Term
| Who is responsible for the national licensure exam for nursing home administrators? |
|
Definition
|
|
Term
| What is the crucial element for doing well on the exam? |
|
Definition
| Sound understanding of tasks required of an administrator and knowledge and skills needed to perform those tasks. |
|
|
Term
| What act in 1935 was eventually amended to require states to establish programs for licensing nursing home administrators? |
|
Definition
|
|
Term
| What percentage of nursing homes are Medicaid facilities? |
|
Definition
|
|
Term
| The field of study that examines the economic, social, and psychological aspects of aging is called what? |
|
Definition
|
|
Term
| The professional designation of those that specialize in the diagnosis. management and prevention of disease and chronic illness of the elderly population is known as what? |
|
Definition
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|
Term
| A discrimination of prejudice action towards a person because of age is known as what? |
|
Definition
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|
Term
| Staff having tendency to patronize the elderly and be overly solicitous towards them is most descriptive of what? |
|
Definition
|
|
Term
| What are the dimensions of aging viewed by gerontologists? |
|
Definition
| Social, psychological, biological, chronological. |
|
|
Term
| What is the fastest growing older population? |
|
Definition
|
|
Term
| Why are there more women than men in nursing facilities? |
|
Definition
| Longer life expectancy and no spouse as caregiver. |
|
|
Term
| Changes that occur in sensory and perceptual processes, mental functioning (e.g. memory, learning, and intelligence), adaptive capacities and personalities are what type of aging? |
|
Definition
|
|
Term
| Which of the following are a primary focus of the Fair Labor Standards Act? |
|
Definition
| Minimum wage, overtime, child labor and equal pay. |
|
|
Term
| What best describes what an administrator has to balance? |
|
Definition
| Resident and family needs, high quality of care standards, Federal and State regulations, financial constraints, internal operations and staff issues. |
|
|
Term
| What is most descriptive of ensuring a residents' dignity during care? |
|
Definition
| Drawing the curtains, covering catheter bags, clean after meals. |
|
|
Term
| A planned, systematic program that focuses on helping older adults obtain and maintain their highest level of functional performance and wellness is the best definition of what? |
|
Definition
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|
Term
| Who is involved in restorative care? |
|
Definition
|
|
Term
| Which of the following is the most important as a key element for success? |
|
Definition
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|
Term
| What must a facility do if a resident refuses a planned meal and the alternative? |
|
Definition
| Document the refusal and notify the physician. |
|
|
Term
| Any outbreak of illness related to the Dietary department should be reported to the local health unit and records should be kept to help with the follow up. T or F? |
|
Definition
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|
Term
| Who is responsible for monitoring drug administration, storage, labeling, receipt, disposition, and reconciliation? |
|
Definition
| Quality Assessment and Assurance Committee |
|
|
Term
| What law prohibits discrimination in employment practices on the basis of race, color, religion, sex and national origin? |
|
Definition
|
|
Term
| There are many factors that make a person more vulnerable to the stresses of rehabilitation but age is not one of them. T or F? |
|
Definition
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|
Term
| A therapist who focuses on functional performances in daily activities is called a what? |
|
Definition
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|
Term
| A service providing treatment and prevention of neuromuscular, musculoskeletal, cardiovascular, and pulmonary disorders that produce movements, impairments, disabilities, and functional limitations is called what? |
|
Definition
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|
Term
| A service involving the evaluation and treatment of speech, language, and cognitive disorders is called what? |
|
Definition
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|
Term
| MDS must be capable of transmission within what time frame after a facility completes a resident assessment? |
|
Definition
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|
Term
| MDS must be transmitted within what time frame after the facility completes a resident assessment? |
|
Definition
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|
Term
| Which of the following is NOT a quality measure? |
|
Definition
|
|
Term
| Which of the following is both a short and long stay quality measure? |
|
Definition
| Moderate/severe pain and pressure ulcers. |
|
|
Term
| What best defines downward communication? |
|
Definition
| Written memo from administrator to department heads. |
|
|
Term
| Which of the following is the third step in the communication process? |
|
Definition
The message is transmitted.
