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The function of management called organizing is best described as the process of grouping various activities of a similar nature and establishing authority relationships At which operational level in a nursing facility does organizing take place? at all dept levels within the organized structure The mission statement of a nursing facility explains the goals and objectives to the facility Span on management is the number of employees a supervisor can effectively handle The schematic drawing representing the functional operation of a nursing facility structure is called the organizational chart Service departments of a nursing facility can best be described as departments that facilitate, aid and assist other departments An example of a service department in a nursing facility is the personnel office Line authority structure is best described as a situation in which a superior delegates authority to a subordinate who, in turn, delegates his or her authority forming a line from the top to the bottom level of the organization A line authority position exists when the executive makes final decisions regarding departmental functioning An example of a line authority position in a nursing facility is the administrator An example of a staff authority position in a nursing facility is the administrative assistant
The primary function of a staff authority position is aid, assist, and advise the department heads All but one of the following would be considered contractual services in a nursing facility Nursing director A standing committee is one which permanent in nature A task force is another term used for ad hoc committee A policy is a a broad guideline for thinking and setting boundaries Who establishes policy in a nonprofit nursing facility corporation? Board of directors
on the spot discipline The principle of Economy of Action states that any time a higher paid employee makes a decision that a lower paid employee can make as well or better, the facility is wasting money. Discipline is a part of controlling. Which item is not considered good management practice? public reprimand of employee Which item listed below is not a function of management? comparing An intangible standard of control in a nursing facility is quality of care PERT is a planning and controlling device. The term PERT refers to program evaluation and review techniques Coordination is best defined as orderly synchronization of efforts to accomplish a stated objective The administrator needs to consider all but one of the following items before making a decision Gut feeling about the problem The modern day administrator of a nursing facility must confer on a daily basis with a variety of individuals, such as :residents, their families, dept heads, suppliers, and community representatives. The decision making process involves all but one of the following Delegation An important tool in management is communication. Communication is best defined as process of exchanging information in which there is a mutual understanding between the sender and the receiver Formal communication is all but one of the following grapevine communication All but one of the following is considered to be a roadblock to communication Feedback Physical resource management is establishing a preventative maintenance program
Leadership can be defied as process by which an executive directs, guides and influences the work of others in attaining specified goals by mediating between the individual and organization in such a way that both obtain maximum satisfaction. S0me of the qualities that a leader must possess include all except what? Authoritative image Consultative leadership technique is best defined as wen the executive consults with subordinates before making a final decision Free rein technique of leadership occurs when the administrator consults with subordinates and allows them to reach a final decision Autocratic leadership may be best defined as when the administrator does not consult and makes the final decision All but one of the following are advantages of the consultative approach of leadership Increases the time spent with the employees An example of free rein leadership in a nursing facility is when the administrator allows the attending physician to make medical decisions All but one of the following are advantages of autocratic leadership precludes initiative to develop management skills Some factors that should be considered when using the consultative leadership technique include all but one of the following. Age of the executive The best reason health care providers get together to form a consortium is to experience greater economy in the facility by sharing services and projects It has been estimated that the administrator spends what percentage of time sending or receiving information? 90 percent All but one are considered to be roadblocks for effective communication feedback The most effective means of communication is face to face oral communication
An intentional breach of the Medicare law may result in what kind of action? criminal action Releasing information to a third party without a resident's consent may result in what kind of action? Invasion of privacy A line authority position is characterized by Decision making vested in the supervisor An example of line authority is Administrator Major schools of thought regarding source of authority are formal and subordinate acceptance The scope of authority in the operation of the nursing facility is greatest at which level Ownership Ultimate authority in a private corporate nursing facility is with the Board of directors Managerial authority is power to command, issue orders or exact action by subordinates Decentralized authority is characterized by process of delegating authority Centralized authority is vesting decision making in top managment Authority vested in a supervisory nurse is middle management authority Decision making authority is when a supervisor hires, fires and makes judgmental decisions Concepts of modern management recommend that an effective administrator will delegate operational authority Unity of command refers to reporting to one supervisor
