Comprehensive Exam Preparation Guide for NAB RCAL Exam, Exams of Nursing

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Breakeven Point? - Correct Answers ✅total cost = total revenue Working capital ratio - Correct Answers ✅current assets / current liabilities Acid-test (quick) ratio - Correct Answers ✅(cash + AR + short-term investments) / current liabilities debt to assets ratio - Correct Answers ✅total liabilities/total assets FTE (full time equivalent) - Correct Answers ✅total number of hours per employee in a week / 40 (i.e. 12+14+40+30 div. by 40) Profit margin - Correct Answers ✅NOI/Tot. Revenue. Defined as "income to sales. 2 types, gross prof margin and net prof margin) Net Operating Income (NOI) - Correct Answers ✅Total (gross) Revenue - operating expenses Occupancy rate - Correct Answers ✅(# of resident days/facility beds) x 365

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HCS - Correct Answers ✅Hazard Communication Standard. OSHA standard requiring employers to inform workers of potentially hazardous chemicals. Balance sheet formula - Correct Answers ✅Assets = Liabilities + Shareholders Equity EBITDA - Correct Answers ✅Earnings before interest, taxes, depreciation, and amortization Amortization - Correct Answers ✅the reduction of a loan balance through payments made over a period of time revenue cycle management - Correct Answers ✅resident needs-

service planning->staffing->billing/collections-> FICA SS Tax and Medicare Tax - Correct Answers ✅6.2% and 1.45% 4 elements of a valid contract - Correct Answers ✅agreement, consideration, contractual capacity, legality (in writing) "ACCL" Liability insurance usually covers.. - Correct Answers ✅Bodily injury and property damage

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Lock out tag out - Correct Answers ✅For all electrical equipment safe electrical practices - Correct Answers ✅National Electrical Code or NEC Following NFPA Life Safety Code - Correct Answers ✅fire plan, regular fire drills, detectors, training on procedure, non combustable furnishing/draperies Extinguisher class A - Correct Answers ✅ordinary combustibles such as wood/paper Extinguisher Class B - Correct Answers ✅For flammable liquids and gas fires (grease, paint) Extinguisher class C - Correct Answers ✅Live electrical equipment (panelling) Extinguisher class D - Correct Answers ✅Combustable metals (aluminum)

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Extinguisher class K - Correct Answers ✅Commercial cooking equipment (cooking oil, animal fats) PASS (Fire Safety) - Correct Answers ✅P - Pull the pin. A - Aim at the base of the fire, not at the flames. S - Squeeze the lever. S - Sweep the nozzle from side to side. R.A.C.E. (Fire safety) - Correct Answers ✅rescue, alarm, contain, extinguish Accrual Basis Accounting - Correct Answers ✅reporting income when it is earned and expenses when they are incurred Cash Basis Accounting - Correct Answers ✅Reporting income when the cash is received and expenses when the cash is paid. LLC (Limited Liability Company) - Correct Answers ✅Limited liability, pass through income taxation, flexibility

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S corporation - Correct Answers ✅A unique government creation that looks like a corporation but is taxed like sole proprietorships and partnerships Net Worth Formula - Correct Answers ✅Assets - Liabilities Dementia Living Environment - Correct Answers ✅Residential living with clinical aspects. safe, quiet, secured Effective Claims Management for working with insurance agencies - Correct Answers ✅components of the claims handling process include developing strategies to cut costs and reduce fraud while keeping customers satisfied Corporate Compliance Programs - Correct Answers ✅assist providers and their agents and develop effective internal controls that promote adherence to applicable federal and state law Leadership (vs. management) - Correct Answers ✅produces change and movement, motivates, communicates goals, creates vision

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Management (vs leadership) - Correct Answers ✅Produces order and consistency, agenda, timetable, structure, develops incentives, corrective actions, etc. Mission Statement - Correct Answers ✅Public document, short (tshirt), purpose of ALF Vision statement - Correct Answers ✅Usually private internal documents, expresses what the organization should become using the mission, where it wants to go strategically. Organizational Values - Correct Answers ✅accompany mission statement, describes key behaviors that are expected of staff Cash Flow - Correct Answers ✅Cash receipts less cash disbursements from a given operation or set of operations from a period of time Balance sheet - Correct Answers ✅Snapshot/point in time of what a company owns and owes. Summarizes assets, liabilities and shareholder equity at a specific point in time.

