Download NAB NHA Complete Exam Questions and Answers: Nursing Facility Management and more Exams Nursing in PDF only on Docsity!
NAB NHA COMPLETE EXAM Questions
and Answers Latest Versions 2025 TOP
RATED A+
Which one of the following statements is true? - ANSWER - Every department in the nursing facility should have goals or objectives Since there is a plurality of objectives in a nursing facility, the facility should concern itself with - ANSWER - long and short term goals Planning is primarily concerned with - ANSWER - use of facts to determine course of action for the future Strategic planning - ANSWER - helps the facility to re evaluate its mission and identify its long term goals. Planning on a broad scale is carried on primarily by a - ANSWER - administrator Planning involves all but one of the following - ANSWER - personnel decisions Which of the following is not a function of the administrator? - ANSWER - ultimate approval of all policies (governing board does that) Planning at the top level of management is best characterized as - ANSWER - broad, far-reaching, and basic In the process of planning, which guideline should be followed? - ANSWER - 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? - ANSWER - 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 - ANSWER - a reasonable estimate of what reality will be in the future In the process of planning, the administrator should - ANSWER - constantly check, recheck, and modify the plan if necessarry A short range plan covers which time period? - ANSWER - 1 - 2 years
A long range plan covers - ANSWER - 3 - 5 years The function of management called organizing is best described as - ANSWER - 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? - ANSWER - at all dept levels within the organized structure The mission statement of a nursing facility - ANSWER - explains the goals and objectives to the facility Span on management is the - ANSWER - number of employees a supervisor can effectively handle The schematic drawing representing the functional operation of a nursing facility structure is called the - ANSWER - organizational chart Service departments of a nursing facility can best be described as - ANSWER - departments that facilitate, aid and assist other departments An example of a service department in a nursing facility is the - ANSWER - personnel office Line authority structure is best described as a situation in which - ANSWER - 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 - ANSWER - makes final decisions regarding departmental functioning An example of a line authority position in a nursing facility is the - ANSWER - administrator An example of a staff authority position in a nursing facility is the - ANSWER - administrative assistant The primary function of a staff authority position is - ANSWER - aid, assist, and advise the department heads All but one of the following would be considered contractual services in a nursing facility
- ANSWER - Nursing director A standing committee is one which - ANSWER - permanent in nature A task force is another term used for - ANSWER - ad hoc committee
The principle of Economy of Action states that - ANSWER - 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? - ANSWER - public reprimand of employee Which item listed below is not a function of management? - ANSWER - comparing An intangible standard of control in a nursing facility is - ANSWER - quality of care PERT is a planning and controlling device. The term PERT refers to - ANSWER - program evaluation and review techniques Coordination is best defined as - ANSWER - 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 - ANSWER - Gut feeling about the problem The modern day administrator of a nursing facility must - ANSWER - 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 - ANSWER - Delegation An important tool in management is communication. Communication is best defined as - ANSWER - 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 - ANSWER - grapevine communication All but one of the following is considered to be a roadblock to communication - ANSWER - Feedback Physical resource management is - ANSWER - establishing a preventative maintenance program Leadership can be defied as - ANSWER - 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? - ANSWER - Authoritative image Consultative leadership technique is best defined as wen the executive - ANSWER - consults with subordinates before making a final decision Free rein technique of leadership occurs when the administrator - ANSWER - consults with subordinates and allows them to reach a final decision Autocratic leadership may be best defined as when the administrator - ANSWER - does not consult and makes the final decision All but one of the following are advantages of the consultative approach of leadership - ANSWER - Increases the time spent with the employees An example of free rein leadership in a nursing facility is when the administrator - ANSWER - allows the attending physician to make medical decisions All but one of the following are advantages of autocratic leadership - ANSWER - 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. - ANSWER - Age of the executive The best reason health care providers get together to form a consortium is - ANSWER - 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? - ANSWER - 90 percent All but one are considered to be roadblocks for effective communication - ANSWER - feedback The most effective means of communication is - ANSWER - face to face oral communication An example of informal communication is - ANSWER - grapevine All but one of the following are considered to be a form of written communication - ANSWER - Nonverbal communication All but one of the following are considered good techniques of communicating - ANSWER - Over or under communication One of the goals of a nursing facility is to provide maximum care and services to its residents. Surveyors can best access a facilities success by? - ANSWER - reviewing
