RCAL - NAB Administrator Exam (Federal), Exams of Nursing

Download RCAL - NAB Administrator Exam (Federal) and more Exams Nursing in PDF only on Docsity! 1 RCAL - NAB Administrator Exam (Federal) 1. If contracted laundry services are provided off site:: The use of commercial laundry services is required by the contractor based on Department of Health. 2. For residents with dementia, optimal food choices are best achieved by:: - Good screening, proper nutrition and hydration, and pleasant meal times. 3. Information should be added to an ICP:: At a minimum when the resident has a significant change of condition. 4.A resident has the right to participate in social, religious, and community activities provided these do not:: Conflict with orders of the physician 5.One of the fundamental element of demenia Care is:: Creating a specialized, secure, and quiet location for patients with dementia. 6.Mrs. J suffers from dementia. No matter how many times staff explain something to her she doesn't seem to be able to accomplish the task. Which of the following is the best solution?: Task Breakdown 2 7.The best way for the administrator to get feedback regarding dining services is through:: Resident council 8.A major consideration in creating a comprehensive activities program is that the activities director understands the: Nature and extent of care recipients' disabilities 9.Criteria for move out in an RC/AL community should be disclosed: As part of move-in 10.The primary function of an initial care recipient assessment is to deter- mine: Overall functional status 11.ECP: exposure control plan 12.BBPs: Bloodborne Pathogens Standard 13.OPIMs: any body fluid visibly contaminated with blood, vaginal secretions, se- men... EXCLUDES TEARS AND SWEAT 14.BBPs are:: Infectious microorganisms present in blood that can cause disease in humans. (HBV, HCV, HIV) 15.HBV: hepatitis B virus 16.HCV: hepatitis C virus 17.HIV: human immunodeficiency virus 18.Exposure Control Plan (ECP): A written game plan this is designed to 5 report the incident as an exposure immediately. 30.What is the incidence rate of HIV in the US?: 50,000 31.MSDS (Material Safety Data Sheet): Provides communication to workers re- garding chemicals used in the office 32.Class A fire: Common Combustibles such as paper, wood, furniture, clothing - Water, Foam 33.Class B Fire: Burnable fuels such as gasoline, oil, or alcohol - Inert Gas, CO2 34.Class C Fire: Electrical fires such as computers and electronics - Inert Gas, CO2 - Turn off electricity first 35.Class D Fire: Flammable metals 36.Class K Fire: Commercial Kitchens - Wet Chemicals 37.pass: Pull, Aim, Squeeze, Sweep 38.R.A.C.E: rescue, alarm, contain, extinguish 39.If you discover a fire in the building, the correct steps to follow are:: Imple- ment RACE 40.If you take away one of the elements from the fires Tetrahedron, the fire will go out?: True 41.In regards to R.A.C.E, it is more important to try to extinguish the fire 6 than it is to alarm people.: False 42.A, B, C, D, and K are classifications for: Extinguishers 43.shared decision making: A patient and provider work together to decide on a treatment plan. 44.All clinicians have an ethical duty to engage in a little of the following actions:: Inform clients about options, elicit preferences, a pole client choices 45.Which three ideologies comprise shared decision-making: Deliver informa- tion; provide counseling; implement a system 46.Self-directed care services is incorporated in: Shared decision making and person centered care approaches 47.Decision aids should include all of the following: An explanation of the con- dition diagnosis and symptoms; The prognosis with and without treatment; treatment options along with support available in outcome probabilities 48.3 types of communication: verbal, nonverbal, affective 49.The following are techniques for effective listening: Taking notes, making eye contact, short verbal responses 50.To demonstrate cultural sensitivity in your communication, you 7 should consider all of the following: Ethical background, religious beliefs, and marital status 51.An active listener will plan a response while the person is speaking: False 52.Which of the following must be included in all successful conflict resolu- tions: Open communication 53.Which of the following is an appropriate method for managing workplace conflict: If the anger is justified, acknowledge that that explain the necessity for control 54.HIPPA (Health Insurance Portability and Accountability Act): law that pro- tects privacy of resident's health information and identifies certain health information that must be kept private and confidential 55.Minimum Necessary Rule: A rule that covered entities may disclose only the amount of protected health information absolutely necessary to carry out a particular function 56.HIPPA Security Rule: law requiring covered entities to establish safeguards to protect health information electronically established 57.Bella, who works in the billing department at the doctors office, did not get patient consent before disclosing protected health information for the purposes of obtaining payment, has she violated HIPPA: No, Bella 10 assumes certain risks in exchange for the provider's accommodation of a preference of the resident or surrogate decision-maker acting on behalf of the resident. 