NAB NHA Examination | Questions and Answers (Complete Solutions)

NAB NHA Examination | Questions and Answers (Complete Solutions) Gerontologists Categories - How is Young-Old Defined? 65 to 74 years old Gerontologists Categories - How is Old-Old Defined? 75 to 84 years old Gerontol ...

NAB NHA Examination | Questions and Answers (Complete Solutions) Gerontologists Categories - How is Young-Old Defined? 65 to 74 years old Gerontologists Categories - How is Old-Old Defined? 75 to 84 years old Gerontologists Categories - How is Oldest-Old Defined? Over 85 + years old The morning meal must be served within how many hours after the previous meal? 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? 120 Beds What qualifications are required of a full time social worker? 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? When ADC (Average Daily Census) is 60 or lower What is a substantial weight loss or gain? 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? 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? 7 Days (Medicare or 14 days Medicaid) If marked PRN a medication is administered? As Needed If marked BID a medication is administered? Twice a Day If marked TID a medication is administered? Three Times a Day If marked QID a medication is administered? Four Times a Day If marked QD a medication is administered? Every Day If marked QOD a medication is administered? Every Other Day If marked HS a medication is administered? At Bedtime If marked AC a medication is administered? Before Meals If marked PC a medication is administered? After Meals If marked PO a medication should be given by which route? Orally (by mouth) If marked R a medication should be given by which route? Rectally If marked IV a medication should be given by which route? Intravenously If marked IM a medication should be given by which route? Intramuscularly If marked OD a medication should be given by which route? Right Eye If marked OS a medication should be given by which route? Left Eye If marked OU a medication should be given by which route? Both Eyes If marked AD a medication should be given by which route? Right Ear If marked AS a medication should be given by which route? Left Ear If marked AU a medication should be given by which route? Both Ears Quality Indicator sentinel health event signified by QI 11? Prevalence of Fecal Impaction Quality Indicator sentinel health event signified by QI 15? Prevalence of Dehydration Quality Indicator sentinel health event signified by QI 24? Prevalence of Stage 1-4 Pressure Ulcers Quality Indicators (QI) will be flagged at what percentage? 90% Percentile (the higher the % the worse the flag) Activities of Daily Living (ADL) include? (5 areas) Ambulation/Locomotion, Eating, Toileting, Grooming/Personal Hygiene/Bathing, and Communicating How are Controlled Substances rated? On a Schedule from 1 to 5. The higher the # the more controlled the substance. What controls are necessary for #2 scheduled substance? 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? 1 Year How many hours of In-Service must C.N.A.'s have each year? 12 hours How long can aides work before they become certified? 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? 90 Days A Union must give how many days notice before a strike? 10 Days An I-9 must be retained for how long? 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? 90 Days What does FMLA stand for? Family and Medical Leave Act What benefits does FMLA provide? 12 Weeks unpaid leave How many days notice must an employee give to go out on FMLA? 30 Days Notice An accidental death must be reported to OSHA within what time frame? Within 8 hours Type of leadership known as Top down leadership? Autocratic Balance sheet is made up off which three items? Assets, Liabilities, and Owners Equity (all on a particular date) An Income Statement shows? Revenues and Expenses Liabilities that may or may not be incurred by a facility depending on the outcome of a future event? Contingent Liabilities (ex. Court Case) A fixed daily payment? Per Diem Residents funds in excess of what amount must be kept in an interest bearing account? Medicaid- $50; Medicare-$100 (Cash + Current Receivables) / Current Liabilities = Acid Test Ratio Current Assets / Current Liabilities Current Ratio Under double entry rules increases in assets and expenses are recorded as? Debits Under double entry rules decreases in assets and expenses are recorded as? Credits Under double entry rules increases in Liability, Revenue and Capital accounts are recorded as? Credits Under double entry rules decreases in Liability, Revenue and Capital accounts are recorded as? Debits Services which are not generally provided to most residents and which may be separately billable? Ancillary Services (ex. Labs, Radiology, Pharmacy Services, and Rehab Therapies) Thresholds may not rise over? 1/4 Inch What is the acceptable air temperature range in a facility? 