Wisconsin NHA Exam 2023 with complete solution;NHA
test bank solved correctly
How much of a supply of an individual resident's drugs may be held by facility?
The supply shall not exceed 4 days for any one resident.
Advanced practice nurse prescriber
A person who has been granted a certificate to issue prescription orders
Authorized prescriber
A person licensed in this state to prescribe medications, treatments, or rehabilitative
therapies
"Dietitan" means a person who is any of the following....
a) certified under s.448.78 stats
b) licensed or certified as a dietitian in another state
What is "full-time"?
37.5 hours each week devoted to facility business
What is "IMD"?
Institution for Mental Diseases
What is intensive skilled nursing care?
care requiring specialized nursing assessment skills and the performance of specific
services and procedures that are complex because of the resident's condition or the
type or number of procedures that are necessary
What is an "intermediate care facility"?
a Nursing Home which is licensed by the department as an intermediate care facility to
provide intermediate nursing care
What is "intermediate nursing care"?
Basic care consisting of physical, emotional, social and other rehabilitative services
under periodic medical supervision. The nursing care requires the skill of a registered
nurse for observation and recording of reactions and symptoms, and for supervision of
nursing care.
What is "involuntary administration of psychotropic medication"?
It can mean any of the following:
a) placing psychotropic medication in an individual's food or drink with knowledge that
the individual protests receipt of the psycho tropic medication
b) Forcibly restraining an individual to enable administration of psychotropic medication
c) Requiring an individual to take psychotropic medication as a condition of receiving
privileges or benefits
What does "limited nursing care" mean?
It means simple nursing care procedures required by residents with long-term illnesses
or disabilities in order to maintain stability and which can be provided safely only by or
under the supervision of a person no less skilled than a licensed practical nurse who
works under the direction of a registered nurse.
What is a "nursing assistant"?
A person who is employed primarily to provide direct care services to residents but is
not registered or licensed.
What is a "physician extender"?
,A person who is a physician's assistant or a nurse practitioner acting under the general
supervision and direction of a physician
What does "protest" mean?
To make more than one discernible negative response, other than mere silence, to the
offer of, recommendation for, or other proffering of voluntary receipt of psychotropic
medication. "Protest" does not mean a discernible negative response to a proposed
method of administration of the psychotropic medication.
How long is "Recuperative care" anticipated to be provided for?
For a period of 90 days or less for a resident whose physician has certified that he or
she is convalescing or recuperating from an illness or a medical treatment.
How long is "respite care" anticipated to be provided for?
For a period of 28 days or less for the purpose of temporarily relieving a family member
or other caregiver from his or her daily caregiving duties
What does short-term care mean?
It means recuperative care or respite care
In determining whether a service is skilled, what three criteria shall be used?
1. The service would constitute a skilled service where the inherent complexity of a
service prescribed for a resident is such that it can be safely and effectively performed
only by or under the supervision of professional personnel;
2. The restoration potential of a resident is not the deciding factor in determining
whether a service is to be considered skilled or unskilled. Even where full recovery or
medical improvement is not possible, skilled care may be needed to prevent, to the
extent possible, deterioration of the condition or to sustain current capacities; and
3. A service that is generally unskilled would be considered skilled where, because of
special medical complications, its performance or supervision or the observation of the
resident necessitates the use of skilled nursing personnel.
What does "supervision" mean? Does it require continuous presence of supervisor in
same building as assistant?
At least intermittent face-to-face contact between supervisor and assistant, with the
supervisor instructing and overseeing the assistant, but does not require the continuous
presence of the supervisor in the same building as the assistant.
What does "tour of duty" mean?
A portion of the day during which a shift of resident care personnel are on duty.
What is a "unit does drug delivery system"?
A system for the distribution of medications in which single doses of medications are
individually packaged and sealed for distribution to residents
Requirements of licensure of an institution for mental diseases
1. The conversion of all or some of the beds within the facility will result in a physically
identifiable unit of the facility
2. The IMD shall have a minimum of 16 beds
3. The conversion of beds to or from an IMD shall not increase the total number of beds
within the facility; and
4. The facility has submitted an application under subs.2 and 3 to convert all or a portion
of its beds to an IMD and the department has determined that the facility is in
substantial compliance with this chapter.
