NAB Exam - NHA LOS Practice Exam 2 Questions And Answers, Exams of Nursing

Download NAB Exam - NHA LOS Practice Exam 2 Questions And Answers and more Exams Nursing in PDF only on Docsity! NAB Exam - NHA LOS Practice Exam 2 Questions And Answers In today's financial and regulatory environment, the administrator must be highly concerned at looking for ways to _____ inputs. A. Change B, Renew and increase C. Formulate D. Update and modify - - correct answer ✅B. Renew and increase. A primary concern of the systems administrator is how inputs can be renewed and increased. With the changing environment, the administrator must innovate in their environment so that they can be successful. Asking if the work accomplished by the facility is up to expected standards and, if not, taking corrective actions is the act of _____. A. Taking charge B. Reviewing results C. Controlling quality D. Controlling the inputs - - correct answer ✅C. Controlling quality. Control is the most essential tool available to administrators in the process of keeping the facility on course. Control of quality is a NAB Exam - NHA LOS Practice Exam 2 Questions And Answers corrective action taken after the evaluation of outputs was not achieved at an adequate level. The passage of the Omnibus Budget Reconciliation Act (OBRA) can be viewed as a form of _____ the nursing facility industry. A. Oppressive measure imposed on B. Object-oriented programming goals of C. External feedback of D. Internal feedback of - - correct answer ✅C. External feedback of. OBRA, which was passed to have more stringent requirements on nursing facilities, was done because of the performance of the industry at large. This was passed as a measure of external feedback returned on the industry for past poor performance. It is the administrator's job to ensure that all employees make the right decisions for the facility _____. A. In every case B. With a minimum of worry C. Quickly D. As often as possible - - correct answer ✅D. As often as possible. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers One thing the successful administrator remembers about the environment is that it _____. A. Remains beyond control B. Can be harnessed C. Can be brought under control D. Can be static - - correct answer ✅A. Remains beyond control. The administrator must understand that they are dealing with an environment which is beyond their control. Uncertainty and unpredictability are part of the game. Being knowledgeable about the field and having competence and experience will take today's administrator to _____. A. Excellence B. A good level C. The highest level D. Charismatic leadership - - correct answer ✅B. A good level. Being knowledgeable is simply enough to get by today. The administrator needs to be a master of their field and constantly be seeking out education, best practices, and ways to improve themselves. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers When deciding what style of management to employ in each situation, administrators should consider factors within themselves, factors in the employees, and factors in the _____. A. Organization B. External environment C. Five-year plan D. One-year plan - - correct answer ✅A. Organization. The effective administrator understands their environment and their employees. They must understand the organization and its inner workings to truly be successful. When the administrator concentrates on getting paperwork done, meeting regulations, and saving money, the staff _____. A. Are freed to give more attention to good resident care B. Do the same C. Feel the facility is being successfully managed D. Give better quality care - - correct answer ✅B. Do the same. If the administrator constantly moves around the facility, ensuring that each resident is getting quality care and enjoying a high quality NAB Exam - NHA LOS Practice Exam 2 Questions And Answers of life, the employees will probably follow suit. Likewise, if the administrator concentrates on getting paperwork done, meeting regulations, and saving money, that is where the staff's attention will focus. The administrator in the chain who is achieving the best level of resident care, but not necessarily the lowest cost per resident day, can be said to be _____, although perhaps not the most efficient administrator. A. The most acceptable B. Effective C. The best motivated D. The best producer - - correct answer ✅B. Effective. Efficiency is producing the desired effect with a minimum of effort, expense, or waste. Effectiveness is the power or ability to bring about desired results. An administrator who gets the job of good resident care done, but not at budget, can be said to be effective in the provision of care, but not efficient financially. Which of the following is NOT a federal quality measure? A. Percent of staff having a good feeling about residents NAB Exam - NHA LOS Practice Exam 2 Questions And Answers Determining the market mix consists of deciding what types of residents to approach and in what proportions. Most facilities find it useful to identify specific groups of persons being sought to serve. For nursing to achieve its tasks _____. A. Nearly every department must cooperate B. Well-trained staff are desirable C. In-services must be routine D. Nurses must care deeply - - correct answer ✅A. Nearly every department must cooperate. Organizational interdependencies exist between nursing and virtually every other area within the facility. Nursing is dependent on dietary, housekeeping, laundry, maintenance, the business office, the social worker, and the allied health professionals. For nursing to do its tasks properly, nearly every other department and functional area within the organization must also be performing its tasks. _____ results from when a resident who is cognitively or otherwise impaired wanders away from or escapes from a facility. A. Elopement NAB Exam - NHA LOS Practice Exam 2 Questions And Answers B. Disorientation C. Dementia D. Medication toxicity - - correct answer ✅A. Elopement. Elopement is defined as "when a resident who is cognitively, physically, mentally, emotionally, and/or 'chemically impaired' wanders away, walks away, runs away, escapes, or otherwise leaves a caregiving facility or environment unsupervised, unnoticed, and/or prior to their scheduled discharge." Despite the business office manager not being able to do the Minimum Data Set (MDS), they must regard MDS scores as a matter for _____ of the resident assessments for business purposes. A. Fair knowledge B. Some understanding C. Complete understanding D. No knowledge - - correct answer ✅C. Complete understanding. The business office must regard the MDS scores as a matter for complete understanding and careful attention to correctness of resident assessments for business purposes, just as the nursing, social service, dietary, and other staff must master the MDS to ensure competent resident care. