NAB practice tests study guide 2024, Exams of Advanced Education

Download NAB practice tests study guide 2024 and more Exams Advanced Education in PDF only on Docsity! NAB practice tests if a healthcare organization provides an alert residents medical records to a family member without the resident consent which key component of HIPPA does this violate? Resident's rights and privacy Notice of privacy practices Access to medical records Limits on use of personal medical information Resident rights & Privacy an estimate of receipts (Inflows) and disbursements (outflows) for each month is called ? Comprehensive budget Cash budget Prospective budget Capital budget Cash budget Which of the following is characterized as a late-loss ADL? Bathing Walking Grooming Eating Eating Late loss ADLs are: eating, bed mobility, transferring, and toileting. Evaluation of a healthcare organization's efficiency, effectiveness, and economy is the ultimate responsibility of the: Administrator Governing body Survey and certification team Continuous quality improvement committee Governing Body Sundowning is a term that means: The peaceful feeling that comes over someone toward the end of the day The depression that some experience when there is too little daylight Confusion or disorientation that increases in the afternoon or evening The condition experienced most often in Dec and Jan when days are shorter Confusion or disorientation that increases in the afternoon or evening After the deductible has been met, Medicare Part B covers 80% of which of the following Medicare- determined reasonable charges? Outpatient hospital treatment & custodial care Home health care & dental care Medical expenses & hearing aide exams Medical expenses & physician care Medical expenses & physician care The single most important element for reducing spread of infection is: Wearing disposable gloves Regular handwashing Choosing the appropriate hand sanitizer Proper disposal of soiled linen and other wastes Regular handwashing Which government program has a means test and provides healthcare services to the medically indigent? Medicaid Benevolence insurance Social security Medicare Medicaid The periodic scheduled checking of equipment for damage and everyday wear and tear is an example of: Preventive maintenance Operational equipment replacement Capital replacement Small equipment replacement Preventive maintenance At a minimum, an invitation to attend a care recipient's plan of care conference must be extended to the: Care recipient's responsible party Care recipient's choice of attendees Care recipient's spouse Care recipient Care recipient In managing receivables, the term reimbursement is defined as the: Charges established for ancillary services Fee established by a third-party payor Charges expected to be earned in a set period Fees received from expenses incurred by the organization union steward An administrator should evaluate which of the following first when there are supply shortages and an increase in rush order costs? Inventory control Accounts payable Possible employees misappropriation Quality control Inventory control If hazardous materials are located within a healthcare organization, the healthcare organization must: Instruct employees to store these hazards far from care recipient areas as possible Develop a policy to prohibit hazardous materials from being located within care recipient areas Evacuate the healthcare organization until these hazards are removed Develop a written orientation and training program to inform employees of the risks Evacuate the healthcare organization until these hazards are removed Comparing an organization's processes and performance to other organizations is known as: An audit review Benchmarking Balancing Cross checking Benchmarking The purpose of employee discipline is to: Punish inappropriate attitudes Change employee behavior Enforce supervisor authority Achieve uniformity Change employee behavior Risk management can best be described as: Resolving issues prior to legal action Purchasing a higher level of liability insurance Effectively communicating concerns to all levels of staff Identifying and solving problems before they get out of hand Identifying and solving problems before they get out of hand In the instance of termination of employment, the Consolidated Omnibus Budget Reconciliation Act of 1989 (COBRA) requires an employer to: Allow employees the opportunity to continue health coverage at their own cost, including the employer's portion (if any) Provide employees w/ continued health coverage at a cost equal to individual coverage plus 10% Convert an employee's group health insurance premium to unemployment compensation for continued coverage Allows employees to continue health coverage at the employer's cost Allow employees the opportunity to continue health coverage at their own cost, including the employer's portion (if any) to accommodate a bilingual care recipient, a communication board is provided with phrases and words posted in both languages. this type of device might be described as a ? Unacceptable means of care recipient communication HIPAA violation Assistive device Unnecessary expense Assistive device The responsibility of identifying the social service needs of a care recipient falls upon the : Family Power of attorney Staff Physician Staff An elderly care recipient has prostate cancer. He has been through several surgeries and treatment plans, and his pain and symptoms have now become unmanageable. Which level of hospice care is required? Continuous home care Routine home care General in-patient care Respite care General in-patient care A disaster plan should be: Obtained from the National Fire Protection Association Generic for all healthcare organizations