NAB NHA Exam Compiled Cards Exam Questions And Answers, Exams of Nursing

Download NAB NHA Exam Compiled Cards Exam Questions And Answers and more Exams Nursing in PDF only on Docsity! NAB NHA Exam Compiled Cards Exam Questions And Answers the physical plant - - correct answer ✅all designed, constructed, equipped, and maintained to protect health and safety of residents, personnel, public Life Safety Code (LSC) - - correct answer ✅Entire construction plan and materials meet LSC standards|||CMS requires unless have waiver or exception. CMS grants waivers on SNFs; states on NFs (NFPA) - - correct answer ✅National Fire Protection Association || established LSC Purpose of LSC - - correct answer ✅to provide reasonable degree of safety from fire. Waivers for Life Safety Code - - correct answer ✅If CMS finds a state fire and safety code adequately protects residents and personnel thenLSC does not apply. OLder facilities may obtain a waiver if they are and have been in compliance with an older addition of LSC as specified by CMS.||Before a nursing home may be built it must present architectural plant to State Medicaid or designated agency that approves construction. All major renovations, such as additional beds, change in utilization of space, and so on must receive approval. The state provides guidelines on what must be a approved. Upkeep and repairs do not require prior approaval. NAB NHA Exam Compiled Cards Exam Questions And Answers Blue Prints - - correct answer ✅keep as-built plans available for surveyors who do LSC inspection as well as for repair persons who may need prints for big jobs. LSC and other standards - - correct answer ✅Building and contact standards are set by LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local codes. ||- for handicapped|- follow which on specific state requires (ANSI/ADAAG) LSC and ANSI/ADAAG - - correct answer ✅LSC accepts both standards so they are essentially all LSC standards. Administrator does not need to know EVERY standard, but must keep a copy of the "LSC Handbook" as reference. The architect who designs the facility must know and incorporate all LSC and other standards, but it is advisable for the NHA to check his building to ensure compliance. LSC, ANSI/ADAAG, and CMS - - correct answer ✅**- building materials - fire-rate according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings have automatically activated by smoke/heat|- exits - no room more than 100 feet from exit. Lighted exit signs of specific size. |- walls extend continuously to roof deck of next floor. wall finish must meet flame-spread requirements ( have certificate of this)|- furnishings - curtains and NAB NHA Exam Compiled Cards Exam Questions And Answers accessible route - - correct answer ✅no incline more than 10% Wheelchair passage - - correct answer ✅32" bathroom doors||36" elsewhere parking - - correct answer ✅13 FEET||cannot block sidewalk; alley for 2 cars.|The number of handicap parking places is determined from a grid issued by ANSI. It MUST BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST BE VAN ACCESSIBLE.||If the facility only has one handicapped place, it must be van accessible. ramps - - correct answer ✅maximum rise 30". Slope not more than 1:10 What items must be accessible to wheelchair residents?| - - correct answer ✅WATER FOUNTAINS, telephones (non-Braille), light switches Toilets and handrails - height - - correct answer ✅toilets (Also ADA for staff) seat **17" to 19" height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined by state and CMS|| (easier to replace with handicapped toilet) NAB NHA Exam Compiled Cards Exam Questions And Answers Handrails - - correct answer ✅outside ramp, stairwell, bathroom required by ANSI, and specific height.||CMS requires in corridors.|| ADAAG specifies all 34" to 38" in public places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI| Monitored - - correct answer ✅monitored nationally the Office of Civil Rights monitors ANSI. States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored by State Agency handling LSC and ANSI. Alarms - - correct answer ✅flashing alarms for deaf, sound alarms for blind, tactile warnings for blind to identify danger areas. Grating - - correct answer ✅No greater than one-half inch; openings perpendicular to travel rout, if elongated. Threshold - - correct answer ✅no more than 1/2 inch on entrance and exit doors, except exterior sliding door can be 3/4 inch in height NAB NHA Exam Compiled Cards Exam Questions And Answers GROUNDS and parking - - correct answer ✅Maintenance cost- mowing biggest. State decides on number of parking spaces per bed. Water - - correct answer ✅water must have backup source of supply. Temperature established by state. Automatic Control Valves. (surveyors will ask for contract) (110 degrees in GA) Ventilation - - correct answer ✅All areas ventilated to outside - window, mechanical ventilation, or combination. | a. good movement (state determines| b. acceptable humidity/temperature levels (state determines)| c. surveyor rating:| A= Good movement; acceptable temp/humidity/odor levels| B= Little movement; temp/humidity/odor levels less acceptable.| C= No movement; temp/humidity/odor levels unacceptable. Residents and staff apprea distressed due to levels. Pest control - - correct answer ✅PREVENTION PROGRAM BEST; use contractor and staff||no traps, poisons, sticky fly paper.|| advantage - to use pest control service:||licensed and trained in use of all pesticides, how to rotate chemicals to prevent buildup of resistance. ||(close garbage bin: attracts pests) NAB NHA Exam Compiled Cards Exam Questions And Answers Occupational Safety and Health Administration (OSHA) - - correct answer ✅programs OSHA falls under U.S. Department of Labor safety and infection control program - - - correct answer ✅complete procedures for all staff to follow best infection control. committee may be desirable. universal precautions - - correct answer ✅checked by OSHA; includes|-CDC HAND WASHING procedures. NOW recommend use of alcohol-based solution to cleanse hands (except dietary employees)|-SOILED LINENS and bedclothes means used linens.|- Contaminated linen is soiled by blood or other potentially infectious materials. Mishandling is most frequent exposure to communicable materials. OSHA requires contaminated to be containerized at location. aseptic cleaning of isolation area. |OSHA APPROVED SPILL KITT*** CMS STANDARDS for infection control - - correct answer ✅investigate, control, prevent infections|set up procedure for entire program|document incidents and correctivev action|isolate infected resident|no employee with communicable diseases or skin lesions can have contact with food or residents|hand washing after each direct resident contact|handle, process, store, and transport linens in manner to prevent spread of infection NAB NHA Exam Compiled Cards Exam Questions And Answers blood born pathogens (BBP) - - correct answer ✅focused on AIDS and Hepatitis B. (OSHA) Training for BBP - - correct answer ✅all staff trained in how to handle| 1. blood spills and materials that may be infected, and | 2. exposure incidents PERSONAL PROTETIVE EEQUIPMENT (PPE) - - correct answer ✅FACILITY MUST PROVIDE GLOVES, GOWNS, LAB COATS, FACE SHIELDS, EYE PROTECTION, MOUT PIECES, AND RESUSCITATION BAS, POCKET MASKS, OR OTHER VENTILATION DEVICES. TRAINED TO USE Disposal - - correct answer ✅of sharps and other contaminated materials (OSHA) must have container in nursing, laundry, etc. and policy on emptying container (med carts: check levels)| regulated waste - - correct answer ✅contaminated sharps, blood, pathological waste, etc. Have written procedures for handling. Needlestick Safety and Prevention Act - - correct answer ✅follow OSHA standards|engineering controls - shield, retracting needles, NAB NHA Exam Compiled Cards Exam Questions And Answers shielded catheters, needles housed in protective covering, and jet injections. NOW required to USE SAFETY SYRINGES.