NAB Exam With Correct Answers

Gerontologists Categories - How is Young-Old Defined? - Answer 65 to 74 years old Gerontologists Categories - How is Old-Old Defined? - Answer 75 to 84 years old Gerontologists Categories - How is Oldest-Old Defined? - Answer Over 85 + years old The morning meal must be served within how many hours after the previous meal? - Answer 14 Hours, if the required evening snack is substantial and the resident approves 16 hours may elapse A full time social worker is required if the facility has more than how many beds? - Answer 120 Beds What qualifications are required of a full time social worker? - Answer BS (Bachelors of Science) in Social work, psychology or rehabilitation counseling. Also, 1 year of supervised social work experience in a health-care setting When can the DON act as charge nurse? - Answer When ADC (Average Daily Census) is 60 or lower What is a substantial weight loss or gain? - Answer 5% gain/loss in one month or a 10% gain/loss in a 6 month period How often are physicians required to visit their patients? - Answer Once every 30 days for the first 90 day period, then at least every 60 days thereafter A comprehensive care plan must be developed with how many days of MDS completion? - Answer 7 Days (Medicare or 14 days Medicaid) If marked PRN a medication is administered? - Answer As Needed If marked BID a medication is administered? - Answer Twice a Day If marked TID a medication is administered? - Answer Three Times a Day If marked QID a medication is administered? - Answer Four Times a Day If marked QD a medication is administered? - Answer Every Day If marked QOD a medication is administered? - Answer Every Other Day If marked HS a medication is administered? - Answer At Bedtime If marked AC a medication is administered? - Answer Before Meals If marked PC a medication is administered? - Answer After Meals If marked PO a medication should be given by which route? - Answer Orally (by mouth) If marked R a medication should be given by which route? - Answer Rectally If marked IV a medication should be given by which route? - Answer Intravenously If marked IM a medication should be given by which route? - Answer Intramuscularly If marked OD a medication should be given by which route? - Answer Right Eye If marked OS a medication should be given by which route? - Answer Left Eye If marked OU a medication should be given by which route? - Answer Both Eyes If marked AD a medication should be given by which route? - Answer Right Ear If marked AS a medication should be given by which route? - Answer Left Ear If marked AU a medication should be given by which route? - Answer Both Ears Quality Indicator sentinel health event signified by QI 11? - Answer Prevalence of Fecal Impaction Quality Indicator sentinel health event signified by QI 15? - Answer Prevalence of Dehydration Quality Indicator sentinel health event signified by QI 24? - Answer Prevalence of Stage 1-4 Pressure Ulcers Quality Indicators (QI) will be flagged at what percentage? - Answer 90% Percentile (the higher the % the worse the flag) Activities of Daily Living (ADL) include? (5 areas) - Answer Ambulation/Locomotion, Eating, Toileting, Grooming/Personal Hygiene/Bathing, and Communicating How are Controlled Substances rated? - Answer On a Schedule from 1 to 5. The higher the # the more controlled the substance. What controls are necessary for #2 scheduled substance? - Answer Must have Separate Locked Storage. Must be Accounted for Each Shift. If an applicant isn't hired how long must their application be kept in file? - Answer 1 Year How many hours of In-Service must C.N.A.'s have each year? - Answer 12 hours How long can aides work before they become certified? - Answer 4 Months (i.e.. They are going through classes or waiting to take a test for certification) A facility must give how many days notice to a Union for a desired contract change? - Answer 90 Days A Union must give how many days notice before a strike? - Answer 10 Days An I-9 must be retained for how long? - Answer 3 years from the date of hire or until 1 year after termination (whichever is later) Employees returning from Military leave must apply to return to work within how many days of discharge? - Answer 90 Days What does FMLA stand for? - Answer Family and Medical Leave Act What benefits does FMLA provide? - Answer 12 Weeks unpaid leave How many days notice must an employee give to go out on FMLA? - Answer 30 Days Notice An accidental death must be reported to OSHA within