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NAB Exam
Nursing Home Administration Exam
105
Health Care
Advanced
10/25/2016
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Term

 

The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was

 Definition
Paying too much for acquisitions in 1998 and 1999
Term
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, since the mortgage is fully retired, he will concentrate more on being effective than efficient since his Quality Indicators are all at or above his state's average. The owner would likely ____.
 Definition
Be distressed
Term

Occupancy of Facility A has been a steady 70% since Prospective Payment System was introduced. Two weeks ago, a new 120-bed equally equipped facility opened several blocks away. The Facility A adminstrator tells the admisions counselor to continue the usual recruitment approach. The chain owners ought to ____.

 

 Definition
Seek a new administrator.
Term
Bankruptcies among larger nursing home chains prior to 2000 ____.
 Definition
Were highly unusual
Term
Under the prospective payment system, nursing facilities' reimbursed costs ______.
 Definition
were more bundled.
Term
In recent years Medicare has _____.
 Definition
shifted more costs onto nursing facilities.
Term

The nurse newly promoted to DON insists on giving four RN hours of patient care each day on the Alzheimer's wing in the 175-bed facility. The adminstrator should ______.

 Definition
seek a new DON.
Term
The applicant for the administrator position in a facility near a large teaching hospital who insists that, if hired, as before with his rural facility, he would not let the Medicare reimbursement policies affect his case mix _______.
 Definition
is out of touch.
Term
The newly hired assitant to the adminstrator insists the organizational chart line between his position and the DON be a solid line. The administrattor should ____.
 Definition
be forewarned.
Term
The medical supplies provider tells the administrator of a facility that has not paid bills 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 ______.
 Definition
does not understand how bankruptcy works.
Term
An administrator who adopts the management-by-walking-around (MBWA) approach by walking through the facility and intently observing weekly has ____.
 Definition
failed to understand MBWA (should be done daily).
Term
The nursing facility administrator who, using the management-by-walking-around (MBWA) technique, succeeds in actually making appropriate corrects on the spot during his rounds _____.
 Definition
Doesnt understand MBWA (corrections should go through the chain of command).
Term
The rate of increase in the total number of nursing facilities in the United States during the years 2008-2012 is _____.
 Definition
likely to be about level.
Term
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 _____.
 Definition
Continue to interview candidates.
Term

The candidate for administrator said she used a variety of administrative styles, but couldn't say exactly which she would use in every circumstance. The interviewer should be _____. 

