Nursing home administrator exam James Allen 217

Nursing home administrator exam (James Allen) 217 Questions with Complete Solutions 100% Verified

• The most likely single cause for the series of bankruptcies among larger nursing home chains around

the year 2000 was ____.

• Too small increases in government reimbursement rates
• Paying too much for acquisitions in 1998 and 1999
• Not taking advantage of falling interest rates
• Thinking too small - Correct Answer 2
• 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 is fully retired, the administrator will concentrate more on being effec- tive than efficient since the Quality Indicators are all at or above the state's aver-age. The owner would likely ____.

• Be pleased
• Be distressed
• Be content
• Praise the newly hired administrator - Correct Answer 2

3.Occupancy of Facility A has been a steady 70% since the Prospective Payment System was introduced.Two weeks ago, a new 120-bed, equally equipped facil- ity opened several blocks away. The Facility A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to _____.

• Rest comfortably
• Seek a new administrator
• Appoint a new admissions counselor
• Take no action - Correct Answer 2
• Bankruptcies among larger nursing home chains prior to 2000 _____.
• Were frequent
• Were ubiquitous 1 / 4

• Were highly unusual
• Were routinely declared to avoid too much accumulated debt - Correct Answer 3
• Under the Prospective Payment System, nursing facilities' reimbursed costs _____.
• Were about the same as previously
• Were more bundled
• Used an unbundled cost structure
• Were reimbursement for actual costs - Correct Answer 2
• In recent years, Medicare has _____.
• Allowed facilities to make a modest profit
• Shifted more costs onto nursing facilities
• Eased up on economic pressures previously placed on facilities
• Remained relatively unchanged in its reimbursement structure - Correct Answer 2
• 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 _____.

• Praise the new director of nursing for her resident centeredness
• Appoint an assistant director of nursing
• Adapt the job description to fit her pattern
• Seek a new director of nursing - Correct Answer 4
• The applicant for the administrator position in a facility near a large teaching hospital insists that, as

before in his rural facility, if hied he would not let the Medicare reimbursement policies affect his case mix. This applicant _____.

• Should be hired
• Is likely to succeed if hired
• Can likely succeed in his goal
• Is out of touch - Correct Answer 4 2 / 4

• 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 _____.

• Agree in general
• Agree to this special case
• Ask the director of nursing for his or her opinion 4. Be forewarned - Correct Answer 4
• The medical supplies provider tells the administrator of a facility that has not paid bills for the past 3

months but is now operating under a bankruptcy judge's approved plan for restructuring, that no more deliveries will be made until past bills are fully paid. The medical supplies provider _____.

• Is smart to cut losses at that point
• Does not understand how bankruptcy works 3. Will now likely get his past due bills paid
• Is farsighted - Correct Answer 2
• An administrator who adopts the leadership-by-walking-around (LBWA) approach by walking

through the facility weekly and intently observing has _____.

• Become an effective leader
• Chosen a good management style 3. Failed to understand LBWA
• Implemented a useful strategy - Correct Answer 3
• The nursing facility administrator who, using the leadership-by-walking around (LBWA) technique,

succeeds in actually making appropriate corrections on the spot during her rounds _____.

• Is effectively implementing the concept
• Gains additional power through the process 3. Exhibits appropriate leadership
• Does not understand LBWA - Correct Answer 4
• The rate of increase in the total number of nursing facilities in the United States during the years

2008 to 2012 is _____.

• Likely to be about level
• Likely to double
• Likely to triple to accommodate the baby boomer generation 4. Likely to decrease markedly - Correct

Answer 1 3 / 4

• The applicant for administrator of the facility insists that he has successfully used democratic

leadership to the exclusion of all other leadership styles. The interviewer should _____.

• Recommend hiring this candidate
• Praise the candidate
• Be favorably impressed
• Continue to interview candidates - Correct Answer 4
• The candidate for administrator said that she used a variety of administrative styles, but could not

say exactly which she would use in every circumstance. The interviewer should be _____.

• Favorably impressed
• Unfavorably impressed
• Concerned about possible indecisiveness 4. Looking for one leadership style - Correct Answer 1
• The candidate for administrator indicated that he consistently chose the charis- matic style of

leadership. This should _____ the interviewer.

• Reassure
• Alert
• Confirm the candidate's qualifications to 4. Please - Correct Answer 2
• The costs of providing subacute care to nursing home residents _____. 1. Is perhaps triple that of the

more typical patient

• Covered by Medicare
• Absorbed by Medicaid if Medicare coverage is inadequate
• Mostly covered by private insurance - Correct Answer 1
• The nurse supervisor who had just been appointed director of nursing announced at the first

department head meeting that she had circulated a memo among the nurses that only formal communications were to be allowed in the nursing department. The administrator should _____.

• Be relieved
• Confirm the decision 3. Be supportive
• / 4