5



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|NURSING HOME ADMINISTRATOR LICENSURE |

|EXAM REVIEW COURSE |

(National Exam ◘ MODULE 4

referencsection

Administration

Speed Reader

Examination 1

( Examination 2

Examination 3

Examination 4

.

Stan Mucinic, LNHA

LEGAL NOTICES

Students enrolled in the “National Nursing Home Administrator Licensing Course” are purchasing the professional knowledge of the instructor to assist the student to prepare for the national licensure exam administered by the National Association of Boards of Examiners (NAB).

This is a 5-week intensive independent study program designed to provide students a unique personalized and structured learning environment where progress is monitored by the instructor through email to help students maintain focus and complete scheduled assignments timely.

THE INSTRUCTOR MAKES NO EXPRESS OR IMPLIED WARRANTY OR REPRESENTATION OF ANY KIND THAT COMPLETION OF THIS OR ANY LICENSURE PREPARATION COURSE OFFERED BY INSTRUCTOR WILL GUARANTEE A PASSING SCORE ON ANY LICENSING EXAM.

An individual’s ultimate success in passing the licensure exam is dependent on an individual’s professional experience, academic preparation, and the time and energy the individual can commit to exam study and preparation.

A student’s work schedule or other commitments may require more time to prepare for an exam than allotted. The student is solely responsible for licensing exam registration/testing and retesting fees.

How to Use the Study Guides

Step 1 – VERY IMPORTANT - The personalized test organizer that comes with the program is the key to your success and sets this program apart from any other. It is critical you follow the instructions and score each exam, and file the completed exams into your binder. Try to keep to the schedule and email your test results to the instructor to stay focused.

Step 2. - Speed Reader – Read the speed reader for each module once or twice before taking the module exam(s). Read the speed reader over and over again until you familiarize yourself with its contents. THE MORE TIMES YOU LOOK IT THE MORE LIKELY YOU ARE TO REMEMBER IT.

Step 3 – Exam Packet - The exam packet contains questions designed to measure your comprehension and retention of the material you read. Take each exam over and over again until you score 100%. Make sure you score each exam and record the results in your organizer or you will not be able to gauge your progress.

The exam questions are cross referenced to the speed reader to allow you to quickly find and review material you missed on the exam as follows:

Page Number ---- 2/1.8(13) ------ Section Number

The specific reference material would be found on page 2 of the speed reader, section 1.8, subparagraph 13.

Contact Information

You may contact Stan Mucinic by email at smucinic@ with any questions

Administration

| 1 |Facilities lose revenue for each vacant bed because of fixed overhead costs and this the ____________. | 1 2 3 4 |

| | | |

| | |8/18.1(4) |

| |Intangible rule | |

| |Inconsistency rule | |

| |Inseparability rule | |

| |Inventory rule | |

|2 |Problem recognition, information search, alternate evaluation and post purchase evaluation are all steps in the |1 2 3 4 |

| |_________. | |

| | | |

| |Consumer decision process |8/19.1 |

| |Marketing decision process | |

| |Facility inventory purchasing process | |

| |None of the above | |

|3 |Consumers make a final decision to enter a facility based on ________. |1 2 3 4 |

| | | |

| |Price | |

| |Whether facility can meet their needs |8/21.1 |

| |Referral from hospital case managers | |

| |Persuasive skills of the administrator | |

|4 |The most effective marketing tool for a nursing home is/are_______. |1 2 3 4 |

| | | |

| |Ads in newspapers | |

| |Ads on television |9/22.1(2) |

| |A tour of the facility | |

| |Health care fairs | |

|5 |______________ has the least impact on influencing a patient to choose a facility. |1 2 3 4 |

