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Examen

NURSING HOME ADMINISTRATOR EXAM (JAMES ALLEN) QUESTIONS AND ANSWERS

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Escrito en
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NURSING HOME ADMINISTRATOR EXAM (JAMES ALLEN) QUESTIONS AND ANSWERS

Institución
Illinois
Grado
Illinois

Vista previa del contenido

NURSING HOME ADMINISTRATOR
EXAM (JAMES ALLEN) QUESTIONS
AND ANSWERS

1. The most likely single cause for the series of bankruptcies among larger nursing ho
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me chains around the year 2000 was ____.
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1. Too small increases in government reimbursement rates
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2. Paying too much for acquisitions in 1998 and 1999
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3. Not taking advantage of falling interest rates
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4. Thinking too small - ans-2
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2. In a chance conversation with the owner of an eight-
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facility chain, the newly hired administrator for the oldest facility in the chain indicates t
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hat, because the mortgage is fully retired, the administrator will concentrate more on be
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ing effec-sw



tive than efficient since the Quality Indicators are all at or above the state's aver-
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age. The owner would likely ____.
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1. Be pleased
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2. Be distressed
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3. Be content
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4. Praise the newly hired administrator - ans-2
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3.
Occupancy of Facility A has been a steady 70% since the Prospective Payment Syste
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m was introduced. Two weeks ago, a new 120-bed, equally equipped facil-
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ity opened several blocks away. The Facility A administrator tells the admissions coun
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selor to continue the usual recruitment approach. The chain owners ought to _____.
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1. Rest comfortably
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2. Seek a new administrator
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3. Appoint a new admissions counselor
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4. Take no action - ans-2
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4. sw Bankruptcies among larger nursing home chains prior to 2000 _____. sw sw sw sw sw sw sw sw sw



1. sw Were frequent sw



2. sw Were ubiquitous sw



3. sw Were highly unusual sw sw



4. sw Were routinely declared to avoid too much accumulated debt - ans-3
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5. sw Under the Prospective Payment System, nursing facilities' reimbursed costs _____.
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1. sw Were about the same as previously
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2. sw Were more bundled sw sw



3. sw Used an unbundled cost structure
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,4. Were reimbursement for actual costs - ans-2
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6. sw In recent years, Medicare has _____.
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1. sw Allowed facilities to make a modest profit sw sw sw sw sw sw



2. sw Shifted more costs onto nursing facilities
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3. sw Eased up on economic pressures previously placed on facilities
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4. sw Remained relatively unchanged in its reimbursement structure - ans-2
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7. The nurse newly promoted to director of nursing insists on giving four RN hours of p
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atient care each day on the Alzheimer's wing in the 175-
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bed facility. The administrator should _____.
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1. Praise the new director of nursing for her resident centeredness
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2. Appoint an assistant director of nursing
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3. Adapt the job description to fit her pattern
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4. Seek a new director of nursing - ans-4
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8. The applicant for the administrator position in a facility near a large teaching hospital
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insists that, as before in his rural facility, if hied he would not let the Medicare reimburs
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ement policies affect his case mix. This applicant _____.
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1. Should be hired
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2. Is likely to succeed if hired
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3. Can likely succeed in his goal
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4. Is out of touch - ans-4
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9. The newly hired assistant to the administrator insists that the organizational chart dot
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ted line between this position and the Department of Nursing be a solid line. The admin
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istrator should _____. sw sw



1. Agree in general
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2. Agree to this special case
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3. Ask the director of nursing for his or her opinion 4. Be forewarned - ans-4
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10. The medical supplies provider tells the administrator of a facility that has not paid bi
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lls for the past 3 months but is now operating under a bankruptcy judge's approved pla
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n for restructuring, that no more deliveries will be made until past bills are fully paid. Th
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e medical supplies provider _____.
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1. Is smart to cut losses at that point
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2. Does not understand how bankruptcy works 3. Will now likely get his past due bills p
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aid
4. Is farsighted - ans-2
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11. An administrator who adopts the leadership-by-walking-
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around (LBWA) approach by walking through the facility weekly and intently observing
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has _____. sw