|Law requires employee input on what works best. isolation room procedures - - correct answer ✅single occupancy| toilet|hand washing faciltities|vented to outside|sign when in use| HBV requirements - - correct answer ✅vaccine offered free to all employees (OSHA) Employee with lesions - - correct answer ✅never works in kitchen or patient care area post-exposure procedures - - correct answer ✅must have written plan for evaluation and follow-up. individuals involved tested (consent may be gained-OSHA says not required)-test blood of exposed person documentation - - correct answer ✅every exposure incident. facility should have "OSHA Compliance and Exposure Control Plan Checklist" in order to know if incompliance NAB NHA Exam Compiled Cards Exam Questions And Answers containers|c. prepare and distribute MSDS (any chemical)|d. develop and implement employee training label must: - - correct answer ✅a. identify product|b. identify hazardous chemicals|c. contain appropriate warning|d. show name and address of manufacturer|e. sometimes pH content-7 is norm Includes - - correct answer ✅cleaning compounds, clorox, furniture polish, pine oil, detergents, etc. Anything with WARNING label on it. lockout/tagout - - correct answer ✅control hazardous energy.|| purpose of lockout/tagout - - correct answer ✅to require employers to establish program using lockout or tagout devices on energy isolating devices and to disable equipment and machines to prevent unexpected energizing, start-up, or release of store energy in order to prevent injury. lockout device - - correct answer ✅lock (key or combination) that will hold device in safe position so it will not energize. where to keep key? maintenance person NAB NHA Exam Compiled Cards Exam Questions And Answers tagout device - - correct answer ✅used when evergy source cannot be locked out - tag or warning device NOT to use. Right to know laws RE: - - correct answer ✅hazardous materials in some states. OSHA recognizes only in sates with OSHA approved programs OSHA penalties - - correct answer ✅OSHA can FINE facilities| amounts based on severity of the deficiencies, GIVE CITATIONS and IMPRISON|CONSULTANTS - OSHA does trial run - no penalties SMDA - - correct answer ✅Safe Medical Devices Act of 1990 Medical devices - - correct answer ✅Medical devices - "Any apparatus, implement, chanine, implant, or related article intended for use in diagnosing, treating, curing, or preventing disease or intended to affect the body's function or structure, which achieves its intended purposes without chemical or metabolic action within the body.||i.e. catheters, thermometer, pacemakers, contact lenses, hearing aides, restraints, blood glucose monitors, WCs, gerchairs, beds, infusion and feeding pumps, whirlpool suction machines. NAB NHA Exam Compiled Cards Exam Questions And Answers policies and procedures - - correct answer ✅facility required to establish policies/procedures for programs of staff training, of reporting incidents, illnesses, and injuries, and of action taken. monitoring - - correct answer ✅the Food and Drug Administartion (FDA) monitors reportable incidents - - correct answer ✅events that reasonable suggest a medical device caused or contributed to a serious illness or injury, or to the deat of a resident - includes user error. serious illness or injury: - - correct answer ✅a. life threatening|b. results in permanent impairment to body structure or functioning| c. needs immediate medical or surgical intervention to prevent permanent illness or injury. ||extent determined by a physician training - - correct answer ✅staff must be trained annually on commonly used medical devices and on reporting. trained as necessary on infrequently used devices. include step by step procedure for staff to use in handling and reporting. Reporting - - correct answer ✅a. designated person - incident covered by SMDA are reported to a specified person within a NAB NHA Exam Compiled Cards Exam Questions And Answers Identify risk areas - - correct answer ✅NUMBER 1 CAUSE OF NURSHING HOME FIRES ACCORDING TO THE NFPA IS GREASE FIRES IN THE KITCHEN| FIRE CONTROL - - correct answer ✅planned program with local firemen who learn facility layout, hookups, cutoffs.. Alarm systems - - correct answer ✅regulated by ANSI and LSC Highest ranking person on duty in charge. Follow RACE: - - correct answer ✅R - Remove (rescue) endangered resident|A - sound Alarm|C - Contain fire (known which extinguishers to use.)|E - Evacuate if necessary (blind) or extinguish Doors - - correct answer ✅automatic fire doors; door to room closed training and drills - - correct answer ✅all staff trained before go on job. Drill required quarterly on each shift by LSC. Document....Not ENOUGH. How many per year? documentaiotn|||Specific duties of each employee. Supervisor will question. Other Disaster planning depends on location - - correct answer ✅1. main highway/railroad - chemical spills|2. factories - explosions|3. NAB NHA Exam Compiled Cards Exam Questions And Answers hurricanes, tornadoes, floods, wildires, snow storms, earthquakes, other natural disasters Preparedness program and training - - correct answer ✅transfer of casualties, records-transportation|shelter agreements|evacuation routes|care when evacuated --medications|special emergency procedures for cardiac cases|backup sources -water, power emergency power - - correct answer ✅required by CMS if have life support equipment, state may require all. supply power to: (LSC) alarm system, life supports, nurse's station, med. prep area, boiler room, communications (call system). CMS omits resident call system, BUT says follow LSC|| power transfer- 10 seconds| cranked weekly| tested full load 30 minutes/month| document battery backup - - correct answer ✅(if no generator) for fire, life safety, alarm system; all entrances and exits. NO waiver. Auditing and reporting - - correct answer ✅review program regularly - check all equipment, accident log, maintenance log, infection control measures, security practices, reports of theft.|| conduct and observe drills wil firemen||review documentation || ask each employee "duty?" NAB NHA Exam Compiled Cards Exam Questions And Answers reporting - - correct answer ✅of fires to fire marshall required in most states. also to medicaid agency atmosphere - - correct answer ✅1. physical - pleasant buildings, rooms, surroundings, change colors.|2. social - make eye contact every time see a person and call name and smile. never ignore any person you pass in the facility. be friendly.|3. show warmth, interest in individual.