TEXAS STATE NURSING HOME ADMINISTRATOR TEST
QUESTIONS WITH CORRECT ANSWERS
Medicaid specific requirements apply to? - CORRECT ANSWER-All residents, including, but not limited to
private-pay. Medicaid applicants and recipients, VA patients, and Medicare recipients, who are admitted
to and reside in a Medicaid certified facility or a Medicaid-certified distinct part of a facility. These
requirements do not apply to SNFs licensed under the Health and Safety Code Chapter 241, participating
only in the Medicare program
Abuse - CORRECT ANSWER-Negligent or willful infliction of injury, unreasonable confinement,
intimidation, or punishment with resulting physical or emotional harm or pain to a resident; or sexual
abuse, including involuntary or nonconsensual sexual conduct that would constitute an offense under
Penal Code §21.08 (indecent exposure) or Penal Code Chapter 22 (assaultive offenses), sexual
harassment, sexual coercion, or sexual assault.
Act - CORRECT ANSWER-Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment - CORRECT ANSWER-An MDS assessment that determines a recipient's
initial determination of eligibility for medical necessity for admission into the Texas Medicaid Nursing
Facility Program.
Advanced practice registered nurse - CORRECT ANSWER-A person licensed by the Texas Board of
Nursing as an advanced practice registered nurse.
Agent - CORRECT ANSWER-An adult to whom authority to make health care decisions is delegated under
a durable power of attorney for health care.
APA - CORRECT ANSWER-The Administrative Procedure Act, Texas Government Code, Chapter 2001.
Attending physician - CORRECT ANSWER-A physician, currently licensed by the Texas Medical Board,
who is designated by the resident or responsible party as having primary responsibility for the treatment
and care of the resident.
Texas State Nursing Home Administrator Test questions with correct answers
,Authorized electronic monitoring - CORRECT ANSWER-The placement of an electronic monitoring device
in a resident's room and using the device to make tapes or recordings after making a request to the
facility to allow electronic monitoring.
Barrier precautions - CORRECT ANSWER-Precautions including the use of gloves, masks, gowns,
resuscitation equipment, eye protectors, aprons, face shields, and protective clothing for purposes of
infection control.
Care and treatment - CORRECT ANSWER-Services required to maximize resident independence, personal
choice, participation, health, self-care, psychosocial functioning and reasonable safety, all consistent
with the preferences of the resident.
Certification - CORRECT ANSWER-The determination by HHSC that a nursing facility meets all the
requirements of the Medicaid or Medicare programs.
Change of ownership - CORRECT ANSWER-An event that results in a change to the federal taxpayer
identification number of the license holder of a facility. The substitution of a personal representative for
a deceased license holder is not a change of ownership.
CFR - CORRECT ANSWER-Code of Federal Regulations.
Complaint - CORRECT ANSWER-Any allegation received by HHSC other than an incident reported by the
facility. Such allegations include, but are not limited to, abuse, neglect, exploitation, or violation of state
or federal standards.
Completion date - CORRECT ANSWER-The date an RN assessment coordinator signs an MDS assessment
as complete.
Comprehensive assessment - CORRECT ANSWER-An interdisciplinary description of a resident's needs
and capabilities including daily life functions and significant impairments of functional capacity.
Comprehensive care plan - CORRECT ANSWER-A plan of care prepared by an interdisciplinary team that
includes measurable short-term and long-term objectives and timetables to meet the resident's needs
developed for each resident after admission. The plan addresses at least the following needs: medical,
Texas State Nursing Home Administrator Test questions with correct answers
,nursing, rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes strategies
developed by the team, consistent with the physician's prescribed plan of care, to assist the resident in
eliminating, managing, or alleviating health or psychosocial problems identified through assessment.
Comprehensive Care Plan includes? - CORRECT ANSWER-(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's problems; and
(D) assisting in the development of appropriate coping mechanisms.
Covert electronic monitoring - CORRECT ANSWER-The placement and use of an electronic monitoring
device that is not open and obvious, and the facility and HHSC have not been informed about the device
by the resident, by a person who placed the device in the room, or by a person who uses the device.
DADS - CORRECT ANSWER-The term referred to the Department of Aging and Disability Services; it now
refers to HHSC.
DHS - CORRECT ANSWER-This term referred to the Texas Department of Human Services; it now refers
to HHSC, unless the context concerns an administrative hearing. Administrative hearings were formerly
the responsibility of DHS; they now are the responsibility of the HHSC.