The moving party in the filing of a negligence action is called the - ANSWER - plaintiff An action for a violation of law concerning the Medicare Act would be brought in which court? - ANSWER - 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? - ANSWER - 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 - ANSWER - independent contractor The attending physician in a health care facility ordinarily has the legal status of - ANSWER - independent contractor To enact a law, a legislature must - ANSWER - vote on a bill recommended by a committee Active euthanasia is - ANSWER - homicide A person who dies without a will is - ANSWER - intestate A person who dies with a will is - ANSWER - testate A legacy is a - ANSWER - bequest of real or personal property by means of a will A will is a - ANSWER - 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 - ANSWER - 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 - ANSWER - its purpose is of a charitable nature Vicarious liability means that if an employee is negligent, that negligence will be transferred - ANSWER - to the facility Corporate negligence means a duty owed to the resident is breached by - ANSWER - the facility itself An informed consent is one in which the individual receiving treatment is informed - ANSWER - about the nature and the consequences of the procedure
A subpoena duces tecum is - ANSWER - an order to bring certain documents to court A pension trustee is a person who may be responsible for financial matters of - ANSWER - Medicaid resident Which of the following does not have state jurisdiction? - ANSWER - Medicare approval of a facility Institutional licensure refers to the licensing of the - ANSWER - facility A volunteer worker working outside the scope of his or her assignment may be held - ANSWER - personally liable Estate planning has to do with which aspect of the law - ANSWER - Probate An act concerned with the donation of one's body or parts of one's body at the time of death is the - ANSWER - Uniform Anatomical Act A commitment procedure is a - ANSWER - 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? - ANSWER - Disallow the admission The performance of an autopsy on a resident without the consent of the next of kin may be ordered by - ANSWER - medical examiner A power of attorney is - ANSWER - an instrument authorizing another to act as one's agent Release of information in medical records may be given only by the - ANSWER - resident The PSDA Act of 1990 concerns - ANSWER - advance directives To comply with PSDA written information must be provided to the resident - ANSWER - 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 - ANSWER - living will After a person executes a living will, he or she should give a copy to all but who - ANSWER - Funeral director
All but one of the following are important in developing an effective marketing program - ANSWER - 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 - ANSWER - name of the administrator Essentially, marketing is - ANSWER - selling a facility to targeted audiences Marketing segmentation is - ANSWER - recognizing and pinpointing various groups and their unique needs One of the most regularly used public relations tools in a facility is - ANSWER - newsletter or magazine An effective marketing program will - ANSWER - help identify shortcomings in the operation of the facility The concept of foster care as it relates to the elderly involves a person living in a - ANSWER - private home with people not related to him or her A home health agency as it relates to the elderly provides - ANSWER - part time skilled nursing services A program in which elderly individuals belonging to a special group enter into custodial living arrangements by life care contracts is best described as - ANSWER - fraternal custodial care A custodial living arrangement for elderly veterans would most likely be financed by - ANSWER - the veterans administration A program whereby the elderly meet their recreational and social needs - ANSWER - senior citizens center A program whereby a dependent elderly person is institutionalized during the working hours of his family is called - ANSWER - Day care Assistance for the disabled elderly would most likely be financed under - ANSWER - the social security administration Meals on wheels is a program for the elderly which is best described as serving meals to - ANSWER - individuals in their home environment A facility which treats short-term acutely ill patients is called a - ANSWER - individuals in their home environment A facility which treats short term acutely ill patients is called - ANSWER - acute hospital
Generally an organized medical staff is found in which facility? - ANSWER - 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 - ANSWER - chronic hospital A transfer agreement is usually made between a skilled nursing facility and a - ANSWER - hospital Approximately what percent of the hospitals in the U.S are non-profit - ANSWER - 20 percent Approximately what percent of nursing facilities in the U.S are proprietary? - ANSWER - 68 percent A chief of the medical staff would most likely be found in which facility - ANSWER - Hospital A retained Medical Consultant would most likely be found in which facility? - ANSWER - Nursing facility Which one of the following is the most important step in developing good job descriptions - ANSWER - A careful analysis of job content An employee in the maintenance department comes to work in an intoxicated condition. The administration should? - ANSWER - 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 - ANSWER - 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 - ANSWER - 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 - ANSWER - establish a reputation of impartiality The most common employee problem is likely to be - ANSWER - tardiness for work An effective way to control employee absenteeism is to - ANSWER - interview the employee upon his or her return to work
