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1. Occupancy of Facility A has B. Seek a new administrator.
been a steady 70% since
the Patient Driven Payment The administrator fails to anticipate that the occupancy rate of
Model (PDPM) was intro- the facility is likely to fall and that, in any case, with the new
duced. Two weeks ago, a new competition a new approach to admissions will most likely be
120-bed, equally equipped fa- necessary. The administrator is failing to react appropriately to
cility opened several blocks changes in the environment that will likely impact the facility.
away. The Facility A admin-
istrator tells the admissions
counselor to continue the
usual recruitment approach.
The chain owners ought to
_____.
A. Rest comfortably
B. Seek a new administrator
C. Appoint a new admissions
counselor
D. Take no action
2. The nurse newly promoted D. Seek a new director of nursing.
to director of nursing insists
on personally giving four RN The director of nursing fails to understand that using expensive
hours of resident care each RN hours when less expensive licensed practical nurse (LPN)
day on the Alzheimer's wing and certified nurse's assistant (CNA) hours are the industry
in the 175-bed facility. The ad- standard will be unsustainably expensive for the facility. Addi-
ministrator should _____. tionally, the director of nursing is not a direct care role, and their
A. Praise the new director of time should be spent in other applicable areas for their position.
nursing for their resident cen-
teredness
B. Appoint an assistant direc-
tor of nursing
C. Adapt the job description
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to fit the director of nursing's
pattern
D. Seek a new director of nurs-
ing
3. The newly hired assistant to D. Be forewarned.
the administrator insists that
the organizational chart dot- The director of nursing normally reports directly to the admin-
ted line between this position istrator. The assistant administrator wants too much power or
and the Department of Nurs- does not understand how normal nursing facilities function
ing 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
4. The nursing facility adminis- D. Does not understand LBWA.
trator who, using the lead-
ership by walking around It is normally better to go through the chain of command and let
(LBWA) technique, succeeds the employees' immediate supervisor request the corrections.
in making appropriate correc-
tions on the spot during their
rounds _____.
A. Is effectively implementing
the concept
B. Gains additional power
through the process
C. Exhibits appropriate leader-
ship
D. Does not understand LBWA
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5. When the administrator no- A. Behaving normally, but worthy of oversight.
tices that the director of nurs-
ing seeks to turn as many It is normal for the various departments such as nursing, house-
duties as possible over to keeping, and dietary to seek to "turn over" as much work to
housekeeping, the adminis- other departments as they can.
trator 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
6. The administrator notices that C. Failing to control effectively.
incident reports are being in-
sufficiently filled out, but does Correctly filled-out incident reports are a must for the facility
nothing, believing that the sit- and this situation is not likely to "correct itself" without the
uation will likely correct itself. administrator's active intervention. This is a very significant area
The administrator is _____. of concern and can quickly lead to immediate jeopardy level
A. Practicing effective control citations should it remain uncorrected
B. Likely to be correct
C. Failing to control effective-
ly
D. Right to monitor the situa-
tion for a period
7. The administrator of a nurs- D. Resources/finances.
ing facility must organize the
_____ and _____ available to The administrator must be capable of organizing resources
best meet the needs of the and finances so that the needs of the residents can be met.