1. The sender has an idea. 2. The idea becomes the message. 3. The message is transmitted. 4. The receiver gets the message. |
|
|
Term
| An example of a team group would be which of the following? |
|
Definition
QAA Committee
Not: Kitchen staff, licensed nurses, housekeeping. |
|
|
Term
| Which of the following is not part of the exit interview? |
|
Definition
| Better understand the type of person needed for their replacement. |
|
|
Term
| Name three three parts of the exit interview? |
|
Definition
| Maintain a positive image of the facility, raise awareness of an existing problem, and salvage the working relationship. |
|
|
Term
| Within what time frame is a staff grievance usually submitted to their supervisor? |
|
Definition
|
|
Term
| If a staff member is not satisfied with the original grievance process submitted to their supervisor, they may submit their grievance to their supervisor's supervisor and should receive a response within what time frame? |
|
Definition
|
|
Term
| What best defines corporate compliance? |
|
Definition
| Deterrence, education, detection. |
|
|
Term
| What is a community acquired infection? |
|
Definition
| Present at admit and developed within 48-72 hours after admission. |
|
|
Term
| Facility Quality Measure reports are available for public view. T or F? |
|
Definition
|
|
Term
| What management function involved recruitment? |
|
Definition
|
|
Term
| What management function involves developing job descriptions? |
|
Definition
|
|
Term
| What management function involves motivational techniques? |
|
Definition
|
|
Term
| Communication is the transmission and reception of information between at least 2 people with mutual understanding of the message. T or F? |
|
Definition
|
|
Term
| What is the greatest single tool and administrator has? |
|
Definition
|
|
Term
| Who is the last person in the facility that a dissatisfied staff member should report a grievance to? |
|
Definition
|
|
Term
| Factors considered in determining the wage scare are all of the following except? |
|
Definition
Facility longevity.
Are: Seniority vs. new employees Time and rates affecting pay raises Pay rate comparisons between departments |
|
|
Term
| Factors included in the wage mix include all of the following except? |
|
Definition
Seniority
Are: Cost of living, local job market, availability of qualified personnel. |
|
|
Term
| Advertising in the classifieds for a young, blonde, female for a PR position would be a violation of what act? |
|
Definition
|
|
Term
| What approach is used when an interviewer reviews the information and makes a hiring decision? |
|
Definition
|
|
Term
| Using specific types of testing scores to predict whether a job candidate will be successful is called what? |
|
Definition
|
|
Term
| By law, how long must an employee application be kept? |
|
Definition
|
|
Term
| What type of on the job training program uses a person who is not the employee's supervisor and/or is external to the organization? |
|
Definition
|
|
Term
| A supervisor never gives excellent ratings even if the employee deserves it rather they consistently give all employees a mediocre rating to avoid conflict is called what? |
|
Definition
| Error of central tendency. |
|
|
Term
| What is it called when a supervisor rates an employee in the presence or absence of only one trait? |
|
Definition
|
|
Term
| What is it called when a supervisor rates all employees with high scores whether they deserve it or not to avoid conflict? |
|
Definition
|
|
Term
| What group of workers will negotiate with the union? |
|
Definition
|
|
Term
| What percentage is needed within a facility to start a union? |
|
Definition
|
|
Term
| Who is eligible to form a union? |
|
Definition
|
|
Term
| How much of the labor force in the US is unionized? |
|
Definition
|
|
Term
| Which of the following work environments do not favor unionization? |
|
Definition
|
|
Term
| Disparate impact and treatment are types of what? |
|
Definition
|
|
Term
| Accidental death must be reported to OSHA within what time frame? |
|
Definition
|
|
Term
| OSHA specifically applies to whom? |
|
Definition
| Employees, in nursing facilities. |
|
|
Term
| Employees must receive health exams how often? |
|
Definition
|
|
Term
| What is the penalty for falsifying OSHA records? |
|
Definition
|
|
Term
| Who is responsible for the employee if they ignore or refuse safety requirements? |
|
Definition
|
|
Term
| About how much revenue for nursing home industry comes from Medicaid? |
|
Definition
|
|
Term
| A budgeting process where the administrator gets input from each department head in creating a budget for that department is known as what? |
|
Definition
|
|
Term
| What best defines an operating budget? |
|
Definition
| All planned revenues and all planned expenses. |
|
|
Term
| What best defines capital budget? |
|
Definition
| Equipment and improvements to be made during the year. |
|
|
Term
| What best defines cash budget? |
|
Definition
| Cash available to pay current liabilities. |
|
|
Term
| Items costing more than $500 with a useful life of one or more years is a part of what budget? |
|
Definition
|
|
Term
| An improvement to be made costing less than $500 goes into what account? |
|
Definition
|
|
Term
| A needed piece of equipment costing less than $500 goes into what account? |
|
Definition
| Supplies or minor equipment. |
|
|
Term
| A budget that is concerned with a lag time is what budget? |
|
Definition
|
|
Term
| What best defines a revenue budget? |
|
Definition
| Operating and non-operating revenues, patient service revenues. |
|
|
Term
| A company replacing older employees with younger employees to avoid paying pension benefits would be a violation of what law? |
