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NEWESR NAB EXAM (NAB NHA EXAMINATION) WITH
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Gerontologists Categories - How is Young-Old Defined? - CORRECT ANSWER >>> 65 to 74 years old Gerontologists Categories - How is Old-Old Defined? - CORRECT ANSWER >>> 75 to 84 years old Gerontologists Categories - How is Oldest-Old Defined? - CORRECT ANSWER >>> Over 85 + years old The morning meal must be served within how many hours after the previous meal? - CORRECT 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? - CORRECT ANSWER >>> 120 Beds What qualifications are required of a full time social worker? - CORRECT 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? - CORRECT ANSWER >>> When ADC (Average Daily Census) is 60 or lower
What is a substantial weight loss or gain? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER >>> 7 Days (Medicare or 14 days Medicaid) If marked PRN a medication is administered? - CORRECT ANSWER >>> As Needed If marked BID a medication is administered? - CORRECT ANSWER >>> Twice a Day If marked TID a medication is administered? - CORRECT ANSWER >>> Three Times a Day If marked QID a medication is administered? - CORRECT ANSWER >>> Four Times a Day If marked QD a medication is administered? - CORRECT ANSWER >>> Every Day If marked QOD a medication is administered? - CORRECT ANSWER >>> Every Other Day If marked HS a medication is administered? - CORRECT ANSWER >>> At Bedtime If marked AC a medication is administered? - CORRECT ANSWER >>> Before Meals If marked PC a medication is administered? - CORRECT ANSWER >>> After Meals
Quality Indicator sentinel health event signified by QI 11? - CORRECT ANSWER >>> Prevalence of Fecal Impaction Quality Indicator sentinel health event signified by QI 15? - CORRECT ANSWER >>> Prevalence of Dehydration Quality Indicator sentinel health event signified by QI 24? - CORRECT ANSWER >>> Prevalence of Stage 1-4 Pressure Ulcers Quality Indicators (QI) will be flagged at what percentage? - CORRECT ANSWER >>> 90% Percentile (the higher the % the worse the flag) Activities of Daily Living (ADL) include? (5 areas) **- CORRECT ANSWER
** Ambulation/Locomotion, Eating, Toileting, Grooming/Personal Hygiene/Bathing, and Communicating
** As Needed If marked BID a medication is administered? - CORRECT ANSWER >>> Twice a Day If marked TID a medication is administered? - CORRECT ANSWER >>> Three Times a Day If marked QID a medication is administered? - CORRECT ANSWER >>> Four Times a Day If marked QD a medication is administered? - CORRECT ANSWER >>> Every Day If marked QOD a medication is administered? - CORRECT ANSWER >>> Every Other Day If marked HS a medication is administered? - CORRECT ANSWER >>> At Bedtime If marked AC a medication is administered? - CORRECT ANSWER >>> Before Meals If marked PC a medication is administered? - CORRECT ANSWER >>> After Meals Quality Indicator sentinel health event signified by QI 11? - CORRECT ANSWER >>> Prevalence of Fecal Impaction Quality Indicator sentinel health event signified by QI 15? - CORRECT ANSWER >>> Prevalence of Dehydration Quality Indicator sentinel health event signified by QI 24? - CORRECT ANSWER >>> Prevalence of Stage 1-4 Pressure Ulcers Quality Indicators (QI) will be flagged at what percentage? - CORRECT ANSWER >>> 90% Percentile (the higher the % the worse the flag) Activities of Daily Living (ADL) include? (5 areas) - CORRECT ANSWER >>> Ambulation/Locomotion, Eating, Toileting, Grooming/Personal