Which of the following forms of business is considered the oldest form of business sole proprietorship The term proprietorship as it relates to the nursing facility industry means privately owned The majority of nursing facility beds in the united states are owned by corporations Which of the following forms of ownership must have articles drawn up and reduced to writing? corporation Under which form of ownership would the administrator have the greatest latitude of authority and decision making? Sole proprietorship All but one are considered advantages of sole proprietorship Unlimited liability All but one are considered disadvantages of a partnership Retention of valuable employees A corporation is a legal entity created by law to carry on a business or profession Which one of the following forms of business ownership is considered the most important? Corporation A nonprofit corporation is one which makes a profit but returns it to the operation of business Pursuant to the Code of Federal Regulations, 42 CFR part 483, a facility wishing to participate in medicare must have a governing body The role of the governing body pursuant to the Code of Federal Regulation 42 CFR Part 483 is to establish and implement policies regarding management and operation of the facility The Code of Federal Regulations 42 CFR part 483 requires that the facility disclose officers, directors, agents, or management employees The role of the administrator in a modern nursing facility is to
Planning on a broad scale is carried on primarily by a administrator Planning involves all but one of the following personnel decisions Which of the following is not a function of the administrator? ultimate approval of all policies (governing board does that) Planning at the top level of management is best characterized as broad, far-reaching, and basic In the process of planning, which guideline should be followed? involve as many managers as possible Considering the functions of management such as: directing, organizing, coordination, controlling and planning, which of these functions would be first? planning The technique of forecasting is important in the modern nursing facility. The accuracy of the administrator's forecasts will affect the success of planning. Forecasts are expected to be a reasonable estimate of what reality will be in the future In the process of planning, the administrator should constantly check, recheck, and modify the plan if necessarry A short range plan covers which time period? 1 - 2 years A long range plan covers 3 - 5 years When a corporation is chartered, the effect of the charter is to allow the corporation to carry out the purpose of the corporation as indicated in the Articles of Incorporation What area of law would be involved in a breach by one party relating to a purchase order? Contract law A claim on the assets of a resident filed by a nursing facility is called lien A civil action in negligence is started legally by filing a summons and complaint The moving party in the filing of a negligence action is called the plaintiff
An action for a violation of law concerning the Medicare Act would be brought in which court? U.S district court If a health care facility employee performs a negligent act and thereby a resident is injured, the facility may be held liable under which theory? Vicarious Liability A private duty nurse in a health care facility may be held personally liable for his or her negligent acts because his or her legal status is independent contractor The attending physician in a health care facility ordinarily has the legal status of independent contractor To enact a law, a legislature must vote on a bill recommended by a committee
facility A volunteer worker working outside the scope of his or her assignment may be held personally liable Estate planning has to do with which aspect of the law Probate An act concerned with the donation of one's body or parts of one's body at the time of death is the Uniform Anatomical Act A commitment procedure is a involuntary commitment to a facility An individual, who has not been adjudicated incompetent, objects to being admitted to a nursing facility. Other family members want him to be admitted anyway. What should the facility do? Disallow the admission The performance of an autopsy on a resident without the consent of the next of kin may be ordered by medical examiner A power of attorney is an instrument authorizing another to act as one's agent Release of information in medical records may be given only by the resident The PSDA Act of 1990 concerns advance directives To comply with PSDA written information must be provided to the resident upon admission to the facility The advance directive in which a resident gives instructions to a provider as to whether or not he or she wants life-sustaining equipment is a living will After a person executes a living will, he or she should give a copy to all but who Funeral director The advance directive appointing an agent to designate what care you want or desire as to life- sustaining equipment in an emergency or terminal condition is a durable power of attorney for health care
One of the most important concepts the administration should keep in mind regarding public relations is that the facility must meet the needs and expectations of the residents and their families One of the first steps to take in developing a marketing program is to define the facility's goals and objectives A primary marketing concept, according to Harvard professor Theodore Levitt, is to produce goods and services that people want and value at prices and under conditions that are reasonably attractive Which of the following would be considered of primary importance to quality care in a facility? attitude of management and staff toward the resident and the resident's family In nursing facility administration, marketing means reaching persons who need the facility services A market audit is a process for analyzing the environment in which a program is to function In a marketing sense, it is important that employees be trained to have a greater awareness of and participation in customer relations. Administration should do which of the following to achieve maximum customer satisfaction? be innovative and responsive to staff From the marketing viewpoint, advertising means a presentation of a product in a non personal manner Which of the following skills is of primary importance in nursing facility employees? Service orientation of the employee In a marketing sense, selling is interaction between a representative of a facility and a prospective customer Which f the following would be the most effective means of bridging the gap between the community and the nursing facility residents? having an open house Which of the following are the most influential in the marketing of nursing facilities? Increasing number of elderly All but one of the following are important in developing an effective marketing program
