AL 24 Hour Final Exam

Which of the following is not a home health service?

A medical or psychological assessment.
Wound care, medication teaching.
Pain management
Disease encouragement

What does the acronym DADS refer to?

The Texas Department of Agility and Disability Services
The Texas Department of Aging and Debilitating Services
The Texas Department of Aging and Disability Services
None of the answers are correct.

Which of the following is a Personal Assistance Service?

A medical or psychological assessment.
Wound care, medication teaching.
Pain management
Disease encouragement.

When does a change of ownership occur?

There is a change of 50% (or more) of the ownership of the business as an LLC. Partnership, Sole Proprietor, etc.) that is licensed to operate the agency.
There is a change in the federal taxpayer identification number of the business entity.
There is a change of 50% (or more) of the ownership of the business as a Partnership, Sole Proprietor, etc.) that is licensed to operate the agency.
All of the above

DADS may ________________ a license application.

Deny
Revoke
Suspend
All of the above

What is not required when preparing a home health agency organizational structure?

The administrator's social security number
The services provided
The advisory
The interdisciplinary team

Where must a licensed agency place their license in their physical location?

Anywhere they want
In the break room
Subtly near the restrooms
Conspicuously in an area where clients can view the license.

In how many days must an agency notify DADS when there is a change if federal/state certification or accreditation?

5 days
7 days
10 days
30 days

When an agency wants to add a service to their approved services, how long does DADS have to respond to the request?

30 days
20 days
10 days
it is not necessary

What is defined as a written and detailed plan regarding the company’s committed goals?

The end of life care plan
The Administrator Prototype
The Franchise Plan
The Franchise Prototype

An agency’s employee must have a personnel record that includes all of the following except?

A signed job description and qualifications for each position accepted.
An application for employment or volunteer agreement.
Verification of license, permits, references, job experience, and educational requirements as needed.
Performance waivers

Criminal background checks must include which Texas registry?

The Nurse Aide Registry.
The Employee Conduct Registry.
The Employee Misconduct Registry.
Both A and C.

The agency must immediately discharge an unlicensed employee whose duties might or do include face-to-face contact with a client when an agency is notified which of the following?

That the employee is designated in the NAR as unemployable.
That the employee’s criminal history check reveals the conviction of a crime that bars employment or the agency has determined the conviction is a contraindication to employment.
That the employee is designated in the EMR as unemployable.
All of the answers.

An agency must have a well-thought-out written policy for reporting all of the following except?

Neglect
A drama queen family member
Abuse
Exploitation

A written emergency plan must include a continuity of operations business plan that addresses which of the following?

Critical Personnel
Financial Needs
Essential Functions
All of the above

What is defined as the failure to provide food, clothing, and shelter to a child?

Abuse
Neglect
Exploitation
Being mean

What is included in an Initial Assessment?

Psychiatric nursing procedures.
Patient and caregiver teaching relating to disease processes or procedures.
Care planning.
All of the above

In advance of furnishing care to a client or, during the initial evaluation visit before the initiation of treatment, an agency must provide each client or his or her legal representative with what?

A written notice of all policies governing a client’s conduct.
A written notice of all policies governing a client’s responsibility as well as the client’s rights.
A written notice of all policies governing a client’s conduct and responsibility as well as the client’s rights.
all of the above

When must the agency provide its written policy for the implementation of an advanced directive?

When death is immediate
When service change
At admission
all of the above

What does the acronym PAS refer to?

Personal Assistant Standards
Professional Assistant Standards
Personal Assistant Services
Professional Assistant Services

What must be included in a written policy to the client regarding their responsibility and conduct?

A grievance method
The agency’s attorney direct line
A call button to the nurse’s home
all of the above

A branch office of an agency will always?

Have a parent agency
A different address
Remain compliant with Texas law
All of the above

An agency is only required to accept a client if:

There is a realistic expectation that the client’s necessities can be adequately met in the client's residence.
The client’s care and services can be taken care of in a reasonable amount of time.
Both A and B
Neither A nor B

When an unlicensed employee provides licensed home health services for an agency, what is required?

Have demonstrated competence in the task assigned when competency cannot be determined through education and experience.
Be at least 18 years of age.
If the personnel member is under 18 years of age, be a high school graduate or currently enrolled in a vocational education program.
All of the above

An unlicensed employee must meet all of the following except?

The individual qualifies as a home health aide.
The individual is a licensed health care provider.
Individuals must have been working as a home health agency employee or completed a training program within the past 1 year.
Individuals must have been working as a home health agency employee or completed a training program within the past 2 years.

The medical director at a hospice must be which of the following?

