Nursing home administrator
exam (James Allen)/217
Questions and Answers/100%
Correct
1. The most likely single cause for the series of bankruptcies among
larger nursing home chains around the year 2000 was ____.
1. Too small increases in government reimbursement rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small - -2
-2. In a chance conversation with the owner of an eight-facility chain,
the newly hired administrator for the oldest facility in the chain indicates
that, because the mortgage is fully retired, the administrator will
concentrate more on being effec- tive than efficient since the Quality
Indicators are all at or above the state's aver-age. The owner would
likely ____.
1. Be pleased
2. Be distressed
3. Be content
4. Praise the newly hired administrator - -2
-3.
Occupancy of Facility A has been a steady 70% since the Prospective
Payment System was introduced. Two weeks ago, a new 120-bed,
equally equipped facil- ity opened several blocks away. The Facility A
administrator tells the admissions counselor to continue the usual
recruitment approach. The chain owners ought to _____.
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action - -2
-4. Bankruptcies among larger nursing home chains prior to 2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated debt - -3
-5. Under the Prospective Payment System, nursing facilities'
reimbursed costs _____.
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs - -2
, -6. In recent years, Medicare has _____.
1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
3. Eased up on economic pressures previously placed on facilities
4. Remained relatively unchanged in its reimbursement structure - -2
-7. The nurse newly promoted to director of nursing insists on giving
four RN hours of patient care each day on the Alzheimer's wing in the
175-bed facility. The administrator should _____.
1. Praise the new director of nursing for her resident centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing - -4
-8. The applicant for the administrator position in a facility near a large
teaching hospital insists that, as before in his rural facility, if hied he
would not let the Medicare reimbursement policies affect his case mix.
This applicant _____.
1. Should be hired
2. Is likely to succeed if hired
3. Can likely succeed in his goal
4. Is out of touch - -4
-9. The newly hired assistant to the administrator insists that the
organizational chart dotted line between this position and the
Department of Nursing be a solid line. The administrator should _____.
1. Agree in general
2. Agree to this special case
3. Ask the director of nursing for his or her opinion 4. Be forewarned - -4
-10. The medical supplies provider tells the administrator of a facility
that has not paid bills for the past 3 months but is now operating under
a bankruptcy judge's approved plan for restructuring, that no more
deliveries will be made until past bills are fully paid. The medical
supplies provider _____.
1. Is smart to cut losses at that point
2. Does not understand how bankruptcy works 3. Will now likely get his
past due bills paid
4. Is farsighted - -2
-11. An administrator who adopts the leadership-by-walking-around
(LBWA) approach by walking through the facility weekly and intently
observing has _____.
1. Become an effective leader
2. Chosen a good management style 3. Failed to understand LBWA
4. Implemented a useful strategy - -3
, -12. The nursing facility administrator who, using the leadership-by-
walking around (LBWA) technique, succeeds in actually making
appropriate corrections on the spot during her rounds _____.
1. Is effectively implementing the concept
2. Gains additional power through the process 3. Exhibits appropriate
leadership
4. Does not understand LBWA - -4
-13. The rate of increase in the total number of nursing facilities in the
United States during the years 2008 to 2012 is _____.
1. Likely to be about level
2. Likely to double
3. Likely to triple to accommodate the baby boomer generation 4. Likely
to decrease markedly - -1
-14. The applicant for administrator of the facility insists that he has
successfully used democratic leadership to the exclusion of all other
leadership styles. The interviewer should _____.
1. Recommend hiring this candidate
2. Praise the candidate
3. Be favorably impressed
4. Continue to interview candidates - -4
-15. The candidate for administrator said that she used a variety of
administrative styles, but could not say exactly which she would use in
every circumstance. The interviewer should be _____.
1. Favorably impressed
2. Unfavorably impressed
3. Concerned about possible indecisiveness 4. Looking for one
leadership style - -1
-16. The candidate for administrator indicated that he consistently
chose the charis- matic style of leadership. This should _____ the
interviewer.
