question

1) OBRA asserts some separate committees can be folded into the quality improvement/assurance committee. Safety, Pharmacy and which committee below can be added into QA/QI committee?

answer

Infection Control

question

2) Nursing homes are responsible for obtaining and providing dental care for residents. Who usually pays for dental services?

answer

The resident or a family member

question

3) A facility is not allowed to charge a resident who is Medicaid and Medicare eligible except for:

answer

Co-pays

question

4) You calculate the average percent of occupancy by:

answer

Dividing the total census (occupied bed days) by the total number of days, then multiply by 100

question

5) Resident's rights should be explained to the resident and or family member:

answer

Prior to admission

question

6) In case of an emergency, when no attending or back up physician is available, the decision as to who will attend to the resident is to be made by the:

answer

Administrator

question

7) Federal law states that facilities must retain menus of food actually served for at least:

answer

30 days

question

8) A resident with a living will and DPOA specified she wants to receive heroic measures if necessary. Six months later the resident requires CPR, but is now incompetent and the son request CPR be withheld. What is the right thing to do?

answer

Provide the CPR

question

9) A resident asks to see his chart. The doctor tells the nurse not to allow the resident access to the chart. What do you do?

answer

Tell the doctor the law gives the resident the right to view the medical records

question

10) Medical records belong to:

answer

Facility

question

11) When a resident passes away, the personal funds deposited with the facility must be given to the resident's estate with a final accounting of the funds within:

answer

30 days

question

12) The suffix "algia" refers to:

answer

Pain

question

13) Physical restraints must be removed:

answer

Every two hours

question

14) Depression is one of many psychological changes related to the aging process. Others include the following except for:

answer

Hearing loss

question

15) "Nosocomal" refers to

answer

Infection occurring inside the facility (institutionalized)

question

17) A capital budget is mostly about:

answer

Equipment and real estate

question

18) Current debts are debts that are:

answer

Due within one year

question

19) A ledger is a complete listing of:

answer

Accounts payable and receivable

question

20) Which resource usually provides the least revenue for a nursing home?

answer

Insurance

question

20) Past due accounts should not exceed:

answer

5%

question

21) All of the following are a cash expense except:

answer

Depreciation

question

22) A pro forma is primarily

answer

A financial statement or prediction

question

23) A function of management is controlling, which means:

answer

Measuring outcomes against benchmarks, then responding

question

24) OBRA requires every facility to have:

answer

A governing body - The Omnibus Reconciliation Act

question

25) Management by objectives means:

answer

A system that determines goals and objectives

question

26) Policies are:

answer

General and flexible statements that guid thinking

question

27) Procedures are:

answer

Not flexable

question

28) Short range (tactical) goals can be accomplished

answer

In less than one year

question

29) Policies should be developed by the:

answer

Governing body

question

30) The charge nurse is considered

answer

Line level management

question

31) McGregor's Theory X and Theory Y discuss individual's:

answer

Employees's attitudes towards work

question

32) Decision making requires all of the following except:

answer

Controlling behavior

question

33) Public relations has been defined as:

answer

The management of communications

question

34) Strategic Planning is:

answer

Long term plans based on the organizations overall business objectives

question

35) Marketing should:

answer

Increase and maintain census

question

36) Keys to success in reducing turnover are all except:

answer

Scheduling

question

37) Which is not a recognized type of management?

answer

Scalar Chain Management

question

38) Unity of Command is:

answer

Each person reports to one supervisor

question

39) Speed is a communication barrier because, on average, a person speaks 180 words per minute, but thinks at:

answer

300 words per minute

question

40) The most overlooked aspect of communication in health facilities is:

answer

Two way feedback loops

question

41) Of the following, the task management performs that contribute most effectively and positively to morale is:

answer

Discipline consistentlyr and fairly

question

42) In a bargaining unit, only ____ need to sign a card to call a union election:

answer

30 percent

question

44) During an interview or on a job application, you may ask for all except:

answer

Place of Birth

question

45) To be eligible for FMLA, an employee must first work

answer

1250 hours in the last 12 months

question

46) If an employee works 52 hours in one week at a rate of $7 per hour, what would be the total gross salary?