Be a hospice employee, an independent contractor, or a volunteer.
Be a Doctor of Medicine or Osteopathy that holds a valid, active license in the State of Texas.
Prepared to assume the responsibility for the medical component of the hospice's client care program.
All of the above

How often does DADS survey an agency after the initial survey?

6 months
1 year
1.5 years
3 years

Which of the following is a valid exemption from the survey requirements?

If the agency pays an exemption fee
If the medical director is also an attorney
If the agency has been accredited
All of the above

How must an agency cooperate with a surveyor?

By not interfering
By providing full access to agency records
Make copies of all documents, as needed
All of the answers

If a surveyor arrives during regular business hours and the agency is closed, an administrator, (or designees) must provide the surveyor entry to the agency within how many hours?

1 hour
2 hours
3 hours
4 hours

The official written notification of the survey results includes which of the following –

Statements of violations
Instructions for remediation
An informal review of agency service deficiencies
All of the above

The training portion of the Home Health Aides’ competency evaluation program must include a minimum number of hours equal to?

55 hours
65 hours
75 hours
95 hours

What does the acronym LVN refer to?

Licensed Virtual Nurse
Legal Vocation Nurse
Legal Vocational Nurse
All of the above

A person who is not licensed to provide hospice services may not use the word ___________ in a title or description of a facility, organization, program, service provider, or services.

Licensed
Hospice
Certified
Accredited

How quickly must a Registered Nurse provide the initial assessment of the hospice client?

Within 12 hours
Within 24 hours
Within 36 hours
Within 48 hours

What must a client’s initial assessment include?

Physical condition
Psychosocial condition
Emotional state
All of the above

Who must complete a comprehensive assessment within 5 days of the hospice care election?

The Interdisciplinary Team
The home health aide
The supervising nurse
The nursing staff

Each comprehensive update of the comprehensive assessment must include all of the following except?

Changes that have taken place since the initial assessment.
Complaints against family members of the client.
Information on the client's progress toward desired outcomes.
A reassessment of the client's response to care.

Which of the following must be a member of an Interdisciplinary Team?

The home health volunteer.
A Registered Nurse (RN).
A social worker.
A pastoral or another counselor.

Who prepares the client’s written plan of care?

The medical administrator with the supervising nurse
The RN with the attending physician
The Interdisciplinary Team
The RN with the client’s family input

A hospice must deliver all of the following services except?

Physician Services
Nursing Services
Medical Social Services
Counseling Services

Which of the following must a hospice make available every day, all day?

Nursing services
Physician services
Drugs and biologicals
All of the above

A licensed person providing hospice services directly or under contract must do all of the following except-

Actively participate in the coordination of all aspects of a client's hospice care
Participate in the hospice's quality assessment and performance improvement program
Participate in decorating all agency parties
Actively participate in hospice-sponsored in-service training

An agency infection control program includes all of the following except?

To identify infectious and communicable disease problems.
To implement the appropriate actions expected to improve and prevent disease.
Neither A nor B
Both A and B

All independent contractor and arranged services must be acknowledged by?

Both parties simultaneously and orally
Memorialized in a written contract
By a handshake of both company owners
All of the above

If the client’s life expectancy is six months or less, the medical director must consider which of the following?

The primary terminal condition and related diagnoses, if any.
Current subjective and objective medical findings.
Information about the medical management of any of the client's conditions unrelated to the terminal illness.
All of the answers are correct.

A discharge summary (should a client decide to leave hospice care) must include all of the following except?

A summary of the client's stay.
The client's oldest recent physician orders.
Any other documentation needed to assist in post-discharge continuity of care or requested by the attending practitioner or agency.
All of the above

For continuous communication, it is critical for the agency to have a list of all of the following except?

Client family members
Local shelters
Prearranged receiving facilities
All of the above

What Texas web-based system replaced FIVES – Facility Information, Vacancy, & Evacuation Status?

MRESOURCE
EMResource
REM Resource
ENResource

The CMS Life Safety Code includes all of the following except?

Describe the criteria to be used to decide whether to shelter in place or to evacuate.
Include procedures to assess whether the building is strong enough to withstand the various types of possible disasters and to identify the safest areas of the building.
Include procedures to secure the building against damage.
Avoid procedures to provide for building security, it is important to leave it to the professionals.

The study of ethics seeks to:

Tell you what is right or wrong
Identify how we make moral choices
Both A and B
Neither A or B

What is tasked with creating and enforcing a code of ethics for professionals?

The employee
The supervisor
Professional Organizations
The State Attorney General

How many duties are defines by one’s ethical obligations

4
5
7
9

Values are:

Ideals
Themes
Concepts
All of the above

If a patient\’s rights have been violated and no action has been taken, what is your next step?

