NORTH CAROLINA ASSISTED LIVING ASSOCIATION
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1 Administrator Certification Test: Module 3 CIRCLE THE ANSWER Select the one correct answer by circling the letter of the one correct statement. 1. State regulators have the power to: a. Award or deny a new license, issue a conditional license during a probationary period b. Renew an existing license or deny a license renewal, issue a full license for a specified time. 2. Managed risk is defined as: a. Allowing a family to make choices about their loved one s care or lifestyle that carry risks, but are necessary for the resident s well being b. The ability for the individual to remain in one environment as she grows older and her needs change c. Allowing the residents to make choices about her care or lifestyle, which carry risks 3. A corporation is the most common form of a business entity. This means that a corporation is: a. Legally owned by two or more people, either privately or publicly held, cannot own property, can be party to lawsuit b. Incorporated under the laws of one of the states, either privately or publicly held, can own property, is separate from its owners 4. If your residence has violated a rule or law, the licensing agency will: a. Notify you of a formal hearing b. Notify you of the proposed disciplinary action c. Issue you a conditional license d. Both a and c 5. Under OBRA, long-term care facilities must provide care and services that either maintain or improve each resident s quality of: a. Life b. Health c. Safety 6. Your assisted living residence must make reasonable accommodation of policies, procedures, and services so that all residents have equal opportunity to use the residence. This is in accordance with the federal initiative: a. OSHA b. NFPA c. ADA d. Fair Housing Act
2 7. As part of the Social Security Act, the federal government enacted two reimbursement programs: a. Social Security Benefits and Workers Compensation b. Medicaid and Medicare c. DREs and RUGs payment 8. The following was established to improve medical care for people with limited financial resources: a. Medicare Part B b. Medicaid c. Medicare Part C 9. Discussing a resident s condition with a visiting relative may be a violation of. a. Right to Privacy Act of 1996 b. HIPAA c. Sarbanes-Oxley Act 10. An example of persevering a resident s dignity during dining service is: a. Telling the resident what time of day has been selected for the evening meal. b. Encouraging the resident to try different foods. c. Placing a napkin on the resident to prevent spills on his or her clothing. d. Cutting the resident s meat for her before bringing it to the table. 11. The executive director s role in dining and food service is to: a. Order a regular or therapeutic diet for each individual resident b. Plan menus in accordance with regulations c. Ensure that the residence can provide specific prescribed diets d. Develop an individualized care plan for the residents diets 12. Key topics for training food service staff include: a. Importance of nutrition b. Residents rights c. An overview of aging 13. Train your staff to assist the memory-impaired resident at mealtime by: a. Allowing the resident a set amount of time to finish her meal b. Encouraging the resident who is resistant to eating by placing a small amount of food in her mouth c. Not socializing with the confused resident while she is eating d. Allowing agitated residents to eat alone
3 14. The food directors should meet with the residence care director to update the resident dietary profile: a. Weekly b. Monthly c. Quarterly d. Yearly 15. One benefit of a restaurant service delivery style is: a. It requires less staff b. Residents who wander can be accommodated with finger food c. It is useful for theme dinners d. It is easier to accommodate special diets 16. The direct or monthly method for tracking food costs: a. Is a system whereby all costs are totaled from receiving invoices b. An inventory is done on the last day of the month c. The inventory is priced and compared to the inventory of the preceding month 17. When cleaning the dining room table, first: a. Clear from the resident s right side b. Wash your hands c. Wear gloves d. Ask the resident if she is finished eating 18. Proper food handling and hygiene will reduce the risk of: a. Salmonella b. E. coli c. Foodborne illness d. Campylobacter 19. Why use cleaning schedules? a. Ensures that federal and state sanitation laws are being adhered to b. You are getting the most from your food service staff c. The required equipment cleaning is being done d. Both a and c 20. Which of the following is a purpose of the maintenance program: a. Resident and employee safety b. Cost control c. Facility image and marketing
