WorksheetsChapter 4
Total questions: 78
Worksheet time: 39mins
During the years 1993 to 2006, the percentage of chain-owned nursing facilities _____. (p. 321)
Was about 5%
Varied between just less than and just more than half
Doubled
Tripled
During the years 1993 to 2006, the occupancy rates for U.S. nursing facilities _____. (p. 322)
Remained unchanged
Decreased
Continued to increase slightly
Increased as hospital discharge rates spiked
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)
Will remain level
Will decrease
May decrease
Will be near 100%
The projections of daily volume of long-term care assistance by all categories of caregivers are expected to _____. (p. 320)
Increase marginally
Steadily increase
Decrease as older persons get healthier
Decrease
The projections of daily volume of long-term care assistance needed in the year 2040 are about ____ the need identified in 1980. (p. 320)
Equal to
Twice
Three times
Four times
The percentage of Medicaid dollars spent on institutional care over the past couple of decades has _____. (p. 317)
Increased dramatically
Decreased slightly
Been unchanged
Doubled
The American Association of Homes and Services for the Aging is the _____. (p. 340)
National for-profit group
National non-for-profit group
Federal regional authority
National federal authority
The proportion of Medicare nursing home residents who reside in facilities at any one time is ____ the proportion who are Medicaid.
About equal to
Far smaller than
Far larger than
Larger and growing
The federal government matches state expenditures ranging from _____. (p. 343)
50% to 83%
50% to 95%
40% to 60%
25% to 45%
In 2006, the federal government changed the "look back" period for which Medicaid assistance may be denied due to "gifts" _____. (p. 349)
To cover only the medically indigent
To relax the rules
To provide relief to middle-class elderly
From 3 years to 5 years look back
Knowing the Occupational Safety and Health Act (OSHA) standards applicable to a facility is the responsibility of the _____. (p. 379)
OSHA board
Employer (the administrator)
State Enforcement Commission
Staff
Occupational Safety and Health Act (OSHA) inspectors examine the records of illnesses and injuries to the _____. (p. 379)
Residents
Employees
Supervisors
Residents and the employees
Accidents and illnesses requiring first aid and not resulting in work loss ____ reported. (p. 380)
Do not have to be
Must be
Should be
Must always be
The Life Safety Code _____. (p. 383)
Is too often ignored by states
Must be used in every state
Is fully voluntary for cities and counties
Has the effect of law in most states
An employee hearing the fire code phrase must _____. (p. 386)
Exit the facility
Help fellow employees as needed
Go to his or her assigned station
Ask nearby persons where the fire is located
Under the Life Safety Code, movement of infirm patients to safe areas or the exterior is ____ in fire drills. (p. 385)
Required
Not required
At the option of the local fire chief
Optional
On discovery of fire involving a person, personnel shall immediately _____. (p. 386)
Assist the person
Transmit a fire alarm
Aid the person and call aloud "fire"
Aid the person while calling aloud an established code phrase
Basic action required of health care facility personnel is _____. (p. 385)
Removal of directly involved occupants
Transmission of an alarm signal
Confinement of the effects of the fire
All of the aforementioned
Often the most dangerous element threatening patient safety is _____. (p. 387)
Unavailability of correct type of extinguisher
Slow-thinking responses by personnel
Smoke inhalation
First- and second-degree burns
Smoking by residents designated as "not responsible" _____. (p. 386)
Is permitted for the terminally ill
Must be closely supervised
Is prohibited
Must be in a safe area
The overall objective of the Life Safety Code for new health care occupancies is to _____. (p. 385)
Limit spread of a fire to the room of fire origin
Require sprinkler systems or their equivalent as applicable
Educate the public on correct fire procedures
Provide guidelines for the local fire chief
Facility personnel who shall be instructed in the use of and response to a fire alarm include _____. (p. 386)
Nursing staff
All staff having patient contact
Nursing and dietary staff
All personnel
When a facility locks exits, it must ____.
