NAB RCAL EXAM QUESTIONS AND CORRECT
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An employee working overtime sees a supervisor and a coworker kissing in the unoccupied room
an hour after their shift has ended. The next day, the supervisor tells the employee you do not
need to mention what you saw yesterday. We are all adults here, and what we do after hours is
our own business. The employee feels threatened. Is an example of sexual harassment?
No. because it did not happen to the witnessing employee
No. because the incident happened after the supervisor coworkers shift had ended
Yes. because it is morally reprehensible and ethically unacceptable
Yes. because the conduct only need to be offensive to the witnessing employee - CORRECT
ANSWER Yes, because it is morally reprehensible and ethically unacceptable
Two simple techniques for minimizing the spread of microorganisms along floors when wet
mopping are: - CORRECT ANSWER Utilizing a double bucket mopping technique and
frequent changing mop water
Whether or not the state sets a minimum number of staff or staffing hours, communities should
staff based on the - CORRECT ANSWER Resident care needs
The occupational safety and health administration (OSHA)
a. Provides rights and protection for participants in group health plans - CORRECT ANSWER
Requires employers to maintain a log of certain injuries and illnesses
What are the top 4 additionally cited quality of care deficiencies in AL between 1996-1997 -
CORRECT ANSWER Providing poor care
insufficient and unqualified untrained staff
Poor medication management
Not following admission and discharge policies
For people who have not named an agent in advance, the courts can be asked to name a surrogate
decision maker, this process is known as - CORRECT ANSWER Guardianship,
(conservatorship in california)
If a person in need of guardianship does not have a relative or other person willing to act as
guardian, states have public guardians whose job is to act as guardian in such cases - CORRECT
ANSWER True
Why was the Guardianship law create? - CORRECT ANSWER The Guardianship law was
created and designed mainly to name surrogates for people who did not nominate a surrogate in
advance of losing capacity
,A national study have estimated that 3 to 4 % of nursing home and ALF residents have lost
capacity and have no formal or informal surrogate and have not executed any advance directive.
- CORRECT ANSWER True. These residents are sometimes called unrepresented residents
Some ALF communities will not accept unrepresented residents because they need someone with
legal authority to sign the admission agreement - CORRECT ANSWER True. Providers cannot
contract with unrepresented residents or residents who does not have capacity to sign admission
agreement
ALF should adamentaly avoid acting as health care surrogates for unrepresented residents. If a
resident does not have capacity or a surrogate, no consent can be legally given and any provider
who does so may be guilty of batter, false imprisonment or crimes and torts. - CORRECT
ANSWER True. A local guardian should be engaged for unrepresented residents
Review Tort laws, contracts, estate planning, advance planning surrogate decision making, -
CORRECT ANSWER Be mindful of elder laws that should be an ally of ALF rules and
regulations are there to help navigate concerns for unrepresented elders
Accounting is a discipline that is based on basic and evident concepts which should be
understood by the financial manager. - CORRECT ANSWER True
The financial system should allow for basic cost accounting so that the senor management will
be aware of all expenses and revenues relating to each department. this accounting system should
also be able to collect data such as number of admissions, readmissions, resident transfers
upgrades downgrades discharges in order for senior management to do what? - CORRECT
ANSWER Strategic Planning
What are the two basic systems in accounting - CORRECT ANSWER cash basis and accrual
basis
Tort Law is - CORRECT ANSWER The law governing people's relationships with one another
as general members of a civil society
What are the key elements to a Tort Law - CORRECT ANSWER 1. civil wrong against a
person or property 2.prosecuted by the victim or their representative e.g, usually personal injury
law
What are statutes? - CORRECT ANSWER written laws enacted by legislatures. statues comes
from Federal, state and local governments and vary considerably
Regulations/Rules - CORRECT ANSWER 1. Operate with a large grant of power from
Congress
2. Must first develop guidelines
3.Apply and enforce rules
4.Are passed by government agencies operating within the executive branch
5. statues usually prevails regulations
,Agency that addresses ALF is often called: - CORRECT ANSWER Department of health and
human services
Common Law comes from: - CORRECT ANSWER 1. Judges
2. To fill the void of Statutes and Regulations
3. Are developed as courts consideted cases and rendered decisions based on principles of
general fairness
4. Common law is prominent in tort laws involving negligence
Law comes from - CORRECT ANSWER constitutions (state and federal)- includes treaties
made by the federal government
statutory (state and federal)- found in books on line
administrative agencies (state and federal)-
case law and common law doctrines- judge made law, decisions of courts interpreting the above
types of law.
