Texas State Nursing Home Administrator Test
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.
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.
,Texas State Nursing Home Administrator Test
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, 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:
,Texas State Nursing Home Administrator Test
(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.
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
, Texas State Nursing Home Administrator Test
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.
Incident - correct answer An abnormal event, including accidents or injury to staff or residents,
which is documented in facility reports. An occurrence in which a resident may have been
subject to abuse, neglect, or exploitation must also be reported to HHSC.
Indirect ownership interest - correct answer Any ownership or membership interest in a person
that has a direct ownership interest in an applicant or license holder.
Involuntary seclusion - correct answer Separation of a resident from others or from the
resident's room or confinement to the resident's room, against the resident's will or the will of
a person who is legally authorized to act on behalf of the resident. Monitored separation from
other residents is not involuntary seclusion if the separation is a therapeutic intervention that
uses the least restrictive approach for the minimum amount of time, not exceed to 24 hours,
until professional staff can develop a plan of care to meet the resident's needs.
Legend drug or prescription drug - correct answer Any drug that requires a written or
telephonic order of a practitioner before it may be dispensed by a pharmacist, or that may be
delivered to a particular resident by a practitioner in the course of the practitioner's practice.
Life Safety Code - correct answer NFPA 101
Life safety features - correct answer Fire safety components required by NFPA 101, including
building construction, fire alarm systems, smoke detection systems, interior finishes, sizes and
thicknesses of doors, exits, emergency electrical systems, and sprinkler systems.
Long-term care-regulatory - correct answer HHSC Regulatory Services Division, which is
responsible for surveying nursing facilities to determine compliance with regulations for
licensure and certification for Title XIX participation.
Manager - correct answer A person, other than a licensed nursing home administrator, having a
contractual relationship to provide management services to a facility.
Management services - correct answer Services provided under contract between the owner of
a facility and a person to provide for the operation of a facility, including administration,
staffing, maintenance, or delivery of resident services. Management services do not include
contracts solely for maintenance, laundry, or food service.
MDS - correct answer Minimum Data Set
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.
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.
,Texas State Nursing Home Administrator Test
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, 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:
,Texas State Nursing Home Administrator Test
(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.
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
, Texas State Nursing Home Administrator Test
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.
Incident - correct answer An abnormal event, including accidents or injury to staff or residents,
which is documented in facility reports. An occurrence in which a resident may have been
subject to abuse, neglect, or exploitation must also be reported to HHSC.
Indirect ownership interest - correct answer Any ownership or membership interest in a person
that has a direct ownership interest in an applicant or license holder.
Involuntary seclusion - correct answer Separation of a resident from others or from the
resident's room or confinement to the resident's room, against the resident's will or the will of
a person who is legally authorized to act on behalf of the resident. Monitored separation from
other residents is not involuntary seclusion if the separation is a therapeutic intervention that
uses the least restrictive approach for the minimum amount of time, not exceed to 24 hours,
until professional staff can develop a plan of care to meet the resident's needs.
Legend drug or prescription drug - correct answer Any drug that requires a written or
telephonic order of a practitioner before it may be dispensed by a pharmacist, or that may be
delivered to a particular resident by a practitioner in the course of the practitioner's practice.
Life Safety Code - correct answer NFPA 101
Life safety features - correct answer Fire safety components required by NFPA 101, including
building construction, fire alarm systems, smoke detection systems, interior finishes, sizes and
thicknesses of doors, exits, emergency electrical systems, and sprinkler systems.
Long-term care-regulatory - correct answer HHSC Regulatory Services Division, which is
responsible for surveying nursing facilities to determine compliance with regulations for
licensure and certification for Title XIX participation.
Manager - correct answer A person, other than a licensed nursing home administrator, having a
contractual relationship to provide management services to a facility.
Management services - correct answer Services provided under contract between the owner of
a facility and a person to provide for the operation of a facility, including administration,
staffing, maintenance, or delivery of resident services. Management services do not include
contracts solely for maintenance, laundry, or food service.
MDS - correct answer Minimum Data Set
