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The role of the administrator in a modern nursing facility is to - ✔✔advise the governing body and carry out their decisions According to the Code of Federal Regulations 42 CFR Part 483 the administrator appointed by the governing body must be - ✔✔licensed by the state and responsible for the management of the facility An objective may be defined as - ✔✔organizing The first step in planning is - ✔✔setting the objectives of the organization Effective management is best carried out by following which method? - ✔✔management by objectives Management by objectives involves - ✔✔plurality of objectives Which of the following objectives would be considered first in establishing a new nursing facility? - ✔✔Type of facility An administrator of a proprietary nursing facility should be primarily concerned with which one of the following objectives? - ✔✔Quality of care Which one of the functions of management would be accomplished first? - ✔✔planning Relative to setting objectives, which task listed below would be of primary importance for the
administrator to accomplish? - ✔✔constantly review and reassess objectives of the nursing facility
A short range plan covers which time period? - ✔✔ 1 - 2 years A long range plan covers - ✔✔ 3 - 5 years 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 When a subordinate asks his or her superior to set a policy regarding an operational problem, this is called - ✔✔appealed policy A procedure is a - ✔✔detailed statment to accomplish a task Which of the following is a procedure? - ✔✔a statement explaining the steps to be taken to put money in safekeeping A resident checks into a nursing facility without following the steps described relating to safekeeping of personal belongings. By what procedure should the business office be guided? - ✔✔procedure for safekeeping
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 administrator uses resident trust funds for personal use. What area of law has he or she breached? - ✔✔criminal law An administrator forgets to give information to the Board of directors and damages occur as a result. Under what law may he or she be liable? - ✔✔Negligence Libel - ✔✔written defamation 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 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 Active euthanasia is - ✔✔homicide A person who dies without a will is - ✔✔intestate A person who dies with a will is - ✔✔testate A legacy is a - ✔✔bequest of real or personal property by means of a will A will is a - ✔✔bequest of a real or personal property effective at the death of the testator Conflict of interest in regards to the role of the administrator as it relates to the facility means that his or her role is - ✔✔conflicting with the purpose and goals of the organization Charitable immunity as it relates to a health care facility means the facility cannot be sued for torts because - ✔✔its purpose is of a charitable nature Vicarious liability means that if an employee is negligent, that negligence will be transferred - ✔✔to the facility Corporate negligence means a duty owed to the resident is breached by - ✔✔the facility itself
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 - ✔✔create expectations that may be illusionial or unrealistic to the resident All but one of the following are necessary for the development of a successful marketing program - ✔✔name of the administrator Essentially, marketing is - ✔✔selling a facility to targeted audiences Marketing segmentation is - ✔✔recognizing and pinpointing various groups and their unique needs
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
The two major categories of liability insurance risks are - ✔✔bodily injury and property damage Fidelity insurance covers - ✔✔loss resulting from a dishonest act of an employee Employee recruitment is considered the function of which department in the nursing facility - ✔✔Personnel All but which of the following are an effective way to recruit employees? - ✔✔Off the street In the typical nursing facility, the highest rate of staff turnover is among which of the following employees? - ✔✔CNA 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