essentially all 3 branches of government. Statutes comes from the legislative branch. Regulations
from the executive branch and common law from the judicial branch
What are tort law remedies? - CORRECT ANSWER 1.Monetary compensation-focus on
making the victim whole
2. Equitable relief-a=injunctions e,g court orders and b=specific performance or court order
requiring a party to complete its promises made in a contract
Negligence - CORRECT ANSWER careless neglect, often resulting in injury. Failure to live up
to the applicable standard of care. does not require a failure to act; positive actions can constitute
negligence
What are the 4 elements of negligence claims - CORRECT ANSWER 1.the negligent party
must have a duty of exercising due care to the victim
1.Must have been a breach of the standard of care
3.the breach must have caused actual harm to the victim
4.the harm must be measurable in damages
What is the most important element of Negligence? - CORRECT ANSWER The duty to care -
based on state laws and professional standards
What are the applicable standard of care expressed by state laws? - CORRECT ANSWER 1.
Required Services(shelter, food, supervision assistance with ADLS, assist with meals, dressing,
grooming, transportation to Md apts essentially oversight and assistance with the residents
personal needs
2. Resident care plan - must be updated whenever the residents needs change, reviewed by an
MD annually
3. the care plan assessment must reflect the residents current condition and address a plan for any
changing needs and continuous revision
and should be viewed as active, fluid process involving both assessment and implementation
, 4.Staffing levels - minimum staffing levels to provide adequate care to residents - monitor staff
levels and the care needs of the residents
Medication Management - CORRECT ANSWER Communicating with the physician about
prescriptions, filling prescriptions at the pharmacy, interpreting medication instructions, taking
medications on a routine basis, refilling prescriptions in a timely manner. Store/distribute
medication to the hands of the resident never in the mouth.
Medication Management Liabilities includes: - CORRECT ANSWER medication error.
overdose of residents. if residents not able to continue taking their medication the facility must
take the medication. staff training must be satisfied for Med MGMT. supervise outside nursing
performance.
Resident falls dilemma - CORRECT ANSWER Resident autonomy, explore risks and benefits,
how to walk/ambulate, explore residents safety, how to prevent residents from falling, can lead
to severe injuries and permanent declines in functioning or death. Falls leads to personal injury
law suits.
Resident falls dilemma 2 - CORRECT ANSWER The only way to prevent fall is to restrain
residents, which is prohibited by law, but the state does not set any care standards or guidelines
to prevent falls. Care plans should indicate if a resident is at risk for falls and how it is addressed.
Implement appropriate measures to limit that risk of falls as much as possible. assistance to
bathroom. walkers, wc cane. document residents acceptance or refusal of recommended fall
prevention techniques. explore environmental issues, carpeting, grab bars, lighting, spill clean
up. Detailed post fall procedures that at minimum assess the resident for a physician visit.
documents the falls and triggers additional care plan revision. post fall procedures will be
scrutinized by attorneys whenever a fall leads to significant injury or death
resident and wandering - CORRECT ANSWER Balance the rights for residents to be free
however, supervision and safety is utmost important as well balance the rights of both standard
care.
Accounting is - CORRECT ANSWER The system which accumulates data of quantitative
nature relating to the activities taking place in the facility
Accounting collects data on: - CORRECT ANSWER Admission, readmission, resident
transfers, discharges, upgrades, downgrades and also helps to facilitate strategic planning
what are the discipline and evidential concepts of accounting? - CORRECT ANSWER 1.Buying
and selling and carrying out business activities
2.continuity of activity, life of its own and devided into parts. Timed measurements to determine
the amount of dollars earned and the expenditures in each piece
3.objectively documented. accounts payable invoice must be accompanied by proper
documentation PO, vendor invoice, receiving report, paper check issued in payment of the bill
4.consistent year to year. standardization and uniformity is crucial
5.full disclosure relating to accounting procedures is essential
