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MONTANA ADMINISTRATOR TEST LATEST TEST
2025 | ALL QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) | LATEST EXAM | JUST
RELEASED | GRADED A+
A resident recently lost her husband and is tearful and depressed and is worried how she will pay for her stay. The administrator would ask the ________ to help her. ---------CORRECT ANSWER-----------------Social Service Director. social service provides emotional support and interventions for psycho-social and financial problems. Electrical switches must be located at a minimum of ___ inches above the floor. ---------CORRECT ANSWER----------------- 15 Stooped posture, shuffling gait, garbled speech and tremors are symptoms of ______. ---------CORRECT ANSWER-----------------Parkinson's disease Nursing homes must have hearing aid compatible phones with volume control that can adjust the volume between a minimum of ____ and a maximum of ____ decibels above normal. ---------CORRECT ANSWER------ -----------12, 18. Any public telephones or other telephones available to residents should be hearing aid compatible with volume controls. Grab bars and railings must support a minimum weight of ______ pounds. - --------CORRECT ANSWER----------------- 250 The emergency generator must be visually inspected and checked ________. ---------CORRECT ANSWER-----------------Weekly
Federal resident care standards are now ___ and ___ and are no longer considered minimal standards. ---------CORRECT ANSWER----------------- State of art, maximal The largest payor source for long term care is ________. ---------CORRECT ANSWER-----------------Medicaid The average short term stay for a Medicare resident is ______. --------- CORRECT ANSWER-----------------30 days. they leave after 21-30 days when their $124 a da co-pay kicks in or $ ANSI stands for ________________. ---------CORRECT ANSWER------------
- ----American National Standards Institute Non-compliance affecting a limited number of residents and locations would be assigned a scope of _______ ---------CORRECT ANSWER--------- --------Isolated TQM is not characterized by ___________. ---------CORRECT ANSWER---- -------------Minimal involvement of upper management Administrators consult ______ to compare outcomes to expectations. ------- --CORRECT ANSWER-----------------Policies and plans of actions
Communication occurs when _________. ---------CORRECT ANSWER------ -----------a message is transmitted by one person and received and decoded and understood by the other person NFPA stands for _______________________. ---------CORRECT ANSWER-----------------National Fire Protection Association The emergency generator must be run under full load for _____ every ____. ---------CORRECT ANSWER-----------------30 minutes, Month The fire alarm can be silenced during a fire drill conducted between the hours of ---------CORRECT ANSWER-----------------10 pm to 6 am The ________ is responsible to assemble and analyze incident reports, infection rates, safety issues, medication errors and restraint use. --------- CORRECT ANSWER-----------------Quality assurance committee __________ publishes and promotes fire safety in nursing homes. --------- CORRECT ANSWER-----------------NFPA Listening intently, acceptance, empathy and understanding the message describes ________. ---------CORRECT ANSWER-----------------Active listening Patients and family look for ____ when selecting a nursing home. --------- CORRECT ANSWER-----------------Variety and quality of food
The Americans with Disabilities Act construction standards are enforced by _______. ---------CORRECT ANSWER-----------------Architecture and Transportation Barriers Compliance Board. The Americans with Disabilities Act construction standards were developed by _______. ---------CORRECT ANSWER-----------------ANSI A mechanism to monitor consumer satisfaction and address other concerns is called the _______. ---------CORRECT ANSWER-----------------Grievance procedure The nursing home survey/inspection process focuses on ______. --------- CORRECT ANSWER-----------------Outcomes A resident was admitted to a facility on November 10. The comprehensive assessment was completed on November 27th. Per OBRA 1987, the comprehensive assessment was completed _______. ---------CORRECT ANSWER-----------------Late. a comprehensive assessment is due 14 days after admission or by Nov 24th. The _____________ has ultimate legal responsibility for the operation of a nursing facility. ---------CORRECT ANSWER-----------------Governing body. Per OBRA 1987, air temperature is measured _____________. --------- CORRECT ANSWER-----------------Just above the floor
The comprehensive assessment was completed on June 1. The care plan was completed on June 6th. The care plan was completed ________. ------- --CORRECT ANSWER-----------------Timely. Care Plan must be done within 7 days of comprehensive assessment or by June 8th The comprehensive assessment must be signed by _________. --------- CORRECT ANSWER-----------------Registered Nurse The _____________has legal responsibility for the day to day operation of a skilled nursing home. ---------CORRECT ANSWER----------------- Administrator. The governing board has ultimate responsibility for resident care and managing the facility. The administrator is responsible for day to day operation The ____________ is responsible for the day-to-day management of the facility's nursing program. ---------CORRECT ANSWER-----------------DON. The DON is a registered nurse is responsible to manage the nursing staff to follow physician orders to adhere to professional standards CMS stands for __________________. ---------CORRECT ANSWER--------- --------Centers for Medicaid and Medicare Services HHS stands for _______________________. ---------CORRECT ANSWER- ----------------Health and Human Services