Dietitian - CORRECT ANSWER-A qualified dietitian is one who is qualified based upon either:
(A) registration by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics; or
(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code, Chapter 701 and one
year of supervisory experience in dietetic service of a health care facility.
Direct care by licensed nurses - CORRECT ANSWER-Direct care consonant with the physician's planned
regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's care;
(D) nursing intervention; and
(E) evaluation and change of approaches as necessary.
Texas State Nursing Home Administrator Test questions with correct answers
, Direct ownership interest - CORRECT ANSWER-Ownership of equity in the capital, stock, or profits of, or
a membership interest in, an applicant or license holder.
Disclosure interest - CORRECT ANSWER-Five percent or more direct or indirect ownership interest in an
applicant or license holder.
Distinct part - CORRECT ANSWER-That portion of a facility certified to participate in the Medicaid
Nursing Facility program.
Drug (also referred to as medication) - CORRECT ANSWER-Any of the following:
(A) any substance recognized as a drug in the official US Pharmacopoeia, official Homeopathic
Pharmacopoeia of the US, or official National Formulary, or any supplement to any of them;
(B) any substance intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease
in man;
(C) any substance (other than food) intended to affect the structure or any function of the body of man;
and
(D) any substance intended for use as a component of any substance specified in (A) - (C). It does not
include devices or their components, parts, or accessories.
Electronic monitoring device - CORRECT ANSWER-Video surveillance cameras and audio devices installed
in a resident's room, designed to acquire communications or other sounds that occur in the room. An
electronic, mechanical, or other device used specifically for the nonconsensual interception of wire or
electronic communication is excluded from this definition.
Exploitation - CORRECT ANSWER-The illegal or improper act or process of a caregiver, family member, or
other individual who has an ongoing relationship with a resident using the resources of the resident for
monetary or personal benefit, profit, or gain without the informed consent of the resident.
Fiduciary agent - CORRECT ANSWER-An individual who holds in trust another's monies.
Goals - CORRECT ANSWER-Long-term: general statements of desired outcomes. Short-term: measurable
time-limited, expected results that provide the means to evaluate the resident's progress toward
achieving long-term goals.
Texas State Nursing Home Administrator Test questions with correct answers
QUESTIONS WITH CORRECT ANSWERS
Medicaid specific requirements apply to? - CORRECT ANSWER-All residents, including, but not limited to
private-pay. Medicaid applicants and recipients, VA patients, and Medicare recipients, who are admitted
to and reside in a Medicaid certified facility or a Medicaid-certified distinct part of a facility. These
requirements do not apply to SNFs licensed under the Health and Safety Code Chapter 241, participating
only in the Medicare program
Abuse - CORRECT ANSWER-Negligent or willful infliction of injury, unreasonable confinement,
intimidation, or punishment with resulting physical or emotional harm or pain to a resident; or sexual
abuse, including involuntary or nonconsensual sexual conduct that would constitute an offense under
Penal Code §21.08 (indecent exposure) or Penal Code Chapter 22 (assaultive offenses), sexual
harassment, sexual coercion, or sexual assault.
Act - CORRECT ANSWER-Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment - CORRECT ANSWER-An MDS assessment that determines a recipient's
initial determination of eligibility for medical necessity for admission into the Texas Medicaid Nursing
Facility Program.
Advanced practice registered nurse - CORRECT ANSWER-A person licensed by the Texas Board of
Nursing as an advanced practice registered nurse.
Agent - CORRECT ANSWER-An adult to whom authority to make health care decisions is delegated under
a durable power of attorney for health care.
APA - CORRECT ANSWER-The Administrative Procedure Act, Texas Government Code, Chapter 2001.
Attending physician - CORRECT ANSWER-A physician, currently licensed by the Texas Medical Board,
who is designated by the resident or responsible party as having primary responsibility for the treatment
and care of the resident.
Texas State Nursing Home Administrator Test questions with correct answers
,Authorized electronic monitoring - CORRECT ANSWER-The placement of an electronic monitoring device
in a resident's room and using the device to make tapes or recordings after making a request to the
facility to allow electronic monitoring.
Barrier precautions - CORRECT ANSWER-Precautions including the use of gloves, masks, gowns,
resuscitation equipment, eye protectors, aprons, face shields, and protective clothing for purposes of
infection control.