what time frame? - Answer Within 8 hours Type of leadership known as Top down leadership? - Answer Autocratic Balance sheet is made up off which three items? - Answer Assets, Liabilities, and Owners Equity (all on a particular date) An Income Statement shows? - Answer Revenues and Expenses Liabilities that may or may not be incurred by a facility depending on the outcome of a future event? - Answer Contingent Liabilities (ex. Court Case) A fixed daily payment? - Answer Per Diem Residents funds in excess of what amount must be kept in an interest bearing account? - Answer Medicaid- $50; Medicare-$100 (Cash + Current Receivables) / Current Liabilities = - Answer Acid Test Ratio Current Assets / Current Liabilities - Answer Current Ratio Under double entry rules increases in assets and expenses are recorded as? - Answer Debits Under double entry rules decreases in assets and expenses are recorded as? - Answer Credits Under double entry rules increases in Liability, Revenue and Capital accounts are recorded as? - Answer Credits Under double entry rules decreases in Liability, Revenue and Capital accounts are recorded as? - Answer Debits Services which are not generally provided to most residents and which may be separately billable? - Answer Ancillary Services (ex. Labs, Radiology, Pharmacy Services, and Rehab Therapies) Thresholds may not rise over? - Answer 1/4 Inch What is the acceptable air temperature range in a facility? - Answer 71 - 81 Degrees Fahrenheit Soiled Linen carts should be decontaminated how often? - Answer Weekly (minimum) or ASAP when visibly contaminated. A Hazard posed by medications is a? - Answer Health Hazard (Chemical) A Hazard posed by surroundings is a? - Answer Physical Hazard How often must fire drills be performed? - Answer Quarterly (4 times a year for each shift) What is the minimum width of egress doors? - Answer 32 Inches How often must the QA Committee meet? - Answer Quarterly The QA Committee meeting must include whom? - Answer DON, a Physician, and Three other Staff Members A resident's room must have at least how much useable space? - Answer 80 .. Minimum area in a single (private) resident room? - Answer 100 .. For Profit Organizations are governed by? - Answer A Board of Directors Non-Profit Organizations are governed by? - Answer A Board of Trustees What are the 5 levels of needs in Maslow's Hierarchy? - Answer 1) Food (physiological); 2) Safety; 3) Love; 4) Power (esteem); 5) Self-Actuating Needs (ex. Fulfilling ones potential) Theory X advocates? - Answer The use of Fear of Punishment to motivate (assumes employees are inherently lazy and dislike work) Theory Y advocates? - Answer Rewards employees for accomplishing goals (assumes employees like work as much as play) Theory Z advocates? - Answer Participation in Nature. Employees have input into how their work is done and how decisions are made. What does Herzberg's Two Factor Theory teach regarding employees negative feelings about work? - Answer Generally associated with the environment in which they are working. What does Herzberg's Two Factor Theory teach regarding employees positive feelings about work? - Answer When employees feel good about work they associate it with the work itself. Herzberg's dissatisfaction factor equates to? - Answer Hygiene Factors (ex. Status, Job security, salary, fringe benefits, work conditions) Herzberg's satisfaction factor equates to? - Answer Motivators (ex. Challenging work, recognition, responsibility) Type of authority characterized by direct supervision over a subordinate? - Answer Line Authority Type of authority characterized by advisory capacity? - Answer Staff Authority The Safety Medical Devices Act requires that a serious injury or death be reported to whom and when? - Answer Incidents resulting from medical devices causing death or serious injury must be reported to SMD within 24 hours and to the FDA within 10 days. The Fair Labor Standards Act requires overtime be computed how and what rate? - Answer OT computed at 1 1/2 times the regular pay rate. Based on 14 day period with any time over 8 hrs daily and over 80 hrs in the 14 day period being overtime. To avoid retraining and a competency evaluation program a C.N.A. must work continuously for how long? - Answer 24 Consecutive Months What does QAC stand for? - Answer Quality Assurance Committee The use of 9 or more medications for a given resident? - Answer Polypharmacy OT? - Answer Occupational Therapy PT? - Answer Physical Therapy ST? - Answer Speech