NAB Core

What type of financial statement is derived from analysis of other statements and has more detail on financial activity? 1. Profit and loss 2. Cash flow 3. Changes in financial position 4. Retained earnings

1.

A crime that is punishable by a maximum term of imprisonment of one year is known as __________________. 1. Misdemeanor 2. Felony 3. Tort 4. Neglect

1.

A guest falls and is injured while visiting a healthcare organization office. Which of the following types of insurance would cover this injury? 1. General liability insurance 2. Property insurance 3. Professional liability insurance 4. Workers' compensation insurance

1.

A healthcare organization must keep a written record documenting that all care recipients have been given the opportunity to indicate that they do not want their medical information to be shared. Which of the following established this rule? 1. Health Insurance Portability and Accountability Act 2. Medical Record Protection Act 3. Health Insurance Information Act 4. Protected Health Information Act

1.

A special diet prescribed by a physician, approved by a qualified dietitian, and designed to correct a care recipient's condition or to prevent further problems is known as a/an __________________. 1. Therapeutic diet 2. American Diabetes Associated approved diet 3. Nutritionally adequate diet 4. Holistic diet

1.

Any item of major cost that will become an asset of the healthcare organization is __________________. 1. Called a capital expenditure 2. Voted on by the governing board 3. Unable to be depreciated within the first two years of purchase 4. Considered to add market value to the physical plant

1.

Care recipient plans of care are initially developed and subsequently revised __________________. 1. Following regular, comprehensive assessments 2. By the care recipient's primary care physician 3. Until the care recipient is no longer competent 4. Only if the care recipient requires medication oversight

1.

Delirium is a medical issue defined as a __________________. 1. State of mental confusion characterized by disorientation 2. Slow onset of cognitive deficits 3. Cognitive decline not connected to other conditions 4. Progressive illness that causes memory lapses

1.

In deciding which style of management to employ while running the day-to-day operations of a healthcare organization, the administrator's best approach is to __________________. 1. Use a mix of styles while integrating it into the overall organization, goals, and operation 2. Consult with the governing body and comply with federal policies, guidelines, and procedures 3. Determine the strengths and weaknesses of the staff and implement and performance incentive program 4. Choose a firm and goal-oriented style in order to command respect from colleagues and subordinates

1.

Minimum wages and maximum hours are described in the __________________. 1. Fair Labor Standards Act (FLSA) 2. Department of Labor (DOL) 3. National Labor Relations Board (NLRB) 4. Wage and Hour Guidelines (WHG)

1.

Staff knowledge of expected outcomes and results is directly associated with __________________. 1. Clearly communicated organizational goals 2. Motivated employees 3. Annually updated job descriptions 4. Improved compensation

1.

Strategic planning is best defined as an organizational process for __________________. 1. Identifying goals and objectives 2. Implementing goals to create a desired outcome 3. Making decisions that achieve compliance 4. Comparing an organization's market position to its competition

1.

Team building is a key component of which management style? 1. Participatory 2. Authoritative 3. Delegative 4. Objective

1.

The establishing of an individualized service/plan of care __________________. 1. Begins with an appropriate assessment 2. Begins only when the consent to treat is signed 3. Occurs only at the time of admission 4. Is the start of the care recipient's medical record

1.

The healthcare organization must ensure that the care recipient rights are not violated by __________________. 1. Anyone 2. Outside contractors 3. Staff 4. Relatives

1.

The plan of care in person-centered care is centered around the preferences of the __________________. 1. Care recipient 2. Family 3. Physician 4. Staff

1.

The provision a healthcare organization makes for uncollectible accounts receivable is known as __________________. 1. Allowance for bad debts 2. Off-statement debts 3. Materiality 4. Activity-based costing

1.

The training of staff in regard to Occupational Safety and Health Administration (OSHA) standards is important that all employees understand their __________________. 1. Occupational classification 2. Health benefit plans 3. Right to Know program 4. Wages and hours

1.

To protect against payroll fraud, it is considered safest to have __________________. 1. Several employees performing separate payroll functions 2. The accounts payable clerk prepare the payroll 3. A single employee prepare the payroll 4. A mandatory direct-deposit program

1.

