Montana Administrator Practice Test

These questions are part of the practice quiz. Start practicing

• Which statement is not true regarding prescribing therapeutic diets?
• What is a deficiency with the potential for no more than minor negative impact on a resident classified as?
• What is key to a successful Total Quality Management (TQM) program?
• How often must a performance review of nurse aides be conducted by law?
• A facility must designate a charge nurse for which of the following?
• What principle protects individuals from being wrongly convicted of crimes?
• A resident who has capacity and withholds consent to treatment may not be treated under what circumstance?
• Administrators consult what to compare outcomes to expectations?
• Communication occurs when ________.
• Which of the following describes the systematic review conducted on nurse aides?
• Medicaid resident funds totaling in excess of $_____ must be deposited in an interest bearing account.
• What might indicate a need for a care plan review?
• According to OBRA 1987, how many hours per day must a registered nurse be on duty?
• Which of the following has the least impact on influencing a resident or their family in choosing a facility?
• What term describes the skills and education needed for a specific job?
• What is an important factor to consider for the physical environment of a nursing home?
• Which type of resident assistance is a facility not required to provide?
• What does Total Quality Management primarily focus on?
• What type of inspection is carried out to determine the competency of nurse aides?
• The registered dietician must be registered with the ________.
• The facility must provide residents a full accounting of all monies held in trust _________.
• A manual or physical method used to restrict movement of a resident is called what?
• The federal nursing home certification survey program has a total of ______ different survey types.
• How is "Abuse" defined in the context of resident care?
• How wide must parking spaces be for accessibility compliance?
• What is the process of managing risks of negative outcomes called?
• How must the automatic smoke and fire detection systems be connected?
• What is the role of the Governing Body in a skilled nursing facility?
• What role assists residents in adjusting to facility life and provides psychosocial and financial counseling?
• Which aspect is essential in assessing resident care outcomes?
• What should a housekeeper be informed about before entering a room of a resident who does not respond?
• The individual tasked with guiding residents in adapting to a facility's environment is known as?
• The term for the regulations governing a corporation's operation is known as?
• Which body is responsible for establishing the strategic plan of an organization?
• Under OBRA 1987, what is the timeline for a facility to complete a care plan after the initial assessment?
• What must a facility explain to residents upon admission?
• Per OBRA 1987, a facility is required to provide residents with a physical environment that is what?
• Who ultimately determines if a nurse aide is competent?
• How long does it typically take to fully implement a Total Quality Management (TQM) program?
• What must a facility provide to residents regarding their choice of physicians according to OBRA 1987?
• A facility can inform a resident of their rights in which manner?
• What does OBRA stand for in the context of nursing facility regulations?
• What is the minimum grace period allowed for a physician's visit under OBRA 1987?
• Which term describes the direct communication from staff on the same level regarding issues or needs?
• _________ concerns torts and disputes between private individuals?
• When consumers believe that poor care is due to the performance of one employee, it is referred to as what?
• States and CMS are not allowed to impose which type of penalties?
• What technology connects cell phones, handheld devices, and keyboards to a computer via high-speed cable?
• What is the most comprehensive improvement model mentioned in the text?
• Each level of a building housing patient areas must be divided into how many smoke compartments?
• What is the average short term stay for a Medicare resident?
• What is the required minimum width for landings at stairway runs?
• The fire alarm can be silenced during a fire drill conducted between the hours of
• Which is not true of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)?
• What term refers to the communication between staff of equal rank or status?
• Which of the following is NOT an element of a Total Quality Management (TQM) program?
• What is described as being more powerful than a goal or plan?
• What is the specific description of expected employee behavior known as?
• What is the minimum length required for telephone cords?
• What would happen if a physician visit was recorded late per OBRA 1987 for a resident who had a visit due on November 3?
• What does a solid line on an organizational chart represent?
• An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server is called ______.
• Which of the following is NOT a characteristic of an effective leader?
• A resident does not have the right to which of the following?
• Landings at stairways must be located where?
• Medicare A does not pay for __________.
• What does CMS stand for?
• Federal inspection of resident care in nursing facilities is overseen by ______.
• An administrator should not do what regarding resident suggestions?
• A physician does not need to be notified when what occurs?