| | | |

| |Physician referrals |9/22.1 |

| |Hospital discharge planner referral | |

| |Media ads | |

| |Word of mouth | |

|6 |_______ is an example of impersonal advertising |1 2 3 4 |

| | | |

| |A tour of a facility | |

| |Consumers attending a health fair in facility |9/22.1(5) |

| |Media ads on television and print ads | |

| |Physicians and case managers attending a luncheon at a facility | |

|7 |Which is not true of marketing a nursing home? |1 2 3 4 |

| | | |

| |Subliminal perceptions of a family touring a facility (odors in hallway) are a deciding factor in choosing a | |

| |facility |8/21.1 |

| |Word of mouth is the most effective form of advertising |9/22.1 |

| |A facility’s reputation has no bearing on consumer attractiveness | |

| |Hospital discharge planners are a key referral source | |

|8 |Cognitive state, affective state and behavioral state are all elements of the ______. |1 2 3 4 |

| | | |

| |Marketing strategy process | |

| |Consumer decision making process |9/23.1 |

| |Buyer readiness states | |

| |None of the above | |

|9 |Short term residents should be surveyed about satisfaction with services ______. |1 2 3 4 |

| | | |

| |Upon admission | |

| |Weekly |9/24.1 |

| |Monthly | |

| |Within 30 days from discharge | |

|10 |Long term residents should be surveyed regarding satisfaction with services _____. |1 2 3 4 |

| | | |

| |Just before state inspection/survey |9/24.1 |

| |Annually | |

| |As requested by resident council | |

| |Shortly after discharge | |

|11 |Patients and family look for ____ as key to selecting a nursing home. |1 2 3 4 |

| | | |

| |Variety and quality of food | |

| |Good rehab department |9/24.1 |

| |Timely communication with nursing staff | |

| |Well known corporate name | |

|12 |Physicians mainly look for ____ in recommending a nursing home. |1 2 3 4 |

| | | |

| |Variety and quality of food | |

| |Good rehab department |9/24.1 |

| |Timely communication with nursing staff | |

| |Well known corporate name | |

|13 |Hospital discharge planners look for ___ in recommending a nursing home. |1 2 3 4 |

| | | |

| |Variety and quality of food | |

| |Good rehab department |9/24.1 |

| |Timely communication with nursing staff | |

| |Well known corporate name | |

|14 |_________ is not a step in resolving conflict. |1 2 3 4 |

| | | |

| |Imposing a solution on the parties | |

| |Clarifying a disputed issue |9/25.1 |

| |Negotiating mutual resolution of a dispute | |

| |Determining ownership of what each person wants | |

|15 |A mechanism to monitor consumer satisfaction and address other concerns is called _______. |1 2 3 4 |

| | | |

| |Grievance procedure | |

| |Mediation procedure |9/26.1 |

| |Arbitration procedure | |

| |Satisfaction procedure | |

|16 |Staff must respond to grievances __________. |1 2 3 4 |

| | | |

| |As soon as possible | |

| |Within 5 days |9/26.1 |

| |Within 7 days | |

| |Within 14 days | |

|17 |Resident grievances are not ___________ |1 2 3 4 |

| | | |

| |Reviewed by state surveyors | |

| |Required to be documented |9/26.1 |

| |Required to be reviewed by the resident council | |

| |An important measure of consumer satisfaction | |

|18 |Which is not true of communication? |1 2 3 4 |

| | | |

| |Unless a message communicated is received and decoded, communication did not take place | |

| |A message sent by a sender must be understood by the receiver |9/27.1 |

| |Where a message is sent and received but not understood, communication did not take place | |

| |Active listening is mainly nodding your head in agreement and agreeing with the speaker | |

| | |1 2 3 4 |

|19 |Effective communication is not _____ | |

| | |9/27.1 |

| |Simply the transmission and receipt of a message | |

| |The heart of the management process | |

| |Affected by withholding important information | |

| |More important the closer to the center of power | |

|20 |The exchange of information and the transmission of meaning is ______. |1 2 3 4 |

| | | |

| |Unimportant |9/27.1 |

| |Communication | |

| |Not well understood | |

| |None of the above | |

|21 |Listening intently, acceptance, empathy and understanding the message is describes ________. |1 2 3 4 |