71.Effective Claims Management: all about finding the balance with communi- cation. In business, this means filing an employee claim early, staying in regular contact with the employee and the insurance provider, and maintaining consistent communication between the two. 72.Corporate Compliance Programs: a formal program specifying an organiza- tion's policies, procedures, and actions within a process to help prevent and detect violations of laws and regulations. 73.Safety Committee Program: comprised of a group of employees who value the safety and well-being of their peers and the continuous success of the organization. It's an effective way to improve safety behavior and performance in the workplace and to encourage workers to support the organization's safety program. 74.Accrual Basis Accounting: reporting income when it is earned and expenses when they are incurred 75.Cash Basis Accounting: Reporting income when the cash is received and expenses when the cash is paid. 11 76.Capital Expenses: long-term investments in land, buildings, or equipment 77.Symptoms of dehydration: Nausea, dizziness, sunken eyes, fever, hyperventi- lation, excessive sweating, concentrated urine, dry inelastic skin, increase in solutes (BUN), tachycardia, headache, fatigue, decreased appetite, rapid weight loss 78.culture change movement: a person-centered philosophy that creates a more homelike environment for residents of a nursing facility; culture change involves providing individuals with privacy and the ability to make choices similar to what they would experience were they living in their own homes 79.Transformational Leadership: typically inspire staff through effective commu- nication and by creating an environment of intellectual stimulation. 80.Transactional Leadership: focused on group organisation, establishing a clear chain of command and implementing a carrot-and-stick approach to management activities. 81.servant leadership: prefer power-sharing models of authority, prioritising the needs of their team and encouraging collective 12 decision-making. 82.autocratic leadership: significant control over staff and rarely consider worker suggestions or share power. 83.laissez-faire leadership: allows the group to function more or less on its own 84.democratic leadership: A form of leadership in which the leader solicits input from subordinates. 85.Beurocratic Leadership: most often implemented in highly regulated or admin- istrative environments, where adherence to the rules and a defined hierarchy are important. 86.Charasmatic Leadership: Personality and charm>external power or authority; not listening to a person because they have to but because they actually want to; Often lose focus on something they are passionate about; Use their influence of others for problem solving, crisis, or perceived injustice. Often they experience early success. (Characteristics): Self confident, effective communication skills, and desire to influence others to accept their beliefs 87.Situational Leadership: utilize a range of different styles depending on the environment. 15 103. Appointment of Executor Clause: A clause in a will that identifies the ex- ecutor and any successor executor. This clause may also define the extent of the executor's powers and may grant specific or general powers. 104. medical order for life-sustaining treatment (MOLST) form: a medical order indicating a patient's wishes regarding treatments commonly used in a medical crisis 105. Depression: One of the most commonly diagnosed mental illnesses in the elderly. 106. Person-centered Care: a philosophical approach to nursing home care that honors and respects the voice of elders and those working closest with them; it involves a continuing process of listening, trying new things, seeing how they work, and changing things in an effort to individualize care and de-institutionalize the nursing home environment. 107. Consumer-Directed model: Is a Person-centered Care that has transformed from an institutional model of care 108. delirium: an acutely disturbed state of mind that occurs in fever, intoxication, and other disorders and is characterized by restlessness, 16 illusions, and incoherence of thought and speech. 