NAB Exam with complete solution

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 sq.ft..