| | | |

| |Unconditional positive regard | |

| |Active listening |9/27.1 |

| |Compassionate communication | |

| |None of the above | |

| | |1 2 3 4 |

|22 |The heart of the management process is ________. | |

| | | |

| |Communication | |

| |Policies and procedures |9/27.1 |

| |Mission statement | |

| |Grievance process | |

| | | |

|23 |A person who skews info based on personal desires and needs is engaged in _________. |1 2 3 4 |

| | | |

| |Agenda carrying | |

| |Selective hearing |10/28.1 |

| |Filter effect | |

| |Self protection | |

|24 |A person who filters out unpleasant aspects of communication and is not capable of understanding the message | |

| |sent is engaged in ________. | |

| | |1 2 3 4 |

| |Status difference | |

| |Selective hearing | |

| |Filter effect |10/28.1 |

| |Self protection | |

| 25 |___________is where a person perceives information differently than a person with more knowledge. |1 2 3 4 |

| | | |

| |Subgroup allegiance |10/28.1 |

| |Information overload | |

| |Differences in knowledge | |

| |Language barrier | |

| | | |

| 26 |Where a subgroup demands the allegiance from other subgroup members this is called _______. |1 2 3 4 |

| | |10/28.1 |

| |Subgroup allegiance | |

| |Information overload | |

| |Differences in knowledge | |

| |Language barrier | |

| | | |

| 27 |Where an individual is hesitant to approach staff of a higher rank this is called _______. |1 2 3 4 |

| | | |

| |Subgroup allegiance | |

| |Information overload |10/28.1 |

| |Status Difference | |

| |Language barrier | |

| | | |

| 28 |Where an individual does not understand the technical jargon of the person talking this is called _______. |1 2 3 4 |

| | | |

| |Filter effect |10/28.1 |

| |Information overload | |

| |Differences in knowledge | |

| |Language barrier | |

| | | |

| 29 |Where an individual withholds info that negatively reflects on them this is called _______. |1 2 3 4 |

| | | |

| |Agenda carrying |10/28.1 |

| |Information overload | |

| |Self protection | |

| |Differences in knowledge | |

| | | |

| 30 |Where too much information overwhelms staff this is called _______. |1 2 3 4 |

| | | |

| |Agenda carrying |10/28.1 |

| |Information overload | |

| |Self protection | |

| |Differences in knowledge | |

| 31 |The flow of information through meetings and memos between managers and staff that resemble the organizational |1 2 3 4 |

| |chart is called _________. | |

| | |10/32.1 |

| |Formal communication | |

| |Informal communication | |

| |Information flow | |

| |Grapevine | |

| 32 |Communication between social and peer groups is an example of _______. |1 2 3 4 |

| | | |

| |Formal communication | |

| |Informal communication |10/30.1 |

| |Information flow | |

| |Grapevine | |

| 33 |Communication directed from upper management to lower level managers and staff is called _____. |1 2 3 4 |

| | | |

| |Upward communication |10/31.1 |

| |Downward communication | |

| |Horizontal communication | |

| |Vertical integration | |

| | | |

| 34 |Communication from subordinates directed to upper management is called _____. |1 2 3 4 |

| | | |

| |Upward communication |10/31.1 |

| |Downward communication | |

| |Horizontal communication | |

| |None of the above | |

| | | |

| 35 |Communication between staff of equal rank or status is called _______. |1 2 3 4 |

| | | |

| |Upward communication |10/31.1 |

| |Downward communication | |

| |Horizontal communication | |

| |None of the above | |

| 36 |A company rumor mill is an example of _______. |1 2 3 4 |

| | | |

| |Upward communication |10/31.1 |

| |Downward communication | |

| |Horizontal communication | |

| |None of the above | |

| | | |

| 37 |Which of the following is not true of communication? |1 2 3 4 |

| | | |

| |Communication has multiple levels of meaning | |

| |Managers should not withhold information from employees |9/27.1 |

| |Written communication reinforces oral communication |10/29.1 |

| |Communication occurs when the receiver receives a message | |

| | | |

| 38 |_______ is an electronic medium that allows instantaneous communication internally and externally to thousands |1 2 3 4 |

