force is another term used for - Correct answer-ad hoc committee A policy is a - Correct answer-a broad guideline for thinking and setting boundaries Who establishes policy in a nonprofit nursing facility corporation? - Correct answer- Board of directors When a subordinate asks his or her superior to set a policy regarding an operational problem, this is called - Correct answer-appealed policy A procedure is a - Correct answer-detailed statment to accomplish a task Which of the following is a procedure? - Correct answer-a statement explaining the steps to be taken to put money in safekeeping A resident checks into a nursing facility without following the steps described relating to safekeeping of personal belongings. By what procedure should the business office be guided? - Correct answer-procedure for safekeeping Which of the following statements is not a part of a procedure relating to the death of a resident? - Correct answer-ask the mortician to declare the resident dead (only an RN or physician can do this) Procedures should not be developed by the administration in which area? - Correct answer-establishing rules of conduct of board members The purpose of a procedure manual is to - Correct answer-assist in the implementation of a policy Controlling is - Correct answer-setting goals or objectives, checking performance, and taking corrective action. An acceptable method of checking on the performance of an employee is to - Correct answer-written and oral reports and direct observation Percentage of occupancy is what kind of control mechanism? - Correct answer-Quantity A budget is - Correct answer-a planning and controlling device For effective control, which element is not necessary? - Correct answer-Configuration Meeting with the DON and nursing supervisors is what kind of control? - Correct answer-Quality In order to have effective controlling which item is not required? - Correct answer-on the spot discipline The principle of Economy of Action states that - Correct answer-any time a higher paid employee makes a decision that a lower paid employee can make as well or better, the facility is wasting money. Discipline is a part of controlling. Which item is not considered good management practice? - Correct answer-public reprimand of employee Which item listed below is not a function of management? - Correct answer-comparing An intangible standard of control in a nursing facility is - Correct answer-quality of care PERT is a planning and controlling device. The term PERT refers to - Correct answer- program evaluation and review techniques Coordination is best defined as - Correct answer-orderly synchronization of efforts to accomplish a stated objective The administrator needs to consider all but one of the following items before making a decision - Correct answer-Gut feeling about the problem The modern day administrator of a nursing facility must - Correct answer-confer on a daily basis with a variety of individuals, such as :residents, their families, dept heads, suppliers, and community representatives. The decision making process involves all but one of the following - Correct answer- Delegation An important tool in management is communication. Communication is best defined as - Correct answer-process of exchanging information in which there is a mutual understanding between the sender and the receiver Formal communication is all but one of the following - Correct answer-grapevine communication All but one of the following is considered to be a roadblock to communication - Correct answer-Feedback Physical resource management is - Correct answer-establishing a preventative maintenance program Leadership can be defied as - Correct answer-process by which an executive directs, guides and influences the work of others in attaining specified goals by mediating between the individual and organization in such a way that both obtain maximum satisfaction. S0me of the qualities that a leader must possess include all except what? - Correct answer-Authoritative image Consultative leadership technique is best defined as wen the executive - Correct answer-consults with subordinates before making a final decision Free rein technique of leadership occurs when the administrator - Correct answer- consults with subordinates and allows them to reach a final decision Autocratic leadership may be best defined as when the administrator - Correct answer- does not consult and makes the final decision All but one of the following are advantages of the consultative approach of leadership - Correct answer-Increases the time spent with the employees An example of free rein leadership in a nursing facility is when the administrator - Correct answer-allows the attending physician to make medical decisions All but one of the following are advantages of autocratic leadership - Correct answer- precludes initiative to develop management skills Some factors that should be considered when using the consultative leadership technique include all but one of the following. - Correct answer-Age of the executive The best reason health care providers get together to form a consortium is - Correct answer-to experience greater economy in the facility by sharing services and projects It has been estimated that the administrator spends what percentage of time sending or receiving information? - Correct answer-90 percent All but one are considered to be roadblocks for effective communication - Correct answer-feedback The most effective means of communication is - Correct answer-face to face oral communication An example of informal communication is - Correct answer-grapevine All but one of the following are considered to be a form of written communication - Correct answer-Nonverbal communication All but one of the following are considered good techniques of communicating - Correct answer-Over or under communication One of the goals of a nursing facility is to provide maximum care and services to its residents. Surveyors can best access a facilities success by? - Correct answerreviewing residents' assessments, plans of care, and actual care outcomes of a specific sampling of residents Common law may be defined as - Correct answer-law passed down as a result of court decisions Statutory law is - Correct answer-law enacted by the legislature Public law is - Correct answer-law involving a party and a governmental subdivision Civil law - Correct answer-is concerned with conduct between private parties A tort is a - Correct answer-civil wrong between private parties A nursing facility administrator is licensed by the - Correct answer-State licensure board All but one would be considered an intentional tort - Correct answer-Negligence Defamation is - Correct answer-making an untrue