109. Ethics: the principles of right and wrong that guide an individual in making decisions 110. Values: the ideas, beliefs, and attitudes about what is important that help guide the way you live 111. Morals: the rules people develop as a result of cultural values and norms 112. humanitarian: concerned with human welfare; a person devoted to helping humanity 113. religious: relating to religion; having a belief in religion 114. civic: pertaining to a city or citizen 115. management by wandering around: A face-to-face communication tech- nique in which a manager walks around a work area and talks informally with employees about issues and concerns. 116. articles of incorporation: a written legal document that defines ownership and operating procedures and conditions for the business 117. By-laws: local laws or regulations made by local councils that apply to resi- dents in local areas 118. Charter: A legal document giving certain rights to a person or 17 company 119. Constitution: A written plan of government 120. Governing Rules: to rule over by right of authority: to govern a nation. to exercise a directing or restraining influence over; guide: the motives governing a decision. 121. philosophy: A system of beliefs and values 122. mission: a special duty or function which a person or group is sent out to do 123. social worker: a mental health professional who counsels patients and pro- vides a link between the patient and the treatment center 124. council president: the leader of a city/village council has this title 125. governing body: Grand Council 126. procedure: An established or official way of doing something 127. Corporate Compliance Programs: corporate codes and training programs designed to prevent crimes and ethical violations 128. management process (four management functions): planning, organizing, leading, and controlling (POLC) 129. False Claims Act: An act that allows employees to sue 20 145. Kim worked as VO for 6 years before taking a 9-week leave. While it's critical to the company to have a VP filled at all times, her boss, did not give her written notice when she took the leave that she was a "key" employee. However, he promoted Kelvin to the VO a week later. Now Kim is ready to return to work, what must her boss do to keep from violating the FMLA?: He must restore her to her position with the same benefits she had when she took her leave. 146. When a leave is unforeseen, an employee must give notice as soon as practicable. When and how can an employee expect to hear from an employee under these circumstances?: Verbally within 1-2 business days 147. Within what time frame is an employer required to give rights and respon- sibility notice to an employee who gives notice of the need to take FMLA?: 5 business days 148. Wrighville branch of DMV has 14 employees. Are they a covered FMLA employer?: Yes, because they are a public agency. 149. respondent superior (vicarious liability): 1. may impose legal liability on employers and make them pay for the torts committed by their employees within the scope of the employers business 2. injury to persons and property is the cost of business, and the 21 business pays 150. Mediation: A method of settling disputes outside of court by using the services of a neutral third party, called a mediator. The mediator acts as a communicating agent between the parties and suggests ways in which the parties can resolve their dispute. 151. Arbitration: settling a dispute by agreeing to accept the decision of an impartial outsider 152. litigation: the process of taking legal action 153. Adjudication: series of steps that determine whether a claim should be paid 154. Consensus Building: is a process of working toward achieving general agree- ment within a group. 155. Patient Self-Determination Act of 1990: protects patient rights including the right to agree to or refuse medical treatment 156. willful OSHA violations minimum fine?: $25000 157. Union Strikes: When people will refuse to work in order to receive certain benefits, such as more pay, longer hours, and other benefits 158. National Labor Relations Board: an independent agency of the 22 United States government charged with mediating disputes between management and labor unions 159. How many employees need to sign cards to enroll in a union?: 30% of the staff 160. Balance depreciation: Method of computing depreciation in which the written down or book value (purchase price - accumulated depreciation) of a capital asset is reduced by a fixed percentage rate. 161. asset allocation: the process of spreading your assets among several different types of investments to lessen risk 162. Ancillary Revenue: Occurs from the sale of food and beverage, merchandise, parking charges, ticket fees, and sponsorships. 163. Interest income revenue: Interest revenue is the earnings that an entity receives from any investments it makes, or on debt it owns. 164. straight line depreciation: Method that allocates an equal portion of the depreciable cost of plant asset (cost minus salvage) to each accounting period in its useful life. 165. accelerated depreciation: A higher amount of depreciation is recorded in the early years and a lower amount in the later years 25 181. Delirium is a medial issue defined as a:: state of mental confusion charac- terized by disorientation. 