| |of people through a computer server | |

| | | |

| |Email | |

| |Firewire | |

| |Bluetooth |10/32.1 |

| |High frequency radios | |

| 39 |A finding of ‘substandard care” requires the survey team to have evidence of ___________. |1 2 3 4 |

| | | |

| |Insufficient nursing staff | |

| |Immediate jeopardy to resident care than has or likely to cause serious injury or death |12/41.1 |

| |Inadequate policies and procedures | |

| |Financial instability | |

| | | |

| 40 |A facility may appeal an error made during a state survey and challenge the findings and rationale in writing to|1 2 3 4 |

| |the state licensing agency through _______. | |

| | | |

| |Informal dispute process | 12/43.1 |

| |Formal dispute process | |

| |Civil court mediation | |

| |By filing an appeal directly to the U.S. Supreme Court | |

| | | |

| 41 |A facility may challenge a fine, suspension or revocation of a license resulting from a survey or inspection by |1 2 3 4 |

| |filing an appeal and requesting a hearing before an administrative hearing officer through the ______ | |

| | |12/43.1 |

| |Informal dispute process | |

| |Formal dispute process | |

| |Civil court mediation process | |

| |By filing an appeal directly to the U.S. Supreme Court | |

| | | |

| 42 |Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)? |1 2 3 4 |

| | | |

| |JCHAO is a private organization that accredits hospitals, nursing homes and other healthcare organizations that |12/44.1 |

| |meet criteria and pass periodic inspections | |

| |Hospitals are required to be accredited by JCAHO | |

| |Nursing homes are required to be accredited by JCAHO to receive Medicare funds | |

| |A healthcare facility accredited by JCAHO is exempt from state and federal inspections | |

| | | |

| 43 |Which is true of remedies available to the states to compel facilities to correct |1 2 3 4 |

| |class I deficiencies found during inspections? | |

| | | |

| |A required plan of action by facility | 12/42.1 |

| |Placement of state monitor in facility until the deficiency corrected | |

| |Directed in-service | |

| |None of the above | |

| | | |

| 44 |A violation with a severity of negative outcomes that compromises a resident’s ability to maintain their highest|1 2 3 4 |

| |physical, mental and psychosocial well-being is a _____ violation | |

| | |11/39.1 |

| |Level 1 | |

| |Level 2 | |

| |Level 3 | |

| |Level 4 | |

| | | |

| 45 |Non-compliance affecting a limited number of residents and locations would be assigned a scope of ________. |1 2 3 4 |

| | | |

| |Isolated |12/40.1 |

| |Patterned | |

| |Widespread | |

| |Saturated | |

| | | |

| 46 |Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of |1 2 3 4 |

| |_______. | |

| | | |

| |Isolated |12/40.1 |

| |Patterned | |

| |Widespread | |

| |Saturated | |

| | | |

| 47 |Where one or more offenses or violations involve resident behavior and facility practices, quality of life, |1 2 3 4 |

| |quality of care, the survey team would issue a citation for _________ | |

| | | |

| |Poor care |12/41.1 |

| |Substandard quality of care | |

| |Superior care | |

| |None of the above | |

| | | |

| 48 |A licensed nursing facility must ________________. |1 2 3 4 |

| | | |

| |Display all required state and local licenses and permits | |

| |Comply with all health, sanitation and safety codes | |

| |Produce all inspection reports from regulatory agencies when requested |20/62.1 |

| |All of the above | |

| | | |

| 49 |_______________ can provide nursing aide services and be included in calculating minimum staffing hours. |1 2 3 4 |