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers The major difference between the challenge faced by the nursing facility dietary director compared with the hospital dietary director is _____. A. Fewer residents to feed B. Fewer staff C. Diets over an extended period D. Resident preferences - - correct answer ✅C. Diets over an extended period. Tasty food is important to a satisfactory quality of life. Hospital food, eaten for a relatively short time, can be tolerated. Nursing facility food, consumed for extended periods, sometimes forever, is subject to much greater scrutiny by residents and their families/significant others. The daily diet for each resident must be prescribed by the _____ in consultation with the _____ for the facility. A. Attending physician/registered pharmacist B. Attending physician/registered dietitian C. Attending physician/dietary manager NAB Exam - NHA LOS Practice Exam 2 Questions And Answers needed, and placement in a less intensive care setting becomes appropriate. This transition is especially valid for the short-term, rehab-to-home stays that are becoming more common today. The _____ and the _____ are assigned primary responsibility for the quality of psychosocial life within a facility. A. Social worker/director of nursing B. Social worker/activities director C. Activities director/director of nursing D. Director of nursing/nurses' aides - - correct answer ✅B. Social worker/activities director. The activities director and the social services worker are assigned primary responsibility for the quality of psychosocial life within a facility. It is difficult to imagine a more complicated undertaking in shaping the quality of a resident's life. Typically, _____ full-time employee(s) in a 100-bed facility is(are) hired to head maintenance. A. One B. Two C. Three NAB Exam - NHA LOS Practice Exam 2 Questions And Answers D. Multiple - - correct answer ✅A. One. Typically, one full-time employee in a 100-bed facility is hired to head maintenance. When seasonal needs exceed that person's time availability, subcontracting can fill the gaps. In summer, additional help maintaining the grounds may be needed. As ever, the facility is legally responsible for all acts of these subcontractors. The administrator asks the financial manager to identify competition trends for personnel, estimate in-migration or out- migration of workers, and look at wage scales in the area and competition for human resources. The administrator wants _____. A. An orientation to the area B. A job family to be established C. A human effort inventory D. More information than is needed - - correct answer ✅C. A human effort inventory. A human effort inventory examines trends in employment, salaries, burnout, competition for human resources, job security, in- migration or out-migration patterns in the labor supply, wage scale movements in the area, and expected impacts of educational institutions. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers Thirty years ago, successful caring for the frail older adult in the facility often depended less on technical knowledge than compassion for others. Today, successful caring for the frail older adult in the facility increasingly depends on _____. A. Technical knowledge B. Even more compassion C. Both technical knowledge and compassion D. Ability to perform the job specifications - - correct answer ✅C. Both technical knowledge and compassion. As the nursing facility population becomes more medically complex, both caring and technical skills become increasingly important. Sensitivity, compassion, and caring have construct and technical competence and will increasingly have validity as hiring criteria in nursing facilities. Every day, administrators in more than 17,000 nursing facilities make personnel decisions based on _____. A. What they were taught in personnel class B. The psychologist they most admire C. The theories they have read and assimilated NAB Exam - NHA LOS Practice Exam 2 Questions And Answers director of nurses' salary increased beyond that of the administrator. Administrators then demanded that their wages be increased to maintain a higher compensation than the director of nurses. As a practical matter, most owners do NOT fund depreciation and treat it as _____. A. Money available to the facility to spend B. Money to be placed in reserve C. A fiction D. A useless set of required calculations - - correct answer ✅A. Money available to the facility to spend. Few facilities actually "fund" depreciation; that is, put cash in an interest-bearing account reserved for replacing equipment. Such a fund would appear in the capital or new worth section of the balance sheet as "Funded Depreciation." In a facility having high fixed costs, the pressure to keep beds filled is _____ in facilities with low fixed costs. A. About the same as B. Stronger than NAB Exam - NHA LOS Practice Exam 2 Questions And Answers C. Weaker than D. More moderate than - - correct answer ✅B. Stronger than. When a facility has high fixed costs, this means that there is a significant amount of money flowing out of the facility each month regardless of census numbers. As such, to meet these expenses, a high census must be maintained. Nursing and physical therapy are normally thought of as _____ centers. A. Cost B. Loss C. Revenue D. Break-even - - correct answer ✅C. Revenue. Revenue centers are units of the facility, usually departments, that generate revenue, usually through resident care. Revenue centers in the nursing facility will normally be nursing, possibly physical therapy, occupational therapy, pharmacy, laboratory, and medical support. