1. Written policies and procedures are used by the facility for all of the
following except:
1. To communicate what management expects in any situation
2. To prepare staff for dealing with emergency situations
3. To establish the management style for operating the facility
4. To set guidelines for staff to follow in delivery of care: 3
2. When admitted to the nursing home, which of the following is not required
to be given to the resident?
1. The resident's rights and rules and regulations governing resident conduct
and responsibilities during the stay in the facility
2. Services to be provided and their associated cost
3. The federal standards and state licensing rules for nursing facilities
4. information regarding an advance directive: 3
3. In the case of non-Medicare Part A residents, the initial resident
assessment must be completed:
1. Within 10 days of admission
2. Within 14 days of admission
3. Within the first week of admission
4. Prior to formally admitting the resident: 2
4. According to the federal certification standards, the QA committee is
required to meet?
1. When a problem arises that requires immediate
attention
2. At least twice a year
3. At least quarterly
4. When directed by the medical director: 3. CMS requires the QA
committee to meet quarterly
,5. A resident is admitted to a nursing home that has been certified as a
SNF only. Which of the following is not required to be adhered to by the
facility?
1. State medicaid standards for payment
2. SNF regulations
3. State licensing regulations
4. Office of civil rights laws: 1
6. Unless a waiver has been secured, a registered nurse is required to be in
the facility?
1. At least eight hours within every 24 hour period
2. At least eight consecutive hours a day, seven days a week
3. At least eight consecutive hours Monday through Friday
4. There is no minimum number of hours required: 2
7. Restorative care must be provided:
1. Only with the order of the facility's physical therapist
2. By specialized qualified staff for which the facility has contracted services
3. Only if the resident can't provide his/her own care
4. By nursing staff based on a comprehensive assessment: 4
8. The facility staff will determine what the needs of the resident are based
on:
1. Quality indicator reports
2. Family interviews
3. The MDS assessments
4. Quality measures: 3
9. Physician vists are required:
1. Monthly after the initial required visits
2. Quarterly after the initial required visits
, NAB Practice Questions
3. Every 60 days after the inital required visits
4. Twice a year after the initial required visits: 3
10. Which one below is an exception to when a facility may release resident
identifiable information under the HIPAA Privacy Standard without the
residents permission?
1. For a research study conducted by CMS
2. When any immediate family member requests it
3. To consumer groups
4. When a resident is transferred to another health care institution: 4
11. Standard precautions are to be used when providing personal care to:
1. All residents
2. Residents with AIDS
3. Residents with Hepatitis
4. Residents with Tuberculosis: 1
12. All of the following are barriers regarding the recognition of chronic pain
except for:
1. Cognitive impairment and communication barriers hinder a resident's
ability to report pain or respond to caregiver's questions regarding pain
2. Staff who are utilizing valid tools to screen for pain
3. Elderly may not show verbal or non-verbal symptoms of pain
4. Staff may not have knowledge of or be skilled in assessing pain: 2
The instrument the staff utilizes to screen for pain doesn't create any type of barrier
for them to determine if the resident is experiencing pain. All of the other are related
to the ability of the resident to express pain or the staff to evaluate the presence of
pain.
13. Which of the following does not support resident center care concept?
, 1. Upon admission the resident indicates a preference to bathe at night; the
facility policy requires all baths to be given on the day shift
2. Breakfast is served from 630a-800a; the resident chooses to sleep until
900a so the nursing staff makes sure cereal and milk are available at 900a
3. Upon admission the resident was allowed to bring his personal recliner
to the facility to furnish his room
4. Prior to living in the nursing facility the resident enjoyed fishing; the
activity staff arrange for the resident to attend the annual fishing rodea
located 30 miles from the facility: 1
14. Facilities are expected to provide a pleasant dining experience for all
residents. This includes all except:
1. Provideing well-lit, well ventilated dining room
2. Provideing adequate space and seating accomodations
3. Maintaining a level of dignity when serving all residents
4. Serving residents without attempting to honor resident food preferences:
4
15. Which one of the following is not a correct policy for dietary services?
1. Receiving of food for facility use must be from approved sources
2. Storage of food brought in by staff must be stored separately from facility
food
3. Facilities are required to provide a therapeutic diet, prescribed by the
dietary consultant, when a nutrition problem exists
4. A specific food temperature level is required at the time of serving: 3
16. One specified reason for a "significant change" comprehensive
reassessment is an unplanned wight loss of either ___% over 30 days or ___
over 180 days?
1. 5%, 7%
2. 7% 10%
3. 5%, 10%
4. 10%, 29%: 3