CNHA Roles and Responsibilities 2

Question 1

A nursing home administrator receives a complaint from a resident's family about inadequate pain management. What is the administrator's FIRST responsibility?

Accepted Answer

Investigate the complaint promptly and involve the Director of Nursing

Answer

Dismiss the complaint as a medical matter outside administrative scope

Answer

Refer the family directly to the attending physician without follow-up

Answer

Document the complaint and wait for the next care plan meeting

Question 2

Which federal law primarily governs nursing home standards of care and resident rights in the United States?

Accepted Answer

Omnibus Budget Reconciliation Act of 1987 (OBRA '87)

Answer

Health Insurance Portability and Accountability Act (HIPAA)

Answer

Americans with Disabilities Act (ADA)

Answer

Emergency Medical Treatment and Labor Act (EMTALA)

Question 3

An administrator discovers that a licensed nurse has been falsifying medication administration records. What must the administrator do?

Accepted Answer

Report the falsification to the state licensing board and document the incident

Answer

Counsel the nurse privately and monitor behavior going forward

Answer

Transfer the nurse to a different unit to prevent further issues

Answer

Consult legal counsel before taking any action

Question 4

What is the administrator's role in the facility's Quality Assurance and Performance Improvement (QAPI) program?

Accepted Answer

Lead and champion the QAPI program to drive systemic improvement

Answer

Serve as a passive observer who reviews reports quarterly

Answer

Delegate all QAPI responsibilities to the quality assurance coordinator

Answer

Participate only when CMS surveyors are present

Question 5

A nursing home administrator is responsible for ensuring that the facility maintains a valid operating license. How often must most state nursing facility licenses be renewed?

Accepted Answer

Annually

Answer

Every 5 years

Answer

Every 3 years

Answer

Every 6 months

Question 6

Which of the following best describes the administrator's responsibility regarding advance directives for residents?

Accepted Answer

Ensure staff are trained and that facility policies honor residents' advance directives

Answer

Personally review and approve each resident's advance directive upon admission

Answer

Delegate advance directive compliance entirely to the social services department

Answer

Advise residents on what type of advance directive to complete

Question 7

A new administrator takes over a facility that is on CMS Special Focus Facility (SFF) status. What does this designation mean?

Accepted Answer

The facility has a history of serious quality issues requiring enhanced oversight

Answer

The facility has received extra funding for improvement programs

Answer

The facility specializes in a specific clinical population

Answer

The facility is under consideration for Medicare certification