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NURSING HOME ADMINISTRATOR LICENSUREEXAM REVIEW COURSE

National Exam ◘ MODULE 4

referencsection

Administration

Speed Reader

Examination 1

Examination 2 Examination 3

Examination 4

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Administration 2 of/4 Copyright © 2005-2012 by Stan Mucinic. All rights reserved. 0 of 17

Stan Mucinic, LNHALEGAL NOTICES

Students enrolled in the “National Nursing Home Administrator Licensing Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national licensure exam administered by the National Association of Boards of Examiners (NAB).

This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely.

THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM. An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation.

A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.

How to Use the Study Guides

Step 1 – VERY IMPORTANT - The personalized test organizer that comes with the program is the key to your success and sets this program apart from any other. It is critical you follow the instructions and score each exam, and file the completed exams into your binder. Try to keep to the schedule and email your test results to the instructor to stay focused.

Step 2. - Speed Reader – Read the speed reader for each module once or twice before taking the module exam(s). Read the speed reader over and over again until you familiarize yourself with its contents. THE MORE TIMES YOU LOOK IT THE MORE LIKELY YOU ARE TO REMEMBER IT.

Step 3 – Exam Packet - The exam packet contains questions designed to measure your comprehension and retention of the material you read. Take each exam over and over again until you score 100%. Make sure you score each exam and record the results in your organizer or you will not be able to gauge your progress.

The exam questions are cross referenced to the speed reader to allow you to quickly find and review material you missed on the exam as follows:

Page Number ---- 2/1.8(13) ------ Section NumberThe specific reference material would be found on page 2 of the speed reader, section 1.8, subparagraph 13.

Contact InformationYou may contact Stan Mucinic by email at [email protected] with any questions


Administration 1 Facilities lose revenue for each vacant bed because of fixed overhead costs and

this the ____________. 1 2 3 4

1. Intangible rule2. Inconsistency rule3. Inseparability rule4. Inventory rule

8/18.1(4)

2 Problem recognition, information search, alternate evaluation and post purchase evaluation are all steps in the _________.

1 2 3 4

1. Consumer decision process2. Marketing decision process3. Facility inventory purchasing process4. None of the above

8/19.1

3 Consumers make a final decision to enter a facility based on ________. 1 2 3 4

1. Price2. Whether facility can meet their needs3. Referral from hospital case managers4. Persuasive skills of the administrator

8/21.1

4 The most effective marketing tool for a nursing home is/are_______. 1 2 3 4

1. Ads in newspapers2. Ads on television3. A tour of the facility4. Health care fairs

9/22.1(2)

5 ______________ has the least impact on influencing a patient to choose a facility. 1 2 3 4

1. Physician referrals2. Hospital discharge planner referral3. Media ads4. Word of mouth

9/22.1

6 _______ is an example of impersonal advertising 1 2 3 4

1. A tour of a facility2. Consumers attending a health fair in facility3. Media ads on television and print ads4. Physicians and case managers attending a luncheon at a facility

9/22.1(5)

7 Which is not true of marketing a nursing home? 1 2 3 4

1. Subliminal perceptions of a family touring a facility (odors in hallway) are a deciding factor in choosing a facility

2. Word of mouth is the most effective form of advertising3. A facility’s reputation has no bearing on consumer attractiveness4. Hospital discharge planners are a key referral source

8/21.19/22.1

8 Cognitive state, affective state and behavioral state are all elements of the ______. 1 2 3 4

1. Marketing strategy process2. Consumer decision making process3. Buyer readiness states4. None of the above

9/23.1


9 Short term residents should be surveyed about satisfaction with services ______. 1 2 3 4

1. Upon admission2. Weekly3. Monthly4. Within 30 days from discharge

9/24.1

10 Long term residents should be surveyed regarding satisfaction with services _____.

1 2 3 4

1. Just before state inspection/survey2. Annually3. As requested by resident council4. Shortly after discharge

9/24.1

11 Patients and family look for ____ as key to selecting a nursing home. 1 2 3 4

1. Variety and quality of food2. Good rehab department3. Timely communication with nursing staff4. Well known corporate name

