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Which of the following would NOT be part of an LTC organization's efforts to develop a culture of safety? A. Assessing the needs of customers for supervision. B. Obtaining verbal or written consent from customers to relieve the organization of responsibility for adverse events. C. Encouraging staff to report customer risks and environmental hazards. D. Providing safety training to customers and their families --------- CORRECT ANSWER-----------------B. Obtaining verbal or written consent from customers to relieve the organization of responsibility for adverse events. The use of a disinfectant by environmental services staff should correspond to the rating for that product that is on the container label and that is issued by the A. Environmental Protection Agency (EPA) B. Food and Drug Administration (FDA) C. U.S Department of Agriculture (USDA) D. Occupational Safety and Health Administration (OSHA) --------- CORRECT ANSWER-----------------A. Environmental Protection Agency (EPA) A department head announces new personnel rules to subordinates at a meeting. This communication would be an example of the ________________ direction of communication. A. vertical B. lateral C. horizontal D. diagonal ---------CORRECT ANSWER-----------------A. vertical
When a physician refers to a patient's prognosis, the reference is to A. the patient's willingness to comply with medical orders B. a medical procedure C. the patient's chances for recovery D. a part of the body ---------CORRECT ANSWER-----------------C. the patient's chances for recovery The main aim of employee discipline should be to... A. enable the supervisors to assert their authority. B. satisfy the demands of customers C. comply with the requirements of regulatory agencies. D. prevent a recurrence of unacceptable conduct. ---------CORRECT ANSWER-----------------D. prevent a recurrence of unacceptable conduct. A PRN medication order means the medication: A. should be taken at bedtime B. can be administered as needed C. must be given immediately D. should be taken after food or meals ---------CORRECT ANSWER---------- -------B. can be administered as needed Which of the following is NOT a way to improve the functioning of committees? A. Carefully define the duties of the chairman. B. Prepare an agenda and send it to members in advance of the meeting. C. Keep and distribute committee minutes D. Keep discussion to a minimum and bring motions to a vote as rapidly as possible ---------CORRECT ANSWER-----------------D. Keep discussion to a minimum and bring motions to a vote as rapidly as possible
Under the straight-line method, what would be the annual depreciation expense for a piece of equipment having a cost of $6,000, a manufacturer's warranty for 2 years, and an estimated useful life of 6 years? A. $1, B. $3, C. $6, D. An amount that decreases each year over a six-year period --------- CORRECT ANSWER-----------------A. $1, The rights of a person who has been declared incompetent by a state court are exercised by A. the facility B. an individual designated by the resident C. an individual appointed by the court D. a member of the resident's immediate family ---------CORRECT ANSWER-----------------C. an individual appointed by the court Hat is a major symptom of clostridium difficile? A. diarrhea B. persistent cough C. involuntary limb movements D. difficulty swallowing ---------CORRECT ANSWER-----------------A. diarrhea Holistic care refers to care that: A. is based on an interdisciplinary team approach. B. shows concern for the whole person, not just physical aspects. C. assumes that healing is most likely to be based on religious faith. D. is directed to the whole families of residents and not just to the residents as individuals. ---------CORRECT ANSWER-----------------B. shows concern for the whole person, not just physical aspects.
Which of the following would be the best agency to assist a residential facility in developing its Fire Safety Plan? A. OSHA B. NFPA C. the state survey agency D. the local fire department ---------CORRECT ANSWER-----------------D. the local fire department Return on equity is calculated by A. dividing annual net income by owner's equity. B. subtracting liabilities from assets. C. subtracting expense from revenues. D. dividing long-term debt by owners' equity. ---------CORRECT ANSWER- ----------------A. dividing annual net income by owner's equity. Which one of the following is a question that an employer may legally ask of job applicants? A. Where were you born? B. Do you have any physical problems or injuries? C. Have you ever been treated for drug abuse? D. Can you speak and understand Spanish? ---------CORRECT ANSWER-- ---------------D. Can you speak and understand Spanish? In a corporation, which of the following documents specifies the functions and composition of the governing board of directors? A. bylaws B. articles of incorporation C. prospectus D. policies and procedures manual ---------CORRECT ANSWER--------------- --A. bylaws
A cognitive care recipient, whose spouse is living, does not have an advance directive or a Do Not Resuscitate (DNR) order. The care recipient's daughter has financial Power of Attorney, and the son has Healthcare of Power of Attorney. A DNR order can be authorized by the:
- care recipient's son
- care recipient
- care recipient's spouse
- physician ---------CORRECT ANSWER-----------------1. care recipient's son Establishing and Implementing policies regarding the management and operations of a healthcare organization is the responsibility of the:
- department managers
- chief executive officer
- care recipient
- governing body ---------CORRECT ANSWER-----------------2. chief executive officer All employees in a healthcare organization should be working toward the organization's purpose, which described in the healthcare organization's:
- articles of incorporation
- governance body
- organization charts
- mission statement ---------CORRECT ANSWER-----------------4. mission statement PRN means:
- administer as necessary
- pain reducing narcotics
- dispense at bedtime
- care recipient refusal and noted ---------CORRECT ANSWER----------------
Changing a bathing schedule to meet the care recipient's time preference is an example of:
- permanent assignment
- person-centered care
- green living
- time management ---------CORRECT ANSWER-----------------2. person- centered care Mrs. J has completed a Do Not Resuscitate (DNR) form. A friend of hers comes to the office, upset that Mrs. J has chosen to have a DNR, and asks for a copy of the DNR to discuss it with Mrs. J. The staff should:
- not release the DNR because it cannot be changed once it has been signed 2. call Mrs. J's physician to release the form to the visitor
- release the form so the friend can help Mrs. J understand the DNR
- not release the form because of confidentiality ---------CORRECT ANSWER-----------------4. not release the form because of confidentiality Care recipients who elect to receive hospice benefits should receive:
- pain relief and symptom management
- notice that their stay can continue for a maximum of six months
- additional life-sustaining services that are covered by Medicare
- priority admission to an acute-care hospital ---------CORRECT ANSWER- ----------------3. additional life-sustaining services that are covered by Medicare One of the most commonly diagnosed mental illnesses in the elderly is:
- depression
- obsessive-compulsive disorder
- schizophrenia
- paranoia ---------CORRECT ANSWER-----------------1. Depression
Hospice care is usually provided to those care recipients determined to be terminally ill and who have approximately how long to live?
