NURSING HOME ADMINISTRATOR LICENSURE
EXAM REVIEW COURSE
National Exam ◘MODULE 4

referencsection

Administration

Speed Reader
Examination 1
Examination 2
Examination 3
 Examination 4
Stan Mucinic, LNHA

LEGAL 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 Number

The specific reference material would be found on page 2 of the speed reader, section 1.8, subparagraph 13.

Contact Information

You may contact Stan Mucinic by email at with any questions.

Administration

1 / The external response to the facility’s output (state survey) is called _____. / 1 2 3 4
  1. Control of quality
  2. Environment
  3. Feedback
  4. Outputs
/ 4/3.1(2)
2 / All external forces affecting a facility (opportunities/constraints) are called ______. / 1 2 3 4
  1. Control of quality
  2. Environment
  3. Feedback
  4. Outputs
/ 7/14.1
3 / A stabilized acute care patient transferred from the hospital becomes to a SNF is a(n) ______for the nursing facility. / 1 2 3 4
  1. Output
  2. Input
  3. Processor
  4. Feedback
/ 16/50.1
4 / A patient discharged from the hospital to the nursing home was a(n) _____ when first admitted to the hospital / 1 2 3 4
  1. Output
  2. Input
  3. Processor
  4. Feedback
/ 16/50.1
5 / Which is not true of employee motivation? / 1 2 3 4
  1. Cannot count on employees to give employer undivided attention while on the job and forget problems at home
  2. Employees are unable to separate personal problems when on the job
  3. Employee relationships with each other is a critical factor in job retention and satisfaction
  4. All employees are motivated by the same things
/ 16/51.1
6 / Which is not true? / 1 2 3 4
  1. Employees view a facility from the narrow perspective of their own department
  2. The working relationship between the administrator and line staff is critical to job satisfaction
  3. Employees usually do not have contact with upper management
  4. Employee loyalties are to their specific work area and not to the facility
/ 17/51.1
7 / The administrator must not ______. / 1 2 3 4
  1. Tolerate less than excellent resident care
  2. Be stern but supportive of staff
  3. Set a good example for employees to follow
  4. Inspire workers with a vision
/ 16/51.1
8 / Which is not true? / 1 2 3 4
  1. Dreams and visions are more powerful than goals or plans
  2. A value is a specific standard of expected behavior
  3. Motivating statements or goals should come from employees in a facility
  4. Employees are motivated by an inspiring vision or dream
/ 16/51.1
9 / The overall style of governing how people relate to each other and that binds an organization is called ______. / 1 2 3 4
  1. Corporate culture
  2. Norms
  3. Values
  4. Vision
/ 16/51.1
10 / Which is not true? / 1 2 3 4
  1. Delegation keeps decision making at the highest levels of management
  2. Should delegate authority to individuals with most knowledge and best judgment
  3. An administrator is ultimately responsible for decisions made by individuals delegated authority to act on behalf of the administrator
  4. A major drawback to delegation is that employees can make bad decisions
/ 17/52.1
11 / An administrator must not ______/ 1 2 3 4
  1. Ensure decisions are made by the most appropriate staff at the lowest level
  2. Decide which decisions to delegate
  3. Understand that delegation can be both good and bad
  4. Feel they need to delegate decision making to subordinates
/ 17/52.1
12 / The maximum number of people a manager can effectively manage is called ____. / 1 2 3 4
  1. Balance concept
  2. Short chain of command
  3. Unity of command
  4. Span of control
/ 17/53.1
13 / The ______states that the fewest levels of management between the administrator and staff is best to minimize too much filtering of information / 1 2 3 4
  1. Balance concept
  2. Short chain of command
  3. Unity of command
  4. Span of control
/ 17/53.1
14 / The ______states that there must be balance in the size of the departments/divisions in an organization (number of employees and responsibilities) / 1 2 3 4
  1. Balance concept
  2. Short chain of command
  3. Unity of command
  4. Span of control
/ 17/53.1
15 / An employee who has decision making authority with the same force and effect as if made by the administrator has ______. / 1 2 3 4
  1. Line authority
  2. Staff or advisory role
  3. Supervisory role
  4. Executive authority
/ 17/53.1
16 / The ______states an employee should be accountable to one supervisor / 1 2 3 4
  1. Balance concept
  2. Short chain of command
  3. Unity of command
  4. Span of control
/ 17/53.1
17 / Employees who have no power to make decisions for the facility and can only advise staff have ______. / 1 2 3 4
  1. Line authority
  2. Staff or advisory role
  3. Supervisory role
  4. Executive authority
/ 17/54.1
18 / The administrator and Director of Nursing have ______. / 1 2 3 4
  1. Line authority
  2. Staff role
  3. Supervisory role
  4. Executive authority
/ 17/54.1
19 / The dietician, consultant pharmacist, and office accountant have _____. / 1 2 3 4
  1. Line authority
  2. An advisory role
  3. Supervisory role
  4. Executive authority
/ 17/54.1
20 / A solid line on an organizational chart indicates an individual has ______. / 1 2 3 4
  1. Line authority
  2. Staff or advisory role
  3. Supervisory role
  4. Executive authority
/ 17/54.1
21 / A dotted line on an organizational chart indicates an individual has ______. / 1 2 3 4
  1. Line authority
  2. Staff or advisory role
  3. Supervisory role
  4. Executive authority
/ 17/54.1
22 / Which is not true of upper management? / 1 2 3 4
  1. Upper managers interact with the owners and the governing body
  2. Upper managers are responsible for overall management of a facility
  3. Upper managers make policy that affect all employees
  4. Upper managers usually write procedures
/ 17/56.1
23 / Middle managers do not ______/ 1 2 3 4
  1. Report to upper management (administrator)
  2. Adopt procedures that apply to all employees
  3. Need good communication skills to deal with upper and lower managers
  4. Develop procedures for their departments only
/ 17/56.1
24 / Lower level managers do not ______/ 1 2 3 4
  1. Report to middle management
  2. Report directly to upper management
  3. Have a supervisory role over frontline workers (charge nurse)
  4. Develop procedures to implement policies
/ 17/56.1
25 / An administrator’s authority is constrained by ______. / 1 2 3 4
  1. The availability of money
  2. The presence of licensed personnel (physician/nurses)
  3. The resident council
  4. Relations with residents and staff
/ 18/57.1(1)
26 / Authority granted to the governing body by state law is called ______. / 1 2 3 4
  1. Express authority
  2. Implied authority
  3. Line authority
  4. Staff authority
/ 19/60.1(11)
27 / Authority granted to the governing body by corporate bylaws is called ______. / 1 2 3 4
  1. Express authority
  2. Implied authority
  3. Line authority
  4. Staff authority
/ 19/60.1(11)
28 / The governing body of a facility is generally ___ for acts of employees / 1 2 3 4
  1. Not personallyliable
  2. Legally personally liable
  3. Liable if bylaws impose such personal liability
  4. None of the above
/ 19/60.1(12)
29 / The ___ is responsible for day to day operation of the facility. / 1 2 3 4
  1. Administrator
  2. Director of Nursing
  3. Governing Body
  4. All of the above
/ 20/61.1(1)
30 / The facility governing body is not responsible ______, / 1 2 3 4
  1. To ensure the facility complies with federal, state, and local laws
  2. To ensure the administrator is licensed
  3. To ensure the facility provides quality and timely treatment
  4. For the day to day operation of a facility
/ 19/60.1
31 / A facility’s governing body is not responsible ______: / 1 2 3 4
  1. To avoid a conflict of interest
  2. For the day to day management of a facility
  3. To provide an adequate staff
  4. To maintain adequate insurance
/ 19/60.1
32 / An individual who is enrolled in a state-approved nursing assistant training program but has not taken the state exam may be employed for ______months from date of hire. / 1 2 3 4
20/63.1(2)
  1. One month
  2. Three Months
  3. Four months
  4. Six Months