Hire additional staff
Use special locks
Get permission from the local fire marshal
Maintain adequate staff to release locks
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 ____.
Fire resistant
Fire coded
Noncombustible
Combustible
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.
120/240
100/200
220/440
440/640
Handrails clearance from the wall must be at least ____.
1 hand wide
6 inches
1 and one-half inches
8 inches
The purpose of smoke-proof towers is to ____.
Limit infiltration of heat, smoke, and fire gases
Contain construction costs
Improve the visual appeal of the building
Totally eliminate smoke and gases
The National Safety Council has suggested slopes of 7 to 20 degrees for a ____.
Stairway
Stairway and landings
Stairway and ramp
Ramp
Aisles, corridors, and ramps used for exit must be at least ____ in width, and clear and unobstructed.
8 feet
3 feet
Within residents' ability to move
Reasonably wide
Travel distance within a room to an exit must not exceed ____.
25 yards
50 feet
Good judgment
Local fire marshal rules
Each floor or fire section of the facility shall have at least ____ located ____ from each other.
Three exits/remotely
Two exits/remotely
Two ramps/away
Three ramps/remotely
Travel distance from within any patient room to an exit access must not exceed ____.
50 feet
75 feet
100 feet
200 feet
Illumination of the means of egress must be continuous and must provide at least ____ foot-candle(s) measured at the ____.
1/floor
2/railings
1/railing
2/floor
The emergency lighting system must provide power ____.
Automatically
With a minimum of operations
From each nursing station
From a switch in the administrator's office
Exit signs must be placed so that a person is never more than ____ from the nearest exit sign.
50 feet
100 feet
150 feet
200 feet
Corridors throughout patient sleeping areas must have ____.
Automatic smoke detection systems
9 feet in clearance
Well-decorated walls
Smooth surfaces
A supervised automatic sprinkler system ____.
Is advised
Should be installed
Is a luxury for the average nursing facility
Is required
Short persons must be able to reach ____.
Fire extinguishers
Door stops
Top shelves
Top of bureaus
A fixed, regularly serviced, automatic fire extinguishing system in nursing home kitchens over the cook stoves is ____.
Required
Permitted in most states
Highly recommended
Optional
Every building shall have a(an) ____ operated fire alarm system that shall be ____ supervised.
Sprinkler/continuously
Automatic/continuously
Simultaneously/continuously
Manually/electronically
Every story used by patients must be divided into ____.
Four smoke compartments
Equal spaces
Two smoke compartments
Five smoke compartments
Every story with 50 or more occupants must be divided into at least ____.
Six rooms
Two smoke compartments
Two nursing stations responsibilities
Four smoke compartments
Extinguishers should be checked ____ by the fire department and recharged and serviced ____ by a qualified person.
Monthly/monthly
Monthly/quarterly
Monthly/annually
Quarterly/annually
Doors protecting corridor openings must be made of 1¾ inches solid bonded core wood or constructed to resist fire for at least ____ minutes.
10
20
60
45
Each patient room must have an outside window or door. If a window, it ____.
Must be at least 2 feet by 4 feet
Must have a latch on it
Need not be operable
Must be Thermopane
For changes in level: up to ¼ inch ____, between ¼ and ½ inch ____ is required, and more than ½ inch must meet ____ requirements.
Permissible/beveled edge/ramp
Ignored/curved edge/grade
Permitted/sharp edge/ramp
Required/rounded edge/grade
On any given flight of stairs, riser heights and tread widths must be ____.
Uniform
Appropriate
Approved
Cleared with the architect
High forward reach limit is generally ____.
5 feet
6 feet
48 inches
Up to the facility to determine
Minimum width for two wheelchairs to pass is ____ inches.
40
60
72
82
Side reach should be between ____ inches off the floor.
9 and 54
20 and 40
60 and 70
12 and 24
Handrails must extend at least ____ inches beyond a ramp or stair and be parallel to the floor or ground surface.
4
6
8
12
The generally specified maximum pounds of pressure required to operate doors, windows, and so on, is ____.