• What is the term for a mechanism that monitors consumer satisfaction and addresses concerns in nursing homes?
• The DON and the attending physician ______ the consultant pharmacist reports.
• Who can provide nursing aide services and be included in calculating minimum staffing hours?
• Middle managers are not responsible for which of the following?
• What is the minimum clear width for a single wheelchair continuously?
• Which entity is responsible for hiring, supervising, and potentially firing the administrator of a nursing facility?
• A certified nursing assistant must not go more than how many consecutive months without working in nursing assistant services for pay?
• What does discipline in a facility typically involve?
• Which leadership style emphasizes the manager's role as a facilitator rather than a direct leader?
• What describes a violation that requires immediate action due to severe risk to residents?
• Which of the following is NOT a requirement for nursing homes regarding food service according to OBRA 1987?
• What serves as the foundation that guides an organization?
• What is the maximum time allowed for a nurse aide to complete a state-approved training program if hired before completion?
• __________ publishes and promotes fire safety in nursing homes.
• What is the daily co-pay rate that Medicare residents face after a short stay?
• What term describes an employee who has decision-making authority equal to that of the administrator?
• When must a resident's care plan be documented during a significant change?
• The facility must refund any monies held in trust within ______ days of a resident's death or discharge.
• What scope is assigned to non-compliance affecting a limited number of residents and locations?
• Who is ultimately responsible for agreeing with or responding to the consultant pharmacist reports?
• In which circumstance is a resident's care plan required to be re-assessed before the next scheduled review?
• What is the primary role of the human resources department?
• What percentage of weight loss within 3 months would indicate a significant change?
• What does HHS stand for?
• What document outlines the number of directors and shares to be issued for a corporation?
• The emergency generator must be run under full load for _____ every ____.
• If a resident requests to review their records, what are they excluded from in terms of submission of the request?
• What is meant by the term 'respite care'?
• The emergency generator in a facility must be visually inspected and checked how frequently?
• Medicaid resident funds totaling less than $50 in funds may be maintained in __________:
• Who holds the ultimate legal responsibility for the operation of a nursing facility?
• Adding baking soda to food will primarily affect its:
• Which of the following methods cannot be used to recruit workers from outside a facility?
• How should food be stored to ensure safety in a facility?
• Written preferences regarding the use of artificial life prolonging measures is called ________.
• A level 3 violation is defined as what kind of severity of negative outcomes?
• What will the survey team send the administrator if the facility is found substantially in compliance with only minor issues?
• The medical records position must be what type of employment?
• NFPA stands for _______________________.
• Who has ultimate responsibility for management and quality of care in a facility?
• A parking lot with 100 spaces requires how many handicap accessible parking spots?
• Which of the following is NOT included in the initial 16 hours of training for a nurse aide?
• What is typically considered as having a larger influence on consumer choice than media ads?
• What is the name of the permit required for a nursing facility to begin construction?
• A document which sets forth an individual's preferences for the use of life prolonging measures (tube feeding, ventilator) if they are incapacitated is called a __________.
• How are complaints related to satisfaction typically resolved in nursing homes?
• The nursing home survey/inspection process primarily focuses on what aspect?
• When is it acceptable for a facility to only provide an oral summary and written statement of rights?
• In facilities with 60 or fewer residents, what role can the director of nursing serve?
• When must a care plan be completed after the comprehensive assessment?
• What is the phase of the state survey in which the survey team discusses their findings with the administrator and department heads?
• What is an essential aspect a facility must follow regarding resident care?
• What is a primary goal of the care plan review process?
• Nursing homes must have hearing aid compatible phones that can adjust the volume between a minimum of ___ and a maximum of ___ decibels above normal.
• Management by Walking Around does not involve which activity?
• What is a key requirement for residents regarding their attending physician?
• What is the high forward reach for a wheelchair?
• Short term residents should be surveyed about satisfaction with services within what time frame?
• What angle must doors be positioned at to an accessible route?
• A facility may not charge for what related to resident records?
• What is the process of deciding which applicant is the best fit for a job called?
• What is a document that outlines job title, required qualifications, and duties?
• Who is responsible for maintaining resident clinical records in a facility?
• How often should the attending physician visit a resident during the first three months according to OBRA 1987?
• A facility with how many beds is required to have a full-time social worker?