answer

$406

question

47) Fire safety regulations come primarily from:

answer

LSC Life Safety Code

question

48) The purpose of an enunciator panel is to:

answer

Indicate the zone of a fire

question

49) Generators must be checked

answer

montly

question

50) Employee's Right to know refers to

answer

Hazardous communicatins

question

51) The primary fire - defense tools of a nursing home staff are:

answer

Smoke barriers, corridor walls, and resident rooms

question

52) A maintenance program that saves time and money focuses on:

answer

Preventive maintenance

question

53) Class C fires involve:

answer

Electricity

question

PHYSICAL ENVIRONMENT ANT ATMOSPHERE

answer

...

question

PHYSICAL ENVIRONMENT ANT ATMOSPHERE

answer

...

question

54) Indoor temperatures

answer

71 - 81 degrees ferinhight

question

55) Disaster plans

answer

OBRA requirement for written plan

question

56) Life Safety Code

answer

Reasonably ensure the public protection from fire in public buildings

question

57) MSDS

answer

Information on potentially hazardous material

question

58) OSHA

answer

federal agency overseeing employee safety

question

59) NFPA

answer

establishes LSC

question

60) Personnal Protective Equipment

answer

gloves

question

61) Preventative measures

answer

time for schedules repairs

question

62) Offer HBV

answer

within 10 working days

question

63) Smoke compartments

answer

200 feet or less

question

64) Occupant loads for exit requirements:

answer

one person per 120 sq ft of floor area in sleeping areas and one person per 240 sq ft in treatment areas

question

65) Means of Egress Requirements Emergency lighting:

answer

Mandatory and Automatically available not requiring manual intervention for continuous operation when power is interupted

question

66) Means of Egress Requirements Exit Marking:

answer

clearly marked with signs no more than 100 feet from exit

question

67) Emergency Power:

answer

Check generator weekly, test under full load for 30 minutes monthly

question

68) Handrails at bottom of stairs must be:

answer

extended parallel to floor for 12 inches

question

69) Windows must have opening force requirement:

answer

of no more than 5 lbs.

question

70) Generator should provide for full load for

answer

4 hours, under emergency power need

question

71) Resident rooms

answer

No more than 4 residents per room 80 sq ft per resident in multi-bed rooms 100 sq ft in private room window to outside

question

72) OBRA requires housekeeping services necessary to

answer

maintain a sanitary, orderly, and clean interior

question

73) Exposure Control Plan must be updated

answer

Annually

question

HUMAN RESOURCES

answer

...

question

74) Bargaining Unit

answer

Workers identified by NlRB to form a group to unionize

question

75) Construct Validity

answer

Extent to which a tool measures a trait important to job performance

question

76) Line management

answer

Performs personnel functioned, delegated authority to make decisions

question

77) Skill Analysis

answer

identification of attributes required to

question

78) Task Analysis

answer

review of job description

question

79) Employee Handbook

answer

Policies related to work conditions

question

80) Career Path

answer

Avenues for upward mobility within organization

question

81) Progressive Discipline

answer

Use of specific number and type of warnings

question

82) Job description

answer

list of duties and responsibilities

question

83) COLA

answer

Group of temporary workers

question

84) Election for unionization

answer

Conducted by NLRB

question

85) FLSA

answer

minimum wage

question

86) Halo Effect

answer

One trait colors all performance

question

87) In-Out migration

answer

Movements of workers in and out of geographic area

question

88) Pool

answer

Group of temporary workers

question

89) Labor Market

answer

geographic area of recruitment

question

90) Union election

answer

NLRB conducts; 50% plus 1 potential bargaining unit members VOTING wins

question

LEADERSHIP AND MANAGEMENT (23% - 35 questions)

answer

...

question

91) Strategic Planning

answer

setting long term goals

question

92) Case mix

answer

residents categorized by acuity

question

93) Governing body

answer

legally responsible for management

question

94) Tactical planning

answer

selecting goals for one year

question

95) Management

answer

achieve common goals thru organization

question

96) Market segment

answer

potential users of services

question

97) Payor mix

answer

residents categorized by payment type

question

98) Rules

answer

commands for action or non-action

question

99) Procedures

answer

required methods for handling activities

question

100) Risk management

answer

proactive means of anticipating problems

question

101) Staff authority

answer

advisory relationship with line management

question

102) Forecasting

answer

projects trends and needs which facility management must decide in future economic, social and political environment expected and resources available.

question

103) Bench Marking

answer

improve business by comparing with best practice of others (standards from which you measure)

question

104) Upper-Level management

answer

responsible for the overall functioning of the facility, normally interacting directly with the Board of Directors and/or owners.

