RCAL - NAB Administrator Exam
(Federal State) Question and Answers
[100% Correct] 2024/2025 Latest Release
What is the primary purpose of the RCAL certification for administrators?
**ANS** To ensure administrators possess the necessary knowledge and skills to manage and operate
long-ter...
What is the primary purpose of the RCAL certification for administrators?
**ANS** To ensure administrators possess the necessary knowledge and skills to manage and operate
long-term care facilities.
How often must NAB administrators renew their certification?
**ANS** Every two years, through continuing education requirements.
What key legislation governs nursing facility operations in the United States?
**ANS** The Omnibus Budget Reconciliation Act (OBRA) of 1987.
What is the main goal of the Quality Assurance and Performance Improvement (QAPI) program?
**ANS** To enhance the quality of care and quality of life for residents in long-term care facilities.
Which federal agency is primarily responsible for the oversight of nursing homes?
**ANS** The Centers for Medicare & Medicaid Services (CMS).
What does the term “person-centered care” refer to in long-term care?
**ANS** An approach that focuses on the individual needs and preferences of each resident.
Which document outlines the rights of residents in long-term care facilities?
**ANS** The Resident Bill of Rights.
What is the significance of the survey and certification process for nursing facilities?
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,**ANS** It assesses compliance with federal and state regulations to ensure quality care.
How are deficiencies identified during a nursing home survey?
**ANS** Through direct observation, resident interviews, and review of facility documents.
What is the role of an administrator in managing resident care plans?
**ANS** To ensure that care plans are individualized, reviewed regularly, and implemented effectively.
What is the required nurse-to-resident ratio in skilled nursing facilities?
**ANS** There is no federally mandated ratio; it varies by state regulations and facility policies.
What does the term “restraint-free environment” mean in long-term care?
**ANS** An approach that aims to eliminate the use of physical or chemical restraints on residents.
What are the key components of a successful staff training program in long-term care?
**ANS** Ongoing education, competency assessments, and training on regulations and resident care.
How does the federal government support nursing facilities in achieving quality care?
**ANS** Through funding programs, regulations, and resources for best practices in care delivery.
What is the primary purpose of the Minimum Data Set (MDS) assessment?
**ANS** To evaluate residents' needs and help develop personalized care plans.
What is the consequence of non-compliance with federal regulations for nursing homes?
**ANS** Potential fines, loss of funding, or termination of participation in Medicare and Medicaid
programs.
How do state regulations impact the operations of nursing facilities?
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, **ANS** They provide additional standards and requirements that facilities must comply with beyond
federal regulations.
What is the significance of infection control policies in nursing homes?
**ANS** To prevent the spread of infections and protect the health of residents and staff.
What is a common challenge faced by administrators in long-term care settings?
**ANS** Balancing regulatory compliance with providing quality care and managing staff.
What is the role of the interdisciplinary team in long-term care?
**ANS** To collaborate in developing and implementing comprehensive care plans for residents.
How does resident and family engagement influence care in long-term facilities?
**ANS** It fosters a supportive environment, enhances satisfaction, and promotes better health
outcomes.
What is the importance of accurate documentation in long-term care?
**ANS** To ensure continuity of care, comply with regulations, and protect against liability.
What are the primary sources of funding for nursing homes in the U.S.?
**ANS** Medicare, Medicaid, private pay, and long-term care insurance.
How does the admission process impact resident satisfaction in nursing facilities?
**ANS** A smooth and informative admission process can help residents feel welcomed and reduce
anxiety.
What strategies can administrators use to improve staff retention in nursing homes?
**ANS** Providing competitive compensation, professional development opportunities, and a positive
work environment.
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