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Chapter 4

Total questions: 78

Worksheet time: 39mins

Name
Class
Date
1.

During the years 1993 to 2006, the percentage of chain-owned nursing facilities _____. (p. 321)

a)

Was about 5%

b)

Varied between just less than and just more than half

c)

Doubled

d)

Tripled

2.

During the years 1993 to 2006, the occupancy rates for U.S. nursing facilities _____. (p. 322)

a)

Remained unchanged

b)

Decreased

c)

Continued to increase slightly

d)

Increased as hospital discharge rates spiked

3.

As a result of few new nursing homes being built in recent decades, it can be expected that occupancy rates in nursing homes ____ over the next 30 years. (pp. 322–323)

a)

Will remain level

b)

Will decrease

c)

May decrease

d)

Will be near 100%

4.

The projections of daily volume of long-term care assistance by all categories of caregivers are expected to _____. (p. 320)

a)

Increase marginally

b)

Steadily increase

c)

Decrease as older persons get healthier

d)

Decrease

5.

The projections of daily volume of long-term care assistance needed in the year 2040 are about ____ the need identified in 1980. (p. 320)

a)

Equal to

b)

Twice

c)

Three times

d)

Four times

6.

The percentage of Medicaid dollars spent on institutional care over the past couple of decades has _____. (p. 317)

a)

Increased dramatically

b)

Decreased slightly

c)

Been unchanged

d)

Doubled

7.

The American Association of Homes and Services for the Aging is the _____. (p. 340)

a)

National for-profit group

b)

National non-for-profit group

c)

Federal regional authority

d)

National federal authority

8.

The proportion of Medicare nursing home residents who reside in facilities at any one time is ____ the proportion who are Medicaid.

a)

About equal to

b)

Far smaller than

c)

Far larger than

d)

Larger and growing

9.

The federal government matches state expenditures ranging from _____. (p. 343)

a)

50% to 83%

b)

50% to 95%

c)

40% to 60%

d)

25% to 45%

10.

In 2006, the federal government changed the "look back" period for which Medicaid assistance may be denied due to "gifts" _____. (p. 349)

a)

To cover only the medically indigent

b)

To relax the rules

c)

To provide relief to middle-class elderly

d)

From 3 years to 5 years look back

11.

Knowing the Occupational Safety and Health Act (OSHA) standards applicable to a facility is the responsibility of the _____. (p. 379)

a)

OSHA board

b)

Employer (the administrator)

c)

State Enforcement Commission

d)

Staff

12.

Occupational Safety and Health Act (OSHA) inspectors examine the records of illnesses and injuries to the _____. (p. 379)

a)

Residents

b)

Employees

c)

Supervisors

d)

Residents and the employees

13.

Accidents and illnesses requiring first aid and not resulting in work loss ____ reported. (p. 380)

a)

Do not have to be

b)

Must be

c)

Should be

d)

Must always be

14.

The Life Safety Code _____. (p. 383)

a)

Is too often ignored by states

b)

Must be used in every state

c)

Is fully voluntary for cities and counties

d)

Has the effect of law in most states

15.

An employee hearing the fire code phrase must _____. (p. 386)

a)

Exit the facility

b)

Help fellow employees as needed

c)

Go to his or her assigned station

d)

Ask nearby persons where the fire is located

16.

Under the Life Safety Code, movement of infirm patients to safe areas or the exterior is ____ in fire drills. (p. 385)

a)

Required

b)

Not required

c)

At the option of the local fire chief

d)

Optional

17.

On discovery of fire involving a person, personnel shall immediately _____. (p. 386)

a)

Assist the person

b)

Transmit a fire alarm

c)

Aid the person and call aloud "fire"

d)

Aid the person while calling aloud an established code phrase

18.

Basic action required of health care facility personnel is _____. (p. 385)

a)

Removal of directly involved occupants

b)

Transmission of an alarm signal

c)

Confinement of the effects of the fire

d)

All of the aforementioned

19.