statement, thereby holding another out to ridicule or contempt An administrator uses resident trust funds for personal use. What area of law has he or she breached? - Correct answer-criminal law An administrator forgets to give information to the Board of directors and damages occur as a result. Under what law may he or she be liable? - Correct answer-Negligence Libel - Correct answer-written defamation An intentional breach of the Medicare law may result in what kind of action? - Correct answer-criminal action Releasing information to a third party without a resident's consent may result in what kind of action? - Correct answer-Invasion of privacy When a corporation is chartered, the effect of the charter is to - Correct answer-allow the corporation to carry out the purpose of the corporation as indicated in the Articles of Incorporation What area of law would be involved in a breach by one party relating to a purchase order? - Correct answer-Contract law A claim on the assets of a resident filed by a nursing facility is called - Correct answer- lien A civil action in negligence is started legally by filing a - Correct answer-summons and complaint The moving party in the filing of a negligence action is called the - Correct answer- plaintiff An action for a violation of law concerning the Medicare Act would be brought in which court? - Correct answer-U.S district court If a health care facility employee performs a negligent act and thereby a resident is injured, the facility may be held liable under which theory? - Correct answer-Vicarious Liability A private duty nurse in a health care facility may be held personally liable for his or her negligent acts because his or her legal status is - Correct answer-independent contractor The attending physician in a health care facility ordinarily has the legal status of - Correct answer-independent contractor To enact a law, a legislature must - Correct answer-vote on a bill recommended by a committee Active euthanasia is - Correct answer-homicide A person who dies without a will is - Correct answer-intestate A person who dies with a will is - Correct answer-testate A legacy is a - Correct answer-bequest of real or personal property by means of a will A will is a - Correct answer-bequest of a real or personal property effective at the death of the testator Conflict of interest in regards to the role of the administrator as it relates to the facility means that his or her role is - Correct answer-conflicting with the purpose and goals of the organization Charitable immunity as it relates to a health care facility means the facility cannot be sued for torts because - Correct answer-its purpose is of a charitable nature Vicarious liability means that if an employee is negligent, that negligence will be transferred - Correct answer-to the facility Corporate negligence means a duty owed to the resident is breached by - Correct answer-the facility itself An informed consent is one in which the individual receiving treatment is informed - Correct answer-about the nature and the consequences of the procedure A subpoena duces tecum is - Correct answer-an order to bring certain documents to court A pension trustee is a person who may be responsible for financial matters of - Correct answer-Medicaid resident Which of the following does not have state jurisdiction? - Correct answer-Medicare approval of a facility Institutional licensure refers to the licensing of the - Correct answer-facility A volunteer worker working outside the scope of his or her assignment may be held - Correct answer-personally liable Estate planning has to do with which aspect of the law - Correct answer-Probate An act concerned with the donation of one's body or parts of one's body at the time of death is the - Correct answer-Uniform Anatomical Act A commitment procedure is a - Correct answer-involuntary commitment to a facility An individual, who has not been adjudicated incompetent, objects to being admitted to a nursing facility. Other family members want him to be admitted anyway. What should the facility do? - Correct answer-Disallow the admission The performance of an autopsy on a resident without the consent of the next of kin may be ordered by - Correct answer-medical examiner A power of attorney is - Correct answer-an instrument authorizing another to act as one's agent Release of information in medical records may be given only by the - Correct answer- resident The PSDA Act of 1990 concerns - Correct answer-advance directives To comply with PSDA written information must be provided to the resident - Correct answer-upon admission to the facility The advance directive in which a resident gives instructions to a provider as to whether or not he or she wants life-sustaining equipment is a - Correct answer-living will After a person executes a living will, he or she should give a copy to all but who - Correct answer-Funeral director The advance directive appointing an agent to designate what care you want or desire as to life-sustaining equipment in an emergency or terminal condition is a - Correct answer- durable power of attorney for health care One of the most important concepts the administration should keep in mind regarding public relations is that the facility must - Correct answer-meet the needs and expectations of the residents and their families One of the first steps to take in developing a marketing program is to - Correct answer- define the facility's goals and objectives A primary marketing concept, according to Harvard professor Theodore Levitt, is to produce goods - Correct answer-and services that people want and value at prices and under conditions that are reasonably attractive Which of the following would be considered of primary importance to quality care in a facility? - Correct answer-attitude of management and staff toward the resident and the resident's family In nursing facility administration, marketing means - Correct answer-reaching persons who need the facility services A market audit is - Correct answer-a process for analyzing the environment in which a program is to function In a marketing sense, it is important that employees be trained to - Correct answer-have a greater awareness of and participation in customer relations. Administration should do which of the following to achieve maximum customer satisfaction? - Correct answer-be innovative and responsive to staff From the marketing viewpoint, advertising means - Correct answer-a presentation of a product in a non personal manner Which of the following skills is of primary importance in nursing facility employees? - Correct answer-Service orientation of the employee In a marketing sense, selling is - Correct answer-interaction between a