National Nursing Home Administrator Exam Review - Exam 3

A vocabulary-style practice flashcard set covering regulations, food safety, medical conditions, and financial terms for nursing home administration.

Operant Conditioning

A method that uses rewards to shape specific employee behaviors.

FLSA

The Fair Labor Standards Act, which requires employers to document employee performance.

In-services

All further training sessions in a nursing home that occur after initial orientation.

Specialized rehabilitative services

Services including physical therapy, speech language therapy, and occupational therapy; restorative nursing is specifically excluded from this category.

Consultant pharmacist

The individual responsible for determining if drug records are in order and for reviewing each resident’s drug regimen monthly.

Market audit

The first step in formulating a marketing strategy.

Salmonella

A type of bacteria commonly found in chicken.

Improper holding temperature

The most common contributing factor for food-borne illness.

Hot food storage temperature

Hot foods should leave the kitchen at $135^{\circ}F$.

Cold food storage temperature

Cold foods should be kept at $41^{\circ}F$ and below.

Freezer temperature

The temperature at which the freezer should be set, which is $0^{\circ}F$.

Dry food storage height

Food should be stored $6\,\text{inches}$ off the floor.

Three-compartment sink

A sink with compartments for washing, rinsing, and sanitizing.

Hot water dishwasher temperatures

A system using a wash cycle at $150^{\circ}F$ and a final rinse cycle at $180^{\circ}F$.

Low temperature dishwasher

A dishwasher that uses hot water at $120^{\circ}F$ and $50\,\text{PPM}$ of bleach.

Governing body

The entity that has the authority to make critical decisions regarding the operation of a facility.

Civil laws

Laws that focus on torts and disputes between private individuals.

OSHA

The Occupational Safety and Health Administration, which protects U.S. worker health and safety in the workplace.

Safety committee

A facility committee that must meet at least monthly to discuss unsafe practices and analyze reports.

Lockout/Tag out Program

A program that protects workers from injury from unexpected hazardous energy discharge by using energy isolating devices.

OSHA Log 300A

The form used by employers to post the year-end summary of illnesses and injuries.

Social Services

The department that helps residents adjust to facility life and provides counseling for psychosocial and financial issues.

Norms

Specific standards of behavior.

Discipline

Any action taken by a facility to punish or penalize residents.

Physical restraint

A manual method, physical method, or mechanical device attached to a resident’s body that restricts movement.

Advanced directive

Written instructions relating to the provision of health care when an individual is incapacitated.

Glaucoma

An eye condition where fluid causes increased pressure, potentially damaging the optic nerve.

Cataract

An eye condition where a thin layer of tissue covers the lens of the eye, causing vision problems.

Macular Degeneration

An eye condition where the macula is damaged, causing loss of vision in the central field of vision.

Tuberculosis

A respiratory condition where bacteria damage the functional ability of the lungs.

Bronchitis

A respiratory condition where bronchial tubes are irritated and produce large amounts of mucus and a cough.

Asthma

A respiratory condition where the bronchial tubes constrict, causing difficulty breathing.

Emphysema

A respiratory condition where lung tissue loses elasticity and the lungs cannot properly expand and deflate.

COPD

Stands for Chronic obstructive pulmonary disease.

PASRR

Stands for Pre-Admission Screening and Resident Review, used to determine services for individuals with mental retardation.

Congestive heart failure

A condition where fluid builds up in the heart muscle and the lungs.

Incontinence

The inability to control the bowel and bladder.

Validation therapy

A technique that works best with residents who are severely demented.

Reality therapy

A technique that works best for residents exhibiting signs of senile dementia.

Range of Motion (ROM)

Exercises provided by nursing aides involving resident walking and limb movement.

Fixed Expense

An expense that does not change with the census, such as the administrator’s salary.

Variable Expense

An expense that changes with the census, such as food and medical supplies.

Balance sheet

A financial statement used to determine the net worth of the facility.

Journals

The books of original entry in accounting.

Accrual basis of accounting

An accounting system where transactions are recorded when they actually occur.

NPO

Stands for Nothing by mouth.

Title 19

Refers to Medicaid, the medical assistance program based on financial need.

Taft Hartley Act

A law stating the only thing a manager may do regarding a union is express their personal view about the benefits of a union to their workers.

PILER

A financial mnemonic standing for Profit, Income, Loss, Expenses, and Revenue.

LANCE

A financial mnemonic standing for Liabilities, Assets, Net worth, Capital, and Equity.