TEXAS STATE NURSING HOME ADMINISTRATOR TEST QUESTIONS AND SOLUTIONS A+ GRADE 2024/25

TEXAS STATE NURSING HOME ll ll ll




ADMINISTRATORTESTQUESTIONS
ll l l




AND SOLUTIONS A+ GRADE 2024/25 ll l ll ll




specific requirements apply to.P rrect l l l l Answer .P .P .P .P .P .P .P .P .P



including,
All
.P but not limited to private-pay.
residents, .P applicants and recipients, VA
.P .P .P .P .P .P .P .P .P



patients, and
.P recipients, who are admitted to and reside in a
.P .P .P .P .P .P .P .P .P .P .P .P



certified facility or a
.P .P distinct part of a facility. These requirements do
.P .P .P .P .P .P .P .P .P .P .P



not apply to SNFs licensed under the
.P .P .P and Safety
.P , .P .P .P .P .P .P .P .P .P



participating only in the
.P program .P .P .P .P .P




Abuse .P Answer
.P .P .P .P .P



confinement,
.P intimidation,
or willful inflictionorofpunishment with resulting physical or emotional harm or
injury, unreasonable .P .P .P .P .P .P .P .P .P .P



pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual
.P .P .P .P .P .P .P .P .P .P .P .P



conduct that would constitute an offense under Penal de
.P .P .P .0 .P .P .P .P .P .P .P .P



exposure) or Penal ode
.P (assaultive offenses), sexual harassment, sexual
.P .P .P .P .P .P .P .P .P .P



coercion, or sexual assault.
.P .P .P .P




Act - Correct l l l l Answer ✔✔ -
.P .P .P .P .P .P



Chapter 242 of the Texas Health and Safety Code.
.P .P .P .P .P .P .P .P .P



Admission assessment l l l l Answer
.P .P .P .P .P .P .P .P



determines
An
.P a recipient's
assessment thatinitial determination of eligibility for medical necessity for
.P .P .P .P .P .P .P .P .P .P



admission into the Texas
.P Facility Program.
.P .P .P .P .P .P .P




Advanced practice registered nurse l l l l Answer
.P .P .P .P .P .P .P .P .P



Texas
A
.P Board
person of by theas an advanced practice registered nurse.
licensed .P .P .P .P .P .P .P .P .P




Agent .Pl l l l Answer
.P .P .P .P .P



decisions
An
.P adult toiswhom
delegated under
authority toamake
durable power
health .Pof attorney for health care.
care .P .P .P .P .P .P .P .P .P .P




APA orrect l l l l Answer
.P .P .P .P .P .P



.P , .
The Administrative Procedure
.P Act, Texas Government .P




Attending physician l l l l Answer .P .P .P .P .P .P .P



Texas
A
.P Board, licensed
physician, currently
.Pwho is designated
by the by the resident or responsible party as
.P .P .P .P .P .P .P .P .P .P .P



having primary responsibility for the treatment and care of the resident.
.P .P .P .P .P .P .P .P .P .P .P

,Authorized electronic monitoring l l l l Answer .P .P .P .P .P .P .P .P



electronic
The
.P monitoring
placement of an device in a resident's room and using the device to make tapes
.P .P .P .P .P .P .P .P .P .P .P .P .P



or recordings after making a request to the facility to allow electronic monitoring.
.P .P .P .P .P .P .P .P .P .P .P .P .P




Barrier precautions orrect l l l l Answer
.P .P .P .P .P .P .P



masks,
Precautions including the useequipment,
.P gowns, resuscitation of gloves, eye protectors, aprons, face shields, and
.P .P .P .P .P .P .P .P .P



protective clothing for purposes of infection control.
.P .P .P .P .P .P .P




and treatment .P l l l l Answer .P .P .P .P .P .P .P



Services required to maximize resident
.P .P .P .P .P



independence, personal choice, participation, health, self-care, psychosocial
.P .P .P .P .P .P .P



functioning and reasonable safety, all consistent with the preferences of the resident.
l l l l Answer .P .P .P .P .P .P



meets
The
.P all the requirements
determination by S ofthat
the a nursing or
.P facility
.Pprograms. .P .P .P .P .P .P .P