|4. eden alternative Governing Body - - correct answer ✅REQUIRED by CMS, whether sole proprietorship, partnership, or corporation corporations - - correct answer ✅are required by state to have Articles of Incorporation that specify officers, board, membership. closely held corporation - - correct answer ✅less shareholders, most are 5 or less, less formal organization. Public Corporation - - correct answer ✅many shareholders, very structured, bylaws make up - - correct answer ✅may be one person or many - there is not typical board structure in NFs NAB NHA Exam Compiled Cards Exam Questions And Answers to work together toward common goals. Getting work done with and through others. Functions of Managers (supervisors): Planning - - correct answer ✅setting goals, establishing PPR's, programs, budgets, etc. that determine what, how, when, where and by whom work is to be done. CENTRAL TASK is planning as it permeates all other functions. Purpose - - correct answer ✅primary focus on obtaining goals | offsest uncertainty and change|develop economical operations, and|facilitate control| Primary value - - correct answer ✅Administrator is charge whether she/he is present or not Types of plans: mission - - correct answer ✅basic task assigned to an enterprise by society. In nursing homes the mission is LTC goals or objectives - - correct answer ✅end results or product toward which all effort is directed||a. short range|b. long range|c. goal oriented needed||(These SHOULD STIMULATE action) NAB NHA Exam Compiled Cards Exam Questions And Answers Strategies - - correct answer ✅general plan that focuses on long range goals. ||What will facility be like, look like, feel like, sound like, and react like, in the future policies - - correct answer ✅broad general statements to guide decision making and to some extent action in achieving goals. allows flexibility in judgment. procedures - - correct answer ✅step by step means by which tasks are performed. allows less flexibility in decision making rules - - correct answer ✅specific, authoritative guides that require an action be taken or not taken. allows no flexibility in decision making. employees can use no judgment, so should have few as possible. programs - - correct answer ✅summations of goals, PPR's, budgets, work and space assignments, and resources. budgets - - correct answer ✅plan expressed in numerical terms that outline expected results NAB NHA Exam Compiled Cards Exam Questions And Answers evaluating effectiveness of policies and procedures. Are they: - - correct answer ✅written|differentiated|taught/understood| monitored to be sure they are followed|help meet goals|flexible - if don't help, change|reviewed and updated regularly organizing - - correct answer ✅grouping activities and people, assigning roles, delegating authority. Setting up department, shifts, work teams. purpose of organizing - - correct answer ✅allows for growth and expansion; seeks to reduce friction and unsought consequences. departmentalization - - correct answer ✅makes it possible for the organization to expand.** chart of organization - - correct answer ✅shows lines of authority and communication, formal organization.||hierarchy. top to bottom scalar chain - - correct answer ✅used almost entirely. || 0| I|__|I I| 0 0 Span of management - - correct answer ✅How many employees a supervisor can effective supervise. Usually 8-12 at line level. | NAB NHA Exam Compiled Cards Exam Questions And Answers Line - - correct answer ✅over all under one's direction - hire, instruct, monitor, discipline, fire staff - - correct answer ✅advisory, recommend, teach. cannot enforce decisions- consultants. functional - - correct answer ✅authority over a function (hiring, purchasing..) but not over person who carries it out. used in larger organizations. delegation - - correct answer ✅effective when lowest person in echelon who is authorized and capable is making a given decision. key to effective management. leadership style - - correct answer ✅-laissez-faire - give instructions and leave alone, easy going and supportive. May work for professional staff, and for highly motivated, capable staff.|| democratic- allow employee input on how things are done. majority rules. a factor in TQM. administrator must retain veto power, cannot be 1005 democratic.||paternal, sympathetic, parenting - you do your job- i'll take care of leave, raises, benefits.|| autocratic- dictatorial, threatening, intimidating. no confidence in staff; he knows all. "don't care if he likes me or not-just so work NAB NHA Exam Compiled Cards Exam Questions And Answers gets done"||situational- leaders adapt their style at times to meet circumstances in which they are working and/or the type of employee they are leading. controlling - - correct answer ✅measuring of the work performance to determine if it follows guidelines, and correction of any errors in performance. requires good policies and procedures. purpose of controlling - - correct answer ✅maintain harmony between plans and work performance. ||purpose of correcting erros is to improve work performance. **three steps in correcting errors: - - correct answer ✅review how work was to be done - begin with mutual agreement.|point out error|indicate remedy guidelines to correcting (4) - - correct answer ✅-correct first error, soon as possible, in private|-objective, specific, factual-no exaggeration|-make no excuse, be serious|-do not threaten that will watch to see| management types - - correct answer ✅most effective now considered to be TQM and MBWA NAB NHA Exam Compiled Cards Exam Questions And Answers TQM - - correct answer ✅builds employee interrelationships through work teams; utilizes employee knowledge. requires open communication, trust, mutual respect among employees and management. focus on improving - - correct answer ✅skills and quality of output. concerned with productivity, safety, cost, resident satisfaction. how can improve quality of work, and their knowledge and skills. result in continuous quality improvement (CQI) - - correct answer ✅greater job satisfaction, motivation, teamwork, growth of staff. MBWA - - correct answer ✅NHA regularly visits all departments and observes performance and environment. sends out strong messages:||- interested, available|- expects quality|- monitoring|- provides opportunity to:| - reinforce good work| - prevent some problems| - enhance communication employee centered management - - correct answer ✅is interested in needs and interests of employees. promotes positive work atmosphere, improves performance. (TQM and MBWA) NAB NHA Exam Compiled Cards Exam Questions And Answers accounting, assessment, care plans.| c. internet - much information for NH survey results| d. FAX| e. voice response| f. e-mail informal organization and communication - - correct answer ✅grapevine - tends to be used and depended on more than officia communication; tends to be believed and acted on. CANNOT destroy. learn to use.||offset by open, frequent, official communication. supervisors trace rumors.||coffee cliques and other informal groups talk about work, procedures, changes, how they will react. undue influence on performance privileged communication - - correct answer ✅between physician/patient, attorney/client, nurse/patient, husband/wife. NONE in child abuse cases| change - - correct answer ✅causes work slow-down or stoppage until employees learn how it affects them timing of change - - correct answer ✅announce before start, allow time to adjust, get off chest. ask for reactions, promote discussion - how affects you?||avoid 2 words: effective immediately NAB NHA Exam Compiled Cards Exam Questions And Answers no change - - correct answer ✅no change in any unit until all others evaluate impact principals of reciprocal action - - correct answer ✅no change can occur in any unit of an organization without affecting all other departments directly or indirectly||(don't ask why: employees get defensive. "i understand you were late, what are the reasons" motivation - process by which administrators initiate and direct employee behavior - - correct answer ✅1. Maslow's needs hierarchy - needs in acending order of importance from biological (food, clothing, shelter) to self-actualization. ||2. motivation primarily internal - employees wants to be seen as capable, competent||3. well motivated employees identify with facility goals, see as their own. ||4. money seldom motivates over period of time. employees must know raises depend on performance. may motivate if sizable in terms of what accustomed to.||5. rewards - important to job satisfaction types of rewards - - correct answer ✅organizational approval - pay increases, benefits, longevity pins, letters of recommendations, parking space, good supervisor relationship.