representative of a facility and a prospective customer Which f the following would be the most effective means of bridging the gap between the community and the nursing facility residents? - Correct answer-having an open house Which of the following are the most influential in the marketing of nursing facilities? - Correct answer-Increasing number of elderly All but one of the following are important in developing an effective marketing program - Correct answer-create expectations that may be illusionial or unrealistic to the resident All but one of the following are necessary for the development of a successful marketing program - Correct answer-name of the administrator Essentially, marketing is - Correct answer-selling a facility to targeted audiences Marketing segmentation is - Correct answer-recognizing and pinpointing various groups and their unique needs One of the most regularly used public relations tools in a facility is - Correct answer- newsletter or magazine An effective marketing program will - Correct answer-help identify shortcomings in the operation of the facility The concept of foster care as it relates to the elderly involves a person living in a - Correct answer-private home with people not related to him or her A home health agency as it relates to the elderly provides - Correct answer-part time skilled nursing services A program in which elderly individuals belonging to a special group enter into custodial living arrangements by life care contracts is best described as - Correct answer-fraternal custodial care A custodial living arrangement for elderly veterans would most likely be financed by - Correct answer-the veterans administration A program whereby the elderly meet their recreational and social needs - Correct answer-senior citizens center A program whereby a dependent elderly person is institutionalized during the working hours of his family is called - Correct answer-Day care Assistance for the disabled elderly would most likely be financed under - Correct answer-the social security administration Meals on wheels is a program for the elderly which is best described as serving meals to - Correct answer-individuals in their home environment A facility which treats short-term acutely ill patients is called a - Correct answer- individuals in their home environment A facility which treats short term acutely ill patients is called - Correct answer-acute hospital Generally an organized medical staff is found in which facility? - Correct answer-acute hospital A facility which has elderly patients for an average stay of over 60 days with formal ancillary departments such as xray, laboratory, and pharmacy, is called - Correct answer-chronic hospital A transfer agreement is usually made between a skilled nursing facility and a - Correct answer-hospital Approximately what percent of the hospitals in the U.S are non-profit - Correct answer- 20 percent Approximately what percent of nursing facilities in the U.S are proprietary? - Correct answer-68 percent A chief of the medical staff would most likely be found in which facility - Correct answer- Hospital A retained Medical Consultant would most likely be found in which facility? - Correct answer-Nursing facility Which one of the following is the most important step in developing good job descriptions - Correct answer-A careful analysis of job content An employee in the maintenance department comes to work in an intoxicated condition. The administration should? - Correct answer-go to the department head involved and handle the situation through him or her. A nurse's aide uses foul language when addressing a resident in the dining room during lunch hour with the Director of Nurses present. The DON should - Correct answer-have a supervisory conference concerning this action, in private, as soon as possible In disciplining employees, the effective supervisor should take all but one of the following items into consideration - Correct answer-Age of the employee One of the most important principles an effective supervisor should realize concerning employee discipline is that he or she should try to - Correct answer-establish a reputation of impartiality The most common employee problem is likely to be - Correct answer-tardiness for work An effective way to control employee absenteeism is to - Correct answer-interview the employee upon his or her return to work In order to establish respect among the employees, a supervisor should - Correct answer-earn respect through actions If employee morale is low the administrator should - Correct answer-attempt to discover the the reason and take appropriate action to remedy the situation One of the best indications of low employee morale is - Correct answer-employee turnover The primary purpose of evaluating personnel in the nursing facility is to - Correct answer-help the employee to understand his or her weaknesses and strengths as well as develop guidelines to improve their work Which of the following is an important factor affecting employee retention? - Correct answer-Orientation and supervision of employees Verbal warnings followed by written warning is best described as - Correct answer- progressive discipline An employee wage evaluation program should be based primarily on - Correct answer- merit wages, depending upon the quality of work the employee performs One of the primary reasons for employee dismissal is - Correct answer-misconduct A worker's compensation insurance policy covers all but one of the following - Correct answer-Benefit for injury at home A group accident and sickness insurance policy issued to an employee on a noncontributory basis requires - Correct answer-that the employer pay for all the cost of the insurance The primary reason for using incident reports is to - Correct answer-prevent future accidents If an employee with willful intent does not follow the instructions of his or her employer and is thereby injured, the employer - Correct answer-is likely to be held responsible One of the best ways for an administrator to be informed as to the number and type of positions to be filled is to - Correct answer-have each department head report weekly on vacancies and types of positions open There is a dispute between department heads over the interpretation of certain written policies. As administrator, the most effective way to end the dispute is to - Correct answer-talk out the dispute with the dept heads using a team approach Who should complete an evaluation form on an employee - Correct answer-Immediate supervisor All but one of the items below should be included in an objective evaluation of an employee - Correct answer-Attitude of the supervisor toward the employee Discussion of food service in the cafeteria