| | | |

| |Student nurses | |

| |Volunteers |21/63.1(10) |

| |Private duty nurses | |

| |A licensed practical nurse employed by the facility | |

| | | |

| 50 |A technology that allows transferring a training video from camcorders to a computer is called _______. |1 2 3 4 |

| | | |

| |Email | |

| |Fire wire |10/32.1 |

| |Bluetooth | |

| |Facsimile machines | |

| | | |

|51 |Communication technology that connects cell phones, hand held devices and keyboards without any cables to a |1 2 3 4 |

| |computer is called ________. | |

| | | |

| |Email |10/32.1 |

| |Fire wire | |

| |Bluetooth | |

| |Facsimile machines | |

| | | |

|52 |Managing risks of negative outcomes is called ______. |1 2 3 4 |

| | | |

| |Risk management | |

| |Arbitration | |

| |Conflict resolution |10/33.1 |

| |Mediation | |

| | | |

| 53 |An event or process than can lead to a financial loss or damage is a ______. |1 2 3 4 |

| | | |

| | | |

| |Risk | |

| |Event |10/33.1 |

| |Accident | |

| |Contingency | |

| 54 |A risk management program would not be concerned with preventing ______. |1 2 3 4 |

| | | |

| |Resident/employee injuries | 10/33.1 |

| |Theft of property in facility | |

| |Malpractice or negligence | |

| |Excessive use of agency personnel | |

| | | |

| 55 |The _______ holds employers directly responsible for injuries to employees during the course of their |1 2 3 4 |

| |employment. | |

| | | |

| |Worker’s compensation Act |10/33.1(4) |

| |Federal Employer’s Liability Act | |

| |Respondeat Superior | |

| |All of the above | |

| | | |

| 56 |The ______is responsible to assemble and analyze incident reports, infection rates, safety issues, medication |1 2 3 4 |

| |errors and restraint use. | |

| | | |

| |Safety committee | |

| |Risk management committee |10/33.1 |

| |Quality assurance committee | |

| |Social committee | |

| | | |

|57 |The ______ is responsible to identify and address safety hazards that can injure residents and staff |1 2 3 4 |

| | | |

| |Safety committee |10/33.1 |

| |Risk management committee | |

| |Quality assurance committee | |

| |Social committee | |

| | | |

|58 |________ is legal concept that holds employers liable for acts of their employees that cause bodily injury or |1 2 3 4 |

| |property damage to others | |

| | | |

| |The Employer Liability Act |10/33.1(6) |

| |Respondeat Superior | |

| |State Disability Insurance | |

| |Habeas Corpus | |

| | | |

|59 |The leading cause of nursing home lawsuits is ___________ |1 2 3 4 |

| | | |

| |Treating a resident without obtaining prior informed consent from |10/33.1(8) |

| |Training staff on how to prevent pressure sores | |

| |Maintaining an effective risk management program | |

| |Resolving resident complaints timely | |

| | | |

|60 |Administrators are subject to civil and criminal penalty in some states for failure to ________. |1 2 3 4 |

| | | |

| |Maintain a risk management program |10/33.1(11) |

| |Respond to resident grievances | |

| |Maintain an employee safety program | |

| |All of the above | |

|61 |Which is not true of the U.S. medical malpractice system? |1 2 3 4 |

| | | |

| |Medical malpractice lawsuits are effective to prevent malpractice claims |10/33.1(10) |

| |Malpractice premiums drain money from resident care | |

| |Doctors order unnecessary tests and practice “defensive medicine” | |

| |None of the above | |

|62 |Development and implementation of a service that includes pricing, promotion and distribution is called _______.|1 2 3 4 |

| | | |

| |Marketing |8/19.1 |

| |Discounting | |

| |Public relations | |

| |None of the above | |

| | | |

| 63 |Marketing plans should not _________ |1 2 3 4 |

| | | |

| |Include efforts to inform the surrounding community of products and services | |

