North Carolina Nursing Home Administrator
State Exam Questions With Solutions
Abuse definition - ANSWER>>the willful infliction of injury, unreasonable
confinement, intimidation or punishment with resulting physical harm, pain, or
mental anguish
Accident definition - ANSWER>>an unplanned event resulting in the injury or
wounding of a patient or other individual
Addition definition - ANSWER>>an extension or increase in floor area or height of
a building
Alteration definition - ANSWER>>any construction or renovation to an existing
structure other than repair, maintenance, or addition
"Brain injury long term care" definition - ANSWER>>an interdisciplinary, intensive
maintenance program for patients who
have incurred brain damage caused by external physical trauma and who have
completed a primary course
of rehabilitative treatment and have reached a point of no gain or progress for
more than three consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical,
cognitive, and behavioral
functions
,Capacity definition - ANSWER>>the maximum number of patient or resident beds
for which the facility is licensed to maintain at any given time
"Comprehensive, inpatient rehabilitation program" definition -
ANSWER>>program for the treatment of persons with
functional limitations or chronic disabling conditions who have the potential to
achieve a significant
improvement in activities of daily living, including bathing, dressing, grooming,
transferring, eating, and
using speech, language, or other communication systems. Utilizes a coordinated
and integrated, interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial,
and cognitive deficits.
Discharge definition - ANSWER>>a physical relocation of a patient to another
health care setting; the discharge of a patient to his or her home; or the
relocation of a patient from a nursing bed to an adult care home bed, or from an
adult care home bed to a nursing bed
Incident definition - ANSWER>>any accident, event, or occurrence that is
unplanned, or unusual, and has caused harm to a patient, or has the potential for
harm
Interdisciplinary definition - ANSWER>>an integrated process involving
representatives from disciplines of the health care team
Licensee definition - ANSWER>>the person, firm, partnership, association,
corporation, or organization to whom a license to operate the facility has been
issues. The licensee is the legal entity that is responsible for the operation of the
business.
,"Medication error rate" definition and formula - ANSWER>>the measure of
discrepancies between medication that was ordered for a patient by the health
care provider and medication that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - ANSWER>>the deliberate
misplacement, exploitation, or wrongful, temporary or permanent use of a
patient's belongings or money without the patient's consent
Neglect definition - ANSWER>>a failure to provide goods and services necessary
to avoid physical harm, mental anguish, or mental illness
"New facility" meaning - ANSWER>>a facility for which an initial license is sought,
a proposed addition to an existing facility, or a proposed remodeled portion of an
existing facility that will be built according to construction documents and
specifications approved by the Department of Health and Human Services for
compliance which standards established in this Subchapter [13D]
"Nurse aide" definition - ANSWER>>a person who is listed on the NC Nurse Aide
Registry and provides nursing or nursing-related services to patients in a nursing
home. A nurse aide is not a licensed health professional.
Patient definition - ANSWER>>any person admitted for nursing care
Resident definition - ANSWER>>any person admitted for care to an adult care
home part of a combination facility
"Respite care" definition - ANSWER>>services provided for a patient on a
temporary basis, not to exceed 30 days
, Surveyor definition - ANSWER>>a representative of the Department (of Health
and Human Services) who inspects nursing facilities and combination facilities to
determine compliance with rules, laws, and regulations as set forth in G.S. 131E-
117; Subchapters 13D and 13F of this Subchapter; and 42 CFR Part 483,
Requirements for States and Long Term Care Facilities
Violation definition - ANSWER>>failure to comply with rules, laws, and regulations
as set forth in G.S. 131E-117 and 131D-21; Subchapters 13D and 13F of this
Chapter; or 42 CFR Part 483, Requirements for States and Long Term Care
Facilities, that relates to a patient's or resident's health, safety, or welfare, or that
creates a risk that death, or physical harm may occur
New facility licensure application requirements - ANSWER>>A legal entity shall
submit an application for licensure for a new facility to the Nursing Home
Licensure and Certification Section of the DHSR at least 30 days prior to a license
being issued or patients admitted.
