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Guide for NHA-MD: Nursing Home Administrators Exam - Maryland

Quiz NHA-MD: Nursing Home Administrators Exam - Maryland

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Quiz

1/10
Leadership, Management, and Governance
A nursing home’s governing body is reviewing its responsibilities after a poor survey outcome. Which action best reflects the governing body’s accountability under sound governance principles?
Select the answer
1 correct answer
A.
Ensuring the facility has an effective administrator and quality systems, while monitoring compliance and outcomes
B.
Personally completing resident care plans for residents with repeated incidents
C.
Delegating all compliance responsibility to the director of nursing and taking no further action
D.
Replacing the facility’s QAPI program with informal staff discussions only

Quiz

2/10
Federal Nursing Home Regulations and CMS Requirements
Under federal CMS requirements for nursing facilities, what is the primary purpose of the Quality Assurance and Performance Improvement (QAPI) program?
Select the answer
1 correct answer
A.
To identify quality problems, analyze causes, implement corrective actions, and sustain improvements in care and services
B.
To prepare marketing materials for prospective residents and families
C.
To replace all required resident assessments with committee notes
D.
To focus only on nursing department issues and exclude other departments

Quiz

3/10
Human Resources and Staff Development
A facility is developing its annual training plan for nurse aides. Which item is specifically required under federal nursing home requirements?
Select the answer
1 correct answer
A.
At least 12 hours of in-service education annually for each nurse aide
B.
A college degree for every nurse aide within two years of hire
C.
Annual training only for nurse aides who have performance problems
D.
Training limited to classroom lecture with no resident-care competency focus

Quiz

4/10
Resident Care and Quality of Life
A resident with decision-making capacity refuses a scheduled shower and asks to bathe later in the evening. What is the best facility response?
Select the answer
1 correct answer
A.
Honor the resident’s preference when possible and revise routines to support person-centered care
B.
Force the shower because the facility schedule takes priority
C.
Document the resident as noncompliant and take no further action
D.
Tell the resident that personal preferences do not apply in a nursing home

Quiz

5/10
Maryland Nursing Home Laws, Regulations, and Licensing Requirements
In Maryland, which entity is primarily responsible for licensing and surveying nursing homes for compliance with state requirements?
Select the answer
1 correct answer
A.
Maryland Department of Health, Office of Health Care Quality
B.
Maryland State Department of Education
C.
Maryland Department of Transportation
D.
Maryland Insurance Administration

Quiz

6/10
Financial Management and Budgeting
How does a rolling budget differ from a static budget?
Select the answer
1 correct answer
A.
A rolling budget is continuously updated, whereas a static budget remains fixed for a period
B.
A rolling budget is only used for cash flow projections
C.
A rolling budget ignores variability in operational activities
D.
A rolling budget is based solely on historical data

Quiz

7/10
Survey, Certification, and Enforcement Processes
What is the primary purpose of a standard survey in a nursing facility?
Select the answer
1 correct answer
A.
To evaluate whether the facility complies with federal and state requirements
B.
To determine the facility's tax status
C.
To approve employee schedules for the next quarter
D.
To inspect only the physical appearance of resident rooms

Quiz

8/10
Risk Management, Safety, and Emergency Preparedness
Which practice is most effective in reducing the risk of resident falls?
Select the answer
1 correct answer
A.
Keeping residents in bed as much as possible
B.
Using a comprehensive fall prevention program with assessment, interventions, and monitoring
C.
Removing all mobility devices from resident rooms
D.
Encouraging staff to avoid documenting near-falls

Quiz

9/10
Quality Assurance and Performance Improvement
Which of the following best describes the Plan-Do-Study-Act (PDSA) cycle?
Select the answer
1 correct answer
A.
A framework for rapid cycle testing of process changes
B.
A method for budgeting and financial controls
C.
An approach to employee scheduling
D.
A strategy for marketing new services

Quiz

10/10
Communication with Residents, Families, Staff, and Regulators
When communicating with residents, which approach best supports person-centered care?
Select the answer
1 correct answer
A.
Using only medical terminology to maintain professionalism
B.
Speaking in a respectful, clear, and understandable way while listening to the resident's concerns
C.
Directing the conversation only to the resident's family to save time
D.
Avoiding explanations to prevent confusion
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  • Quiz name:NHA-MD: Nursing Home Administrators Exam - Maryland
  • Total number of questions:504
  • Number of questions for the test:50
  • Pass score:80%

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