- 1 month '
- 3 months
- 6 months
- 12 months ---------CORRECT ANSWER-----------------3. 6 months An individual that a person can designate to make complex healthcare decisions on their behalf is known as a:
- personal representative
- proxy decision maker
- surrogate decision maker
- legal representative ---------CORRECT ANSWER-----------------4. legal representative Alternatives to an advance directive include a:
- living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order
- Durable Power of Attorney, last will and testament, and living trust
- right of survivorship, Do Not resuscitate (DNR) order, and appointment of executor
- living trust, living will, and medical order for life-sustaining treatment ------ ---CORRECT ANSWER-----------------1. living will, Healthcare Power of Attorney, and Do Not Resuscitate (DNR) order A symptom of dehydration is:
- difficulty walking
- diarrhea
- vomiting
- poor skin turgor ---------CORRECT ANSWER-----------------4. poor skin turgor
One goal of effective dementia care is to:
- protect care recipients from all safety hazards regardless of abilities and needs
- treat all care recipients the same to avoid favoritism and prevent staff from getting too close to care recipients
- provide personalized care based on knowledge of care recipients abilities and needs
- ensure that all decisions are made by a care recipient's family members - --------CORRECT ANSWER-----------------3. provide personalized care based on knowledge of care recipients abilities and needs An administrator decides to have care recipients participate in menu planning and grocery shopping. This policy would:
- free staff members for other duties
- violate sanitation regulations
- reduce dietary costs
- help care recipients to maintain a sense of involvement and of being needed ---------CORRECT ANSWER-----------------4. help care recipients to maintain a sense of involvement and of being needed ROM is an abbreviation for:
- range of motion
- rehabilitative outcome measurement
- rehabilitative outcome management
- range of measurement ---------CORRECT ANSWER-----------------1. range of motion What word is defined as an acquired, persistent impairment of intellectual function with compromise in at least three spheres of mental activity?
- Alzheimer's
- Delirium
- have the care recipient write a signed statement verifying that the care recipient understands care recipient rights
- explain the rights to a representative of the care recipient who can then explain the rights to the care recipient
- use pictures to explain the rights to the care recipient
- provide a written translation to the care recipient ---------CORRECT ANSWER-----------------1. have the care recipient write a signed statement verifying that the care recipient understands care recipient rights A care recipient has been diagnosed with a terminal disease to participate in therapies to prolong life. The healthcare organization should offer consultation on which of the following services?
- Physiatrist
- Oncology
- Palliative care
- Hospice care ---------CORRECT ANSWER-----------------3. Palliative care A direct cost is:
- allocated equally to all areas of the budget
- charged to a specific billing period
- documented by proper accounting procedures
- linked to a specific objective, responsibility, or function ---------CORRECT ANSWER-----------------4. linked to a specific objective, responsibility, or function A guest falls and is injured while visiting a healthcare organization's office. Which one of the following types of insurance would cover this injury?
- General liability insurance
- Property insurance
- Professional liability insurance
- Workers' compensation insurance ---------CORRECT ANSWER------------- ----1. General liability insurance
When the actual supply cost substantially exceeds the expected cost, the administrator should initially:
- tightly control products
- investigate probable breach of security
- review production schedules
- examine methods of inventory - --------CORRECT ANSWER-----------------
- investigate probable breach of security Which type of financial statement is derived from analysis of other statements and has more detail on financial activity?
