Texas State Nursing Home
Administrator Test Bank 2025/2026 |
LNFA Exam Practice Questions with
Detailed Explanations
Medicaid specific requirements apply to? - 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 - 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 - ANSWER-Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment - 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 - ANSWER-A person licensed by the Texas
Board of Nursing as an advanced practice registered nurse.
Agent - ANSWER-An adult to whom authority to make health care decisions is
delegated under a durable power of attorney for health care.
APA - ANSWER-The Administrative Procedure Act, Texas Government Code,
Chapter 2001.
Attending physician - 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 - 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 - 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 - 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 - ANSWER-The determination by HHSC that a nursing facility meets
all the requirements of the Medicaid or Medicare programs.
Change of ownership - 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 - ANSWER-Code of Federal Regulations.
Complaint - 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 - ANSWER-The date an RN assessment coordinator signs an MDS
assessment as complete.
Comprehensive assessment - ANSWER-An interdisciplinary description of a
resident's needs and capabilities including daily life functions and significant
impairments of functional capacity.
Comprehensive care plan - 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? - 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 - 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 - ANSWER-The term referred to the Department of Aging and Disability
Services; it now refers to HHSC.
DHS - 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 - 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
Administrator Test Bank 2025/2026 |
LNFA Exam Practice Questions with
Detailed Explanations
Medicaid specific requirements apply to? - 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 - 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 - ANSWER-Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment - 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 - ANSWER-A person licensed by the Texas
Board of Nursing as an advanced practice registered nurse.
Agent - ANSWER-An adult to whom authority to make health care decisions is
delegated under a durable power of attorney for health care.
APA - ANSWER-The Administrative Procedure Act, Texas Government Code,
Chapter 2001.
Attending physician - 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 - 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 - 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 - 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 - ANSWER-The determination by HHSC that a nursing facility meets
all the requirements of the Medicaid or Medicare programs.
Change of ownership - 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 - ANSWER-Code of Federal Regulations.
Complaint - 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 - ANSWER-The date an RN assessment coordinator signs an MDS
assessment as complete.
Comprehensive assessment - ANSWER-An interdisciplinary description of a
resident's needs and capabilities including daily life functions and significant
impairments of functional capacity.
Comprehensive care plan - 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? - 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 - 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 - ANSWER-The term referred to the Department of Aging and Disability
Services; it now refers to HHSC.
DHS - 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 - 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
