Montana Administrator Test Questions and Answers 2023 with complete solution

Montana Administrator Test 1. A resident was admitted to a facility on November 10. The comprehensive assessment was completed on November 27th. Per OBRA 1987, the comprehensive assessment was completed _______.: Late. a comprehensive assessment is due 14 days after admission or by Nov 24th. 2. The _____________ has ultimate legal responsibility for the operation of a nursing facility.: Governing body. 3. Per OBRA 1987, air temperature is measured _____________.: Just above the floor 4. The _________ requires employers to give workers time off for illness or to care for a sick family member.: Family Medical Leave Act 5. The _______ hires, supervises and can fire the administrator.: Governing Body 6. The administrator discovers the Director of Nursing has been giving nursing aides 6 months to complete their state certification requirements. The administrator should ____________.: Reprimand the DON 7. The rights of an individual determined by a court to be incompetent would be exercised by a(n) ____________________.: A person appointed by a court or court guardian 8. The maintenance director submitted a request for family leave to care for his ailing mother. He has worked 1,350 hours in the nine months he has worked for the facility. The administrator should _____.: Approve the request. employee must work 1250 hours or 12 months to use Family Medical Leave; employer must continue to pay for insurance premiums while employee is on leave 9. Per OBRA 1987, a resident has the right to review all their records within ____ of an oral or written request (excluding weekends and holidays): 24 hours 10. The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed ________.: Timely. Care Plan must be done within 7 days of comprehensive assessment or by June 8th 11. The comprehensive assessment must be signed by _________.: Registered Nurse 12. The _____________has legal responsibility for the day to day operation of a skilled nursing home.: Administrator. The governing board has ultimate Montana Administrator Test responsibility for resident care and managing the facility. The administrator is responsible for day to day operation 13. The ____________ is responsible for the day-to-day management of the facility's nursing program.: DON. The DON is a registered nurse is responsible to manage the nursing staff to follow physician orders to adhere to professional standards 14. CMS stands for __________________.: Centers for Medicaid and Medicare Services 15. HHS stands for _______________________.: Health and Human Services 16. The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7, 2007, June 21 2007 and November 15, 2007. The administrator should _________.: Change the meeting dates to the first Tuesday of January, April, and October to bring the facility into compliance with OBRA 1987 17. A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated?: 3. A bath is not a resident right. RULE OF THUMB. If they give two examples then the answer is one right was violated. if they give you three examples then 2 rights were violated, if they give you 4 examples then 3 rights were violated. 18. A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, 2007, July 29 and Sept 4. With respect to required physician visits per OBRA 1987, the facility _____________.: Was in compliance and would not be cited. With the 10 day grace period, the physical has 40 days to visit and examine resident first 3 months and they have 70 days to visit the resident from the 4th month on. the facility will be cited if the physician visits are not timely. 19. The _______has legal responsibility to adopt and implement facility policies.: Governing body 20. A resident was admitted on June 1. The attending physician charted a visit and physical examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987 with respect to required physician visits, the facility ___________.: Would be cited for a late visit in November. Physician had 70 days to visit resident. The next visit after Sept 4 was due Nov 3 and with the 10 day grace period the last day was November 13th. The visit occurred on November 17th. 21. A state surveyor learns in interviews with residents that when residents are admitted, they were provided a written list of names of physicians who cared for residents in the facility in their admission packet. The facility assigned an attending physician to each resident prior to admission from a rotating list of physicians. Per OBRA 1987, the facility _______: Was out of compliance and would be cited. The facility must inform residents both orally and in writing that they have a right to choose physician and must provide them the names, address and phone numbers of attending physicians. Their personal physician can see them if they agree to. 22. A housekeeper notices a resident is asleep in the room she needs to clean. She knocks on the resident's door, identifies herself as a house keeper, and seeing there is no response from the resident, decides to enter the room and begins cleaning. The housekeeper should be ____.: in-serviced. Although the house keeper knocked and announced who she was, the resident had to acknowledge her presence and give permission to enter the room and it did not happen. 23. _______ is not an element of a Total Quality Management (TQM) program.: Centralize decision making to improve customer services. The main focus of TQM is to train front line workers to make decisions. 24. The ______ is responsible to prepare and serve nutritious meals under sanitary conditions.: Dietary Department 25. All furniture, equipment, boxes and supplies must be elevated ____ inches above the floor to allow the floor directly underneath to be cleaned.: 6 inches 26. ______ is the most comprehensive and effective improvement model.: Total Quality Management 27. The ______ coordinates all work activities in the facility and resolves conflict between departments.: Administration Department 28. HCFA stands for ________________.: Health Care Financing Administration 29. Telephone cords must be a minimum length of ______ .: 29 inches 30. To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should ______.: Reprimand the administrator. Must employ a dietary manager full time. 31. Adding baking soda to food will primarily affect its ________.: Nutritive value. Overcooking food in boiling water, adding baking soda and poorly storing food diminishes the vitamin and mineral content of food. 32. The resident's quality of life and physical condition is the focus of:________.: Outcomes. Outcomes are focused on actual results 33. ____________ is not typical of a TQM program.: Minimal training of staff. 34. A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the ________ to help her.: Social Service Director. social service provides emotional support and interventions for psycho-social and financial problems. 