||social environment - important. work with pleasant, cooperative employees - co-worker recognition.||work itself - interesting, stimulating, satisfying. NAB NHA Exam Compiled Cards Exam Questions And Answers risk management - - correct answer ✅program to reduce occurrences (incidents) that may lead to action damaging to facility and its reputation. economic loss through tort action -civil suit. primarily to protect facility, but also to protect residents, staff, and visitors. risk factors - - correct answer ✅-administration - PPRs, staff qualification, follow-up of complaints, accidents, insurance...|- nursing - restraints, PRN orders, medications, lack of proper assessment and care plan. #1 are of concern|-environment - LSC, ANSI, ADA, OSHA - poor security and preventive maintenance, inadequate safety and infection control. Housekeeping safety.|- Dietary-infection control, spoilage, food taste and appearance, garbage disposal.|-tools for developing good program:| proper plans for each dept| adequate insurance| training| documentation| quality assurance and assessment| monitored by NHA (MBWA) Marketing - - correct answer ✅act of offering services or product in the marketplace. managing flow of goods between producer and consumer. developing sales potential open market - - correct answer ✅ordered by court. Cannot restrict advertising health services and prices NAB NHA Exam Compiled Cards Exam Questions And Answers professional training - - correct answer ✅train AITs, interns from colleges. encourage professors to have students visit, do term paper on aging, LTC, facility operations. written program - - correct answer ✅public relations program should be written. show the role of employees, residents, ramify, volunteers, and administrator in improving relationships within facility (staff/residents, staff/family, staff/staff, staff/community) legislative issue - - correct answer ✅1. work with state health care associations and state and other health care groups|2. keep local legislators informed of LTC needs and issues.|3. know applicable bills and let legislators know possible opposition.|4. contact all members of legislative committees that will handle LTC bill. do not wait until committee meets and try to educate them Omnibus Budget Reconcilation Act of 1987 (CMS) - - correct answer ✅provides Gederal Care Guidelines (42CFR) for all nursing facilities that are certified OBRA - licensed administrators - - correct answer ✅of all nursing facilities, except state may waive NHA for distinct part and swing beds. NAB NHA Exam Compiled Cards Exam Questions And Answers OBRA: ownership - - correct answer ✅all participating facilities file Disclosure of Ownsership. FOR CMS (1513). If party has 5% or more ownership, show|1. name and address|2. relationships between any two owners|3. any named person's 5% or more interest in any other participating facility||annual update by administrator OBRA: lab, radiology, other diagnostic - - correct answer ✅must have agreement with qualified sources transfer agreement - - correct answer ✅(written) with one or more hospitals. include transfer procedures, records. EXCEPTION document if no hospital will sign. ombudsman - - correct answer ✅programs required. Includes state advocacy agencies for MI and MR. established by Older Americans Act of 1965, as amended. Duties - - correct answer ✅primary: to investigate and resolve complains made by or on behalf of LTC residents. An ombudsman is an individual who protects and promotes the rights of individuals before, during, and after a placement into a NF, adduct care home, or other assisted living. the service is offered at no cost to the client and is confidients| NAB NHA Exam Compiled Cards Exam Questions And Answers ombudsman involved in - - correct answer ✅1. services that could adversely affect health, welfare, safety, or rights|2. facility notify of survey noncompliance findings|3. state notify of any action against facility.|4. must have access to residents; records only with written consent.|give resident the name, address, phone number of ombudsmen.|fed and state notify when give facility waiver.|state notify of urvey and allow to sit in on an exit interview, suggest residents and families to interview survey process: tasks surveyors perform - - correct answer ✅1. offsite prep Tasks surveyors perform - - correct answer ✅A. OFF-SITE PREPARATION - review CMS's Online Survey Certification and Reporting (OSCAR III and IV) system and QUALITY INDICATORS to determine areas survey is to focus on.||b. ENTRY CONFERENCE - request any records||C. Initial TOUR - may uncover new areas of concern which they list.||D. SAMPLE SELECTION AND INTERVIEWING- no longer look for light care and heavy care. Select residents according QI report. Administrator and DONs who study these reports have an insight on which residents the surveyors will be reviewing.||E. Information gathering||F. Information analysis|| Exit interview|| NAB NHA Exam Compiled Cards Exam Questions And Answers remedies: category 1 remedies for "d" and "e" deficiencies - - correct answer ✅directed POC|state monitoring|directed in-service Category 2 - for deficiencies widespread with no actual harm but potential for minimum harm (f) - - correct answer ✅Denial of payment for new admits|denial of payment for all Medicare and Medicaid residents as imposed by CMS regional office|Civil money penalties of $50 to $3000 per day of noncompliance Category 3 - - correct answer ✅for cases of immediate jeopardy (level 4 deficiencies)|-temporary manager appointed|-terminated of provider agreement and/or|-CIVIL MONEY PENALTY OF $3,050 TO $10,000 PER DAY OF NONCOMPLIANCE|||||(QIS Survey being implemented in all states incrementally) Process of Financial Management - - correct answer ✅process of ensureing materials and other resources are bought and used efficiently and economically; attain goals. Value of Financial Management - - correct answer ✅Administrator has informatio to make decision and manage facility. Control device - measure performance against original plans. NAB NHA Exam Compiled Cards Exam Questions And Answers Administrator's role in Financial Mangement - - correct answer ✅owners hold administrator responsible for proper financial management of facility. Varies according to type of ownership. chain organizations may do budgeting, payroll, group purchasing - administrator may have little input. Smaller organizations usually have CPA to supervise accounting, make financial reports, handle payroll, etc. asset - - correct answer ✅a thing of value, things owned, such as cash, equipment, real estate. current asset - - correct answer ✅cash or other short-lived asset, i.e. A/R and CDs that are used up usually within 1 year. fixed or non-current assets - - correct answer ✅will not be used up within a year||i.e. building, equipment, etc. tangible assets - - correct answer ✅have physical characteristics, they can be SEEN and TOUCHED Intangible assets - - correct answer ✅are non-physical, such as COPYRIGHTS, patents and GOODWILL NAB NHA Exam Compiled Cards Exam Questions And Answers book value - - correct answer ✅is cost of a depreciable asset less accumulation depreciation ||depreciable asset - depreciation capital - - correct answer ✅is a term meaning funds to be used in business. Real esate, buildings and certain equipment can be included under certain conditions. | investment capital - - correct answer ✅cash used to purchase real estate and equipment, and to build - used to produce operational revenues. working capital - - correct answer ✅excess of CURRENT ASSETS/CURRENT LIABILITES. |A measure of company's ability to