71 - 81 Degrees Fahrenheit Soiled Linen carts should be decontaminated how often? Weekly (minimum) or ASAP when visibly contaminated. A Hazard posed by medications is a? Health Hazard (Chemical) A Hazard posed by surroundings is a? Physical Hazard How often must fire drills be performed? Quarterly (4 times a year for each shift) What is the minimum width of egress doors? 32 Inches How often must the QA Committee meet? Quarterly The QA Committee meeting must include whom? DON, a Physician, and Three other Staff Members A resident's room must have at least how much useable space? 80 sq.ft. Minimum area in a single (private) resident room? 100 sq.ft. For Profit Organizations are governed by? A Board of Directors Non-Profit Organizations are governed by? A Board of Trustees What are the 5 levels of needs in Maslow's Hierarchy? 1) Food (physiological) 2) Safety 3) Love 4) Power (esteem) 5) Self-Actuating Needs (ex. Fulfilling ones potential) Theory X advocates? The use of Fear of Punishment to motivate (assumes employees are inherently lazy and dislike work) Theory Y advocates? Rewards employees for accomplishing goals (assumes employees like work as much as play) Theory Z advocates? 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? Generally associated with the environment in which they are working. What does Herzberg's Two Factor Theory teach regarding employees positive feelings about work? When employees feel good about work they associate it with the work itself. Herzberg's dissatisfaction factor equates to? Hygiene Factors (ex. Status, Job security, salary, fringe benefits, work conditions) Herzberg's satisfaction factor equates to? Motivators (ex. Challenging work, recognition, responsibility) Type of authority characterized by direct supervision over a subordinate? Line Authority Type of authority characterized by advisory capacity? Staff Authority The Safety Medical Devices Act requires that a serious injury or death be reported to whom and when? 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? 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? 24 Consecutive Months What does QAC stand for? Quality Assurance Committee The use of 9 or more medications for a given resident? Polypharmacy OT? Occupational Therapy PT? Physical Therapy ST? Speech Therapy What is the Medicare definition of Hospice Care? Supportive care provided to terminally ill patients and their families in the final 6 months of a patients life. Palliative Care is defined as? 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? 40 to 70 years old. How often must form 941 be filed by employers? Quarterly, Form 941 is the Employers Quarterly Federal Tax Return What information is included in Form 941? Amount withheld 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? 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? Within $200 of the limit (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = Days of Cash Days of Cash (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = Net Resident Accounts Receivable from all Sources / (Net Patient Revenue / 356) = Days in Resident Accounts Receivable Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = DSO (Daily Sales Outstanding) DSO (Daily Sales Outstanding) Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = The operating budget is composed of what two categories? Revenue and Expense Categories The type of budget that projects cash inflows and outflows? Cash Budget The type of budget that reflects long-term capital decisions? Capital Budget The organizations expected financial condition if the budgeted amounts are realized? Pro Forma Statement Liquid assets include? Short term notes, cash, and accounts receivable Where must Sharps containers be provided? in the Laundry Room and Every Med Cart What space must be provided below automatic sprinkler heads? 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? 2 hours Hot food should be served at what temperature? 140 F Which federal agency mandated the RAI (Resident Assessment Instrument)? 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? No Drugs that have a high tendency for abuse and no medical use? 