RCAL - NAB Administrator Exam: Healthcare Regulations & Best Practices, Exams of Advanced Education

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RCAL - NAB Administrator Exam

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If contracted laundry services are provided off site: - The use of commercial laundry services is required by the contractor based on Department of Health. For residents with dementia, optimal food choices are best achieved by: - Good screening, proper nutrition and hydration, and pleasant meal times. Information should be added to an ICP: - At a minimum when the resident has a significant change of condition. A resident has the right to participate in social, religious, and community activities provided these do not: - Conflict with orders of the physician One of the fundamental element of demenia Care is: - Creating a specialized, secure, and quiet location for patients with dementia. 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 The best way for the administrator to get feedback regarding dining services is through:

• Resident council A major consideration in creating a comprehensive activities program is that the activities director understands the - Nature and extent of care recipients' disabilities Criteria for move out in an RC/AL community should be disclosed - As part of move-in The primary function of an initial care recipient assessment is to determine - Overall functional status ECP - exposure control plan BBPs - Bloodborne Pathogens Standard OPIMs - any body fluid visibly contaminated with blood, vaginal secretions, semen... EXCLUDES TEARS AND SWEAT BBPs are: - Infectious microorganisms present in blood that can cause disease in humans. (HBV, HCV, HIV) HBV - hepatitis B virus

HCV - hepatitis C virus HIV - human immunodeficiency virus Exposure Control Plan (ECP) - A written game plan this is designed to eliminate or minimize occupational exposure. Universal Precautions (UP) or Standard Precautions (SP) - A set of guidelines published by OSHA that require the employer and the employee to assume that all human blood and body fluids are infectious for bloodborne pathogens. work practice controls - controls that reduce or eliminate the likelihood of exposure to potentially infectious material by altering the manner in which a task is performed Needle Stick Safety and Prevention Act - identify and use effective and safer medical devices, incorporate changes in annual update of exposure control plan, solicit input from nonmanagerial employees who are responsible for direct patient care, maintain a sharps injury log Personal Protective Equipment - Protective equipment that blocks exposure to a pathogen or a hazardous material. Hazard Communication Standard (HCS) - An OSHA standard intended to increase health care practitioners' awareness of risks, to improve work practices and appropriate use of personal protective equipment, and to reduce injuries and illnesses in the workplace. Labels and contaminated equipment bags post exposure evaluation - a set of procedures required by OSHA as a follow-up to exposure incidents. At no cost to the employee. Safe work practices - Includes the maintenance of Sanitation and decontamination standards and the application of safety precautions in the workplace environment You've just taking on a new role at your organization that includes occupational health and safety and the management of BBPs and OPIMs. Your employer asks you when your organization's ECP should be updated. Identify the most accurate response. - At least every 12 months or after a revision to positions descriptions involving BBPs. HIV infected individuals may experience flu-like symptoms while some remain asymptotic. Those who develop symptoms do so: - 2 to 4 weeks after exposure Identify the most appropriate location for disposal of contaminated sharps: - Only a hard cased repositories marked as a biohazard.

When cleaning up a work area you feel a sharp burning sensation in your hand and find that you have been lacerated by a contaminated sharp. What should you do? - Wash the laceration with soap and water and report the incident as an exposure immediately. What is the incidence rate of HIV in the US? - 50, MSDS (Material Safety Data Sheet) - Provides communication to workers regarding chemicals used in the office Class A fire - Common Combustibles such as paper, wood, furniture, clothing - Water, Foam Class B Fire - Burnable fuels such as gasoline, oil, or alcohol - Inert Gas, CO Class C Fire - Electrical fires such as computers and electronics - Inert Gas, CO2 - Turn off electricity first Class D Fire - Flammable metals Class K Fire - Commercial Kitchens - Wet Chemicals pass - Pull, Aim, Squeeze, Sweep R.A.C.E - rescue, alarm, contain, extinguish If you discover a fire in the building, the correct steps to follow are: - Implement RACE If you take away one of the elements from the fires Tetrahedron, the fire will go out? - True In regards to R.A.C.E, it is more important to try to extinguish the fire than it is to alarm people. - False A, B, C, D, and K are classifications for - Extinguishers shared decision making - A patient and provider work together to decide on a treatment plan. 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 Which three ideologies comprise shared decision-making - Deliver information; provide counseling; implement a system Self-directed care services is incorporated in - Shared decision making and person centered care approaches