Often the most dangerous element threatening patient safety is _____. (p. 387)

a)

Unavailability of correct type of extinguisher

b)

Slow-thinking responses by personnel

c)

Smoke inhalation

d)

First- and second-degree burns

20.

Smoking by residents designated as "not responsible" _____. (p. 386)

a)

Is permitted for the terminally ill

b)

Must be closely supervised

c)

Is prohibited

d)

Must be in a safe area

21.

The overall objective of the Life Safety Code for new health care occupancies is to _____. (p. 385)

a)

Limit spread of a fire to the room of fire origin

b)

Require sprinkler systems or their equivalent as applicable

c)

Educate the public on correct fire procedures

d)

Provide guidelines for the local fire chief

22.

Facility personnel who shall be instructed in the use of and response to a fire alarm include _____. (p. 386)

a)

Nursing staff

b)

All staff having patient contact

c)

Nursing and dietary staff

d)

All personnel

23.

When a facility locks exits, it must ____.

a)

Hire additional staff

b)

Use special locks

c)

Get permission from the local fire marshal

d)

Maintain adequate staff to release locks

24.

A material that, in the form in which it is used, will not aid combustion or add appreciable heat to spreading fire is defined as ____.

a)

Fire resistant

b)

Fire coded

c)

Noncombustible

d)

Combustible

25.

In determining occupant loads in exit requirements, the actual expected count or a projection using ____ square feet of floor space in sleeping areas and ____ square feet of floor space in treatment areas shall be used.

a)

120/240

b)

100/200

c)

220/440

d)

440/640

26.

Handrails clearance from the wall must be at least ____.

a)

1 hand wide

b)

6 inches

c)

1 and one-half inches

d)

8 inches

27.

The purpose of smoke-proof towers is to ____.

a)

Limit infiltration of heat, smoke, and fire gases

b)

Contain construction costs

c)

Improve the visual appeal of the building

d)

Totally eliminate smoke and gases

28.

The National Safety Council has suggested slopes of 7 to 20 degrees for a ____.

a)

Stairway

b)

Stairway and landings

c)

Stairway and ramp

d)

Ramp

29.

Aisles, corridors, and ramps used for exit must be at least ____ in width, and clear and unobstructed.

a)

8 feet

b)

3 feet

c)

Within residents' ability to move

d)

Reasonably wide

30.

Travel distance within a room to an exit must not exceed ____.

a)

25 yards

b)

50 feet

c)

Good judgment

d)

Local fire marshal rules

31.

Each floor or fire section of the facility shall have at least ____ located ____ from each other.

a)

Three exits/remotely

b)

Two exits/remotely

c)

Two ramps/away

d)

Three ramps/remotely

32.

Travel distance from within any patient room to an exit access must not exceed ____.

a)

50 feet

b)

75 feet

c)

100 feet

d)

200 feet

33.

Illumination of the means of egress must be continuous and must provide at least ____ foot-candle(s) measured at the ____.

a)

1/floor

b)

2/railings

c)

1/railing

d)

2/floor

34.

The emergency lighting system must provide power ____.

a)

Automatically

b)

With a minimum of operations

c)

From each nursing station

d)

From a switch in the administrator's office

35.

Exit signs must be placed so that a person is never more than ____ from the nearest exit sign.

a)

50 feet

b)

100 feet

c)

150 feet

d)

200 feet

36.

Corridors throughout patient sleeping areas must have ____.

a)

Automatic smoke detection systems

b)

9 feet in clearance

c)

Well-decorated walls

d)

Smooth surfaces

37.

A supervised automatic sprinkler system ____.

a)

Is advised

b)

Should be installed

c)

Is a luxury for the average nursing facility

d)

Is required

38.

Short persons must be able to reach ____.

a)

Fire extinguishers

b)

Door stops

c)

Top shelves

d)

Top of bureaus

39.

A fixed, regularly serviced, automatic fire extinguishing system in nursing home kitchens over the cook stoves is ____.

a)

Required

b)

Permitted in most states

c)

Highly recommended

d)

Optional

40.