182. The HIPPA of 1996 ensures a care recipient: request restrictions on certain uses and disclosures of personal health information 183. Ethics are the beliefs or attitudes that make up which kind of organiza- tional values?: Moral 184. Management by walking around is an approach that allows the adminis- trator to:: see first hand the needs of the care recipients. 185. Another term for article of incorporation is:: charter 186. When marketing an HC organization, the market is considered to be all of the individuals: with a demand for their service of product 187. participative leadership: The style of leadership that encourages and values the input of staff. 188. Values: Principles that reflect the moral foundation and guiding ideology of an organization are best described as: 189. A comprehensive decision-making process based on future predictions that establishes the blueprint for a HC organizations strategy is:: An effective process in analyzing market conditions. 190. A care recipient in a long term care HC organization disagrees with 26 management's decision regarding care. The care recipient feels that it could adversely affect the health, safety, welfare, or rights of the care recipient. What individual or group most responsible for acknowledging, investigation, and receiving the concern is the: Ombudsman 191. Bylaws: A set of governing rules adopted by a corporation or other association. 192. What function of the management process includes gathering informa- tion and input?: Organizing 193. HC organization are in the business of marketing: services 194. The False Claims Act, which seeks to hold entities liable for submitting false or fraudulent claims to reimbursement to the federal government is known as:: Whistleblower Act 195. Sunshine Act: a congressional act requiring federal agencies to hold well-an- nounced public hearings and allowing citizens access to agency officials and a stronger voice in bureaucratic proceedings 196. Stark Act: Prohibits physicians or their family members who own health care facilities from referring patients to those entities if the federal government, under Medicare or Medicaid, will pay for 27 treatment. 197. Anti-Kickback Act: Designed to prevent the offer or payment of bribes or other remuneration as an inducement to refer Medicare patients for treatment or services 198. A cognitive care recipient, whose spouse is living, does not have an advanced directive or a DNR order. The care recipient's daughter has Financial POA, and the son has HC POA. A DNR order can be authorized by the:: Care Recipient because he/she is cognitive 199. The law may hold the organization liable for the tort committed by each of the following individuals except?: Independent Contractors 200. All employees in a HC organization should be working toward the or- ganization's purpose, which is described in the HC organization's:: mission statement 201. The primary benefits of management by walking around are:: listening, teaching, and facilitating 202. Establishing and implementing policies regarding the management and operations of a HC organization are the responsibility of the: Governing Body 203. The administration of the budget by the administrator: is a 30 supervisor said, "You've been with the company for a long time, and I assumed you would retire before then.". In doing so, the supervisor:: discriminated against the employee because of the the employee's age. 217. The lockout/tagout program is designed to protect employees from haz- ards related to :: chemicals 218. A program that is designed to maintain equipment in order to keep it working properly is known as:: Preventive maintenance program 219. If a medical device malfunctions, the OSHA requires the administrator to report the incident to the: product manufacuter 220. Which of the following OSHA administrative violations is least likely to be associated with a fine?: Nonserious 221. Emergency exits must have which of the following components?: Exit access (lit corridor), exit (must be double doors), and exit discharge (three feet of clear sidewalk. 222. In the event of fire drills and actual fire emergencies, the Life Safety Code recommends that the that the administrator should teach staff to first:: rescue and remove anyone in immediate danger 223. A care recipient who uses a walker to get to the dining room is told 31 by an employee to leave the walker outside the room. With regard to the American with Disabilities Act of 1990, the HC organization:: must provide a space in the dining room for wheelchairs and walker. 