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NAB EXAM 2 Questions and Answers
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The role of the governing body pursuant to the Code of Federal Regulation 42 CFR Part 483 is to establish and implement policies regarding management and operation of the facility The Code of Federal Regulations 42 CFR part 483 requires that the facility disclose officers, directors, agents, or management employees The role of the administrator in a modern nursing facility is to advise the governing body and carry out their decisions According to the Code of Federal Regulations 42 CFR Part 483 the administrator appointed by the governing body must be licensed by the state and responsible for the management of the facility An objective may be defined as organizing The first step in planning is setting the objectives of the organization Effective management is best carried out by following which method? management by objectives Management by objectives involves plurality of objectives Which of the following objectives would be considered first in establishing a new nursing facility? Type of facility An administrator of a proprietary nursing facility should be primarily concerned with which one of the following objectives? Quality of care Which one of the functions of management would be accomplished first? planning Relative to setting objectives, which task listed below would be of primary importance for the administrator to accomplish? constantly review and reassess objectives of the nursing facility Which one of the following statements is true?
Every department in the nursing facility should have goals or objectives Since there is a plurality of objectives in a nursing facility, the facility should concern itself with long and short term goals Planning is primarily concerned with use of facts to determine course of action for the future Strategic planning helps the facility to re evaluate its mission and identify its long term goals.
number of employees a supervisor can effectively handle The schematic drawing representing the functional operation of a nursing facility structure is called the organizational chart Service departments of a nursing facility can best be described as departments that facilitate, aid and assist other departments An example of a service department in a nursing facility is the personnel office Line authority structure is best described as a situation in which a superior delegates authority to a subordinate who, in turn, delegates his or her authority forming a line from the top to the bottom level of the organization A line authority position exists when the executive makes final decisions regarding departmental functioning An example of a line authority position in a nursing facility is the administrator An example of a staff authority position in a nursing facility is the administrative assistant The primary function of a staff authority position is aid, assist, and advise the department heads All but one of the following would be considered contractual services in a nursing facility Nursing director A standing committee is one which permanent in nature A task force is another term used for ad hoc committee A policy is a a broad guideline for thinking and setting boundaries Who establishes policy in a nonprofit nursing facility corporation? Board of directors
When a subordinate asks his or her superior to set a policy regarding an operational problem, this is called appealed policy A procedure is a detailed statment to accomplish a task Which of the following is a procedure? a statement explaining the steps to be taken to put money in safekeeping A resident checks into a nursing facility without following the steps described relating to safekeeping of personal belongings. By what procedure should the business office be guided? procedure for safekeeping Which of the following statements is not a part of a procedure relating to the death of a resident? ask the mortician to declare the resident dead (only an RN or physician can do this) Procedures should not be developed by the administration in which area? establishing rules of conduct of board members The purpose of a procedure manual is to assist in the implementation of a policy Controlling is setting goals or objectives, checking performance, and taking corrective action. An acceptable method of checking on the performance of an employee is to written and oral reports and direct observation Percentage of occupancy is what kind of control mechanism? Quantity A budget is a planning and controlling device For effective control, which element is not necessary? Configuration Meeting with the DON and nursing supervisors is what kind of control? Quality In order to have effective controlling which item is not required?
Leadership can be defied as process by which an executive directs, guides and influences the work of others in attaining specified goals by mediating between the individual and organization in such a way that both obtain maximum satisfaction. S0me of the qualities that a leader must possess include all except what? Authoritative image Consultative leadership technique is best defined as wen the executive consults with subordinates before making a final decision Free rein technique of leadership occurs when the administrator consults with subordinates and allows them to reach a final decision Autocratic leadership may be best defined as when the administrator does not consult and makes the final decision All but one of the following are advantages of the consultative approach of leadership Increases the time spent with the employees An example of free rein leadership in a nursing facility is when the administrator allows the attending physician to make medical decisions All but one of the following are advantages of autocratic leadership precludes initiative to develop management skills Some factors that should be considered when using the consultative leadership technique include all but one of the following. Age of the executive The best reason health care providers get together to form a consortium is to experience greater economy in the facility by sharing services and projects It has been estimated that the administrator spends what percentage of time sending or receiving information? 90 percent All but one are considered to be roadblocks for effective communication feedback The most effective means of communication is face to face oral communication
An example of informal communication is grapevine All but one of the following are considered to be a form of written communication Nonverbal communication All but one of the following are considered good techniques of communicating Over or under communication One of the goals of a nursing facility is to provide maximum care and services to its residents. Surveyors can best access a facilities success by? reviewing residents' assessments, plans of care, and actual care outcomes of a specific sampling of residents Common law may be defined as law passed down as a result of court decisions Statutory law is law enacted by the legislature Public law is law involving a party and a governmental subdivision Civil law is concerned with conduct between private parties A tort is a civil wrong between private parties A nursing facility administrator is licensed by the State licensure board All but one would be considered an intentional tort Negligence Defamation is making an untrue statement, thereby holding another out to ridicule or contempt An administrator uses resident trust funds for personal use. What area of law has he or she breached? criminal law An administrator forgets to give information to the Board of directors and damages occur as a result. Under what law may he or she be liable?