question

105) Middle-Level management

answer

report to upper-level while interacting with lower-level (DON)

question

106) Lower-level management

answer

directly supervise the staff who do the actual work

question

107) Line Position (Authority):

answer

empowered by administrator to make decisions for organization (DON can fire, fire, give orders)

question

108) Staff Position (Authority)

answer

not empowered to make decisions; duties are primarily to advise (consultants, pharmacists, accountants, etc.)

question

109) Functional Authority

answer

action outside the normal lines of authority 1. Violates unity of command 2. Necessary due to principle of exception The two often have edges of distinction blurred

question

110) Actionable

answer

conduct giving rise to legal action

question

111) Aggrieved party

answer

one whose rights invaded or who suffered injury

question

112) Burden of proof

answer

obligation of person bringing action

question

113) Liable

answer

written defamation

question

114) Slander

answer

verbal defamation

question

115) Malice

answer

intentional doing of wrongful act

question

115) Tort

answer

a wrong: legal duty owed, breached, and harm occured

question

116) Worker Comp:

answer

responsible for injuries occurring at work

question

117) Scope of Employment:

answer

range of employee activities (resident services by omission or commission)

question

118) Governing:

answer

excersis authority

question

119) Advisory:

answer

not binding

question

120) Stewardship:

answer

accumulation and use of assets

question

121) Planning and monitoring:

answer

goals and progress

question

122) Determining Facility Objectives:

answer

measurable, verifiable, and attainable

question

123) Governing Body:

answer

Approval of P & P Approval of budget Selection and Appraisal of Administrator

question

FINANCE (14% - 21 questions)

answer

...

question

124) Accounting Equation

answer

Assets = Liabilities + Capital

question

125) Accounts payable

answer

Amounts owed by facility

question

126) Balance Sheet

answer

Statement showing solvency

question

127) Solvency

answer

the ability of a corporation to meet its long term fixed expenses and to accomplish long-term expansion and growth

question

128) General ledger

answer

Summaries entries in each journal for accounting period

question

129) Cost Center

answer

Organizational unit whose costs are separately accumulated

question

130) Accrual

answer

Record revenue when entered; expenses when incurred

question

131) Functional Accounting

answer

Recording aggregated data for related activities

question

132) Aggregated

answer

formed by the conjunction or collection of particulars into a whole mass or sum; total; combined

question

133) Contractual Discount

answer

Uncollectible difference between charges and third party payor agreements

question

134) Depreciation

answer

spreading of cost of capital assests over useful life

question

135) Operating Statement

answer

total revenues - total expenses =net income (loss)138)

question

136) Working Capital

answer

Current assets - current liabilities

question

137) Entity Concept:

answer

The facility, its records and monies are separate from owners. Ensuring consistency in accounting through full ownership disclosure.

question

138) On-Going Concern:

answer

The facility will continue to operate INDEFINITLEY

question

139) Consistency:

answer

The accounting reports will be prepared in the same way year to year to allow the facility to compare history to determine risks, and allow for clarity

question

140) Full Disclosure:

answer

All information must be shown in financial records accurately reflecting the financial standing of the facility

question

141) Cash Accounting:

answer

Expenses are recorded when cash disbursed and revenues are recorded when money received. (Recorded money as it flows in and out of facility. Similar to checkbook) A. Advantage: Simplicity B. Disadvantage: Does not recognize depreciation, accounts receivable, or payable

question

142) Time period:

answer

Accounting period (12 months) will be consistent year to year

question

143) Objective Evidence:

answer

Accounting records are prepared with documentable records kept by facility (Audit Trail)

question

144) Accrual Accounting:

answer

Revenues are recognized when they are earned and expenses when they are incurred, regardless of when cash transactions take place. A. Advantage: Measure revenues earnings after expenses incurred; include depreciation, AP and AR B. Disadvantage: Complexity

question

145) Chart of accounts:

answer

list of every account organized into: Assets, Liabilities, Capital, Revenue, Expenses

question

146) Assets:

answer

things the facility OWN

question

147) Liabilities:

answer

things the facility OWES

question

148) Capital:

answer

Net worth or fund balance

question

149) Revenues:

answer

Earnings

question

150) Expenses:

answer

cost of personnel and supplies used in provision of service

question

151) Journals:

answer

books of original entry (the first place transactions are recorded) Cash receipts, billing, accounts payable (purchases), cash disbursements, payroll, general.