All but one of the items below should be included in an objective evaluation of an employee - ANSWER - Attitude of the supervisor toward the employee Discussion of food service in the cafeteria among food service employees is - ANSWER
- informal communication When an evaluation of an employee is competed, it should be - ANSWER - signed by the supervisor and the employee If an employee refuses to sign an evaluation form, which of the following should take place? - ANSWER - the refusal should be noted on the evaluations and signed by the employee supervisor The two major categories of liability insurance risks are - ANSWER - bodily injury and property damage Fidelity insurance covers - ANSWER - loss resulting from a dishonest act of an employee Employee recruitment is considered the function of which department in the nursing facility - ANSWER - Personnel All but which of the following are an effective way to recruit employees? - ANSWER - Off the street In the typical nursing facility, the highest rate of staff turnover is among which of the following employees? - ANSWER - CNA The application blank is a valuable tool for recruiting personnel. A good application black should have all but one of the following - ANSWER - Form should require that the prospective employee waive worker's compensation rights All but one of the following would be considered good interviewing techniques - ANSWER - 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 - ANSWER - Ethnic background The purpose of pre-employment testing is to - ANSWER - 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 - ANSWER - key job comparison
The ultimate decision of hiring a new employee should be made by the - ANSWER - appropriate dept head One of the primary purposes for a pre-employment physical is - ANSWER - to keep down worker's comp claims The purpose of a reference check on all employees is to - ANSWER - protect the facility from undesirable employees A reference check should always be - ANSWER - reduced to writing In establishing job descriptions, the workload is broken down into sets of activities that can be - ANSWER - performed by one person In an interview with a job applicant, all but one of the following may be asked - ANSWER - Arrests A job description is best defined as - ANSWER - a written summary of the duties and responsibilities of a job An exit interview occurs when an employee is - ANSWER - asked the reason he/she is leaving the position Personnel policies are a set of guidelines primarily with - ANSWER - policies of all employees The person in the nursing facility most likely to administer and implement policies is the
- ANSWER - Administrator The personnel director is best characterized as - ANSWER - staff authority position The autocratic approach is establishing personnel policies is when the administrator - ANSWER - 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 - ANSWER - Presenting the completed personnel policies to ownership for approval Establishment and ratification of personnel policies in a nursing facility is accomplished by - ANSWER - ownership The consultative approach in establishing personnel activities would involve the administrator - ANSWER - 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 - ANSWER - fringe benefits, vacations, and retirement
Collective bargaining as contemplated in the National Labor Relations Act is - ANSWER
- making collective arguments between employers and accredited representatives Arbitration is - ANSWER - submission of disputed matters to private unofficial persons selected as provided by law If a health care facility is approached by a union for collective bargaining, the administrator should immediately - ANSWER - seek the assistance of an attorney conversant with labor relations If a health care facility is approached with a view toward collective bargaining, which one of the following actions should not be taken? - ANSWER - Fire the employee involved in trying to organize the facility The primary argument used by nursing facilities in combating efforts to unionize a facility is that - ANSWER - unionization may be in conflict with the objectives of high quality resident care The first labor law concerning practices of management and unions is the - ANSWER - Wagner Act The National Labor Relations Board considers control of a labor union in the facility by the administrator to be - ANSWER - unfair labor practice In a labor dispute concerning a collective bargaining effort, the administrator of the facility may not - ANSWER - urge employees to persuade others to oppose the union What percentage vote is required to get a collective bargaining agreement in effect? - ANSWER - 50% plus one vote What is a bargaining unit? - ANSWER - Employees performing work for a similar nature Which one of following is considered to be a formal training program? - ANSWER - In- service training program An orientation program in the nursing facility is primarily for - ANSWER - the employees and staff of the facility An administrator in training program can best be described as a - ANSWER - program to train individuals who have no prior nursing facility experience for administrative positions An example of an informal training program is - ANSWER - on the job training program A new employee is hired in the nursing facility. The type of training program most appropriate would be a - ANSWER - orientation program