Every building shall have a(an) ____ operated fire alarm system that shall be ____ supervised.

a)

Sprinkler/continuously

b)

Automatic/continuously

c)

Simultaneously/continuously

d)

Manually/electronically

41.

Every story used by patients must be divided into ____.

a)

Four smoke compartments

b)

Equal spaces

c)

Two smoke compartments

d)

Five smoke compartments

42.

Every story with 50 or more occupants must be divided into at least ____.

a)

Six rooms

b)

Two smoke compartments

c)

Two nursing stations responsibilities

d)

Four smoke compartments

43.

Extinguishers should be checked ____ by the fire department and recharged and serviced ____ by a qualified person.

a)

Monthly/monthly

b)

Monthly/quarterly

c)

Monthly/annually

d)

Quarterly/annually

44.

Doors protecting corridor openings must be made of 1¾ inches solid bonded core wood or constructed to resist fire for at least ____ minutes.

a)

10

b)

20

c)

60

d)

45

45.

Each patient room must have an outside window or door. If a window, it ____.

a)

Must be at least 2 feet by 4 feet

b)

Must have a latch on it

c)

Need not be operable

d)

Must be Thermopane

46.

For changes in level: up to ¼ inch ____, between ¼ and ½ inch ____ is required, and more than ½ inch must meet ____ requirements.

a)

Permissible/beveled edge/ramp

b)

Ignored/curved edge/grade

c)

Permitted/sharp edge/ramp

d)

Required/rounded edge/grade

47.

On any given flight of stairs, riser heights and tread widths must be ____.

a)

Uniform

b)

Appropriate

c)

Approved

d)

Cleared with the architect

48.

High forward reach limit is generally ____.

a)

5 feet

b)

6 feet

c)

48 inches

d)

Up to the facility to determine

49.

Minimum width for two wheelchairs to pass is ____ inches.

a)

40

b)

60

c)

72

d)

82

50.

Side reach should be between ____ inches off the floor.

a)

9 and 54

b)

20 and 40

c)

60 and 70

d)

12 and 24

51.

Handrails must extend at least ____ inches beyond a ramp or stair and be parallel to the floor or ground surface.

a)

4

b)

6

c)

8

d)

12

52.

The generally specified maximum pounds of pressure required to operate doors, windows, and so on, is ____.

a)

1

b)

3

c)

5

d)

10

53.

Automatic doors and power-assisted doors should be slow opening and low powered, not opening back to back faster than ____ seconds nor with a force of more than ____ pounds.

a)

3/15

b)

5/20

c)

10/30

d)

15/45

54.

Grab bars located between ____ and ____ inches high must be provided for toilets on the side and back walls.

a)

33/36

b)

30/40

c)

20/40

d)

25/45

55.

Grab bars and handrails are to be ____ to ____ inches in diameter or width, with ____ inches space between handrail and wall, and a sheer stress point of ____ pounds or greater.

a)

1/2/2/200

b)

1¼/1½/1½/250

c)

2/4/6/500

d)

4/4/6/600

56.

The maximum allowable emergency alarm level is ____ decibels.

a)

60

b)

80

c)

100

d)

120

57.

The general requirement for knee clearance under tables, work surfaces, sinks, and lavatories is ____.

a)

10 inches

b)

19 inches

c)

1 foot

d)

2 feet

58.

Title 7 of the Civil Rights Act of 1964 prohibited employers from discriminating on the basis of ____.

a)

All of the following

b)

Race

c)

Color

d)

Sex

59.

In 1935, a major labor group emerged called the ____.

a)

CIO (Congress of Industrial Organizations)

b)

AFL (American Federation of Labor)

c)

AFL-CIO

d)

National Unions Group

60.

By 1947, unions represented about 31% of the workforce. In 2015, union membership represented about ____% of the total workforce.

a)

11

b)

16

c)

30

d)

40

61.

The Taft-Hartley Act prohibited managers from ____.

a)

Giving tenure to employees to discourage unionization

b)

Giving wage increases to discourage unionization

c)

Firing employees who give testimony under the Wagner Act

d)

All of the aforementioned

62.

