The newly hired assistant to the administrator insists that the organizational chart dotted line between
this position and the Department of Nursing should be a solid line. The administrator should _____.
A. Agree in general
B. Agree to this special case
C. Ask the director of nursing for their opinion
D. Be forewarned
D. Be forewarned.
The director of nursing normally reports directly to the administrator. The assistant administrator wants
too much power or does not understand how normal nursing facilities function
The nursing facility administrator who, using the leadership by walking around (LBWA) technique,
succeeds in making appropriate corrections on the spot during their rounds _____.
A. Is effectively implementing the concept
B. Gains additional power through the process
C. Exhibits appropriate leadership
D. Does not understand LBWA
D. Does not understand LBWA.
It is normally better to go through the chain of command and let the employees' immediate supervisor
request the corrections.
When the administrator notices that the director of nursing seeks to turn as many duties as possible over
to housekeeping, the administrator should conclude that the director of nursing is _____.
A. Behaving normally, but worthy of oversight
B, Holding a grudge against housekeeping
C. Unwilling to be cooperative
,D. Wielding power desirably
A. Behaving normally, but worthy of oversight.
It is normal for the various departments such as nursing, housekeeping, and dietary to seek to "turn
over" as much work to other departments as they can.
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 _____.
A. Practicing effective control
B. Likely to be correct
C. Failing to control effectively
D. Right to monitor the situation for a period
C. Failing to control effectively.
Correctly filled-out incident reports are a must for the facility and this situation is not likely to "correct
itself" without the administrator's active intervention. This is a very significant area of concern and can
quickly lead to immediate jeopardy level citations should it remain uncorrected.
The administrator of a nursing facility must organize the _____ and _____ available to best meet the
needs of the residents.
A. Care/staffing
B. Staffing/employees
C. Employees/resources
D. Resources/finances
D. Resources/finances.
The administrator must be capable of organizing resources and finances so that the needs of the
residents can be met. The resources include everything that a facility does or offers. The finances include
billing, collections, paying employees and vendors, and other required activities.
, In the end, it can be said that the administrator's responsibility to meet resident care needs and facility
financial needs are _____.
A. Clearly unequal
B. A mismatch
C. Both about equal
D. Unclear
C. Both about equal.
One cannot provide care without making money. One cannot make money without providing high-
quality resident care. Finances and resident care go hand in hand.
To ensure that all the management tasks are successfully accomplished, the administrator of a 120-bed
facility will typically divide management into _____.
A. Two layers
B. Three layers
C. Eight cooperating teams
D. Four teams
B. Three layers.
There are three layers of management: upper, middle, and lower. The administrator is part of the upper-
level management.
Nursing facility administrators should anticipate and successfully prepare for _____.
A. Increased reimbursement
B. New long-term care legislation
C. Increased longevity