among food service employees is - Correct answer-informal communication When an evaluation of an employee is competed, it should be - Correct answer-signed by the supervisor and the employee If an employee refuses to sign an evaluation form, which of the following should take place? - Correct answer-the refusal should be noted on the evaluations and signed by the employee supervisor The two major categories of liability insurance risks are - Correct answer-bodily injury and property damage Fidelity insurance covers - Correct answer-loss resulting from a dishonest act of an employee Employee recruitment is considered the function of which department in the nursing facility - Correct answer-Personnel All but which of the following are an effective way to recruit employees? - Correct answer-Off the street In the typical nursing facility, the highest rate of staff turnover is among which of the following employees? - Correct answer-CNA The application blank is a valuable tool for recruiting personnel. A good application black should have all but one of the following - Correct answer-Form should require that the prospective employee waive worker's compensation rights All but one of the following would be considered good interviewing techniques - Correct answer-The applicant should not be encouraged to talk but listen (the exact opposite is true, we want the applicant to do all the talking) Some important items to observe during an interview include all but - Correct answer- Ethnic background The purpose of pre-employment testing is to - Correct answer-determine whether or not the applicant is specifically qualified for the position he or she is seeking. Using a nurse's salary as a basis for determining salaries of other employees is - Correct answer-key job comparison The ultimate decision of hiring a new employee should be made by the - Correct answer-appropriate dept head One of the primary purposes for a pre-employment physical is - Correct answer-to keep down worker's comp claims The purpose of a reference check on all employees is to - Correct answer-protect the facility from undesirable employees A reference check should always be - Correct answer-reduced to writing In establishing job descriptions, the workload is broken down into sets of activities that can be - Correct answer-performed by one person In an interview with a job applicant, all but one of the following may be asked - Correct answer-Arrests A job description is best defined as - Correct answer-a written summary of the duties and responsibilities of a job An exit interview occurs when an employee is - Correct answer-asked the reason he/she is leaving the position Personnel policies are a set of guidelines primarily with - Correct answer-policies of all employees The person in the nursing facility most likely to administer and implement policies is the - Correct answer-Administrator The personnel director is best characterized as - Correct answer-staff authority position The autocratic approach is establishing personnel policies is when the administrator - Correct answer-writes the policies and submits them to ownership for approval The personnel function in a nursing facility is responsible for all but one of the following - Correct answer-Presenting the completed personnel policies to ownership for approval Establishment and ratification of personnel policies in a nursing facility is accomplished by - Correct answer-ownership The consultative approach in establishing personnel activities would involve the administrator - Correct answer-receiving input from dept heads and staff and then submitting completed policies to ownership for approval Which item would most likely be part of the personnel policies - Correct answer-fringe benefits, vacations, and retirement The best guideline to follow in writing personnel policies is to: - Correct answer-hold staff meetings and get personnel policies from the neighboring facility Which item should be included in a good set of personnel policies - Correct answer- Description of the disciplinary procedure Large fringe benefit programs - Correct answer-may be potentially disadvantageous All but one of the following are considered to be effective sources of employee recruitment - Correct answer-Walk in's All but one of the following are considered to be part of the selection process of an employee - Correct answer-on the job training A disaster program should include - Correct answer-orientation, on going training and drills for all personnel A formalized mechanism for expressing dissatisfaction with conditions in workplace is called a - Correct answer-grievance procedure The national labor law concerned with unfair practices of employers is - Correct answer- NLRA (National Labor Relations Act) The national labor law concerned with unfair union practices is the - Correct answer- Taft-Harley Act All non-public health care facilities are now covered under which federal act? - Correct answer-National Labor Relations Act The Fair Labor Standards Act concerns itself primarily with - Correct answer-wages and hours of employment Under the 1976 amendment to the National Labor Relations Act, it is mandatory for health care facilities to participate in - Correct answer-collective bargaining The Age Discrimination Act passed in 1987 protects employees aged - Correct answer- 40-70 Title VII concerned with - Correct answer-discrimination in hiring and firing practices and other employment practices The process of mediation primarily concerns - Correct answer-facilitating an agreement between parties by the acts of a third person Collective bargaining as contemplated in the National Labor Relations Act is - Correct answer-making collective arguments between employers and accredited representatives Arbitration is - Correct answer-submission of disputed matters to private unofficial persons selected as provided by law If a health care facility is approached by a union for collective bargaining, the administrator should immediately - Correct answer-seek the assistance of an attorney conversant with labor relations If a health care facility is approached with a view toward collective bargaining, which one of the following actions should not be taken? - Correct answer-Fire the employee involved in trying to organize the facility The primary argument used by nursing facilities in combating efforts to unionize a facility is that - Correct answer-unionization may be in conflict with the objectives of high quality resident care The first labor law concerning practices of management and unions is the - Correct answer-Wagner Act The National Labor Relations Board considers control of a labor union in the facility by the administrator to be - Correct answer-unfair