pay bills. capital expenditure - - correct answer ✅expenses of increasing book value of facility assets. contract for personal services - - correct answer ✅involves the offer of money, consideration, acceptance. Spell out duties, authority, time, remuneration, ESCAPE CLAUSE, other terms NAB NHA Exam Compiled Cards Exam Questions And Answers Long-term liabilities - - correct answer ✅debts not due for a period usually more than one year, such mortgages, bonds, and property liens. lien - - correct answer ✅claim or charge on property for payment of obligations liquidity - - correct answer ✅denotes how quickly an asset can be converted to cash without appreciable loss marginal return - - correct answer ✅point at which revenues equal expenses, the break-even point mortgage - - correct answer ✅conditional transfer of title on property by a borrower to a lender to secure payment of a debt or loan net worth - - correct answer ✅total assets - total liabilities note - - correct answer ✅written promise to pay definite sum of money on a certain date usually with interest NAB NHA Exam Compiled Cards Exam Questions And Answers sole proprietorship - - correct answer ✅legally liable for business debts partnership - - correct answer ✅legally liable for business debts corporation - - correct answer ✅not generally liable for business debts, except payroll taxes. best for owner's protection against liabilities of business.| S corporation - - correct answer ✅no corporate tax, except some long-term capital gains. profits or losses claimed on individual tax returns limited liability corporation ( LLC) - - correct answer ✅combines characteristics of CORPORATIONS AND PARTNERHSIPS. more flexible management. profit and losses can be allocated regardless of how stockholders are invest in the company.||IRS will attach owners assets when corporation does not remit payroll taxes. fiscal year and budgeting - - correct answer ✅corporations choose any 12 months. partnerships generally use calendar year. sole proprietorships use calendar year. NAB NHA Exam Compiled Cards Exam Questions And Answers budget - - correct answer ✅plan expressed in numerical terms that is a forecast of revenues/expenditures for fiscal year. also budget other resrouces - allocating staff, space, equipment, supplies master budget - - correct answer ✅includes cash budget, capital budget, liquidity ratios, pro forma finanical statement CAPITAL BUDGET - - correct answer ✅INCLUDES REAL ESTATE, BUILDINGS, QUIPMENT, USALLY LIMITING FACTOR AS RE-COVERAGE FROM EXPENES TAKES LONG TIME, ||MEDICARE COUNTS $5000 OR MORE AS CAPITAL IF ITEM HAS USEFUL LIF IN RXCESS OF 1 YEAR (PREVIOUSLY $500 OR MORE) CASH BUDGET - - correct answer ✅FORECAST OF ALL CASH RECEIPTS AND DISBURSEMENTS. CONSIDERS SCHEDULE OF CASH INFLOWS AND PAYMENTS OF OBLIGATIONS. SHOWS AVAILABILITY OF CASH. value - - correct answer ✅makes possible plans to invest surplus and for periods when expenses exceed income OPERATING BUDGET - - correct answer ✅INCLUDES DETAILS OF ATINICPATED REVENUES (INCOME) BY SERVICE, AND ANTICIPATED NAB NHA Exam Compiled Cards Exam Questions And Answers Accounting - - correct answer ✅standards established by accountants and boards - GAAP. Nearly all facilities now use computerized. define accounting - - correct answer ✅includes bookkeeping, budgeting, reports, specials studies, auditing, designing systems bookkeeping - - correct answer ✅very mechanical, recording of business transactions. double-entry accounting - - correct answer ✅each transaction has equal debits, equal credits cash basis - - correct answer ✅revenues/expenditures recorded when actually received or paid out, except for depreciation expense. accrual basis - - correct answer ✅revenue/expenses recorded when incurred. Medicare REQUIRES Accounting records: account - - correct answer ✅summary of changes in assets, liabilities, stockholders equity, revenue, expense. NAB NHA Exam Compiled Cards Exam Questions And Answers each account given titles that describes nature of item included (equipment; utilities, auto expense...)| Chart of Accounts - - correct answer ✅completel list of all categories in the ledger - may include number - receivables and payables - like table of contents. journal - - correct answer ✅book of original ENTRY. CONTAINS al financial transactions in chronological order. tells where to post debits and credits. ledger - - correct answer ✅complete listing of all accounts and their balances, payable and receivable Financial Statements: trial balance - - correct answer ✅list of all accounts and their balances, except account with zero balance. made at an y time, used in preparing other statements balance sheet - - correct answer ✅summarizes assets, liabilities, and stock holders' equity. reflects SOLVENCY. made up at ANY TIME NAB NHA Exam Compiled Cards Exam Questions And Answers earning statement - - correct answer ✅compares revenues with expenses incurred to produce income. reflects PROFITABILITY. ALSO CALLED PROFIT AND LOSS STATEMENT. | retained earnings - - correct answer ✅explains changes in retained earning tha occur between balance sheet dates statement of changes in financial position - - correct answer ✅shows flows of funds into and out of the business. derived from and ties together b, c, and d in single report. bank statement - - correct answer ✅lists balances at beginning of month, deposits, checks paid, bank charges, interest, daily balances, and ending balance. RECONCILE immediately upon receipt monthly cash-flow statement - - correct answer ✅sometimes used to show cash receipts and disbursements leading to net change in cash in a given period. provides information to plan for short range, cash needs or able to pay obligations promptly three basic steps in accounting - - correct answer ✅Entries- transactions recorded as they occur in the journal. tells where to NAB NHA Exam Compiled Cards Exam Questions And Answers considered; easy-to-read report summarizing date contained in various income statements lower break-even: do 3 things - - - correct answer ✅1. reduce fixed costs, (mortgage)|2. increase prices where possible,|3. lower variable cost percent occupancy - - correct answer ✅determined by dividing the number of possible patient days into the number of actual patient days, multiplied by 100|||actual days |_________||possible days|||(possible days = # of bed x days in month) payback period for capital investments - - correct answer ✅original cost|__________||savings per year auditing - - correct answer ✅checking accounting records for accuracy. can have compliance audit nursing costs - - correct answer ✅cost of drugs $0.60 ppd. 100 beds with 90% occupancy. how much do you expect to spend in a 20 day month||100 beds x 90% occupancy = 90 pts|90pts x $0.60 cost ppd = $54.00 total cost/day|$54.00 total cost/day x 30 days = $1620.00 NAB NHA Exam Compiled Cards Exam Questions And Answers ratio analysis - - correct answer ✅analyzes strength and profitability, and efficiency of operations. done by determining relationships between certain items in balance sheet and earnings statement, and pairs of items of different statements ratio analysis: current or working capital - - correct answer ✅shows excess of current assets over current liabilities. expressed as 1.5:2. creditors interest in this ratio.||i.e. 25k/50k = 1.2 quick or acid test relates quick assets (cash, AR) to current liabilities (creditors and owners interest in this.)