Federal Nursing Home Administrator
Exam
1) OBRA asserts some separate committees can be folded into the quality
improvement/assurance committee. Safety, Pharmacy and which committee below can be
added into QA/QI committee? - ANS-Infection Control
10) Medical records belong to: - ANS-Facility
100) Risk management - ANS-proactive means of anticipating problems
101) Staff authority - ANS-advisory relationship with line management
102) Forecasting - ANS-projects trends and needs which facility management must decide in
future economic, social and political environment expected and resources available.
103) Bench Marking - ANS-improve business by comparing with best practice of others
(standards from which you measure)
104) Upper-Level management - ANS-responsible for the overall functioning of the facility,
normally interacting directly with the Board of Directors and/or owners.
105) Middle-Level management - ANS-report to upper-level while interacting with lower-level
(DON)
106) Lower-level management - ANS-directly supervise the staff who do the actual work
107) Line Position (Authority): - ANS-empowered by administrator to make decisions for
organization (DON can fire, fire, give orders)
108) Staff Position (Authority) - ANS-not empowered to make decisions; duties are primarily
to advise (consultants, pharmacists, accountants, etc.)
109) Functional Authority - ANS-action outside the normal lines of authority
1. Violates unity of command
2. Necessary due to principle of exception
The two often have edges of distinction blurred
11) When a resident passes away, the personal funds deposited with the facility must be
given to the resident's estate with a final accounting of the funds within: - ANS-30 days
110) Actionable - ANS-conduct giving rise to legal action
111) Aggrieved party - ANS-one whose rights invaded or who suffered injury
112) Burden of proof - ANS-obligation of person bringing action
113) Liable - ANS-written defamation
114) Slander - ANS-verbal defamation
115) Malice - ANS-intentional doing of wrongful act
115) Tort - ANS-a wrong: legal duty owed, breached, and harm occured
116) Worker Comp: - ANS-responsible for injuries occurring at work
117) Scope of Employment: - ANS-range of employee activities (resident services by
omission or commission)
118) Governing: - ANS-excersis authority
119) Advisory: - ANS-not binding
12) The suffix "algia" refers to: - ANS-Pain
120) Stewardship: - ANS-accumulation and use of assets
121) Planning and monitoring: - ANS-goals and progress
, 122) Determining Facility Objectives: - ANS-measurable, verifiable, and attainable
123) Governing Body: - ANS-Approval of P & P
Approval of budget
Selection and Appraisal of Administrator
124) Accounting Equation - ANS-Assets = Liabilities + Capital
125) Accounts payable - ANS-Amounts owed by facility
126) Balance Sheet - ANS-Statement showing solvency
127) Solvency - ANS-the ability of a corporation to meet its long term fixed expenses and to
accomplish long-term expansion and growth
128) General ledger - ANS-Summaries entries in each journal for accounting period
129) Cost Center - ANS-Organizational unit whose costs are separately accumulated
13) Physical restraints must be removed: - ANS-Every two hours
130) Accrual - ANS-Record revenue when entered; expenses when incurred
131) Functional Accounting - ANS-Recording aggregated data for related activities
132) Aggregated - ANS-formed by the conjunction or collection of particulars into a whole
mass or sum; total; combined
133) Contractual Discount - ANS-Uncollectible difference between charges and third party
payor agreements
134) Depreciation - ANS-spreading of cost of capital assests over useful life
135) Operating Statement - ANS-total revenues - total expenses =net income (loss)138)
136) Working Capital - ANS-Current assets - current liabilities
137) Entity Concept: - ANS-The facility, its records and monies are separate from owners.
Ensuring consistency in accounting through full ownership disclosure.
138) On-Going Concern: - ANS-The facility will continue to operate INDEFINITLEY
139) Consistency: - ANS-The accounting reports will be prepared in the same way year to
year to allow the facility to compare history to determine risks, and allow for clarity
14) Depression is one of many psychological changes related to the aging process. Others
include the following except for: - ANS-Hearing loss
140) Full Disclosure: - ANS-All information must be shown in financial records accurately
reflecting the financial standing of the facility
141) Cash Accounting: - ANS-Expenses are recorded when cash disbursed and revenues
are recorded when money received. (Recorded money as it flows in and out of facility.
Similar to checkbook)
A. Advantage: Simplicity
B. Disadvantage: Does not recognize depreciation, accounts receivable, or payable
142) Time period: - ANS-Accounting period (12 months) will be consistent year to year
143) Objective Evidence: - ANS-Accounting records are prepared with documentable
records kept by facility (Audit Trail)
144) Accrual Accounting: - ANS-Revenues are recognized when they are earned and
expenses when they are incurred, regardless of when cash transactions take place.