Decision aids should include all of the following - An explanation of the condition diagnosis and symptoms; The prognosis with and without treatment; treatment options along with support available in outcome probabilities 3 types of communication - verbal, nonverbal, affective The following are techniques for effective listening - Taking notes, making eye contact, short verbal responses To demonstrate cultural sensitivity in your communication, you should consider all of the following - Ethical background, religious beliefs, and marital status An active listener will plan a response while the person is speaking - False Which of the following must be included in all successful conflict resolutions - Open communication 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 HIPPA (Health Insurance Portability and Accountability Act) - law that protects privacy of resident's health information and identifies certain health information that must be kept private and confidential 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 HIPPA Security Rule - law requiring covered entities to establish safeguards to protect health information electronically established 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 does not need authorization to disclose PHI for payment purposes Ergonomics - The study of workplace equipment design or how to arrange and design devices, machines, or workspace so that people and things interact safely and most efficiently. OSHA Act of 1970 - Assure safe and helpful working conditions for working men and women, and mandates that each employee shall furnish to each of his/her employers employment and a place of employment which are free from recognized hazards or harm.

Medical Management Program - A program that is supervised y a person trained in the prevention of musculoskeletal disorders that will manage the care of employees injured. Proper lifting technique - 1) Squat to lift and lower

2. Lift with leg & abdominal muscle
3. keep weight as close to body as possible
4. bow your back, raise up with head first, heel flat
5. when turning, turn your whole body not just your waist
6. keep lower back bowed in when lowering object
7. keep feet shoulder's width apart patient advocate - one who speaks for and protects the rights of the patient guardian - a defender, protector, or keeper. living will - A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes. When a resident is not competent to make medical decisions, the court may appoint a: - Patient advocate Resident Council: Advisory Group - Provides opportunity for discussion on facility policies, activities, concerns, and resolution of grievance. Resident Council: or Advisory Group gives residents a voice in LTC operations. Members include residents, facility staff members to include nurse aides, representatives from the community. sexual harassment - comments, gestures, or physical contacts of a sexual nature that are deliberate, repeated, and unwelcome harrassment - behavior that is threatening or offensive to other people OSHA - Requires employees to maintain a log of certain illness and injury Shared-risk agreement - agreement between a health care provider and a resident or surrogate decision-maker, in which the resident 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. Effective Claims Management - all about finding the balance with communication. 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. Corporate Compliance Programs - a formal program specifying an organization's policies, procedures, and actions within a process to help prevent and detect violations of laws and regulations.