A facility which treats short-term acutely ill patients is called a individuals in their home environment A facility which treats short term acutely ill patients is called acute hospital Generally an organized medical staff is found in which facility? acute hospital A facility which has elderly patients for an average stay of over 60 days with formal ancillary departments such as xray, laboratory, and pharmacy, is called chronic hospital A transfer agreement is usually made between a skilled nursing facility and a hospital Approximately what percent of the hospitals in the U.S are non-profit 20 percent Approximately what percent of nursing facilities in the U.S are proprietary? 68 percent A chief of the medical staff would most likely be found in which facility Hospital A retained Medical Consultant would most likely be found in which facility? Nursing facility Which one of the following is the most important step in developing good job descriptions A careful analysis of job content An employee in the maintenance department comes to work in an intoxicated condition. The administration should? go to the department head involved and handle the situation through him or her. A nurse's aide uses foul language when addressing a resident in the dining room during lunch hour with the Director of Nurses present. The DON should have a supervisory conference concerning this action, in private, as soon as possible In disciplining employees, the effective supervisor should take all but one of the following items into consideration Age of the employee
One of the most important principles an effective supervisor should realize concerning employee discipline is that he or she should try to establish a reputation of impartiality The most common employee problem is likely to be tardiness for work An effective way to control employee absenteeism is to interview the employee upon his or her return to work In order to establish respect among the employees, a supervisor should earn respect through actions If employee morale is low the administrator should attempt to discover the the reason and take appropriate action to remedy the situation One of the best indications of low employee morale is employee turnover The primary purpose of evaluating personnel in the nursing facility is to help the employee to understand his or her weaknesses and strengths as well as develop guidelines to improve their work Which of the following is an important factor affecting employee retention? Orientation and supervision of employees Verbal warnings followed by written warning is best described as progressive discipline An employee wage evaluation program should be based primarily on merit wages, depending upon the quality of work the employee performs One of the primary reasons for employee dismissal is misconduct A worker's compensation insurance policy covers all but one of the following Benefit for injury at home A group accident and sickness insurance policy issued to an employee on a noncontributory basis requires that the employer pay for all the cost of the insurance The primary reason for using incident reports is to
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The application blank is a valuable tool for recruiting personnel. A good application black should have all but one of the following Form should require that the prospective employee waive worker's compensation rights All but one of the following would be considered good interviewing techniques The applicant should not be encouraged to talk but listen (the exact opposite is true, we want the applicant to do all the talking) Some important items to observe during an interview include all but Ethnic background The purpose of pre-employment testing is to determine whether or not the applicant is specifically qualified for the position he or she is seeking. Using a nurse's salary as a basis for determining salaries of other employees is key job comparison The ultimate decision of hiring a new employee should be made by the appropriate dept head One of the primary purposes for a pre-employment physical is to keep down worker's comp claims The purpose of a reference check on all employees is to protect the facility from undesirable employees A reference check should always be reduced to writing In establishing job descriptions, the workload is broken down into sets of activities that can be performed by one person In an interview with a job applicant, all but one of the following may be asked Arrests A job description is best defined as a written summary of the duties and responsibilities of a job An exit interview occurs when an employee is asked the reason he/she is leaving the position
Personnel policies are a set of guidelines primarily with policies of all employees The person in the nursing facility most likely to administer and implement policies is the Administrator The personnel director is best characterized as staff authority position The autocratic approach is establishing personnel policies is when the administrator writes the policies and submits them to ownership for approval The personnel function in a nursing facility is responsible for all but one of the following Presenting the completed personnel policies to ownership for approval Establishment and ratification of personnel policies in a nursing facility is accomplished by ownership The consultative approach in establishing personnel activities would involve the administrator receiving input from dept heads and staff and then submitting completed policies to ownership for approval Which item would most likely be part of the personnel policies fringe benefits, vacations, and retirement The best guideline to follow in writing personnel policies is to: hold staff meetings and get personnel policies from the neighboring facility Which item should be included in a good set of personnel policies Description of the disciplinary procedure Large fringe benefit programs may be potentially disadvantageous All but one of the following are considered to be effective sources of employee recruitment Walk in's All but one of the following are considered to be part of the selection process of an employee on the job training A disaster program should include orientation, on going training and drills for all personnel