- Profit and loss
- Cash flow
- Changes in financial position
- Retained earnings ---------CORRECT ANSWER-----------------1. Profit and loss Most often a third-party payer, such as a Medicaid or a long-term insurer, will negotiate a lower rate for services rendered. The difference of funds that is uncollectables between the full charges and the amount that is actually paid by a third party payer is called:
- expense allowances
- deductions from revenue
- contractual allowances
- revenue write-off ---------CORRECT ANSWER-----------------3. contractual allowances If overall revenue declines and census remains stable, an important financial area to review would be:
- balance depreciation
- asset allocation
- ancillary revenue
- interest income revenue ---------CORRECT ANSWER-----------------3. ancillary revenue
- Inflation and deflation ---------CORRECT ANSWER-----------------2. Depreciation. The operating performance for a specific span of time is measured by the:
- operating budget
- balance sheet
- statement of financial condition
- income statement ---------CORRECT ANSWER-----------------4. income statement An employee who believes that he or she has been discriminated against according to the Americans with Disabilities Act (ADA) must file a complaint with the:
- Social Security Administration (SSA)
- National Labor Relations Board (NLRB)
- Occupational Safety and Health Administration (OSHA)
- Equal Employment Opportunity Commission (EEOC) ---------CORRECT ANSWER-----------------4. Equal Employment Opportunity Commission (EEOC) A healthcare organization's employee handbook:
- is generally considered the property of the employer
- can be considered an enforceable contact between employer and employee
- should be written clearly enough to leave no latitude for interpretation
- should be written in lay terms and kept in the administrator's office --------
- CORRECT ANSWER-----------------3. should be written clearly enough to leave no latitude for interpretation An employee with 30 years' experience at a healthcare organization was not chosen to attend a training and ask the supervisor why. The supervisor
said, "You've been with the company for a long time, and I assumed you would retire before then." In doing so, the supervisor:
- did not discriminate, by assuming someone of retirement age would retire 2. discriminated against the employee because of the employee's age
- discriminated against the employee, as the employee obviously had seniority
- did not discriminate, as the employee was not a high performer --------- CORRECT ANSWER-----------------2. discriminated against the employee because of the employee's age In deciding which style of management to employ while running the day-to- day operations of a healthcare organization, the administrator's best approach is to:
- use a mix of all styles while integrating it into the overall organization, goals, and operation
- consult with the governing body and comply with federal policies, guidelines, and procedures
- determine the strength and weaknesses of the staff and implement a performance incentive program
- choose a firm and goal-oriented style in order to command respect from colleagues and subordinates ---------CORRECT ANSWER-----------------1. use a mix of all styles while integrating it into the overall organization, goals, and operation If a medical device malfunctions, the Occupational Safety and Health Administration (OSHA) requires the administrator to report the incident to the: ---------CORRECT ANSWER-----------------manufacturing producer Emergency exits must have which of the following components?
- Exit access (lit corridor), exit door (locked from inside or outside), and exit discharge (access to street or public way)
- Exit sign (must be lit), exit access (corridor), and exit (must be double doors)
- ombudsman
- social worker
- care recipient council president
- governing body ---------CORRECT ANSWER-----------------2. social worker Stakeholders are defined as:
- any constituent group that has an interest in what outcomes the organization procedures
- the individuals who have the most to lose financially if the organization closes
- any group of investors who own stock in the organization
- the staff, physicians, and local groups who want to see the organization succeed ---------CORRECT ANSWER-----------------3. any group of investors who own stock in the organization The purpose of a corporate compliance plan is to:
- reduce fraud and abuse and to establish internal controls for responsible organization conduct
- avoid charges of price-fixing and the violation of federal anti-kickback statutes
- identify the corrective steps necessary for the removal of quality indicator flags from a healthcare organization's profile
- establish policies and procedures for conducting criminal background checks on all officers and directors ---------CORRECT ANSWER--------------- --1. reduce fraud and abuse and to establish internal controls for responsible organization conduct The primary benefits of management by walking around are:
- listening, teaching, and facilitating
- evaluating, controlling, and planning
- listening, planning, and organizing
- directing, evaluating, and innovating ---------CORRECT ANSWER---------- -------3. listening, planning, and organizing
What function of the management process includes gathering information and input?
- Directing
- Decision-making
- Controlling
- Organizing ---------CORRECT ANSWER-----------------4. Organizing Management by walking around is an approach that allows the administrator to:
- see first-hand the needs of the care recipient
- control the staff in order to minimize care recipient and family complaints
- ensure the healthcare organization's license is not in jeopardy due to regulatory compliance
- innovate new approaches and physical plant improvements to enhance public relations ---------CORRECT ANSWER-----------------1. see first-hand the needs of the care recipient Bylaws are defined as:
- corporate duties delegated to the administrator
- state laws establishing the healthcare organization's scope of practice
- adopted rules governing the internal affairs of an organization
- the rules whereby a corporation is created under the laws of a state ------ ---CORRECT ANSWER-----------------3. adopted rules governing the internal affairs of an organization Another term for articles of incorporation is:
- charter
- by-laws
- constitution
- governing rules ---------CORRECT ANSWER-----------------1. charter