1. Become an effective leader
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2. Chosen a good management style 3. Failed to understand LBWA
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4. Implemented a useful strategy - ans-3
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,12. The nursing facility administrator who, using the leadership-by-
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walking around (LBWA) technique, succeeds in actually making appropriate corrections
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on the spot during her rounds _____.
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1. Is effectively implementing the concept
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2. Gains additional power through the process 3. Exhibits appropriate leadership
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4. Does not understand LBWA - ans-4
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13. The rate of increase in the total number of nursing facilities in the United States dur
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ing the years 2008 to 2012 is _____.
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1. Likely to be about level
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2. Likely to double
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3. Likely to triple to accommodate the baby boomer generation 4. Likely to decrease m
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arkedly - ans-1 sw sw




14. The applicant for administrator of the facility insists that he has successfully used d
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emocratic leadership to the exclusion of all other leadership styles. The interviewer sho
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uld _____. sw



1. Recommend hiring this candidate
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2. Praise the candidate
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3. Be favorably impressed
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4. Continue to interview candidates - ans-4
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15. The candidate for administrator said that she used a variety of administrative styles,
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but could not say exactly which she would use in every circumstance. The interviewer
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should be _____. sw sw



1. Favorably impressed
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2. Unfavorably impressed
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3. Concerned about possible indecisiveness 4. Looking for one leadership style - ans-1
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16. The candidate for administrator indicated that he consistently chose the charis-
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matic style of leadership. This should _____ the interviewer.
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1. Reassure
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2. Alert
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3. Confirm the candidate's qualifications to 4. Please - ans-2
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17. The costs of providing subacute care to nursing home residents _____. 1. Is perha
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ps triple that of the more typical patient
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2. Covered by Medicare
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3. Absorbed by Medicaid if Medicare coverage is inadequate
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4. Mostly covered by private insurance - ans-1
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18. The nurse supervisor who had just been appointed director of nursing announced a
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t the first department head meeting that she had circulated a memo among the nurses t
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hat only formal communications were to be allowed in the nursing department. The ad
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ministrator should _____. sw sw

, 1. Be relieved
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2. Confirm the decision 3. Be supportive
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4. Anticipate problems - ans-4
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19. The department head was not surprised to learn that an employee had heard only t
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he positive comments to the employee and ignored the criticisms. The department hea
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d's grasp of the communication process is _____.
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1. Deficient
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2. Appropriate 3. Out of focus 4. Inadequate - ans-2
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20. The administrator routinely accepted as a nearly exclusive information source the di
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rector of nursing's positive reports that nursing was going well. The administrator is ___
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__.
1. Showing appropriate confidence in the director of nursing
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2. Utilizing the director of nursing properly
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3. Realizing a successful appointment has been made 4. Placing himself at risk - ans-4
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21. Periodic shortage of nurses available for nursing home employment _____. 1. Is be
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ing solved by community college programs
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2. Is decreasing
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3. Can be readily solved by hiring temporary nurses
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4. Is likely to remain for the foreseeable future - ans-4
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22. Congress and the federal rule makers behave as if the facility will run success-
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fully if Congress and the Centers for Medicare and Medicaid Services can write enoug
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h rules. They are _____.
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1. Incorrect
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2. Correct, according to behavior theory
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3. Pessimistic about the need for rules
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4. Correct, according to emerging management theory - ans-1
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23. When the administrator notices that the director of nursing seeks to turn as many d
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uties as possible over to housekeeping, the administrator should con-
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clude that the director of nursing is _____.
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1. Behaving normally
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2. Holding a grudge against housekeeping 3. Unwilling to be cooperative
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4. Wielding power desirably - ans-1
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24. The administrator insists that a timely copy of all reports generated within the facilit
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y come across her desk before anyone signs them. The administrator is _____.
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1. Not rationalizing her management information system
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2. Making appropriate and desirable requests
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3. Exercising good judgment
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4. Initiating an appropriate management information system - ans-1
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Escuela, estudio y materia

Institución
Illinois
Grado
Illinois

Información del documento

Subido en
14 de mayo de 2026
Número de páginas
33
Escrito en
2025/2026
Tipo
Examen
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