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers _____ costs are those directly attributable to a revenue center or incurred for directly providing resident care. A. Revenue B. Direct C. Break-even D. Indirect - - correct answer ✅B. Direct. Direct costs are those directly attributable to a revenue center or incurred for directly providing resident care. In the nursing facility, direct costs are often called resident care costs. Direct costs of the nursing department would include all nursing salaries, payroll taxes, benefits, medical supplies, expenses associated with capital equipment used only in the department, and any other costs associated directly with this department. A financial analysis that yields to the administrator a representative picture of the entire expense of providing a service (e.g., offering adult day care services) is known as _____. A. Value analysis B. Revenue analysis C. Cost finding D. Center analysis - - correct answer ✅C. Cost finding. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers A capital lease is a lease in which the lessee acquires substantial property rights. The emergency lighting system must provide power _____. A. Automatically B. With a minimum of operations C. From each nursing station D. From a switch in the administrator's office - - correct answer ✅A. Automatically. Emergency lighting shall provide illumination automatically in the event of interruption of normal lighting Corridors throughout resident sleeping areas must have _____. A. Automatic smoke detection systems B. At least 9 feet in clearance C. Well-decorated walls D. Smooth surfaces - - correct answer ✅A. Automatic smoke detection systems. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers Nursing facilities must have an approved automatic smoke detection system throughout corridors containing resident sleeping rooms and in spaces open to corridors Short persons must be able to reach _____. A. Fire extinguishers B. Door stops C. Top shelves D. Top of bureaus - - correct answer ✅A. Fire extinguishers. All individuals in the facility must be able to reach portable fire extinguishers Every building shall have a(an) _____ operated fire alarm system that shall be _____ supervised. A. Sprinkler/continuously B. Automatic/continuously C. Simultaneously/continuously D. Manually/electronically - - correct answer ✅D. Manually/electronically. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers Initiation of required fire alarm systems shall be by manual means. The fire alarm system shall automatically transmit electronically to a remote station for signaling Every story with 50 or more occupants must be divided into at LEAST _____. A. Six rooms B. Two smoke compartments C. Two nursing stations' responsibilities D. Four smoke compartments - - correct answer ✅B. Two smoke compartments. Buildings with multiple stories must divide every story with an occupant load of 50 or more persons into no less than two smoke compartments Doors protecting corridor openings must be made of 1¾ inches solid-bonded core wood or constructed to resist fire for at LEAST _____ minutes. A. 10 B. 20 C. 60 NAB Exam - NHA LOS Practice Exam 2 Questions And Answers C. 2/4/6/500 D. 4/4/6/600 - - correct answer ✅B. 1¼/1½/1½/250. Grab bars shall have a diameter of 1¼ to 2 inches (609.2.1). The space between the grab bar and the wall should be 1½ inches (609.3). Forces of 250 pounds should be able to be applied to the grab bar (609.8). For nursing facilities, meeting requirements set by The Joint Commission (TJC) is _____. A. Voluntary B. Mandatory C. Required for Medicaid payments D. Required for Medicare payments - - correct answer ✅A. Voluntary. Long-term care facilities that meet specific requirements are eligible to apply for accreditation from TJC. Accreditation by TJC is voluntary, and currently less than 10% of long-term care facilities have applied for it. NAB Exam - NHA LOS Practice Exam 2 Questions And Answers Which of the following was NOT a direct effect of the Affordable Care Act (ACA) on nursing facilities? A. Implementation of Quality Assurance Performance Improvement (QAPI) programs B. New special focus facility programs C. Enhanced data on staffing through Payroll Based Journaling (PBJ) D. Expansion of Medicaid coverage for custodial care residents - - correct answer ✅D. Expansion of Medicaid coverage for custodial care residents. Under the ACA, spending was shifted away from nursing facilities and there was no expansion for this coverage included Incentive payments incentivize facilities to improve their _____. A. Outcomes B. Quality of life C. Customer service ratings D. Quality of care - - correct answer ✅D. Quality of care. Incentive payments for quality (as defined by the U.S. Department of Health and Human Services [DHHS]) were incorporated into the Affordable Care Act (ACA). The federal government constantly NAB Exam - NHA LOS Practice Exam 2 Questions And Answers evolves incentives toward improved quality care. The Centers for Medicare & Medicaid Services (CMS) is evolving new definitions of quality care and incentivizing facilities to achieve improved quality. The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program _____ facilities with an incentive payment based on the quality of care which they provide. A. Penalizes B. Rewards C. Lowers reimbursement of D. Adds administrative burden for - - correct answer ✅B. Rewards. The SNF VBP Program rewards high-performing facilities with an incentive payment based on the quality of care which they provide. The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program is ultimately based upon measures surrounding _____. A. Facility discharges B. Facility admissions C. Hospital readmissions D. Hospital discharges - - correct answer ✅C. Hospital readmissions.