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? Schedule 2 (ex. Cocaine, Opium, Morphine, Fentanyl, Amphetamines, etc.) Drugs with less potential for addiction and have a currently accepted medical use? Schedule 3 (ex. Anabolic Steroids, Codeine, Ketamine, etc.) Drugs with low potential for abuse and limited addictive properties and a current accepted medical use? Schedule 4 (ex. Valium, Xanax, Phenobarbital, Rohypnol) Drugs with lowest potential for abuse, current accepted medical use, often don't require a prescription? Schedule 5 (ex. Cough suppressants with Codeine) Under the ADA (Americans with Disabilities Act) what item is not a disability? Illiteracy - Not having learned to read The Pregnancy Discrimination Act is an amendment to what other act? The Civil Rights Act Fringe benefits are typically outline in? Personnel Policies The ERISA (Employee Retirement Income Security Act) is enforced by which agency? EEOC (Equal Employment Opportunity Commission) What must be done after entering a transaction in the journal and posting it to the ledger? Periodically balance each account What terms are used to refer to inventory? LIFO, FIFO, Physical, & Perpetual (Posting is Not) FUTA refers to? Federal Unemployment Tax Act (unemployment tax) An invoice is usually a? List A current trial balance includes? Debits, Credits, Names of Accounts (not zero balance) How much space must be between beds in multibed rooms? 3 Feet What agency prepared "standard precautions" procedures? CDC (Centers for Disease Control and Prevention) What entity establishes the resident to bathroom/toilet ratio? The State A fire that is out of control is referred to as a? Flashover Two entities that have established regulations relative to requirements for emergency electrical power? NFPA (National Fire Protection Association) and OBRA (Omnibus Budget Reconciliation Act) Must a totally Private Pay Health Care Facility be licensed? Yes What are the two most important risk management tools? Education and Quality Control In civil law a Curator is? A Guardian What temperature should dishwasher rinse water be? 180F A group of symptoms that occur together? A syndrome Under OBRA (Omnibus Budget Reconciliation Act) the medical director is responsible for the implementation of? Dietary, Admission, and Infection Control Policies How long must medical records be maintained? 5 years after discharge or 3 years after a discharged resident reaches the age of 18. Examples of Schedule 2 drugs? Morphine, Codeine, Ritalin, and Nembutal, etc. The Comprehensive Drug Abuse Prevention and Control Act established the? The 5 Schedules of drugs. A modality is a? Specific Treatment When must a continuation of employee insurance be offered under COBRA? Employee retirement, marriage dissolved, employee fired (not if the employee's work hours are reduced) (required staff / provided staff) * 100 = Employee Productivity A declining proration of asset cost is defined as? Amortization The income of a proprietary corporation remaining after all costs, taxes, and dividends is defined as? Retained Earnings What is the primary source of payment in a nursing facility? Medicaid To what does a chart of accounts compare? Table of Contents Employees pay what percentage of the FICA cost? 50%, the employer pays the other 50% The percentage of accounts outstanding for more than 60 days should never exceed? 5% All corridor doors must have a solid banded-wood core or an equivalent with what fire protection rating? 1 1/2 hours What is the national standard for budgeting the time required for cleaning a facility? One hour per day per housekeeping employee per 1,000 sq.ft. The handrails in stairwells must extend beyond the first and last steps by? 12 inches What type of fires involve electrical equipment? Class C Fires Class A fire extinguishers must be located every? 75 feet of travel distance When must OSHA accident reports be posted? The entire month of February (every year) What act established the position of long term care ombudspersons? The Older Americans Act of 1965 The interdisciplinary team must include? Attending Physician Physical restraints must be monitored? Every 30 minutes How long must vegetables be boiled to kill off the Botulism causing bacteria? 20 Minutes When meat is cooked too high it can shrink by what factor? 35% Quality improvement is defined as? The development and maintenance of quality care programs. Quality control relates to policies and procedures designed to? Maintain quality care. When must the admission medical evaluation (physical examination) be performed? Within 48 hours of admission unless such examination was performed within 5 days prior to the admission. What are the maximum forward and side reaches for switches and controls? Forward Reach - 48 inches and Side Reach - 54 inches EEOC enforces which three acts? Equal Pay Act, Title 7 of the Civil Rights Act, and the Age Discrimination in Employment Act (not the Fair Labor Standards Act). OSHA is under the? U.S. Department of Labor Under COBRA an employee has how many days to elect to continue coverage? 60 Days Air temperature should be measured how many feet above the floor in resident rooms and dining areas?