How many beds must an IMD have to be licensed?
,16
How often may a facility submit an application for conversion of beds to or from an IMD?
No more than 2 times a year
What must be included in an application for an IMD license?
1. The identities of all persons or business entities having the authority in management
of the facility
2. Identities of all persons or business entities having any ownership interest
whatsoever in the building/land
3. The identities of all creditors holding a security interest in the premises
4. Disclosure of any relationship or connection between the old licensee and the new
licensee- same with owners
5. Disclosure of any financial failures
When applying for license, the applicant shall submit evidence to establish that he or
she has sufficient resources to permit operation of facility for a period of how long?
6 months
When determining if a facility is "fit and qualified" the department shall review survey
and complaint investigation findings for each facility which the application is affiliated or
was affiliated during the past how many years?
5
How long does the department have to approve or deny the complete application after
receiving it?
60 days
What are the two types of license?
Probationary and regular
What a probationary license?
If the applicant has not been previously licensed under this chapter or if the facility is not
in operation at the time application is made, the department issues a probationary
license.
How long is the probationary license valid for?
12 months ... If the applicant is found to be fit and qualified and in substantial
compliance with this chapter, the department shall issue a regular license upon
expiration of the probationary license.
What is a regular license?
If the applicant has been previously licensed, the department shall issue a regular
license if the applicant is found to be in substantial compliance with this chapter.
How long is a regular license valid for?
Indefinitely unless suspended or revoked.
A licensee is required to report to the department via a form how often?
Every 12 months
If a licensee fails to timely file a report to the department, the department shall issue a
warning to the licensee. If the licensee fails to submit a complete report to the
department, within _____ days, the department may revoke the license.
60 days
Can a license be transferred or assigned by the licensee?
No.
What is the Quality assurance and improvement committee?
, The department shall establish and maintain a quality assurance and improvement
committee to review proposals and award funds to facilities for innovative projects
approved by the committee.
How long shall quality assurance and improvement committee members serve a term?
up to 12 months. A representative's term may be extended at the secretary's discretion.
How often does the quality assurance and improvement committee have to meet?
At least annually
What is a "Waiver"
The grant of an exemption from a requirement of this chapter.
What is a "variance"
The granting of an alternate requirement in place of a requirement of this chapter
The department shall grant or deny each request for waiver or variance in writing.
Notice of denials shall contain the reasons for denial. If a notice of denial is not issued
within ____ days after receipt of a complete request, the waiver or variance shall be
automatically approved.
60 days
Upon admission, all residents must be....
Fully informed in writing of all services and the charges for these services, and be
informed in writing, during the resident's stay, of any changes in services available or in
charges for services
What is a "locked unit"?
A ward, wing or room which is designated as a protective environment and is secured in
a manner that presents a resident from leaving the unit at will.
Placement in a locked unity shall be based on...
the determination that this placement is the least restrictive environment consistent with
the needs of the person.
Under which conditions may a resident be housed in a locked unit?
1. The resident consents
2. The court that protectively placed the resident made specific finding of the need for a
locked unit
3. The resident has been transferred to a locked unit and the medical record contains
documentation of the noticed provided to the guardian, the court and the agency
designated.
4. In an emergency
If a facility determines that a resident needs a locked unit, the facility must ensure what
happens?
1. The facility immediately attempts to notify the physician for instructions.
2. A physician's order for the confinement must be obtained within 12 hours.
How long may a resident be confined for under the order of the physician?
No more than an additional 72 hours
If more than one nursing home or other licensed health care facility is located on the
same or contiguous property, how many administrators must there be?
One full-time administrator may serve all the facilities
How long must a facility licensed for 5- beds or less employ an administrator?
For at least 4 hours per day on 5 days per week.