9/24.1

12 Physicians mainly look for ____ in recommending a nursing home. 1 2 3 4


9/24.1

13 Hospital discharge planners look for ___ in recommending a nursing home. 1 2 3 4


9/24.1

14 _________ is not a step in resolving conflict. 1 2 3 4

1. Imposing a solution on the parties2. Clarifying a disputed issue3. Negotiating mutual resolution of a dispute4. Determining ownership of what each person wants

9/25.1

15 A mechanism to monitor consumer satisfaction and address other concerns is called _______.

1 2 3 4

1. Grievance procedure2. Mediation procedure3. Arbitration procedure4. Satisfaction procedure

9/26.1

16 Staff must respond to grievances __________. 1 2 3 4

1. As soon as possible2. Within 5 days3. Within 7 days4. Within 14 days

9/26.1

17 Resident grievances are not ___________ 1 2 3 4

1. Reviewed by state surveyors2. Required to be documented 9/26.1


3. Required to be reviewed by the resident council 4. An important measure of consumer satisfaction

18 Which is not true of communication? 1 2 3 4

1. Unless a message communicated is received and decoded, communication did not take place

2. A message sent by a sender must be understood by the receiver3. Where a message is sent and received but not understood,

communication did not take place4. Active listening is mainly nodding your head in agreement and agreeing

with the speaker

9/27.1

1 2 3 419 Effective communication is not _____

9/27.11. Simply the transmission and receipt of a message2. The heart of the management process3. Affected by withholding important information4. More important the closer to the center of power

20 The exchange of information and the transmission of meaning is ______. 1 2 3 4

1. Unimportant2. Communication3. Not well understood4. None of the above

9/27.1

21 Listening intently, acceptance, empathy and understanding the message is describes ________.

1 2 3 4

1. Unconditional positive regard2. Active listening3. Compassionate communication4. None of the above

9/27.1

1 2 3 422 The heart of the management process is ________.

1. Communication2. Policies and procedures3. Mission statement4. Grievance process

9/27.1

23 A person who skews info based on personal desires and needs is engaged in _________.

1 2 3 4

1. Agenda carrying2. Selective hearing3. Filter effect4. Self protection

10/28.1

24 A person who filters out unpleasant aspects of communication and is not capable of understanding the message sent is engaged in ________.

1 2 3 41. Status difference2. Selective hearing3. Filter effect4. Self protection

10/28.1


25 ___________is where a person perceives information differently than a person with more knowledge.

1 2 3 4

1. Subgroup allegiance2. Information overload3. Differences in knowledge4. Language barrier

10/28.1

26 Where a subgroup demands the allegiance from other subgroup members this is called _______.

1 2 3 4

10/28.11. Subgroup allegiance2. Information overload3. Differences in knowledge4. Language barrier

27 Where an individual is hesitant to approach staff of a higher rank this is called _______.

1 2 3 4

1. Subgroup allegiance2. Information overload3. Status Difference4. Language barrier

10/28.1

28 Where an individual does not understand the technical jargon of the person talking this is called _______.

1 2 3 4

1. Filter effect2. Information overload3. Differences in knowledge4. Language barrier

10/28.1

29 Where an individual withholds info that negatively reflects on them this is called _______.

1 2 3 4

1. Agenda carrying2. Information overload3. Self protection4. Differences in knowledge

10/28.1

30 Where too much information overwhelms staff this is called _______. 1 2 3 4

1. Agenda carrying2. Information overload3. Self protection4. Differences in knowledge

10/28.1

31 The flow of information through meetings and memos between managers and staff that resemble the organizational chart is called _________.

1 2 3 4

1. Formal communication2. Informal communication3. Information flow4. Grapevine

10/32.1


32 Communication between social and peer groups is an example of _______. 1 2 3 4

1. Formal communication2. Informal communication3. Information flow4. Grapevine

10/30.1

33 Communication directed from upper management to lower level managers and staff is called _____.

1 2 3 4

1. Upward communication2. Downward communication3. Horizontal communication4. Vertical integration

10/31.1

34 Communication from subordinates directed to upper management is called _____. 1 2 3 4

1. Upward communication2. Downward communication3. Horizontal communication4. None of the above

10/31.1

35 Communication between staff of equal rank or status is called _______. 1 2 3 4


10/31.1

36 A company rumor mill is an example of _______. 1 2 3 4


10/31.1

37 Which of the following is not true of communication? 1 2 3 4

1. Communication has multiple levels of meaning2. Managers should not withhold information from employees3. Written communication reinforces oral communication4. Communication occurs when the receiver receives a message

