5€¦ · Web viewThe exam questions are cross referenced to the speed reader to allow you to quickly find and review material you missed on the exam as follows: Page Number ----
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NURSING HOME ADMINISTRATOR LICENSUREEXAM REVIEW COURSE
Students enrolled in the “National Nursing Home Administrator Licensing Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national licensure exam administered by the National Association of Boards of Examiners (NAB).
This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely.
THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM. An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation.
A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.
How to Use the Study Guides
Step 1 – VERY IMPORTANT - The personalized test organizer that comes with the program is the key to your success and sets this program apart from any other. It is critical you follow the instructions and score each exam, and file the completed exams into your binder. Try to keep to the schedule and email your test results to the instructor to stay focused.
Step 2. - Speed Reader – Read the speed reader for each module once or twice before taking the module exam(s). Read the speed reader over and over again until you familiarize yourself with its contents. THE MORE TIMES YOU LOOK IT THE MORE LIKELY YOU ARE TO REMEMBER IT.
Step 3 – Exam Packet - The exam packet contains questions designed to measure your comprehension and retention of the material you read. Take each exam over and over again until you score 100%. Make sure you score each exam and record the results in your organizer or you will not be able to gauge your progress.
The exam questions are cross referenced to the speed reader to allow you to quickly find and review material you missed on the exam as follows:
Page Number ---- 2/1.8(13) ------ Section NumberThe specific reference material would be found on page 2 of the speed reader, section 1.8, subparagraph 13.
Contact InformationYou may contact Stan Mucinic by email at [email protected] with any questions
2 Problem recognition, information search, alternate evaluation and post purchase evaluation are all steps in the _________.
1 2 3 4
1. Consumer decision process2. Marketing decision process3. Facility inventory purchasing process4. None of the above
8/19.1
3 Consumers make a final decision to enter a facility based on ________. 1 2 3 4
1. Price2. Whether facility can meet their needs3. Referral from hospital case managers4. Persuasive skills of the administrator
8/21.1
4 The most effective marketing tool for a nursing home is/are_______. 1 2 3 4
1. Ads in newspapers2. Ads on television3. A tour of the facility4. Health care fairs
9/22.1(2)
5 ______________ has the least impact on influencing a patient to choose a facility. 1 2 3 4
1. Physician referrals2. Hospital discharge planner referral3. Media ads4. Word of mouth
9/22.1
6 _______ is an example of impersonal advertising 1 2 3 4
1. A tour of a facility2. Consumers attending a health fair in facility3. Media ads on television and print ads4. Physicians and case managers attending a luncheon at a facility
9/22.1(5)
7 Which is not true of marketing a nursing home? 1 2 3 4
1. Subliminal perceptions of a family touring a facility (odors in hallway) are a deciding factor in choosing a facility
2. Word of mouth is the most effective form of advertising3. A facility’s reputation has no bearing on consumer attractiveness4. Hospital discharge planners are a key referral source
8/21.19/22.1
8 Cognitive state, affective state and behavioral state are all elements of the ______. 1 2 3 4
1. Marketing strategy process2. Consumer decision making process3. Buyer readiness states4. None of the above
9 Short term residents should be surveyed about satisfaction with services ______. 1 2 3 4
1. Upon admission2. Weekly3. Monthly4. Within 30 days from discharge
9/24.1
10 Long term residents should be surveyed regarding satisfaction with services _____.
1 2 3 4
1. Just before state inspection/survey2. Annually3. As requested by resident council4. Shortly after discharge
9/24.1
11 Patients and family look for ____ as key to selecting a nursing home. 1 2 3 4
1. Variety and quality of food2. Good rehab department3. Timely communication with nursing staff4. Well known corporate name
9/24.1
12 Physicians mainly look for ____ in recommending a nursing home. 1 2 3 4
1. Variety and quality of food2. Good rehab department3. Timely communication with nursing staff4. Well known corporate name
9/24.1
13 Hospital discharge planners look for ___ in recommending a nursing home. 1 2 3 4
1. Variety and quality of food2. Good rehab department3. Timely communication with nursing staff4. Well known corporate name
9/24.1
14 _________ is not a step in resolving conflict. 1 2 3 4
1. Imposing a solution on the parties2. Clarifying a disputed issue3. Negotiating mutual resolution of a dispute4. Determining ownership of what each person wants
9/25.1
15 A mechanism to monitor consumer satisfaction and address other concerns is called _______.
3. Required to be reviewed by the resident council 4. An important measure of consumer satisfaction
18 Which is not true of communication? 1 2 3 4
1. Unless a message communicated is received and decoded, communication did not take place
2. A message sent by a sender must be understood by the receiver3. Where a message is sent and received but not understood,
communication did not take place4. Active listening is mainly nodding your head in agreement and agreeing
with the speaker
9/27.1
1 2 3 419 Effective communication is not _____
9/27.11. Simply the transmission and receipt of a message2. The heart of the management process3. Affected by withholding important information4. More important the closer to the center of power
20 The exchange of information and the transmission of meaning is ______. 1 2 3 4
1. Unimportant2. Communication3. Not well understood4. None of the above
9/27.1
21 Listening intently, acceptance, empathy and understanding the message is describes ________.
1 2 3 4
1. Unconditional positive regard2. Active listening3. Compassionate communication4. None of the above
9/27.1
1 2 3 422 The heart of the management process is ________.