|
Definition
| Age Discrimination Employment Act 1967 |
|
|
Term
| What financial report best shows a snap shot of a facility fiscal health? |
|
Definition
|
|
Term
| Which statement shows assets, liabilities and owner's equity? |
|
Definition
|
|
Term
| What financial statement report shows revenues by source and expenses by category? |
|
Definition
| Statement of revenues and expenses. |
|
|
Term
| From what book of accounts does all information come from in order to prepare the financial report? |
|
Definition
|
|
Term
| What best defines double entry accounting? |
|
Definition
| Debits and credits always balance zero. |
|
|
Term
| A report showing sources and uses of cash for the year would be what? |
|
Definition
|
|
Term
| A report showing increases and decreases in owner's equity or fund balance during the year would be what? |
|
Definition
| Statement of changes in fund balance. |
|
|
Term
| Facilities are required to maintain their financial records using what method? |
|
Definition
|
|
Term
| An example of the accrual basis would be what? |
|
Definition
| Revenues and expenses recorded when earned and owed. |
|
|
Term
| An example of cash basis would be what? |
|
Definition
| Revenues and expenses recorded when money is literally received and paid. |
|
|
Term
| An example of a contingent liability would be what? |
|
Definition
|
|
Term
| What government program requires facilities to use the accrual basis for keeping financial records. |
|
Definition
|
|
Term
| An MCO is concerned with the number of days per admission wheras the facility is concerned with what |
|
Definition
| Cost of service per patient per day. |
|
|
Term
| What is the formula for payback period? |
|
Definition
| Total investment divided by annual savings. |
|
|
Term
| Medicare requires what type of depreciation method? |
|
Definition
| Straight line depreciation. |
|
|
Term
| What type of facility would be most apt or able to use funded depreciation method? |
|
Definition
| A facility with a current ratio of 100. |
|
|
Term
| In developing capital budgets what tool would most likely be used? |
|
Definition
| Debt financing or equity financing. |
|
|
Term
| A facility paying for the care of a resident who is not able to pay would be called what? |
|
Definition
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|
Term
| An HMO contracted with a facility paying a daily rate lower than what can be collected through billing Medicare direct for the same services would be an example of what? |
|
Definition
|
|
Term
| When a facility notifies a resident that they no longer need services being paid for by Medicare or a third party insurance and the resident refuses insisting the skilled services be continues, is known as what? |
|
Definition
|
|
Term
| In a nursing facility what are the groups called that categorize residents into their distinct groups defined in terms of selected information from the MDS? |
|
Definition
|
|
Term
| What is associated to each RUG representing the average daily cost of nursing care in that group compared to the other residents? |
|
Definition
|
|
Term
| Economic order quantity refers to what? |
|
Definition
| Inventory control process. |
|
|
Term
| Payroll accounts for how much of a nursing home's cost? |
|
Definition
|
|
Term
| Fraud alerts are issued by whom? |
|
Definition
| Office of the Inspector General (OIG) |
|
|
Term
| Medicare's payment system is known as what? |
|
Definition
| Prospective Payment System |
|
|
Term
| Computing how many residents a facility must have on a daily basis in order for expenses to equal revenue is called what? |
|
Definition
|
|
Term
| Which of the following is a direct care cost? |
|
Definition
|
|
Term
| Which of the following is an indirect care cost? |
|
Definition
|
|
Term
| The best definition of working capital is? |
|
Definition
| Current assets minus current liabilities. |
|
|
Term
| What is it called when there is a comparison between a budgeted and actual cost? |
|
Definition
|
|
Term
| Who files Form 940 and pays the (FUTA) Federal Unemployment Tax? |
|
Definition
|
|
Term
| Employers quarterly tax return Form 941 must report what? |
|
Definition
| Amount of Federal income tax withheld plus employer and employee FICA and Medicare taxes. |
|
|
Term
| Nursing facilities are required to furnish employees with a W2 wage and tax statement by when? |
|
Definition
|
|
Term
| If you wanted to check a facility's ability to pay current debt what method would you use? |
|
Definition
|
|
Term
| What is the formula for current ratio? |
|
Definition
| Current assets divided by current liabilities. |
|
|
Term
| What constitutes a current liability? |
|
Definition
|
|
Term
| What constitutes a long term liability? |
|
Definition
| Due more than one year out from balance sheet date. |
|
|
Term
| Hospitals control costs by accelerating discharges because they get paid for DRG's regardless of length of stay. T or F? |
|
Definition
|
|
Term
| Materiality principle is in reference to what? |
|
Definition
|
|
Term
| The boiler is covered under property insurance. T or F? |
|
Definition
|
|
Term
| Vehicles are covered under comprehensive general liability insurance. T or F? |
|
Definition
|
|
Term
| What insurance covers lawsuits against managers alleging they were improperly discharged? |
|
Definition
| Directors and Officers insurance. |
|
|
Term
| What act recognized the need to minimize the institutional environment of the nursing facility? |
|
Definition
|
|
Term
| Infection control program is responsible for all but one of the following: |
|
Definition
Make all visitors fill out a questionnaire.
