NAB Management, Governance, and Leadership Questions & Answers

NAB Management, Governance, and Leadership Questions & Answers The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was paying too much for acquisitions in 1998 and 1999 In a chance conversation with the owner of an eight facility chain, the newly hired administrator for the oldest facility in the chain indicates that, because the mortgage is fully retired, the administrator will concentrate more on being effective than efficient since the Quality Indicators are all at or above the state's average. The owner would likely ___. Be distressed Occupancy of Facility A has been a steady 70% since Prospective Payment System 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 seek a new adminsitrator Bankruptcies among larger nursing home chains prior to 2000 ____. were highly unusual Under the Prospective Payment System, nursing facilities' reimbursed costs ___. were more bundled In recent years, Medicare has ___. Shifted more costs onto nursing facilities The nurse newly promoted to director of nursing insists on giving four RN hours of patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator should ___. seek a new director of nursing The applicant for the administrator position in a facility near a large teaching hospital insists that, as before in his rural facility, if hired he would not let the Medicare reimbursement policies affect his case mx. This applicant ___. Is out of touch The newly hired assistant to the administrator insists that the organizational chart dotted line between this position and the Department of Nursing be a solid line. The administrator should ___. be forewarned The medical supplies provider tells the administrator of a facility that has not paid for bills for the past 3 months but is now operating under a bankruptcy judge's approved plan for restructuring, that no more deliveries will be made until past bills are fully paid. The medical supplies provider ___. Does not understand how bankruptcy works An administrator who adopts the leadership-by-walking around (LBWA) approach by walking through the facility weekly and intently observing has ___. Failed to understand LBWA The nursing facility administrator who, using the leadership-by-walking around (LBWA) technique, succeeds in actually making appropriate corrections on the spot during her rounds ___. Does not understand LBWA The rate of increase in the total number of nursing facilities in the United States during the years 2008 to 2012 is ___. likely to be about level The applicant for administrator of the facility insist that he has succcessfuly used democrate leadership to the exclusion of all other leadership styles. The intervier should continue to interview candidates The candidate for administrator said that she used a variety of administrative styles, but could not say exactly which she would use in every circumstance. The interviewer should be ___. favorably impressed The candidate for administrator indicated that he consistently chose the charismatic style of leadership. This should ___ the interviewer. Alert The costs of providing subacute care to nursing home residents ___. is perhaps triple that of the more typical patient The nurse supervisor who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the nurses that only formal communications were to be allowed in the nursing department. The administrator should anticipate problems The department head was not surprised to learn that an employee had heard only the positive comments to the employee and ignored the criticisms. The department head's grasp of the communication process is ___. appropriate The administrator routinely accepted as a nearly exclusive information source the director of nursing's positive reports that nursing was going well. The administrator is ___. placing himself at risk Periodic shortage of nurses available for nursing home employment _________ is being solved by community college programs Congress and the Federal rule makers behave as if the facility will run successfully if congress and CMS can write enough rules. They are incorrect When the administrator notices the DON seeks to turn many duties as possible over to housekeeping, the administrator should conclude that the DON is behaving normally The administrator insists that a timely copy of all reports generated within the facility come across her desk before anyone signs them. The administrator is ___. not rationalizing her management information system 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 ___. exercising good judgement Corporate sends a directive its flagship facility administrator, directing the administrator's attention more towards outcome of resident care than cost of resident care during the coming 12 months. Corporate is more concerned with __________than with _________. effectiveness; efficiency The long term care sector receiving increased funding and attention from the federal government is the ___. Home Health Care Sector The concept that nursing homes should be reimbursed by states for their actual costs was part of the ___. Hatch Amendment The intense health care cost-shifting efforts among providers such as Medicare, Medicaid and local governments are ___. likely to continue Worried about the level of actual resident care achieved in the facility, the administrator directs the nurse to spend less time charting and more time focusing on the effectiveness of care being given to the residents. The likely result will be___ better resident care, possibly increased deficiency citations The new social worker informs the head of nursing that admissions is all she has time for and that nursing must monitor and document each resident's sociopsychological experiences. The new social worker is ___. responding inappropriately Today the twin forces of ___ and __ are revolutionizing the delivery of health care. Technology/ patient data legislation Most of the multiple new devices to monitor and diagnose each individual's health status are creating new monitoring and diagnostic capacities ___. outside the hospital and doctors office For the nursing facility setting, the new capacities to monitor resident's health offer dramatic new opportunities to improve ___. Chronic Disease Management Patient data legislation, such as the most recent health care legislation, has set into motion a nationwide policy to promote patients' access to their ___. Medical rcords Under the Affordable Care Act, the residents can access their own lab test results within 30 days of request ____. without going through the physician who ordered the test The concept of lab-on-a-chip will ____. speed up lab diagnoses in the nursing facility Attempting to find the right person for each well-defined job is known as the management function of __________ staffing The administrator who takes steps that ensure that the goals are accomplished and that each job is done as planned is successfully ___. controlling quality The administrator's job is to ensure that the ___ employees do the tasks of the organization at an acceptable quality level. Appropriate The administrator who conducts a national search for a director of nursing positions and interviews 20 candidates from seven different surrounding states by phone is engaged in the managerial function of ___. Staffing In the end, it can be said that the administrator's responsibility to meet resident care needs and facility financial needs are ______ both about equal Superior performance depends on taking exceptional care of residents via superior service and ___. Achieving consistent profitability Superior performance for a nursing facility comes through ___. Innovation in ways to serve residents The superb nursing facility is superb by virtue of its _____. success in serving the residents Answering the phones and resident call bells with common courtesy and doing things that work are examples of ______ a blinding flash of the obvious Giving every employee the space to innovate at least a little; listening to residents and acting on their ideas; and wandering around with residents, staff, and suppliers are examples of the different-to-achieve ________ Commonsense, obvious In a facility of 120 beds, the administrator ____personally performs each of the management tasks. need not