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Income statement (or statement of financial position) - Correct Answers ✅How much revenue and profit generated over a certain period of time Interest coverage - Correct Answers ✅What portion of debt interest is covered by a company cash flow situation (EBITDA/Interest expense) Capital - Correct Answers ✅typically $500 or more, 1 year or more life. Money invested in company. chart of accounts - Correct Answers ✅A list of every account ( groups: ass, Lia, capital, Rev, expenses) Variable cost - Correct Answers ✅Fluctuate directly with changes in census (i.e. food, salary) Fixed cost - Correct Answers ✅Do not relate to changes in census. Direct cost - Correct Answers ✅Cost that are directly attributable to providing resident care (i.e. salaries, payroll, pay taxes, benefits, supplies)

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Indirect cost - Correct Answers ✅i.e. administrative salary, depreciation 5 steps of budgeting - Correct Answers ✅Assessing environment, Programming, Developing operating budget, Building cash budget, Determing capital budget How often should goals and objectives be evaluated? - Correct Answers ✅Annual basis, at least Patient Self-Determination Act of 1990 - Correct Answers ✅protects patient rights including the right to agree to or refuse medical treatment (gives patients right to choose health care decisions when entering hospital) DPOA vs POA - Correct Answers ✅DPOA just includes language that means the documents covers individual when they become incapacitated Quality Assurance - Correct Answers ✅looks at actions to ensure services conform to standards

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Team building is a key component of which management style? - Correct Answers ✅Participatory (encourages managers to share knowledge, work together) advance directives - Correct Answers ✅A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process living will - Correct Answers ✅A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes. advisory board - Correct Answers ✅used by board of directors/governing body to provide guidance regarding policy and procedure Board of Directors/Governing body - Correct Answers ✅hires admin, delegates management, develops mission and vision, fiduciary responsibility 4 components of leadership (influencing) - Correct Answers ✅Process, Influence others, occurs in groups, attain goals and direct group

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provides sweeping new legal protection for employees who report corporate misconduct. Protects whistleblowers - Correct Answers ✅Sarbanes-Oxley Act of 2002 Applies to employers of 15 or more. Race, color, religion, gender, pregnancy, or national origin. - Correct Answers ✅Civil Rights Act (1964) Title VII Sexual harassment - unwelcome sexual advances, does not have to be the harassed to report. Must be unwelcome, implicitly or explicitly affects an individuals employment, work performance - Correct Answers ✅Civil Rights Act 1991 Bans age discrimination for jobs unless age is related to job performance. 40 yrs or older. - Correct Answers ✅Age Discrimination in Employment Act of 1967 15 employees or more. Reasonably remove barriers so disabled can be accommodated - Correct Answers ✅Americans with Disabilities Act (ADA) of 1990 continues healthcare benefits to individuals and families for limited period of time such as job loss, reduced hours, death, divorce, etc. Qualified individuals may have to pay entire premium - Correct

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Answers ✅Consolidated Omnibus Budget Reconciliation Act (COBRA) Act that limits the amount of wages that can be garnished or withheld in any one week by an employer to satisfy creditors. - Correct Answers ✅Consumer Credit Protection Act Minimum wage, child labor laws, overtime - Correct Answers ✅Fair Labor Standards Act (FLSA) Protections for coverage under group health plans, prohibit discrimination against employees based on health status - Correct Answers ✅HIPPA (Health Insurance Portability and Accountability Act) 12 weeks unpaid if an employee has worked 1250 hrs within last 12 months. Covers -serious health condition -care for family member. - birth or adoption - Correct Answers ✅Family and Medical Leave Act (FMLA) Federal law requiring employers to verify and maintain records on applicants' legal rights to work in the United States. 1-9 Form complete within 3 days of employment, retain copy 3 years or 1 year following terminiation - Correct Answers ✅Immigration Reform and Control Act of 1986