1. Communication2. Policies and procedures3. Mission statement4. Grievance process
9/27.1
23 A person who skews info based on personal desires and needs is engaged in _________.
34 Communication from subordinates directed to upper management is called _____. 1 2 3 4
1. Upward communication2. Downward communication3. Horizontal communication4. None of the above
10/31.1
35 Communication between staff of equal rank or status is called _______. 1 2 3 4
1. Upward communication2. Downward communication3. Horizontal communication4. None of the above
10/31.1
36 A company rumor mill is an example of _______. 1 2 3 4
1. Upward communication2. Downward communication3. Horizontal communication4. None of the above
10/31.1
37 Which of the following is not true of communication? 1 2 3 4
1. Communication has multiple levels of meaning2. Managers should not withhold information from employees3. Written communication reinforces oral communication4. Communication occurs when the receiver receives a message
9/27.110/29.1
38 _______ is an electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server
1 2 3 4
1. Email2. Firewire3. Bluetooth4. High frequency radios
10/32.1
39 A finding of ‘substandard care” requires the survey team to have evidence of ___________.
1 2 3 4
1. Insufficient nursing staff2. Immediate jeopardy to resident care than has or likely to cause serious
injury or death3. Inadequate policies and procedures
40 A facility may appeal an error made during a state survey and challenge the findings and rationale in writing to the state licensing agency through _______.
1 2 3 4
1. Informal dispute process2. Formal dispute process3. Civil court mediation4. By filing an appeal directly to the U.S. Supreme Court
12/43.1
41 A facility may challenge a fine, suspension or revocation of a license resulting from a survey or inspection by filing an appeal and requesting a hearing before an administrative hearing officer through the ______
1 2 3 4
12/43.11. Informal dispute process2. Formal dispute process3. Civil court mediation process4. By filing an appeal directly to the U.S. Supreme Court
42 Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?
1 2 3 4
1. JCHAO is a private organization that accredits hospitals, nursing homes and other healthcare organizations that meet criteria and pass periodic inspections
2. Hospitals are required to be accredited by JCAHO3. Nursing homes are required to be accredited by JCAHO to receive
Medicare funds4. A healthcare facility accredited by JCAHO is exempt from state and federal
inspections
12/44.1
43 Which is true of remedies available to the states to compel facilities to correct
class I deficiencies found during inspections?1 2 3 4
1. A required plan of action by facility 2. Placement of state monitor in facility until the deficiency corrected3. Directed in-service4. None of the above
12/42.1
44 A violation with a severity of negative outcomes that compromises a resident’s ability to maintain their highest physical, mental and psychosocial well-being is a _____ violation
1 2 3 4
11/39.11. Level 12. Level 23. Level 34. Level 4
45 Non-compliance affecting a limited number of residents and locations would be assigned a scope of ________.
46 Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of _______.
1 2 3 4
1. Isolated2. Patterned3. Widespread4. Saturated
12/40.1
47 Where one or more offenses or violations involve resident behavior and facility practices, quality of life, quality of care, the survey team would issue a citation for _________
1 2 3 4
1. Poor care2. Substandard quality of care3. Superior care4. None of the above
12/41.1
48 A licensed nursing facility must ________________. 1 2 3 4
1. Display all required state and local licenses and permits2. Comply with all health, sanitation and safety codes3. Produce all inspection reports from regulatory agencies when requested4. All of the above
20/62.1
49 _______________ can provide nursing aide services and be included in calculating minimum staffing hours.
1 2 3 4
1. Student nurses2. Volunteers3. Private duty nurses4. A licensed practical nurse employed by the facility
21/63.1(10)
50 A technology that allows transferring a training video from camcorders to a computer is called _______.
1 2 3 4
1. Email2. Fire wire3. Bluetooth4. Facsimile machines
10/32.1
51 Communication technology that connects cell phones, hand held devices and keyboards without any cables to a computer is called ________.
