NURSING HOME ADMINISTRATION EXAM
QUESTIONS WITH DETAILED VERIFIED
ANSWERS
OBRA '87 Ans: Skilled Nursing 24/7/minimum 8 hours of RN continuous
OBRA '90 Ans: Right to refuse medical treatment
PPO stands for Ans: "Preferred Provider Organization"
HMO stands for Ans: "Health Movement Organization"
HMO Ans: Must use specific health care provider
SNP stands for Ans: "Special Needs Plan"
SNP Ans: Specific condition to see physician
PFFS stands for Ans: Private fee for services
PFF Ans: Can go to any medicare approved physician
Elder Justice Act Ans: Ombudsman program (abuse, neglected)
Comprehensive Care Plan Ans: Within 21 days
Continuous Care Ans: Nurse/CNA 8-24 days
Retain medical records Ans: 5 years
Intermediate Care Ans: Resident do not need skilled care
Baseline Care Plan Ans: 48 hours
Copy of Medical Records Request by Resident Ans: 2 days
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Remotivation Therapy Ans: Aims to engage a resident's interest in the
environment of the facility
QAA stands for Ans: Quality Assessment Assurance
QAA Committee must include... Ans: DNS, a physician designated by the
facility, and at least 3 other members of the facility staff
Environmental Cued Wandering Ans: Seeing a hallway
Physical Abuse Ans: Use of corporal punishment to control behavior
Physician Assistant Ans: Diagnose and treat patients
Nurse practitioner Ans: Can perform examinations and prescribe
medications
Medication Aide Ans: Can pass meds and monitor BP, temp, and pulse
while under the supervision of an RN or LPN
Recreational wandering Ans: Need for more exercise
Late WSS ADL's Ans: Bed mobility, transfers toilet use, eating
Normal psychological changes in the elderly Ans: memory loss,
depression, confusion
Overflow Ans: enlarged prostate
Restraints must be removed how often and for how long? Ans: Every 2
hours for at least 10 minutes
Stress incontinence Ans: Sneezing, jumping
Monitor restraints every... Ans: 30 minutes
Bedridden Ans: Unable to stand or walk
Primary risk factors for decreased ROM Ans: Immobilization by being
bed ridden, unable to stand or walk
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Ambulation Ans: able to walk
urge/reflex incontinence Ans: Sudden uncontrollable need to urinate
Transient incontinence Ans: r/t infection
Benign Ans: Non-recurrent or non-progressive
Congenital Ans: dates from birth
Hereditary Ans: Condition transferred genetically
Malignant Ans: Resists treatment
Amyotrophic Lateral Sclerosis (ALS) Ans: Progressive disease affecting
motor neurons
Prognosis Ans: likely outcome of a condition
Chronic Ans: a long duration or recurring
Degenerative Ans: Tissue or organs deteriorate
Symptom Ans: Perceptible change in the body or its function
If a resident lands on the ground due to a fall, this is considered... Ans:
a resident-to-resident. NOT A FALL
Modality Ans: Treat a disorder
Diagnosis Ans: Identifying a condition
Senile dementia Ans: Deteriorative mental state due to organic brain
damage that causes loss of memory
Functional dementia Ans: d/t brain damage
Urge/Reflex incontinence can be treated with... Ans: Medications
IPCP stands from Ans: Infection Prevention and Control Program