TEXAS STATE NURSING HOME ADMINISTRATOR TEST COMPREHENSIVE
EXAM REVIEW: TESTED CONCEPTS & CORRECT ANSWERS
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.
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:
(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;
EXAM REVIEW: TESTED CONCEPTS & CORRECT ANSWERS
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.
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:
(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;