1 2 3 4
1. Email2. Fire wire3. Bluetooth4. Facsimile machines
10/32.1
52 Managing risks of negative outcomes is called ______. 1 2 3 4
58 ________ is legal concept that holds employers liable for acts of their employees that cause bodily injury or property damage to others
1 2 3 4
1. The Employer Liability Act2. Respondeat Superior3. State Disability Insurance4. Habeas Corpus
10/33.1(6)
59 The leading cause of nursing home lawsuits is ___________ 1 2 3 4
1. Treating a resident without obtaining prior informed consent from 2. Training staff on how to prevent pressure sores3. Maintaining an effective risk management program4. Resolving resident complaints timely
60 Administrators are subject to civil and criminal penalty in some states for failure to ________.
1 2 3 4
1. Maintain a risk management program2. Respond to resident grievances3. Maintain an employee safety program4. All of the above
10/33.1(11)
61 Which is not true of the U.S. medical malpractice system? 1 2 3 4
1. Medical malpractice lawsuits are effective to prevent malpractice claims2. Malpractice premiums drain money from resident care3. Doctors order unnecessary tests and practice “defensive medicine”4. None of the above
10/33.1(10)
62 Development and implementation of a service that includes pricing, promotion and distribution is called _______.
1 2 3 4
1. Marketing2. Discounting3. Public relations4. None of the above
8/19.1
63 Marketing plans should not _________ 1 2 3 4
1. Include efforts to inform the surrounding community of products and services
2. Be updated only when requested by the governing body3. Identify pricing constrained due to government regulation and
reimbursement rates4. Identify market demand
8/19.1
64 Communicating relevant information to the community regarding facility services is called _______.
1 2 3 4
1. Marketing2. Public relations3. Satisfaction survey4. Market audit
8/19.1(3)
65 Government licensure and survey programs assess the quality of care and provide nursing facilities important _____.
1 2 3 4
1. External feedback on quality of care2. Endorsement of quality of care3. Endorsement of the facility administrator’s effectives4. Protection from frivolous lawsuits
16/50.1(3)(F)
66 The nursing home survey/inspection process focuses on ______. 1 2 3 4
1. Structure2. Process3. Outcomes4. None of the above
75 _____ is the phase of the state survey where the survey team gathers info from OSCAR, the ombudsman and other sources prior to entering a facility
1 2 3 4
1. Offsite prep2. Exit conference3. Information gathering4. Entrance conference
11/35.1
76 ______ is the phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found
1 2 3 4
1. Sample selection2. Exit conference3. Information gathering4. Information analysis
11/35.1
77 The phase of the state survey where the survey team sits down with the administrator, the DON and department heads to discuss the findings of the survey team is called ______.
1 2 3 4
1. Sample selection2. Exit conference3. Information gathering4. Information analysis
11/35.1
78 Upon completion of a survey, the survey team will send the administrator a ______ if the facility was substantially in compliance, had only isolated minor problems, and no plan of correction is required
1 2 3 4
1. Form 25672. Notice of isolated deficiencies3. Form W-24. Form I-9
11/38.1
79 Upon completion of a survey, the survey team will send the administrator a ________ if non-compliant deficiencies were found and a plan of correction is required
1 2 3 4
1. Form 25672. Notice of isolated deficiencies3. Form W-24. Form I-9
11/38.1
80 A violation or deficiency with the potential for no more than minor negative impact on a resident is a ______ deficiency.
81 A violation with no actual harm but potential for harm is a ______ deficiency. 1 2 3 4
1. Level 12. Level 23. Level 34. Level 4
11/39.1
82 By 2030, ______ people in the U.S, will be over age 65 1 2 3 4
1. 30 million2. 55 million3. 70 million4. 100 million
23/72.1
83 The _______ is responsible to establish and implement facility policies 1 2 3 4
1. Administrator2. Governing body3. Medical director4. Director of Nursing
19/60.1(4)
84 The _____ specifies the purpose of a corporation and the number of directors 1 2 3 4
1. Bylaws2. Certificate of Incorporation3. Stock certificate4. Debenture
20/61.1(6)
85 The legal responsibility for the operation of a nursing facility rests with the_____. 1 2 3 4
1. Administrator2. Governing body3. Resident council4. Long term ombudsman
19/60.1(4)
86 Under the prospective reimbursement system, facilities are increasingly forced to ____________ to make up decreasing funding from Medicare and Medicaid
1 2 3 4
1. Raise private pay rates to shift costs2. Decrease services provided to Medicare and Medicaid patients3. Admit fewer Medicare and Medicaid patients4. None of the above
22/69.1(6)
87 The average length of Medicare stays per year for all nursing homes is approximately _______.
1 2 3 4
1. 500,0002. 700,0003. 971,9674. 1,200,000
23/71.1(6)
88 _______ percent of seniors age 65 and over currently live in U.S. nursing homes 1 2 3 4