9/27.110/29.1

38 _______ is an electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server

1 2 3 4

1. Email2. Firewire3. Bluetooth4. High frequency radios

10/32.1

39 A finding of ‘substandard care” requires the survey team to have evidence of ___________.

1 2 3 4

1. Insufficient nursing staff2. Immediate jeopardy to resident care than has or likely to cause serious

injury or death3. Inadequate policies and procedures

12/41.1


4. Financial instability

40 A facility may appeal an error made during a state survey and challenge the findings and rationale in writing to the state licensing agency through _______.

1 2 3 4

1. Informal dispute process2. Formal dispute process3. Civil court mediation4. By filing an appeal directly to the U.S. Supreme Court

12/43.1

41 A facility may challenge a fine, suspension or revocation of a license resulting from a survey or inspection by filing an appeal and requesting a hearing before an administrative hearing officer through the ______

1 2 3 4

12/43.11. Informal dispute process2. Formal dispute process3. Civil court mediation process4. By filing an appeal directly to the U.S. Supreme Court

42 Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?

1 2 3 4

1. JCHAO is a private organization that accredits hospitals, nursing homes and other healthcare organizations that meet criteria and pass periodic inspections

2. Hospitals are required to be accredited by JCAHO3. Nursing homes are required to be accredited by JCAHO to receive

Medicare funds4. A healthcare facility accredited by JCAHO is exempt from state and federal

inspections

12/44.1

43 Which is true of remedies available to the states to compel facilities to correct

class I deficiencies found during inspections?1 2 3 4

1. A required plan of action by facility 2. Placement of state monitor in facility until the deficiency corrected3. Directed in-service4. None of the above

12/42.1

44 A violation with a severity of negative outcomes that compromises a resident’s ability to maintain their highest physical, mental and psychosocial well-being is a _____ violation

1 2 3 4

11/39.11. Level 12. Level 23. Level 34. Level 4

45 Non-compliance affecting a limited number of residents and locations would be assigned a scope of ________.

1 2 3 4

1. Isolated2. Patterned3. Widespread4. Saturated

12/40.1


46 Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of _______.

1 2 3 4

1. Isolated2. Patterned3. Widespread4. Saturated

12/40.1

47 Where one or more offenses or violations involve resident behavior and facility practices, quality of life, quality of care, the survey team would issue a citation for _________

1 2 3 4

1. Poor care2. Substandard quality of care3. Superior care4. None of the above

12/41.1

48 A licensed nursing facility must ________________. 1 2 3 4

1. Display all required state and local licenses and permits2. Comply with all health, sanitation and safety codes3. Produce all inspection reports from regulatory agencies when requested4. All of the above

20/62.1

49 _______________ can provide nursing aide services and be included in calculating minimum staffing hours.

1 2 3 4

1. Student nurses2. Volunteers3. Private duty nurses4. A licensed practical nurse employed by the facility

21/63.1(10)

50 A technology that allows transferring a training video from camcorders to a computer is called _______.

1 2 3 4

1. Email2. Fire wire3. Bluetooth4. Facsimile machines

10/32.1

51 Communication technology that connects cell phones, hand held devices and keyboards without any cables to a computer is called ________.

1 2 3 4

1. Email2. Fire wire3. Bluetooth4. Facsimile machines

10/32.1

52 Managing risks of negative outcomes is called ______. 1 2 3 4

1. Risk management2. Arbitration3. Conflict resolution4. Mediation

10/33.1


53 An event or process than can lead to a financial loss or damage is a ______. 1 2 3 4

1. Risk2. Event3. Accident4. Contingency

10/33.1

54 A risk management program would not be concerned with preventing ______. 1 2 3 4

1. Resident/employee injuries2. Theft of property in facility3. Malpractice or negligence4. Excessive use of agency personnel

10/33.1

55 The _______ holds employers directly responsible for injuries to employees during the course of their employment.

1 2 3 4

1. Worker’s compensation Act2. Federal Employer’s Liability Act3. Respondeat Superior4. All of the above

10/33.1(4)

