CNHA Roles and Responsibilities 3

Question 1

A resident with dementia exhibits increased agitation. The administrator notices that chemical restraints are being used without proper documentation. What action is required?

Accepted Answer

Immediately review facility restraint policies, require proper documentation, and ensure physician orders exist

Answer

Allow the clinical team to manage restraint use without administrative interference

Answer

Report the situation to law enforcement as elder abuse

Answer

Wait for the next survey to address documentation gaps

Question 2

What is the administrator's primary responsibility when a state surveyor arrives for an unannounced inspection?

Accepted Answer

Greet the surveyor, verify credentials, and facilitate full access to the facility

Answer

Ask the surveyor to reschedule to allow staff to prepare

Answer

Contact legal counsel before allowing the survey to begin

Answer

Limit surveyor access to common areas only

Question 3

Under the Americans with Disabilities Act (ADA), what must a nursing home administrator ensure regarding employment practices?

Accepted Answer

Reasonable accommodations must be provided to qualified employees with disabilities

Answer

Disabled applicants may be screened out if the job requires physical demands

Answer

Disability status must be disclosed during the hiring process

Answer

ADA requirements do not apply to healthcare settings

Question 4

Which of the following is a core financial responsibility of the nursing home administrator?

Accepted Answer

Overseeing the facility budget, monitoring census, and ensuring fiscal solvency

Answer

Processing individual resident billing statements

Answer

Negotiating Medicare reimbursement rates with CMS directly

Answer

Managing resident trust fund investments

Question 5

A long-term care administrator learns that a staff member made an unauthorized social media post showing a resident. What is the administrator's obligation?

Accepted Answer

Investigate, take corrective action, report the HIPAA breach per facility policy, and notify the affected resident

Answer

Issue a verbal warning and monitor the employee's future posts

Answer

Delete the post and consider the matter resolved

Answer

Transfer the employee to a non-resident-facing role

Question 6

The Resident Council in a nursing facility presents concerns about the quality of food service. What is the administrator's appropriate response?

Accepted Answer

Meet with the council, document concerns, and develop an action plan with the dietary director

Answer

Inform the council that food service is a dietary department matter

Answer

Schedule a follow-up meeting for three months later

Answer

Assure the council the issues will be resolved without investigating

Question 7

Which of the following documents governs the operational standards and expectations for a Nursing Home Administrator under their state license?

Accepted Answer

State licensure laws and the NAB Model Practice Act

Answer

The facility's mission statement

Answer

The state Nurse Practice Act

Answer

The Medicare Conditions of Participation only