Texas State Nursing Home Administrator Test
Questions And Answers Graded A+
All residents, including, but not limited to private-pay. Medicaid applicants and recipients, VA patients, and
Medicare recipients, who are admitted to and reside in a Medicaid certified facility or a Medicaid-certified distinct
part of a facility. These requirements do not apply to SNFs licensed under the Health and Safety Code Chapter 241,
participating only in the Medicare program ANS Medicaid specific requirements apply to?
Negligent or willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting
physical or emotional harm or pain to a resident; or sexual abuse, including involuntary or nonconsensual sexual
conduct that would constitute an offense under Penal Code §21.08 (indecent exposure) or Penal Code Chapter 22
(assaultive offenses), sexual harassment, sexual coercion, or sexual assault. ANS Abuse
Chapter 242 of the Texas Health and Safety Code. ANS Act
An MDS assessment that determines a recipient's initial determination of eligibility for medical necessity for
admission into the Texas Medicaid Nursing Facility Program. ANS Admission MDS assessment
A person licensed by the Texas Board of Nursing as an advanced practice registered nurse. ANS Advanced
practice registered nurse
An adult to whom authority to make health care decisions is delegated under a durable power of attorney for health
care. ANS Agent
The Administrative Procedure Act, Texas Government Code, Chapter 2001. ANS APA
A physician, currently licensed by the Texas Medical Board, who is designated by the resident or responsible party
as having primary responsibility for the treatment and care of the resident. ANS Attending physician
The placement of an electronic monitoring device in a resident's room and using the device to make tapes or
recordings after making a request to the facility to allow electronic monitoring. ANS Authorized electronic
monitoring
Precautions including the use of gloves, masks, gowns, resuscitation equipment, eye protectors, aprons, face shields,
and protective clothing for purposes of infection control. ANS Barrier precautions
,Services required to maximize resident independence, personal choice, participation, health, self-care, psychosocial
functioning and reasonable safety, all consistent with the preferences of the resident. ANS Care and treatment
The determination by HHSC that a nursing facility meets all the requirements of the Medicaid or Medicare
programs. ANS Certification
An event that results in a change to the federal taxpayer identification number of the license holder of a facility. The
substitution of a personal representative for a deceased license holder is not a change of ownership. ANS
Change of ownership
Code of Federal Regulations. ANS CFR
Any allegation received by HHSC other than an incident reported by the facility. Such allegations include, but are
not limited to, abuse, neglect, exploitation, or violation of state or federal standards. ANS Complaint
The date an RN assessment coordinator signs an MDS assessment as complete. ANS Completion date
An interdisciplinary description of a resident's needs and capabilities including daily life functions and significant
impairments of functional capacity. ANS Comprehensive assessment
A plan of care prepared by an interdisciplinary team that includes measurable short-term and long-term objectives
and timetables to meet the resident's needs developed for each resident after admission. The plan addresses at least
the following needs: medical, nursing, rehabilitative, psychosocial, dietary, activity, and resident's rights. The plan
includes strategies developed by the team, consistent with the physician's prescribed plan of care, to assist the
resident in eliminating, managing, or alleviating health or psychosocial problems identified through assessment.
ANS Comprehensive care plan
(A) goal setting;
(B) establishing priorities for management of care;
(C) making decisions about specific measures to be used to resolve the resident's problems; and
(D) assisting in the development of appropriate coping mechanisms. ANS Comprehensive Care Plan includes?
The placement and use of an electronic monitoring device that is not open and obvious, and the facility and HHSC
have not been informed about the device by the resident, by a person who placed the device in the room, or by a
person who uses the device. ANS Covert electronic monitoring
,The term referred to the Department of Aging and Disability Services; it now refers to HHSC. ANS DADS
This term referred to the Texas Department of Human Services; it now refers to HHSC, unless the context concerns
an administrative hearing. Administrative hearings were formerly the responsibility of DHS; they now are the
responsibility of the HHSC. ANS DHS
A qualified dietitian is one who is qualified based upon either:
(A) registration by the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics; or
(B) licensure, or provisional licensure, as a dietitian under Texas Occupations Code, Chapter 701 and one year of
supervisory experience in dietetic service of a health care facility. ANS Dietitian
Direct care consonant with the physician's planned regimen of total resident care includes:
(A) assessment of the resident's health care status;
(B) planning for the resident's care;
(C) assignment of duties to achieve the resident's care;
(D) nursing intervention; and
(E) evaluation and change of approaches as necessary. ANS Direct care by licensed nurses
Ownership of equity in the capital, stock, or profits of, or a membership interest in, an applicant or license holder.
ANS Direct ownership interest
Five percent or more direct or indirect ownership interest in an applicant or license holder. ANS Disclosure
interest
That portion of a facility certified to participate in the Medicaid Nursing Facility program. ANS Distinct part
Any of the following:
(A) any substance recognized as a drug in the official US Pharmacopoeia, official Homeopathic Pharmacopoeia of
the US, or official National Formulary, or any supplement to any of them;
(B) any substance intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man;
(C) any substance (other than food) intended to affect the structure or any function of the body of man; and
(D) any substance intended for use as a component of any substance specified in (A) - (C). It does not include
devices or their components, parts, or accessories. ANS Drug (also referred to as medication)
, Video surveillance cameras and audio devices installed in a resident's room, designed to acquire communications or
other sounds that occur in the room. An electronic, mechanical, or other device used specifically for the
nonconsensual interception of wire or electronic communication is excluded from this definition. ANS
Electronic monitoring device
The illegal or improper act or process of a caregiver, family member, or other individual who has an ongoing
relationship with a resident using the resources of the resident for monetary or personal benefit, profit, or gain
without the informed consent of the resident. ANS Exploitation
An individual who holds in trust another's monies. ANS Fiduciary agent
Long-term: general statements of desired outcomes. Short-term: measurable time-limited, expected results that
provide the means to evaluate the resident's progress toward achieving long-term goals. ANS Goals
An abnormal event, including accidents or injury to staff or residents, which is documented in facility reports. An
occurrence in which a resident may have been subject to abuse, neglect, or exploitation must also be reported to
HHSC. ANS Incident
Any ownership or membership interest in a person that has a direct ownership interest in an applicant or license
holder. ANS Indirect ownership interest
Separation of a resident from others or from the resident's room or confinement to the resident's room, against the
resident's will or the will of a person who is legally authorized to act on behalf of the resident. Monitored separation
from other residents is not involuntary seclusion if the separation is a therapeutic intervention that uses the least
restrictive approach for the minimum amount of time, not exceed to 24 hours, until professional staff can develop a
plan of care to meet the resident's needs. ANS Involuntary seclusion
Any drug that requires a written or telephonic order of a practitioner before it may be dispensed by a pharmacist, or
that may be delivered to a particular resident by a practitioner in the course of the practitioner's practice. ANS
Legend drug or prescription drug
NFPA 101 ANS Life Safety Code
Fire safety components required by NFPA 101, including building construction, fire alarm systems, smoke detection
systems, interior finishes, sizes and thicknesses of doors, exits, emergency electrical systems, and sprinkler systems.
ANS Life safety features
