NAB Exam Review - Finance/HR/Environment/Regulatory Agencies/Medical terms/Staffing/Labor laws/etc

NAB Exam Review - Finance/HR/Environment/Regulatory Agencies/Medical terms/Staffing/Labor laws Which psychological factor is normally not a problem with the aging? Which psychological factors is normally a problem with the aging? Ans- Self-actualization. Paranoia, Depression, Feelings of worthlessness. Which statements concerning the needs of the elderly is true? Ans- Relationships are need to combat loneliness. The need for closeness is never lost by most of the elderly. Independence to do their "own thing" is very important To assure that the residents assessment is accurate and reflects the resident's current status, the nursing facility must give each resident a physical examination as deemed appropriate, but no less than once every: Ans- Three Months Discharge planning for a resident should be initiated when the resident is: Ans- Admitted Which of the following would be most likely to increase the number of infections in a nursing facility? 1. Invasive Devices 2. Exposure to employees and visitors 3. Presence of multiple chronic diseases 4. Increase of incidents of immobility and incontinence Ans- 2. Exposure to employees and visitors Assume that 130 doses of medication were prescribed by the residents physician to be administered in a given time period. However, 2 doses ordered were not given and 3 doses were incorrectly administered as prescribed. What was the medication error rate? 1. 1.5 2. 2.3 3. 3.8 4. 5.0 Ans- 3. 3.8% Under OBRA (F115), the term bedfast means that, except to be moved for treatment, a resident has been in bed all of the time during the past: 1. 24 hours 2. 48 hours 3. 5 days 4. 7 days Ans- 4. 7 days The legal vehicles used to control nursing activities are termed: Ans- Nurse-practice acts After a comprehensive assessment has been made, comprehensive care plans must be completed within: Ans- 7 days The social worker in a long-term care facility is primarily concerned with: Ans- Developing an in-depth relationship with the resident to maintain an accurate and current social record Resident councils allow: Ans- Residents a sense of some control over their lives and desires Procedures and directives concerning resident privacy and dignity would include: Ans- The use of curtains around the bed. Knocking before entering the room. Remember that the residents beliefs or concepts of privacy and dignity may differ from that of the employee A legal document that specifies a person's preference concerning life sustaining treatment is referred to as a: Ans- Living will A testator is one who: Ans- Dies leaving a living will When a resident is angry, it is best to: Ans- Let him/her express the anger Name symptoms of diabetes: What is not a symptom of diabetes: Ans- Itching. Excessive thirst. Excessive sugar in the urine. Weight loss Food service is a major cost center and the dietary manager should submit weekly/monthly reports to the administrator that include what: What do they not include: Ans- Total raw food costs. Number of meals served. Raw food cost per resident per day. Costs of meals not eaten. When developing a nutrition-risk protocol, the provider should: Ans- Include guidelines on weighttracking and weight-loss interventions To clean utensils, a three-compartment sink is need to wash, rinse, and: Ans- Sanitize utensils The percentage of weight loss for a resident who previously weight 150 pounds and now weighs 142 pounds is: Ans- 5.3% Solution: Original weight - Current weight = weight loss weight loss X 100 / Original weight = % of weight loss The dietary department is required to maintain various adaptive feeding equipment. However, the training needed for utilization of the equipment is usually provided by: Ans- Occupational Therapists Incontinence means: Ans- Involuntary passage of urine and/or feces An oncologist is a specialist in the area of: Ans- Cancer and malignant diseases If an administrator becomes aware of a noticeable deterioration in a residents condition, the administrator's most appropriate action would be to: Ans- Request the nurse to evaluate the resident's overall condition and report it to the physician if necessary According to OBRA regulations, the resident's physician is required to visit the resident and conduct all of the following activities: Except: Ans- Sign and date all orders. write, sign, and date progress notes. Review all medication and treatment. Review all consultant reports If dental work is planned for a resident, the facility should be aware of the impact on any of the following except: 1. Artificial hips. 2. Heart Valve. 3.Kidney Conditions. 4. Knee Replacements Ans- 3. Kidney Conditions The sum of all activities which create the desired and needed changes in quality care is the definition of: Ans- Quality improvement Under the 1992 Final Rules, who determines if it is unsafe for a resident to self-administer drugs? AnsInterdisciplinary team Activities needs to: Activities needs not: Ans- Needs: Provide stimulation or solace. Promote physical, cognitive, and emotional health. Enhance the mental and physical status of the resident. Not: Involve useful service to the facility Resident activities should not be designed to emphasize: Ans- The finished product The policies and procedures for activity programs should also include: Ans- Volunteers In addition to their services to the residents in the facility, volunteers should be recognized for their: Ans- Strengthening of the bond between the facility and the community When only posters and mounted calendars are utilized for various programs, the major communication problem created is that: Ans- The signs cannot be seen by the non-ambulatory residents The evaluation of the activity program should be aimed at: Ans- Meeting the needs and desires of all residents Sometimes, when the staff thinks of medical records, only the resident's chart is considered to be confidential. In reality there are other records that may also be considered confidential. Which of the following would not be considered confidential? 1. Audios 2. Videos 3. Computer information 4. Activity Attendance Records Ans- 4. Activity Attendance Records If a resident requests to see his or her chart and medical records but there is a letter from the physician indicating that the records cannot be given to the resident or family, the facility should? Ans- First call the physician The frequency of documentation of resident progress is determined by the: Ans- Facility Surveyors are usually less concerned with how often information is gathered than: Ans- Sufficient progress information It is the responsibility of the RN Assessment Coordinator (RAC) to assure an admission assessment is completed within: Ans- 8 hours All of the following goals should be addressed for residents who use antipsychotic drugs except: 1. Drug Holidays. 2. Drug Elimination. 3. Gradual dose reduction. 4. Behavioral programming Ans- 2. Drug Elimination Residents who use antipsychotic drugs: Ans- Must be taken off the drugs as soon as possible? Check this answer The Physician's Desk Reference relates to: Ans- Drugs If the pharmacist feels a certain laboratory test is needed to determine blood level of a resident, the physician is involved but: Ans- neither the DON nor the physician must agree with the pharmacist Abbreviations are used by nurses in completed charts and other medical records. The abbreviation p.r.n. means? Ans- When needed? or as prescribed? Drug interaction means that: Ans- Two or more drugs taken simultaneously can produce an unwanted effect Who is responsible for ensuring that contractual rehabilitation specialists are fully qualified to perform services? Ans- The Administrator A physiatrist: Ans- Works with physical and occupational therapists ROM Means: Ans- The extent of movement of a joint Heat and Hydrotherapy are used primarily by: Ans- Physical therapists Flexion, rotation, abduction, and addiction are all terms referring to: Ans- Exercises The person who has the most contact with the resident should be properly trained in the area of communication and that person is usually the: Ans- CNA All of the following are essential elements of counseling except: 1. Listening. 2. Being Personal. 3. Being nonjudgmental. 4. Avoidance of criticism. Ans- 2. Being Personal An administrator using the "open door" policy of communication will be: Ans- Dealing with too much detail and destroying lines of communication and authority. Which of the following cannot be negotiated? 1. Salaries. 2. Promotions. 3. Grievances. 4. Quality of Resident Care Ans- 4. Quality of Resident Care On the job training and in service training are two common types of teaching techniques used in facilities. Which of the following best lends itself to on the job training? 1. Policies. 2. Confidentiality. 3. Proper Bed Making. 4. Accident Prevention Ans- 3. Proper Bed Making Every new employee must complete the I-9 form within: Ans- 3