 Definition

favorably impressed. 
Term
The candidate for administrator indicated that she consistently chooses the charismatic style of leadership. This should ____ interviewer.
 Definition
alert
Term
The costs of providing subacute care to nursing home residents ____.
 Definition
is perhaps triple that of the more typical patient.
Term
The nurse superviosr who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the nurses that only formal communications were to ber allowed in the nursing department. The administrator should _________.
 Definition
Anticipate problems
Term
The department head was not surprised to learn that the employee had only heard his positive comments to the employee and ignored his crticisms. The department head's grasp of the communication process is ______.
 Definition
Appropriate
Term
The administrator routinely accepted as his nearly exclusive information source teh director of nursing's positive reports on how nursing was gong well. The administrator is ____.
 Definition
Placing him at risk.
Term
Periodic shortage of nurses available for nursing home employment_____.
 Definition
is likely to remain for the forseeable future.
Term
Congress and teh federal rule makers behave as if the facility will run successfully if Congress and CMS can write enough rules. They are _____.
 Definition
Incorrect.
Term
When the admnistrator notices that the DON seeks to turn as many duties as possible over to housekeeping, the administrator should conclude that the DON is _____.
 Definition
Behaving normally.
Term
The administrator insists that a timely copy of all reports generaged within the facility come across her desk before anyone sign them. The administrator is ______.
 Definition
Not rationalizing her management information system.
Term
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 _____.
 Definition
Failing to control effectively.
Term
Corporate sends a directive to its flagship facility administrator, directing the adminstrator's attention more toward outcome of resident care than cost of resident care during the coming 12 months. Corporate is more conerned with _____ than with ______.
 Definition
effectiveness, efficiency.
Term
The long term care sector receiving increased funding and attention from the federal government is the _____.
 Definition
Home Health sector.
Term
The concept that nursing homes should be reimbursed by states for their actual costs was part of the _____.
 Definition
Hatch Amendment
Term
The intense health care cost-shifting efforts among providers such as Medicare, Medicaid, and local government is ______.
 Definition
Likely to continue.
Term
Worried about the level of actualy resident care being achieved in the facility, the adminstrator directs the nurses to spend less time charting and more time focusing on the effectiveness of care being given to residents. The likley result will be ______.
 Definition
better resident care, possible increased deficiency citations.
Term
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 socio-psychological experiences. The new social worker is ____.
 Definition
responding inappropriately.
Term
Attempting to find the right person for each well-defined job is known as the management function of______.
 Definition
Staffing
Term
The administrator who takes steps that assure the goals are acoomplished and that each job is done as planned is successfully ______.
 Definition
controlling quality
Term
The administrator's job is to assure that the _____ employees do the tasks of the organization at an acceptable quality level.
 Definition
appropriate
Term
the administrator who conducts a national search for a director of nursing position interviews 20 candidates from 7 different surrounding states by phone is engaged in the managerial function of ______.
 Definition
Staffing
Term
In the end, it can be said that the adminsitrator's responsibilty to meet resident care needs and facility financial needs are _____.
 Definition
Both about equal
Term
superior performance depends on taking exceptional care of residents via superior service and ____.
 Definition
constant innovation
Term
Superior performance for a nursing facility comes through _____.
 Definition
Innovation in ways to serve residents
Term
The superb nursing faciliyt is suberp by virtue of its _____.
 Definition
Success in serving the residents
Term
Answering the phones and resident call bells with common courtesy and doing things that work are examples of _____.
 Definition
a blinding flash of the obvious
Term
Giving every employee the space to innovate at least a little, listening to residents and acting on their ideas; and wandering around with residnets, staff, and suppliers, are examples of the difficult-to-achieve _____.
 Definition
common sense, obvious
Term
In a facility of 120 beds, the administrator _____personally perform each of the management tasks.
 Definition
need not
Term
To assure that all the management tasks are successfully accomplished, the adminstrator of a 120-bed facility will typically divide management into ____.
 Definition
three layers
Term
A licensed person responsible for formulating and enforcing policies that will be applied to an entire facility is thought of as a/an _____.
 Definition
upper-level manager
Term
The staff member responsible for reporting to upper-level management and at the same time interacting significantly with several lower-level managers is the _____.
 Definition
Director of nursing.
Term
the staff person for whom both upward and downward communication skills are the most necessary is the _____.
 Definition
DON
Term
When the DON makes an effective policy decision without consulting the administrator, that impacts all nursing personnel, the adminstrator should ______.
 Definition
be pleased
Term
in the typical nursing facility, the decision-making process is ____ establishment of lower, middle, and upper levels of management.
 Definition
noticeably more complicated than the simple
Term
Among the following positions, the _____ has no authority to make decisions for the facility.
 Definition
assistant to the administrator
Term
Decision made by persons on the staff to whom the adminstrator has delegated line authority are, in the final analysis, regarded as decision by _____.
 Definition
the administrator
Term
When a nurse practitioner, who is more highly qualified than the DON, gives orders to nurses in the hallways, the DON shouuld feel _____.
 Definition
undermined
Term
In times of crisis, corporate representatives, who hold a staff or advisory relationship to their counterparts in the local facility, may expect that their advice as staff be _____.
 Definition
acted on as carrying line authority
Term
As a generalization, it can be asserted that managerial success belongs to those who ____.
 Definition
successfully prepare for the future
Term
nursing home administrators should anticipate and successfully prepare for _____.
 Definition
rapid change
Term
the long term care industry has entered a period in which ____change can be expected.
 Definition
rapid and far reaching
Term
The ability to accurately predict the future implication for nursing facilities of new trends to which the present environment may offer small clues is the skill needed to successfully _____.
 Definition
forecast
Term