labor practice In a labor dispute concerning a collective bargaining effort, the administrator of the facility may not - Correct answer-urge employees to persuade others to oppose the union What percentage vote is required to get a collective bargaining agreement in effect? - Correct answer-50% plus one vote What is a bargaining unit? - Correct answer-Employees performing work for a similar nature Which one of following is considered to be a formal training program? - Correct answer- In-service training program An orientation program in the nursing facility is primarily for - Correct answer-the employees and staff of the facility An administrator in training program can best be described as a - Correct answer- program to train individuals who have no prior nursing facility experience for administrative positions An example of an informal training program is - Correct answer-on the job training program A new employee is hired in the nursing facility. The type of training program most appropriate would be a - Correct answer-orientation program A dietary aide wo has been employed by the nursing facility for several years is in need of training to upgrade their skills. The kind of training most appropriate would be? - Correct answer-in-service training An administrator needs to upgrade his or her skills. The most appropriate training program is - Correct answer-attendance at an approved continuing education program A nurse continually makes errors in drug administration. What kind of training program should the administrator compel him or her to attend? - Correct answer-continuing education The trend in the U.S relative to retaining a license for nursing facility administrators is to have mandatory training in - Correct answer-continuing education What type of program is the least expensive but most effective? - Correct answer-In- service training A nurse's aide continues to come into work lat. An effective supervisory method is - Correct answer-bring the matter to the attention of the employee in private during a supervisory conference As the administrator of Pleasant view Nursing Facility, you receive a complaint about nursing care rendered by a staff nurse. The course of action should be to - Correct answer-gather the facts from the DON and then evaluate the course of action with the DON An effective department head working as a nursing staff committee member should - Correct answer-discuss their role and responsibility as a member of the committee During a regular department head meeting a department head who is extremely aggressive attempts to monopolize the meeting by asking irrelevant questions. As administrator the best way to handle the situation is to - Correct answer-discuss the problem with him or her in private at a supervisory meeting Departmentalization is the - Correct answer-process of grouping various activities into separate units Patterns most commonly found in departmentalization are groupings - Correct answer- by functions, products, territory, process, and time. An example of grouping by function in a nursing facility is - Correct answer-the nursing department Select the department of the nursing facility grouped by the customer that serves - Correct answer-Nursing All but one of the following are advantages of functional departmentalization - Correct answer-Excessive centeralization Departmentalization should be considered a part of which one of the functions of management - Correct answer-organizing All but one of the following are disadvantages of functional departmentalization - Correct answer-occupational specialization An example of product departmentalization is - Correct answer-dividing a large company into smaller administrative units For a small nursing facility the best kind of departmentalization is by - Correct answer- function The most effective type of departmentalization for a large nursing facility is by - Correct answer-function Some of the concepts which accounting is based are all but one of the following - Correct answer-Inconsistency of accounting methods Cash accounting is revenues recognized - Correct answer-when cash is received Accrual account is recognition of - Correct answer-revenues when actually earned and of expenses when actually incurred An asset is - Correct answer-an item of value owned by the nursing facility A fixed asset is an - Correct answer-item of value owned by the nursing facility which has value over an extended period of time An example of a fixed asset is - Correct answer-land and buildings A current asset is - Correct answer-cash Which one of the following is not a liquid asset? - Correct answer-Inventory Working capital is - Correct answer-Current assets minus current liabilities A liability is - Correct answer-debt of the nursing facility a fixed liability is - Correct answer-a debt which becomes due in a period of over one year An example of a fixed liability is - Correct answer-mortgage Owner's equity or net worth is the - Correct answer-total of assets minus total liabilites The first step in the accounting cycle is to record transactions on a daily or chronological basis. This is called - Correct answer-journalizing A long term indebtedness collateralized by real estate is called a(an) - Correct answer- mortgage When a nonprofit nursing facility makes a profit, this profit is referred to as - Correct answer-excess of income over expense A third party payor situation exists when - Correct answer-an intermediary pays for the legal obligations incurred by the resident All but one of the following are examples of third party payors in the nursing facility industry. - Correct answer-Resident The excess of total income over total expenses is referred to as - Correct answer-net profit A correct statement concerning the social security tax is that it - Correct answer-cannot exceed a certain percentage of an employees wages In a proprietary nursing facility the profits distributed to shareholders are called - Correct answer-dividends The primary function of depreciation is to - Correct answer-better determine the actual costs of operation Depreciation may be defined by - Correct answer-devaluation of an asset based upon wear and tear over a specific period of time An invoice which says 4/10-n/30, means a discount may be taken if payment is made within - Correct answer-10 days A stale check refers to a - Correct answer-outstanding check for over 60 days In order to determine the percentage of occupancy in a health care facility - Correct answer-divide the beds occupied by the bed complement A W-4 form is a form indicating - Correct answer-the number of claimed exemptions by an employee The social security tax - Correct answer-is a percentage of up to a certain amount