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NURSING HOME ADMINISTRATOR EXAM (JAMES ALLEN) QUESTIONS AND ANSWERS
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NURSING HOME ADMINISTRATOR EXAM (JAMES ALLEN) QUESTIONS AND ANSWERS
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NURSING HOME ADMINISTRATOREXAM (JAMES ALLEN) QUESTIONS AND
ANSWERS
1.xThexmostxlikelyxsinglexcausexforxthexseriesxofxbankruptciesxamongxlargerxnursingxhome
xchainsxaroundxthexyearx2000xwasx____.
1.xTooxsmallxincreasesxinxgovernmentxreimbursementxrates
2.xPayingxtooxmuchxforxacquisitionsxinx1998xandx1999
3.xNotxtakingxadvantagexofxfallingxinterestxrates
4.xThinkingxtooxsmallx-x2
2.xInxaxchancexconversationxwithxthexownerxofxanxeight-
facilityxchain,xthexnewlyxhiredxadministratorxforxthexoldestxfacilityxinxthexchainxindicatesxtha
t,xbecausexthexmortgagexisxfullyxretired,xthexadministratorxwillxconcentratexmorexonxbeingx
effec-xtivexthanxefficientxsincexthexQualityxIndicatorsxarexallxatxorxabovexthexstate'sxaver-
age.xThexownerxwouldxlikelyx____.
1.xBexpleased
2.xBexdistressed
3.xBexcontent
4.xPraisexthexnewlyxhiredxadministratorx-x2
3.
OccupancyxofxFacilityxAxhasxbeenxaxsteadyx70%xsincexthexProspectivexPaymentxSystemx
wasxintroduced.xTwoxweeksxago,xaxnewx120-bed,xequallyxequippedxfacil-
xityxopenedxseveralxblocksxaway.xThexFacilityxAxadministrator xtellsxthexadmissionsxcounse
lorxtoxcontinuexthexusualxrecruitmentxapproach.xThexchainxownersxoughtxtox_____.
1.xRestxcomfortably
2.xSeekxaxnewxadministrator
3.xAppointxaxnewxadmissionsxcounselor
4.xTakexnoxactionx-x2
4.xBankruptciesxamongxlargerxnursingxhomexchainsxpriorxtox2000x_____.
1.xWerexfrequent
2.xWerexubiquitous
3.xWerexhighlyxunusual
4.xWerexroutinelyxdeclaredxtoxavoidxtooxmuchxaccumulatedxdebtx-x3
,5.xUnderxthexProspectivexPaymentxSystem,xnursingxfacilities'xreimbursedxcostsx_____.
1.xWerexaboutxthexsamexasxpreviously
2.xWerexmorexbundled
3.xUsedxanxunbundledxcostxstructure
4.xWerexreimbursementxforxactualxcostsx-x2
6.xInxrecentxyears,xMedicarexhasx_____.
1.xAllowedxfacilitiesxtoxmakexaxmodestxprofit
2.xShiftedxmorexcostsxontoxnursingxfacilities
3.xEasedxupxonxeconomicxpressuresxpreviouslyxplacedxonxfacilities
4.xRemainedxrelativelyxunchangedxinxitsxreimbursementxstructurex-x2
7.xThexnursexnewlyxpromotedxtoxdirectorxofxnursingxinsistsxonxgivingxfourxRNxhoursxofxpati
entxcarexeachxdayxonxthexAlzheimer'sxwingxinxthex175-
bedxfacility.xThexadministratorxshouldx_____.
1.xPraisexthexnewxdirectorxofxnursingxforxherxresidentxcenteredness
2.xAppointxanxassistantxdirectorxofxnursing
3.xAdaptxthexjobxdescriptionxtoxfitxherxpattern
4.xSeekxaxnewxdirectorxofxnursingx-x4
8.xThexapplicantxforxthexadministratorxpositionxinxaxfacilityxnearxaxlargexteachingxhospitalxi
nsistsxthat,xasxbeforexinxhisxruralxfacility,xifxhiedxhexwouldxnotxletxthexMedicarexreimbursem
entxpoliciesxaffectxhisxcasexmix.xThisxapplicantx_____.