Change of ownership - Correct l l l l l l Answer ✔✔ -
.P .P .P .P .P .P .P .P



An event that results in a change to the
.P .P .P .P .P .P .P .P .P



federal taxpayer identification number of the license holder of a facility. The
.P .P .P .P .P .P .P .P .P .P .P .P



substitution of a personal representative for a deceased license holder is not a change
.P .P .P .P .P .P .P .P .P .P .P .P .P .P



of ownership.
.P .P




CFR - Correct l l l l Answer ✔✔ -
.P .P .P .P .P .P



Code of Federal Regulations.
.P .P .P .P



l l l l Answer .P .P .P .P .P .P



incident
Any
.P reported
allegation by the by
received facility.SSuch allegations
other than an include, but are not limited to, abuse,
.P .P .P .P .P .P .P .P .P .P .P .P .P



neglect, exploitation, or violation of state or federal standards.
.P .P .P .P .P .P .P .P .P




date orrect l l l l Answer .P .P .P .P .P .P .P



signsdate
The
.P an an assessment
assessmentascoordinator
complete.
.P .P .P .P .P




assessment l l l l Answer .P .P .P .P .P .P .P



a resident's
An
.P needs and
interdisciplinary
.P capabilities
description of including daily life functions and significant
.P .P .P .P .P .P .P .P .P



impairments of functional capacity.
.P .P .P .P




care plan l l l l Answer .P .P .P .P .P .P .P .P



interdisciplinary
A
.P team that
plan of care prepared includes measurable short-term and long-term objectives
by an .P .P .P .P .P .P .P .P



and timetables to meet the resident's needs developed for each resident after
.P .P .P .P .P .P .P .P .P .P .P .P



admission. The plan addresses at least the following needs: medical, nursing,
.P .P .P .P .P .P .P .P .P .P .P



rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan includes
.P .P .P .P .P .P .P .P .P .P



strategies developed by the team, consistent with the physician's prescribed plan of
.P .P .P .P .P .P .P .P .P .P .P .P



care, to assist the resident in eliminating, managing, or alleviating health or
.P .P .P .P .P .P .P .P .P .P .P .P



psychosocial problems identified through assessment.
.P .P .P .P .P




Plan includes l l .P .P .P .P .P .P l l .P Answer .P .P



.P establishing
goal setting;priorities for management of care; .P .P .P .P .P

, making decisions about specific measures to be used to resolve the resident's
.P .P .P .P .P .P .P .P .P .P .P .P



problems; and
.P .P



assisting in the development of appropriate coping mechanisms.
.P .P .P .P .P .P .P .P




electronic monitoring .P l l l l Answer .P .P .P .P .P .P .P



electronic
The
.P monitoring
placement device
and use of anthat is not open and obvious, and the facility and
.P S .P .P .P .P .P .P .P .P .P .P .P .P



have not been informed about the device by the resident, by a person who placed the
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P



device in the room, or by a person who uses the device.
.P .P .P .P .P .P .P .P .P .P .P .P




Answer
.P .P .P l l l l .P .P .P



.P sability
The term Services;
referred toit the
now refers to ofSC.
partment Aging and
.P .P .P .P .P .P




.P Answer
.P .P .P .P .P



Services; it now refers to SC, unless the of
This term referred to the Texas
.P context
manconcerns an administrative
.P .P .P .P .P .P .P .P .P .P .P



hearing. Administrative hearings were formerly the responsibility of
.P .P S; they now are .P .P .P .P .P .P .P .P .P .P



the responsibility of the
.P .P SC. .P .P .P




etitian l l l l Answer .P .P .P .P .P .P



upon
A
.P either:dietitian is one who is qualified based
qualified .P



registration by the
.P on etetic of the Academy of trition .P .P .P .P .P .P .P .P .P .P .P



and etetics; or
.P .P .P



licensure, or provisional licensure, as a dietitian under Texas Occupations de,
.P .P .P .P .P .P .P .P .P .P .P



.P and one year of supervisory experience in dietetic service of a health
.P .P .P .P .P .P .P .P .P .P .P .P .P



care facility.
.P .P




rect care by licensed nurses
.P l l l l Answer .P .P .P .P .P .P .P .P .P



physician's
.P planned regimen
rect care consonant of total resident care includes:
with the .P .P .P .P .P .P .P



assessment of the resident's health care status;
.P .P .P .P .P .P .P



planning for the resident's care;
.P .P .P .P .P



assignment of duties to achieve the resident's care;
.P .P .P .P .P .P .P .P



nursing intervention; and
.P .P .P



evaluation and change of approaches as necessary.
.P .P .P .P .P .P .P




rect ownership interest.P l l l l Answer .P .P .P .P .P .P .P



stock, or profits
Ownership
.P of, orina the
of equity membership
.P capital, interest in, an applicant or license holder.
.P .P .P .P .P .P .P .P .P .P .P .P




sclosure interest orrect l l l l Answer .P .P .P .P .P .P .P



ownership
Five
.P interest
percent in an
or more applicant
direct or license holder.
or indirect .P .P .P .P .P .P .P




stinct part Answer
.P .P .P .P .P .P .P



the portion of a facility
That
.P .P Facility program.
certified to participate in .P .P .P




