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NAB-NHA SOLUTION GUIDE
The travel distance to reach a resident room door to another section of the facility is 50 feet Personnel must handle, store, process, and transport linen in a manner that prevents The spread of infection An administrator is evaluating an old building for possible renovation as a nursing facility. To meet ANSI standards, the building should be adapted by Installing a new fire alarm system All of the following are factors in determining whether nursing facility dining and activity rooms are well-ventilated except Room square footage
Which of the follow maintenance programs is a proactive approach to extending the life of equipment and systems? Preventative Skilled health care nursing facilities must provide a safe, clean, comfortable, and homelike environment that allows residents to use their personal belongings To the extent possible after considerations of safety, cleanliness, and comfort A situation in which a provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident is known as Immediate jeopardy Two residents of a facility are known to have dementia and have been assessed as combative. One afternoon, they are placed at the same table for lunch, and one resident hits the other, causing a serious head injury. Surveyors investigating the incident cite immediate jeopardy for lack of supervision. Which federal regulation tag does this situation fall under? Abuse and neglect The following expenses are for a Medicare Part A Resident: Routine nursing care: 900 Therapy: 1500 Attending physician visit: 300 Room: 3000 Medications: 600
When updating the resident rights poster, a nursing facility is required to post the name and telephone number of each of the following except the Medicaid fraud control unit If a resident of the nursing facility requests a photocopy of his/her medical record, the facility must Provide it within two working days at a reasonable rate If a nourishing snack is served at bedtime, what is the maximum number of hours that may elapse between a substantial evening meal and breakfast? 16 hours A widow and widower are mentally alert residents of a nursing facility. It has been evident to staff that the two have developed a close relationship. One evening, a certified nurse aide notices the widow going into the widower's room and closing the door. What is the most appropriate way for staff to handle this situation? Respect their privacy and monitor the situation Which of the following must be made available to a nursing facility at the time of a resident's admission? Orders containing medications and care When scheduling and making a dental appointment for a resident, a nursing facility is obligated to Assist in scheduling transportation to/from the dental office
The Occupational Safety and Health Administration (OSHA) requires form 300A to be displayed in which of the following months? February, March and April According to current labor laws, during union solicitation in a nursing facility, the facility's administrator Cannot prohibit or interfere with union solicitation during lunch breaks or off duty times. The Occupational Safety and Health Administration's (OSHA) Access to Employee Exposure and Medical Records Standard requires that long-term care employers ensure the preservation and retention of medical records of employees with exposure to bloodborne pathogens for at least The duration of employment plus 30 years A nursing facility must have a full-time director of nursing services. Full time is defined as working how many hours per week? 35 hours minimum With regards to a unionized building, in a "closed shop" state, the employees Who are in the bargaining class must join the certified union A statement that presents the job to be done along with associated duties and responsibilities is known as a job Description
Under the Code of Federal Regulations, nursing facilities are required to offer in service training based on performance evaluations to all Certified nurse aides (CNAs) performing nursing and nursing related services A reciprocal arrangement between a community hospital and a nursing facility to ensure the provision of medically appropriate services is commonly referred to as a Transfer Agreement The government agency of the Department of Health and Human Services responsible for regulating long-term care facilities is the Centers for Medicare and Medicaid Services (CMS) A nursing facility wants to receive a discount on civil monetary penalties. How many days does it have to request the discount from the notice of the date of imposition? 60 days A nursing facility wishes to challenge a deficiency using the informal dispute resolution (IDR) process. Which of the following statements regarding IDR is true? The scope and severity of a deficiency that constitutes substandard care or immediate jeopardy can be challenged A resident call system must allow the nurses' station to relieve calls from any Toilet and bathing area
The facilities caring for residents on life support, which of the following statements is true about emergency power? Life support systems should have a self-contained back up power source The Life Safety Code requires which of the following to provide egress from the nursing facility? Two unobstructed, marked and unlocked exits The results of all investigation of abuse, neglect, or misappropriation of resident property must be reported to the administrator and to other officials, in accordance with state law, within 5 working days A nurse administrates 100 doses of medication. It is later discovered that two wrong medications were administered and three medications were not given, additionally one medication was refused by a resident. What is the medication error rate? 5% The balance sheet is a summary of Liabilities, debt, and assets at a given point A resident has a Medicare stay in a nursing facility. How long of a break in services must pass before the resident qualifies for another 100 days of Medicare coverage? 60 days Which of the following resources should a Medicare billing clerk use to determine whether a services or a treatment for a
Which of the following statements is correct with regard to a nursing facility's activity program for residents? Activities should be designed to meet the individual needs of each resident All of the following are examples of residents' rights except: Privacy for marital relations, seeking medical records, a large TV, refusing treatment A large TV If the resident's knowledge of English is inadequate for comprehension, the nursing facility must Provide a means of communication in the resident's primary language Nosocomial Infection Infection contracted because of an infection or toxin that exists in a certain location, such as a hospital Which of the following organizations develops the Life Safety Code? National Fire Protection Association (NFPA) The primary objective of the Life Safety Code requirements is to minimize harm to Human life The Life Safety Code applies to All types of buildings where users need protection
Starting in 2003, to meet federal certification requirements, nursing facilities must generally meet the applicable provisions of which edition of the Life Safety Code? 2000 Fire drills shall be conducted at a minimum Once a quarter on each shift Which employees must be periodically instructed on their duties under the facility's Fire Safety Plan? All employees Which of the following is the first step that an employee should take when a fire occurs? Aid any person in potential danger while calling out a previously established code phrase The purpose of closing doors during building fires is to Contain the spread of smoke and flame Which of the following statements is not true regarding fire drills? A. They shall be held at both expected and unexpected times. B. They shall include closing of doors by staff C. They shall include movement of bed-ridden residents to safe areas. D. They shall vary in their use of means of exit and relocation areas. They do not have to include the movement of bed-ridden residents to safe areas.