1.xShouldxbexhired
2.xIsxlikelyxtoxsucceedxifxhired
3.xCanxlikelyxsucceedxinxhisxgoal
4.xIsxoutxofxtouchx-x4
9.xThexnewlyxhiredxassistantxtoxthexadministratorxinsistsxthatxthexorganizationalxchartxdott
edxlinexbetweenxthisxpositionxandxthexDepartmentxofxNursingxbexaxsolidxline.xThexadminist
ratorxshouldx_____.
1.xAgreexinxgeneral
2.xAgreextoxthisxspecialxcase
3.xAskxthexdirectorxofxnursingxforxhisxorxherxopinionx4.xBexforewarnedx-x4
10.xThexmedicalxsuppliesxproviderxtellsxthexadministratorxofxaxfacilityxthatxhasxnotxpaidxbill
sxforxthexpastx3xmonthsxbutxisxnowxoperatingxunderxaxbankruptcyxjudge'sxapprovedxplanxfo
rxrestructuring,xthatxnoxmorexdeliveriesxwillxbexmadexuntilxpastxbillsxarexfullyxpaid.xThexmed
icalxsuppliesxproviderx_____.
1.xIsxsmartxtoxcutxlossesxatxthatxpoint
2.xDoesxnotxunderstandxhowxbankruptcyxworksx3.xWillxnowxlikelyxgetxhisxpastxduexbillsxpai
d
4.xIsxfarsightedx-x2
,11.xAnxadministratorxwhoxadoptsxthexleadership-by-walking-
aroundx(LBWA)xapproachxbyxwalkingxthroughxthexfacilityxweeklyxandxintentlyxobservingxh
asx_____.
1.xBecomexanxeffectivexleader
2.xChosenxaxgoodxmanagementxstylex3.xFailedxtoxunderstandxLBWA
4.xImplementedxaxusefulxstrategyx-x3
12.xThexnursingxfacilityxadministratorxwho,xusingxthexleadership-by-
walkingxaroundx(LBWA)xtechnique,xsucceedsxinxactuallyxmakingxappropriatexcorrectionsx
onxthexspotxduringxherxroundsx_____.
1.xIsxeffectivelyximplementingxthexconcept
2.xGainsxadditionalxpowerxthroughxthexprocessx3.xExhibitsxappropriatexleadership
4.xDoesxnotxunderstandxLBWAx-x4
13.xThexratexofxincreasexinxthextotalxnumberxofxnursingxfacilitiesxinxthexUnitedxStatesxdurin
gxthexyearsx2008xtox2012xisx_____.
1.xLikelyxtoxbexaboutxlevel
2.xLikelyxtoxdouble
3.xLikelyxtoxtriplextoxaccommodatexthexbabyxboomerxgenerationx4.xLikelyxtoxdecreasexmar
kedlyx-x1
14.xThexapplicantxforxadministratorxofxthexfacilityxinsistsxthatxhexhasxsuccessfullyxusedxde
mocraticxleadershipxtoxthexexclusionxofxallxotherxleadershipxstyles.xThexinterviewerxshould
x_____.
1.xRecommendxhiringxthisxcandidate
2.xPraisexthexcandidate
3.xBexfavorablyximpressed
4.xContinuextoxinterviewxcandidatesx-x4
15.xThexcandidatexforxadministratorxsaidxthatxshexusedxaxvarietyxofxadministrativexstyles,x
butxcouldxnotxsayxexactlyxwhichxshexwouldxusexinxeveryxcircumstance.xThexinterviewerxsh
ouldxbex_____.