||acid test ratio = quick assets| __________| | current liabilites - - correct answer ✅... note on ratio analysis: - - correct answer ✅a current ratio of 1:1 indicates the facility can pay its debts and perhaps have a surplus. at first glade a ratio of 2:1 appears much better. however, there may be too much money tied up in current assets that are not liquid. in this case, a quick or acid test may be better. a quick ratio of 2:1 means the facility has adequate assets to meet its obligations with a surplus that can be possibly invested until needed. Accounts Receivable: reimbursement sources - - correct answer ✅medicaid|medicare|private pay|managed care|long-term care||| 83% of residents pay in part or in whole by Medicaid/Medicare NAB NHA Exam Compiled Cards Exam Questions And Answers numbers to know for AR - - correct answer ✅3/30 qualifying stay within 30 days|20 100% first 20 days|80 co-pay days|100 days max on medicare|2 days notice before discharge|60 days break in care| 5 days therapy/week AR audited - - correct answer ✅must show that made an effort to collect money before putting on bad debt Medicaid - - - correct answer ✅Title 19 program for medical assistance to the medically indigent - based on medical need. eligibility for Medicaid - - correct answer ✅possess no more than a home, car, and other resources up to an amount set by the state and approved by CMS.| CMS and Medicaid - - correct answer ✅State has official state Medicaid agency that administers program with CMS approval. Medicaid Services - - correct answer ✅include in-patient and outpatient hospital care, lab, x-ray, SNF and NF, home health, private duty nursing, dental, PT and OT, prescribed generic drugs and some other. Varies by state. NAB NHA Exam Compiled Cards Exam Questions And Answers demand billing - - correct answer ✅resident has the right to have facility bill Medicare for services even though the facility has determined he/she is not qualified. CANNOT BILL OTHER SOURCES UNTIL DETERMINATION OF CLAIM IS MADE BY THE INTERMEDIARY.|| Denial Letter - - correct answer ✅new regulations mandate that a 2- day notice is given to the resident/legal representative prior to discharging from Medicare Part A Electronic billing - - correct answer ✅required. can bill at any time - usually monthly as must have invoices from vendors such as the therapies, labs, etc. reimbursement rate - - correct answer ✅is set by CMS based on the 53 RUGs (case mix). 2 sets of rates: metropolitan and rural provider's bill - - correct answer ✅they bill the SNF for any covered service. ||ADVANTAGE - helps to reduce fraud as SNF will only pay for services actually rendered NAB NHA Exam Compiled Cards Exam Questions And Answers Other billing - - correct answer ✅private pay, managed care (HMO's), and LTC insurance should be billed on a timely basis. Use sequentially numbered invoices that include:| items or services sold| units of items or services| cost per unit| total cost| terms of payment| age of account| late fees - - correct answer ✅nursing homes may charge reasonable fee Vendor's statement - - correct answer ✅is basically a history of account - balance of last billing, added bills for service, payments made, current balance, and age of account. DO NOT pay by statement - pay only by invoice aging account - - correct answer ✅value of aging account is two fold:||1. reminds resident his account is an arrears and needs attention, and|2. it helps you estimate actual amounts you can expect to collect. Accountant collection rate by days delinquent - - correct answer ✅1- 30 days lose 5% 30,000 uncollectable|31-60 lose 10% 20,000 |61- 90 lose 25% 15,000|91-100 lose 50% 5,000 NAB NHA Exam Compiled Cards Exam Questions And Answers delinquent accounts - - correct answer ✅NHA should take active role||letters, phone calls, personal visits. The longer it takes, the less you will collect. when all else fails, may need to turn account over to collection agency or an attorney. before you do, suggest family take out loan and pay you - pay loan monthly NPI numbers - - correct answer ✅National Provider Identifier||in addition to facility's NPI, physicians providing services must be included on the UB04 receipts - - correct answer ✅all funds received should be receipted and immediately recorded in proper accounts - first opportunity to lose money. deposits - - correct answer ✅all funds received should be deposited the same day they are received. Person receiving funds should not make up bank deposit slip - second chance to lose funds statement - - correct answer ✅bank statement should be reconciled immediately after receipt - 3rd chance to lose funds. do not allow person who makes deposit to reconcile statement - another makes deposit NAB NHA Exam Compiled Cards Exam Questions And Answers AP statement - - correct answer ✅contains balance from last statement date, dates and amounts of payments, dates and amounts of new purchases, and new balance. Also contains age of amounts due. Do not pay by statement. Payment - - correct answer ✅by numbered invoice. Every check should be backed by invoices use discounts - - correct answer ✅and full credit period-helps with cash flow INVENTORY CONTROL - - correct answer ✅maintain proper levels to reduce working capital needs economic order quantity (EOQ) - - correct answer ✅method helps on when and how much to order. balances cost of reordering and carrying cost, and risk of running out. Must consider shrinkage, spoilage, and theft. frequent reports - - correct answer ✅to administrator on amounts on hand NAB NHA Exam Compiled Cards Exam Questions And Answers perpetual inventory - - correct answer ✅BEST. know amount on hand and cost based on use at all times. tighter control. End of Year - - correct answer ✅All inventories are valued. Supposed to use cost when purchased or current cost, whichever is less. turn-over rate - - correct answer ✅number of times an item is replaced during the year. FIFO- - - correct answer ✅older stock used first. inflation results in older stock being of higher value. also reduces spoilage. LIFO - - correct answer ✅New stock used first. Inflation makes value of remaining goods less than those just used. storage - - correct answer ✅freezers and storage rooms locked spoilage - - correct answer ✅-milk and others-make sure to rotate- FIFO sudden increase in cost - - correct answer ✅compare to same dates in prior years, see if cyclical. NAB NHA Exam Compiled Cards Exam Questions And Answers energy - - correct answer ✅cost appear too high, best to hire maintenance engineer to do energy audit, set up program for ONE person to audit - save enough first year to cover fees cost mangement - - correct answer ✅involves sensitivity analysis- purpose is to ancticipate changes in variable costs and to plan containment.||Due to increased competition, changes in reimbursement, more regulation employees biggest problem in cost management. Only solution - - correct answer ✅1. do not buy miracles items|2. request free trial on new items.|3. consider what you CAN AFFORD|4. analyze cost effectiveness - product may be good, but too expensive for what you get|5. teach staff cost control starting with budgeting|6. manage cash flow-use discounts, full credit period, work resident accounts (best way to increase cash flow), keep inventories down, sale of stock. |7. Lag-time- if receipts late, use line of credit, pledge accounts receivable, borrow from retained earnings, bank loan|8. regularly compare expenditures to see if within budget. payroll accounting: records - - correct answer ✅attendance and payroll. |Wage & Hour says keep at least 3 years.|May keep employee earning record.| NAB NHA Exam Compiled Cards Exam Questions And Answers $50 in interest earning accout, interest to each individual.