4 21. The following regulatory agency affects physical plant maintenance by protecting employees from hazards and unsafe equipment: a. ADA b. NFPA c. OSHA 22. The term risk management is defined as: a. The process of analyzing an incident of unusual occurrence b. The process of evaluating an injury while working c. The process of identifying a claim made to your insurance company d. The process of identifying, analyzing, and evaluating risks that may result in a loss. 23. Which agency requires every workplace to develop an emergency and disaster plan? a. ADA b. NFPA c. OSHA 24. The role of the executive director during severe weather is to: a. Call all staff members to assemble in a designated area b. Oversee the completion of delegated preparation responsibilities c. Contact food service personnel to prepare for emergency food service d. Ensure that sufficient food and water is available 25. During a fire the executive director should a. Meet the fire department and give the status of the fire b. Turn off all kitchen equipment c. Notify all staff of the fire 26. The executive director needs to ensure that your residence has emergency and disaster procedures. The procedures should be: a. Up-to-date and in an accessible place b. A part of staff training c. Developed by the local fire and rescue authorities d. Both a and b 27. Supporting family members can be accomplished by: a. Validating their feelings b. Sheltering families from learning of a loved one s decline
5 28. Official (by Federal mandate) purpose is to act as an advocate for residents: a. Executive director b. Ombudsman c. Caregivers 29. Building community with families increases: a. Communication of issues and concerns b. The understanding of their loved one s needs c. The appropriate involvement in decision-making 30. Responding to a crisis involves: a. Enlist your response team b. Notify the appropriate people c. Uncovering the communication issue 31. The resident council serves to: a. Empower residents to make decisions b. Provide a place for residents to vent c. Gather feedback on employees 32. In addition to cleaning and maintenance supplies, the housekeeping staff should be responsible for: a. Cooperating with other team members b. Communicating with residents in a friendly and discreet manner. c. Observing and reporting any changes in residents behavior, habits, or capabilities. 33. A grievance procedure is: a. Any violation of resident rights b. Required by law c. Steps taken to report real or imaginary wrong doing d. Both b and c 34. The tool used for conducting a Marketplace Awareness study is: a. Face-to-face interviews with professionals in the community and questionnaires b. Worksheets and telephone c. Mystery shopping and telephone d. Mystery shopping and worksheets
6 35. A Competitive Analysis is dependent on what is happening in the market and includes which of the following: a. Service Review of Competitors b. Food Service Review of Competitors c. Staffing Review of Competitors d. Landscaping Review of Competitors 36. Dissatisfied customers will: a. Tell at least 9 other people about their negative experience b. Never mention their negative experience to anyone c. Arrange a meeting to discuss their experience with everyone involved 37. Writing specific and measurable marketing goals: a. Represents the big picture b. Are dependent on what else is happening in the market c. Are determined by the result of your competitive analysis d. Support the overall census and revenue growth objective for your residence 38. Accurate accounting practices will help minimize the risk of (name 3): 39. Segregation of duties a. Divides accounting tasks b. Creates a system of checks and balances c. Segregates accounting duties to the bookkeeper d. Both a and b 40. The terms of a loan given by lenders: a. Liabilities b. Debt service c. GAAP standards d. Covenants 41. Accrual-based accounting may be defined as: a. Revenue recorded in the period earned, not received b. Expenses recorded during the period they occurred, not paid
7 COLUMN ONE COLUMN TWO 42. Capital leases a. A legal obligation to pay someone else 43. Amortization b. Multi-year plan 44. Revenues c. Amount that has been earned 45. Accounts payable d. Financing method 46. Capital budget e. Debt service or interest paid 47. As part of the Executive Director s role in the accounting system of the building, it is important to understand the revenue cycle because: a. The monthly bill may create the only correspondence with the resident s family b. The Executive Director has no other hands-on responsibility for accounting system c. It is not important for the Executive Director to understand the revenue cycle 48. When creating an operating budget, the executive director: a. Works with owners to negotiate general revenue and profit targets for the coming year b. Works with department heads to develop marketing and pricing plans c. Conducts market surveys with department heads 49. An analysis of variance and accruals can help: a. Revise preliminary profit and loss b. Identify missed information c. Analyze cash flow 50. The County DSS employees answer directly to DHSR: True False 51. As a provider member of NCALA, it is important to regularly watch the NCALA Web site for updates on: a. Training opportunities and the annual Fall Conference & Trade Show b. Regulatory Updates c. Industry News 52. ALFA is the national organization of which NCALA is a member. True False
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