Texas State Nursing Home Administrator Test
Questions and Answers Already Graded A+
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 answer - Medicaid specific requirements apply to?
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. answer - Abuse
Chapter 242 of the Texas Health and Safety Code. answer - Act
An MDS assessment that determines a recipient's initial determination of eligibility for medical
necessity for admission into the Texas Medicaid Nursing Facility Program. answer - Admission
MDS assessment
A person licensed by the Texas Board of Nursing as an advanced practice registered nurse.
answer - Advanced practice registered nurse
An adult to whom authority to make health care decisions is delegated under a durable power
of attorney for health care. answer - Agent
The Administrative Procedure Act, Texas Government Code, Chapter 2001. answer - APA
,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.
answer - Attending physician
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.
answer - Authorized electronic monitoring
Precautions including the use of gloves, masks, gowns, resuscitation equipment, eye protectors,
aprons, face shields, and protective clothing for purposes of infection control. answer - Barrier
precautions
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. answer - Care and treatment
The determination by HHSC that a nursing facility meets all the requirements of the Medicaid or
Medicare programs. answer - Certification
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. answer - Change of ownership
Code of Federal Regulations. answer - CFR
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. answer - Complaint
The date an RN assessment coordinator signs an MDS assessment as complete. answer -
Completion date
,An interdisciplinary description of a resident's needs and capabilities including daily life
functions and significant impairments of functional capacity. answer - Comprehensive
assessment
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. answer - Comprehensive care plan
(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. answer - Comprehensive
Care Plan includes?
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. answer - Covert electronic
monitoring
The term referred to the Department of Aging and Disability Services; it now refers to HHSC.
answer - DADS
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. answer - DHS
, 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. answer -
Dietitian
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. answer - Direct care by licensed nurses
Ownership of equity in the capital, stock, or profits of, or a membership interest in, an applicant
or license holder. answer - Direct ownership interest
Five percent or more direct or indirect ownership interest in an applicant or license holder.
answer - Disclosure interest
That portion of a facility certified to participate in the Medicaid Nursing Facility program.
answer - Distinct part
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;
Questions and Answers Already Graded A+
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 answer - Medicaid specific requirements apply to?
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. answer - Abuse
Chapter 242 of the Texas Health and Safety Code. answer - Act
An MDS assessment that determines a recipient's initial determination of eligibility for medical
necessity for admission into the Texas Medicaid Nursing Facility Program. answer - Admission
MDS assessment
A person licensed by the Texas Board of Nursing as an advanced practice registered nurse.
answer - Advanced practice registered nurse
An adult to whom authority to make health care decisions is delegated under a durable power
of attorney for health care. answer - Agent
The Administrative Procedure Act, Texas Government Code, Chapter 2001. answer - APA
,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.
answer - Attending physician
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.
answer - Authorized electronic monitoring
Precautions including the use of gloves, masks, gowns, resuscitation equipment, eye protectors,
aprons, face shields, and protective clothing for purposes of infection control. answer - Barrier
precautions
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. answer - Care and treatment
The determination by HHSC that a nursing facility meets all the requirements of the Medicaid or
Medicare programs. answer - Certification
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. answer - Change of ownership
Code of Federal Regulations. answer - CFR
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. answer - Complaint
The date an RN assessment coordinator signs an MDS assessment as complete. answer -
Completion date
,An interdisciplinary description of a resident's needs and capabilities including daily life
functions and significant impairments of functional capacity. answer - Comprehensive
assessment
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. answer - Comprehensive care plan
(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. answer - Comprehensive
Care Plan includes?
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. answer - Covert electronic
monitoring
The term referred to the Department of Aging and Disability Services; it now refers to HHSC.
answer - DADS
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. answer - DHS
, 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. answer -
Dietitian
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. answer - Direct care by licensed nurses
Ownership of equity in the capital, stock, or profits of, or a membership interest in, an applicant
or license holder. answer - Direct ownership interest
Five percent or more direct or indirect ownership interest in an applicant or license holder.
answer - Disclosure interest
That portion of a facility certified to participate in the Medicaid Nursing Facility program.
answer - Distinct part
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;