|2. total funds within $200 of SSI (may be refered to as resource limit) notify resident in writing. |||NOTE: for med A recipients in the nursing home the regulations states for those patients the dollar amount to the interest bearing account is $100. It does give the facility the leverage to use the "$50 rule" however. surety bond - - correct answer ✅facility bond or assurance approved by DHHS, at least to cover all resident funds. may have alter nature assurance. conveyance at death within 30 days - - - correct answer ✅funds and accounting to person or probate administrating estate. co-mingling - - correct answer ✅(cannot do) resident's funds must never be included with or in any way. procedures for residents funds - - correct answer ✅carefully followed and documented for funds and personal valuables; otherwise facility may be responsible. petty cash fund - - correct answer ✅1. established on imprest basis when is periodically reimbursed from general cash.|2. reconcile NAB NHA Exam Compiled Cards Exam Questions And Answers when run out of cash, group receipts and post to correct account, total groups of receipts and write check for that amount|3. value- conveience on things lik e postage due and small purchasse, and reduces check writing. Auditing - - correct answer ✅the checking, reviewing, testing, and verging, the accuracy of accounting records, usually by a CPA||1. annual audits are required|2. compliance audit - is one that includes accuracy and that determines whether all business procedures were followed|3. annual cost report is required of every medicaid agency. purpose of human resources - - correct answer ✅to provide quality resident care with efficiency and economy. MUST:||1. Employ qualified person for each position.|2. Create a POSITIVE WORK ENVIRONMENT What are the three factors that promote positive work environment between staff and management: - - correct answer ✅a. POLICIES and PROCEDURES- clear guidelines for employees to work by. |b. SOCIAL ENVIRONMENT - people like to wrk with others (few hermits) i like the I work with: pleasant, congenial, cooperative |c. WORK ITSELF- interesting, challenging, satisfying, fulfilling - i like what i do. | NAB NHA Exam Compiled Cards Exam Questions And Answers EEOC - - correct answer ✅Equal Employment Opportunity Commission OSHA - - correct answer ✅Occupational Safety and Health Administration INS - - correct answer ✅Immigration and Naturalization Service Policies, Procedures, and Rules (PPR's) - - correct answer ✅1. FIRST STEP in human resource management|2. PURPOSE: provide information on what management expects of employees and what employees expect from management|3. DEFINITIONS| policies - flexible| rules - inflexible|4. EMPLOYEES HANDBOOK - simply written PPR's on personnel management. Copy for each emplyee. staffing requirements for DON - - correct answer ✅Must be an a registered nurse. May serve as charge nurse only when 60 or fewer residents. Must have a RN 8 consecutive hours a day/ 7 days per week unless have a waiver. staffing requirements for charge nurse - - correct answer ✅licensed nurse on each tour of duty unless have a waiver (waivers for medicare facility granted by CMS; for medicaid, by state) NAB NHA Exam Compiled Cards Exam Questions And Answers define job classification - - correct answer ✅titles of jobs, ruse, aide, secretary define job analysis - - correct answer ✅first step is to identify |1. tasks|2. knowledge, skill, behaviors needed. |Best person to help determine is the employee. use to develop job description. define job assignment - - correct answer ✅pacific assignment of duties (usually written) define job evaluation - - correct answer ✅appraisal of a job of by application of standards in order to rank or rate jobs. used to determine pay levels define job description - - correct answer ✅list of duties, level of authority, distinguishing features of work, special requirements as standing, stooping, lifting, and qualifications-required license, training, etc. define job specifications - - correct answer ✅usually same as job descriptions NAB NHA Exam Compiled Cards Exam Questions And Answers professional ethics - - correct answer ✅administrator must know ethics of practice of all staff, hold professional staff to their code. || 1. REPORT unethical practice to proper Board an/or agency|2. ETHICS in prace as relates to residents - ETHICS COMMITTEE Employment practices - - correct answer ✅1. Advertising (external recruitment)|2. Job Posting (internal recruitment)|3. Staff one of the best sources of applicants|4. CNA registry|5. Labor Pool - disadvantages: affects care, decreases morale, increases cost.|6. Employment agency - advantages: screens for basic job requirements|7. Application form - may not ask birthday, sex, marital status, nationality, children (arrest records), birthplace, physical size, etc.| Fill out alone in facility to test reading level| include permission to contact references|8. Most states require criminal background check on all non-licensed, non-registered staff.|9. Employment history - always check 2 references - good indicator of success is length of time on prior jobs.| verify employment dates| ask if would reemploy|10 Intervewing What are the methods of interviewing? - - correct answer ✅1. non directive open ended questions; give problem and ask how handled|2. in-depth (directed) - ask specific questions|3. patterned - use list of sequential, detailed questions (some think it is more reliable)|4. know job requirements ahead of time|5. things cannot ask as may be discriminating|6. do not discuss job itself until you have information on applicant - will tailor answers to what job NAB NHA Exam Compiled Cards Exam Questions And Answers requirements are.|7. interview all applicants - major error is hiring first one who is well qualified|8. applicant with DISABILITY - must interview differently ( see ADA)| pre-employment tests - - correct answer ✅personality, interest, ability, work sample- must be done by qualified examiners. READING test by use of application. Personality and interest test not usually good predictor; ability test and work sample can be. No test given that has adverse impact on minorities or women (title VII) pre-employment tests: construct validity - - correct answer ✅measures traits or behaviors of people need for the job. pre-employment tests: content validity - - correct answer ✅measures skills, knowledge, and performance requirements medical exams - - correct answer ✅pre-employment physicals only after job offer. Physician only gives findings, no recommendation or decision on employment. Drug and Alcohol testing - - correct answer ✅generally permissible. obtain written consent of applicant. paid for by facility. NAB NHA Exam Compiled Cards Exam Questions And Answers EEOC: Title VII - - correct answer ✅race, religion, sex, national origin EEOC: Title VI - - correct answer ✅use of facilities, activities, bed assignments EEOC: Sex - - correct answer ✅substantially equal work, equal pay EEOC: sexual harassment - - correct answer ✅Employee comes to NHA, She/He should investigate, take action, document. Tort action frequent. EEOC: Age - - correct answer ✅over 40 EEOC: pregnancy - - correct answer ✅same benefits as all other employees. Sick Leave. EEOC: veterans - - correct answer ✅disabled Vietnam veterans EEOC: Handicapped REHABILITATION ACT OF 1973. - - correct answer ✅no discrimination if employer receives federal funsd; no discrimination in hiring or use of facilities by handicapped in NAB NHA Exam Compiled Cards Exam Questions And Answers programs using federal funds. Also requires Affirmative Action in federally-funded programs. Americans with Disabilities Act - - correct answer ✅job description set up to show essential and marginal tasks - may not ask if have handicap how is covered in ADA? - - correct answer ✅physical, mental or psychological disability, obese, AIDS victims, and others.