| |Be updated only when requested by the governing body | |

| |Identify pricing constrained due to government regulation and reimbursement rates |8/19.1 |

| |Identify market demand | |

| | | |

| 64 |Communicating relevant information to the community regarding facility services is called _______. |1 2 3 4 |

| | | |

| |Marketing |8/19.1(3) |

| |Public relations | |

| |Satisfaction survey | |

| |Market audit | |

| | | |

| 65 |Government licensure and survey programs assess the quality of care and provide nursing facilities important |1 2 3 4 |

| |_____. | |

| | | |

| |External feedback on quality of care |16/50.1(3)(F) |

| |Endorsement of quality of care | |

| |Endorsement of the facility administrator’s effectives | |

| |Protection from frivolous lawsuits | |

| | | |

| 66 |The nursing home survey/inspection process focuses on ______. |1 2 3 4 |

| | | |

| |Structure | |

| |Process |11/34.1(4) |

| |Outcomes | |

| |None of the above | |

| | | |

| 67 |All nursing facilities must be licensed by the _____. |1 2 3 4 |

| | | |

| |State | |

| |County |20/62.1(2) |

| |Federal government | |

| |None of the above | |

| | | |

| 68 |Nursing facilities licensed by the state must submit to ______. |1 2 3 4 |

| | | |

| |State inspection only | |

| |State and federal inspection |20/62.1(6) |

| |Both 1 and 2 | |

| |Federal inspection | |

| | | |

| 69 |Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must |1 2 3 4 |

| |submit to _________. | |

| | | |

| |State inspection only | |

| |State and federal inspection |20/62.1(6) |

| |Federal inspection only | |

| |None of the above | |

| | | |

| 70 |Federal inspection of resident care in nursing facilities is overseen by ______. |1 2 3 4 |

| | | |

| |Long term care ombudsman | |

| |Area agency on aging |22/70.1(10) |

| |CMS | |

| |OSHA | |

| | | |

| 71 |The federal nursing home certification survey program has a total of ______ different survey types. |1 2 3 4 |

| | | |

| |1 |11/35.1 |

| |2 | |

| |5 | |

| |7 | |

| | | |

| 72 |Quality indicator reports for nursing homes available through the CMS would not include ________________. |1 2 3 4 |

| | | |

| |Facility characteristics |11/36.1 |

| |Nursing home watch list | |

| |Facility quality indicator profile | |

| |Resident level summary | |

| | | |

| 73 |Prior to entering a facility, a state survey team would not review _____________. |1 2 3 4 |

| | | |

| |The facility compliance report |11/35.1 |

| |The most recent compliance survey/inspection | |

| |Ombudsman reports and investigations | |

| |Resident council minutes | |

| | | |

| 74 |________ is the phase of the state survey where the survey team first enters the facility and meets the |1 2 3 4 |

| |administrator and key staff | |

| | | |

| |Offsite prep | |

| |Exit conference |11/35.1 |

| |Sample selection | |

| |Entrance conference | |

| | | |

| 75 |_____ is the phase of the state survey where the survey team gathers info from OSCAR, the ombudsman and other |1 2 3 4 |

| |sources prior to entering a facility | |

| | | |

| |Offsite prep | |

| |Exit conference |11/35.1 |

| |Information gathering | |

| |Entrance conference | |

| | | |

| 76 |______ is the phase of the state survey where the survey team analyzes and compares observations and findings |1 2 3 4 |

| |and determines if any violations were found | |

| | | |

| |Sample selection |11/35.1 |

| |Exit conference | |

| |Information gathering | |

| |Information analysis | |

| 77 |The phase of the state survey where the survey team sits down with the administrator, the DON and department |1 2 3 4 |

| |heads to discuss the findings of the survey team is called ______. | |

| | | |

| |Sample selection | |

| |Exit conference |11/35.1 |

| |Information gathering | |

| |Information analysis | |

| 78 |Upon completion of a survey, the survey team will send the administrator a ______ if the facility was |1 2 3 4 |