56 The ______is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use.

1 2 3 4

1. Safety committee2. Risk management committee3. Quality assurance committee4. Social committee

10/33.1

57 The ______ is responsible to identify and address safety hazards that can injure residents and staff

1 2 3 4

1. Safety committee2. Risk management committee3. Quality assurance committee4. Social committee

10/33.1

58 ________ is legal concept that holds employers liable for acts of their employees that cause bodily injury or property damage to others

1 2 3 4

1. The Employer Liability Act2. Respondeat Superior3. State Disability Insurance4. Habeas Corpus

10/33.1(6)

59 The leading cause of nursing home lawsuits is ___________ 1 2 3 4

1. Treating a resident without obtaining prior informed consent from 2. Training staff on how to prevent pressure sores3. Maintaining an effective risk management program4. Resolving resident complaints timely

10/33.1(8)


60 Administrators are subject to civil and criminal penalty in some states for failure to ________.

1 2 3 4

1. Maintain a risk management program2. Respond to resident grievances3. Maintain an employee safety program4. All of the above

10/33.1(11)

61 Which is not true of the U.S. medical malpractice system? 1 2 3 4

1. Medical malpractice lawsuits are effective to prevent malpractice claims2. Malpractice premiums drain money from resident care3. Doctors order unnecessary tests and practice “defensive medicine”4. None of the above

10/33.1(10)

62 Development and implementation of a service that includes pricing, promotion and distribution is called _______.

1 2 3 4

1. Marketing2. Discounting3. Public relations4. None of the above

8/19.1

63 Marketing plans should not _________ 1 2 3 4

1. Include efforts to inform the surrounding community of products and services

2. Be updated only when requested by the governing body3. Identify pricing constrained due to government regulation and

reimbursement rates4. Identify market demand

8/19.1

64 Communicating relevant information to the community regarding facility services is called _______.

1 2 3 4

1. Marketing2. Public relations3. Satisfaction survey4. Market audit

8/19.1(3)

65 Government licensure and survey programs assess the quality of care and provide nursing facilities important _____.

1 2 3 4

1. External feedback on quality of care2. Endorsement of quality of care3. Endorsement of the facility administrator’s effectives4. Protection from frivolous lawsuits

16/50.1(3)(F)

66 The nursing home survey/inspection process focuses on ______. 1 2 3 4

1. Structure2. Process3. Outcomes4. None of the above

11/34.1(4)


67 All nursing facilities must be licensed by the _____. 1 2 3 4

1. State2. County3. Federal government4. None of the above

20/62.1(2)

68 Nursing facilities licensed by the state must submit to ______. 1 2 3 4

1. State inspection only2. State and federal inspection3. Both 1 and 24. Federal inspection

20/62.1(6)

69 Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must submit to _________.

1 2 3 4

1. State inspection only2. State and federal inspection3. Federal inspection only4. None of the above

20/62.1(6)

70 Federal inspection of resident care in nursing facilities is overseen by ______. 1 2 3 4

1. Long term care ombudsman2. Area agency on aging3. CMS4. OSHA

22/70.1(10)

71 The federal nursing home certification survey program has a total of ______ different survey types.

1 2 3 4

1. 12. 23. 54. 7

11/35.1

72 Quality indicator reports for nursing homes available through the CMS would not include ________________.

1 2 3 4

1. Facility characteristics2. Nursing home watch list3. Facility quality indicator profile4. Resident level summary

11/36.1

73 Prior to entering a facility, a state survey team would not review _____________. 1 2 3 4

1. The facility compliance report2. The most recent compliance survey/inspection3. Ombudsman reports and investigations4. Resident council minutes

11/35.1


74 ________ is the phase of the state survey where the survey team first enters the facility and meets the administrator and key staff

1 2 3 4

1. Offsite prep2. Exit conference3. Sample selection4. Entrance conference

11/35.1

75 _____ is the phase of the state survey where the survey team gathers info from OSCAR, the ombudsman and other sources prior to entering a facility

1 2 3 4

1. Offsite prep2. Exit conference3. Information gathering4. Entrance conference

11/35.1

76 ______ is the phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found

1 2 3 4

1. Sample selection2. Exit conference3. Information gathering4. Information analysis

11/35.1

77 The phase of the state survey where the survey team sits down with the administrator, the DON and department heads to discuss the findings of the survey team is called ______.