33 / The ______provides the Occupational Safety and Health Administration research and policy. / 1 2 3 4
  1. American National Safety Institute
  2. National Fire Protection Association
  3. National Institute Occupational Safety and Health
  4. National Institutes of Health
/ 24/79.1(10)
34 / A mission statement is created and adopted by the ______. / 1 2 3 4
  1. Administrator
  2. Governing body
  3. OBRA ‘97
  4. Corporate bylaws
/ 19/60.1
35 / An administrator’s authority is delegated to the administrator by the ______. / 1 2 3 4
  1. Administrator
  2. Governing body
  3. OBRA ‘97
  4. Corporate bylaws
/ 20/61.1(1)
36 / The ______has authority to make critical decisions regarding operation of a facility. / 1 2 3 4
  1. Governing body
  2. Administrator
  3. Director of Nursing
  4. None of the above
/ 19/60.1
37 / Intentional touching of another person without their consent is called ______. / 1 2 3 4
  1. Battery
  2. Assault
  3. Negligence
  4. Malfeasance
/ 24/79.1 (11)
38 / ______focuses on torts and disputes between private individuals. / 1 2 3 4
  1. Criminal law
  2. Civil law
  3. Constitutional law
  4. Probate law
/ 24/79.1(12)
39 / The ______is the fundamental law of the U.S. that establishes the responsibilities and rights of federal courts. / 1 2 3 4
  1. Magna Carta
  2. U.S. Constitution
  3. Federal Rules of Civil Procedure
  4. Federal Register
/ 24/79.1(13)
40 / An individual who completed a state approved training program and passed the certification exam for certified nursing aides, but their name does not yet appear on state registry, may ______. / 1 2 3 4
20/63.1
  1. Be hired if they post a $5000 surety bond
  2. Be hired but must check the registry periodically to confirm certification
  3. Not be hired
  4. None of the above