The new administrator starts December 1 2007 and reviews the minutes of the Quality Assurance Committee. The committee met the second Tuesday on January 7, 2007, June 21 2007 and November 15, 2007. The administrator should _________. ---------CORRECT ANSWER----------------- Change the meeting dates to the first Tuesday of January, April, and October to bring the facility into compliance with OBRA 1987 A resident was only given lunch that day, was given the wrong medication in the morning, had her room changed without notification and was not given a bath as requested. Per OBRA 1987, how many resident rights were violated? ---------CORRECT ANSWER-----------------3. A bath is not a resident right. RULE OF THUMB. If they give two examples then the answer is one right was violated. if they give you three examples then 2 rights were violated, if they give you 4 examples then 3 rights were violated. A resident was admitted on June 1. The attending physician charted a visit and physical examination on June 27, 2007, July 29 and Sept 4. With respect to required physician visits per OBRA 1987, the facility _____________. ---------CORRECT ANSWER-----------------Was in compliance and would not be cited. With the 10 day grace period, the physical has 40 days to visit and examine resident first 3 months and they have 70 days to visit the resident from the 4th month on. the facility will be cited if the physician visits are not timely. The _______has legal responsibility to adopt and implement facility policies. ---------CORRECT ANSWER-----------------Governing body A resident was admitted on June 1. The attending physician charted a visit and physical examination of the resident on June 27, July 29, Sept 4 and November 17, 2007. Per OBRA 1987 with respect to required physician visits, the facility ___________. ---------CORRECT ANSWER-----------------
All furniture, equipment, boxes and supplies must be elevated ____ inches above the floor to allow the floor directly underneath to be cleaned. --------- CORRECT ANSWER-----------------6 inches ______ is the most comprehensive and effective improvement model. ------- --CORRECT ANSWER-----------------Total Quality Management The ______ coordinates all work activities in the facility and resolves conflict between departments. ---------CORRECT ANSWER----------------- Administration Department HCFA stands for ________________. ---------CORRECT ANSWER----------- ------Health Care Financing Administration Telephone cords must be a minimum length of ______. ---------CORRECT ANSWER-----------------29 inches To save money, the administrator of a 100 bed facility reduced the hours of the dietary service manager to 20 hours per week. The governing body should ______. ---------CORRECT ANSWER-----------------Reprimand the administrator. Must employ a dietary manager full time. Adding baking soda to food will primarily affect its ________. --------- CORRECT ANSWER-----------------Nutritive value. Overcooking food in
boiling water, adding baking soda and poorly storing food diminishes the vitamin and mineral content of food. The resident's quality of life and physical condition is the focus of:________. ---------CORRECT ANSWER-----------------Outcomes. Outcomes are focused on actual results ____________ is not typical of a TQM program. ---------CORRECT ANSWER-----------------Minimal training of staff. All nursing facilities must be licensed by the _____. ---------CORRECT ANSWER-----------------State Facilities that are licensed by the state and certified to receive Medicare and Medicaid reimbursement must submit to _________. ---------CORRECT ANSWER---- -------------State and federal inspections When the administrator writes a letter to the local state survey office to challenge the findings and citations issued during a survey, the administrator is using the ________. ---------CORRECT ANSWER-------------
Per OBRA 1987, a nursing home must maintain the highest________ for residents? ---------CORRECT ANSWER-----------------Physical, Mental and psychological well being
preparation. The Online Survey and Certification Reports contains all MDS data is setup by the CMS 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 _______. ---------CORRECT ANSWER----- ------------Information analysis Nursing homes must be inspected every ______. ---------CORRECT ANSWER-----------------15 Months An electronic medium that allows instantaneous communication internally and externally to thousands of people through a computer server is called ______. ---------CORRECT ANSWER-----------------Email A finding of 'substandard care" requires the survey team to have evidence of _________. ---------CORRECT ANSWER-----------------Immediate jeopardy to resident care than has or likely to cause serious injury or death A _____ tag would indicate substandard care was found. ---------CORRECT ANSWER-----------------F377 J The phase of the state survey where the survey team sits down with the administrator, the DON and department heads to discuss the findings of the survey team is called ______. ---------CORRECT ANSWER----------------- Exit conference