1.xFavorablyximpressed
2.xUnfavorablyximpressed
3.xConcernedxaboutxpossiblexindecisivenessx4.xLookingxforxonexleadershipxstylex-x1
16.xThexcandidatexforxadministratorxindicatedxthatxhexconsistentlyxchosexthexcharis-
xmaticxstylexofxleadership.xThisxshouldx_____xthexinterviewer.
1.xReassure
2.xAlert
3.xConfirmxthexcandidate'sxqualificationsxtox4.xPleasex-x2
17.xThexcostsxofxprovidingxsubacutexcarextoxnursingxhomexresidentsx_____.x1.xIsxperhaps
xtriplexthatxofxthexmorextypicalxpatient
2.xCoveredxbyxMedicare
3.xAbsorbedxbyxMedicaidxifxMedicarexcoveragexisxinadequate
, 4.xMostlyxcoveredxbyxprivatexinsurancex-x1
18.xThexnursexsupervisorxwhoxhadxjustxbeenxappointedxdirectorxofxnursingxannouncedxatxt
hexfirstxdepartmentxheadxmeetingxthatxshexhadxcirculatedxaxmemoxamongxthexnursesxthat
xonlyxformalxcommunicationsxwerextoxbexallowedxinxthexnursingxdepartment.xThexadminist
ratorxshouldx_____.
1.xBexrelieved
2.xConfirmxthexdecisionx3.xBexsupportive
4.xAnticipatexproblemsx-x4
19.xThexdepartmentxheadxwasxnotxsurprisedxtoxlearnxthatxanxemployeexhadxheardxonlyxth
expositivexcommentsxtoxthexemployeexandxignoredxthexcriticisms.xThexdepartmentxhead'sx
graspxofxthexcommunicationxprocessxisx_____.
1.xDeficient
2.xAppropriatex3.xOutxofxfocusx4.xInadequatex-x2
20.xThexadministratorxroutinelyxacceptedxasxaxnearlyxexclusivexinformationxsourcexthexdir
ectorxofxnursing'sxpositivexreportsxthatxnursingxwasxgoingxwell.xThexadministratorxisx_____
.
1.xShowingxappropriatexconfidencexinxthexdirectorxofxnursing
2.xUtilizingxthexdirectorxofxnursingxproperly
3.xRealizingxaxsuccessfulxappointmentxhasxbeenxmadex4.xPlacingxhimselfxatxriskx-x4
21.xPeriodicxshortagexofxnursesxavailablexforxnursingxhomexemploymentx_____.x1.xIsxbein
gxsolvedxbyxcommunityxcollegexprograms
2.xIsxdecreasing
3.xCanxbexreadilyxsolvedxbyxhiringxtemporaryxnurses
4.xIsxlikelyxtoxremainxforxthexforeseeablexfuturex-x4
22.xCongressxandxthexfederalxrulexmakersxbehavexasxifxthexfacilityxwillxrunxsuccess-
xfullyxifxCongressxandxthexCentersxforxMedicarexandxMedicaidxServicesxcanxwritexenoughx
rules.xTheyxarex_____.
1.xIncorrect
2.xCorrect,xaccordingxtoxbehaviorxtheory
3.xPessimisticxaboutxthexneedxforxrules
4.xCorrect,xaccordingxtoxemergingxmanagementxtheoryx-x1
23.xWhenxthexadministratorxnoticesxthatxthexdirectorxofxnursingxseeksxtoxturnxasxmanyxduti
esxasxpossiblexoverxtoxhousekeeping,xthexadministratorxshouldxcon-
xcludexthatxthexdirectorxofxnursingxisx_____.
1.xBehavingxnormally
2.xHoldingxaxgrudgexagainstxhousekeepingx3.xUnwillingxtoxbexcooperative
4.xWieldingxpowerxdesirablyx-x1
24.xThexadministratorxinsistsxthatxaxtimelyxcopyxofxallxreportsxgeneratedxwithinxthexfacilityx
comexacrossxherxdeskxbeforexanyonexsignsxthem.xThexadministratorxisx_____.
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