Under FIFO inventory method which supply would be used last? 1. Supply A - 12/1/16 2. Supply B - 12/20/16 3. Supply C - 1/4/17 4. Supply D - 2/3/17

1.

What is the book value of a vehicle purchased for $40,000 that has an accumulated depreciation of $30,000? 1. $10,000 2. $30,000 3. $40,000 4. $70,000

1.

What question may not be asked of a job applicant by a prospective employer? 1. What kind of discharge did you receive from the military? 2. How would your previous boss describe you? 3. Why would you make a good employee? 4. What were your duties in your previous position?

1.

When a care recipient refuses to take a prescribed medication, the immediate response should be to __________________. 1. Speak with the care recipient about the risks and consequences of not taking the medication 2. Notify the physician 3. Put the medication in food and give it to the care recipient 4. Ask the care recipient's family to assist with the care recipient's medication

1.

When state, local, or life safety codes differ, which regulation must be followed? 1. The stricter code 2. The life safety code 3. The state code 4. The local jurisdiction code

1.

Which of the following are Activities of Daily Living (ADLs)? 1. Bathing, dressing, toileting, and feeding 2. Dressing, transportation, communication, and feeding 3. Bathing, toileting, shopping, and housekeeping 4. Dressing, toileting, communication, and transferring

1.

Which of the following is a joint venture or business that meets Office of Inspector General (OIG) standards, is legal under the Anti-Kickback Statute, and is immune from criminal prosecution or civil sanctions? 1. Limited partnership 2. Limited-liability corporation 3. S corporation 4. Safe harbor

1.

Which of the following is a mechanism for keeping employees informed of their strengths and weaknesses on the job? 1. Performance evaluation 2. Staff meeting 3. Documented consultation 4. Written warning

1.

A bill is introduced in the legislature. A technique often used by the legislative committee who does not wish to embarrass the sponsor and does not want to pass the bill, is known as __________________. 1. Favorable report 2. Deferment 3. Unfavorable report 4. Veto

2.

A care recipient who needs orthotics or other assistive devices would most likely visit which healthcare practitioner? 1. Attending physician 2. Occupational therapist 3. Orthopedic practitioner 4. Recreational therapist

2.

A care recipient's plan of care indicates she needs help with dressing and undressing. She prefers to sleep in her sweats at night. The care recipient's daughter pays the bills and insists she wears pajamas at night. What should staff do? 1. Follow the care recipient's daughter's wishes, she pays the bills 2. Each night ask the care recipient what to do and follow her wishes 3. Allow the care recipient to wear sweats to bed, and gently put her in a hospital-style sleeping gown once she falls asleep 4. Follow the care recipient's daughter's wishes, as the care recipient is sometimes confused at night

2.

A document that expresses a care recipient's end-of-life wishes regarding medical treatment is called a/an __________________. 1. Plan of care 2. Advance directive 3. Will and testament 4. Power of attorney

2.

A statement outlining the desired future of the organization is the __________________. 1. Vision 2. Mission 3. By-laws 4. Articles of incorporation

2.

A willful OSHA violation has a minimum fine of how many dollars? 1. $500 2. $5,000 3. $25,000 4. $70,000

2.

An arbitration agreement is a __________________. 1. Contract between a lawyer and judge that helps prevent lawsuits 2. Contract between parties agreeing to resolve disputes using a neutral third party 3. More expensive option than going to court to resolve a claim 4. More labor-intensive option than going to court to resolve a claim

2.

An employee with 30 years experience at a healthcare organization was not chosen to attend a training and asked the supervisor why. The supervisor said, "you've been with the company for a long time, and I assumed you would retire before then." In doing so, the supervisor __________________. 1. Did not discriminate by assuming someone of retirement age would retier 2. Discriminated against the employee because of the employee's age 3. Discriminated against the employee, as the employee obviously had seniority 4. Did not discriminate, as the employee was not a high performer

2.

As the ability to taste declines, the one taste that tends to stay intact is __________________. 1. Salty 2. Bitter 3. Sweet 4. Savory

2.