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includes "general duty clause" that requires all employers to maintain a workplace that is free from recognized hazards that would cause injury/death to employees - Correct Answers ✅Occupational Safety and Health Administration (OSHA) Maintain log of certain injuries, illnesses. Report certain deaths and multiple hospitalizations, post supplementary records on an annual basis. Employer cannot fire employee who is uncomfy at work. - Correct Answers ✅Osha requirements a ratio that expresses the percentage of applicants who successfully move from one stage of the recruitment and selection process to the next - Correct Answers ✅Yield Ratio Occurrence Based Policy - Correct Answers ✅An "X"-based policy provides coverage for injuries arising out of incidents occurring during the period the policy was in effect, even if the policy subsequently expires or is not renewed by the policy-holder. With an "X" policy, it does not matter if you are covered when the suit is brought. Claims-made policy - Correct Answers ✅An "X" based policy kicks in when you file a claim during the policy period. As long as an insurable event happened after the policy's retroactive date, your insurer should

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provide coverage. With a claims-made policy, you need to have active insurance when you file a claim. Administrator - Correct Answers ✅General administrative charge of the day-to-day operations of an ALF. May be owner of hired by the organization. articles of incorporation - Correct Answers ✅Information filed with a state official by persons wishing to form a corporation board of directors - Correct Answers ✅Relate to top management of an organization in a governing or advisory capacity By-laws - Correct Answers ✅Rules determined by internal management of a board or organization. Adopted at time of charter and define the rights and responsibilities of the board Consensus Building - Correct Answers ✅Conversation style of decision making where issues and opinions are discussed- reach a shared opinion Directing - Correct Answers ✅Mangement function- admin uses their position to point out the direction the company is to go to achieve goals. Uses leadership roles such as guiding, training, etc.

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Goals or objectives should be.. - Correct Answers ✅realistic, verifiable, attainable Governing boards - Correct Answers ✅-responsible for appointing top management -policy making -ensuring that policies are administered in a manner in which they were written Management - Correct Answers ✅Ability to achieve common goals through the organization and productivity. Create environment to work with no friction Ombudsman - Correct Answers ✅Advocate, nationally funded by the Admin on Aging and administered by state agencies Shewart Cycle- continuous quality improvement model - Correct Answers ✅Plan, Do, Check, Act (PDCA) Organizing - Correct Answers ✅Management function involving grouping of people and activities, assigning roles, delegation of authority

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Planning - Correct Answers ✅management function that involves setting goals, assigning roles, establishing guidelines Quality Improvement - Correct Answers ✅Ongoing, relates to quality of care/life/safety of residents Strategic Planning - Correct Answers ✅Re-evaluate mission, identify short and long-term goals, select strategies and policies for achieving those goals Empoyee's "Right to know" - Correct Answers ✅OSHA guidelines. What chemicals they work with and hazards of working with those substances Family and Medical Leave Act (FMLA) - Correct Answers ✅Federal law requiring organizations with 50 or more employees to provide up to 12 weeks of unpaid leave (12 months employed by the company with 1250hrs) Hiring records should be kept for - Correct Answers ✅1 year- keep equal employment info separate

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Basic Employee Information (example: I-9) should be kept for - Correct Answers ✅3 years after hire or 1 year after fire, whichever is later Payroll and tax records should be kept for - Correct Answers ✅ 4 years Employment actions (hires, promotions, layoffs, test results, etc.) should be kept for - Correct Answers ✅1 year from date of action Job-related illnesses and injuries paperwork should be kept for - Correct Answers ✅5 years Disability accommodations paperwork should be kept for - Correct Answers ✅1 year Medical exam paperwork, toxic substance exposure records and BB pathogen records should be kept for - Correct Answers ✅30 years FMLA paperwork should be kept for - Correct Answers ✅3 years ADA hallway, doorway, and T-space inches requirements? - Correct Answers ✅36, 32, 60