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. Accrual Basis Accounting - reporting income when it is earned and expenses when they are incurred Cash Basis Accounting - Reporting income when the cash is received and expenses when the cash is paid. Capital Expenses - long-term investments in land, buildings, or equipment Symptoms of dehydration - Nausea, dizziness, sunken eyes, fever, hyperventilation, excessive sweating, concentrated urine, dry inelastic skin, increase in solutes (BUN), tachycardia, headache, fatigue, decreased appetite, rapid weight loss 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 Transformational Leadership - typically inspire staff through effective communication and by creating an environment of intellectual stimulation. Transactional Leadership - focused on group organisation, establishing a clear chain of command and implementing a carrot-and-stick approach to management activities. servant leadership - prefer power-sharing models of authority, prioritising the needs of their team and encouraging collective decision-making. autocratic leadership - significant control over staff and rarely consider worker suggestions or share power. laissez-faire leadership - allows the group to function more or less on its own democratic leadership - A form of leadership in which the leader solicits input from subordinates. Beurocratic Leadership - most often implemented in highly regulated or administrative environments, where adherence to the rules and a defined hierarchy are important. 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 Situational Leadership - utilize a range of different styles depending on the environment. Power of Attorney (POA) - legal document in which one person appoints another person to act as an agent on his or her behalf healthcare power of attorney - also known as Durable Power of Attorney for Healthcare; a document that designates someone else (known as a healthcare surrogate, agent, or proxy) to make decisions on the patient's behalf if he or she is unable to do so. living will - A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes. Omsbudsman - an official appointed to investigate individuals' complaints against maladministration, especially that of public authorities. Personal Representative - person who represents and administers the estate of deceased persons; executor and/or administrator of an estate. proxy decision maker - the advocate for a patient who isn't competent to make decisions about his or her own medical care surrogate decision maker - a person designated by a patient to make health care decisions as the patient would want when the patient becomes incapable of making decisions legal representation - lawyer Guardian appointed order - a person, association or corporation appointed by a probate court to be legally responsible for an incompetent person and/or the person's property. self-determination act - Passed in 1991, and gave patients the right to make health care decisions on entering the hospital. It is now referred as advance directive. Oregon Death with Dignity Act of 1994 - Allows a terminally ill Oregon resident to obtain a lethal dose of medication from his or her physician. advance directives - A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process healthcare power of attorney - also known as Durable Power of Attorney for Healthcare; a document that designates someone else (known as a healthcare surrogate, agent, or proxy) to make decisions on the patient's behalf if he or she is unable to do so.

DNR (do not resuscitate) - an order that tells medical professionals not to perform CPR last will and testament - Document disposing of property after one's death living trust - A trust created by a property owner during his/ her life time for the purpose of providing financial care for the family or self. Right of Survivorship - Upon the death of a joint tenant or tenant by the entirety the interest does not pass to the tenant's heirs but to the other join tenant(s). Appointment of Executor Clause - A clause in a will that identifies the executor and any successor executor. This clause may also define the extent of the executor's powers and may grant specific or general powers. medical order for life-sustaining treatment (MOLST) form - a medical order indicating a patient's wishes regarding treatments commonly used in a medical crisis Depression - One of the most commonly diagnosed mental illnesses in the elderly. 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. Consumer-Directed model - Is a Person-centered Care that has transformed from an institutional model of care delirium - an acutely disturbed state of mind that occurs in fever, intoxication, and other disorders and is characterized by restlessness, illusions, and incoherence of thought and speech. Ethics - the principles of right and wrong that guide an individual in making decisions Values - the ideas, beliefs, and attitudes about what is important that help guide the way you live Morals - the rules people develop as a result of cultural values and norms humanitarian - concerned with human welfare; a person devoted to helping humanity religious - relating to religion; having a belief in religion civic - pertaining to a city or citizen

management by wandering around - A face-to-face communication technique in which a manager walks around a work area and talks informally with employees about issues and concerns. articles of incorporation - a written legal document that defines ownership and operating procedures and conditions for the business By-laws - local laws or regulations made by local councils that apply to residents in local areas Charter - A legal document giving certain rights to a person or company Constitution - A written plan of government 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. philosophy - A system of beliefs and values mission - a special duty or function which a person or group is sent out to do social worker - a mental health professional who counsels patients and provides a link between the patient and the treatment center council president - the leader of a city/village council has this title governing body - Grand Council procedure - An established or official way of doing something Corporate Compliance Programs - corporate codes and training programs designed to prevent crimes and ethical violations management process (four management functions) - planning, organizing, leading, and controlling (POLC) False Claims Act - An act that allows employees to sue employers on behalf of the federal government for fraud against the government. The employee retains a share of the recovery as a reward for his or her efforts. Independent Contractor - any person who agrees to perform a service for a fee and who is not subject to the control of those for whom the service is performed Conflict occurs because of perceived differences and the meaning we attached to them note than the differences themselves - True