Care recipient satisfaction is defined as __________________. 1. A tangible measurement 2. A service that meets or exceeds expectations 3. Family and staff surveys 4. Public perception of the community

2.

Deception that results in damage to another is referred to as __________________. 1. Negligence 2. Fraud 3. Slander 4. Malfeasance

2.

Ensuring accurate reliable data for accounting reports is known as __________________. 1. External control 2. Internal control 3. Cost control 4. Auditing control

2.

Given the following formula: Net income after taxes ÷ Average total assets This formula is used to calculate the return on __________________. 1. Invested capital 2. Assets 3. Cash flow 4. Investments

2.

Healthcare organizations are required by the Occupational Safety and Health Administration (OSHA) to maintain a log and summary of occupational injuries and illnesses and to display the log in healthcare organizations __________________. 1. At the onset of injury or illness 2. Within five days of an injury or illness 3. Quarterly 4. Annually

2.

Hospice care is provided in a multi-disciplinary approach. The team is commonly comprised of __________________. 1. Physicians, caregivers, surgeons, dietitians, volunteers, and phlebotomists 2. Physicians, caregivers, pharmacists, social workers, chaplains, and volunteers* 3. Physicians, caregivers, chiropractors, volunteers, pharmacists, and phlebotomists 4. Physicians, caregivers, chaplains, chiropractors, phlebotomists, and surgeons

2.

In the event of a union strike, management has the right to __________________. 1. Fire striking workers 2. Hire replacement workers 3. Ask the employees what has been discussed at union meetings 4. Prohibit union activity in the healthcare organization

2.

Lockout/tagout is an Occupational Safety and Health Administration (OSHA) requirement designed to prevent __________________. 1. Employees from entering mechanical equipment rooms 2. Employees from being injured by hazardous energy 3. Care recipients from being locked outside of a healthcare organization 4. Theft through the use of self-locking care-recipient units

2.

Professional and general liability insurance that only covers claims reported during the policy period is operating under a/an __________________. 1. Liability-period policy 2. Claims-made policy 3. Occurrence policy 4. Risk-acceptance policy

2.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) defines protected healthcare information (PHI) as __________________. 1. Individual health information that has been de-identified by removing coding 2. Individually identifiable health information including demographic information collected about an individual 3. Individual statistical and medical research information from which identifiers such as names, birth dates, zip codes, and telephone numbers have been removed 4. Individually identifiable health information on individuals under 19 years of age

2.

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures a care recipient's right to __________________. 1. Select and change their personal physician 2. Request restrictions on certain uses and disclosures of personal health information 3. Select treatment options based on religious preferences 4. Designate who can make decisions on their behalf

2.

The LIFO and FIFO methods of inventory costing both account for the effects of which of the following factors on the price of inventory? 1. Salvage value 2. Depreciation value 3. Supply and demand 4. Inflation and deflation

2.

The process of pricing, promoting, and distributing services that satisfy both individual and organizational objectives is known as __________________. 1. Market orientation 2. Marketing 3. Product specialization 4. Branding

2.

Under the Americans with Disabilities Act of 1990 (ADA), which of the following is considered a reasonable accommodation for an employee with a disability? 1. Allow payroll deduction to purchase adaptive equipment 2. Switching offices to accommodate the employee 3. Offering internal job opportunities to the employee 4. Acquiring or modifying equipment for their use

2.

When the actual supply cost substantially exceeds the expected cost, the administrator should initially __________________. 1. Tightly control products 2. Investigate probable breach of security 3. Review production schedules 4. Examine methods of inventory

2.

Which of the following clinical conditions may demonstrate that a reduction in range of motion is unavoidable? 1. Deformities caused by neurological deficits 2. Limbs or digits that are immobilized because of injuries or surgical procedures 3. Pain and spasms associated with arthritis 4. Lack of mobility associated with late stage Alzheimer's

2.

Which of the following documents would be used to comply with the Patient Self Determination Act of 1990? 1. Organ donor card 2. Power of attorney 3. Notice of privacy practices 4. Durable power of attorney

2.