Tailored to a healthcare organization's unique circumstances A specific plan supplied by the local fire authority A specific plan supplied by the local fire authority Communication skills are essential for effective leadership, but great communicators must also have: Conversational skills Presentation skills Listening skills Translational skills Listening skills Which of the following is a reasonable accommodation according to the Americans with disabilities act (ADA)? Altering the work environment Changing job descriptions Eliminating essential functions Performing at an alternative location Altering the work environment The practice of making equal periodic charges to expenses over the estimated life of an asset is known as: Asset allocation Straight-line depreciation Expense recognition Declining balance depreciation Straight-line depreciation Which of the following most accurately describes public relations? The process of attracting quality staff The process of attracting care recipients Managing the relationship between a healthcare organization and the community Managing the relationship between healthcare organization staff and family Managing the relationship between a healthcare organization and the community Which of the following is generally considered a chronic illness that must be managed? Stroke Pneumonia Alzheimer's disease Heart attack Alzheimer's disease The inability to communicate with a verbal or written words is known as: Aphasia ADL dependence Amnesia Pick's disease Aphasia In accordance with Occupational Safety and Health Administration (OSHA) requirements, which of the following must have Safety Data Sheets (SDS)? Food items Hazardous chemicals Medications Personal protective equipment 7 days 60 days 90 days 60 days 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 widespread harm confirmed occurrence substandard quality of care immediate jeopardy A resident had the right to review his/her medical record upon: Written request Family consent Physician's approval Paying a fee Written request A volunteer contacts an administrator requesting to do a nurse aide's duties w/o pay. According to the regulation of the Omnibus Budget Reconciliation Act (OBRA), the administrator should: Recommend an appointment for a regular hiring interview Schedule one day of orientation devoted to the duties of a nurse aide Schedule for the volunteer's mandatory nurse aide training and competency evaluation Recommend other opportunities for volunteering at the nursing facility Recommend other opportunities for volunteering at the nursing facility As required by federal law, nursing facilities that are directly responsible for resident care must post daily for each shift the number of: Licensed and unlicensed nursing staff RNs and licensed practical/vocational nurses (LPNs/LVNS) Total staff per unit Nurse aides per unit Licensed and unlicensed nursing staff Potentially hazardous foods that require refrigeration must be stored at a temperature at or below: 40F 41F 42F 43F 41F 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? 30 days 60 days 90 days 180 days 60 days A full time social worker is required in certified nursing facilities with more than: 50 beds 75 beds 100 beds 120 beds 120 beds Which of the following has responsibility for developing a comprehensive psychosocial care plan for new residents in a nursing facility? Social worker Activities director Charge nurse Attending physician Social worker Which of the following actions should a nursing facility take in response to a resident who falls while walking down the hall? Respect the resident's dignity and not intervene unless the resident is unsafe Restrain the resident if medically necessary Ensure that a staff member walks with the resident at all times Implement changes to prevent future occurrences Ensure that a staff member walks with the resident at all times Maintaining essential mechanical, electrical, and resident-care equipment in safe operating condition would best be accomplished by: an environmental services manual a safety policy and procedures A safety data sheet a preventative maintenance program a preventative maintenance program Two residents have been assessed as combative and are placed at the same table for lunch. One resident hits the other, causing serious head injury. Which federal regulation does this violate? Dignity Quality of life Abuse and neglect Behavioral health services Abuse and neglect Which of the following statements about a resident call system is true when decentralizing a nurse work area? The chosen electronic system must provide direct communication between the resident and the caregivers A wireless nurse call system must be installed and approved by the fire marshal The facility must maintain its current electronic system and keep at least one at the nurses station The facility must provide all residents with a communication device to keep in their possession The chosen electronic system must provide direct communication between the resident and the caregivers Skilled nursing facilities must allow residents to use personal belongings: To the extent possible after considerations of safety, cleanliness, and comfort Regardless of the administrator's obligations due to logistical challenges If a roommate's preference and autonomy are considered and respected As long as the personal belongings are made of non-combustible material To the extent possible after considerations of safety, cleanliness, and comfort At a staff meeting, the dietitian proposes new snack times for the residents. The plan would eliminate the bedtime snack, replacing it with a midafternoon dessert and fruit cart. Should the administrator approve the proposal? No, because federal regulations mandate a daily bedtime snack