of an employee wage. Determine the percentage of occupancy. On a certain date in a 150 bed facility there were 68 patients. Occupancy was - Correct answer-45 percent take #of patients and divide by number of beds in facility F.I.C.A, taxes concern - Correct answer-employees wages Under the Medicare program, skilled nursing facilities are reimbursed on a - Correct answer-price basis In the double entry bookkeeping system of accounting, when recording each transaction, which of the following two entries should be made in two different accounts? - Correct answer-A credit and debit In double entry accounting, the term "debit" includes - Correct answer-decrease in liability account Fixed cost is best defined as - Correct answer-an operating or capital expense that does not vary with business volume If the facility occupancy increases from 90% to 98%, the fixed cost per resident - Correct answer-decrease somewhat Variable cost is best defined as - Correct answer-operating costs that vary in direct proportion to changes in volume A variable cost is one that - Correct answer-changes according to occupancy An example of a fixed cost is - Correct answer-depreciation An example of a variable cost is - Correct answer-supplies All but one of the following are examples of property damage insurance - Correct answer-consequential loss A department head wishes to purchase a motorized wheelchair costing $510 during the coming fiscal year. Which of the following budgets would be affected by such a purchase? - Correct answer-Operating A budget may be defined as a - Correct answer-a projection of fiscal data for a specified period of time, usually one year An operating budget is considered a - Correct answer-planning and controlling device of a fiscal nature, usually for one year period In compiling an operating revenue budget, all but one of the following would be taken into consideration - Correct answer-Title VI The plant and equipment budget should include consideration of - Correct answer- anticipated purchase of equipment and repairs needed by departments The financial success or failure of a proprietary nursing facility is usually measured by its - Correct answer-return on equity On the balance sheet, assets must equal the sum of liabilities plus - Correct answer- owners equity The primary use of accounting procedures in a nursing facility is to - Correct answer- establish consistent and effective management control procedures All but one of the following items are necessary to implement an adequate accounting system - Correct answer-a peg board system The profit and loss statement is a - Correct answer-statement of income vs expenses The purpose of the profit and loss statement is - Correct answer-to portray the fiscal operation of the facility The balance sheet is a statement of - Correct answer-assets, liabilities, and capital as of a given date The purpose of the balance sheet is to - Correct answer-portray the entire financial operation of a facility as of a given date All but one of the following items would be included in a balance sheet - Correct answer-current operating expenses During the purchasing process, checks should be issued when which of the following is properly signed? - Correct answer-Purchase Order All but which one of the following are considered to be acceptable accounting methods of depreciation? - Correct answer-total write off The term E.D.P as related to the business office operation means - Correct answer- electronic data processing A report detailing on a monthly basis the cash receipts, cash on hand and cash disbursements is called a - Correct answer-cash report A report prepared on a monthly basis recording what is owed to others is called a - Correct answer-accounts payable Cost per patient day is obtained by - Correct answer-dividing total expenses by total patient days Cash flow may be best described as the - Correct answer-amount of cash generated by the operation of the nursing facility Short term financial commitments are normally met by the nursing facility's - Correct answer-net working capital The primary source of capital for financing nursing facilities is - Correct answer-long term bonds A nursing facility has been notified that its reimbursement lag will increase by ten days, which administrative act is most appropriate? - Correct answer-Working capital should be increased If the nursing facility loses $20,000, which accounts are affected? - Correct answer-cash and notes payable Current ratio or working capital ratio is computed by - Correct answer-dividing the current assets by the current liabilities The acid test ratio is computed by dividing - Correct answer-the quick assets by the current liabilities Cost accounting is - Correct answer-setting up a cost unit center in each department Departmental cost allocation refers to - Correct answer-amount of cost allotted to a department taking into consideration salary and other indirect costs Which of the following deductions from revenue is an allowable expense under current Medicare law? - Correct answer-Coinsurance bad debts All but which of the following factors are considered regarding premiums on a worker's compensation policy? - Correct answer-The current salary of the administrator The primary purpose for maintaining inventory control is to - Correct answer-maintain supplies at optimum level and discourage theft and embezzlement One of the following is considered essential in establishing an effective inventory control system. - Correct answer-A requisitioning system and centralized storeroom A perpetual inventory system involves keeping a - Correct answer-daily record of supplies received, issued, and left in inventory A perpetual inventory system is most likely used on a regular basis in which department of a nursing facility? - Correct answer-Pharmacy The Budget Reconciliation Act of 1997 established a prospective payment system (PPS). A PPS is a - Correct answer-price based system Under a PPS, the facility will be required to - Correct answer-manage costs within the reimbursement rate Which of the following services is not excluded by the Budget Reconciliation Act of 1997? - Correct answer-Routine and ancillary services Under the PPS system, Medicare guidelines will - Correct answer-stay the same To become a resident in a nursing facility, a person must be admitted by - Correct answer-a physician If a resident decides to leave a facility or is transferred, the facility - Correct answer- must assist and coordinate the transfer The OBRA Act of 1987 requires the services of a full-time, qualified social worker for - Correct answer-any nursing facility with more than 120 beds According to the Code of Federal Regulations, 42 CFR Part 483, a SNF resident