Active euthanasia is homicide A person who dies without a will is intestate A person who dies with a will is testate A legacy is a bequest of real or personal property by means of a will A will is a bequest of a real or personal property effective at the death of the testator Conflict of interest in regards to the role of the administrator as it relates to the facility means that his or her role is conflicting with the purpose and goals of the organization Charitable immunity as it relates to a health care facility means the facility cannot be sued for torts because its purpose is of a charitable nature Vicarious liability means that if an employee is negligent, that negligence will be transferred to the facility Corporate negligence means a duty owed to the resident is breached by the facility itself An informed consent is one in which the individual receiving treatment is informed about the nature and the consequences of the procedure A subpoena duces tecum is an order to bring certain documents to court A pension trustee is a person who may be responsible for financial matters of Medicaid resident Which of the following does not have state jurisdiction? Medicare approval of a facility Institutional licensure refers to the licensing of the
facility A volunteer worker working outside the scope of his or her assignment may be held personally liable Estate planning has to do with which aspect of the law Probate An act concerned with the donation of one's body or parts of one's body at the time of death is the Uniform Anatomical Act A commitment procedure is a involuntary commitment to a facility An individual, who has not been adjudicated incompetent, objects to being admitted to a nursing facility. Other family members want him to be admitted anyway. What should the facility do? Disallow the admission The performance of an autopsy on a resident without the consent of the next of kin may be ordered by medical examiner A power of attorney is an instrument authorizing another to act as one's agent Release of information in medical records may be given only by the resident The PSDA Act of 1990 concerns advance directives To comply with PSDA written information must be provided to the resident upon admission to the facility The advance directive in which a resident gives instructions to a provider as to whether or not he or she wants life-sustaining equipment is a living will After a person executes a living will, he or she should give a copy to all but who Funeral director The advance directive appointing an agent to designate what care you want or desire as to life- sustaining equipment in an emergency or terminal condition is a durable power of attorney for health care
create expectations that may be illusionial or unrealistic to the resident All but one of the following are necessary for the development of a successful marketing program name of the administrator Essentially, marketing is selling a facility to targeted audiences Marketing segmentation is recognizing and pinpointing various groups and their unique needs One of the most regularly used public relations tools in a facility is newsletter or magazine An effective marketing program will help identify shortcomings in the operation of the facility The concept of foster care as it relates to the elderly involves a person living in a private home with people not related to him or her A home health agency as it relates to the elderly provides part time skilled nursing services A program in which elderly individuals belonging to a special group enter into custodial living arrangements by life care contracts is best described as fraternal custodial care A custodial living arrangement for elderly veterans would most likely be financed by the veterans administration A program whereby the elderly meet their recreational and social needs senior citizens center A program whereby a dependent elderly person is institutionalized during the working hours of his family is called Day care Assistance for the disabled elderly would most likely be financed under the social security administration Meals on wheels is a program for the elderly which is best described as serving meals to individuals in their home environment
A facility which treats short-term acutely ill patients is called a individuals in their home environment A facility which treats short term acutely ill patients is called acute hospital Generally an organized medical staff is found in which facility? acute hospital A facility which has elderly patients for an average stay of over 60 days with formal ancillary departments such as xray, laboratory, and pharmacy, is called chronic hospital A transfer agreement is usually made between a skilled nursing facility and a hospital Approximately what percent of the hospitals in the U.S are non-profit 20 percent Approximately what percent of nursing facilities in the U.S are proprietary? 68 percent A chief of the medical staff would most likely be found in which facility Hospital A retained Medical Consultant would most likely be found in which facility? Nursing facility Which one of the following is the most important step in developing good job descriptions A careful analysis of job content An employee in the maintenance department comes to work in an intoxicated condition. The administration should? go to the department head involved and handle the situation through him or her. A nurse's aide uses foul language when addressing a resident in the dining room during lunch hour with the Director of Nurses present. The DON should have a supervisory conference concerning this action, in private, as soon as possible In disciplining employees, the effective supervisor should take all but one of the following items into consideration Age of the employee
prevent future accidents If an employee with willful intent does not follow the instructions of his or her employer and is thereby injured, the employer is likely to be held responsible One of the best ways for an administrator to be informed as to the number and type of positions to be filled is to have each department head report weekly on vacancies and types of positions open There is a dispute between department heads over the interpretation of certain written policies. As administrator, the most effective way to end the dispute is to talk out the dispute with the dept heads using a team approach Who should complete an evaluation form on an employee Immediate supervisor All but one of the items below should be included in an objective evaluation of an employee Attitude of the supervisor toward the employee Discussion of food service in the cafeteria among food service employees is informal communication When an evaluation of an employee is competed, it should be signed by the supervisor and the employee If an employee refuses to sign an evaluation form, which of the following should take place? the refusal should be noted on the evaluations and signed by the employee supervisor The two major categories of liability insurance risks are bodily injury and property damage Fidelity insurance covers loss resulting from a dishonest act of an employee Employee recruitment is considered the function of which department in the nursing facility Personnel All but which of the following are an effective way to recruit employees? Off the street In the typical nursing facility, the highest rate of staff turnover is among which of the following employees?