Are: Isolation procedures, investigation, controlling, preventing, record incidents and action taken, etc. |
|
|
Term
| All soiled linen carts should be decontaminated monthly with germicidal solution. T or F? |
|
Definition
|
|
Term
| A combination of universal precautions and body substance isolation guidelines is known as what? |
|
Definition
|
|
Term
| Sharps containers are required to be in every laundry room and on every med cart. T or F? |
|
Definition
|
|
Term
| What type of safety are there in a nursing facility? |
|
Definition
| Emotional and physical safety. |
|
|
Term
| If a resident drank rubbing alcohol what in house reference would you refer to? |
|
Definition
|
|
Term
| Hazardous means a chemical which is a physical hazard or a health hazard. T or F? |
|
Definition
|
|
Term
| What does MSDS stand for? |
|
Definition
| Material Safety Data Sheet. |
|
|
Term
| Health hazard is best described as what? |
|
Definition
| Negative health effects from chemical exposure. |
|
|
Term
| Physical hazard is best described as what? |
|
Definition
| Negative health effect from explosive and/or water reactive chemicals. |
|
|
Term
| What is the most often cited OSHA standard? |
|
Definition
| Hazardous Communication Standard. |
|
|
Term
| It is a requirement that all facilities have a detailed written plan and procedure to meet all potential emergencies. T or F? |
|
Definition
|
|
Term
| Life safety code 101 is registered under what? |
|
Definition
| National Fire Protection Agency |
|
|
Term
| What is the time span when it is not necessary to sound the fire alarm during drills? |
|
Definition
|
|
Term
| All decorations must pass what? |
|
Definition
| Large and small scale-NFPA. |
|
|
Term
| All of the below are hazardous except which one? |
|
Definition
Dining room.
Are: Repair shop, laundry area over 100 ft, boiler room. |
|
|
Term
| Maximum clearance between the bottom of the fire corridor door and the floor covering should not exceed what? |
|
Definition
|
|
Term
| Protective plates extending above the bottom of the door may extend a maximum of what? |
|
Definition
|
|
Term
| A building that does not have an automatic sprinkler system is allowed to have corridor doors with roller latches. T or F? |
|
Definition
|
|
Term
| What is the number of residents allowed in a sleeping area on one floor before the areas must be divided into two smoking areas? |
|
Definition
|
|
Term
Chutes for linen or trash with an opening into the corridor must have a fire door with a protection rating of how long ? |
|
Definition
|
|
Term
| Trash and linen chutes may discharge into the same area. T or F? |
|
Definition
|
|
Term
| Soiled linens or trash collection receptacles shall not exceed what capacity? |
|
Definition
|
|
Term
| Mobile soiled linen and/or trash receptacles contained in a designated hazardous area have what size restrictions? |
|
Definition
|
|
Term
| Metal containers with self-closing cover devices are required in all smoking areas. T or F? |
|
Definition
|
|
Term
| Offering more natural light and using contrasting colors is aesthetically pleasing and offers a level of safety to the resident. T or F? |
|
Definition
|
|
Term
| what is the maximum number of residents allowed in one room prior to November 28th, 2016? |
|
Definition
|
|
Term
| Nursing facilities are required to be approved by JACHO. T or F? |
|
Definition
|
|
Term
| An administrator who focuses on P and L statements and labor reports is using what type of approach toward leadership? |
|
Definition
|
|
Term
| An administrator using motivation, empowerment, vision, self-confidence and participation is using what type of approach towards leadership? |
|
Definition
|
|
Term
| Employees who are fulfilled by learning and teaching create an atmosphere where daily functions are enhanced for the residents. T or F? |
|
Definition
|
|
Term
| A for profit organization is governed by a what? |
|
Definition
|
|
Term
| A not for profit organization is governed by what? |
|
Definition
|
|
Term
| What type of business entity has no legal separation between the owner and the business? |
|
Definition
|
|
Term
| A business entity owned by two or more people who both have unlimited liability is called a what? |
|
Definition
|
|
Term
| Both sole proprietorship and partnerships expire upon the death of the owners. T or F? |
|
Definition
|
|
Term
| What business entity is set up so that owners and/or stakeholders are separate from the business and are not personally liable? |
|
Definition
|
|
Term
| What is the term used when partners in a partnership are only liable for the amount of their investment? |
|
Definition
|
|
Term
| A member of an LLC personally guaranteeing a loan to the company is what? |
|
Definition
|
|
Term
| An LLP as in general partners has unlimited liability but the partners are limited and only liable for personal malpractice acts. T or F? |
|
Definition
|
|
Term
| Deciding on a primary and secondary market is what step in the marking plan? |
|
Definition
|
|
Term
| Monitoring progress to determine the effectiveness of the marketing efforts is what step? |
|
Definition
|
|
Term
| Deciding how many rehab patients, dementia patients, LTC, etc. is what step in the marketing plan? |
|
Definition
|
|
Term
| Analyzing the area population for age, education, and gender is what step in the marketing plan? |
|
Definition
|
|
Term
| Implementing the marketing plan is what step? |
|
Definition
|
|
Term
| In 1970, employees and unions lobbied for safety in the workplace resulting in what act? |
|
Definition
| Occupational Safety and Health Act. |
|
|
Term
| Not being able to communicate because of speaking another language is called what? |
|
Definition
|
|
Term
| Avoiding to communicate information because it will have a personal negative effect is an example of what? |
|
Definition
|
|
Term
| Authority delegated by a state statute is what? |
|
Definition
| Express corporate authority. |
|
|
Term
| Authority delegated by corporate by laws is called what? |
|
Definition
| Implied corporate authority. |
|
|
Term
| Making rounds daily and throughout the day assisting and directing in the daily function is called what? |
|
Definition
| Management by Walking Around. |
|
|
Term
| What is it called when happy employees are happy with their workplace and unhappy employees are not? |
|
Definition
|
|
Term
| A staff member working hard and excelling assuming they will get a raise for their efforts is supporting what theory? |
|
Definition
| Expectancy Theory or Equity Theory. |
|
|
Term
