2024 NAB Exam - Leadership & Strategy Latest Questions With Complete Grade A Answers
- In a chance conversation with the owner of an eight-facility chain, the newly hired
- Be pleased
- Be distressed
- Be content
- Praise the newly hired administrator
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 .
Answer: B. Be distressed.
- Under the Prospective Payment System (PPS), nursing facilities' reimbursed costs .
- Were about the same as previously
- Were more bundled
- Used an unbundled cost structure
- Were reimbursement for actual costs
Answer: B. Were more bundled.
Medicare (and Medicaid) forced facilities to give more services for a single reimbursement rate than had been the case previously. PPS utilized an all-inclusive rate for Medicare Part A beneficiaries.
- In recent years, Medicare has .
- Allowed facilities to make a modest pro
- Shifted more costs onto nursing facilities
- Eased up on economic pressures previously placed on facilities
- Remained relatively unchanged in its reimbursement structure
Answer: B. Shifted more costs onto nursing facilities.
Medicare, to cut its own costs, has required facilities to give more services under the Medicare reimbursement given. Both Prospective Payment System (PPS) and Patient Driven Payment Models (PDPMs) have utilized per diem or all-inclusive rates for reimbursement.
- The applicant for the administrator position in a facility near a large teaching hospital insists
- Should be hired
- Is likely to succeed if hired
- Can likely succeed in his goal 1 / 4
that, as before in his rural facility, if hired they would not let the Medicare reimbursement policies affect their case mix. This applicant .
- Is out of touch
Answer: D. Is out of touch.
Case mix in the typical rural facility is hard to manipulate and often predisposes the facility to accept all potential admissions. However, in the teaching hospital setting, the facility normally must maximize the number of Medicare rehabilitation residents to remain competitive and solvent. Monitoring and maximizing case mix today is a very important function of the administrator.
- The medical supplies provider tells the administrator of a facility that has not paid bills for
- Is smart to cut losses at that point
- Does not understand how bankruptcy works
- Will now likely get his past due bills paid
- Is farsighted
the past three months but is now operating under a bank- ruptcy judge's approved plan for restructuring that no more deliveries will be made until past bills are fully paid. The medical supplies provider .
Answer: B. Does not understand how bankruptcy works.
Under bankruptcy plans, the court ensures that all current bills are paid. The medical supplies provider does not understand the bankruptcy laws.
- An administrator who adopts the leadership-by-walking-around (LBWA) approach by
- Become an effective leader
- Chosen a good management style
- Failed to understand LBWA
- Implemented a useful strategy
walking through the facility once a week and intently observing has .
Answer: C. Failed to understand LBWA.
LBWA, to be effective, must be done daily; weekly is too infrequent.
- The candidate for administrator said that they used a variety of administrative styles but
- Favorably impressed
- Unfavorably impressed
- Concerned about possible indecisiveness
- Looking for one leadership style
could not say exactly which they would use in every circumstance. The interviewer should be .
Answer: A. Favorably impressed.
This candidate understands the need for exibility in leadership styles and 2 / 4
believes that several styles are necessary for effective leadership.
- The candidate for administrator indicated that they consistently chose the charismatic style
- Reassure
- Alert
- Con rm the candidate's qualications to
- Please
of leadership. This should the interviewer.
Answer: B. Alert.
Charismatic leadership is given to leaders by followers. Leaders cannot just declare themselves charismatic.
- The nurse supervisor who had just been appointed director of nursing announced at the
- Be relieved
- Con rm the decision
- Be supportive
- Anticipate problems
rst department head meeting that they had circulated a memo among the nurses that only formal communications were to be allowed in the nursing department. The administrator should .
Answer: D. Anticipate problems.
It is impossible to prevent informal communications among nurses. The nurse supervisor does not seem to have enough communication savvy to understand this.
- The department head was not surprised to learn that an employee had heard only the
- De cient
- Appropriate
- Out of focus
- Inadequate
positive comments to the employee and ignored the criticisms. The department head's grasp of the communication process is .
Answer: B. Appropriate.
The department head understands that employees often engage in selective hearing, that is, hearing good news and screening out anything unpleasant.
- The administrator routinely accepted as a nearly exclusive information source the director
- Showing appropriate con dence in the director of nursing
- Utilizing the director of nursing properly
- Realizing a successful appointment has been made 3 / 4
of nursing's positive reports that nursing was going well. The administrator is .
- Placing themselves at risk
Answer: D. Placing themselves at risk.
The administrator must get information from all levels of management to know what is going on. It is dangerous to rely solely on one person.
- Congress and the federal rule makers behave as if the facility will run successfully if
- Incorrect
- Correct, according to behavior theory
- Pessimistic about the need for rules
- Correct, according to emerging management theory
Congress and the Centers for Medicare & Medicaid Services (CMS) can write enough rules. They are .
Answer: A. Incorrect.
It is impossible and undesirable to try to write enough rules to make every facility function successfully. It is important to realize that not all facilities can run the same based on population, resident mix, niche of residents served, and many other factors.
- The administrator insists that a timely copy of all reports generated within the facility come
- Not rationalizing their management information system
- Making appropriate and desirable requests
- Exercising good judgment
- Initiating an appropriate management information system
across their desk before anyone signs them. The administrator is .
Answer: A. Not rationalizing their management information system.
The administrator may have all reports made available to them but requiring that the administrator sees all reports before staff responsible for producing them signs off on them would likely be dysfunctional for getting the facility's work done in a timely manner.
- Corporate sends a directive to its agship facility administrator directing the administrator's
- Effectiveness/efficiency
- Efficiency/effectiveness
- Expenses/inputs
- Expenses/throughput
attention more toward the outcome of resident care than the cost of resident care during the coming 12 months. Corporate is more concerned with than with .
Answer: A. Effectiveness/efficiency.
Corporate wants that facility to have as nearly a de ciency-free inspection as possible and is willing to pay a little more for that year's performance to achieve this.
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