Which of the following is a duty an employer has under the Occupational Safety and Health Act of 1970? 1. Provide employees with fully lighted parking 2. Furnish employment free of recognized hazards 3. Offer safety guards for the sharpest objects 4. Assure Safety Data Sheets (SDS) are available during regular office hours

2.

Which of the following methods of conflict resolution uses a third party who reviews the situation and makes a binding decision? 1. Litigation 2. Arbitration 3. Adjudication 4. Mediation

2.

Which of the following non-profit organizations publishes fire safety standards and offers training? 1. American Fire Safety Institute (AFSI) 2. National Fire Protection Association (NFPA) 3. Centers for Medicare and Medicaid Services (CMS) 4. Americans with Disabilities Act (ADA)

2.

Which of the following situations is an example of discrimination as defined by the Americans with Disabilities Act (ADA)? 1. Failure to provide language interpreter services 2. Failure to make reasonable accommodations for employment 3. Termination from employment due to poor work performance 4. Requesting physical capacity evaluation before employment

2.

A group that is legally designated to establish and implement policies regarding the management of a healthcare organization is called the __________________. 1. Executive committee 2. Corporation 3. Governing body 4. Commission

3.

A healthcare organization has just purchased equipment for a total cost of $15,000. The equipment has useful life of five years and the administrator is planning to charge a depreciation expense of $3,000 per year. Which depreciation method is being used? 1. Sum of the years' digits depreciation 2. Declining balance depreciation 3. Straight-line depreciation 4. Accelerated depreciation

3.

A healthcare organization's handbook __________________. 1. Is generally considered the property of the employer 2. Can be considered an enforceable contract between employer and employee 3. Should be clearly written enough to leave no latitude for interpretation 4. Should be in lay terms and kept in the administrator's office

3.

A physician orders a psychotropic medication PRN. The medication should be administered __________________. 1. Within one hour of eating a meal or substantial snack 2. At the discretion of a professional registered caregiver only 3. As necessary after non-pharmacological alternatives have failed 4. Following completion of the pain review note

3.

An effective job description includes which of the following? 1. Statement of wages and benefits associated with the position 2. Impact of the position on care recipient life 3. Statement of required skills, education, and experience 4. Scheduled hours required for the position

3.

An employee violates an organization policy and as a result causes a care recipient to suffer actual injury. This violation could result in a __________________. 1. Program to rectify insufficient and/or ineffective cross training 2. Penalty to the employee for ignoring the policy and guideline handbook 3. Civil lawsuit for monetary damages in the care recipient's favor 4. Comprehensive paper trail to prove guilt

3.

Healthcare organizations are required by law to have a governing body that __________________. 1. Has authority assigned by the administrator 2. Reports directly to the administrator, with limited authority 3. Has ultimate authority and accountability for the organization's affairs 4. Is appointed by the administrator and serves in an advisory capacity

3.

Hospice care may include all of the following except __________________. 1. Pain management 2. Spiritual care 3. A curative approach 4. An interdisciplinary team

3.

If overall revenue declines and census remains stable, an important financial area to review would be __________________. 1. Balance depreciation 2. Asset allocation 3. Ancillary revenue 4. Interest income revenue

3.

If significant or repeat violations of Occupational Safety and Health Administration (OSHA) standards occur, the administrator will be subject to __________________. 1. License revocation 2. Imprisonment 3. Substantial fines 4. Mandatory training

3.

Most often a third party payer, such as Medicaid or a long-term insurer, will negotiate a lower rate for services rendered. The difference of funds that is uncollectables between the full charges and the amount that is actually paid by a third party payer is called __________________. 1. Expense allowances 2. Deductions from revenue 3. Contractual allowances 4. Revenue write-off

3.

The child of a terminally ill hospice care recipient brings in Power of Attorney paperwork and requests numerous changes to the care recipient's plan of care. The healthcare organization should __________________. 1. Consult with the medical director to see if the changes requested would impact the care recipient's status as a hospice care recipient 2. Ask the child to show the financial Power of Attorney paperwork since these changes may impact the cost of care 3. Determine if the care recipient can make competent decisions or if the care recipient has a living will to make wishes known 4. Seek guidance from the rest of the care recipient family to determine if the child representing the care recipient's wishes accurately

3.