1. Reassure
2. Alert
3. Confirm the candidate's qualifications to 4. Please - -2
-17. The costs of providing subacute care to nursing home residents
_____. 1. Is perhaps triple that of the more typical patient
2. Covered by Medicare
3. Absorbed by Medicaid if Medicare coverage is inadequate
4. Mostly covered by private insurance - -1
-18. The nurse supervisor who had just been appointed director of
nursing 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
_____.
1. Be relieved
, 2. Confirm the decision 3. Be supportive
4. Anticipate problems - -4
-19. The department head was not surprised to learn that an employee
had heard only the positive comments to the employee and ignored the
criticisms. The department head's grasp of the communication process
is _____.
1. Deficient
2. Appropriate 3. Out of focus 4. Inadequate - -2
-20. The administrator routinely accepted as a nearly exclusive
information source the director of nursing's positive reports that nursing
was going well. The administrator is _____.
1. Showing appropriate confidence in the director of nursing
2. Utilizing the director of nursing properly
3. Realizing a successful appointment has been made 4. Placing himself
at risk - -4
-21. Periodic shortage of nurses available for nursing home
employment _____. 1. Is being solved by community college programs
2. Is decreasing
3. Can be readily solved by hiring temporary nurses
4. Is likely to remain for the foreseeable future - -4
-22. Congress and the federal rule makers behave as if the facility will
run success- fully if Congress and the Centers for Medicare and Medicaid
Services can write enough rules. They are _____.
1. Incorrect
2. Correct, according to behavior theory
3. Pessimistic about the need for rules
4. Correct, according to emerging management theory - -1
-23. When the administrator notices that the director of nursing seeks
to turn as many duties as possible over to housekeeping, the
administrator should con- clude that the director of nursing is _____.
1. Behaving normally
2. Holding a grudge against housekeeping 3. Unwilling to be cooperative
4. Wielding power desirably - -1
-24. The administrator insists that a timely copy of all reports generated
within the facility come across her desk before anyone signs them. The
administrator is _____.
1. Not rationalizing her management information system
2. Making appropriate and desirable requests
3. Exercising good judgment
4. Initiating an appropriate management information system - -1
-25. 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 _____.
exam (James Allen)/217
Questions and Answers/100%
Correct
1. The most likely single cause for the series of bankruptcies among
larger nursing home chains around the year 2000 was ____.
1. Too small increases in government reimbursement rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small - -2
-2. In a chance conversation with the owner of an eight-facility chain,
the newly hired administrator for the oldest facility in the chain indicates
that, because the mortgage is fully retired, the administrator will
concentrate more on being effec- tive than efficient since the Quality
Indicators are all at or above the state's aver-age. The owner would
likely ____.
1. Be pleased
2. Be distressed
3. Be content
4. Praise the newly hired administrator - -2
-3.
Occupancy of Facility A has been a steady 70% since the Prospective
Payment System was introduced. Two weeks ago, a new 120-bed,
equally equipped facil- ity opened several blocks away. The Facility A
administrator tells the admissions counselor to continue the usual
recruitment approach. The chain owners ought to _____.
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action - -2
-4. Bankruptcies among larger nursing home chains prior to 2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated debt - -3
-5. Under the Prospective Payment System, nursing facilities'
reimbursed costs _____.
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs - -2
, -6. In recent years, Medicare has _____.
1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
3. Eased up on economic pressures previously placed on facilities
4. Remained relatively unchanged in its reimbursement structure - -2
-7. The nurse newly promoted to director of nursing insists on giving
four RN hours of patient care each day on the Alzheimer's wing in the
175-bed facility. The administrator should _____.
1. Praise the new director of nursing for her resident centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing - -4
-8. The applicant for the administrator position in a facility near a large
teaching hospital insists that, as before in his rural facility, if hied he
would not let the Medicare reimbursement policies affect his case mix.
This applicant _____.
1. Should be hired
2. Is likely to succeed if hired
3. Can likely succeed in his goal
4. Is out of touch - -4
-9. The newly hired assistant to the administrator insists that the
organizational chart dotted line between this position and the
Department of Nursing be a solid line. The administrator should _____.