Latent Conflict - Occurs when the potential for conflict exists because of different needs, values, or interests. conflict emergence - Occurs when a triggering event leads to the beginning of the conflict conflict escalation - Emergence of the conflict may be followed quickly by settlement or resolution, or it could be followed by escalation, which can become very destructive. Hurting Stalemate - Theory that conflict resolution truly begins when both sides realize that they cannot win and that the costs of fighting have risen too high. De-escalation/negotiation - Can be temporary or can be part of a broader trend toward settlement or resolution. dispute settlement - Occurs if and when the dispute is resolved Post-conflict peace building - Parties work to repair damaged relationships with the long-term goal of reconciling former opponents Included in PHI - The fact a person is deceased; the person's name, Genetic information about family members; the treatment a person receives. How many years is PHI protected? - 50 years after death Fines for HIPPA violations can add up to as much as? - $1,500, General notice FMLA - Explains provisions and provides information about to file a complaint if the Act is violated. It must be posted in a conspicuous place where your employees work and can see it. Chris has worked PT for 2 years and wants to take a leave under FMLA. - He must work at least 1,200 hours in the last 12 months, not counting paid sick or vacation time, in order to be eligible for FMLA leave. How many calendar days does an employee have to furnish a certification for the need of FMLA? - 15 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.

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 Within what time frame is an employer required to give rights and responsibility notice to an employee who gives notice of the need to take FMLA? - 5 business days Wrighville branch of DMV has 14 employees. Are they a covered FMLA employer? - Yes, because they are a public agency. 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 business pays 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. Arbitration - settling a dispute by agreeing to accept the decision of an impartial outsider litigation - the process of taking legal action Adjudication - series of steps that determine whether a claim should be paid Consensus Building - is a process of working toward achieving general agreement within a group. Patient Self-Determination Act of 1990 - protects patient rights including the right to agree to or refuse medical treatment willful OSHA violations minimum fine? - $ Union Strikes - When people will refuse to work in order to receive certain benefits, such as more pay, longer hours, and other benefits National Labor Relations Board - an independent agency of the United States government charged with mediating disputes between management and labor unions How many employees need to sign cards to enroll in a union? - 30% of the staff 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.

asset allocation - the process of spreading your assets among several different types of investments to lessen risk Ancillary Revenue - Occurs from the sale of food and beverage, merchandise, parking charges, ticket fees, and sponsorships. Interest income revenue - Interest revenue is the earnings that an entity receives from any investments it makes, or on debt it owns. 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. accelerated depreciation - A higher amount of depreciation is recorded in the early years and a lower amount in the later years declining balance method - Method that determines depreciation charge for the period by multiplying a depreciation rate (often twice the straight-line rate) by the asset's beginning-period book value. direct costs of a cost object - One goal of effective dementia care is to? - provide personalized care based on knowledge of care recipients' abilities and needs. A foreign language speaking care recipient is admitted to a HC organization. The foreign language spoken by the care recipient is not commonly spoken in the region where the organization is located. As part of communicating care recipient rights, the organization should - provide a written translation to the care recipient. Care recipients who elect to receive hospice benefits should receive: - pain relief and symptom management a symptom of dehydration is - poor skin turgor The national movement known as culture change was created to - improve quality of life for seniors An individual that a person can designate to make complex HC decisions on their behalf is known as - Surrogate Decision Maker The care recipients needs are identified through a review of the care recipients physical, mental, and emotional history - Which of the following statements about care recipients needs is most accurate. Larry is a care recipient at a HC organization. He has told several care recipients he has cancer. Another care recipient comes to the office to learn more about Larry's situation.