• How many days does the administrator have to prepare a plan of correction for deficiencies cited in the survey?
• A resident with Parkinson's would NOT benefit from which of the following?
• What is the primary purpose of a Certificate of Need?
• Care provided to a resident to relieve pain is ________.
• An organization’s philosophy supports which of the following?
• What tag would indicate substandard care was found?
• What is a key responsibility of a registered dietician?
• The development and testing of clinical treatments such as an investigational drug or therapy is called what?
• What is considered the fundamental law of the U.S that establishes the responsibilities and rights of the federal courts?
• Current trends in health care are moving individuals from institutional care to what?
• What leadership style is characterized by delegating decision-making to subordinates?
• What action should a housekeeper take if a resident is asleep and does not respond when the housekeeper knocks on the door?
• Which department is responsible for preparing and serving nutritious meals under sanitary conditions?
• When non-compliance affects more than a limited number of residents, it is assigned a scope labeled as what?
• What type of review assesses the quality of care given to patients?
• Who is responsible for the day-to-day management of the facility's nursing program?
• The governing body of a facility is generally how liable for acts of employees?
• What is the maximum time allowed for completing a comprehensive assessment after a resident's admission, according to OBRA 1987?
• A broad statement of goals is a ________.
• Giving a caregiver a break from caring for an individual they are caring for who needs constant care is called _____.
• If a resident receives only lunch and missed a bath request, what can be inferred about resident rights violations?
• ________________ does not have an unrestricted right of access to residents at any time.
• What professional must certify the accuracy and completion of the resident assessment?
• How high must furniture, equipment, and supplies be elevated from the floor for proper cleaning?
• Listening intently, acceptance, empathy and understanding the message describes ________.
• A general statement about expected employee behavior is referred to as what?
• What standard must parking spaces meet for handicapped accessibility?
• What should an administrator do if an employee submits a request for family leave after working less than the required number of hours?
• What would a facility issue when the survey indicates isolated or minor issues?
• Which of the following is not typical of a Total Quality Management (TQM) program?
• The ________ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use.
• Resident councils do not have the right to do what?
• What type of leave does the Family Medical Leave Act specifically support?
• Which style of management encourages active participation from staff in decision making?
• In cases where an individual is determined to be incompetent, who is responsible for exercising their rights?
• Which action is appropriate when a resident is asleep in a facility?
• What is the process of locating prospective staff called?
• According to OBRA 1987, a nursing home must maintain the highest standard for which aspect of residents?
• Which of the following statements is not true?
• What action should the new administrator take regarding the Quality Assurance Committee meeting dates?
• If a resident was admitted on June 1 and had a physician visit on June 27, July 29, and September 4, what is the facility's compliance status regarding OBRA 1987?
• What is a limitation regarding the use of physical restraints?
• How long must a passenger loading zone be at minimum?
• What role does laundry play in a facility?
• What must happen to a care plan if a resident experiences a significant change in condition?
• The side reach from a wheelchair should be between ____" and ____".
• The activities program director does not need to have what qualification?
• An act or threat causing fear in another individual with a reasonable expectation of harm is known as?
• In which category would you place a description of how staff should interact with residents?
• What allows managers to manage by being present and engaging with employees in their work environment?
• A leader who makes decisions based on staff consensus is exhibiting which style?
• The _________ is responsible to identify and address safety hazards that can injure residents and staff and is required by OSHA.
• A finding of 'substandard care" requires the survey team to have evidence of _________.
• What is the primary focus of palliative care?
• Federal resident care standards are now considered to be:
• Electrical switches in facilities must be located at a minimum of how many inches above the floor?
• Which of the following must be prioritized in the care plan?
• How can the effectiveness of a care plan be evaluated?
• At openings, doors must have a clear width of what measurement?
• What is the minimum width required for a passenger loading zone?
• What is the maximum pressure allowed to open doors and operate fixtures?
• How many hours of in-services must a certified nursing assistant complete each year to maintain certification?
• Before hiring a nurse aide, the facility must check the ____ to ensure there is no record of abuse or misconduct.
• Where is air temperature measured in a nursing facility, according to OBRA 1987?
• What defines a significant deficiency that affects a resident's care?
• What is the initial assessment phase of a facility's compliance with regulations called?