The operating performance for a specific span of time is measured by the __________________. 1. Operating budget 2. Balance sheet 3. Statement of financial condition 4. Income statement

3.

The total number of employees in an organization is 120, and the number of employees who have already signed cards calling for an election in their healthcare organization to join the union is 20. How many additional employees would need to sign cards before the National Labor Relations Board (NLRB) could call for an election? 1. 10 2. 14 3. 16 4. 20

3.

Which of the following advance directives is commonly described as appointing someone to make decisions on a care recipient's behalf? 1. Do not resuscitate 2. Living will 3. Durable power of attorney 4. Plan of care

3.

Which of the following best describes a primary difference between a not-for-profit and a for-profit organization? 1. A for-profit organization may distribute profits to its shareholders* 2. A for-profit organization receives pledges as part of its revenue base 3. A not-for-profit organization may pay bonuses out of its profits 4. A not-for-profit organization need not record charitable contributions

3.

Which of the following is not a requirement of the long-term care ombudsman program? 1. Provide public agencies with information regarding problems of care recipients in healthcare organizations 2. Participate and observe the exit conference of a nursing healthcare organization survey 3. License administrators of long-term care to practice the responsibilities of their profession 4. Monitor, develop, and ensure implementation of laws governing long-term care

3.

Which of the following is the most important factor to ensure the effectiveness of an infection control program? 1. Appropriately communicate the infection control program results 2. Analyze the most prevalent infectious organisms 3. Monitor and investigate causes and potential spreading of infections 4. Obtain and analyze surveillance cultures

3.

Which of the following items should an administrator reference in order to determine if there are enough funds to purchase new equipment? 1. Current assets 2. Current liabilities 3. Working capital 4. Working revenue

3.

Which of the following styles of leadership involves the leader simply stating what needs to be accomplished and how it will be done? 1. Laissez-faire 2. Democratic 3. Autocratic 4. Proactive

3.

While many subjects are important in staff training, the subject that should be the number one priority is __________________. 1. Fire prevention and control 2. Prevention and control of infection 3. Care recipient rights 4. Confidentiality of care recipient information

3.

A care recipient with a history of falls at home is moving into a healthcare organization. The best practice regarding this care recipient is to __________________. 1. Reduce the lighting to avoid glare 2. Promise the care recipient's family that the care recipient will not fall 3. Wake the care recipient every three hours to provide bathroom assistance 4. Conduct regular comprehensive fall assessments

4.

A caregiver regularly comes in contact with a specific chemical. The employee could find out the hazards involved by looking at the __________________. 1. Infection control plan 2. Occupational and Safety Health Administration (OSHA) log 3. Preventive maintenance plan 4. Safety Data Sheet (SDS)

4.

A direct cost is __________________. 1. Allocated equally to all areas of the budget 2. Charged to a specific billing period 3. Documented by proper accounting procedures 4. Linked to a specific objective, responsibility, or function

4.

A document which sets forth basic rules and standards that govern employee and employer relations for the duration of a union contract is referred to as a/an __________________. 1. Employee-employer agreement 2. Union grievance procedure 3. National Labor Relations Board standard 4. Collective bargaining agreement

4.

A person appointed by the court who has legal responsibility and authority to make decisions for an incompetent person including property, money, and personal/healthcare decisions is called a/an __________________. 1. Advocate 2. Conservator 3. Administrator 4. Guardian

4.

A preventive maintenance program __________________. 1. Is unnecessary because equipment will breakdown with or without it 2. Is not needed as long as there is a good maintenance person 3. Allows a healthcare organization to spend more money on repairs 4. Lowers costs because problems are found and solved early

4.

An administrator observes food preparation and a meal delivery. During the food preparation, staff used antimicrobial gel each time they touched a solid or potentially contaminated surface. Given their hands were not visibly soiled, the administrator should __________________. 1. Ensure the alcohol content, as prescribed by the Food and Drug Administration (FDA), is high enough to ensure the gel is effective 2. Compliment the staff on preventing cross-contamination while preparing the food 3. Instruct staff they should be alternating between using antimicrobial gel and transitional hand washing 4. Immediately intervene as this is not an appropriate hand-washing technique

4.

