Nursing home administrator Exam (James Allen) Questions With Answers Latest 2024/2025 | Graded A+.

Nursing home administrator Exam (James Allen) Questions With Answers Latest 2024/2025 | Graded A+. 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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-2 Nursing home administrator Exam (James Allen) Questions With Answers – Latest 2024/2025 | Graded A+ 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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 - Answer-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 _____. 1. Practicing effective control 2. Likely to be correct 3. Failing to control effectively 4. Right to monitor the situation for a period of time - Answer-3 26. Corporate sends a directive to its flagship facility administrator directing the administrator's attention more toward the outcome of resident care than the cost of resident care during the coming 12 months. Corporate is more concerned with _____ than with _____. 1. Effectiveness; efficiency 2. Efficiency; effectiveness 3. Expenses/inputs 4. Expenses/throughput - Answer-1 27. The long-term care sector receiving increased funding and attention from the federal government is the _____. 1. Home health care sector 2. Volunteer hospice group association 3. Long-term care hospital sector 4. Private insurance industry - Answer-1 28. The concept that nursing homes should be reimbursed by states for their actual costs was part of the _____. 1. Emerging Medicare approach 2. Federal administration's goal as seen in new budgetary appropriations 3. Hatch Amendment 4. Goal statements of most state governments - Answer-3 29. The intense health care cost-shifting efforts among providers such as Medicare, Medicaid, and local governments are _____. 1. On the wane 2. Likely to continue 3. Leading to increased reimbursements 4. Good for the nursing home profession - Answer-2 30. Worried about the level of actual resident care being achieved in the facility, the administrator directs the nurses to spend less time charting and more time focusing on the effectiveness of care being given to residents. The likely result will be _____. 1. Better resident care, possibly increased deficiency citations 2. Better resident care, decreased deficiency citations 3. No real improvement in resident care, decreased charting 4. Greater sensitivity to residents' needs and better documentation - Answer-1 31. The new social worker informs the head of nursing that admissions is all she has time for and that nursing must monitor and document each resident's sociopsy- chological experiences. The new social worker is _____. 1. Responding appropriately to priorities 2. Achieving a better balance of assignments within the facility 3. Responding inappropriately 4. Likely to improve the case mix dramatically - Answer-3 32. Today the twin forces of ________ and ________ are revolutionizing the delivery of health care. (p. 2) 1. Technology/patient rights 2. Obamacare/patient data legislation 3. Technology/patient data legislation 4. New inventions/rapid adoption of inventions * - Answer-3 33. Mostofthemultiplenewdevicestomonitoranddiagnoseeachindividual'shealth status are creating new monitoring and diagnostic capacities ________. (p. 2) 1. Outside the hospital 2. Outside the doctor's office 3. Outside the hospital and doctors office 4. Primarily within the hospital setting - Answer-3 34. For the nursing facility setting, the new capacities to monitor residents' health offer dramatic new opportunities to improve ________. (p. 2) 1. Diabetes treatment 2. Pneumonia management 3. Infection control techniques 4. Chronic disease management - Answer-4 35. Patientdatalegislation,suchasthemostrecenthealthcarelegislation,hassetinto motion a nationwide policy to promote patients' access to their _______. (p. 2) 1. Rights 2. Personal data 3. Medical records 4. Family history - Answer-3 36. Under the Affordable Care Act, the residents can access their own lab test results within 30 days of request _______. (p. 118) 1. With their physician's permission 2. With nursing personnel's permission 3. If from a government lab 4. Without going through the physician who ordered the test - Answer-4 37. The concept of lab-on-a-chip will _______. (p. 118) 1. Speed up lab diagnoses in the nursing facility 2. Eliminate the need for diagnoses 3. Increase the cost of diagnoses 4. Be done by the residents - Answer-1 38. Attempting to find the right person for each well-defined job is known as the management function of _____. (p. 3) 1. Personnel work 2. Interviewing 3. Staffing 4. The job search - Answer-3 39. The administrator who takes steps that ensure that the goals are accomplished and that each job is done as planned is successfully _____. (p. 5) 1. Getting results 2. Improving outputs 3. Controlling quality 4. Sensing organization - Answer-3 40. The administrator's job is to ensure that the _____ employees do the tasks of the organization at an acceptable quality level. (p. 4) 1. Best prepared 2. Trained 3. Appropriate 4. Unmotivated - Answer-3 41. The administrator who conducts a national search for a director of nursing posi- tion and interviews 20 candidates from seven different surrounding states by phone is engaged in the managerial function of _____. (p. 5) 1. Directing personnel development 2. Staffing 3. Broad personnel searches 4. In-depth interviewing - Answer-2 42. In the end, it can be said that the administrator's responsibility to meet resident care needs and facility financial needs are _____. (p. 6) 1. Clearly unequal 2. Amismatch 3. Both about equal 4. Unclear - Answer-3 43. Superior performance depends on taking exceptional care of residents via supe- rior service and _____. (p. 6) 1. Constant attention to the bottom line 2. Constant innovation 3. Attention to detail 4. A good attitude - Answer-2 44. Superior performance for a nursing facility comes through _____. (p. 6) 1. Having all the beds full 2. Achieving consistent profitability 3. Innovation in ways to serve residents 4. Efficient management of the budget - Answer-3 45. The superb nursing facility is superb by virtue of its _____. (p. 6) 1. Success in attention to consistent profitability 2. Success in serving the residents 3. Reputation in the community as a friendly place 4. Achieving superior ratings - Answer-2 46. Answering the phones and resident call bells with common courtesy and doing things that work are examples of _____. (p. 6) 1. Good sense 2. Uncommon perceptions 3. An ability to be practical 4. A blinding flash of the obvious - Answer-4 47. Giving every employee the space to innovate at least a little; listening to resi- dents and acting on their ideas; and wandering around with residents, staff, and suppliers are examples of the difficult-to-achieve _____. (p. 6) 1. Long-range goals 2. Short-range goals 3. Commonsense, obvious 4. Typical facility approach - Answer-3 48. In a facility of 120 beds, the administrator _____ personally perform each of the management tasks. (p. 7) 1. Need not 2. Should 3. Over a month will 4. Over a year will - Answer-1