HOME ADMINISTRATION EXAM.
Assistant to the administrator
Among the following positions, the _________ has no authority to make decisions for
the facility.
The administrator
Decisions made by persons on the staff to whom the administrator has delegated line
authority are, in the final analysis, regarded as decisions by__________.
Undermined
When the nurse practioner , who is more highly qualified then the director of nursing,
gives orders to nurses in the hallways, the director of nurses should feel________.
Paying too much for acquisitions in 1998 and 1999
The most likely single cause for the series of bankruptcies among larger nursing home
chains around the year 2000 was ______.
Be distressed
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
was fully retired, the Administrator will concentrate more on being effective than efficient
since quality indicators are all at or above the state average. The owner would
likely_______.
Seek a new Administrator
Occupancy a facility A has been a steady 70% since the prospective payment system
was introduced. Two weeks ago, a new 120 bed, equally equip facility open several
blocks away. Facility A administrator tells the admissions counselor to continue the
usual recruitment approach. The chain owners ought to_________.
Were highly unusual
Bankruptcies among larger nursing home chains prior to 2000________.
Were more bundled
Under the Prospective Payment System, nursing facilities' reimbursed costs
_________.
, Shifted more costs into nursing facilities
In recent years, Medicare has_______.
Seek a new DON
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_______.
Is out of touch
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 mix. This applicant_________.
Be forewarned
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_________.
Does not know how bankruptcy works
The medical supplies provider tells the administrator of the facility that has not paid bills
for the last three months but is now operating under a bankruptcy judges approval plan
for reconstructon that no more deliveries will be made until past dues are fully paid. The
medical supplies provider
Failed to understand LBWA
An administrator who adopts the leadership-by-walking-around approach by walking
through the facility weekly and intently observing has _______.
Does not understand LBWA
The nursing facility administrator who, using the leadership-by-walking technique,
succeeds in actually making appropriate corrections on the spot during her
rounds________.
Likely to be about level
The rate of increase in the total number of nursing facilities in the United States during
the years 2008 to 2012 is_________.
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