NAB Exam - NHA LOS Practice Exam 1

NAB Exam - NHA LOS Practice Exam 1 Occupancy of Facility A has been a steady 70% since the Patient Driven Payment Model (PDPM) was introduced. Two weeks ago, a new 120-bed, equally equipped facility opened several blocks away. The Facility A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to _____. A. Rest comfortably B. Seek a new administrator C. Appoint a new admissions counselor D. Take no action - B. Seek a new administrator. The administrator fails to anticipate that the occupancy rate of the facility is likely to fall and that, in any case, with the new competition a new approach to admissions will most likely be necessary. The administrator is failing to react appropriately to changes in the environment that will likely impact the facility. The nurse newly promoted to director of nursing insists on personally giving four RN hours of resident care each day on the Alzheimer's wing in the 175-bed facility. The administrator should _____. A. Praise the new director of nursing for their resident centeredness B. Appoint an assistant director of nursing C. Adapt the job description to fit the director of nursing's pattern D. Seek a new director of nursing - D. Seek a new director of nursing. The director of nursing fails to understand that using expensive RN hours when less expensive licensed practical nurse (LPN) and certified nurse's assistant (CNA) hours are the industry standard will be unsustainably expensive for the facility. Additionally, the director of nursing is not a direct care role, and their time should be spent in other applicable areas for their position. The newly hired assistant to the administrator insists that the organizational chart dotted line between this position and the Department of Nursing should be a solid line. The administrator should _____. A. Agree in general B. Agree to this special case C. Ask the director of nursing for their opinion D. Be forewarned - D. Be forewarned. The director of nursing normally reports directly to the administrator. The assistant administrator wants too much power or does not understand how normal nursing facilities function The nursing facility administrator who, using the leadership by walking around (LBWA) technique, succeeds in making appropriate corrections on the spot during their rounds _____. A. Is effectively implementing the concept B. Gains additional power through the process C. Exhibits appropriate leadership D. Does not understand LBWA - D. Does not understand LBWA. It is normally better to go through the chain of command and let the employees' immediate supervisor request the corrections. When the administrator notices that the director of nursing seeks to turn as many duties as possible over to housekeeping, the administrator should conclude that the director of nursing is _____. A. Behaving normally, but worthy of oversight B, Holding a grudge against housekeeping C. Unwilling to be cooperative D. Wielding power desirably - A. Behaving normally, but worthy of oversight. It is normal for the various departments such as nursing, housekeeping, and dietary to seek to "turn over" as much work to other departments as they can. The administrator notices that incident reports are being insufficiently filled out, but does nothing, believing that the situation will likely correct itself. The administrator is _____. A. Practicing effective control B. Likely to be correct C. Failing to control effectively D. Right to monitor the situation for a period - C. Failing to control effectively. Correctly filled-out incident reports are a must for the facility and this situation is not likely to "correct itself" without the administrator's active intervention. This is a very significant area of concern and can quickly lead to immediate jeopardy level