Aim at the top of the fire Portable fire extinguishers must be inspected and/or serviced by a qualified person at what minimum? Annually A facility's smoking rules should include all except which one of the following? A. Designation, and identification by signs, of areas where smoking is prohibited. B. Direct supervision of smoking by residents classified as not responsible. C. Provision of ashtrays and wastebaskets of noncombustible materials and safe design in all areas where smoking is permitted. D. Complete ban on smoking by all residents in the facility. Complete ban on smoking by all residents in the facility. Ashtrays must be emptied Only into metal containers with self closing covers. A "means of egress" is a continuous and unobstructed way of travel leading from where to where? Any point in the building to a public way Which of the following is true? A. Any smoke barrier also serves as a fire barrier. B. Any fire barrier serves as a smoke barrier. C. A smoke barrier qualifies as a fire barrier only if it has a minimum fire resistance rating.
D. No door or wall may serve as both a smoke barrier and a fire barrier. A smoke barrier qualifies as a fire barrier only if it has a minimum fire resistance rating. Which one of the following is a requirement for heating and other utility ducts that penetrate fire walls? A. They are not permitted. B. They are permitted in sprinklered buildings only. C. They are permitted in non-sprinklered buildings only if they are constructed of materials having a certain minimum fire resistance rating. D. They are permitted in non-sprinklered buildings only if they are equipped with smoke-detector-actuated dampers. They are permitted in non-sprinklered buildings only if they are equipped with smoke-detector-actuated dampers. Doors in horizontal exits may be kept open When equipped with a door-closing device that will close the door whenever a smoke detector goes off. Self-closing doors are Equipped with a device, that whenever the door is not held open, it will ensure the door fully closes. What is required on each floor used for sleeping? Two exits, a portable fire extinguisher, and two smoke compartments.
30 seconds every 30 days If reliance is placed on an electrical generator as the emergency power source for the illumination of the means of egress, it must be capable of providing a specified minimum level of illumination within how many seconds after loss of regular electricity? 10 seconds The Life Safety Code allows for storage of which one of the following in stairwells in a means of egress? No items may be stored. The following are requirements for doors to stair enclosures They must swing in the direction of travel to an exit, they must be self-closing, there must be signs saying "Fire Exit- Keep Door closed", and they must be constructed of materials with a 2-hour fire resistance rating. Wallpaper along a corridor in a means of egress Must meet minimum ratings for flame spread and smoke development The following are requirements for knobs, levers, or other latch releases on corridor doors They must be easily operable even in the dark, they require only one hand to operate, they require only limited force to release the latch and open the door. Wheeled food service carts and housekeeping carts in corridors They may be used (but not stored) in corridors if staff are trained to relocate the carts during a fire.
The placement of doors opening to a corridor of fixed grilles or louvers for ventilation purposes? They may not be placed in corridor doors or walls except for doors to toilet rooms and shower rooms that do not contain combustible materials. Durable Power of Attorney A durable power of attorney refers to a power of attorney which typically remains in effect until the death of the principal or until the document is revoked A Power of Attorney Goes into effect when the person is incapacitated, but they can also go into effect in other situations, such as: According to a set date stated in the power of attorney documents. If the person is out of country or cannot be present to sign a document. When admitted to the nursing home, a resident must be given Resident rights, regulations, services fees, and information regarding an advanced directive Advanced Directives Legal documents that allow you to spell out your decisions about end-of-life care ahead of time A resident is admitted to a nursing home that has been certified as a (Medicare) Skilled Nursing Facility only. What is not required to be adhered to by the facility? State Medicaid standards for payment.
Why should an administrator get department heads involved in the budget-making process? To obtain more accurate cost estimates and more control over costs. Medicare Part A coverage of skilled nursing facility (SNF) care entails out of pocket payment by the resident of a daily amount for which days of SNF care in a benefit period? 21st through 100th Which of the following statements is true regarding the Medicare Prospective Payment System for Skilled Nursing Facilities? The system is case-mix-based, facilities must submit bills to be reimbursed, and there are separate prospective rates for capital-related costs. The process by which an individual becomes eligible for Medicaid by incurring medical expenses until personal resources fall below a specified ceiling is called Spend down To obtain maximum reimbursement under the Medicare Prospective Payment System, a skilled nursing facility should do all the following Record on the MDS all the information about the resident that can determine assignment to RUG, track costs by RUG categories, and collect MDS information more frequently for Part A covered residents more than other residents.
According to federal certification standards, the square footage for a single resident room is __________ and the square footage for a multiple resident room is 100/80 (Always 80 sq ft per bed) While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to fire safety and construction information, the actual provisions in those areas are specified by Life Safety Code In order to ensure a comfortable environment, Medicare/Medicaid regulations require that nursing facilities must provide Adequate lighting levels According to the Life Safety Code requirements, a corridor in a new nursing home must be 8 feet Certified facilities must meet the requirements of which edition of the Life Safety Code? The federal rules require facilities meet the 2012 edition of the Life Safety Code. When addressing an identified problem with facility policy it is most important for the administrator to first Discuss with the appropriate department manager Which of the following are responsibilities of the governing body?