question

152) General:

answer

non-repetitive entries. Used to make adjustments to conform to accrual system.

question

153) Double entry:

answer

two entries for each transaction DEBIT and CREDIT

question

154) General Ledger:

answer

summary of all debits and credits contained in all the journals for the time period. 1. Continuous balance for each account monthly 2. Basis for "trail balance"

question

156) Financial Statement:

answer

summary of all transactions made in a particular time period and their effect on the finances of the facility.

question

157) Handling Cash

answer

Two person procedure; one receives by opening mail or taking in person; the other prepares bank deposit

question

158) Collections

answer

policy for deliquent bills. MUST BE CONSISTENT with all payment types; in not facility could be charged with fraud.

question

159) Payroll

answer

largest expense (50-70% of operational) controlled by administration separate bank account

question

160) Residents' Accounts (Trust fund)

answer

Legally must provide Safe for cash and valuables Separate accounting Interest Bearing - amounts over $50.00

question

161) Cost Per Patient Day =

answer

Total cost/census days

question

RESIDENT CARE & QUALITY OF LIFE (35% - 52 questions)

answer

...

question

162) Nursing Assistant Training

answer

75 hour course and exams plus continuing in service

question

164) Excess Disability

answer

Avoidable Dysfunction

question

165) PASAAR

answer

Insures appropriate treatment for MR/MI population

question

166) Function

answer

Focus of Rehab

question

167) Pharmacist

answer

Monthly drug review/Audits

question

168) Basis for Menu

answer

Basic 4 plus recommended daily allowances

question

168) Nursing Assistants

answer

Provide most direct care

question

169) OBRA ^87

answer

Conditions to participate in Medicare and Medicaid

question

170) MDS

answer

Comprehensive Assessment within 14 days of admission

question

171) Physician Extenders

answer

Nurse Practitioner, Clinical Nurse Specialist or Physician Assistant

question

172) Licensed Nurse

answer

Charge Nurse on each tour of duty

question

173) Time between Super and Breakfast

answer

14 hours

question

174) RN Coverage

answer

8 consecutive hours, 7 days per week

question

175) Frequency of Activities

answer

7 days per week during hours requested

question

176) Frequency of Doctor Visits

answer

Every 30 days for first 90 days, then every 60 days

question

177) Access to records

answer

24 hours of request

question

178) Care Plans

answer

21 days after admissions

question

179) Required in service for CENA

answer

12 hours per year

question

180) QA meetings

answer

Quarterly

question

181) Work before NA certified

answer

4 months

question

182) Interest Bearing accounts

answer

trust funds greater than $50

question

183) Involuntary Transfer Notice

answer

30 days

question

184) CVA

answer

Stroke

question

185) COPD

answer

Emphysema, Asthma, Bronchitis

question

186) ac

answer

before meals

question

187) Meal service:

answer

Key to high resident morale. 3-5 meals per day with no more than 14 hours btw evening meal and next breakfast (16 if HS snack)

question

188) Dishwashing

answer

wash at 150 to 1600 degrees F

question

189) Hot food tray

answer

leave tray line above 140 degrees F

question

190) Cold food

answer

leave tray line at less than 41*F

question

191) Freezer

answer

0* - 20* F

question

192) Refrigeration

answer

32* - 45*F

question

193) Storage

answer

room temperature

question

194) RDA

answer

Recommended Daily Allowance Bread: 4 servings Fruit/veggies 2 cups Meat: 4 oz Milk: 2 cups

question

195) Quality Assurance Committe

answer

DON, a physician, and 3 other staff members A. Care plan B. Infection Control C. Pharmacy Committee D. Safety Committe

question

196) Administration

answer

A. License B. Compliance with standards and regulations C. Governing body D. Nurse Aide Training E. Medical Director F. Laboratory Services G. Radiology Service H. Clinical Services I. Disaster Plan J. Transfer Agreement K. Quality assurance L. Disclosure

question

The most likely cause of for series of bankruptcies among larger nursing home chains around the year 2000 was

answer

Paying too much for acquisitions in 1998 and 1999

question

In a chance conversation with the owner of an eight-facility chain, the newly hired administrator for the oldest facility in the chainindicates that, since the mortgage ia fully retired, he will concentrate more on being effective then effecient since his Quality Indicators are all at or above his state's average. The owner would likely