Therapy What is the Medicare definition of Hospice Care? - Answer Supportive care provided to terminally ill patients and their families in the final 6 months of a patients life. Palliative Care is defined as? - Answer Management and support provided for reduction or abatement of pain. Doesn't include treatment to cure medical condition or to artificially prolong life. The Age Discrimination Act protects employees in what age group? - Answer 40 to 70 years old. How often must form 941 be filed by employers? - Answer Quarterly, Form 941 is the Employers Quarterly Federal Tax Return What information is included in Form 941? - Answer Amount witheld for federal income taxes and the employer's & employee's share of FICA and Medicare taxes. Residents paying in this manner may be billed in advance? - Answer Self pay residents (third party programs may not be billed in advance) Residents must be notified when their account rises to within what amount of the resource limit the state has established? - Answer Within $200 of the limit (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = - Answer Days of Cash Days of Cash - Answer (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = Net Resident Accounts Receivable from all Sources / (Net Patient Revenue / 356) = - Answer Days in Resident Accounts Receivable Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = - Answer DSO (Daily Sales Outstanding) DSO (Daily Sales Outstanding) - Answer Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = The operating budget is composed of what two categories? - Answer Revenue and Expense Categories The type of budget that projects cash inflows and outflows? - Answer Cash Budget The type of budget that reflects long-term capital decisions? - Answer Capital Budget The organizations expected financial condition if the budgeted amounts are realized? - Answer Pro Forma Statement Liquid assets include? - Answer Short term notes, cash, and accounts receivable Where must Sharps containers be provided? - Answer in the Laundry Room and Every Med Cart What space must be provided below automatic sprinkler heads? - Answer 18 inches (items may not be stored above 18 inches below the sprinkler heads) Building additions must be separated by a fire barrier with at least the following rating? - Answer 2 hours Hot food should be served at what temperature? - Answer 140 F Which federal agency mandated the RAI (Resident Assessment Instrument)? - Answer HCFA (Health Care Financing Administration) preferred term in now CMS (Centers for Medicare and Medicaid Services) Is the administrator typically a primary interdisciplinary team member? - Answer No Drugs that have a high tendency for abuse and no medical use? - Answer Schedule 1 (ex. Marijuana, Heroin, Ecstasy, LSD, etc.) Drugs that have a high tendency for abuse, may have an acceptable medical use, and can be available by prescription? - Answer Schedule 2 (ex. Cocaine, Opium, Morphine, Fentanyl, Amphetamines, etc.) Drugs with less potential for addiction and have a currently accepted medical use? - Answer Schedule 3 (ex. Anabolic Steroids, Codeine, Ketamine, etc.) Drugs with low potential for abuse and limited addictive properties and a current accepted medical use? - Answer Schedule 4 (ex. Valium, Xanax, Phenobarbital, Rohypnol) Drugs with lowest potential for abuse, current accepted medical use, often don't require a prescription? - Answer Schedule 5 (ex. Cough suppressants with Codeine) Under the ADA (Americans with Disabilities Act) what item is not a disability? - Answer Illiteracy - Not having learned to read The Pregnancy Discrimination Act is an amendment to what other act? - Answer The Civil Rights Act Fringe benefits are typically outline in? - Answer Personnel Policies The ERISA (Employee Retirement Income Security Act) is enforced by which agency? - Answer EEOC (Equal Employment Opportunity Commission) What must be done after entering a transaction in the journal and posting it to the ledger? - Answer Periodically balance each account What terms are used to refer to inventory? - Answer LIFO, FIFO, Physical, & Perpetual (Posting is Not) FUTA refers to? - Answer Federal Unemployment Tax Act (unemployment tax) An invoice is usually a? - Answer List A current trial balance includes? - Answer Debits, Credits, Names of Accounts (not zero balance) How much space must be between beds in multibed rooms? - Answer 3 Feet What agency prepared "standard precautions" procedures? - Answer CDC (Centers for Disease Control and Prevention)