National Nursing Home Administrator Exam CARD *Q&A* (100% Correct) 2024/2025 |VERIFIED|
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NHA
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NHA
National Nursing Home Administrator
Exam CARD *Q&A* (100% Correct)
2024/2025 |VERIFIED|
What is the best approach for dealing with a staff member who is consistently underperforming?
Meet with the employee to provide constructive feedback, identify barriers to performance, offer
additio...
National Nursing Home Administrator
Exam CARD *Q&A* (100% Correct)
2024/2025 |VERIFIED|
What is the best approach for dealing with a staff member who is consistently underperforming?
Meet with the employee to provide constructive feedback, identify barriers to performance, offer
additional training or support, set clear expectations and a timeline for improvement, and follow up
regularly to monitor progress.
If a nursing home administrator identifies a need for significant improvements in the facility's physical
environment, but funds are limited, what should be done?
Prioritize the most critical improvements, seek alternative funding sources such as grants,
consider phased renovations, and communicate the plan transparently to residents and staff.
How should a nursing home administrator approach quality improvement in the facility?
Establish a quality improvement team, set measurable goals, regularly review data, implement
evidence-based practices, and involve staff at all levels to create a culture of continuous improvement
focused on resident outcomes.
When dealing with a resident who has become agitated and aggressive, what is the administrator's role
in ensuring their safety and the safety of others?
Ensure staff are trained in de-escalation techniques, have the resident assessed for any
underlying medical causes, adjust their care plan as needed, and involve behavioral health professionals
if necessary.
Describe how a nursing home administrator should manage a sudden shortage of essential medical
supplies.
Contact suppliers to expedite shipments, collaborate with nearby facilities for resource sharing,
implement temporary rationing if necessary, and keep staff and residents informed about the situation
while seeking long-term solutions.
How can a nursing home administrator foster positive relationships between residents and staff?
1
, Encourage regular staff-resident interactions outside of care routines, create opportunities for
shared activities, promote a culture of respect and empathy, and recognize both residents and staff for
their contributions to the community.
In the event of negative media attention regarding the facility, what steps should the administrator take?
Prepare a clear, factual response, designate a spokesperson, engage with the media
professionally, address any valid concerns, and work on rebuilding the facility's reputation through
transparency and improved practices.
How would you handle a situation where a resident's family is dissatisfied with the care being provided
at the nursing home?
The administrator should meet with the family, actively listen to their concerns, involve relevant
staff members, and create an action plan to resolve issues while maintaining open communication with
the family throughout the process.
Explain the steps to be taken when a significant maintenance issue arises in the nursing home, such as a
heating system failure.
The administrator should immediately ensure resident safety, contact maintenance for
emergency repair, notify the appropriate regulatory bodies if required, and communicate the situation
and its resolution to staff, residents, and families.
Describe how a nursing home administrator can improve staff retention in the facility.
Improving staff retention involves fostering a positive work environment, providing competitive
wages, offering ongoing professional development opportunities, and recognizing and addressing the
needs of the staff through regular feedback and support.
A resident develops a pressure ulcer. What measures should the nursing home take to address the issue
and prevent future occurrences?
The facility should implement a care plan that includes regular repositioning, proper nutrition,
skin assessments, and the use of specialized mattresses or cushions. Education for staff on preventive
measures is essential, along with continuous monitoring of at-risk residents.
2
, How should a nursing home administrator respond to an unexpected regulatory inspection when records
are not up-to-date?
The administrator should remain calm, cooperate fully with the inspectors, acknowledge any
shortcomings, and work immediately to correct deficiencies, demonstrating a commitment to
compliance and quality care.
What is the best way to manage a sudden outbreak of infectious disease in a nursing home?
Implement infection control protocols immediately, isolate affected residents, communicate with
public health authorities, notify staff and families, and enhance hygiene practices throughout the facility
to prevent further spread.
How can a nursing home administrator address complaints about understaffing from both residents and
staff?
The administrator should evaluate staffing levels, adjust schedules if necessary, recruit additional
personnel, and communicate with both residents and staff about efforts to resolve the issue while
working to maintain quality care.
In a situation where a resident's advanced directive conflicts with family wishes, how should the nursing
home administrator proceed?
The administrator must follow the resident's advanced directive as it reflects the individual's legal
healthcare decisions, while sensitively explaining this to the family and offering them emotional support.
Describe the most effective way to handle a large number of falls occurring in the facility.
Conduct a thorough root cause analysis, involve a multidisciplinary team to assess each incident,
implement fall prevention programs, modify the environment as needed, and provide staff education on
fall prevention strategies.
How should a nursing home administrator respond to a staff member reporting suspected resident
abuse by a colleague?
The administrator must immediately investigate the claim, ensure the safety of the resident,
report the incident to the appropriate authorities, and follow legal and organizational protocols for
handling abuse allegations.
3
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