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NAB Nursing Home Administrator (NHA) Administrator-In-Training (AIT) Practice Test

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SOME DEMO QUESTIONS ARE PRESENTED BELOW. FULL
VERSION CONTAINS FULL SET OF QUESTIONS.
Question: 349
A type of facility that provides care for patients who do not require skilled
nursing:
A. Intermediate Care Facility (ICF)
B. Assisted Living Facility (ALF)
C. Continuing Care Retirement Facilities (CCRC)
D. Skilled Nursing Facility (SNF)
Answer: A
Explanation: An Intermediate Care Facility (ICF) is a facility that provides care
for individuals who do not require skilled nursing services but still need some
level of medical supervision or assistance with daily activities. These facilities
typically offer a higher level of care than assisted living facilities but are not
equipped to handle the advanced medical needs provided by skilled nursing
facilities.
Question: 350
Which federal agency is responsible for enforcing regulations and providing
oversight for nursing homes and long-term care facilities?
A. Social Security Administration (SSA)
B. Food and Drug Administration (FDA)
C. Occupational Safety and Health Administration (OSHA)
D. Centers for Medicare and Medicaid Services (CMS)
Answer: D
Explanation: The Centers for Medicare and Medicaid Services (CMS) is the
federal agency responsible for enforcing regulations and providing oversight for
nursing homes and long-term care facilities. CMS sets the standards that these
facilities must meet in order to participate in the Medicare and Medicaid
programs, and conducts regular inspections to ensure compliance with these
standards.
Question: 351
Which of the following is not a common responsibility of a NHA (Nursing
Home Administrator) in training?
A. Performing medical procedures and treatments for residents
B. Developing and implementing care plans for residents
C. Hiring and supervising staff members
D. Managing the facility's budget and financial operations
Answer: A
Explanation: Performing medical procedures and treatments for residents is not
a common responsibility of a Nursing Home Administrator (NHA) in training.
NHAs are primarily responsible for the overall management and administration
of the facility, including tasks such as managing the budget, developing care
plans, and overseeing staff members. Medical procedures and treatments are
typically performed by licensed healthcare professionals.
Question: 352
Which of the following is a key principle of person-centered care in a long-
term care facility?
A. Strict adherence to a fixed daily routine for all residents
B. Minimizing residents' autonomy and decision-making abilities
C. Restricting social interactions among residents
D. Focusing on the unique needs and preferences of each resident
Answer: D
Explanation: A key principle of person-centered care in a long-term care
facility is focusing on the unique needs and preferences of each resident.
Person-centered care recognizes that each individual has their own preferences,
values, and goals, and aims to provide care and support that is tailored to their
specific needs. This approach promotes individual autonomy, dignity, and
quality of life.
Question: 353
Which of the following is a primary goal of the MDS (Minimum Data Set)
assessment in a nursing home?
A. Determining the facility's financial viability
B. Assessing the quality of the facility's meals and nutrition services
C. Evaluating residents' physical, mental, and psychosocial functioning
D. Monitoring the facility's compliance with infection control guidelines
Answer: C
Explanation: The primary goal of the Minimum Data Set (MDS) assessment in
a nursing home is to evaluate residents' physical, mental, and psychosocial
functioning. The MDS is a comprehensive assessment tool that is used to
gather information about each resident's health status, functional abilities, and
care needs. This information is then used to develop individualized care plans
and monitor changes in residents' conditions over time.
Question: 354
Which of the following is a common challenge faced by nursing home
administrators in managing staff?
A. Ensuring that all staff members have advanced medical degrees
B. Hiring staff members without any prior healthcare experience
C. Addressing conflicts and maintaining positive working relationships
D. Assigning staff members to perform medical procedures beyond their scope
Answer: C
Explanation: Addressing conflicts and maintaining positive working
relationships is a common challenge faced by nursing home administrators in
managing staff. Nursing home settings can be demanding and stressful, and
conflicts may arise among staff members. It is the responsibility of the
administrator to address these conflicts, promote effective communication, and
create a positive work environment that supports the delivery of high-quality
care.
Question: 355
Which of the following is an important consideration when developing an
emergency preparedness plan for a nursing home?
A. Focusing solely on the safety and well-being of residents
B. Ignoring the role of external agencies and resources
C. Neglecting to communicate the plan to staff members and residents
D. Ensuring the inclusion of individuals with disabilities and special needs
Answer: D
Explanation: Ensuring the inclusion of individuals with disabilities and special
needs is an important consideration when developing an emergency
preparedness plan for a nursing home. The plan should account for the unique
needs and challenges that residents with disabilities or special needs may face
during an emergency situation. This includes provisions for accessible
transportation, communication methods, and any necessary medical
accommodations.
Question: 356
Which of the following is a primary purpose of the Resident Assessment
Instrument (RAI) in a nursing home?
A. Collecting comprehensive information about residents' needs and
preferences
B. Evaluating the qualifications and competency of staff members
C. Determining the eligibility of residents for government assistance programs
D. Assessing the facility's financial performance and profitability
Answer: A
Explanation: The primary purpose of the Resident Assessment Instrument
(RAI) in a nursing home is to collect comprehensive information about
residents' needs and preferences. The RAI is a standardized assessment tool
that is used to gather data on various aspects of a resident's physical, mental,
and psychosocial well-being. This information is then used to develop
individualized care plans and ensure that residents receive appropriate and
person-centered care.