|| who is not covered under ADA? - - correct answer ✅current alcoholic and drug addicts, homosexuals, bisexuals, kleptomaniacs. ADA job descriptions (3) - - correct answer ✅a. classify tasks as essential - ask how they would do|b. reasonable accommodations| c. penalties - depend on number of employees ( legal form of all- purpose extortion)| Immigration and Naturalization Form 1-9 - - correct answer ✅since Nov 1989. Every employee must have one on file. Employee compensation - - correct answer ✅pay scales related to level of authority, training required, supervisory duties, skill|. ||Key NAB NHA Exam Compiled Cards Exam Questions And Answers to good pays system is to start with fair wage standard - prevailing wage paid by other facilities. Increment pay plan - - correct answer ✅beginning pay with regular increases-||1. seniority, merit, mixed, job-based|2. shift differentials. Employee benefits - - correct answer ✅SS, Medicare, workers comp., unemployment insurance and FMLA are required||1. other - vacation, sick, breaks, holidays, PTO, etc.|2. Most costly-usually vacation leave|3. total cost of benefits may be 25 - 40 percent of base pay| factors in setting up employee compensation programs are: - - correct answer ✅1. supervisory duties|2. level of authority|3. knowledge required|4. necessary skills FMLA of Feb 1993 - - correct answer ✅provisions- leave without pay must be granted| 1. leave must be granted to fathers in case of newborn child;| 2. leave granted for placement of child for adoption;| 3. leave granted to care for spouse, child, or parent with serious health condition| 4. UP TO 12 WEEKS PER YEAR; DOES NOT HAVE TO BE ALL AT ONCE. | 5. ELIGIBILITY- MUST HAVE WORKED 1,250 HOURS DURING THE PAST 12 MONTHS, INCLUDES PERSON, NAB NHA Exam Compiled Cards Exam Questions And Answers is to change employee behavior to acceptable and improve work performance Types of Discipline - - - correct answer ✅oral, written, suspension, docking pay Fairness and consistency - - correct answer ✅same penalty for same error most severe discipline - - correct answer ✅when abuse, under influence, fighting. ||First offense may be terminated. ||| DOCUMENTATION IS IMPERATIVE Discharge - - correct answer ✅just cause according to state employment security is misconduct. Absenteeism is not considered misconduct. Employee counseling - - correct answer ✅low affect ( soft voice), be specific, listen, no hasty dision, accept feelings, no criticism. Non- directive; draw out information.| Problem solving approach - - correct answer ✅with supervisor let him/her vent, then egage in problem solving. how have you NAB NHA Exam Compiled Cards Exam Questions And Answers handled this? what went wrong? what else can you do? set time to follow up grievances (employee) - - correct answer ✅must have or employees feel no one cares. explore all employee complaints, give feedback. invites organized labor without it. who is the key person in handling employee grievances? - - correct answer ✅immediate supervisor. Can squelch, distort... Negotiating - - correct answer ✅use of give and take in solving problems. not a win/win situation. Get Employee ideas and build on them. useful for contracts with HMOs, consultants, and labor unions. Legal Liability - - correct answer ✅RESPONDENT SUPERIOR- EMPLOYER IS RESPONSIBLE FOR WORK ERRORS OF EMPLOYEES WHEN ON DUTY. VICARIOUS LIABILITY - MAY BE RESPONSIBLE FOR NON-CONTRACT WORKERS WHILE PERFORMING DUTIES IN THE FACILITY. | - PROPERLY TRAINED. NEVER ALLOW EMPLOYEE ON JOB UNTIL FULLY TRAINED . LIABILITY INSURANCE. NAB NHA Exam Compiled Cards Exam Questions And Answers Staff recognition - - correct answer ✅promotes job satisfaction and MOTIVATES. Stimulated by own needs and rewards: staff recognition: organizational - - correct answer ✅pay increases, benefits, recognition, praise, awards, promotion. Controlled by facility.| staff recognition: social recognition - - correct answer ✅from fellow work - not controlled by facility| monitoring performance- - - correct answer ✅Use MBWA.| Accountability holds employee responsible for work assigned. should be |REGULAR - frequency depends on job itself. | INFREQUENT monitoring tends to promote feeling high performance not necessary|1. employee needs to know WHAT, WHO, and HOW will be monitored - not when...| performance evaluations - - correct answer ✅job or performance based - evaluate on basis of goals and procedures for individual employees job. do not compare with each other. NAB NHA Exam Compiled Cards Exam Questions And Answers Union activities - - correct answer ✅NLRA purpose |1. define and protect employee and employer rights|2. encourage bargaining|3. eliminate harmful practice Things to do when Union comes in: - - correct answer ✅1. contact labor relations specialists and develop plan|2. conduct meeting and quote union promises|3. discipline on the job union activities|4. describe collective bargaining|5. union representation - speaks for employee, cannot represent self.|6. strikes - can lay off if strikes is for pay/benefits|7. card signing does not mean must join|8. tell them disadvantages of unions. Unions: Things you CAN'T do (SPIT) - - correct answer ✅Threaten to fire, demote|Iterrogate - question if for or against, attend meetings, or sign card|Promise raise, promotion or other benefit|Surveillance - may not watch to see who attends meetings, discusses union and passes out literature on his own time. | Administrator cannot attend union meetings| Supervisor speaks for union - do not fire. Clarify Facility stand on unionizing. Election - - correct answer ✅NLRB may call election when 30% sign cards.|50% plus one who cote determine outcome of election||i.e 100 vote | 50%| 26 determine outcome| NAB NHA Exam Compiled Cards Exam Questions And Answers Unions - bargaining - - correct answer ✅union seek to become the bargaining agent. They cannot approach employees on job; can when not on duty. ||cannot pass out literature in patient areas; can in non-patient areas if unionized - - correct answer ✅determine in advance the essential demands and what you will do before contract negotiations. Have written plan| what is the difference between mediation and arbitration? - - correct answer ✅mediation: third party tries to get parties to agree||arbitration: opposing parties agree to abide by decision of the arbiter. || Decertifiaction of unions - - correct answer ✅if dissatisfied with union, members of union may petition NLRB for decertification election at end of contract. Never sign more than one-year contract Employee health and safety - - correct answer ✅CMS mandates safe and healthy environment for staff, residents, and public.|||OSHA mandates safe, healthy workplace, for employees to work in injury/illnesss rate - - correct answer ✅8.5% NAB NHA Exam Compiled Cards Exam Questions And Answers does lower back injury and job dissatisfaction have significant correlation - - correct answer ✅yes OSHA programs - - correct answer ✅1. identify and correct safety hazards|2. investigate each accident, document|3. record and report by OSHA standards|4. Deal with job dissatisfaction| use TQM| provide supervisory training| give employees more control over how their work is done| job and skill training for employees to improve self| reward work performance and dedication| wellness| smoking regulations| substance abuse policies NLRB - - correct answer ✅national labor relations board normal physical changes in the aging process (6)| - - correct answer ✅muscle loss|SKIN TEXTURE CHANGES|bruise easily|lose taste buds|sense of smell lessens|problems with balance Resident Care Management and Quality of Life abnormal physical changes in the physical process (8) - - correct answer ✅Parkinson's|Alzheimers|strokes/CVAs|glaucoma| INCONTINENCE|arthritis|prostate diseases|AND|cataracts