A. Advantage: Measure revenues earnings after expenses incurred; include depreciation, AP
and AR
B. Disadvantage: Complexity
145) Chart of accounts: - ANS-list of every account organized into:
Assets, Liabilities, Capital, Revenue, Expenses
Exam
1) OBRA asserts some separate committees can be folded into the quality
improvement/assurance committee. Safety, Pharmacy and which committee below can be
added into QA/QI committee? - ANS-Infection Control
10) Medical records belong to: - ANS-Facility
100) Risk management - ANS-proactive means of anticipating problems
101) Staff authority - ANS-advisory relationship with line management
102) Forecasting - ANS-projects trends and needs which facility management must decide in
future economic, social and political environment expected and resources available.
103) Bench Marking - ANS-improve business by comparing with best practice of others
(standards from which you measure)
104) Upper-Level management - ANS-responsible for the overall functioning of the facility,
normally interacting directly with the Board of Directors and/or owners.
105) Middle-Level management - ANS-report to upper-level while interacting with lower-level
(DON)
106) Lower-level management - ANS-directly supervise the staff who do the actual work
107) Line Position (Authority): - ANS-empowered by administrator to make decisions for
organization (DON can fire, fire, give orders)
108) Staff Position (Authority) - ANS-not empowered to make decisions; duties are primarily
to advise (consultants, pharmacists, accountants, etc.)
109) Functional Authority - ANS-action outside the normal lines of authority
1. Violates unity of command
2. Necessary due to principle of exception
The two often have edges of distinction blurred
11) When a resident passes away, the personal funds deposited with the facility must be
given to the resident's estate with a final accounting of the funds within: - ANS-30 days
110) Actionable - ANS-conduct giving rise to legal action
111) Aggrieved party - ANS-one whose rights invaded or who suffered injury
112) Burden of proof - ANS-obligation of person bringing action
113) Liable - ANS-written defamation
114) Slander - ANS-verbal defamation
115) Malice - ANS-intentional doing of wrongful act
115) Tort - ANS-a wrong: legal duty owed, breached, and harm occured
116) Worker Comp: - ANS-responsible for injuries occurring at work
117) Scope of Employment: - ANS-range of employee activities (resident services by
omission or commission)
118) Governing: - ANS-excersis authority
119) Advisory: - ANS-not binding
12) The suffix "algia" refers to: - ANS-Pain
120) Stewardship: - ANS-accumulation and use of assets
121) Planning and monitoring: - ANS-goals and progress
, 122) Determining Facility Objectives: - ANS-measurable, verifiable, and attainable
123) Governing Body: - ANS-Approval of P & P
Approval of budget
Selection and Appraisal of Administrator
124) Accounting Equation - ANS-Assets = Liabilities + Capital
125) Accounts payable - ANS-Amounts owed by facility
126) Balance Sheet - ANS-Statement showing solvency
127) Solvency - ANS-the ability of a corporation to meet its long term fixed expenses and to
accomplish long-term expansion and growth
128) General ledger - ANS-Summaries entries in each journal for accounting period
129) Cost Center - ANS-Organizational unit whose costs are separately accumulated
13) Physical restraints must be removed: - ANS-Every two hours
130) Accrual - ANS-Record revenue when entered; expenses when incurred
131) Functional Accounting - ANS-Recording aggregated data for related activities
132) Aggregated - ANS-formed by the conjunction or collection of particulars into a whole
mass or sum; total; combined
133) Contractual Discount - ANS-Uncollectible difference between charges and third party
payor agreements
134) Depreciation - ANS-spreading of cost of capital assests over useful life
135) Operating Statement - ANS-total revenues - total expenses =net income (loss)138)
136) Working Capital - ANS-Current assets - current liabilities
137) Entity Concept: - ANS-The facility, its records and monies are separate from owners.
Ensuring consistency in accounting through full ownership disclosure.
138) On-Going Concern: - ANS-The facility will continue to operate INDEFINITLEY
139) Consistency: - ANS-The accounting reports will be prepared in the same way year to
year to allow the facility to compare history to determine risks, and allow for clarity
14) Depression is one of many psychological changes related to the aging process. Others
include the following except for: - ANS-Hearing loss
140) Full Disclosure: - ANS-All information must be shown in financial records accurately
reflecting the financial standing of the facility
141) Cash Accounting: - ANS-Expenses are recorded when cash disbursed and revenues
are recorded when money received. (Recorded money as it flows in and out of facility.
Similar to checkbook)
A. Advantage: Simplicity
B. Disadvantage: Does not recognize depreciation, accounts receivable, or payable
142) Time period: - ANS-Accounting period (12 months) will be consistent year to year
143) Objective Evidence: - ANS-Accounting records are prepared with documentable
records kept by facility (Audit Trail)
144) Accrual Accounting: - ANS-Revenues are recognized when they are earned and
expenses when they are incurred, regardless of when cash transactions take place.
A. Advantage: Measure revenues earnings after expenses incurred; include depreciation, AP
and AR
B. Disadvantage: Complexity
145) Chart of accounts: - ANS-list of every account organized into:
Assets, Liabilities, Capital, Revenue, Expenses