Yes, but the cost of the dessert carts and any additional afternoon staff needed must be considered Yes, however, the dietitian must prepare a report that demonstrates that these snacks meet proper nutrition standards No, because the nursing staff would not have time to assist with snacks in midafternoon No, because federal regulations mandate a daily bedtime snack Two residents with a BIMS of 15 have developed a close relationship. One evening, a certified nursing aide notices the residents entering the same room and closing the door. What is the most appropriate way for staff to handle this situation? Report the situation to the ombudsman Respect their privacy and monitor the situation Knock on the door to check on residents Request advice from their families Respect their privacy and monitor the situation A facility's emergency generator is required to transfer power within: 10 seconds 15 seconds 24 hours When a resident who is covered by Medicaid places money in a resident trust fund, the nursing facility is required to pay interest only if the fund: Contains more than $50 Contains more than $100 Is contracted with the same bank as the facility Is in an interest-bearing bank account Contains more than $50 A nurse administers 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 id the medication error rate? 2% 3% 5% 6% 5% Which of the following types of payroll withholdings are voluntary under federal law? Estimations of state and federal income taxes Health and dental insurance premiums Federal unemployment compensation taxes Court-ordered wage garnishments Health and dental insurance premiums A technique used by administrators to maximize information available to make informed decisions is called: Interviewing for relevant information Listening to determine facts Management by walking around Meeting to clarify policy Listening to determine facts A person who has been assigned a guardian has most likely been declared legally: Probated In need of a power of attorney Competent Incompetent Incompetent The most effective way to control long-term capital replacement costs is through: Preventative maintenance programs Maintaining control of the maintenance budget Reviewing and validating the monthly maintenance repair log A quality training program Preventative maintenance programs When assessing for depression, the staff should be looking for which of the following symptoms? Loss of balance Loss of appetite Quiet speech Inability to self-direct Loss of appetite The term that describes the union and management engagement in a genuine process to reach an agreement even though there is no guarantee that an agreement can be reached is: Mediation Arbitration Collective representation Collective bargaining Collective bargaining Which of the following is an example of an Occupational Safety and Health Administration (OSHA) requirement? Making reasonable accommodations for disabled employees Having adequate parking spaces for the employees Maintaining records of injuries and illnesses happening on the job Providing health insurance for employees Maintaining records of injuries and illnesses happening on the job A care recipient with dementia and congestive heart failure refuses to take a diuretic because it would cause frequent bathroom trips. The most appropriate course of action would be to: Chart the refusal on the medication sheet and notify the family Crush the medication and mix it into the care recipient's food Explain how important the medication is and require the care recipient to take it Reassess the care recipient and institute care plan changes Chart the refusal on the medication sheet and notify the family When the value of an action exceeds the cost it incurs, the outcome is considered to be: Value added Mission positive Margin making Cost effective Cost effective Safety Data Sheet (SDS) are a requirement of the: Life safety code Centers for disease control Occupational Safety and Health Administration American National Safety Institute Occupational Safety and Health Administration Which kind of control system is needed to measure the amount and type of supplies used by each department? Inventory Accounting Reconciliation Purchasing Inventory The major cause of exposure to infection is: Improper handling of soiled linen Inadequate sanitation in food areas Improper handwashing technique Inadequate maintenance of heating/cooling equipment Inadequate sanitation in food areas The federal law designed to protect the security and privacy of health information is known as: Omnibus Budget Reconciliation Act Health Insurance Portability and Accountability Act Americans with Disabilities Act Older Americans Act Health Insurance Portability and Accountability Act The most important reason for reviewing plans of care periodically is to: Document that the care recipient has adjusted to their environment Review the care recipient's current diagnosis Ensure appropriate staffing is available to meet the care recipient's goals Support the care recipient in functioning at their highest practicable level Support the care recipient in functioning at their highest practicable level A care recipient diagnosed as having terminal cancer is given less than six months to live. The care recipient states, "The diagnosis is a mistake, and I feel fine. Supporting the resident, the staff should: Arrange for counseling with a social worker Ask the physician whether the drug regimen should be altered Realize that this is the normal first stage of grieving Empathize with the care recipient Empathize with the care recipient An employee of a healthcare organization manages recreational activities for care recipients. According to Occupational Safety and Health Administration (OSHA), it is illegal for the employer to allow the