1 2 3 4

1. Sample selection2. Exit conference3. Information gathering4. Information analysis

11/35.1

78 Upon completion of a survey, the survey team will send the administrator a ______ if the facility was substantially in compliance, had only isolated minor problems, and no plan of correction is required

1 2 3 4

1. Form 25672. Notice of isolated deficiencies3. Form W-24. Form I-9

11/38.1

79 Upon completion of a survey, the survey team will send the administrator a ________ if non-compliant deficiencies were found and a plan of correction is required

1 2 3 4

1. Form 25672. Notice of isolated deficiencies3. Form W-24. Form I-9

11/38.1

80 A violation or deficiency with the potential for no more than minor negative impact on a resident is a ______ deficiency.

1 2 3 4

1. Level 12. Level 23. Level 34. Level 4

11/39.1


81 A violation with no actual harm but potential for harm is a ______ deficiency. 1 2 3 4


11/39.1

82 By 2030, ______ people in the U.S, will be over age 65 1 2 3 4

1. 30 million2. 55 million3. 70 million4. 100 million

23/72.1

83 The _______ is responsible to establish and implement facility policies 1 2 3 4

1. Administrator2. Governing body3. Medical director4. Director of Nursing

19/60.1(4)

84 The _____ specifies the purpose of a corporation and the number of directors 1 2 3 4

1. Bylaws2. Certificate of Incorporation3. Stock certificate4. Debenture

20/61.1(6)

85 The legal responsibility for the operation of a nursing facility rests with the_____. 1 2 3 4

1. Administrator2. Governing body3. Resident council4. Long term ombudsman

19/60.1(4)

86 Under the prospective reimbursement system, facilities are increasingly forced to ____________ to make up decreasing funding from Medicare and Medicaid

1 2 3 4

1. Raise private pay rates to shift costs2. Decrease services provided to Medicare and Medicaid patients3. Admit fewer Medicare and Medicaid patients4. None of the above

22/69.1(6)

87 The average length of Medicare stays per year for all nursing homes is approximately _______.

1 2 3 4

1. 500,0002. 700,0003. 971,9674. 1,200,000

23/71.1(6)

88 _______ percent of seniors age 65 and over currently live in U.S. nursing homes 1 2 3 4

1. 5 percent2. 1.5 percent3. 3 percent4. 4 percent

22/68.1


89 A review of care provided patients for appropriateness and cost effectiveness is called a ________.

1 2 3 4

1. Utilization review2. Literature review3. Peer review4. Billing review

22/70.1(8)

90 A permit required before a nursing facility can begin construction is called _____. 1 2 3 4

1. Certificate of waiver2. Certificate of need3. Certificate of occupancy4. None of the above

22/70.1(9)

91 A violation with a severity requiring immediate action due to risk of injury, harm, impairment or death to a resident is a ________.

1 2 3 4


11/39.1


ADMINISTRATION - EXAM 2 of 4 – Answer Key

1 4 53 12 1 54 43 2 55 24 3 56 35 3 57 16 3 58 27 3 59 18 3 60 19 4 61 1

10 2 62 111 1 63 212 3 64 213 2 65 114 1 66 315 1 67 116 1 68 117 3 69 218 4 70 319 1 71 320 2 72 221 2 73 422 1 74 423 1 75 124 2 76 425 3 77 226 1 78 227 3 79 128 4 80 129 3 81 230 2 82 231 1 83 232 2 84 133 2 85 234 1 86 135 3 87 336 3 88 237 4 When message understood 89 138 1 90 239 2 91 440 141 242 343 444 345 146 247 248 449 450 251 352 1


ADMINISTRATION - EXAM 2 of 4 – Answer Sheet

1 532 543 55 Date _________4 565 57 Attempt # ________6 587 598 60 Score _______9 61

10 6211 6312 6413 6514 6615 6716 6817 6918 7019 7120 7221 7322 7423 7524 7625 7726 7827 7928 8029 8130 8231 8332 8433 8534 8635 8736 8837 8938 9039 9140414243444546474849505152


Study Notes

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