CNHA Proficiency Preparation and Content 3 — Questions and Answers
Question 1: Which CNHA exam content area addresses the administrator's responsibility for ensuring residents receive person-centered care planning?
- Governance and Organizational Structure
- Resident Care and Quality of Life (Correct answer)
- Environmental Services
- Financial Management
Correct answer: Resident Care and Quality of Life
Person-centered care planning falls within the Resident Care and Quality of Life domain of the CNHA content outline.
Question 2: A study group is reviewing PASRR requirements. What does PASRR primarily assess in the nursing home context?
- Physical therapy needs of residents
- Mental illness or intellectual disability requiring specialized services (Correct answer)
- Nutritional status of new admissions
- Fall risk levels for residents over age 80
Correct answer: Mental illness or intellectual disability requiring specialized services
Pre-Admission Screening and Resident Review (PASRR) identifies individuals with mental illness or intellectual disabilities who need specialized placement or services.
Question 3: When studying the finance domain for the CNHA, a candidate should understand that the difference between Medicare Part A and Part B in SNF billing primarily involves what distinction?
- Skilled nursing vs. physician and outpatient services (Correct answer)
- Inpatient vs. outpatient therapy only
- Long-stay vs. short-stay resident billing
- Federal vs. state funding mechanisms
Correct answer: Skilled nursing vs. physician and outpatient services
Medicare Part A covers skilled nursing facility stays, while Part B covers physician services and certain outpatient therapies provided to residents.
Question 4: A candidate studying human resources content should know that the primary federal law governing workplace safety in nursing homes is administered by which agency?
- Equal Employment Opportunity Commission (EEOC)
- Occupational Safety and Health Administration (OSHA) (Correct answer)
- National Labor Relations Board (NLRB)
- Department of Health and Human Services (HHS)
Correct answer: Occupational Safety and Health Administration (OSHA)
OSHA administers and enforces the Occupational Safety and Health Act, which governs workplace safety standards in nursing homes.
Question 5: In the context of CNHA exam preparation, the Minimum Data Set (MDS) is best described as which type of tool?
- A financial audit instrument for Medicare billing
- A standardized comprehensive assessment instrument used for care planning and reimbursement (Correct answer)
- A state survey checklist for deficiency citations
- An infection control tracking database
Correct answer: A standardized comprehensive assessment instrument used for care planning and reimbursement
The MDS is a federally mandated standardized assessment instrument used to assess resident health status, guide care planning, and determine Medicare/Medicaid reimbursement.
Question 6: Which proficiency area tests the nursing home administrator's knowledge of civil rights compliance and anti-discrimination requirements for residents?
- Environmental domain
- Governance and Legal domain (Correct answer)
- Human Resources domain
- Finance domain
Correct answer: Governance and Legal domain
Civil rights compliance, anti-discrimination laws, and legal obligations toward residents fall under the Governance and Legal domain of the CNHA content outline.
Question 7: A study partner asks about the purpose of a Quality Assurance and Performance Improvement (QAPI) program in a nursing home. The correct answer is that QAPI is designed to:
- Satisfy state survey requirements only
- Systematically identify, prioritize, and improve care quality and safety on an ongoing basis (Correct answer)
- Replace the role of the medical director in clinical oversight
- Document incidents solely for liability protection
Correct answer: Systematically identify, prioritize, and improve care quality and safety on an ongoing basis
QAPI is a comprehensive, ongoing program that facilities must maintain to proactively identify problems and drive continuous improvement in care quality and safety.
CNHA Proficiency Preparation and Content 3
Which CNHA exam content area addresses the administrator's responsibility for ensuring residents receive person-centered care planning?