NAB NHA - Line of Service Exam(PA)2022 With Complete Solutions.
A physical restraint must be removed from the resident at least - (ANSWER)every 2 hours
The term "incontinent" is used to describe a condition which: - (ANSWER)causes a person to lose
control of excretory functions
The most significant aspect of resident care is - (ANSWER)the attitude toward the residents
With regard to the staffing for nursing services, which of the following is required? -
(ANSWER)Facilities must have sufficient staff with appropriate competencies and skill sets
Healthcare Association Infections (HAI) are infections associated with - (ANSWER)institutionalization
The facility may transfer or discharge a resident from the facility for any of the following reasons
EXCEPT if the - (ANSWER)legal guardian appointed by the court refuses the discharge
A discharge plan must be developed for residents in the facility. Which of the following statements is
NOT true? - (ANSWER)Discharge plans and accompanying summaries must be completed and signed
by the primary care physician within 3 days of discharge
During a review of the wound care protocols in the nursing home, the director of nursing and the
treatment nurse determine that they should re-educate the staff on the causes of pressure sores.
Which of the following is NOT considered a primary reason for the resident to suffer from a skin
breakdown? - (ANSWER)Protein Supplements
Social workers in a nursing facility may provide all of the following services EXCEPT -
(ANSWER)psychiatric therapy
Social work has been defined as a problem solving process geared to helping people help themselves.
The problem most likely to affect residents as they are faced with nursing facility placement is -
(ANSWER)anxiety related to the unknown
,The administrator and every employee in a nursing facility must be aware and knowledgeable of
residents' rights. In a 140-bed facility the initial explanation of the resident rights to the resident and
family is usually the responsibility of the - (ANSWER)social worker
Regarding advanced directives, which of the following statements is false? - (ANSWER)At admission a
facility must require signed advanced directives
Counseling, group activities, and social functions appear to be productive therapeutic techniques for
depressed residents. Of the following, which sign would be LEAST displayed by depressed residents? -
(ANSWER)Weight gain
If a resident is declared mentally incompetent in a court of law, the rights of the resident are usually
assigned to the - (ANSWER)legally responsible party
Often residents complain about almost everything and a trained social worker should counsel this type
of resident in an effort to - (ANSWER)resolve the complaint
Federal regulations envision that the functions of several previously free-standing committees can
now be included in the quality assessment and assurance committee. Which of the following would
remain a free-standing committee? - (ANSWER)Ethics
What therapy treatment tends to work best with severely demented residents? - (ANSWER)Validation
therapy
All menus must be approved by - (ANSWER)A qualified dietician
Hot food must leave the kitchen at a temperature of at least - (ANSWER)135 degrees Fahrenheit
The maximum number of hours allowed between serving the evening meal and breakfast the
following day is - (ANSWER)14 hours
Which of the following statements is NOT true in regard to food safety in the nursing home -
(ANSWER)Chicken and fish must be cooked to a temp of 155 and hamburger meat to 145
,The primary purpose of encouraging all able bodied residents to eat in the dining room is -
(ANSWER)provide socialization
Which of the following statements is NOT true regarding the nursing homes obligation to its residents
dental services - (ANSWER)Per facility policy, the facility may charge the resident for lost or damaged
dentures in all cases
Which of the following personnel is NOT required to be a member of the quality assessment and
assurance committee? - (ANSWER)Nursing Home Administrator
A resident with a hearing loss should be referred to - (ANSWER)an otologist
Which of the following physicians may NOT serve as the resident attending physician -
(ANSWER)Podiatrist
Under OBRA, the regulations for a SNF require that residents must be seen by a physician every 30
days during the first 90 days after admission and therafter - (ANSWER)once every 60 days
A resident who is suffering from a kidney ailment is likely to be referred to which of the following
specialists - (ANSWER)Nephrologist
A resident with a terminable disease and less then six months to live should be considered to what
service - (ANSWER)Hospice Care
The use of calendars, clocks, and signs is an integral part of a program of - (ANSWER)reality orientation
Determining the success of an activity program can be very difficult, yet one determination may be an
increase in - (ANSWER)number of participants
Residents are most easily encouraged to participate in those activities which are - (ANSWER)personally
satisfying
, In addition to volunteers, the community has many resources that can be utilized for education,
transportation, security and training. The department that uses many other resourced than those
listed is - (ANSWER)activity department
The goal for activities should be focused on - (ANSWER)participation and enjoyment
The nursing home administrators major role in the activity program should be to - (ANSWER)visit,
observe, and support
Medical records belong to the - (ANSWER)facility
The first steps in implementing information security programs for computer based and paper records
are to - (ANSWER)develop and enforce standards and safeguards to ensure the protections of resident
records
Federal regulations require that the medical records of a resident contain all of the following EXCEPT
the residents - (ANSWER)Medicare/Medicaid qualifications
The primary purpose of medical records is to - (ANSWER)provide for continuity of care
Which of the following laws has as its goal the promoting, expanding, and adoption of health
information technology? - (ANSWER)The Health Information Technology for Economic and Clinical
Health Act (HITECH)
The primary value of systematically organizing medical record forms is for - (ANSWER)accessibility
A nurse assesses a new admissions history and physical and she notes that one of his illnesses is
treatable but not curable. This disease process is considered - (ANSWER)chronic
NH are required to complete a comprehensive , standardized assessment on each resident for the
purpose of enabling the staff to develop a plan of care that allows the resident to reach his fullest
A physical restraint must be removed from the resident at least - (ANSWER)every 2 hours
The term "incontinent" is used to describe a condition which: - (ANSWER)causes a person to lose
control of excretory functions
The most significant aspect of resident care is - (ANSWER)the attitude toward the residents
With regard to the staffing for nursing services, which of the following is required? -
(ANSWER)Facilities must have sufficient staff with appropriate competencies and skill sets
Healthcare Association Infections (HAI) are infections associated with - (ANSWER)institutionalization
The facility may transfer or discharge a resident from the facility for any of the following reasons
EXCEPT if the - (ANSWER)legal guardian appointed by the court refuses the discharge
A discharge plan must be developed for residents in the facility. Which of the following statements is
NOT true? - (ANSWER)Discharge plans and accompanying summaries must be completed and signed
by the primary care physician within 3 days of discharge
During a review of the wound care protocols in the nursing home, the director of nursing and the
treatment nurse determine that they should re-educate the staff on the causes of pressure sores.