• A change in level surface over 1/2 inch requires what?
• What is the term for managing risks associated with negative outcomes?
• Why is timely re-assessment crucial?
• What is the minimum requirement for a passing space in an accessible route for wheelchairs?
• If the Director of Nursing is giving nursing aides excessive time to complete state certification requirements, what should the administrator do?
• What specific qualification must the director of nursing have?
• What organization developed the Americans with Disabilities Act construction standards?
• What type of drugs are classified as chemical restraints?
• Cold food must be served at ___ or below.
• How frequently is a fire extinguisher serviced?
• Residents have the right to refuse medical treatment, food, bathing, etc. What must the facility do if a resident refuses treatment?
• Smoke detectors must be located no further than how many feet apart and no more than how many feet from any wall?
• Prior to entering a facility, a state survey team would not review the ______.
• What principle serves as a basis for employee expectations within an organization?
• When a facility seeks a hearing before an administrative law judge to dispute survey findings, it is using which process?
• Who has the legal responsibility to adopt and implement facility policies?
• Which right do residents not have concerning room sharing?
• How many hours of initial training must a nurse aide complete according to state guidelines?
• What is the fastest growing sector of the health care industry?
• Per OBRA 1987, a facility must serve food that is _____ and prepared in a form that meets resident's individual needs.
• Which governing body oversees the regulation of nursing aides in most states?
• How often must the care plan be reviewed for a resident?
• If a resident recently lost her husband and is experiencing tearfulness and worry, which professional should the administrator consult for help?
• Which statement communicates the purpose of an organization?
• A nurse aide certification is valid _________?
• What type of document outlines medical decisions for an individual who is unable to communicate their wishes?
• A Medicare beneficiary who requests services that are not covered by Medicare can________.
• Which type of violation has the least impact on health and safety among residents?
• What is the key consideration in determining the minimum staffing level in a nursing facility?
• What term describes communication directed from upper management to lower level managers and staff?
• What is the minimum cord length required for phones in facilities?
• What best describes the role of a governing body in an organization?
• HCFA stands for what?
• An effective leader would not have which of the following characteristics?
• Stooped posture, shuffling gait, garbled speech, and tremors are symptoms of which disease?
• What does a registered nurse oversee in a skilled nursing facility?
• Which document outlines the rules and procedures for an organization’s meetings and governance?
• Which is a key component of successful resident intervention strategies?
• Medicare resident funds totaling in excess of what amount must be deposited in an interest bearing account?
• What is the primary responsibility of the activities program director?
• What is the minimum wheelchair passing width for two wheelchairs?
• Authority granted to the governing body by state law is called _______?
• What is typically true about nursing homes with 100-150 beds regarding human resources?
• According to OBRA 1987, nursing aides must complete a minimum of how many hours of in-service training per year?
• Under federal rules, nursing homes may be referred to as ________________:
• A family member can be denied access to a resident if the resident instructs the facility, T/F?
• One of the responsibilities of the administrator when responding to resident suggestions is to...
• What document specifies the composition of the governing body and the purpose of a corporation?
• Residents do not have the right to ___________.
• For how many days a week must a registered nurse be present according to OBRA 1987?
• Which of the following is not activated by pulling a fire alarm?
• Which of the following is not required to be labeled on drugs and biologicals?
• What is the most effective marketing tool for a nursing home to attract new residents?
• What is the minimum wheelchair turning space required?
• How often is a fire extinguisher checked?
• Long term residents should be surveyed regarding satisfaction with services _____.
• What type of reimbursement system pays providers after services based on acuity?
• What overarching standard must nursing homes adhere to, as mandated by OBRA?
• Who must facility staff notify immediately in the event of an allegation of abuse of a resident?
• Residents can request that certain individuals be denied access to them at any time, T/F?
• PAS or PASRR stands for ___________.
• The assessment of resident quality of life often includes which element?
• What is essential to provide as part of the comprehensive re-assessment?
• A nurse aide must complete 16 hours of initial training in all of the following areas EXCEPT?
• Written instructions related to the provision of health care when an individual is incapacitated are called what?
• What is NOT characterized by Total Quality Management (TQM)?
• Facilities certified to receive Medicare and Medicaid reimbursement must submit to what type of inspections?
