Administration Study Guide
Overview of the Exam Preparation Course
Course Structure and Objectives
The course is a 5-week intensive self-study program designed to prepare students for the
National Nursing Home Administrator’s Exam.
It emphasizes understanding regulations, laws, and operational practices rather than rote
memorization.
Progress is monitored by the instructor, allowing for personalized feedback and support.
Students are encouraged to negotiate additional instruction time if needed, highlighting the
flexible nature of the course.
The course does not guarantee a passing score, emphasizing the importance of individual effort
and preparation.
Instructor's Role and Responsibilities
Stan Mucinic, LNHA, is the course instructor, providing professional knowledge and guidance.
Students can contact the instructor via email for questions or after scoring each exam, ensuring
ongoing support.
The instructor's expertise is crucial for navigating complex concepts related to nursing home
administration.
Key Concepts and Terminology
Financial Statements and Budgets
An Income Statement (Profit and Loss Statement) details operating income and expenses,
reflecting the efficiency of management.
The three main budgets in nursing home administration are operating, cash, and capital
budgets, with operating and capital being the most strategic.
Understanding the purpose of a capital budget is essential for planned purchases of physical
assets.
Legal and Regulatory Framework
, The Fair Labor Standards Act establishes minimum wage and overtime requirements, enforced
by the Department of Labor.
Respondent superior holds employers accountable for their employees' actions, also known as
strict liability or vicarious liability.
The Hazard Communication Standard under OSHA mandates informing employees about
workplace chemicals, emphasizing safety regulations.
Clinical and Operational Knowledge
Medical Terminology and Roles
A physiatrist specializes in musculoskeletal injuries, working closely with physical and
occupational therapists.
Understanding ADLs (Activities of Daily Living) is crucial for providing personal care, while
instrumental ADLs involve more complex tasks like managing finances.
Carcinoma refers to cancer, highlighting the importance of medical terminology in healthcare
settings.
Emergency Management and Patient Care
An effective emergency management plan must identify potential disasters and outline action
plans to address them.
Resident-centered care focuses on organizing services and daily life to be meaningful for each
resident, enhancing quality of life.
The legal obligation of facilities includes assisting residents in choosing new physicians if current
ones are not meeting their needs.
Exam Preparation Strategies
Study Techniques and Resources
Use a sheet of paper to cover questions and answers during practice to test knowledge
effectively.
Track missed questions for targeted retesting, reinforcing learning and retention.
Engage with the material actively rather than passively memorizing, ensuring a deeper
understanding of concepts.
Key Exam Topics and Questions