41 / A nurse aide certification is valid ______. / 1 2 3 4
  1. 12 months
  2. 24 months
  3. 5 years
  4. Indefinitely
/ 20/63.1
42 / To maintain certification requirements, a certified nursing assistant must complete __ hours of in-services each year and must not go more than ___ consecutive months without working in a capacity of providing nursing assistant services for pay / 1 2 3 4
  1. 12 hours, 24 months
  2. 18 hours, 18 months
  3. 24 hours, 16 months
  4. 8 hours, 24 months
/ 20/63.1
43 / Before hiring a nurse aide, the facility must check the ______to check the registries of other states for any record of abuse or misconduct / 1 2 3 4
20/63.1
  1. Interpol
  2. Multi-state nurse aide registry
  3. Federal Bureau of Investigation
  4. State law enforcement agencies

44 / Must do a performance review of nurse aides at least every _____ by law. / 1 2 3 4
  1. 6 months
  2. 12 months
  3. 18 months
  4. 24 months
/ 20/63.1(4)
45 / A nurse aide’s training needs are determined by ______. / 1 2 3 4
  1. Feedback from state surveyors
  2. Observations of the administrator
  3. Recommendations from resident council
  4. The required performance review
/ 21/63.1(8)
46 / If a facility contracts for professional services from an outside source, the facility must include a provision in the contract that the facility must ______/ 1 2 3 4
  1. Agree to assume responsibility to obtain services that meet professional services
  2. Retain responsibility for the timeliness of all services provided
  3. Assume these responsibilities in writing
  4. All of the above
/ 21/62.1(5)
47 / The ______represents mostly for-profit nursing homes, assisted living and other sub-acute facilities. / 1 2 3 4
  1. American Health Care Association
  2. American Association of Homes and Services for the Aging
  3. AmericanCollege of Health Care Administrators
  4. None of the above
/ 21/64.1
48 / The _____ represents mostly non-profits and assisted living facilities / 1 2 3 4
  1. American Health Care Association
  2. American Association of Homes and Services for the Aging
  3. AmericanCollege of Health Care Administrators
  4. None of the above
/ 21/64.1
49 / The ______represents only long term care administrators / 1 2 3 4
  1. American Health Care Association
  2. American Association of Homes and Services for the Aging
  3. AmericanCollege of Health Care Administrators
  4. None of the above
/ 21/64.1
50 / ______is also known as the Nursing Home Reform Act. / 1 2 3 4
21/65.1
  1. OBRA 1987 (October 1987)
  2. Social Security Act of 1935
  3. Social Security Act of 1965
  4. Social Security Act of 1967