Regarding Larry's personal information, staff: - may not discuss Larry's situation without his permission. An administrator decides to have care recipients participate in menu planning and grocery shopping. The policy should: - help care recipients to maintain a sense of involvement and of being needed. Which of the following items expresses a person's end-of-life wishes for medical treatment? - Patient Self-Determination Act (PSDA) Alternatives to advanced Directives include a: - living will, HC POA, and DNR order One of the most common diagnosed mental illnesses in the elderly is: - depression Person-centered care is a transformation from an institution model of care to a - Consumer-directed model Delirium is a medial issue defined as a: - state of mental confusion characterized by disorientation. The HIPPA of 1996 ensures a care recipient - request restrictions on certain uses and disclosures of personal health information Ethics are the beliefs or attitudes that make up which kind of organizational values? - Moral Management by walking around is an approach that allows the administrator to: - see first hand the needs of the care recipients. Another term for article of incorporation is: - charter When marketing an HC organization, the market is considered to be all of the individuals - with a demand for their service of product participative leadership - The style of leadership that encourages and values the input of staff. Values - Principles that reflect the moral foundation and guiding ideology of an organization are best described as: 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. A care recipient in a long term care HC organization disagrees with 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 Bylaws - A set of governing rules adopted by a corporation or other association. What function of the management process includes gathering information and input? - Organizing HC organization are in the business of marketing - services 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 Sunshine Act - a congressional act requiring federal agencies to hold well-announced public hearings and allowing citizens access to agency officials and a stronger voice in bureaucratic proceedings 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 treatment. 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 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 The law may hold the organization liable for the tort committed by each of the following individuals except? - Independent Contractors All employees in a HC organization should be working toward the organization's purpose, which is described in the HC organization's: - mission statement The primary benefits of management by walking around are: - listening, teaching, and facilitating Establishing and implementing policies regarding the management and operations of a HC organization are the responsibility of the - Governing Body The administration of the budget by the administrator - is a controlling function When a family is being interviewed regarding a provision of services the first course of action should be to - inquire about the potential care recipient's needs.

Stakeholders - All the people who stand to gain or lose by the policies and activities of a business and whose concerns the business needs to address. The term ETHICS deals with - the decision-making process of determining the ultimate values and standards by which we judge An employee who believes that he or she has been discriminated against according to the Americans with Disabilities Act must file a compliant with the: - Equal Employment Opportunity Commission Under the American with Disabilities Act of 1990, which of the following is considered a reasonable accommodation for an employee with disabilities? - Acquiring or modifying equipment for their use. A HC organization's employee handbook: - can be considered an enforceable contract between employer and employee What is question may not be asked of a job applicant by a prospective employer - What kind of discharge did you receive from the military? HC organization are required by the OSHA to maintain a log and summary of occupational injuries and to display the log in the HC organization. - annually In order to be in compliance with the immigration Reform and Control Act of 1986, an I- 9 form must be completed within what time frame? - 72 hours The purpose of OSHA of 1970 if to: - provide each employee with a safe workplace free from recognizable hazards. In deciding which style of management to employ while running the day-to-day operations of a healthcare organization, administrator's best approach is to: - use a mix of all styles while integrating it into the overall organization goals, and operations. Which of the following is a duty an employer has under the OSHA of 1970? - Furnish employment free of recognized hazards An employee with 30 years' of experience at a HC organization was not chosen to attend a training and asked the supervisor why. The 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. The lockout/tagout program is designed to protect employees from hazards related to : - chemicals

A program that is designed to maintain equipment in order to keep it working properly is known as: - Preventive maintenance program If a medical device malfunctions, the OSHA requires the administrator to report the incident to the - product manufacuter Which of the following OSHA administrative violations is least likely to be associated with a fine? - Nonserious 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. 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 A care recipient who uses a walker to get to the dining room is told 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. The LIF and FIFO methods of inventory costing both accounts for the effects of which of the following factors or of inventory - Depreciation value 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 A direct cost is: - linked to a specific objective, responsibility, or function Which of the following best describes a primary difference between a not-for-profit and a for-profit organization - a for-profit organization may discriminate profits to its shareholders. The operating performance for a specific spam of time is measured by the: - income statement 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 actually paid by the payer is called? - Deductions from revenue 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 depreciation method s being used. - Straight-line depreciation