When services in a facility are not consistent from day to day and from shift to shift this is called ___________. ---------CORRECT ANSWER--------------- --Inconsistency rule Communication between staff of equal rank or status is called _______. ---- -----CORRECT ANSWER-----------------Horizontal communication When consumers perceive a facility renders poor care because of the performance of one employee, this is called ______. ---------CORRECT ANSWER-----------------Inseparability rule Upon completion of a survey, the survey team sends the administrator which of the following if the facility was substantially in compliance, had only isolated or minor problems which caused no actual harm, and no plan of correction is required? ---------CORRECT ANSWER-----------------Notice of isolated deficiencies The administrator has _____ days to prepare a plan of correction for all deficiencies cited in the survey. ---------CORRECT ANSWER----------------- 10 days. You only have 30 days from the time the survey team exits to achieve full compliance - your date certain Communication from subordinates directed to upper management is called _____. ---------CORRECT ANSWER-----------------Upward communication
The key to a successful TQM program is _________. ---------CORRECT ANSWER-----------------Training An organizational chart shows the reporting relationship between staff. A solid line on the chart denotes _______________. ---------CORRECT ANSWER-----------------Line authority A parking lot with 100 parking spaces would require _____ handicap accessible parking spots. ---------CORRECT ANSWER-----------------4. 1 for every 25 spots The most effective marketing tool for a nursing home to attract new residents is/are_______. ---------CORRECT ANSWER-----------------A tour of the facility A violation with no more than minimal physical, mental or psychological discomfort is a ______ deficiency. ---------CORRECT ANSWER----------------
- Level 2 Believing something that is not based in reality is called ______. --------- CORRECT ANSWER-----------------Delusion Communication directed from upper management to lower level managers and staff is called _____. ---------CORRECT ANSWER----------------- Downward communication
Non-compliance affecting more than a limited number of residents and locations would be assigned a scope of _______. ---------CORRECT ANSWER----------------- Patterned _______________ can provide nursing aide services and be included in calculating minimum staffing hours. ---------CORRECT ANSWER-------------- ---A licensed practical nurse employed by the facility. Managing risks of negative outcomes is called ______. ---------CORRECT ANSWER-----------------Risk Management The nosing on a stair must project no more than ___. ---------CORRECT ANSWER-----------------1 and 1/2 inches Smoke detectors must be located no further than ___ feet apart and no more than ___feet from any wall. ---------CORRECT ANSWER----------------- 30, 15 Minimum wheelchair passing width for two wheelchairs is ___inches. --------
- CORRECT ANSWER-----------------60" Minimum clear width for a single wheelchair is ___" continuously and ___" at any one point. ---------CORRECT ANSWER-----------------36" 32"
fire extinguisher is checked ___ and serviced _____. - --------CORRECT ANSWER-----------------Quarterly, annually Each level or story of a building that houses patient sleeping and treatment areas must be divided into ___ smoke compartments. ---------CORRECT ANSWER---------- ------- 2 Vision panels are ___ in swinging doors. ---------CORRECT ANSWER------- ----------Required The maximum window sill height for a window in a resident's room is ___ inches above the floor. ---------CORRECT ANSWER-----------------36" Doors must be ____' thick, solid bodied ___ core, or with ____ minutes of resistance fire rating. ---------CORRECT ANSWER-----------------1 3/4", wood, 20 minutes The facility quality assessment and assurance committee must meet at least ________. ---------CORRECT ANSWER-----------------quarterly The QA&A Committee does not need to include _______. --------- CORRECT ANSWER-----------------The Administrator
Communicating through memos, meetings and follows lines of the organization chart is an example of _________________. --------- CORRECT ANSWER-----------------Formal communication Staff chatting informally in the break room is an example of ________________. ---------CORRECT ANSWER-----------------Informal communication ADA guidelines and standards are developed and approved by _____. ------ ---CORRECT ANSWER-----------------ANSI Railings and grab bars must bear the weight of ____ lbs or more. --------- CORRECT ANSWER-----------------250 lbs The maximum audible alarm decibel level is ______. ---------CORRECT ANSWER----------------- 120 A nursing home must have a(n)______ operated fire alarm system that is _________ monitored. ---------CORRECT ANSWER-----------------manually, electronically. The fire alarm is manually operated because you need to "pull" the alarm Activating or pulling a fire alarm automatically activates all of the following except: ---------CORRECT ANSWER-----------------Emergency Generator