| |substantially in compliance, had only isolated minor problems, and no plan of correction is required | |

| | | |

| |Form 2567 |11/38.1 |

| |Notice of isolated deficiencies | |

| |Form W-2 | |

| |Form I-9 | |

| | | |

| 79 |Upon completion of a survey, the survey team will send the administrator a ________ if non-compliant |1 2 3 4 |

| |deficiencies were found and a plan of correction is required | |

| | |11/38.1 |

| |Form 2567 | |

| |Notice of isolated deficiencies | |

| |Form W-2 | |

| |Form I-9 | |

| 80 |A violation or deficiency with the potential for no more than minor negative impact on a resident is a ______ |1 2 3 4 |

| |deficiency. | |

| | | |

| |Level 1 |11/39.1 |

| |Level 2 | |

| |Level 3 | |

| |Level 4 | |

| | | |

| | | |

| 81 |A violation with no actual harm but potential for harm is a ______ deficiency. |1 2 3 4 |

| |Level 1 |11/39.1 |

| |Level 2 | |

| |Level 3 | |

| |Level 4 | |

| 82 |By 2030, ______ people in the U.S, will be over age 65 |1 2 3 4 |

| | | |

| |30 million |23/72.1 |

| |55 million | |

| |70 million | |

| |100 million | |

| | | |

| 83 |The _______ is responsible to establish and implement facility policies |1 2 3 4 |

| | | |

| |Administrator | |

| |Governing body |19/60.1(4) |

| |Medical director | |

| |Director of Nursing | |

| 84 |The _____ specifies the purpose of a corporation and the number of directors |1 2 3 4 |

| | | |

| |Bylaws | |

| |Certificate of Incorporation |20/61.1(6) |

| |Stock certificate | |

| |Debenture | |

| | | |

| 85 |The legal responsibility for the operation of a nursing facility rests with the_____. |1 2 3 4 |

| | | |

| |Administrator | |

| |Governing body |19/60.1(4) |

| |Resident council | |

| |Long term ombudsman | |

| | | |

| 86 |Under the prospective reimbursement system, facilities are increasingly forced to ____________ to make up |1 2 3 4 |

| |decreasing funding from Medicare and Medicaid | |

| | | |

| |Raise private pay rates to shift costs |22/69.1(6) |

| |Decrease services provided to Medicare and Medicaid patients | |

| |Admit fewer Medicare and Medicaid patients | |

| |None of the above | |

| | | |

| 87 |The average length of Medicare stays per year for all nursing homes is approximately _______. |1 2 3 4 |

| | | |

| |500,000 |23/71.1(6) |

| |700,000 | |

| |971,967 | |

| |1,200,000 | |

| | | |

| 88 |_______ percent of seniors age 65 and over currently live in U.S. nursing homes |1 2 3 4 |

| | | |

| |5 percent | |

| |1.5 percent |22/68.1 |

| |3 percent | |

| |4 percent | |

| | | |

| | | |

| | | |

| 89 |A review of care provided patients for appropriateness and cost effectiveness is called a ________. |1 2 3 4 |

| | | |

| |Utilization review |22/70.1(8) |

| |Literature review | |

| |Peer review | |

| |Billing review | |

| | | |

| 90 |A permit required before a nursing facility can begin construction is called _____. |1 2 3 4 |

| | | |

| |Certificate of waiver |22/70.1(9) |

| |Certificate of need | |

| |Certificate of occupancy | |

| |None of the above | |

| | | |

| 91 |A violation with a severity requiring immediate action due to risk of injury, harm, impairment or death to a |1 2 3 4 |

| |resident is a ________. | |

| | | |

| |Level 1 |11/39.1 |

| |Level 2 | |

| |Level 3 | |

| |Level 4 | |

| | | |

ADMINISTRATION - EXAM 2 of 4 – Answer Key

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