• What term is used for a review of patient care focusing on appropriateness and cost effectiveness?
• What is a requirement for a facility regarding resident rights?
• Residents do not have the right to do which of the following?
• When an administrator challenges survey findings via letter to the state survey office, what process is being utilized?
• According to best practices, what is the best way to fill a job vacancy?
• Which statement is not true regarding the storage of drugs and biologicals?
• What is the requirement for vision panels in swinging doors?
• What is the maximum time allowed for a resident to review their records after making a request?
• What department is responsible for keeping the facility clean and odor-free?
• What is the term for the legal responsibility to provide the standard of care?
• Which organization enforces the Americans with Disabilities Act construction standards?
• How long must menus be retained by a facility?
• In health care, the shift to home health care is considered to be what type of care?
• Which event necessitates an immediate re-assessment of a resident's care plan?
• Potentially hazardous food does not include ________.
• Which department is responsible for coordinating work activities and resolving conflicts?
• The overall style of governing how people relate to each other and that binds an organization is called _______?
• Who creates and implements the mission statement and facility policies?
• A facility is not required to do which of the following?
• The care plan is completed by an interdisciplinary team, but which member is not required to be included?
• What does ANSI stand for?
• What is the largest payor source for long term care?
• According to care planning regulations, when is the least frequency for annual comprehensive re-assessments?
• Who is primarily responsible for ensuring sanitary meal preparation and serving?
• Which of the following is a consequence of poor adherence to TQM principles?
• When dealing with resident emotional support, which role is most appropriate to assist?
• Which of the following actions is critical to maintaining the quality of life for residents in care facilities?
• How many resident rights were violated if a resident had multiple issues during the day, as per OBRA 1987?
• What law requires employers to provide their employees time off for illness or to care for a family member?
• How frequently should a resident's care plan undergo a comprehensive re-assessment?
• The focus of outcomes in resident care is primarily on:
• What is one requirement for nursing homes to participate in the Medicare and Medicaid programs?
• What is primarily the focus of social services in a care facility?
• What is the term for when services in a facility are inconsistent from day to day and shift to shift?
• A violation that causes no more than minimal harm is classified as what type of deficiency?
• What aspect of resident care is reviewed during nursing home inspections?
• The governing body's decisions are primarily guided by which of the following?
• An individual who has completed training for certified nursing aide but is not yet on the state registry may _______?
• What does a care plan typically include?
• What is the preferable timing for re-assessing a resident if a change in condition occurs?
• What should the governing body do if an administrator reduces the dietary service manager's hours to save money?
• A charge nurse is considered to be a part of which management level?
• Who is responsible for screening individuals seeking admission to a skilled nursing facility for mental illness or retardation?
• Who has the legal responsibility for the day-to-day operation of a skilled nursing home?
• According to regulations, a facility has an obligation to provide care that allows the resident to attain what?
• The phase of the state survey where the survey team gathers information from OSCAR, the ombudsman and other sources prior to entering a facility is called ______.
• What is the term for any action taken by a facility to punish or penalize residents?
• Who must sign the order to admit a resident to a nursing home?
• Which entity must license all nursing facilities?
• A change between 1/4 inch and 1/2 inch in level surface requires what?
• Quality indicator (QI) reports for nursing homes available through the CMS would not include which of the following?
• The phase of the state survey where the survey team analyzes and compares observations and findings and determines if any violations were found and their severity is called ______.
• What type of account should be created for Medicaid funds greater than $50?
• The nosing on a stair must project no more than how many inches?
• What can states NOT impose to compel facilities to correct class 1 deficiencies found during inspections?
• Who must sign the comprehensive assessment?
• Nursing homes must be inspected every ______.
• What is an important aspect of managing resident care in a facility?
• Believing something that is not based in reality is referred to as what?
• Upper management typically does not engage in which of the following?
• How many hours must an employee work to qualify for Family Medical Leave?
• What do patients and families typically look for when selecting a nursing home?
• A facility cannot charge a reasonable fee for what?
• Which document serves to distinguish one job from another?
• Grab bars and railings must support a minimum weight of how many pounds?
• When identifying abuse, the type of treatment that may be considered harmful includes all of the following EXCEPT:
• What can an administrator do if they do not agree with findings made during a nursing home survey?