LEADERSHIP AND MANAGEMENT

Question 1

Which of the following is not true?
Individuals involved in strategic planning should include?
1. Nursing staff
2. Department managers
3. Governing board
4. Residents and families

Answer 1

Residents and families

Question 2

When addressing an identified problem with facility policy it is most important for the administrator to first?

1. Determine the individual staff member who is at fault
2. Discuss with the appropriate department manager
3. Gather all of the facts related to the issue
4. Conduct staff meetings to discuss the issue and find a resolution

Answer 2

Discuss with the appropriate department manager

Question 3

Which of the following responsibilities of the governing body of a facility is not true?

1. Selecting and hiring the administrator
2. Selecting and hiring the director of nursing
3. Establishing policies to assure resident rights
4. Establishing the mission and vision for a facility

Answer 3

Selecting and hiring the director of nursing

Question 4

When examining employee retention the administrator should first examine?

1. Employee wages
2. Benefits available to employees
3. Exit interviews
4. Employee turnover

Answer 4

Employee turnover

Question 5

Person centered care is best described as?

1. A homelike environment
2. Facilities that provide private rooms and pets
3. Permanent staff assignments
4. The wishes of the residents

Answer 5

The wishes of the residents

Question 6

All but one of the following abbreviations for administrators to be familiar with relates to quality of resident care and the survey process?

1. RUGS
2. OSCAR
3. MIS
4. IDR

Answer 6

RUGS

Question 7

Which of the following is not a true statement related to the Advancing Excellence in America’s Nursing Homes campaign?

1. The campaign assesses measurement of resident and staff satisfaction
2. The campaign is mandatory for all facilities participating in Medicare
3. The campaign is comprised of a coalition of consumers, pervaders and caregivers
4. Some goals of the campaign include reducing physical restraints and improving pain management

Answer 7

The campaign is mandatory for all facilities participating in Medicare

Question 8

Certified facilities are subject to surveys every 9 to 15 months. The survey process begins with?

1. Entrance conference
2. Initial tour
3. Resident sample selection
4. Off site preparation

Answer 8

Off site preparation

Question 9

Which category of the following would best describe the ownership of a Veteran’s Nursing Facility?

1. Proprietary
2. Public
3. Private non-profit
4. Private for-profit

Answer 9

Public

Question 10

Which of the following is not true about an extended survey?

1. Is conducted based on past survey citations
2. Is conducted when surveyors determine substandard care
3. Is determined during the course of a survey
4. Selects additional policy and procedure reviews

Answer 10

Is conducted based on past survey citations

Question 11

The following are immune from a personal liability or criminal lawsuit?

1. Governing board
2. Administrator
3. State-tested nursing assistant
4. None of the above

Answer 11

None of the above

Question 12

Which of the following is the best answer?
An administrator prepares managers for decision making by?
1. Giving them a copy of the facility policies and procedures
2. Determining their knowledge and skill level
3. Ensuring they are clear about the vision and expectations
4. Discussing previous employment and decisions made

Answer 12

Ensuring they are clear about the vision and expectations

Question 13

Which of the following is not part of collaborative management and shared leadership in the implementation of culture change?

1. Developing self directed work teams and staff self scheduling
2. Encouraging multidisciplinary teamwork and problem solving
3. Decentralizing decision making about hiring and promotion
4. Promoting open communication through consensus, group decisions

Answer 13

Developing self directed work teams and staff self scheduling

Question 14

Which of the following statements is correct?

1. Employees working with residents are required to complete the Hepatitis B vaccinations before they can begin employment
2. Employees may totally decline the Hepatitis B vaccination process only if they sign a waiver indicating they will not hold the owners liable if they contract Hepatitis
3. Employees who decline the Hepatitis B vaccination may change their minds, and request the vaccination at a later date at no cost
4. All employees within a nursing facility must complete the Hepatitis B vaccination

Answer 14

Employees who decline the Hepatitis B vaccination may change their minds, and request the vaccination at a later date at no cost

Question 15

Which of the following is most descriptive of the movement toward a more social model of care within nursing facilities?

1. Strict adherence to scheduled activities - meals, bath, activities, etc. for residents
2. Use of a central nurses’ station for easier monitoring of resident movement
3. A focus on resident choice and resident rights
4. A focus on resident choice but within defined time frames

Answer 15

A focus on resident choice and resident rights

Question 16

___ is the process of defining an approach or direction for an organization, making decisions about how to move toward that direction in very definitive terms and allocating resources to accomplish the plan?

1. Decision making
2. Strategic planning
3. Leadership
4. Authority

Answer 16

Strategic planning

Question 17

Which of the following is not a required member of the QA Committee?

1. Director of Nursing
2. A physician designated by the facility
3. The Administrator
4. At least three other staff members

Answer 17

The Administrator

Question 18

___ is the most significant federal administrative agency regulating nursing facilities. It has the power to enforce and formulate rules and regulations governing the nursing home industry by controlling reimbursement for patient care?

1. NAB
2. OBRA
3. FLSA
4. CMS

Answer 18

CMS