When the actual supply cost substantially exceeds the expected cost, the administrator should initially - Review production schedules If overall revenue declines and census remains stable, an important financial area to review would be: - balance depreciation Which type of financial statement is derived from analysis of other statements and has more detain on financial actiity? - Profit and Loss profit and loss statement - An itemized financial statement of the income and expenses of a company's operations. cash flow - the difference between cash coming in and cash going out of a business retained earnings - An amount earned by a corporation and not yet distributed to stockholders. Utilizing th eFIFO inventory method, which supply would be used last? A - 12/1/ B - 12/20/ C - 1/4/ D - 2/3/17 - D - 2/3/ An effective job description includes which of the following? - Statements of required skills, education, and experience In HC organizations where staff is administering insulin to care recipients the OSHA require of staff? - be involved in the selection of the syringes and needles used. If significant or repeat violations of OSHA standards occur, the administrator will be subject to: - substantial fines. A caregiver regulary comes in contact with a specif chemical. The employee could find out the hazards involved by looking at the: - Safety Data Sheets The training of staff in regard to OSHA standards is important to ensure that all employees understand - occupational classification Which of the following situations is an example of discrimination as defined by the Americans with Disabilities Act - Failure to make reasonable accommodations for employment How many additional employees need to sign cards before the National Labor Relations Board could call for an election? Number of employees in the organization: 120 Number of employees who have signed cards : 20 - need 16 more (30%)

Minimum wages and maximum hours are described in the - Fair Labor Standard Act In the event of a union strike, management has the right to: - prohibit union activity in the HC organization. A willful OSHA violation has a minimum fine of how many dollars? - $ Which of the following styles of leadership involves the leader simply stating what needs to be accomplished. - Laissez-faire An employee violated an organization policy and as a result causes a care recipient to suffer actual injury. The violation could result in - civil lawsuit for monetary damages in the care recipient's favor Healthcare organizations are required by law to have a governing body that: - is appointed by the administrator and serves in an advisory capacity. Which of the following documents would be used to comply with the Patient Self Determination Act of 1990? - organ Donor Card (rights under state law to make medical decisions and execute advance directives.) 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. 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 Care recipient satisfaction is defined as: - a service that meets or exceeds expectations Consensus building works best when participants are - asked for input Which of the following advance directives is commonly described as appointing someone to make decisions on a care recipients behalf. - Durable POA Which of the following methods of conflict resolution uses a 3rd part who reviews the situation and makes a binding decision - Mediation Deception that results in damage to another is referred to as - slander A group that is legally designated to establish and implement policies regarding the management of a HC organization is called - Governing Body

Strategic planning is best defined as an organizational process for - identifying goals and objectives An arbitration agreement is a - contract between parties agreeing to resolve disputes using a neutral third party When determining an employer's liability for the acts of employees, it is important to ascertain - scope of employment 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 What is the book value of a vehicle purchased at $40000 that has an accumulated depreciation of $30000. - $ The provision of HC organization makes for uncollectible accounts receivables is known as: - allowance for bad debt Activity Based Costing - A method of allocating overhead based on each product's use of activities in making the product. To protect against payroll fraud, it is considered safest to have: - a mandatory direct- deposit program Any item of major cost that will become an asset of the HC organization is - considered to add market value to the physical plant. When negotiating contracts with outside vendors or consultants for professional services, contracts are not required to - contain a mutual indemnity clause Ensuring accurate reliable data for accounting reports is known as: - internal controls given the following formula: net income after taxes divided by Average total assets This formula is used to calculate the return on: - Assets Professional and general liability insurance that only covers claims reported during the policy period is operating under a/an - Liability-period policy When a care recipient refuses to take a prescribed medication, the immediate response should be - speak with the care recipient about the risks and consequences of not taking the medicatin

A special diet prescribed by a physician, approved by a qualified dietitian, and designed to correct a care recipient condition - Therapeutic Diet The term 'standard precautions' refers to..? - treating all body fluids as potentially infectious Which of the following is the most important factor to ensure the effectiveness of an infection control program? - Monitor and investigate causes and potential spreading of infections. Lock out tag out - Is related to energy