Hygiene/Bathing, and Communicating How are Controlled Substances rated? - CORRECT ANSWER >>> On a Schedule from 1 to 5. The higher the # the more controlled the substance. What controls are necessary for #2 scheduled substance? - CORRECT 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? **- CORRECT ANSWER ** 1 Year How many hours of In-Service must C.N.A.'s have each year? - CORRECT ANSWER >>> 12 hours
How long can aides work before they become certified? - CORRECT 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? - CORRECT ANSWER >>> 90 Days A Union must give how many days notice before a strike? - CORRECT ANSWER >>> 10 Days An I-9 must be retained for how long? - CORRECT 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? - CORRECT ANSWER >>> 90 Days What does FMLA stand for? - CORRECT ANSWER >>> Family and Medical Leave Act What benefits does FMLA provide? - CORRECT ANSWER >>> 12 Weeks unpaid leave How many days notice must an employee give to go out on FMLA? **- CORRECT ANSWER
** 30 Days Notice An accidental death must be reported to OSHA within what time frame? **- CORRECT ANSWER ** Within 8 hours Type of leadership known as Top down leadership? - CORRECT ANSWER >>> Autocratic Balance sheet is made up off which three items? - CORRECT ANSWER >>> Assets, Liabilities, and Owners Equity (all on a particular date)
Services which are not generally provided to most residents and which may be separately billable? - CORRECT ANSWER >>> Ancillary Services (ex. Labs, Radiology, Pharmacy Services, and Rehab Therapies) Thresholds may not rise over? - CORRECT ANSWER >>> 1/4 Inch What is the acceptable air temperature range in a facility? - CORRECT ANSWER >>> 71 - 81 Degrees Fahrenheit Soiled Linen carts should be decontaminated how often? - CORRECT ANSWER >>> Weekly (minimum) or ASAP when visibly contaminated. A Hazard posed by medications is a? - CORRECT ANSWER >>> Health Hazard (Chemical) A Hazard posed by surroundings is a? - CORRECT ANSWER >>> Physical Hazard How often must fire drills be performed? - CORRECT ANSWER >>> Quarterly (4 times a year for each shift) What is the minimum width of egress doors? - CORRECT ANSWER >>> 32 Inches How often must the QA Committee meet? - CORRECT ANSWER >>> Quarterly The QA Committee meeting must include whom? - CORRECT ANSWER >>> DON, a Physician, and Three other Staff Members A resident's room must have at least how much useable space? - CORRECT ANSWER >>> 80 sq.ft..
Minimum area in a single (private) resident room? - CORRECT ANSWER >>> 100 sq.ft.. For Profit Organizations are governed by? - CORRECT ANSWER >>> A Board of Directors Non-Profit Organizations are governed by? - CORRECT ANSWER >>> A Board of Trustees What are the 5 levels of needs in Maslow's Hierarchy? - CORRECT ANSWER >>> 1) Food (physiological); 2) Safety; 3) Love; 4) Power (esteem); 5) Self-Actuating Needs (ex. Fulfilling ones potential) Theory X advocates? - CORRECT ANSWER >>> The use of Fear of Punishment to motivate (assumes employees are inherently lazy and dislike work) Theory Y advocates? - CORRECT ANSWER >>> Rewards employees for accomplishing goals (assumes employees like work as much as play) Theory Z advocates? - CORRECT ANSWER >>> 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? - CORRECT ANSWER >>> Generally associated with the environment in which they are working. What does Herzberg's Two Factor Theory teach regarding employees positive feelings about work? - CORRECT ANSWER >>> When employees feel good about work they associate it with the work itself.