| A manager who believes workers naturally hate work therefore using punishment and punitive means is promoting what theory? |
|
Definition
|
|
Term
| Management using positive reinforcement for good work is supporting what theory? |
|
Definition
|
|
Term
| Food, safety, love and self-actuating is known as what? |
|
Definition
| Maslow's Hierarchy of need theory. |
|
|
Term
| A medical records consultant is an example of what? |
|
Definition
|
|
Term
| A charge nurse giving directive to his/her CNA's is an example of what? |
|
Definition
|
|
Term
| The number of employees that a manager can effectively manage is known as what? |
|
Definition
|
|
Term
| The idea that employees report to one supervisor is known as what? |
|
Definition
|
|
Term
| What was the Center for Medicare and Medicaid Services previously known as? |
|
Definition
HCFA
Healthcare Finance Agency |
|
|
Term
| Minors under the age of 16 must obtain a temporary permit from the department of labor before starting work. T or F? |
|
Definition
|
|
Term
| Empowering staff members to make decisions to improve quality of care is an example of what? |
|
Definition
| Total Quality Management. |
|
|
Term
| Small tasks being completed by an individual departments is an example of what? |
|
Definition
|
|
Term
| Constantly working towards improved customer satisfaction and quality of care always involving the administrator and top management would be an example of what? |
|
Definition
|
|
Term
| Resident rights, quality of life, accuracy of assessment, adequacy of care plan, quality of care and physical environment are all a focus of what type of care? |
|
Definition
|
|
Term
| Which of the following is true regarding food under Federal guidelines? |
|
Definition
| Food from residents' families must be stored in a separate refrigerator. |
|
|
Term
| Which of the following is not acceptable in liberalizing a diet? |
|
Definition
| Change or remove texture. |
|
|
Term
| Which of the following is the exception to the rule that all food must be covered, labeled and dated by staff? |
|
Definition
| Unopened food still in manufacturers packaging/labeling. |
|
|
Term
| What makes the difference between activities staff encouraging a resident to an activity versus coercing a resident? |
|
Definition
| The activity must be careplanned. |
|
|
Term
| Federal law regarding the retaining of clinical records refers to what as a first priority? |
|
Definition
|
|
Term
| When considering the use of 9 or more medications for a given resident, which of the following is not included? |
|
Definition
None of the following:
Blood pressure medicine, anti-psychotics, and vitamins. |
|
|
Term
| What are the basic concepts embedded in the regulations for nursing home care? |
|
Definition
| Professional standards of practice. |
|
|
Term
| According to Federal Law, who in the facility must be notified if the results of all investigations of abuse allegations? |
|
Definition
|
|
Term
| The administrator, in order to maximize the outcome of the resident's quality of life and quality of care must? |
|
Definition
| Listen, look, act, document. |
|
|
Term
| What is the goal of the facility compliance program |
|
Definition
| All departments be in compliance with State and Federal regulations. |
|
|
Term
| Which of the following approach is associated to potentially having an adverse impact on the new hire process? |
|
Definition
|
|
Term
| At a minimum, how often must performance reviews be performed? |
|
Definition
| At least once every 12 months. |
|
|
Term
| Which of the following is true regarding OSHA statistics comparing non-fatal work injuries in a nursing facility to private industry? |
|
Definition
| Two times the injuries and illness per 100 employees, and it has declined since 2002. |
|
|
Term
| What part of OSHA does the lock out/tag out program fall under? |
|
Definition
|
|
Term
| Which of the following is true regarding the reporting of injuries and illness? |
|
Definition
Must be occupation related.
Not true: does not apply where there is more than 10 employees, minor injuries must also be reported, work injuries and illness must be posted at the end of the year. |
|
|
Term
| What are the time frames for posting work related illnesses and injuries? |
|
Definition
| February 1st through April 30th. |
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Term
| Who requires a sharps injury log? |
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Definition
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Term
| Which of the following does not have to be reported on an internal incident form? |
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Definition
A resident accidentally pinching their hand, causing bruising, Staff member falls with no injury, incident requiring only first aid.
None of the above. |
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Term
| Which of the following is not true regarding the reporting requirements of OSHA Form 300? |
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Definition
| at the end of the year for posting, injuries requiring only first aid are not reportable. |
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Term
| Which of the following is true if Federal minimum wage is higher than the state minimum wage? |
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Definition
| The higher wage takes precedence. |
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Term
| Health institutions have the option to pay their employees overtime on a 14 day basis rather than a 7 day basis under what condition? |
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Definition
| Must have a prior agreement that hours in excess of 8 hours in a 24 hour period and hours in excess of 80 hours in a 14 day period is considered overtime. |
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Term
| Which of the following are not exempt from the minimum wage and overtime requirements? |
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Definition
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Term
| Which of the following is not true regarding applicant's credit reports? |
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Definition
It is illegal to request applicant's credit reports.
True:Applicants must be advised, applicants must be given the name of the agency and the address of the agency. |
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Term
| According to the National Labor Relation Act, healthcare workers going on strike must do what? |
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Definition