51 / OBRA 1987 had the effect of ______federal funds to nursing homes. / 1 2 3 4
  1. Increasing
  2. Decreasing
  3. Mandating the states to match federal funding
  4. None of the above
/ 21/65.1
52 / The percentage of bed bound residents from 1993-1999 ______/ 1 2 3 4
  1. Increased
  2. Decreased
  3. Remained relatively unchanged
  4. Varied from state to state
/ 22/66.1
53 / The number of nursing home beds in the north compared to the south and southwest per 1000 population is______. / 1 2 3 4
  1. Much smaller
  2. Much Larger
  3. About the same
  4. Not something that can be compared
/ 22/68.1
54 / There are approximately ______licensed nursing homes in the U.S. / 1 2 3 4
  1. 15,000
  2. 17,000
  3. 30,000
  4. 45,000
/ 22/68.1
55 / The size ofa facility and type of ownership (for profit/non profit) have shown that _____. / 1 2 3 4
  1. Non profits deliver better quality care
  2. For profits deliver poorer quality care
  3. Smaller facilities deliver best quality of care
  4. Size and ownership type had no impact on care
/ 22/68.1
56 / Ownership patterns of nursing homes in 1999 showed that______. / 1 2 3 4
  1. For-profits outnumbered non-profits
  2. Government owned facilities outnumbered for-profits
  3. Varied from state to state
  4. Non profits outnumbered for-profits
/ 21/65.1(3)
57 / A reimbursement system where the provider is paid after services are rendered based on acuity is called ______. / 1 2 3 4
  1. Prospective payment system
  2. Retrospective payment system
  3. Managed care
  4. Capitation
/ 21/65.1(4)
58 / A reimbursement system where a provider is paid a fixed amount determined before services are provided based on acuity is called the ______. / 1 2 3 4
  1. Prospective payment system
  2. Retrospective payment system
  3. Managed care
  4. Capitation
/ 21/65.1(4)
59 / Between 1993 – 1999 nursing home occupancy rates ______. / 1 2 3 4
  1. Decreased
  2. Remained the same
  3. Increased
  4. All of the above
/ 23/71.1(1)
60 / The number of facilities with deficiencies for resident rights in 1999 was less than ______. / 1 2 3 4
  1. 3%
  2. 5%
  3. 10%
  4. 15%
/ 22/66.1(2)
61 / New residents view placement in a nursing home as ______. / 1 2 3 4
  1. Loss of independence
  2. Separation from family
  3. Death
  4. All of the above
/ 22/67.1(1)
62 / Approximately ___% of nursing home residents are chair bound. / 1 2 3 4
  1. 25%
  2. 50%
  3. 75%
  4. 80%
/ 22/66.1
63 / The rate of increase in total nursing homes between 2005-2020 is likely to ______. / 1 2 3 4
  1. Increase
  2. Decrease
  3. Level out
  4. Too early to know
/ 24/79.1914)
64 / With the expected growing elderly population, a rise in demand for long term care ______. / 1 2 3 4
  1. Should be expected
  2. Should not be assumed to occur
  3. Is insufficient reason to plan or expand long term care beds
  4. None of the above
/ 22/68.1
65 / The percentage of bed bound residents in nursing homes ___ between 1993 and 1999. / 1 2 3 4
  1. Increased
  2. Decreased
  3. Remained unchanged
  4. None of above
/ 22/66.1
66 / Approximately ______seniors live in U.S. nursing homes. / 1 2 3 4
  1. 750,000
  2. 1,000,000
  3. 1,500,000
  4. 1,750,000
/ 23/72.1
67 / The ______maintains personnel records. / 1 2 3 4
  1. Business Office
  2. Maintenance
  3. Social services
  4. Laundry
/ 19/59.1(11)
68 / Medicaid pays ____ of long term care. / 1 2 3 4
  1. 36%
  2. 55%
  3. 68%
  4. 92%
/ 22/69.1
69 / The average length of stay for Medicaid residents in a nursing home is _____. / 1 2 3 4
  1. 600-700 days
  2. 800-900 days
  3. 1000-1100 days
  4. 1200-1500 days
/ 23/71.1
70 / The average length of stay for Medicare residents in a nursing home is ______. / 1 2 3 4
  1. 30 days
  2. 60 days
  3. 90 days
  4. 100 days
/ 23/71.1
71 / The average size of a nursing home is ______beds. / 1 2 3 4
  1. 60
  2. 100
  3. 104
  4. 120
/ 23/72.1
72 / By 2030, ___ % of the population will be 65 and over. / 1 2 3 4
  1. 10%
  2. 15%
  3. 18%
  4. 21%
/ 23/72.1
73 / There are ___ certified Medicare nursing home beds in the U.S. / 1 2 3 4
  1. 700,000
  2. 1,000,000
  3. 1,570,000
  4. 1,850,000
/ 22/68.1(11)
74 / Most residents in nursing homes are ______. / 1 2 3 4
  1. Female
  2. Male
  3. Children
  4. None of the above
/ 23/72.1(7)
75 / ______was the precursor to passage of Medicaid in 1965. / 1 2 3 4
  1. Hill-Burton Act
  2. Wagner Act
  3. Kerr-Mills Act
  4. None of the above
/ 22/70.1(5)
76 / ______was the first federal legislation requiring licensing of nursing home administrators / 1 2 3 4
  1. Kerr-Mills Act
  2. Social Security Act of 1935
  3. Social Security Act of 1965, as amended
  4. Social Security Act of 1967, as amended
/ 22/70.1(7)
77 / The ______requires uniform licensing of nursing home administrators / 1 2 3 4
  1. Omnibus Budget Reconciliation Act of 1987
  2. Kerr Mills Act
  3. Wagner Act
  4. Social Security Act of 1935
/ 21/65.1(5)
78 / Today ___% of nursing homes are chain owned. / 1 2 3 4
  1. 40%
  2. 56%
  3. 65%
  4. 73%
/ 22/68.1
79 / The _____ was responsible for the research study that led to passage of OBRA 1987 / 1 2 3 4
  1. National Institute of Occupational Safety and Health (NIOSH)
  2. National Institutes for Health
  3. American Medical Association
  4. AmericanAcademy of Medicine
/ 22/70.1
80 / OBRA 1987 switched the emphasis of the nursing home inspection process from ___ to ___. / 1 2 3 4
  1. Process to outcomes
  2. Structure to process
/ 21/65.1
  1. Outcomes to process
  2. Structure to outcomes