PT? - CORRECT ANSWER >>> Physical Therapy ST? - CORRECT ANSWER >>> Speech Therapy What is the Medicare definition of Hospice Care? - CORRECT ANSWER >>> Supportive care provided to terminally ill patients and their families in the final 6 months of a patients life. Palliative Care is defined as? - CORRECT ANSWER >>> 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? **- CORRECT ANSWER
** 40 to 70 years old. How often must form 941 be filed by employers? - CORRECT ANSWER >>> Quarterly, Form 941 is the Employers Quarterly Federal Tax Return What information is included in Form 941? - CORRECT ANSWER >>> Amount witheld 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? - CORRECT ANSWER >>> 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? - CORRECT ANSWER >>> Within $200 of the limit (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = - CORRECT ANSWER >>> Days of Cash
Days of Cash - CORRECT ANSWER >>> (Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) = Net Resident Accounts Receivable from all Sources / (Net Patient Revenue / 356) = - CORRECT ANSWER >>> Days in Resident Accounts Receivable Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) = - CORRECT ANSWER >>> DSO (Daily Sales Outstanding) DSO (Daily Sales Outstanding) - CORRECT ANSWER >>> Outstanding Accounts Receivable / ( month net revenue / total days in 3 month period) = The operating budget is composed of what two categories? - CORRECT ANSWER >>> Revenue and Expense Categories The type of budget that projects cash inflows and outflows? - CORRECT ANSWER >>> Cash Budget The type of budget that reflects long-term capital decisions? - CORRECT ANSWER >>> Capital Budget The organizations expected financial condition if the budgeted amounts are realized? - CORRECT ANSWER >>> Pro Forma Statement Liquid assets include? - CORRECT ANSWER >>> Short term notes, cash, and accounts receivable Where must Sharps containers be provided? - CORRECT ANSWER >>> in the Laundry Room and Every Med Cart
Drugs with lowest potential for abuse, current accepted medical use, often don't require a prescription? - CORRECT ANSWER >>> Schedule 5 (ex. Cough suppressants with Codeine) Under the ADA (Americans with Disabilities Act) what item is not a disability? - CORRECT ANSWER >>> Illiteracy - Not having learned to read The Pregnancy Discrimination Act is an amendment to what other act? **- CORRECT ANSWER
** The Civil Rights Act Fringe benefits are typically outline in? - CORRECT ANSWER >>> Personnel Policies The ERISA (Employee Retirement Income Security Act) is enforced by which agency? - CORRECT ANSWER >>> EEOC (Equal Employment Opportunity Commission) What must be done after entering a transaction in the journal and posting it to the ledger? - CORRECT ANSWER >>> Periodically balance each account What terms are used to refer to inventory? - CORRECT ANSWER >>> LIFO, FIFO, Physical, & Perpetual (Posting is Not) FUTA refers to? - CORRECT ANSWER >>> Federal Unemployment Tax Act (unemployment tax) An invoice is usually a? - CORRECT ANSWER >>> List A current trial balance includes? - CORRECT ANSWER >>> Debits, Credits, Names of Accounts (not zero balance)
How much space must be between beds in multibed rooms? - CORRECT ANSWER >>> 3 Feet What agency prepared "standard precautions" procedures? - CORRECT ANSWER >>> CDC (Centers for Disease Control and Prevention) What entity establishes the resident to bathroom/toilet ratio? - CORRECT ANSWER >>> The State A fire that is out of control is referred to as a? - CORRECT ANSWER >>> Flashover Two entities that have established regulations relative to requirements for emergency electrical power? - CORRECT ANSWER >>> NFPA (National Fire Protection Association) and OBRA (Omnibus Budget Reconciliation Act) Must a totally Private Pay Health Care Facility be licensed? - CORRECT ANSWER >>> Yes What are the two most important risk management tools? - CORRECT ANSWER >>> Education and Quality Control In civil law a Curator is? - CORRECT ANSWER >>> A Guardian What temperature should dishwasher rinse water be? - CORRECT ANSWER >>> 180F A group of symptoms that occur together? - CORRECT ANSWER >>> A syndrome Under OBRA (Omnibus Budget Reconciliation Act) the medical director is responsible for the implementation of? - CORRECT ANSWER >>> Dietary, Admission, and Infection Control Policies
Employees pay what percentage of the FICA cost? - CORRECT ANSWER >>> 50%, the employer pays the other 50% The percentage of accounts outstanding for more than 60 days should never exceed? - CORRECT ANSWER >>> 5% All corridor doors must have a solid banded-wood core or an equivalent with what fire protection rating? - CORRECT ANSWER >>> 1 1/2 hours What is the national standard for budgeting the time required for cleaning a facility? - CORRECT ANSWER >>> 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? - CORRECT ANSWER >>> 12 inches What type of fires involve electrical equipment? - CORRECT ANSWER >>> Class C Fires Class A fire extinguishers must be located every? - CORRECT ANSWER >>> 75 feet of travel distance When must OSHA accident reports be posted? - CORRECT ANSWER >>> The entire month of February (every year) What act established the position of long term care ombudspersons? **- CORRECT ANSWER