Drug (also referred to as medication) - Correct
.P .P .P .P .P .P .P .P l l l l l l Answer ✔✔ -
.P .P .P



Any of the following:
.P .P .P .P

, any substance recognized as a drug in the official
.P .P Pharmacopoeia, official .P .P .P .P .P .P .P .P .P .P



.P Pharmacopoeia of the US, or official ional Formulary, or any .P .P .P .P .P .P .P .P .P .P



supplement to any of them;
.P .P .P .P .P



any substance intended for use in the diagnosis, cure, mitigation, treatment, or
.P .P .P .P .P .P .P .P .P .P .P .P



prevention of disease in man;
.P .P .P .P .P



any substance
.P than food) intended to affect the structure or any function of
.P .P .P .P .P .P .P .P .P .P .P .P .P



the body of man; and
.P .P .P .P .P



any substance intended for use as a component of any substance specified in
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P



.P ). It does not include devices or their components, parts, or accessories.
.P .P .P .P .P .P .P .P .P .P .P




Electronic monitoring device l l l l Answer
.P .P .P .P .P .P .P .P



audio devices
Video
.P installed
surveillance in a resident's
cameras and
.P room, designed to acquire communications or .P .P .P .P .P .P .P .P .P .P



other sounds that occur in the room. An electronic, mechanical, or other device used
.P .P .P .P .P .P .P .P .P .P .P .P .P .P



specifically for the nonconsensual interception of wire or electronic communication is
.P .P .P .P .P .P .P .P .P .P .P



excluded from this definition.
.P .P .P .P




Exploitation l l l l Answer .P .P .P .P .P .P



caregiver,
The
.P illegal family member,
or improper or process
act or other individual
of a who has an ongoing relationship with a
.P .P .P .P .P .P .P .P .P .P .P .P



resident using the resources of the resident for monetary or personal benefit, profit, or
.P .P .P .P .P .P .P .P .P .P .P .P .P .P



gain without the informed consent of the resident.
.P .P .P .P .P .P .P .P




Fiduciary agent l l l l Answer .P .P .P .P .P .P .P



monies.
An individual who holds in trust another's
.P




Goals l l l l Answer.P .P ong- .P .P .P .P .P



Short-term:
term:
.P generalmeasurable
statements of time-limited, expected results that provide the means to
desired outcomes. .P .P .P .P .P .P .P .P .P



evaluate the resident's progress toward achieving long-term goals.
.P .P .P .P .P .P .P .P




Incident l l l l Answer .P .P .P .P .P .P



staff or residents, which
An abnormal event, including
.P .P is documented
accidents in
.P orfacility reports. An occurrence in which a
injury to .P .P .P .P .P .P .P .P .P .P .P



resident may have been subject to abuse, neglect, or exploitation must also be
.P .P .P .P .P .P .P .P .P .P .P .P .P



reported to
.P SC. .P .P




Indirect ownership interest .P l l l l Answer .P .P .P .P .P .P .P



interest
Any
.P in a person
ownership that has a direct ownership interest in an applicant or license
or membership .P .P .P .P .P .P .P .P .P .P .P .P .P .P



holder.
.P




Involuntary seclusion l l l l Answer .P .P .P .P .P .P .P



from the resident's
Separation
.P room from
of a resident
.P or confinement
others or to the resident's room, against the resident's
.P .P .P .P .P .P .P .P .P .P .P



will or the will of a person who is legally authorized to act on behalf of the resident.
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P .P



.P separation from other residents is not involuntary seclusion if the separation
.P .P .P .P .P .P .P .P .P .P .P



is a therapeutic intervention that uses the least restrictive approach for the minimum
.P .P .P .P .P .P .P .P .P .P .P .P .P



amount of time, not exceed to
.P hours, until professional staff can develop a plan of
.P .P .P .P .P .P .P .P .P .P .P .P .P .P .P



care to meet the resident's needs.
.P .P .P .P .P .P