Nursing home administrator NHA exam (James Allen).pdf file:///C:/Users/HP/Desktop/Lectjared/Nursing%20home%20adminis
Nursing Home Administrator Exam (James Allen)
1. 1. The most likely single cause for the series of bankruptcies among larger nursing
home chains around the year 2000 was .
1. Too small increases in government reimbursement rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small
ANS 2
2. 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
.
1. Be pleased
2. Be distressed
3. Be content
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4. Praise the newly hired administrator
ANS 2
3. 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 .
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action
ANS 2
4. 4. Bankruptcies among larger nursing home chains prior to 2000 .
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated debt
ANS 3
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5. 5. Under the Prospective Payment System, nursing facilities' reimbursed costs .
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs
ANS 2
6. 6. In recent years, Medicare has .
1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
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3. Eased up on economic pressures previously placed on facilities
4. Remained relatively unchanged in its reimbursement structure
ANS 2
7. 7. 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 .
1. Praise the new director of nursing for her resident centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing
ANS 4
8. 8. 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
.
1. Should be hired
2. Is likely to succeed if hired
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