Care and treatment - CORRECT ANSWER-Services required to maximize resident independence, personal
choice, participation, health, self-care, psychosocial functioning and reasonable safety, all consistent
with the preferences of the resident.
Certification - CORRECT ANSWER-The determination by HHSC that a nursing facility meets all the
requirements of the Medicaid or Medicare programs.
Change of ownership - CORRECT ANSWER-An event that results in a change to the federal taxpayer
identification number of the license holder of a facility. The substitution of a personal representative for
a deceased license holder is not a change of ownership.
CFR - CORRECT ANSWER-Code of Federal Regulations.
Complaint - CORRECT ANSWER-Any allegation received by HHSC other than an incident reported by the
facility. Such allegations include, but are not limited to, abuse, neglect, exploitation, or violation of state
or federal standards.
Completion date - CORRECT ANSWER-The date an RN assessment coordinator signs an MDS assessment
as complete.
Comprehensive assessment - CORRECT ANSWER-An interdisciplinary description of a resident's needs
and capabilities including daily life functions and significant impairments of functional capacity.
Comprehensive care plan - CORRECT ANSWER-A plan of care prepared by an interdisciplinary team that
includes measurable short-term and long-term objectives and timetables to meet the resident's needs
developed for each resident after admission. The plan addresses at least the following needs: medical,
Texas State Nursing Home Administrator Test questions with correct answers
,nursing, rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes strategies
developed by the team, consistent with the physician's prescribed plan of care, to assist the resident in
eliminating, managing, or alleviating health or psychosocial problems identified through assessment.
Comprehensive Care Plan includes? - CORRECT ANSWER-(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's problems; and
(D) assisting in the development of appropriate coping mechanisms.
Covert electronic monitoring - CORRECT ANSWER-The placement and use of an electronic monitoring
device that is not open and obvious, and the facility and HHSC have not been informed about the device
by the resident, by a person who placed the device in the room, or by a person who uses the device.
DADS - CORRECT ANSWER-The term referred to the Department of Aging and Disability Services; it now
refers to HHSC.
DHS - CORRECT ANSWER-This term referred to the Texas Department of Human Services; it now refers
to HHSC, unless the context concerns an administrative hearing. Administrative hearings were formerly
the responsibility of DHS; they now are the responsibility of the HHSC.
Dietitian - CORRECT ANSWER-A qualified dietitian is one who is qualified based upon either:
(A) registration by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics; or
(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code, Chapter 701 and one
year of supervisory experience in dietetic service of a health care facility.
Direct care by licensed nurses - CORRECT ANSWER-Direct care consonant with the physician's planned
regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's care;
(D) nursing intervention; and
(E) evaluation and change of approaches as necessary.
Texas State Nursing Home Administrator Test questions with correct answers
, Direct ownership interest - CORRECT ANSWER-Ownership of equity in the capital, stock, or profits of, or
a membership interest in, an applicant or license holder.
Disclosure interest - CORRECT ANSWER-Five percent or more direct or indirect ownership interest in an
applicant or license holder.
Distinct part - CORRECT ANSWER-That portion of a facility certified to participate in the Medicaid
Nursing Facility program.
Drug (also referred to as medication) - CORRECT ANSWER-Any of the following:
(A) any substance recognized as a drug in the official US Pharmacopoeia, official Homeopathic
Pharmacopoeia of the US, or official National Formulary, or any supplement to any of them;
(B) any substance intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease
in man;
(C) any substance (other than food) intended to affect the structure or any function of the body of man;
and
(D) any substance intended for use as a component of any substance specified in (A) - (C). It does not
include devices or their components, parts, or accessories.
Electronic monitoring device - CORRECT ANSWER-Video surveillance cameras and audio devices installed
in a resident's room, designed to acquire communications or other sounds that occur in the room. An
electronic, mechanical, or other device used specifically for the nonconsensual interception of wire or
electronic communication is excluded from this definition.
Exploitation - CORRECT ANSWER-The illegal or improper act or process of a caregiver, family member, or
other individual who has an ongoing relationship with a resident using the resources of the resident for
monetary or personal benefit, profit, or gain without the informed consent of the resident.
Fiduciary agent - CORRECT ANSWER-An individual who holds in trust another's monies.
Goals - CORRECT ANSWER-Long-term: general statements of desired outcomes. Short-term: measurable
time-limited, expected results that provide the means to evaluate the resident's progress toward
achieving long-term goals.
Texas State Nursing Home Administrator Test questions with correct answers