An employee who believes that he or she has been discriminated against according to the Americans with Disabilities Act (ADA) must file a complaint with __________________. 1. Social Security Administration (SSA) 2. National Labor Relations Board (NLRB) 3. Occupational Safety and Health Administration (OSHA) 4. Equal Employment Opportunity Commission (EEOC)

4.

Because healthcare organizations can be held liable for the criminal acts of their employees, the Office of Inspector General (OIG) encourages the implementation of programs in __________________. 1. Employee education 2. Labor standards 3. Employee safety 4. Corporate compliance

4.

Consensus building works best when participants are __________________. 1. Limited in time 2. Electing a spokesperson 3. Following specific guidelines 4. Asked for input

4.

In a culture of person-centered care, why do staff encourage care recipients to do as much as possible for themselves? 1. Care recipients do not want to pay for the extra service 2. It provides more time for staff to spend building relationships with care recipients 3. Research suggests it is an effective management approach 4. Care recipients can retain maximum independence and functioning

4.

In a healthcare organization where staff is administering insulin to care recipients, the Occupational and Safety Health Administration (OSHA) requires that those staff __________________. 1. Be tested for Hepatitis B prior to administering insulin 2. Receive the Hepatitis B vaccine prior to administering insulin 3. Be involved in the selection of the syringes and needles used 4. Receive a minimum of one hour of infection-control training per year

4.

In order to be in compliance with the Immigration Reform and Control Act of 1986, an I-9 Form must be completed within what time period after the first date of employment? 1. 24 hours 2. 72 hours 3. 5 days 4. 90 days

4.

Mrs. J has completed a Do Not Resuscitate (DNR) form. A friend of hers comes to the office, upset that Mrs. J has chosen to have a DNR and asks for a copy of the DNR to discuss it with Mrs. J. The staff should __________________. 1. Not release the DNR because it cannot be changed once it has been signed 2. Call Mrs. J's physician to release the form to the visitor 3. Release the form so the friend can help Mrs. J understand the DNR 4. Not release the form because of confidentiality

4.

Respondeat superior is a legal term that means the healthcare organization __________________. 1. Must perform employee evaluations annually 2. Must respond to employee labor inquiries 3. Is responsible for providing employee liability protection 4. Is responsible for employee work errors while the employee is on duty

4.

Safety Data Sheets (SDS) for products no longer being used in the healthcare organization must be kept in a separate binder for how many years? 1. 5 2. 10 3. 20 4. 30

4.

The current ratio is also known as the __________________. 1. Contemporary ratio 2. Acid test ratio 3. Quick ratio 4. Working capital ratio

4.

The purpose of the Occupational Safety and Health Act (OSHA) of 1970 is to __________________. 1. Define the rights of both employees and employers, encourage collective bargaining, and eliminate certain harmful labor practices 2. Present recommendations to employers relating safe and healthful working conditions for every worker in the United States 3. Create policies and procedures for facilities with regard to employee/employer health concerns 4. Provide each employee with a safe workplace free from recognized hazards

4.

The required elements of a comprehensive care plan include __________________. 1. Measurable goals, a specific approach, and care recipient preference 2. Measurable goals, a specific approach, and responsible discipline 3. Care recipient preference, a specific approach, and responsible discipline 4. Care recipient preference, measurable goals, and responsible discipline

4.

The term standard precautions means __________________. 1. Ensuring the complete removal of blood from surfaces 2. Requiring the use of biohazard liners in all trash bins 3. Using gloves for all service deliveries 4. Treating all body fluids as potentially infectious

4.

When determining an employer's liability for the acts of employees, it is important to ascertain __________________. 1. Personal liability 2. Civil liability 3. Qualified opinions 4. Scope of employment

4.

When negotiating contracts with outside vendors or consultants for professional services, contracts are not required to __________________. 1. Spell out the terms of the contract 2. Be in writing and be signed by all parties 3. Include compensation for services rendered 4. Contain a mutual indemnity clause

4.