No administrator shall be terminated unless...
test bank solved correctly
How much of a supply of an individual resident's drugs may be held by facility?
The supply shall not exceed 4 days for any one resident.
Advanced practice nurse prescriber
A person who has been granted a certificate to issue prescription orders
Authorized prescriber
A person licensed in this state to prescribe medications, treatments, or rehabilitative
therapies
"Dietitan" means a person who is any of the following....
a) certified under s.448.78 stats
b) licensed or certified as a dietitian in another state
What is "full-time"?
37.5 hours each week devoted to facility business
What is "IMD"?
Institution for Mental Diseases
What is intensive skilled nursing care?
care requiring specialized nursing assessment skills and the performance of specific
services and procedures that are complex because of the resident's condition or the
type or number of procedures that are necessary
What is an "intermediate care facility"?
a Nursing Home which is licensed by the department as an intermediate care facility to
provide intermediate nursing care
What is "intermediate nursing care"?
Basic care consisting of physical, emotional, social and other rehabilitative services
under periodic medical supervision. The nursing care requires the skill of a registered
nurse for observation and recording of reactions and symptoms, and for supervision of
nursing care.
What is "involuntary administration of psychotropic medication"?
It can mean any of the following:
a) placing psychotropic medication in an individual's food or drink with knowledge that
the individual protests receipt of the psycho tropic medication
b) Forcibly restraining an individual to enable administration of psychotropic medication
c) Requiring an individual to take psychotropic medication as a condition of receiving
privileges or benefits
What does "limited nursing care" mean?
It means simple nursing care procedures required by residents with long-term illnesses
or disabilities in order to maintain stability and which can be provided safely only by or
under the supervision of a person no less skilled than a licensed practical nurse who
works under the direction of a registered nurse.
What is a "nursing assistant"?
A person who is employed primarily to provide direct care services to residents but is
not registered or licensed.
What is a "physician extender"?
,A person who is a physician's assistant or a nurse practitioner acting under the general
supervision and direction of a physician
What does "protest" mean?
To make more than one discernible negative response, other than mere silence, to the
offer of, recommendation for, or other proffering of voluntary receipt of psychotropic
medication. "Protest" does not mean a discernible negative response to a proposed
method of administration of the psychotropic medication.
How long is "Recuperative care" anticipated to be provided for?
For a period of 90 days or less for a resident whose physician has certified that he or
she is convalescing or recuperating from an illness or a medical treatment.
How long is "respite care" anticipated to be provided for?
For a period of 28 days or less for the purpose of temporarily relieving a family member
or other caregiver from his or her daily caregiving duties
What does short-term care mean?
It means recuperative care or respite care
In determining whether a service is skilled, what three criteria shall be used?
1. The service would constitute a skilled service where the inherent complexity of a
service prescribed for a resident is such that it can be safely and effectively performed
only by or under the supervision of professional personnel;
2. The restoration potential of a resident is not the deciding factor in determining
whether a service is to be considered skilled or unskilled. Even where full recovery or
medical improvement is not possible, skilled care may be needed to prevent, to the
extent possible, deterioration of the condition or to sustain current capacities; and
3. A service that is generally unskilled would be considered skilled where, because of
special medical complications, its performance or supervision or the observation of the
resident necessitates the use of skilled nursing personnel.
What does "supervision" mean? Does it require continuous presence of supervisor in
same building as assistant?
At least intermittent face-to-face contact between supervisor and assistant, with the
supervisor instructing and overseeing the assistant, but does not require the continuous
presence of the supervisor in the same building as the assistant.
What does "tour of duty" mean?
A portion of the day during which a shift of resident care personnel are on duty.
What is a "unit does drug delivery system"?
A system for the distribution of medications in which single doses of medications are
individually packaged and sealed for distribution to residents
Requirements of licensure of an institution for mental diseases
1. The conversion of all or some of the beds within the facility will result in a physically
identifiable unit of the facility
2. The IMD shall have a minimum of 16 beds
3. The conversion of beds to or from an IMD shall not increase the total number of beds
within the facility; and
4. The facility has submitted an application under subs.2 and 3 to convert all or a portion
of its beds to an IMD and the department has determined that the facility is in
substantial compliance with this chapter.
