CHFM Administration and Human Resources 2 — Questions and Answers
Question 1: Under the Fair Labor Standards Act (FLSA), which category of healthcare facility employees is typically classified as exempt from overtime pay requirements?
- Housekeeping staff working 45 hours per week
- Registered nurses earning a salary above the FLSA threshold (Correct answer)
- Part-time dietary aides
- Security officers paid hourly
Correct answer: Registered nurses earning a salary above the FLSA threshold
Salaried employees meeting the FLSA salary threshold and duties tests, such as licensed registered nurses, generally qualify for the executive, administrative, or professional exemption.
Question 2: A healthcare facility manager must develop a staffing plan for a new outpatient clinic. Which budgeting method builds the budget from zero each cycle, requiring justification for every expense?
- Incremental budgeting
- Zero-based budgeting (Correct answer)
- Activity-based budgeting
- Rolling forecast budgeting
Correct answer: Zero-based budgeting
Zero-based budgeting starts from a blank slate each budget period and requires managers to justify all expenditures rather than adjusting prior-year figures.
Question 3: Which accreditation standard requires healthcare organizations to conduct a proactive risk assessment of their physical environment on a scheduled basis?
- OSHA 29 CFR 1910.119
- The Joint Commission Environment of Care (EC) standards (Correct answer)
- NFPA 72 Chapter 14
- CMS Conditions of Participation §482.13
Correct answer: The Joint Commission Environment of Care (EC) standards
The Joint Commission's Environment of Care standards mandate proactive risk assessments (e.g., Hazard Vulnerability Analysis) to identify and mitigate physical environment risks.
Question 4: A facility manager is mediating a conflict between two department heads over shared equipment scheduling. Which conflict resolution style seeks a mutually beneficial outcome for both parties?
- Avoiding
- Competing
- Collaborating (Correct answer)
- Accommodating
Correct answer: Collaborating
The collaborating style aims for a win-win resolution by fully addressing the concerns of all parties involved.
Question 5: When calculating full-time equivalents (FTEs) for a department operating 24/7, how many FTEs are needed to staff one position continuously for one year (using 2,080 hours per FTE annually)?
- 3.5 FTEs
- 4.0 FTEs
- 4.2 FTEs (Correct answer)
- 5.0 FTEs
Correct answer: 4.2 FTEs
A 24/7 position requires 8,736 hours/year (24 × 365), divided by 2,080 hours per FTE equals approximately 4.2 FTEs.
Question 6: A CHFM candidate is reviewing the organization's progressive discipline policy. Which sequence correctly reflects a standard progressive discipline ladder?
- Termination → Written warning → Verbal warning → Suspension
- Verbal warning → Written warning → Suspension → Termination (Correct answer)
- Written warning → Verbal warning → Termination → Suspension
- Suspension → Verbal warning → Written warning → Termination
Correct answer: Verbal warning → Written warning → Suspension → Termination
Standard progressive discipline escalates from verbal warning, to written warning, to suspension, and finally to termination if behavior does not improve.
Question 7: Which federal law prohibits discrimination in employment based on race, color, religion, sex, or national origin for organizations with 15 or more employees?
- The Americans with Disabilities Act (ADA)
- The Age Discrimination in Employment Act (ADEA)
- Title VII of the Civil Rights Act of 1964 (Correct answer)
- The Equal Pay Act of 1963
Correct answer: Title VII of the Civil Rights Act of 1964
Title VII of the Civil Rights Act of 1964 prohibits employment discrimination based on race, color, religion, sex, or national origin for covered employers.
CHFM Administration and Human Resources 2
Under the Fair Labor Standards Act (FLSA), which category of healthcare facility employees is typically classified as exempt from overtime pay requirements?