Quit
Call the Attorney General
Call the General Counsel for the Medical Facility
Call an outside regulatory oversight agency

When did the medical model emphasis change to the current model that advocates for patient autonomy?

The 1950s
The 1960s
The 1970s
The 1980s

Professional licensing boards protect the health, safety, and welfare of the public from whom?

Unethical professionals
Fraudulent professionals
Professionals with integrity
Both A and B

What happens when ethical conflicts are left unchecked?

The organization runs smoothly
Individual units dovetail and work in-sync with one another
Both A and B
The problems grow larger and infiltrate the organization from within.

A code of conduct addresses which of the following?

Equal employment opportunities
Discrimination
Bullying
All of the above

The Better Business Bureau\’s survey revealed what percentage of test-takers/workers has been distracted by the consequences of poor ethical decisions?

Equal employment opportunities
Discrimination
Bullying
All of the above

The Better Business Bureau\’s survey revealed what percentage of test-takers/workers has been distracted by the consequences of poor ethical decisions?

26%
36%
46%
56%

Managerial ethics help guide:

Internal practices
Decision-making processes
Both A and B
Neither A or B

Public images are the result of many factors. Which does not impact a public image?

Environmental policies.
How they treat their employees.
How they cooperate and contribute to the community it serves.
The color of the executive's lounge.

What represents how the general public perceives a company or organizations?

The code of conduct
The code of ethics
The public image
None of these answers are correct.

When a clinician makes a home visit which of the following would require further judgment of their patient\’s competence?

Memory issues
Hazardous conditions
Improper safety features
All of the above

Which of the following is NOT included in a business plan?

A market analysis
Financial projections
Your general counsel's CV
An executive sumamry

Which is true of effective managers?

They rule with an iron fist
They act as mentors to encourage employee development
They set attainable goals for their employees
Both B and C

What defines an effective decision maker?

The ability to resolve conflict quickly
The ability to implement solutions as needed
The ability to allocate resources appropriately
All of the answers are correct

Which of the following Human Resources tasks is NOT required of an effective manager?

Training employees
Fraternizing with employees
Recruiting employees
Mentoring employees

Which law prohibits the use of any discrimination activity in the workplace?

Fair Housing
Frank-Dodd Act
The Real Estate Settlement Procedures Act (RESPA)
Equal Employment Opportunity (EEO)

What is the result of setting unattainable goals for employees?

Increasing employee motivation due to success
Decreasing employee motivation due to frustration
Rising productivity
Increasing employee morale

Which of the following is a role of an effective manager?

The informer
The relator
The decision-maker
All of the above

Which of the following is not a human resource role of the effective manager?

Deprecating employees
Mentoring employees
Firing employees
Hiring employees

What is a company’s greatest asset?

Its owners
Its technology
Its employees
Its reputation

What type of business loan is an ACH loan?

A credit-based loan
A revenue-based loan
An income-based loan
A clearinghouse loan

What is defined as the steps designed to set forth a company in the right direction?

A mission Statement
A Value-Added statement
A Vision statement
A SMART Goal

A decision-maker is:

A conflict identifier
A conflict resolver
A critical thinker
All of the above

A manager must be capable of professionally guiding their employees:

to optimal productivity while complying with company goals.
to optimal productivity while meeting personal objectives.
to mitigate productivity while complying with company goals.
All of the answers are correct.

What is defined as the illegal or the improper act of a caretaker, family member, or any other individual, and chooses to misuse the resources of the elderly person for monetary or personal benefit?

Neglect
Exploitation
Abuse
All of the above

According to the National Center on Elder Abuse, what percentage of the total American population will include senior citizens in the year 2050?

3%
13%
23%
33%

The elders who remain at the greatest risk include all of the following except:

Disabled
Mentally prepared
Depressed
Frail

Which of the following is a sign of elder physical abuse?

Physical assaults
Inappropriate use of drugs
Inappropriate use of confinement
All of the above

Which of the following is not considered a sign of emotional abuse?

Neglect/rejection
Integration
Abusive, unreasonable expectations (demands, criticism)
Ignoring & denying (refusing to listen or to understand the feelings)

With regard to the Rights of the Elderly, which of the following is considered a service provider?

Adult daycare
Foster care
Alternative care
All of the above

An elderly individual has the right to make his or her own choice regarding which of the following except?

Their personal affairs
Their care
Their benefits and services
All of the above

What documents a person’s preferences regarding the use of life-prolonging measures toward end of life care?

A will
One's diary
A living will
This cannot be done

Which is not one of the professionals who partner with Adult Protection Services?

Hospital intake workers
Nurses
Doctors
Firefighters

Reporting suspected elder abuse is a considered what type of process?

