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9. Which type of behavioral intervention may not be appropriate for demented individuals?
1. Remotivation
2. Reality orientation
3. Validation therapy
4. Sensory training
10. Door locks that are engaged by wandering residents can only work for how long?
1. 15 seconds
2. 30 seconds
3. 1 minute
4. Doors are never allowed to be locked
11. The single best preventative measure for pressure ulcers is:
1. Prompt incontinence care
2. Adequate hydration
3. Use of "donut" cushions when in a wheelchair
4. Frequent turning and repositioning
12. Which model of care attempts to use the presence of plants, pets, and children to combat boredom,
lonliness, and helplessness in nursing facility residents?
1. Eden Alternative
2. Pioneer Network
3. Greenhouse Model
4. Gentlecare
16. Which of following does not consitute a significant change for MDS purposes?
1. A resident has a stroke that causes dysphagia and aphasia
2. A resident requires IV therapy but has run out of available skilled days
3. A resident has fallen and broken her hip
4. A resident has a mild case of pneumonia but is expected to recover within a week
18. How soon after the MDS is completed must the care plan be developed?
1. 7 days
2. 14 days
3. 21 days
4. 30 days
19. If state law does not say otherwise, how long should clinical records be retained after the resident has been
discharged?
1. 3 years
2. 5 years
3. 20 years
4. Indefintely
20. Which of the following is universally regarded as the best way to reduce food wastage?
1. Utilize buffet lines in the dining room
2. Reduce meal portions to the smallest feasible amount
3. Provide more snacks in between meals
4. Prepare and serve attractive, tasty food
24. After a resident has been in the facility for 3 months, how often must they see a physician?
1. Every 30 days
2. Every 60 days
3. Every 90 days
4. Only when medically necessary
26. Which of the following would not constitute a significant medication error?
1. Two multivitamin tablets were administered when only one was ordered
2. Three ounces of water were given with a laxative
3. Twelve units of insulin were ordered and fifteen units were administered
4. The licensed nurse failed to obtain a apical pulse before adminstering digoxin
28. Which therapist would be able to best help a post-stroke resident with aphasia who needs to improve her
ability to use her hands (for buttoning and fastening clothing, turning on/off water faucets, etc.)?
1. Recreation therapist
2. Physical therapist
3. Occupational therapist
4. Speech-language pathologist
31. Consentual sex with a nursing home resident is prohibited in which case?
1. The sexual act involves two individuals of the same gender
2. One of the individuals is married to someone else
3. The two indviduals were married but are now divorced
4. One of the individuals has been judged incompetent
32. The F223 tag does not explicity prohibit which type of abuse?
1. Physical abuse
2. Verbal abuse
3. Neglect
4. Financial exploitation
37. How does a CNA ordinarily renew their certification at the end of a two year period?
1. Complete 24 hours of inservice training within the past 24 months
2. Retake the CNA course offered by the nursing facility
3. Have at least one satisfactory performance evaluation
4. Submit evidence of having worked at least one shift of at least eight hours
41. The primary reason that people quit their jobs is:
1. Poor relationships with supervisors
2. Inadequate interpersonal skills
3. Low wages
4. Lack of health insurance
42. The best forum for communicating messages in a timely manner is:
1. Daily department head meeting
2. Weekly care plan meeting
3. Quarterly QAA meeting
4. Via memos and emails
45. Which of the following interview questions will yield the most accurate information?
1. "What were your job duties as a CNA at Shady Pines Manor?"
2. "Tell me about a time you had to deal with a difficult family member"
3. "Why did you quit your last job at Shelbyville Nursing Home?"
4. "Who do you know that works here that could vouch for you?"
50. Which system gives a raise based soley on the basis of length of service?
1. Senority
2. Merit
3. Mixed
4. Job-based
52. Allowing an employee to vent while the supervisior listens without talking is an example of:
1. Crisis intervention
2. Coaching supervision
3. Creative problem solving
4. Nondirective techniques
59. Recording revenues when they are realized instead of received is also known as:
1. Cash basis accounting
2. Accrual basis accounting
3. Cost reporting
4. A very bad idea
66. Which of the following can not be included in the bundled Medicare rate?
1. Physician services
2. Cost of activities program
3. Personal laundry
4. Adult diapers
71. What type of authority does an administrator have by virtue of her position?
1. Line
2. Staff
3. Functional
4. Decentralized
72. The "tell and see" method of management is also known as:
1. Laissez-faire
2. Democratic
3. Paternal
4. Autocratic
75. Which of the following is considered improper practice for an administrator's first day?
1. Meet all department heads
2. Review the risk management program
3. Discuss the prevoius administrator
4. Avoid chronic complainers