| Must give employers a 10 day notice. |
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Term
| Which of the following must an administrator not discuss with his or her staff who are trying to organize a union? |
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Definition
| Ask staff if they have attended a union meeting. |
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Term
| Capital budgets are usually prepared how far in advance? |
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Definition
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Term
| What is another name for the cash budget? |
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Definition
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Term
| What is the difference between RUG levels in an urban facility and RUG levels in a rural facility? |
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Definition
| Geographic wage differences. |
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Term
| Which of the following may be regarded a Medcicare abuse or fraud? |
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Definition
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Term
| A facility's failure to submit a notice of non-coverage services may result in what? |
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Definition
| Absorb the cost of non-covered services. |
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Term
| A person/resident who requests and voluntarily receives non-covered services may have to personally pay for those services. T or F? |
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Definition
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Term
| Which of the following pertains to demand billing? |
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Definition
| Medicare guidelines, beneficiary notices, notice of non-coverage and exhaustion. |
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Term
| Charging a private pay resident higher rates that exceed actual costs is called what? |
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Definition
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Term
| Cost shifting is used to do what? |
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Definition
| Offset the money loss from Medicaid daily rate, cover the money gap between Medicaid rate and actual cost, earn extra money in one area that was lost in another. |
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Term
| A SNF which has a high number of Medicare patients on a daily basis is a guarantee for a positive margin. T or F? |
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Definition
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Term
| What does MedPac stand for? |
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Definition
| Medicare Payment Advisory Committee |
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Term
| Non-self-paying residents may be billed prior to services rendered rather than after. T or F? |
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Definition
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Term
| Before entering a contractual contract with other Medicare providers the facility should do what? |
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Definition
| Check DIG's list of excluded individuals/entities. |
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Term
| CMS suggests that a facility should try to steer an coach a resident to choose a Medicare Part D plan. T or F? |
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Definition
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Term
| What is the State and government program with the goal of maintaining patients at home and keeping them out of nursing homes? |
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Definition
HCBS Home and Community Based Services Waiver |
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Term
| Which of the following is not used in the cash basis of accounting? |
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Definition
| Accounts receivable not yet collected, accounts payable that are not yet due to be paid. |
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Term
| Which of the following is true regarding the Earned Income Credit? |
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Definition
| Applies to certain childless individuals married and/or single, a parent of a qualifying child may elect advanced payment, and form W5 is used to make employer give advanced EIC payment. |
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Term
| What are the two financial classifications of funds for statements used in a non-profit organization? |
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Definition
| Restricted and unrestricted. |
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Term
| An Endowment fund is what type of fund? |
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Definition
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Term
| What is another name for a restricted fund? |
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Definition
| Donor restricted fund and special purpose fund. |
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Term
| Developing lines of communication, conducting effective training, responding to detected offenses and developing corrective action are all a part of what? |
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Definition
| Compliance and Ethics Program. |
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Term
| Which of the following Policy and Procedure is required to be in the employee handbook? |
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Definition
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Term
| What is another name for the Income Statement? |
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Definition
| Statement of Revenue and Expenses, P and L statement, Profit and Loss Statement. |
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Term
| In regards to a facility subcontracting an outside company to provide a service to the residents such as therapy, which of the following does the facility not control? |
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Definition
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Term
| Who provides the list of excluded individuals/entities that are not allowed to participate in Federal programs? |
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Definition