1. Agree in general
2. Agree to this special case
3. Ask the director of nursing for his or her opinion 4. Be forewarned - -4
-10. The medical supplies provider tells the administrator of a facility
that has not paid bills for the past 3 months but is now operating under
a bankruptcy judge's approved plan for restructuring, that no more
deliveries will be made until past bills are fully paid. The medical
supplies provider _____.
1. Is smart to cut losses at that point
2. Does not understand how bankruptcy works 3. Will now likely get his
past due bills paid
4. Is farsighted - -2
-11. An administrator who adopts the leadership-by-walking-around
(LBWA) approach by walking through the facility weekly and intently
observing has _____.
1. Become an effective leader
2. Chosen a good management style 3. Failed to understand LBWA
4. Implemented a useful strategy - -3
, -12. The nursing facility administrator who, using the leadership-by-
walking around (LBWA) technique, succeeds in actually making
appropriate corrections on the spot during her rounds _____.
1. Is effectively implementing the concept
2. Gains additional power through the process 3. Exhibits appropriate
leadership
4. Does not understand LBWA - -4
-13. The rate of increase in the total number of nursing facilities in the
United States during the years 2008 to 2012 is _____.
1. Likely to be about level
2. Likely to double
3. Likely to triple to accommodate the baby boomer generation 4. Likely
to decrease markedly - -1
-14. The applicant for administrator of the facility insists that he has
successfully used democratic leadership to the exclusion of all other
leadership styles. The interviewer should _____.
1. Recommend hiring this candidate
2. Praise the candidate
3. Be favorably impressed
4. Continue to interview candidates - -4
-15. The candidate for administrator said that she used a variety of
administrative styles, but could not say exactly which she would use in
every circumstance. The interviewer should be _____.
1. Favorably impressed
2. Unfavorably impressed
3. Concerned about possible indecisiveness 4. Looking for one
leadership style - -1
-16. The candidate for administrator indicated that he consistently
chose the charis- matic style of leadership. This should _____ the
interviewer.
1. Reassure
2. Alert
3. Confirm the candidate's qualifications to 4. Please - -2
-17. The costs of providing subacute care to nursing home residents
_____. 1. Is perhaps triple that of the more typical patient
2. Covered by Medicare
3. Absorbed by Medicaid if Medicare coverage is inadequate
4. Mostly covered by private insurance - -1
-18. The nurse supervisor who had just been appointed director of
nursing 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
_____.
1. Be relieved
, 2. Confirm the decision 3. Be supportive
4. Anticipate problems - -4
-19. The department head was not surprised to learn that an employee
had heard only the positive comments to the employee and ignored the
criticisms. The department head's grasp of the communication process
is _____.
1. Deficient
2. Appropriate 3. Out of focus 4. Inadequate - -2
-20. The administrator routinely accepted as a nearly exclusive
information source the director of nursing's positive reports that nursing
was going well. The administrator is _____.
1. Showing appropriate confidence in the director of nursing
2. Utilizing the director of nursing properly
3. Realizing a successful appointment has been made 4. Placing himself
at risk - -4
-21. Periodic shortage of nurses available for nursing home
employment _____. 1. Is being solved by community college programs
2. Is decreasing
3. Can be readily solved by hiring temporary nurses
4. Is likely to remain for the foreseeable future - -4
-22. Congress and the federal rule makers behave as if the facility will
run success- fully if Congress and the Centers for Medicare and Medicaid
Services can write enough rules. They are _____.
1. Incorrect
2. Correct, according to behavior theory
3. Pessimistic about the need for rules
4. Correct, according to emerging management theory - -1
-23. When the administrator notices that the director of nursing seeks
to turn as many duties as possible over to housekeeping, the
administrator should con- clude that the director of nursing is _____.
1. Behaving normally
2. Holding a grudge against housekeeping 3. Unwilling to be cooperative
4. Wielding power desirably - -1
-24. The administrator insists that a timely copy of all reports generated
within the facility come across her desk before anyone signs them. The
administrator is _____.
1. Not rationalizing her management information system
2. Making appropriate and desirable requests
3. Exercising good judgment
4. Initiating an appropriate management information system - -1
-25. 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 _____.