An Evidentiary process
A Non-investigative process
A Confidential process
All of the above

True or False? The trauma and anxiety sustained from a past fall can interfere with a patient’s confidence and put them at an increased risk of future falls.

True.
False.

The following are all risk factors for a fall EXCEPT:

Lighting
Home Organization
Person's age
Medications
Person's height

True or False? One use a risk assessment tool is to provide baseline measure of patient-specific areas of risk.

True.
False.

When doing rounds we should keep in mind the 5ps of rounds which include:

Pain
Personal needs
Position
Placement
Prevent falls
All of the above

True or false? Identifying patients with high risk of fall allows the targeting of preventive interventions to the correct patients.

True.
False.

The CDC STEADI initiative focuses on promoting safe independence among the elderly and it consists of the following three core elements:

Screen, Assess, Inform
Screen, Admit, Inform
Screen, Assess, Teach
Screen, Assess, Intervene

True or false? The role of a multi-disciplinary team of care providers is to assess different factors that can either individually or in conjunction contribute to the patient’s risk of falling.

True.
False

True or False? The good Samaritan law protects bystanders in most states from being sued for performing necessary first aid.

True.
False.

FAST is an acronym for:

Face drooping, arm weakness, Slurred speech, Talk
Face drooping, Arm weakness, Sight , Time to call EMS
Face drooping, Alert, slurred speech, Time to call EMS
Face drooping, Arm weakness, Slurred speech, Time to call EMS

The symptoms of low blood sugar include:

Dizziness
Thirst
Weakness
Loss of consciousness
All of the above

True or False? RICE is an acronym used to care for injury and it stands for Rest, Ice, Compress and Elevate the injured body part.

True
False

True or False? In case of a head or neck injury it is advised to move the person’ s head around to check for signs of injuries.

True.
False.

Who is at more risk for Alzheimer’s?

Persons under 65 years of age
Caucasians
Women
Persons of Asian heritage

A nonmodifiable risk factor for Alzheimer’s includes:

Hypertension
Family history
Diabetes
Dietary habits

Alzheimer’s attacks which part of the brain first?

Brainstem
Frontal lobe
Hippocampus
Medulla

Behavioral triggers in Alzheimer’s include:

Environmental
Physical
Social
All of the above

A way to reduce stress in an individual with Alzheimer’s includes:

Reminiscence
Memory cafes
Educational brochures
Life review therapy

Dementia can be caused by:

Dyslexia
Nutritional disorder
Limited education
Multiple sclerosis

True or False? There are three main types of oxygen containers used for oxygen therapy.

True.
False.

Which of the following is NOT an acceptable way to clean oxygen therapy equipment?

Spray off or submerge the oxygen cylinder.
Use a damp cloth and mild dish soap to wipe the outside of the cylinder, dry with a clean cloth.
Ensure every outlet to the equipment is unplugged before starting to clean it.
Change the nasal cannula at least once a month or whenever the patient gets sick.

Which of the following is the definition for Hypoxia?

Hypoxia happens when a person inhales too much molecular oxygen over a long period of time.
Hypoxia happens when the blood the body (generalized) or an organ (localized) is deprived of oxygen for a period of time.
Hypoxia is a manufacturer of oxygen tanks.
Hypoxia occurs when a patient's lungs are inflamed.

True or false? All airlines allow personal oxygen tanks on board.

True.
False.

Accounting professionals operate from a(n) _______________ financial perspective.

Aggressive
Neutral
Conservative
None of the above

Which of the following are valid accounting systems?

Credit Card Processing Basis
Cash Basis
Accrual Basis
Both B and C

The accrual accounting method seeks to match the components of each transaction. Revenue would be matched with?

Profits
Depreciation
Budgeting
Expenses

Property, cash, inventory and equipment are examples of?

Liabilities
Assets
Revenue
Equity

Essentially, a budget is the same as a?

A financial tool
A control technique
Both A and B
Neither A nor B

Examples of a long-term facilities revenue sources includes all of the following EXCEPT?

Medicaid
Medicare
Self-Insurers
All of the above

Which of the following is not a valid financial statement?

Cash Through Statements
Cash Flow Statements
Balance Sheets
Income Statements

A balance sheet requires that the assets listed be equal to which of the following?

Liabilities
Shareholder's equity
Cash on hand
Both A and B

Which of the following is NOT a valid partnership entity arrangement?

A Joint Venture
A Non-limited Partnership
A Limited Partnership
A Limited Liability Partnership

A contract is an agreement that can be made:

In writing
Orally
Both A and B
By an attorney only

AL 24 Hour Final Exam

Shae

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