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Term
| When money is set aside for a specific purpose such as landscaping but is ultimately used for activities the lost benefit of landscaping is referred to as what? |
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Definition
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Term
| Pre-determined rates to reimburse nursing facilities without adjusting payment to cover actual cost is referred to as what? |
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Definition
| Prospective Rate Setting. |
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Term
| Permissible referral practices by a Physician is called what? |
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Definition
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Term
| Which of the following has research found to greatly affect mood, specifically depression? |
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Definition
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Term
| What is it called when a 99 bed facility is certified as a Medicaid and Medicare provider? |
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Definition
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Term
| What type of leadership takes the approach of doing whatever is necessary to serve others, works hands on, and wears all hats? |
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Definition
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Term
| Leadership having to make a choice without input from others is called what? |
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Definition
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Term
|
Definition
A type of strategic planning. Strengths, weaknesses, opportunities, and threats. |
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Term
| What is the time frame for strategic planning to actually develop and be implemented? |
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Definition
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Term
| What are the three dimensions of quality? |
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Definition
| Structure, processes, and outcomes. |
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Term
| What are the four steps in Deming's process for Quality Improvement. |
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Definition
| Plan, do, study, act. PDSA. |
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Term
| What is the ultimate goal of "resident centered care?" |
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Definition
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Term
| What was the amendment for the 1964 Civil Rights Act intended to cover all employers with 15 or more employees ultimately affecting employment practices including retirement and pregnant employee policies? |
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Definition
| Equal Employment Act of 1972. |
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Term
| What is the law that protects pregnant women by making it illegal to discriminate when hiring, promoting, suspending, or discharging pregnant women and requires the employer to pay medical and hospital costs the same as for any other medical condition? |
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Definition
| Pregnancy Discrimination Act of 1978. |
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Term
| Which of the following prohibits facilities from discrimination against qualified individuals with disabilities when applying for employment? |
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Definition
| The Americans with Disabilities Act. ADA. |
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Term
| An employer with over 50 or more employees must allow 12 weeks of unpaid leave for pregnancy, child birth recovery, or a serious health condition affecting the employee or his/her family member is under what law? |
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Definition
| The Family and Medical Leave Act. |
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Term
| What were the amendments to HIPPA 1996 stating final rules known as privacy rules? |
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Definition
Disclosure of PHI requires the resident's written consent. PHI policy must be prominently displayed in public view. PHI policy must be given to all of the residents. |
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Term
| The Wagner Act or National Labor Relations Act 1935 was against the rights of workers for the formation and growth of trade unions. T or F. |
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Definition
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Term
| What law set the guidelines or parameters for unions to follow when they were organizing or forming? |
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Definition
| The Taft-Hartley Act 1947. |
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Term
| Which of the following are a result of the Older Americans Act 1965? |
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Definition
| Adult Day Care programs, Meals on Wheels, Area Agencies on Aging. |
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Term
| What does the Vocational Rehabilitation Act 1973 provide? |
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Definition
| Affirmative action programs through Federal contractors and training programs for handicapped individuals. |
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Term
| Who acts as the liaison and/or enforcer between labor and management? |
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Definition
| National Labor Relations Board. |
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Term
| The Vietnam-era Veterans Readjustment Act of 1974 requires firms with more than $10,000 in Federal contracts to have affirmative action programs for employment and adjustment of Vietnam Veterans. T or F? |
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Definition
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Term
| What act in 1990 dictates how facilities are required to inform residents of their right to Advance Healthcare Directives and the policies and procedures for ensuring these rights? |
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Definition
| Patient Self Determination Act. |
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Term