The National Labor Relations Board (NLRB) does not ____.

a)

Determine what the bargaining units shall be

b)

Conduct representative elections by secret ballot

c)

Investigate unfair labor practices

d)

Make court decisions

63.

In 1973, the hospitals and nursing facility interests did not seek ____.

a)

Exemption from National Labor Relations Board (NLRB) oversight

b)

Priority for National Labor Relations Board (NLRB) actions on disputes

c)

Mandatory mediation requirements

d)

Limit on number of bargaining units

64.

In 1984, the National Labor Relations Board (NLRB) favored nursing home managers by ruling that the appropriate bargaining unit is ____.

a)

All professionals, all nonprofessionals

b)

Some professionals, all nonprofessionals

c)

Most professionals, most nonprofessionals

d)

Workers, managers

65.

Discrimination was interpreted initially by the courts as harmful action, later as unequal treatment, and more recently as ____.

a)

Unequal or adverse impact

b)

Unjustifiable

c)

Rule of the 1980s

d)

Wrongdoing

66.

The Civil Rights Act is enforced ____.

a)

By the Equal Opportunities Commission

b)

By the Equal Employment Commission

c)

By the Equal Employment Opportunity Commission

d)

Solely by the federal courts

67.

The Fair Labor Standards Act requires that an overtime rate of ____ times the hourly (or other basis) rates be paid for all hours more than ____ during the week.

a)

2/40

b)

1½/40

c)

2/35

d)

2/45

68.

Minors younger than 16 years may not be employed in the nursing facility except under ____.

a)

Temporary conditions

b)

Parental consent (must be written)

c)

Situations of clear need

d)

A temporary permit issued by the Department of Labor

69.

Funds for unemployment compensation come from a ____ payroll tax based on wages of each employee up to a certain ____.

a)

State/minimum

b)

Federal/minimum

c)

Federal/maximum

d)

Local/maximum

70.

Under ERISA (Employee Retirement Income Security Act of 1975), employers ____ pension plan.

a)

Are required to offer a

b)

Are not required to offer a

c)

Must enlarge their existing

d)

Are prohibited from offering a

71.

In states where a local health planning agency believes a shortage of nursing home beds exists, it may ____.

a)

Require additional beds be built

b)

Let a contract for building new beds

c)

Advertise for beds

d)

Issue a certificate of need

72.

The most well-known model of the grieving process was developed by an American psychiatrist ____ in the book, On Death and Dying.

a)

Elizabeth Taylor

b)

Elisabeth Kübler-Ross

c)

Freud

d)

Jung

73.

The five stages of dying are thought to be denial, anger, bargaining, depression, and ____.

a)

Death

b)

Acceptance

c)

Final denial

d)

Futility

74.

Basically, under the Privacy Rule issued by the Department of Health and Human Services (DHHS), it is illegal for any person to gain access to personal medical information for any reason other than health care delivery, operations, and ____.

a)

Supplemental income

b)

Charging

c)

Reimbursement

d)

Refunds

75.

The following are ____: Hepatitis B, Influenza, Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, Pertussis.

a)

Recommended vaccines for health care workers

b)

Required patient vaccines

c)

Suggested mass inoculations

d)

Nursing personnel vaccines

76.

The ____ required insurance companies to cover all applicants within new minimum standards and offer the same rates regardless of preexisting conditions or sex.

a)

Health Care Act

b)

Universal Care Act

c)

Affordable Care Act

d)

Nursing Home Care Program

77.

The ____ includes a requirement that both the federal Department of Health and Human Services and local law enforcement authorities must be notified of any suspicions of abuse regardless of whether or not that suspected abuse results in bodily harm.

a)

Health Care Act

b)

Universal Care Act

c)

Affordable Health Act

d)

Elder Justice Law, 2010

78.

For nursing facilities, meeting requirements set by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is ____.

a)

Voluntary

b)

Mandatory

c)

Required for Medicaid payments

d)

Required for Medicare payments