must be seen by a physician during the first 90 days once every - Correct answer-30 days How many hours per day must the facility provide a resident with access to physician services? - Correct answer-24 hours Under the Code of Federal Regulations, 42 CFR Part 483, the term "licensed health professional" includes all of the following except - Correct answer-Nurse assistant To comply with the Code of Federal Regulations 42 CFR Part 483, the director of an activities program must be a qualified professional who - Correct answer-is a registered or licensed therapeutic specialist eligible for certification, a qualified OT or OTA, or has completed a training course approved by the state A nursing facility must use the services of a RN at least - Correct answer-8 consecutive hours a day, 7 days a week , except when waived A nurse practitioner is a - Correct answer-RN meeting state requirements governing qualifications of a nurse practitioner A requirement of OBRA, relative to the nursing staff in a nursing facility is that there is - Correct answer-sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical mental and psychosocial well being of the resident The Code of Federal Regulations, 42 CFR Part 483, requires that the DON services be - Correct answer-an RN on a full time basis except when waived A waiver of the RN requirement pursuant to the Code of Federal Regulations 42 CFR Part 483, is subject to review by the Secretary - Correct answer-annually The Code of Federal Regulations, 42 CFR Part 483, states that the DON can serve as a charge nurse and perform his or her duties as a DON at the same time in a nursing facility with an average daily occupancy of - Correct answer-60 or fewer residents One of the following has the most direct resident contact during the work day - Correct answer-Nurse Assistant (CNA) Under the Code of Federal Regulations, 42 CFR Part 483, a nurse assistant is any individual who - Correct answer-provides nursing and nursing related services to residents in a facility Nurse assistants have which of the following educational requirments - Correct answer- 75 hours of initial training and a competency exam, inservice education thereafter A nurse assistant may perform all but one of the following - Correct answer-Administer IV solution under supervision A residents assessment must be conducted no later than a stay of - Correct answer-14 days A comprehensive care plan must be developed within - Correct answer-7 days after the completion of the comprehensive assessment A resident assessment must take place - Correct answer-quarterly, and after any significant changes in condition A resident (comprehensive) care plan is a - Correct answer-planned course of action taking into consideration the total needs of the resident Resident rehabilitation is a process that - Correct answer-is an interdisciplinary responsibility The physical therapy department should - Correct answer-have a goal of prevention as well as treatment The primary purpose of rehabilitation is to - Correct answer-restore the resident to his or her maximum functional capacity Restorative nursing is geared to - Correct answer-restoring to normal function from a diseased or impaired physical disability One important way to evaluate the outcome of rehabilitative services is - Correct answer-the extent to which a function is restored or improved Specialized physical, occupational, or rehabilitative services must be provided under the Code of Federal Regulations, 42 CFR part 483 by a written order of the - Correct answer-physician The rehabilitation plan of care for a resident should be completed - Correct answer-as soon as the condition of the resident warrants it A physical therapist in a nursing facility is responsible for - Correct answer-helping the resident regain use of limbs An occupational therapist is primarily concerned with - Correct answer-assisting the resident to learn constructive skills Enhancing upper extremity mobility and improving fine motor coordination are areas of emphasis of the - Correct answer-occupational therapist Which person may serve as an occupational therapy assistant in a nursing facility - Correct answer-COTA An audiologist in a nursing facility is concerned with - Correct answer-hearing aids A speech therapist in a nursing facility is responsible for assisting the resident to - Correct answer-regain the ability to speak The primary function of the dietary department is to - Correct answer-provide adequate nutritional needs of the residents Which of the following statements should be a nursing facility policy? - Correct answer- Self help devices should be available for the physically impaired It is required that the length of time between the evening meal and breakfast meal does not exceed - Correct answer-14 hours A decentralized dietary department means - Correct answer-trays are served from a floor kitchen directly to the resident Food exchanges as used in diet planning concern - Correct answer-modified diets A centralized food system is best defined as - Correct answer-trays served from a main kitchen to the resident directly A state approved food service supervisor generally is required to have how many hours of specialized training - Correct answer-90 hours Calcium as found in food is a - Correct answer-mineral A professionally trained dietary consultant would have what initials after her name - Correct answer-R.D A primary reason older persons may lose their appetite is - Correct answer-decreased sense of smell The primary reason for serving standardized portions of food is - Correct answer-portion control Nutritional menu planning would best be based upon the recommendations of which group - Correct answer-Food and Nutrition Board of the National Research Council As the aging process advances, the resident needs fewer - Correct answer- carbohydrates In the process of digestion, carbohydrates are - Correct answer-broken down to glucose Federal and state regulations require that health records be kept - Correct answer-on each resident in the facility The legal right to information included in a health record is that of the - Correct answer- resident In the absence of a state statute, the general rule for retention of health records in terms of years after a resident dies is - Correct answer-five years A physician's verbal order must be signed by the - Correct answer-physician and the nurse taking the order The portion of the health record dealing with personal data of the resident is called the - Correct answer-identification station The chronological recording of nursing care in the health record is in the - Correct answer-nurses progress An attending physician prescribes valium for a resident. In which part of the medical