How many beds must an IMD have to be licensed?
,16
How often may a facility submit an application for conversion of beds to or from an IMD?
No more than 2 times a year
What must be included in an application for an IMD license?
1. The identities of all persons or business entities having the authority in management
of the facility
2. Identities of all persons or business entities having any ownership interest
whatsoever in the building/land
3. The identities of all creditors holding a security interest in the premises
4. Disclosure of any relationship or connection between the old licensee and the new
licensee- same with owners
5. Disclosure of any financial failures
When applying for license, the applicant shall submit evidence to establish that he or
she has sufficient resources to permit operation of facility for a period of how long?
6 months
When determining if a facility is "fit and qualified" the department shall review survey
and complaint investigation findings for each facility which the application is affiliated or
was affiliated during the past how many years?
5
How long does the department have to approve or deny the complete application after
receiving it?
60 days
What are the two types of license?
Probationary and regular
What a probationary license?
If the applicant has not been previously licensed under this chapter or if the facility is not
in operation at the time application is made, the department issues a probationary
license.
How long is the probationary license valid for?
12 months ... If the applicant is found to be fit and qualified and in substantial
compliance with this chapter, the department shall issue a regular license upon
expiration of the probationary license.
What is a regular license?
If the applicant has been previously licensed, the department shall issue a regular
license if the applicant is found to be in substantial compliance with this chapter.
How long is a regular license valid for?
Indefinitely unless suspended or revoked.
A licensee is required to report to the department via a form how often?
Every 12 months
If a licensee fails to timely file a report to the department, the department shall issue a
warning to the licensee. If the licensee fails to submit a complete report to the
department, within _____ days, the department may revoke the license.
60 days
Can a license be transferred or assigned by the licensee?
No.
What is the Quality assurance and improvement committee?
, The department shall establish and maintain a quality assurance and improvement
committee to review proposals and award funds to facilities for innovative projects
approved by the committee.
How long shall quality assurance and improvement committee members serve a term?
up to 12 months. A representative's term may be extended at the secretary's discretion.
How often does the quality assurance and improvement committee have to meet?
At least annually
What is a "Waiver"
The grant of an exemption from a requirement of this chapter.
What is a "variance"
The granting of an alternate requirement in place of a requirement of this chapter
The department shall grant or deny each request for waiver or variance in writing.
Notice of denials shall contain the reasons for denial. If a notice of denial is not issued
within ____ days after receipt of a complete request, the waiver or variance shall be
automatically approved.
60 days
Upon admission, all residents must be....
Fully informed in writing of all services and the charges for these services, and be
informed in writing, during the resident's stay, of any changes in services available or in
charges for services
What is a "locked unit"?
A ward, wing or room which is designated as a protective environment and is secured in
a manner that presents a resident from leaving the unit at will.
Placement in a locked unity shall be based on...
the determination that this placement is the least restrictive environment consistent with
the needs of the person.
Under which conditions may a resident be housed in a locked unit?
1. The resident consents
2. The court that protectively placed the resident made specific finding of the need for a
locked unit
3. The resident has been transferred to a locked unit and the medical record contains
documentation of the noticed provided to the guardian, the court and the agency
designated.
4. In an emergency
If a facility determines that a resident needs a locked unit, the facility must ensure what
happens?
1. The facility immediately attempts to notify the physician for instructions.
2. A physician's order for the confinement must be obtained within 12 hours.
How long may a resident be confined for under the order of the physician?
No more than an additional 72 hours
If more than one nursing home or other licensed health care facility is located on the
same or contiguous property, how many administrators must there be?
One full-time administrator may serve all the facilities
How long must a facility licensed for 5- beds or less employ an administrator?
For at least 4 hours per day on 5 days per week.
No administrator shall be terminated unless...
