









Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Federal Nursing Home Administrator Exam
Typology: Exams
1 / 17
This page cannot be seen from the preview
Don't miss anything!










100 sq ft in private room window to outside
The two often have edges of distinction blurred
The nurse newly promoted to director of nurses (DON) insist on giving four RN hours of patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator should - CORRECT ANSWER ✔✔✔ Seek a new DON The applicant for the administrator position in a facility near a larger teaching hospital who insists that, if hired, as before with his rural facility, he would not let Medicare reimbursement policies affect his case mix - CORRECT ANSWER ✔✔✔ Is out of touch The newly hired assistant to the administrator insists the organizational chart line btw his position and the Department of Nursing be a solid line. The administrator should - CORRECT ANSWER ✔✔✔ Be forwarned The medical supplies provider tells the administrator of the facility that has not paid bills the past 3 months, but is now operating under bankruptcy juge's approved plan for restructuring, that no more deliveries will be made until past bills are fully paid. The medical supply provider - CORRECT ANSWER ✔✔✔ does not understand how bankruptsy works An administrator who adopts the management-by-walking-around (MBWA) approach by walking through the facility and intently observing weekly has - CORRECT ANSWER ✔✔✔ Failed to understand MBWA Management-by-walking-around (MBWA) - CORRECT ANSWER ✔✔✔ style of business management which involves managers wandering around, in an unstructured manner, through the workplace(s), at random, to check with employees, or equipment, about the staus of ongoing work The nursing home administrator who, using the management-by-walking-around (MBWA) technique, succeeds in atually making appropriate corrections on the spot during his rounds - CORRECT ANSWER ✔✔✔ Doesnt understand (MBWA) The applicant for administrator of the facility insist that he has succcessfuly used democrate leadership to the exclusion of all other leadership styles. The intervier should - CORRECT ANSWER ✔✔✔ continue to interview candidates The candidate for administrator said she used a variety of administrative styles, but could't say exactly which she would use in every circumstance. The interviewer should be - CORRECT ANSWER ✔✔✔ favorable impress The candidate for administrator indicated that she consistently choose the charismatic style of leadership. This should __________the interviewer. - CORRECT ANSWER ✔✔✔ Alert The cost of providing subacute care to nursing home residents _________ - CORRECT ANSWER ✔✔✔ Is perhaps triple that of more typical patient The nurse supervisor who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the nurses that only formal communications were to be allowed in the nursing department. The administrator should - CORRECT ANSWER ✔✔✔ Anticipate problems
The department head was not surprised to learn that the employee had only heard his positive comments to the employee and ignored his criticism. The department head's grasp of the communicationn process is - CORRECT ANSWER ✔✔✔ Appropriate The administrator routinely accepted as his nearly exclusive information source the director of nursing's positive reports on how nursing was going well. The administrator is - CORRECT ANSWER ✔✔✔ Placing him at risk Periodic shortage of nurses available for nursing home employment _________ - CORRECT ANSWER ✔✔✔ Is likely to remain for the foreseeable future Congress and the Federal rule makers behave as if the facility will run successfully if congress and CMS can write enough rules. They are - CORRECT ANSWER ✔✔✔ Incorrect When the administrator notices the DON seeks to turn many duties as possible over to housekeeping, the administrator should conclude that the DON is - CORRECT ANSWER ✔✔✔ Behaving normally The administrator insist that a timely copy of all reports generated within the facility come across her desk before anyone signs them. The administrator is _______ - CORRECT ANSWER ✔✔✔ Not rationalizing her managemnt information system The administrator notices that incident reports are being insufficiently filled out, but does nothing, believing that the situation will likely correct itself. The administrator is ______ - CORRECT ANSWER ✔✔✔ Failing to control effectively Corporate sends a directive its flagship facility administrator, directing the administrator's attention more towards outcome of