Application must include:
- legal identity of applicant (licensee) and mailing address
- name(s) under which the facility is presented to the public
- location and mailing address of the facility
- ownership disclosure
- bed complement
- magnitude and scope of services offered
- name and current license number of the administrator
- name and current license number of the DON
- name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. - ANSWER>>True
(T/F) Licenses are transferable - ANSWER>>False - licenses are not transferable
State Exam Questions With Solutions
Abuse definition - ANSWER>>the willful infliction of injury, unreasonable
confinement, intimidation or punishment with resulting physical harm, pain, or
mental anguish
Accident definition - ANSWER>>an unplanned event resulting in the injury or
wounding of a patient or other individual
Addition definition - ANSWER>>an extension or increase in floor area or height of
a building
Alteration definition - ANSWER>>any construction or renovation to an existing
structure other than repair, maintenance, or addition
"Brain injury long term care" definition - ANSWER>>an interdisciplinary, intensive
maintenance program for patients who
have incurred brain damage caused by external physical trauma and who have
completed a primary course
of rehabilitative treatment and have reached a point of no gain or progress for
more than three consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical,
cognitive, and behavioral
functions
,Capacity definition - ANSWER>>the maximum number of patient or resident beds
for which the facility is licensed to maintain at any given time
"Comprehensive, inpatient rehabilitation program" definition -
ANSWER>>program for the treatment of persons with
functional limitations or chronic disabling conditions who have the potential to
achieve a significant
improvement in activities of daily living, including bathing, dressing, grooming,
transferring, eating, and
using speech, language, or other communication systems. Utilizes a coordinated
and integrated, interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial,
and cognitive deficits.
Discharge definition - ANSWER>>a physical relocation of a patient to another
health care setting; the discharge of a patient to his or her home; or the
relocation of a patient from a nursing bed to an adult care home bed, or from an
adult care home bed to a nursing bed
Incident definition - ANSWER>>any accident, event, or occurrence that is
unplanned, or unusual, and has caused harm to a patient, or has the potential for
harm
Interdisciplinary definition - ANSWER>>an integrated process involving
representatives from disciplines of the health care team
Licensee definition - ANSWER>>the person, firm, partnership, association,
corporation, or organization to whom a license to operate the facility has been
issues. The licensee is the legal entity that is responsible for the operation of the
business.
,"Medication error rate" definition and formula - ANSWER>>the measure of
discrepancies between medication that was ordered for a patient by the health
care provider and medication that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - ANSWER>>the deliberate
misplacement, exploitation, or wrongful, temporary or permanent use of a
patient's belongings or money without the patient's consent
Neglect definition - ANSWER>>a failure to provide goods and services necessary
to avoid physical harm, mental anguish, or mental illness
"New facility" meaning - ANSWER>>a facility for which an initial license is sought,
a proposed addition to an existing facility, or a proposed remodeled portion of an
existing facility that will be built according to construction documents and
specifications approved by the Department of Health and Human Services for
compliance which standards established in this Subchapter [13D]
"Nurse aide" definition - ANSWER>>a person who is listed on the NC Nurse Aide
Registry and provides nursing or nursing-related services to patients in a nursing
home. A nurse aide is not a licensed health professional.
Patient definition - ANSWER>>any person admitted for nursing care
Resident definition - ANSWER>>any person admitted for care to an adult care
home part of a combination facility
"Respite care" definition - ANSWER>>services provided for a patient on a
temporary basis, not to exceed 30 days
, Surveyor definition - ANSWER>>a representative of the Department (of Health
and Human Services) who inspects nursing facilities and combination facilities to
determine compliance with rules, laws, and regulations as set forth in G.S. 131E-
117; Subchapters 13D and 13F of this Subchapter; and 42 CFR Part 483,
Requirements for States and Long Term Care Facilities
Violation definition - ANSWER>>failure to comply with rules, laws, and regulations
as set forth in G.S. 131E-117 and 131D-21; Subchapters 13D and 13F of this
Chapter; or 42 CFR Part 483, Requirements for States and Long Term Care
Facilities, that relates to a patient's or resident's health, safety, or welfare, or that
creates a risk that death, or physical harm may occur
New facility licensure application requirements - ANSWER>>A legal entity shall
submit an application for licensure for a new facility to the Nursing Home
Licensure and Certification Section of the DHSR at least 30 days prior to a license
being issued or patients admitted.
Application must include:
- legal identity of applicant (licensee) and mailing address
- name(s) under which the facility is presented to the public
- location and mailing address of the facility
- ownership disclosure
- bed complement
- magnitude and scope of services offered
- name and current license number of the administrator
- name and current license number of the DON
- name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. - ANSWER>>True
(T/F) Licenses are transferable - ANSWER>>False - licenses are not transferable