224. The LIF and FIFO methods of inventory costing both accounts for the effects of which of the following factors or of inventory: Depreciation value 225. A guest falls and is injured while visiting a HC organization office. Which one of the following types of insurance would cover this injury?: General Liability Insurance 226. A direct cost is:: linked to a specific objective, responsibility, or function 227. Which of the following best describes a primary difference between a not-for-profit and a for-profit organization: a for-profit organization may discrim- inate profits to its shareholders. 228. The operating performance for a specific spam of time is measured by the:: income statement 229. Most often a 3rd party payer, such as Medicaid or a long-term insurer, will negotiate a lower rate for services rendered. The difference of funds that is uncontrollable between the full charges ad the amount that is 32 actually paid by the payer is called?: Deductions from revenue 230. A HC organization has just purchased equipment for a total cost of $15000. The equipment has a useful life of 5 years and the administrator is planning to charge a depreciation expense of 43000 per year. Which depreci- ation method s being used.: Straight-line depreciation 231. When the actual supply cost substantially exceeds the expected cost, the administrator should initially: Review production schedules 232. If overall revenue declines and census remains stable, an important financial area to review would be:: balance depreciation 233. Which type of financial statement is derived from analysis of other state- ments and has more detain on financial actiity?: Profit and Loss 234. profit and loss statement: An itemized financial statement of the income and expenses of a company's operations. 235. cash flow: the difference between cash coming in and cash going out of a business 236. retained earnings: An amount earned by a corporation and not yet distributed to stockholders. 237. Utilizing th eFIFO inventory method, which supply would be used last? A - 12/1/16 35 under state law to make medical decisions and execute advance directives.) 252. Patient Self-Determination Act: A federal law passed in 1990 that requires hospitals and other health care providers to provide written information to patients regarding their rights under state law to make medical decisions and execute advance directives. 253. A bill is introduced in the legislature. A technique often used by the legislative committee who does not wish to embarrass the sponsor and does not want to pass the bill: Deferment 254. Care recipient satisfaction is defined as:: a service that meets or exceeds expectations 255. Consensus building works best when participants are: asked for input 256. Which of the following advance directives is commonly described as appointing someone to make decisions on a care recipients behalf.: Durable POA 257. Which of the following methods of conflict resolution uses a 3rd part who reviews the situation and makes a binding decision: Mediation 258. Deception that results in damage to another is referred to as: 36 slander 259. A group that is legally designated to establish and implement policies regarding the management of a HC organization is called: Governing Body 260. Strategic planning is best defined as an organizational process for: iden- tifying goals and objectives 261. An arbitration agreement is a: contract between parties agreeing to resolve disputes using a neutral third party 262. When determining an employer's liability for the acts of employees, it is important to ascertain: scope of employment 263. Respondeat Superior: "Let the master answer" an employer is vicariously liable for the behavior of an employee working within his or her scope of employment 264. What is the book value of a vehicle purchased at $40000 that has an accumulated depreciation of $30000.: $10000 265. The provision of HC organization makes for uncollectible accounts re- ceivables is known as:: allowance for bad debt 266. Activity Based Costing: A method of allocating overhead based on each product's use of activities in making the product. 37 267. To protect against payroll fraud, it is considered safest to have:: a manda- tory direct-deposit program 268. Any item of major cost that will become an asset of the HC organization is: considered to add market value to the physical plant. 269. When negotiating contracts with outside vendors or consultants for pro- fessional services, contracts are not required to: contain a mutual indemnity clause 270. Ensuring accurate reliable data for accounting reports is known as:: in- ternal controls 271. given the following formula: net income after taxes divided by Average total assets This formula is used to calculate the return on:: Assets 272. Professional and general liability insurance that only covers claims re- ported during the policy period is operating under a/an: Liability- period policy 273. When a care recipient refuses to take a prescribed medication, the im- mediate response should be: speak with the care recipient about the risks and consequences of not taking the medicatin