81 / Employers control employee behavior through ______. / 1 2 3 4
  1. Performance reviews
  2. Pay increases
  3. Progressive discipline
  4. Norms and values
/ 16/51.1
82 / General statements about the behavior employees are expected to conform to are called ______. / 1 2 3 4
  1. Norms
  2. Values
  3. Professional standards
  4. None of the above
/ 16/51.1(1)
83 / An example of a value is ______. / 1 2 3 4
  1. We respect resident dignity
  2. Speak to residents in calm friendly voice
  3. Ask residents what they prefer to eat that day
  4. Ask residents what channel they want to watch on TV
/ 16/51.1(1)
84 / Which is true about employee motivation? / 1 2 3 4
  1. Employees are primarily loyal to their specific work area
  2. Employees are loyal to the facility
  3. Employees leave their personal problems home
  4. The administrator has no impact on employee behavior or attitude
/ 16/51.1
85 / A ___ is more powerful than a goal or plan. / 1 2 3 4
  1. Vision
  2. Mission statement
  3. Bylaws
  4. Policy
/ 16/51.1
86 / ______develops a budget and coordinates all work in the facility / 1 2 3 4
  1. Administration
  2. Nursing
  3. Business office
  4. Maintenance
/ 16/51.1
87 / ______maintains resident clinical records / 1 2 3 4
  1. Administration
  2. Nursing
  3. Admissions
  4. Medical records
/ 18/58.1
88 / ______screens and coordinates new admissions to a facility / 1 2 3 4
  1. Administration
  2. Nursing
  3. Admissions
  4. Medical records
/ 18/58.1
89 / ______assists residents to adjust to facility life and counsels residents and families regarding psychosocial and financial issues. / 1 2 3 4
  1. Social Services
  2. Nursing
  3. Admissions
  4. Activities Department
/ 18/58.1
90 / ______keeps the facility clean and odor free. / 1 2 3 4
  1. Nursing
  2. Maintenance
  3. Housekeeping
  4. Laundry
/ 18/58.1
91 / ______keeps sheets, gowns, tablecloths clean and in good condition. / 1 2 3 4
  1. Nursing
  2. Maintenance
  3. Housekeeping
  4. Laundry
/ 18/58.1
92 / _____ prepares the payroll and generates financial reports. / 1 2 3 4
  1. Business Office
  2. Maintenance
  3. Administration
  4. Laundry
/ 19/58.1(10)
93 / Specific standards of behavior are called ______. / 1 2 3 4
1. Norms / 16/51.1(2)
2. Values
3. Policies
4. Procedures

Admin – Test 4 of 4 – Answer Key