answer

Be distressed

question

Occupancy of Facility A has been a steady 70% since Prospective Payment System was introduced. Two weeks ago, a new 120-bed equally equipped facility opened several blocks away. The facility A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to

answer

Seek a new administrator

question

Bankruptsy among larger nursing home chains prior to 2000

answer

Were highly unusual

question

Under the Prospective Payment System, nursing facilities reimbursed costs

answer

Were never bundled

question

In recent years Medicare has

answer

shifted more cost onto nursing facilities

question

The nurse newly promoted to director of nurses (DON) insist on giving four RN hours of patient care each day on the Alzheimer's wing in the 175-bed facility. The administrator should

answer

Seek a new DON

question

The applicant for the administrator position in a facility near a larger teaching hospital who insists that, if hired, as before with his rural facility, he would not let Medicare reimbursement policies affect his case mix

answer

Is out of touch

question

The newly hired assistant to the administrator insists the organizational chart line btw his position and the Department of Nursing be a solid line. The administrator should

answer

Be forwarned

question

The medical supplies provider tells the administrator of the facility that has not paid bills the past 3 months, but is now operating under bankruptcy juge's approved plan for restructuring, that no more deliveries will be made until past bills are fully paid. The medical supply provider

answer

does not understand how bankruptsy works

question

An administrator who adopts the management-by-walking-around (MBWA) approach by walking through the facility and intently observing weekly has

answer

Failed to understand MBWA

question

Management-by-walking-around (MBWA)

answer

style of business management which involves managers wandering around, in an unstructured manner, through the workplace(s), at random, to check with employees, or equipment, about the staus of ongoing work

question

The nursing home administrator who, using the management-by-walking-around (MBWA) technique, succeeds in atually making appropriate corrections on the spot during his rounds

answer

Doesnt understand (MBWA)

question

The applicant for administrator of the facility insist that he has succcessfuly used democrate leadership to the exclusion of all other leadership styles. The intervier should

answer

continue to interview candidates

question

The candidate for administrator said she used a variety of administrative styles, but could't say exactly which she would use in every circumstance. The interviewer should be

answer

favorable impress

question

The candidate for administrator indicated that she consistently choose the charismatic style of leadership. This should __________the interviewer.

answer

Alert

question

The cost of providing subacute care to nursing home residents _________

answer

Is perhaps triple that of more typical patient

question

The nurse supervisor who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the nurses that only formal communications were to be allowed in the nursing department. The administrator should

answer

Anticipate problems

question

The department head was not surprised to learn that the employee had only heard his positive comments to the employee and ignored his criticism. The department head's grasp of the communicationn process is

answer

Appropriate

question

The administrator routinely accepted as his nearly exclusive information source the director of nursing's positive reports on how nursing was going well. The administrator is

answer

Placing him at risk

question

Periodic shortage of nurses available for nursing home employment _________

answer

Is likely to remain for the foreseeable future

question

Congress and the Federal rule makers behave as if the facility will run successfully if congress and CMS can write enough rules. They are

answer

Incorrect

question

When the administrator notices the DON seeks to turn many duties as possible over to housekeeping, the administrator should conclude that the DON is

answer

Behaving normally

question

The administrator insist that a timely copy of all reports generated within the facility come across her desk before anyone signs them. The administrator is _______

answer

Not rationalizing her managemnt information system

question

The administrator notices that incident reports are being insufficiently filled out, but does nothing, believing that the situation will likely correct itself. The administrator is ______

answer

Failing to control effectively

question

Corporate sends a directive its flagship facility administrator, directing the administrator's attention more towards outcome of resident care than cost of resident care during the coming 12 months. Corporate is more concerned with __________than with _________.

answer

Effectiveness/efficiency

question

The long term care sector receiving increased funding and attention from the federal government is the ________________.

answer

Home health care sector

question

The concept that nursing homes should be reimbursed by states for their actual costs was part of the _______

answer

Hatch Amendment

question

The intense health care cost-shifting efforts among providers such as Medicare, Medicaid and local governments is _____________

answer

Likely to continue

question

Worried about the level of actual resident care being achieved in the facility, the administrator directs the nurses to spend less time charting and more time focusing on the effeciveness of care being given to residents. The likely result will be ________

answer

Better resident care, possible increase in deficiency citations

question

The new social worker informs the head of nursing that admissions is all she has time for and that nursing must monitor and document each resident's socipsychological experience.