Question: 357
Which of the following is an example of a measure taken to prevent the spread
of infections in a nursing home?
A. Allowing residents to share personal care items
B. Encouraging visitors with flu-like symptoms to visit residents
C. Avoiding routine cleaning and disinfection of common areas
D. Implementing regular hand hygiene practices for staff and residents
Answer: D
Explanation: Implementing regular hand hygiene practices for staff and
residents is an example of a measure taken to prevent the spread of infections in
a nursing home. Hand hygiene, including frequent handwashing with soap and
water or using alcohol-based hand sanitizers, is a crucial infection control
practice. It helps eliminate germs and reduce the risk of transmitting infections
within the facility.
Question: 358
Which of the following statements is true about the role of a Nursing Home
Administrator (NHA) in training?
A. NHAs ensure compliance with regulations and manage facility operations.
B. NHAs oversee the medical treatment and interventions for residents.
C. NHAs are primarily responsible for providing direct patient care.
D. NHAs are responsible for conducting medical research studies.
Answer: A
Explanation: The role of a Nursing Home Administrator (NHA) in training
involves ensuring compliance with regulations and managing facility
operations. NHAs are responsible for overseeing the day-to-day operations of
the nursing home, managing staff, maintaining financial stability, and ensuring
that the facility meets regulatory requirements. They focus on the
administrative and managerial aspects of running a nursing home rather than
providing direct patient care or conducting medical research studies.
Question: 359
Which of the following factors contributes to the development of pressure
ulcers in residents of a nursing home?
A. Frequent repositioning and regular skin assessments
B. Prolonged immobility and inadequate pressure relief
C. Regular exercise and physical activity
D. Adequate hydration and balanced nutrition
Answer: B
Explanation: Prolonged immobility and inadequate pressure relief contribute to
the development of pressure ulcers in residents of a nursing home. Pressure
ulcers, also known as bedsores or pressure sores, occur when prolonged
pressure on the skin and underlying tissues restricts blood flow and causes
tissue damage. Regular repositioning, providing pressure-relieving devices, and
implementing proper care protocols can help prevent the development of
pressure ulcers.
Question: 360
Which of the following is an important ethical principle in the care of residents
in a nursing home?
A. Consistency
B. Efficiency
C. Uniformity
D. Autonomy
Answer: D
Explanation: Autonomy is an important ethical principle in the care of residents
in a nursing home. Autonomy refers to the respect for an individual's right to
make decisions about their own care and lifestyle. It involves providing
residents with information, choices, and the opportunity to participate in
decision-making regarding their health, daily activities, and treatment options.
Question: 361
Which of the following is a purpose of a resident council in a nursing home?
A. Advocating for the rights and needs of residents
B. Enforcing disciplinary actions for staff members
C. Making financial decisions for the facility
D. Developing marketing strategies for the facility
Answer: A
Explanation: The purpose of a resident council in a nursing home is to advocate
for the rights and needs of residents. A resident council serves as a
representative body for the residents, providing a platform for them to voice
their concerns, suggestions, and preferences regarding the care and services
provided by the facility. It helps promote resident empowerment and ensures
their perspectives are considered in decision-making processes.
Question: 362
Which of the following is an example of a quality improvement measure to
enhance resident safety in a nursing home?
A. Reducing the frequency of staff training programs
B. Implementing fall prevention strategies and protocols
C. Minimizing resident involvement in care planning
D. Limiting access to medical equipment for residents
Answer: B
Explanation: Implementing fall prevention strategies and protocols is an
example of a quality improvement measure to enhance resident safety in a
nursing home. Falls are a common cause of injuries among elderly residents,
and implementing preventive measures such as regular assessments, modifying
the environment, providing assistive devices, and staff education can help
reduce the risk of falls and promote resident safety.
Question: 363
Which of the following is an appropriate response by a Nursing Home
Administrator (NHA) when faced with an ethical dilemma?
A. Ignoring the dilemma and focusing on administrative tasks
B. Consulting with an ethics committee or seeking guidance from supervisors
C. Making a unilateral decision without involving others
D. Prioritizing personal beliefs and values over resident welfare
Answer: B
Explanation: When faced with an ethical dilemma, an appropriate response by a
Nursing Home Administrator (NHA) is to consult with an ethics committee or
seek guidance from supervisors. Ethical dilemmas often involve complex and
sensitive issues, and it is important to involve multiple perspectives and
consider ethical principles when making decisions. Consulting with an ethics
committee or seeking guidance from supervisors can provide valuableinsights
and help ensure that decisions are made in the best interest of residents and in
accordance with ethical principles.
Question: 364
Which of the following is an example of an advanced directive in the context of
long-term care?
A. A resident's preference for a specific brand of toiletries
B. A resident's decision to participate in a social activity
C. A resident's written instructions regarding end-of-life medical care
D. A resident's choice of clothing for the day
Answer: C
Explanation: A resident's written instructions regarding end-of-life medical care
is an example of an advanced directive in the context of long-term care.
Advanced directives are legal documents that allow individuals to express their
preferences and instructions regarding medical treatment and care decisions,
particularly in situations where they may not be able to communicate their
wishes.
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