35. Electrical switches must be located at a minimum of ___ inches above the floor.: 15 36. Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______.: Parkinson's disease 37. Nursing homes must have hearing aid compatible phones with volume control that can adjust the volume between a minimum of ____ and a maximum of ____ decibels above normal.: 12, 18. Any public telephones or other telephones available to residents should be hearing aid compatible with volume controls. 38. Grab bars and railings must support a minimum weight of ______ pounds.: 250 39. The emergency generator must be visually inspected and checked ________.: Weekly 40. Federal resident care standards are now ___ and ___ and are no longer considered minimal standards.: State of art, maximal 41. The largest payor source for long term care is ________.: Medicaid 42. The average short term stay for a Medicare resident is ______.: 30 days. they leave after 21-30 days when their $124 a da co-pay kicks in or $3 43. ANSI stands for ________________.: American National Standards Institute 44. Non-compliance affecting a limited number of residents and locations would be assigned a scope of _______: Isolated 45. TQM is not characterized by ___________.: Minimal involvement of upper management 46. Administrators consult ______ to compare outcomes to expectations.: Policies and plans of actions 47. A resident with Parkinson's would not benefit by _________________.: - Bed Rest 48. The states cannot ___________to compel facilities to correct class 1 deficiencies found during Inspections.: Impose civil or criminal penalties 49. A _____ violation is where the severity of negative outcomes that compromises a resident's ability to maintain the highest physical, mental and psychosocial well-being.: Level 3 50. Parking spaces must be at least ___" wide with an accessible handicap aisle at least __" wide.: 96'' 60" 51. A broad statement of goals is a ________.: Policy 52. Long term residents should be surveyed regarding satisfaction with services _____.: Annually 53. Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?: JCAHO can impose civil fines 54. Communication occurs when _________.: a message is transmitted by one person and received and decoded and understood by the other person 55. NFPA stands for _______________________.: National Fire Protection Association 56. The emergency generator must be run under full load for _____ every ____.: 30 minutes, Month 57. The fire alarm can be silenced during a fire drill conducted between the hours of: 10 pm to 6 am 58. The ________ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use.: Quality assurance committee 59. __________ publishes and promotes fire safety in nursing homes.: NFPA 60. Listening intently, acceptance, empathy and understanding the message describes ________.: Active listening 61. Patients and family look for ____ when selecting a nursing home.: Variety and quality of food 62. The Americans with Disabilities Act construction standards are enforced by _______.: Architecture and Transportation Barriers Compliance Board. 63. The Americans with Disabilities Act construction standards were developed by _______.: ANSI 64. A mechanism to monitor consumer satisfaction and address other concerns is called the _______.: Grievance procedure 65. The nursing home survey/inspection process focuses on ______.: Outcomes 66. All nursing facilities must be licensed by the _____.: State 67. Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must submit to _________.: State and federal inspections 68. When the administrator writes a letter to the local state survey office to challenge the findings and citations issued during a survey, the administrator is using the ________.: 69. Per OBRA 1987, a nursing home must maintain the highest________ for residents?: Physical, Mental and psychological well being 70. When a facility requests a hearing before an administrative law judge to challenge the findings made during a state survey, the facility is using the _____.: Formal dispute resolution process 71. Federal inspection of resident care in nursing facilities is overseen by ______.: CMS 72. Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following?: Nursing home watch list 73. Prior to entering a facility, a state survey team would not review the ________.: Resident council minutes 74. the _________ is responsible to identify and address safety hazards that can injure residents and staff and is required by OSHA.: Safety committee 75. The federal nursing home certification survey program has a total of ______ different survey types.: 5 76. The phase of the state survey where the survey team gathers information from OSCAR, the ombudsman and other sources prior to entering a facility is called _______.: Offsite preparation. The Online Survey and Certification Reports contains all MDS data is setup by the CMS 77. The phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found and their severity is called _______.: Information analysis 78. Nursing homes must be inspected every ______.: 15 Months 79. An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server is called ______.: Email 80. A finding of 'substandard care" requires the survey team to have evidence of _________.: Immediate jeopardy to resident care than has or likely to cause serious injury or death 81. A _____ tag would indicate substandard care was found.: F377 J 82. 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 ______.: Exit conference 83. When services in a facility are not consistent from day to day and from shift to shift this is called ___________.: Inconsistency rule 84. Communication between staff of equal rank or status is called _______.: Horizontal communication 85. When consumers perceive a facility renders poor care because of the performance of one employee, this is called ______.: Inseparability rule 86. Upon completion of a survey, the survey team sends the administrator which of the following if the facility was substantially in compliance, had only isolated or minor problems which caused no actual harm, and no plan of correction is required?: Notice of isolated deficiencies 87. The administrator has _____ days to prepare a plan of correction for all deficiencies cited in the survey.: 10 days. You only have 30 days from the time the survey team exits to achieve full compliance - your date certain 88. Communication from subordinates directed to upper management is called _____.: Upward communication 89. A violation or deficiency with the potential for no more than minor negative impact on a resident is a ______ deficiency.: Level 1. 90. __________ has/have the least impact on influencing a resident or their family in choosing a facility.: Media ads 91. Short term residents should be surveyed ____ about satisfaction with services.: Within 30 days from discharge 92. A technology that connects cell phones, hand held devices and keyboards to a computer by high speed cable is called ________.: Fire wire