Historically, during the 1970s and early 80s (until the DRG method of reimbursement) nursing facility adinistrators made long-range projection during a period of _____.
 Definition
relative stability in the health care field
Term
The rate of change in the health care field is believed to be _____.
 Definition
increasing exponentially
Term
Researcher have predicted that every 10 years _______ of all current knowledge and accepted practices in the healthcare and other industries will be _____.
 Definition
one fourth, obsolete
Term
It is conceivable that the core business of the nursing home in this decade will ______ the core business of the nursing home of the next decade.
 Definition
be entirely different
Term
One should expect that over the next few decades the rules governing the nursing home will be ___.
 Definition
new, never experienced before
Term
Nursing homes that stick to conventional formulas for success are/will ____.
 Definition
miss new markets and be in a backwash
Term
in the text, it is agued that for the first time in human history the capacity exists to provide ____.
 Definition
complete health care for all citizens
Term
the roles possible for hospitals, nursing homes, home health agencies, and managed care organizations are ______.
 Definition
endless and will remain up for grabs
Term
the staff in nursing facilities, over the next two decades, will likely ______.
 Definition
experience culture shock
Term
plans can best be said to be statement of the _______.
 Definition
organizational goals of the facility
Term
in order to survive, each facility must ________.
 Definition
deal with the outside world
Term
a major advantage assoicated with carefully developed plans is making it possible to ______.
 Definition
compare what happens to what is predicted
Term
when external conditions change, plans _______.
 Definition
can be altered to meet the changed conditions.
Term
the observation about the idea that "if it ain't broke, don't fix it" is ______.
 Definition
that if ain't broke today, it will be tomorrow
Term
the approach to planning known as SWOT refers to focusing on _______.
 Definition
Strengths, weaknesses, opportunities, and threats.
Term
When considering building a new facility, necessary approvals by government agencies, such as zoning requirements, building codes, certificate of need are _____.
 Definition
Sometimes difficult or impossible to obtain.
Term
Looking at aocmpetitors' expansion plans, occupancy levels, and local hospital plans when considering building a nursing facility is known as conducting a ____.
 Definition
Needs assessment.
Term
When planning a new nursing facility, the goal of being in operation within four months is best desribed as a _____.
 Definition
Short-range objective.
Term
As general rule, the planning process moves from ______.
 Definition
General to specific
Term
One mentioned view of the planning process includes the observation that ______.
 Definition
The future will change our plans.
Term
Nursing home administrators who expect the unexpected and thrive on it _____
 Definition
Will last in the profession.
Term
The are offering the richest opportunities for innovation is _______.
 Definition
The unexpected.
Term
When one accepts the idea that change is permanent part of life _______.
 Definition
One can take advantage of new opportunities.
Term
One must assume that other nursing home administrators in the community ________.
 Definition
Are "searching for new ways to climb the mountain"
Term
In the process of organizing the work of a facility, it is of real importance to assure that ______.
 Definition
There is no duplication of work.
Term
Organizing is the first step in implementation of a/an _______.
 Definition
plan.
Term
What the worker does, how the worker does it, what aids are necessary, what is accomplished, and what skills are needed are parts of a ______.
 Definition
Job analysis
Term
It can be argued that all nursing facility administrators organize their facility according to _____.
 Definition
Some theory of organization.
Term
Viewing organizations as systems has the advantage of offering the manager framework for visualizing the ____ of the organization.
 Definition
internal and external environment.
Term
an organized or complex whole, an assembling or combinig of things or people forming a complex or single whole, best describes the ______.
 Definition
Systems concept
Term
A primary advantage of systems theory is that it serves as a tool for making sense of the world by making clearer _____.
 Definition
interrelationships within the outside of the organization.
Term
if the outputs of the organization do not meet the administrator's expectation he takes ______ actions to bring the outputs into line with those planned.
 Definition
control
Term
In essence, what nursing facilities do is use mone to hire staff and provide materials needed to _____.
 Definition
Give patient care.
Term
The patient care that is given by the facility (i.e. the output) _______
 Definition
can range from good to unacceptable.
Term
Asking if the work accomplished by the facility is up to expected standards and, if not, taking corrective actions i the act of _____.
 Definition
Controlling quality.
Term
The administrator uses ____as the guidelines to compare the output with the expected results.
 Definition
the facility's policies and plans of action
Term
The passage of the nursiing home reform act of 1987 can be viewed as a form of _____ the nursing home industry.
 Definition
External feedback of
Term
The external environment of the nursing facility consists of ______.
 Definition
Opportunities and constraints.
Term
If something relates meaningfully to a nursing facility, but is something over which the facility has no control, for example, enforcement of the federal certification requirements, it can be said to be _____.
 Definition
a contraint in the external environment.
Term
Increasing availability of managed care contracts, new niches, and increasing numbers of elderly needing care can be considered to be ______.
 Definition
Opportunities.
Term
Systems analysis is most/equally useful to ______.
 Definition
The administrator, DON, and head of housekeeping.
Term
Typically, the output of the nursing home as a system becomes the input for _____.
 Definition
the hospital or the resident's home.
Term
A nursing home and similar organizations can grow _____.
 Definition
without any time limit.
Term
The entropy process is considered a universal law of nature that all organisms ______.
 Definition
move toward death.
Term
As the general characteristic of organizations, it has been argued that, in general organizations seek to _____.
 Definition
grow.
Term
Once in place, organizations become creatures of habit and develop a tendency to _____change.
 Definition
resist
Term
The most predictable response of a nursing facility experiencing a "disruptive employee" is to _____.
 Definition
let the employee go.
Term
When a nursing facility chain goes from being the leader to being behind the pack, this can likely be attributed to _____.
 Definition
a deep reseroir of outmoded attitudes and policies.
Term
the training received in nursing school, medical school, and physical therapy school tends to _____.
 Definition
create resistance to change.
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