answer

Responding appropriately to priorities

question

Attempting to find the right person for each well-defined job is known as the management function of __________

answer

...

question

The administrator who takes steps that insure the goals are accomplished and that each job is done as planned is successfully ______________

answer

Controlling quality

question

The administrators' job is to assure that the ________employees do the tasks of the organization at an acceptable quality level.

answer

Appropriate

question

The administrator who conducts a national search for a director of nursing position and interviews 20 candidates from 7 different surrounding states by phone is engaged in the managerial function of ______

answer

Staffing

question

Corporate sends a directiveto its flagship facility administrator, directing the administrator's attention more towards outcome of resident care than cost of resudent care during the coming 12 months. Corporate is more concerned with ______than with _____.

answer

Effectiveness/efficiency

question

The long-term care receiving increased funding and attention from the federal government is the _______.

answer

Home health care sector

question

The concept that nursing homes should be reimbursed by states for their actual cost was part of the _____.

answer

Hatch Amendment

question

The intense health care costshifting efforts among providers such as Medicare, Medicaid, and local governments is ____.

answer

Likely to continue

question

Worried about the level of actual resident care achieved in the facility, the administrator directs the nurse to spend less time charting and more time focusing on the effectiveness of care being given to the residents. The likely result will be___

answer

Better resident care, but increased deficiency citatons

question

The new social worker informs the head of nursing that the admissions is all she has time for and that nursing must monitor and document each resident's socipsychological experiences. The new social worker is _____

answer

Responding appropriately to prorities

question

Attempting to find the right person for each well-defined job is known as the managementfunction ______

answer

Staffing

question

The administrator who takes steps that assures the goals are accomplished and that each job as planned is successful __

answer

Controlling quality

question

The administrator's job is to assure that the ____employees do the task of the organization at an acceptable quality level.

answer

Appropriate

question

The administrator who conducts a national serch for a director of nursing position and interviews 20 candidates from 7 different surrounding states by phone is engaged inthe managerial function of ______

answer

Staffing

question

In the end, it can be said that the administrator's responsiblity to meet resident care needs and facility needs ae ______

answer

Both are equal

question

Superior performance depends on taking exceptional care of residents via superior service and _____

answer

Constant innovations

question

Superior performance for a nursing facility comes through __

answer

Innovation in ways to serve residents

question

The supeb nursingb facility is supurb by virtue of its ____

answer

Success in serving the residents

question

Answering the phones and resident call bells with common courtesy and doing things that work are examples of ______

answer

A blind flash of the obvious

question

Giving every employee the space to innovate at least a little; listening to residents and acting on their ideas; and wandering around with residents, staff, and suppliers are examples of the different-to-achieve ________

answer

Common sense, obvious

question

In a facility of 120 beds, the administrator ____personally performs each of the management tasks.

answer

Need not

question

To assure that all the management tasks are successfully accomplished, the administrator of a 120-bed facility will typically divide management into _____

answer

Three layers

question

A licensed person responsible for formulating and enforcing policies that will be applied to an entire facility is thought of as a/an ____

answer

Upper-level manager

question

The staff member responsible for reporting to upper-level management and at the same time interacting significantly with several lower-level managers is the ______

answer

Director of Nursing

question

The staff person for whom both upward and downward communication skills are most neccessary is the ____

answer

Director of nursing

question

When the director of nursing makes an effective policy decision without consulting the administrator, that impacts all nursing personnel, the administrator should ______

answer

Be pleased

question

In the typical nursing facility, the decision-making process is _______ establishment of lower, middle, and upper levels of management.

answer

Noticeably more complicated than the simple

question

Among the following positions the _____has no authority to make decisions for the facility.

answer

Assitant to the Administrator

question

Decisions made by persons on the staff to whom the administrator has deligated line authority are, in the final analysis, regaurded as decisions by ______.

answer

The administrator

question

When a nurse practitioner, who is more highly qualified than the director of nursing, gives orders in the hallways, the director of nursing should feel _______

answer

Undermined

question

In times of crisis, corporate representatives, who hold a staff or advisory relationship to their counterparts in the local facility, may expect that their advice as staff be _________

answer

Acted on as carrying line authority

question

As a generalization, it can be asserted that management success belongs to those who ____

answer

success prepared for the future

question

Nursing home administrators should anticipate and successfully prepare for ______

answer

Rapid change

question

The long-term care industry entered a period in which _____chang(s) can be expected.

answer

Rapid and far reaching

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