** The Older Americans Act of 1965 The interdisciplinary team must include? - CORRECT ANSWER >>> Attending Physician
Physical restraints must be monitored? - CORRECT ANSWER >>> Every 30 minutes How long must vegetables be boiled to kill off the Botulism causing bacteria? - CORRECT ANSWER >>> 20 Minutes When meat is cooked too high it can shrink by what factor? - CORRECT ANSWER >>> 35% Quality improvement is defined as? - CORRECT ANSWER >>> The development and maintenance of quality care programs. Quality control relates to policies and procedures designed to? **- CORRECT ANSWER
** Maintain quality care. When must the admission medical evaluation (physical examination) be performed? - CORRECT ANSWER >>> 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? **- CORRECT
** 12 inches What type of fires involve electrical equipment? - CORRECT ANSWER >>> Class C Fires Class A fire extinguishers must be located every? - CORRECT ANSWER >>> 75 feet of travel distance When must OSHA accident reports be posted? - CORRECT ANSWER >>> The entire month of February (every year) What act established the position of long term care ombudspersons? - CORRECT ANSWER >>> The Older Americans Act of 1965 The interdisciplinary team must include? - CORRECT ANSWER >>> Attending Physician Physical restraints must be monitored? - CORRECT ANSWER >>> Every 30 minutes How long must vegetables be boiled to kill off the Botulism causing bacteria? - CORRECT ANSWER >>> 20 Minutes When meat is cooked too high it can shrink by what factor? - CORRECT ANSWER >>> 35% Quality improvement is defined as? - CORRECT ANSWER >>> The development and maintenance of quality care programs. Quality control relates to policies and procedures designed to? - CORRECT ANSWER >>> Maintain quality care. When must the admission medical evaluation (physical examination) be performed? - CORRECT ANSWER >>> 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? - CORRECT ANSWER >>> Forward Reach - 48 inches and Side Reach - 54 inches EEOC enforces which three acts? - CORRECT ANSWER >>> 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? - CORRECT ANSWER >>> U.S. Department of Labor Under COBRA an employee has how many days to elect to continue coverage? **- CORRECT
ANSWER >>>** 60 Days
All residents must receive a physical exam how often? - CORRECT ANSWER >>> At least every 3 months When a resident has been in bed all of the time during a 7 days period, other than for treatment, they are deemed to be? - CORRECT ANSWER >>> Bedfast A comprehensive care plan must be completed within how many days once the comprehensive assessment is made? - CORRECT ANSWER >>> 7 Days One who dies leaving a will? - CORRECT ANSWER >>> Testator The sum of all the activities which create the desired and needed changes in quality care are? - CORRECT ANSWER >>> Quality Improvement Who determines if it is safe/unsafe for a resident to self-administer drugs? - CORRECT ANSWER >>> Interdisciplinary Team An admission assessment is to be complete with how many hours of admission? - CORRECT ANSWER >>> 8 Hours (RN's responsibility) What is a drug holiday? - CORRECT ANSWER >>> A break from the drug to see how the patient responds To what does the physicians desk reference relate? - CORRECT ANSWER >>> Drugs Can a pharmacist order that a certain lab be taken? - CORRECT ANSWER >>> Yes, the physician is involved but doesn't necessarily have to agree with the pharmacist.
When must I-9 forms be completed for new employees? - CORRECT ANSWER >>> Within 3 business days of start of employment What may an administrator ask if employees attempt to organize a labor union? - CORRECT ANSWER >>> If the employee has signed a union card When must all investigations of abuse be reported to the proper state authorities? - CORRECT ANSWER >>> Within 5 working days Under COBRA when does coverage begin? - CORRECT ANSWER >>> Coverage begins on the date coverage would otherwise have ended Under COBRA how long may coverage be extended? - CORRECT ANSWER >>> 18 months Whom is most affected by Title 1 of the ADA? - CORRECT ANSWER >>> The health care facility administrator What is the typical cost of fringe benefits for a an employee? - CORRECT ANSWER >>> 15 - 30% of wages What does the Wagner Act guarantee? - CORRECT ANSWER >>> Bargaining rights for employees A phrase meaning let the employer answer for the acts of his/her employees? - CORRECT ANSWER >>> Respondeat Superior Under OSHA what is the maximum penalty for each "serious violation"? **- CORRECT ANSWER
** $7,