Which of the following is NOT considered a primary reason for the resident to suffer from a skin
breakdown? - (ANSWER)Protein Supplements
Social workers in a nursing facility may provide all of the following services EXCEPT -
(ANSWER)psychiatric therapy
Social work has been defined as a problem solving process geared to helping people help themselves.
The problem most likely to affect residents as they are faced with nursing facility placement is -
(ANSWER)anxiety related to the unknown
,The administrator and every employee in a nursing facility must be aware and knowledgeable of
residents' rights. In a 140-bed facility the initial explanation of the resident rights to the resident and
family is usually the responsibility of the - (ANSWER)social worker
Regarding advanced directives, which of the following statements is false? - (ANSWER)At admission a
facility must require signed advanced directives
Counseling, group activities, and social functions appear to be productive therapeutic techniques for
depressed residents. Of the following, which sign would be LEAST displayed by depressed residents? -
(ANSWER)Weight gain
If a resident is declared mentally incompetent in a court of law, the rights of the resident are usually
assigned to the - (ANSWER)legally responsible party
Often residents complain about almost everything and a trained social worker should counsel this type
of resident in an effort to - (ANSWER)resolve the complaint
Federal regulations envision that the functions of several previously free-standing committees can
now be included in the quality assessment and assurance committee. Which of the following would
remain a free-standing committee? - (ANSWER)Ethics
What therapy treatment tends to work best with severely demented residents? - (ANSWER)Validation
therapy
All menus must be approved by - (ANSWER)A qualified dietician
Hot food must leave the kitchen at a temperature of at least - (ANSWER)135 degrees Fahrenheit
The maximum number of hours allowed between serving the evening meal and breakfast the
following day is - (ANSWER)14 hours
Which of the following statements is NOT true in regard to food safety in the nursing home -
(ANSWER)Chicken and fish must be cooked to a temp of 155 and hamburger meat to 145
,The primary purpose of encouraging all able bodied residents to eat in the dining room is -
(ANSWER)provide socialization
Which of the following statements is NOT true regarding the nursing homes obligation to its residents
dental services - (ANSWER)Per facility policy, the facility may charge the resident for lost or damaged
dentures in all cases
Which of the following personnel is NOT required to be a member of the quality assessment and
assurance committee? - (ANSWER)Nursing Home Administrator
A resident with a hearing loss should be referred to - (ANSWER)an otologist
Which of the following physicians may NOT serve as the resident attending physician -
(ANSWER)Podiatrist
Under OBRA, the regulations for a SNF require that residents must be seen by a physician every 30
days during the first 90 days after admission and therafter - (ANSWER)once every 60 days
A resident who is suffering from a kidney ailment is likely to be referred to which of the following
specialists - (ANSWER)Nephrologist
A resident with a terminable disease and less then six months to live should be considered to what
service - (ANSWER)Hospice Care
The use of calendars, clocks, and signs is an integral part of a program of - (ANSWER)reality orientation
Determining the success of an activity program can be very difficult, yet one determination may be an
increase in - (ANSWER)number of participants
Residents are most easily encouraged to participate in those activities which are - (ANSWER)personally
satisfying
, In addition to volunteers, the community has many resources that can be utilized for education,
transportation, security and training. The department that uses many other resourced than those
listed is - (ANSWER)activity department
The goal for activities should be focused on - (ANSWER)participation and enjoyment
The nursing home administrators major role in the activity program should be to - (ANSWER)visit,
observe, and support
Medical records belong to the - (ANSWER)facility
The first steps in implementing information security programs for computer based and paper records
are to - (ANSWER)develop and enforce standards and safeguards to ensure the protections of resident
records
Federal regulations require that the medical records of a resident contain all of the following EXCEPT
the residents - (ANSWER)Medicare/Medicaid qualifications
The primary purpose of medical records is to - (ANSWER)provide for continuity of care
Which of the following laws has as its goal the promoting, expanding, and adoption of health
information technology? - (ANSWER)The Health Information Technology for Economic and Clinical
Health Act (HITECH)
The primary value of systematically organizing medical record forms is for - (ANSWER)accessibility
A nurse assesses a new admissions history and physical and she notes that one of his illnesses is
treatable but not curable. This disease process is considered - (ANSWER)chronic
NH are required to complete a comprehensive , standardized assessment on each resident for the
purpose of enabling the staff to develop a plan of care that allows the resident to reach his fullest
