• Nursing Home Administrator Exam

A drug that is given without a medical reason, and an excessive or inadequate dose or duration of therapy, where side effects indicate that a dose modification or drug discontinuation is indicated, or inadequate monitoring for effect or manufacturer's recommendations for laboratory monitoring. This therapy results and potential negative outcome or is not achieving the stated objectives of the prescriber. The consulting pharmacist should address this potential drug therapy problem at the time of the drug regimen review.

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A Federal Insurance Program providing a wide range of benefits for specific periods of time through providers and suppliers participating in the program. Providers in Medicare are patient care institutions such as hospitals, hospices, nursing homes, and home health agencies. Benefits are payable for most people over the age of 65, Social Security beneficiaries under the age of 65 entitled to disability benefits, and individuals needing renal dialysis or renal transplantation. Payment for services is made by the federal government through designated fiscal intermediaries and carriers to the providers and suppliers. The person in charge to operate a nursing home and licensed by the state. As the nursing home evolve the title of the person was changed from operator to nursing home administrator. Since then that term nursing home is change to nursing facility.

If you stage change nursing home administrator to nursing facility administrator. However, that term nursing facility has not become popular. Predominantly they are called nursing homes, so the title nursing home administrator is likely to remain in vogue. Publicly reported information made available by CMS to help consumers assess the quality of nursing home care. There are two categories of quality measures. Number one, conditions relevant primarily to long-term residents including decline in late loss ADLs, pressure sores, residence with pain, physical restraints, and prevalence of infections. Number 2, short stay residents with pain an improvement in walking.

Many of the quality measures are based on in virtually identical to quality indicators. The health professional designated to oversee food and nutrition services and acute and long-term care settings by both the Centers for Medicare and Medicaid Services and the Joint Commission on Accreditation of health care organizations; this professional has received a degree in Nutrition Science, completed a 1,000 hour dietetic internship, and passed a comprehensive national registration exam with a minimum of 15 continuing education hours that must be obtained and approved by the Commission on dietetics registration for the registered dietitian credentials to be maintained. Substandard quality of care is any deficiency in 42 CFR 483.13 resident behavior and facility practice, 42 CFR 483.15 quality of life 442 CFR 483.25 quality of care that constitutes immediate jeopardy to resident health or safety, or a pattern of or widespread actual harm that is not immediate jeopardy, or a widespread potential for more than minimal harm that is not immediate jeopardy, with no actual harm. On the federal enforcement grid, substandard care equates to boxes f, h, i, J, K & L, and results in imposition of penalties. Which of the following does not support resident centered care concepts?

Upon admission the resident indicates a preference to bathe at night, the facility policy requires all has to be given on the day shift. Breakfast is served from 6:30 a.m. To 8 a.m., the resident chooses to sleep until 9 a.m. So the nursing staff make sure cereal and milk are available at 9. Upon admission the resident was allowed to bring his personal recliner to the facility to furnish his room. Prior to living in the nursing facility the resident enjoyed fishing, the activities staff arrange for the resident to attend the annual fishing rodeo located 30 miles from the facility.

Which of the following statements is true regarding a facility providing medically related social services in the facility? A facility must have a full time qualified social worker on staff for each work shift except weekends B. A facilities qualified social worker must have a bachelor's degree in social work and one year of supervised experience in a healthcare setting working with individuals C. A facility must have one qualified social worker for each 75 re sidents D. A fa cilities qualified social workers bachelor's degree can be in a human services field or in another degree with one year of supervised social work experience in a healthcare setting working directly with individuals. Which one of the following statements is correct regarding activities provided through the activities department of a facility?

Spiritual activities are not permitted in a facility that receives federal dollars B. Manicures and pedicures, hair styling, and makeovers may be considered part of the activities program C. Trips to casinos and other gaming capabilities, museums, fishing events are not permitted because of the liability for facilities D. Most activities which are scheduled by the activity director should be of a physical nature in order to help residents increase or maintain their mobility. Which one of the following statements is correct about nasal gastric tube feeding while in a facility? An individual who needs to be fed may be given a nasogastric tube to make eating easier for the resident B.

The facility must ensure that the resident receives appropriate treatment to restore normal eating skills if possible C. With the families permission the resident may be given a naso-gastric tube D. The initial assessment demonstrates with the resident's clinical condition indicates he or she cannot eat by himself or herself. An optional benefit in which employees can set aside a designated amount of funds for future Medical Services. As medical services are incurred, the charges made against the account. The funds are usually a pre-tax withdrawal from the employees check.

The optional benefit must be a careful calculation and is usually for persons that have consistent or relatively High medical expenses. There is an administrative fee from the processing agent and funds not used can't be carried over to the next year. A budget is based on the goals and priorities of the organization and expresses them in statistical and monetary terms it also describes how resources will be allocated to achieve these goals, provides criteria for measuring goal achievement, facilitates the coordination of individual efforts into an overall plan, is based on historical Trends in the organization, and represents Management's predictions on how internal and external changes will affect the facility's future utilization and financial performance.

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Learn One Skill or Perfect Several Normally, to earn a CEU, you would have to attend a conference and possibly book a hotel, flight, and ground transportation in addition to the conference’s ticket. We save you the money and the hassle and allow you to earn up to 11 credit hours at a time. You will not have to leave your career or give up too much of your family time in the interim either. At AffordableCEUs.com, our primary goal is to provide current, informative NAB Approved CEUs. Our Nab Nursing Home Ceus are for Nursing Home and Assisted Living Administrators who have chosen to increase their knowledge on a specific subject or are required to take CEUs to retain their state or federal professional license. All NAB Approved CEUs courses have been reviewed and approved by trained reviewers, and these courses are approved by all state boards. If you are unsure if your state licensing board accepts our pre-approved courses, please contact your board directly.

Nursing Home Administrator Exam

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