A dietary aide wo has been employed by the nursing facility for several years is in need of training to upgrade their skills. The kind of training most appropriate would be? - ANSWER - in-service training An administrator needs to upgrade his or her skills. The most appropriate training program is - ANSWER - attendance at an approved continuing education program A nurse continually makes errors in drug administration. What kind of training program should the administrator compel him or her to attend? - ANSWER - continuing education The trend in the U.S relative to retaining a license for nursing facility administrators is to have mandatory training in - ANSWER - continuing education What type of program is the least expensive but most effective? - ANSWER - In-service training A nurse's aide continues to come into work lat. An effective supervisory method is - ANSWER - bring the matter to the attention of the employee in private during a supervisory conference As the administrator of Pleasant view Nursing Facility, you receive a complaint about nursing care rendered by a staff nurse. The course of action should be to - ANSWER - gather the facts from the DON and then evaluate the course of action with the DON An effective department head working as a nursing staff committee member should - ANSWER - discuss their role and responsibility as a member of the committee During a regular department head meeting a department head who is extremely aggressive attempts to monopolize the meeting by asking irrelevant questions. As administrator the best way to handle the situation is to - ANSWER - discuss the problem with him or her in private at a supervisory meeting Departmentalization is the - ANSWER - process of grouping various activities into separate units Patterns most commonly found in departmentalization are groupings - ANSWER - by functions, products, territory, process, and time. An example of grouping by function in a nursing facility is - ANSWER - the nursing department Select the department of the nursing facility grouped by the customer that serves - ANSWER - Nursing
The first step in the accounting cycle is to record transactions on a daily or chronological basis. This is called - ANSWER - journalizing A long term indebtedness collateralized by real estate is called a(an) - ANSWER - mortgage When a nonprofit nursing facility makes a profit, this profit is referred to as - ANSWER - excess of income over expense A third party payor situation exists when - ANSWER - an intermediary pays for the legal obligations incurred by the resident All but one of the following are examples of third party payors in the nursing facility industry. - ANSWER - Resident The excess of total income over total expenses is referred to as - ANSWER - net profit A correct statement concerning the social security tax is that it - ANSWER - cannot exceed a certain percentage of an employees wages In a proprietary nursing facility the profits distributed to shareholders are called - ANSWER - dividends The primary function of depreciation is to - ANSWER - better determine the actual costs of operation Depreciation may be defined by - ANSWER - devaluation of an asset based upon wear and tear over a specific period of time An invoice which says 4/10-n/30, means a discount may be taken if payment is made within - ANSWER - 10 days A stale check refers to a - ANSWER - outstanding check for over 60 days In order to determine the percentage of occupancy in a health care facility - ANSWER - divide the beds occupied by the bed complement A W-4 form is a form indicating - ANSWER - the number of claimed exemptions by an employee The social security tax - ANSWER - is a percentage of up to a certain amount of an employee wage.
Determine the percentage of occupancy. On a certain date in a 150 bed facility there were 68 patients. Occupancy was - ANSWER - 45 percent take #of patients and divide by number of beds in facility F.I.C.A, taxes concern - ANSWER - employees wages Under the Medicare program, skilled nursing facilities are reimbursed on a - ANSWER - price basis In the double entry bookkeeping system of accounting, when recording each transaction, which of the following two entries should be made in two different accounts? - ANSWER - A credit and debit In double entry accounting, the term "debit" includes - ANSWER - decrease in liability account Fixed cost is best defined as - ANSWER - an operating or capital expense that does not vary with business volume If the facility occupancy increases from 90% to 98%, the fixed cost per resident - ANSWER - decrease somewhat Variable cost is best defined as - ANSWER - operating costs that vary in direct proportion to changes in volume A variable cost is one that - ANSWER - changes according to occupancy An example of a fixed cost is - ANSWER - depreciation An example of a variable cost is - ANSWER - supplies All but one of the following are examples of property damage insurance - ANSWER - consequential loss A department head wishes to purchase a motorized wheelchair costing $510 during the coming fiscal year. Which of the following budgets would be affected by such a purchase? - ANSWER - Operating A budget may be defined as a - ANSWER - a projection of fiscal data for a specified period of time, usually one year An operating budget is considered a - ANSWER - planning and controlling device of a fiscal nature, usually for one year period In compiling an operating revenue budget, all but one of the following would be taken into consideration - ANSWER - Title VI
