The Licensing Exam Review Guide in Nursing Home Administration

Michael Mileski, DC, MPH, MHA, MSHEd, LNFA, FACHCA is Assistant Professor in the Long-Term Care Administration and Health Administration Programs at Texas State University in San Marcos, Texas. Rebecca McClay, DC, MS, BSN, CCRN-CMC-CSC is an Adjunct Professor and CCRN-CMC-CSC at Midland Memorial Hospital in Midland, Texas.

Introduction: Uses of this Study Guide for the NAB Domains of Practice
Format of the National Exam
The "One-Best-Answer" Testing Format
Deciding What the Question Is
Deciding What the Answer Is
Strategies for Test Taking
PART 1: LEARNING HOW TO MANAGE THE HEALTH CARE ORGANIZATION (NAB DOMAIN: LEADERSHIP AND STRATEGY)
1.1 Management Functions
1.1.1 Levels of Management
1.1.2 Line-Staff Relationships
1.2 Forecasting
1.3 Planning
1.3.1 Why Plan?
1.3.2 Steps in Planning
1.4 Organizing
1.5 Staffing
1.6 Directing
1.6.1 Policy Making
1.6.2 Making a Decision
1.6.3 Leading
1.6.4 Power and Authority
1.6.5 Communication Skills
1.6.6 Organizational Norms and Values: Code of Ethics and Standards of Practice
1.6.7 Related Concepts
1.7 Comparing and Controlling Quality
1.7.1 Some Requirements for Effective Control of Quality
1.7.2 Diagnosing/Organizational Quality
1.8 Innovating
1.9 Marketing the Long-Term Care Facility
1.9.1 The Turn to Marketing
1.9.2 The "Marketing" of Health Care
1.9.3 Developing a Marketing Strategy
1.9.4 Marketing Concerns
PART 2: UNDERSTANDING THE DEPARTMENTS AND MANAGING HUMAN RESOURCES (NAB DOMAIN: OPERATIONS)
2.1 Organization of the Nursing Facility and its Staff
2.1.1 The Administrator's Office
2.1.2 Medical and Allied Functions
2.1.3 Dental Care
2.1.4 Foot and Eye Care
2.1.5 Pharmaceutical Services
2.1.6 Physical Therapy/Occupational Therapy/Speech Therapy
2.1.7 Laboratory and other Diagnostic Services
2.1.8 Nursing Services
2.1.9 The Business Office
2.1.10 Medical Records
2.1.11 Dietary Department
2.1.12 Social Services and Admissions
2.1.13 Activities/Recreation
2.1.14 Housekeeping
2.1.15 Laundry
2.2 Identifying the Human Resources Functions
2.3 Planning Employment Needs: Writing Job Descriptions
PART 3: LEARNING TO MANAGE THE ORGANIZATION'S FINANCES (NAB DOMAIN: OPERATIONS)
3.1 The Administrator's Role as Financial Manager
3.2 Generally Accepted Accounting Principles
3.3 Two Approaches to Accounting: Cash Accounting and Accrual Accounting
3.4 The Two Main Steps in the Accounting Process: Recording Transactions and Preparing Financial Statements
3.5 Putting Financial Statements to Work: Working Capital, Ration Analysis, and Vertical Analysis
3.6 Additional Accounting Procedures that Help the Administrator Maintain Control over the Facility
3.7 The Concept of Depreciation
3.8 Using "Costs" in Managerial Decisions
3.9 Budgets and Budgeting
3.10 Finance: The Broader Context
PART 4: LEARNING THE CONTINUUM OF LONG-TERM CARE (NAB DOMAIN: ENVIRONMENT AND QUALITY)
4.1 Origins, Overview, and Current Profile of the Nursing Home Industry
4.2 The Social Security Act: Medicare and Medicaid
4.3 Older Americans Act
4.4 Labor and Management: Laws and Regulations
4.5 Workplace Safety: The Occupational Safety and Health Act
4.6 Fire Safety: The Life Safety Code®
4.7 Americans with Disabilities Act (ADA) Accessibility Guidelines for Facilities
4.8 Voluntary Operating Standards: The Joint Commission
4.9 The Affordable Care Act
4.10 The Elder Justice Act
4.11 Patient Driven Payment Models (PDPM)
4.12 Value Based Care and Pay for Performance (P4P)
PART 5: BUILDING YOUR RESIDENT CARE SKILLS (NAB DOMAIN: CARE, SERVICES, AND SUPPORTS)
5.1 Aging Process
5.2 Medical and Related Terms
5.2.1. Specializations
5.2.2 Medications/Therapeutic Actions of Drugs
5.2.3 Abbreviations
5.2.4 Prefixes
5.2.5 Suffixes
5.3 The Aging Process as it Relates to Diseases Common to the Nursing Facility Population
5.3.1 Cardiovascular/Circulatory System
5.3.2 Respiratory System
5.3.3 Nervous System
5.3.4 Digestive Diseases
5.3.5 Nutrition
5.3.6 External and Internal Disease Mechanisms
5.3.7 Musculoskeletal System
5.3.8 Urinary (Renal) System
5.3.9 Reproductive System
5.3.10 Emotional and Mental Well-Being
PART 6: PUTTING THE SYSTEMS TOGETHER