Exam (elaborations)
Nursing home administrator exam (James Allen) Questions and Answers 100% Pass
Course
Nursing Home Administrator
Institution
Nursing Home Administrator
Nursing home administrator exam
(James Allen) Questions and Answers
100% Pass
1. The most likely single cause for the series of bankruptcies among larger nursing
home chains around the year 2000 was ____.
1. Too small increases in government reimbursement rates
2. Paying too much for acquisit...
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Nursing home administrator exam
(James Allen) Questions and Answers
100% Pass
1. The most likely single cause for the series of bankruptcies among larger nursing
home chains around the year 2000 was ____.
1. Too small increases in government reimbursement rates
2. Paying too much for acquisitions in 1998 and 1999
3. Not taking advantage of falling interest rates
4. Thinking too small - ✔✔2
2. In a chance conversation with the owner of an eight-facility chain, the newly hired
administrator for the oldest facility in the chain indicates that, because the mortgage is
fully retired, the administrator will concentrate more on being effec- tive than efficient
since the Quality Indicators are all at or above the state's aver-age. The owner would
likely ____.
1. Be pleased
Katelyn Whitman, All Rights Reserved © 2025 1
,2. Be distressed
3. Be content
4. Praise the newly hired administrator - ✔✔2
3.
Occupancy of Facility A has been a steady 70% since the Prospective Payment System
was introduced. Two weeks ago, a new 120-bed, equally equipped facil- ity opened
several blocks away. The Facility A administrator tells the admissions counselor to
continue the usual recruitment approach. The chain owners ought to _____.
1. Rest comfortably
2. Seek a new administrator
3. Appoint a new admissions counselor
4. Take no action - ✔✔2
4. Bankruptcies among larger nursing home chains prior to 2000 _____.
1. Were frequent
2. Were ubiquitous
3. Were highly unusual
4. Were routinely declared to avoid too much accumulated debt - ✔✔3
Katelyn Whitman, All Rights Reserved © 2025 2
,5. Under the Prospective Payment System, nursing facilities' reimbursed costs _____.
1. Were about the same as previously
2. Were more bundled
3. Used an unbundled cost structure
4. Were reimbursement for actual costs - ✔✔2
6. In recent years, Medicare has _____.
1. Allowed facilities to make a modest profit
2. Shifted more costs onto nursing facilities
3. Eased up on economic pressures previously placed on facilities
4. Remained relatively unchanged in its reimbursement structure - ✔✔2
7. The nurse newly promoted to director of nursing insists on giving four RN hours of
patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator
should _____.
1. Praise the new director of nursing for her resident centeredness
2. Appoint an assistant director of nursing
3. Adapt the job description to fit her pattern
4. Seek a new director of nursing - ✔✔4
Katelyn Whitman, All Rights Reserved © 2025 3
, 8. The applicant for the administrator position in a facility near a large teaching hospital
insists that, as before in his rural facility, if hied he would not let the Medicare
reimbursement policies affect his case mix. This applicant _____.
1. Should be hired
2. Is likely to succeed if hired
3. Can likely succeed in his goal
4. Is out of touch - ✔✔4
9. The newly hired assistant to the administrator insists that the organizational chart
dotted line between this position and the Department of Nursing be a solid line. The
administrator should _____.
1. Agree in general
2. Agree to this special case
3. Ask the director of nursing for his or her opinion 4. Be forewarned - ✔✔4
10. The medical supplies provider tells the administrator of a facility that has not paid
bills for the past 3 months but is now operating under a bankruptcy judge's approved
plan for restructuring, that no more deliveries will be made until past bills are fully
paid. The medical supplies provider _____.
1. Is smart to cut losses at that point
Katelyn Whitman, All Rights Reserved © 2025 4