CNA
The application blank is a valuable tool for recruiting personnel. A good application black should have all but one of the following Form should require that the prospective employee waive worker's compensation rights All but one of the following would be considered good interviewing techniques The applicant should not be encouraged to talk but listen (the exact opposite is true, we want the applicant to do all the talking) Some important items to observe during an interview include all but Ethnic background The purpose of pre-employment testing is to determine whether or not the applicant is specifically qualified for the position he or she is seeking. Using a nurse's salary as a basis for determining salaries of other employees is key job comparison The ultimate decision of hiring a new employee should be made by the appropriate dept head One of the primary purposes for a pre-employment physical is to keep down worker's comp claims The purpose of a reference check on all employees is to protect the facility from undesirable employees A reference check should always be reduced to writing In establishing job descriptions, the workload is broken down into sets of activities that can be performed by one person In an interview with a job applicant, all but one of the following may be asked Arrests A job description is best defined as a written summary of the duties and responsibilities of a job An exit interview occurs when an employee is asked the reason he/she is leaving the position
A formalized mechanism for expressing dissatisfaction with conditions in workplace is called a grievance procedure The national labor law concerned with unfair practices of employers is NLRA (National Labor Relations Act) The national labor law concerned with unfair union practices is the Taft-Harley Act All non-public health care facilities are now covered under which federal act? National Labor Relations Act The Fair Labor Standards Act concerns itself primarily with wages and hours of employment Under the 1976 amendment to the National Labor Relations Act, it is mandatory for health care facilities to participate in collective bargaining The Age Discrimination Act passed in 1987 protects employees aged 40 - 70 Title VII concerned with discrimination in hiring and firing practices and other employment practices The process of mediation primarily concerns facilitating an agreement between parties by the acts of a third person Collective bargaining as contemplated in the National Labor Relations Act is making collective arguments between employers and accredited representatives Arbitration is submission of disputed matters to private unofficial persons selected as provided by law If a health care facility is approached by a union for collective bargaining, the administrator should immediately seek the assistance of an attorney conversant with labor relations If a health care facility is approached with a view toward collective bargaining, which one of the following actions should not be taken? Fire the employee involved in trying to organize the facility The primary argument used by nursing facilities in combating efforts to unionize a facility is that
unionization may be in conflict with the objectives of high quality resident care The first labor law concerning practices of management and unions is the Wagner Act The National Labor Relations Board considers control of a labor union in the facility by the administrator to be unfair labor practice In a labor dispute concerning a collective bargaining effort, the administrator of the facility may not urge employees to persuade others to oppose the union What percentage vote is required to get a collective bargaining agreement in effect? 50% plus one vote What is a bargaining unit? Employees performing work for a similar nature Which one of following is considered to be a formal training program? In-service training program An orientation program in the nursing facility is primarily for the employees and staff of the facility An administrator in training program can best be described as a program to train individuals who have no prior nursing facility experience for administrative positions An example of an informal training program is on the job training program A new employee is hired in the nursing facility. The type of training program most appropriate would be a orientation program A dietary aide wo has been employed by the nursing facility for several years is in need of training to upgrade their skills. The kind of training most appropriate would be? in-service training An administrator needs to upgrade his or her skills. The most appropriate training program is attendance at an approved continuing education program A nurse continually makes errors in drug administration. What kind of training program should the administrator compel him or her to attend?