1
3
5
10
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.
3/15
5/20
10/30
15/45
Grab bars located between ____ and ____ inches high must be provided for toilets on the side and back walls.
33/36
30/40
20/40
25/45
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.
1/2/2/200
1¼/1½/1½/250
2/4/6/500
4/4/6/600
The maximum allowable emergency alarm level is ____ decibels.
60
80
100
120
The general requirement for knee clearance under tables, work surfaces, sinks, and lavatories is ____.
10 inches
19 inches
1 foot
2 feet
Title 7 of the Civil Rights Act of 1964 prohibited employers from discriminating on the basis of ____.
All of the following
Race
Color
Sex
In 1935, a major labor group emerged called the ____.
CIO (Congress of Industrial Organizations)
AFL (American Federation of Labor)
AFL-CIO
National Unions Group
By 1947, unions represented about 31% of the workforce. In 2015, union membership represented about ____% of the total workforce.
11
16
30
40
The Taft-Hartley Act prohibited managers from ____.
Giving tenure to employees to discourage unionization
Giving wage increases to discourage unionization
Firing employees who give testimony under the Wagner Act
All of the aforementioned
The National Labor Relations Board (NLRB) does not ____.
Determine what the bargaining units shall be
Conduct representative elections by secret ballot
Investigate unfair labor practices
Make court decisions
In 1973, the hospitals and nursing facility interests did not seek ____.
Exemption from National Labor Relations Board (NLRB) oversight
Priority for National Labor Relations Board (NLRB) actions on disputes
Mandatory mediation requirements
Limit on number of bargaining units
In 1984, the National Labor Relations Board (NLRB) favored nursing home managers by ruling that the appropriate bargaining unit is ____.
All professionals, all nonprofessionals
Some professionals, all nonprofessionals
Most professionals, most nonprofessionals
Workers, managers
Discrimination was interpreted initially by the courts as harmful action, later as unequal treatment, and more recently as ____.
Unequal or adverse impact
Unjustifiable
Rule of the 1980s
Wrongdoing
The Civil Rights Act is enforced ____.
By the Equal Opportunities Commission
By the Equal Employment Commission
By the Equal Employment Opportunity Commission
Solely by the federal courts
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.
2/40
1½/40
2/35
2/45
Minors younger than 16 years may not be employed in the nursing facility except under ____.
Temporary conditions
Parental consent (must be written)
Situations of clear need
A temporary permit issued by the Department of Labor
Funds for unemployment compensation come from a ____ payroll tax based on wages of each employee up to a certain ____.
State/minimum
Federal/minimum
Federal/maximum
Local/maximum
Under ERISA (Employee Retirement Income Security Act of 1975), employers ____ pension plan.
Are required to offer a
Are not required to offer a
Must enlarge their existing
Are prohibited from offering a
In states where a local health planning agency believes a shortage of nursing home beds exists, it may ____.
Require additional beds be built
Let a contract for building new beds
Advertise for beds
Issue a certificate of need
The most well-known model of the grieving process was developed by an American psychiatrist ____ in the book, On Death and Dying.
Elizabeth Taylor
Elisabeth Kübler-Ross
Freud
Jung
The five stages of dying are thought to be denial, anger, bargaining, depression, and ____.
Death
Acceptance
Final denial
Futility
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 ____.
Supplemental income
Charging
Reimbursement
Refunds
The following are ____: Hepatitis B, Influenza, Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, Pertussis.
Recommended vaccines for health care workers
Required patient vaccines
Suggested mass inoculations
Nursing personnel vaccines
The ____ required insurance companies to cover all applicants within new minimum standards and offer the same rates regardless of preexisting conditions or sex.
Health Care Act
Universal Care Act
Affordable Care Act
Nursing Home Care Program
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.
Health Care Act
Universal Care Act
Affordable Health Act
Elder Justice Law, 2010
For nursing facilities, meeting requirements set by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is ____.
Voluntary
Mandatory
Required for Medicaid payments
Required for Medicare payments