record would this be recorded? - Correct answer-physician's order section The acknowledgement form for the Resident's Bill of Rights would be kept in which part of the medical record? - Correct answer-Reports and rehabilitation section The results of physical therapy treatment are recorded in the health record - Correct answer-physical therapist The consents for surgery or other elective medical procedures are found in which part of the medical record? - Correct answer-Reports and forms A valid court order directing that medical records be made available to a given third party must be honored - Correct answer-and the residents consent is not required Which person may serve as a medical record consultant in a nursing facility? - Correct answer-R.R.A Dispensing drugs to individual residents from bulk containers is done by a - Correct answer-pharmacist Administration of a drug is best defined as an act - Correct answer-in which a single dose of a prescribed drug or biological is given a resident by a duly authorized person according to law A subcutaneous injection is placed - Correct answer-under the skin Sodium pentathol is a - Correct answer-barbiturate (sleep inducing drug) Which of the following can receive oral orders regarding the prescription of medication? - Correct answer-Licensed nurse, pharmacist, or another physician Medication orders given to a nurse must be countersigned by the ordering physician within - Correct answer-48 hours The best way to dispose of noncontrolled drugs is by - Correct answer-water disposal Medications requiring refrigeration should be stored in a refrigerator with a temperature range of - Correct answer-35-50 degrees Nonprescription drugs are commonly purchased - Correct answer-over the counter The Controlled Substance Act of 1976 classifies a Schedule II substance as a drug - Correct answer-that has a high potential for abuse Nitroglycerin is a drug commonly classified as a - Correct answer-cardiovascular The Physicians Desk Reference (PDR) is a textual resource for - Correct answer-use of drugs and side effects The nutrients that are adversely affected by over the counter or prescription drugs are - Correct answer-vitamins B-6, B-12, folate and zinc A prescription drug - Correct answer-is ordered only by a physician According to the Code of Federal Regulation, 42 CFR part 483, the drug regime of each resident must be reviewed by a licensed pharmacist at least - Correct answer-monthly In the event of a medication error, the first action to take is to report to the - Correct answer-attending physician Residents in a facility may take medications home upon approval of the - Correct answer-attending physician In a nursing facility, the primary goal of a good medication administration procedure is - Correct answer-Resident safety Which of the following may serve as a consultant pharmacist in a nursing facility - Correct answer-Rph Controlled drugs in a participating nursing facility are subject to which act? - Correct answer-Comprehensive Drug Act of 1976 Geriatrics is best defined as - Correct answer-branch of medicine concerned with the problems of aging A physician specializing in treatment of diseases of the aging is a - Correct answer- geriatrician A resident who manifests constant depression is said to be in a state of - Correct answer-melancholia All but one are a function of the Social Service Department - Correct answer-Assisting with review of the physical condition of the resident A prognosis of the time a person has to live is called - Correct answer-life expectancy Gerontology is best described as - Correct answer-patterns and trends in the aging population Those 65 or over in the United States consist of what percentage of the total population? - Correct answer-12 percent The most important concept to consider in housing for the aging is that the housing should - Correct answer-be adapted to peculiar problems of the elderly The express purpose of preadmission screening and annual resident review (PASARR) is to - Correct answer-ensure that the mentally ill and mentally retarded receive appropriate care. Approximately what percentage of those 65 or over are in nursing facilities? - Correct answer-5.5 percent Retirement as it applies to the aging population is - Correct answer-relatively new in American cultural patterns Aging is common to all. What statement best describes the aging pattern? - Correct answer-It varies with individuals A tertiary care facility is a - Correct answer-hospital P.R.O.S try to regulate - Correct answer-overutilization of institutional facilites One of the most prevalent chronic diseases among the elderly is - Correct answer- arteriosclerosis A readily treatable condition of the eye occurring in old age is - Correct answer- cataracts The word supine means - Correct answer-lying on the back, face upward Some of the factors contributing to the aging process include all but one of the following - Correct answer-drug interactions Which of the following is not a consequence of normal aging? - Correct answer- Dementia Anemia is best defined as - Correct answer-decrease in number of red blood cells Arteriosclerotic heart disease is a - Correct answer-hardening of the arteries of the heart Phlebitis is a - Correct answer-inflammation of the walls of the veins Arthritis is - Correct answer-inflammation of the joints Hepatitis is a disease of the - Correct answer-liver Cerebral vascular accident is commonly referred to as - Correct answer-stroke Hemorrhage is a condition in which the blood vessels - Correct answer-break Parkinson's disease is a - Correct answer-slowly progressive disease of the brain Carcinoma is - Correct answer-a malignant growth The term benign means - Correct answer-nonmalignant Diabetes is a - Correct answer-chronic disorder involving carbohydrate system Myocarditis is an inflammation of the - Correct answer-heart muscles Atrophy is - Correct answer-degeneration of an organ due to disuse Nephritis is inflammation of the - Correct answer-kidney Gastritis is a disease of the - Correct answer-stomach Chronic constipation is - Correct answer-abnormal infrequency of defecation Varicose veins are a condition in which the - Correct answer-veins become enlarged through distension Epilepsy is a - Correct answer-chronic disease of the nervous system Congenital heart disease means - Correct answer-a heart disease caused by hereditary factors Neuritis is a - Correct answer-degenerative lesion of a nerve fiber Bronchitis is the inflammation of the - Correct answer-membranes of bronchial tubes Parkinson's disease is characterized by - Correct answer-tremors Osteoarthritis is commonly referred to as - Correct answer-degenerative joint disease A fractured patella refe