resident care than cost of resident care during the coming 12 months. Corporate is more concerned with __________than with _________. - CORRECT ANSWER ✔✔✔ Effectiveness/efficiency The long term care sector receiving increased funding and attention from the federal government is the ________________. - CORRECT ANSWER ✔✔✔ Home health care sector The concept that nursing homes should be reimbursed by states for their actual costs was part of the _______ - CORRECT ANSWER ✔✔✔ Hatch Amendment The intense health care cost-shifting efforts among providers such as Medicare, Medicaid and local governments is _____________ - CORRECT ANSWER ✔✔✔ Likely to continue Worried about the level of actual resident care being achieved in the facility, the administrator directs the nurses to spend less time charting and more time focusing on the effeciveness of care being given to residents. The likely result will be ________
The administrator who conducts a national serch for a director of nursing position and interviews 20 candidates from 7 different surrounding states by phone is engaged inthe managerial function of ______ - CORRECT ANSWER ✔✔✔ Staffing In the end, it can be said that the administrator's responsiblity to meet resident care needs and facility needs ae ______ - CORRECT ANSWER ✔✔✔ Both are equal Superior performance depends on taking exceptional care of residents via superior service and _____ - CORRECT ANSWER ✔✔✔ Constant innovations Superior performance for a nursing facility comes through __ - CORRECT ANSWER ✔✔✔ Innovation in ways to serve residents The supeb nursingb facility is supurb by virtue of its ____ - CORRECT ANSWER ✔✔✔ Success in serving the residents Answering the phones and resident call bells with common courtesy and doing things that work are examples of ______ - CORRECT ANSWER ✔✔✔ A blind flash of the obvious Giving every employee the space to innovate at least a little; listening to residents and acting on their ideas; and wandering around with residents, staff, and suppliers are examples of the different-to-achieve ________ - CORRECT ANSWER ✔✔✔ Common sense, obvious In a facility of 120 beds, the administrator ____personally performs each of the management tasks. - CORRECT ANSWER ✔✔✔ Need not To assure that all the management tasks are successfully accomplished, the administrator of a 120-bed facility will typically divide management into _____ - CORRECT ANSWER ✔✔✔ Three layers A licensed person responsible for formulating and enforcing policies that will be applied to an entire facility is thought of as a/an ____ - CORRECT ANSWER ✔✔✔ Upper-level manager The staff member responsible for reporting to upper-level management and at the same time interacting significantly with several lower-level managers is the ______ - CORRECT ANSWER ✔✔✔ Director of Nursing The staff person for whom both upward and downward communication skills are most neccessary is the ____ - CORRECT ANSWER ✔✔✔ Director of nursing When the director of nursing makes an effective policy decision without consulting the administrator, that impacts all nursing personnel, the administrator should ______ - CORRECT ANSWER ✔✔✔ Be pleased In the typical nursing facility, the decision-making process is _______ establishment of lower, middle, and upper levels of management. - CORRECT ANSWER ✔✔✔ Noticeably more complicated than the simple
Among the following positions the _____has no authority to make decisions for the facility. - CORRECT ANSWER ✔✔✔ Assitant to the Administrator Decisions made by persons on the staff to whom the administrator has deligated line authority are, in the final analysis, regaurded as decisions by ______. - CORRECT ANSWER ✔✔✔ The administrator When a nurse practitioner, who is more highly qualified than the director of nursing, gives orders in the hallways, the director of nursing should feel _______ - CORRECT ANSWER ✔✔✔ Undermined In times of crisis, corporate representatives, who hold a staff or advisory relationship to their counterparts in the local facility, may expect that their advice as staff be _________ - CORRECT ANSWER ✔✔✔ Acted on as carrying line authority As a generalization, it can be asserted that management success belongs to those who ____ - CORRECT ANSWER ✔✔✔ success prepared for the future Nursing home administrators should anticipate and successfully prepare for ______ - CORRECT ANSWER ✔✔✔ Rapid change The long-term care industry entered a period in which _____chang(s) can be expected. - CORRECT ANSWER ✔✔✔ Rapid and far reaching