| The requirement of nursing homes to report to the food and drug administration and/or the device manufacturer all individuals in which a medical device caused or contributed to a resident's serious illness and or death is under what law? |
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Definition
| Safe Medical Device Act, SMDA. |
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Term
| What is required for facilities to be able to draw blood and do testing on their premise? |
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Definition
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Term
| The statement "No employer shall discriminate between employees on the basis of sex by paying wages to employees less than the rate at which they pay wages to employees of the opposite sex for equal work on the job which require equal skill, effort and responsibility, and similar working conditions" is what amendment under what act? |
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Definition
| Equal Pay Act 1963, FLSA-Fair Labor Standards Act 1938. |
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Term
| The requirement of employers by OSHA to provide each employee a safe work place free from recognized hazards causing or likely to cause serious physical harm or death is called what? |
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Definition
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Term
| What was the amendment to the 1964 EEOC that permitted the use of ability tests in employee selection procedures for hiring? |
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Definition
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Term
| What act in conjunction with HHS applies more stringent rules for personal health information, privacy to vendors, subcontractors and researchers? |
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Definition
| Health Information Technology for Economic and Clinical Health Act 2013, HITECH. |
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Term
| The Fair Credit Reporting Act says that a SNF may request credit reports for all applicants and have the right to not hire them based on their credit reports. T or F? |
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Definition
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Term
| Per the Uniform Services Employment and Reemployment Rights Act of 1994, what is the deadline for an individual in the armed services to submit their application to get their old job back prior to leaving for service? |
|
Definition
| 90 days from release of service. |
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Term
| What OSHA law in 2000 states that needle exposure must be prevented and minimized? |
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Definition
| Needlestick Safety and Prevention Act |
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Term
| Within what time frame must workers in a non-healthcare facility notify their employer of a union strike? |
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Definition
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Term
| Which of the following are found by OSHA to be risk factors associated with work injuries? |
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Definition
| Force, repetition, and awkward postures. |
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Term
| Before signing contracts with vendors or other physicians to provide care and services to your residents, the facility needs to check what OIG list? |
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Definition
| List of excluded individuals/entities. |
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Term
| What is the correct approach when using and storing inventory supplies? |
|
Definition
| First in First Out, FIFO. |
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Term
| Which of the following requires facilities to accept $5 million dollars or more in annual aid to provide detailed information to their employees about the US False Claims Act and must be included in the employee handbook? |
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Definition
| The Deficit Reduction Act of 2005. |
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Term
| How much money can whistle blower employees collect for reporting financial fraud or abuse to the OIG? |
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Definition
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|
Term
| Approximately what portion of US nursing homes are managed as non profits? |
|
Definition
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Term
| A physician who refers to Medicare/Medical providers and who the referring physician had direct or indirect ownership or investment of that provider would be in violation of what? |
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Definition
| Ethics and Patient Referrals Act 1989, STARK Act. |
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Term
| A resident who trips on a piece of linoleum flooring curled up in the hallway, that staff trip on daily, falls and breaks their hip-would be considered what? |
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Definition
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Term
| A facility who identifies physical environment hazards, evaluates the risk, implements intervention and monitors the safety effect of those interventions in order to avoid accidents would be practicing what? |
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Definition
| Following the steps for ensuring a safe physical environment. |
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Term
| Which of the following has been repeatedly proven in research studies what is most lacking for employees? |
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Definition
| Respect, Inclusion, Teamwork. |
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Term
| In which of the following scenarios only requires that the facility only report to the secretary in the event of an EPHI breach? |
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Definition
| The breach affects less than 500 individuals. |
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Term
| What PHI security breach scenario requires that the following be notified; HHS, Secretary, the affected individuals and a prominent media outlet within 60 days of the breach? |
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Definition
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