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The Licensing Exam Review Guide in Nursing Home Administration, Seventh Edition

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The Licensing Exam Review Guide in Nursing Home Administration, Seventh Edition

SKU# 9780826129185

Author: James E. Allen PhD, MSPH, NHA, IP


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"...[A]n invaluable tool if used as a study guide... Long term care is continually changing and this seventh edition includes some of these changes and updates the sample questions to align with them. This is an excellent tool for anyone preparing to take the national licensing exam. Score: 95 - 4 Stars!"

--Dave Walker, BSE, LNHA, MU Sinclair School of Nursing, Doody's Reviews

Sixth Edition A Doody’s Core Title!

The seventh edition of this classic review guide for nursing home administration licensure is revised and updated to reflect new information as recentlymandated for the federally required national exam. It is based on the same format as the actual exam and provides an easy-to-use, effective way to reviewessential concepts and practice test-taking skills.

The seventh edition reflects all changes to the new exam and includes more than 1,000 test questions with answer keys. Contains cross-references to thepage in Nursing Home Administration, Seventh Edition, where each question topic is discussed, and new content specific to the NAB exam. With coreinformation on management, governance, and leadership; finance and business; environment; resident and patient care; and human resources—plus savvytest-taking strategies—it includes everything you need for exam success.

New to the Seventh Edition:

  • New questions and answers reflecting all updates and revisions
  • New laws and federal regulations
  • Impacts of the ACA on long-term care
  • MDS 3.0
  • 2015 federal requirements for electronic health records
  • New RAI (Resident Assessment Instrument)
  • New quality indicators
  • New lifestyle safety code inspection processes
  • New ICD-10-CM (International Classification of Diseases‚ÄìClinical Modification, 10th Revision)
  • New topics including transportation options, customer care, data security, social media, contractual agreements, information management and technology, and much, much more

Key Features:

  • More than 1,000 questions with answer key
  • Core information on management, governance, and leadership; finance and business; environment; nursing: resident/patient care; and human resources
  • Test-taking strategies for success

Product Details 

  • Publication Date December 02, 2015
  • Page Count 208
  • Product Form Paperback / softback
  • ISBN 13 9780826129185

About The Author(s) 

James E. Allen, PhD, MSPH, NHA, IP, is an associate professor of Health Policy and Administration Emeritus at the University of North Carolina at Chapel Hill and president of, a national resource website for information on the long-term care field. He has 30-plus years of experience in teaching and conducting research in the field of health care administration. He taught courses at the University of North Carolina at Chapel Hill in long-term care administration, medical ethics, and the organization and financing of health care delivery in the United States. He has provided legal consultation in long-term care litigation matters across 10 states.

The website (or provides more than 500 pages of state-by-state, up-to-date information on such subjects as:

Becoming a nursing home administrator

Becoming an assisted living administrator

Exploring a career in long-term care

Contacting the state licensing authority in each state

Enrolling in college programs in each state

Obtaining key publications in the long-term care field

Getting continuing education units.

Dr. Allen can be reached via e-mail through the website, or directly at or, or via phone (1-929-815-0387) or fax (1-919-953-6825). Continuing education units for both nursing home and assisted living administrators are also available through the website (

Additional resources from Springer Publishing Company are available to persons preparing to become long-term care administrators :

Nursing Home Federal Requirements and Guidelines to Surveyors , Eighth Edition: A user-friendly rendering of the Centers for Medicare and Medicaid Services nursing home inspection requirements.

Nursing Home Administration , Seventh Edition: The definitive textbook of essential knowledge for obtaining licensure and employment as a nursing home administrator.

Visit for more information

Table of Contents 


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


Learning How to Manage the Health Care Organization

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

1.7.2 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


Understanding the Departments and Managing Human Resources

2.1 Organization of the Nursing Facility and Its Staff: Emergence of the “MDS” Coordinator

2.2 Identifying the Human Resources Functions

2.3 Planning Employment Needs: Writing Job Descriptions

2.6 Hiring Staff

2.7 Training Staff

2.8 Retaining Employees

2.9 Evaluating Employees

2.10 Paying Employees

2.11 Disciplining Employees


Learning to Manage the Organization’s Finances

3.10.1 Sources of Law

3.10.2 The Court Systems

3.10.3 Legal Terminology

3.10.4 Risks Assumed by the Operation of a Long-Term Care Facility


Learning the Continuum of Long-Term Care

4.1 Origins, Overview, and Current Profile of the Nursing Home Industry

4.2 The Social Security Act: Medicare and Medicaid

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 Expanding Facility Services: Health Planning Regulations

4.9 Voluntary Operating Standards: The Joint Commission on Accreditation of Health Care Organizations


Building Your Resident Care Skills

5.1 The Aging Process: Overview and Theories

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 Home Population


Putting the Systems Together

6.1 Setting Policies for the Facility

6.1.1 Administration Policies

Resource Utilization

Mental Illness

Compliance With Laws

Governing Body

Transfer Agreement

Changes in Ownership

6.1.2 Personnel Policies

Properly Qualified Activities Program Professional

Social Services

Registered Nurse

Consultant Pharmacist

Training of Nurse’s Aides

Regular In-Service Education

Use of Outside Resources

Disaster and Emergency Preparedness

Not Employing Certain Individuals

6.1.3 Dietary

6.1.4 Admissions Policies

6.1.6 Rehabilitation Policies

6.1.7 Resident’s Rights


Resident’s Exercise of Rights Without Reprisal

Resident’s Rights to All Records

Resident’s Rights to Full Total Health Status Information

Resident’s Rights to Advance Directives and to Refuse Treatment and/or Research


Protection of Resident’s Funds

Allowable Charges


Mail Rights in Sending and Receiving

Access and Visitation Rights


Married Couples Sharing a Room

Self-Administration of Drugs (Requirements)

Resident Transfers

Family Meetings

Private Pay


Freedom From Restraints



6.1.8 Quality Assessment and Assurance: Meeting the Holistic Needs of the Care Recipients

Roommate and Room Changes

Quality Assessment and Assurance

6.1.9 Dietary


6.1.10 Environmental Management

Preventive Maintenance

6.1.11 Infection Control

6.1.12 Physician Services

Plan D

Nurse’s Aide Training

6.1.13 Dental Care

6.1.14 Nursing Requirements

Standards of Quality

6.1.15 Quality of Care Using the Resident Assessment Instrument to Ensure Care Recipient Satisfaction

6.1.16 Pharmacy

6.1.17 Medical Records

6.2 Developing a Person-Centered Care Plan

Resident Assessment Instrument

6.3 The Quality Indicators Survey

6.4 The Report Card

6.5 Getting Reimbursed for Care Given

The Prospective Payment System

The Minimum Data Set (MDS)

The Resource Utilization Group (RUG) Classification System

Activities of Daily Living (ADLs)


Answers and Rationale for Questions 1 to 31

Answer Key

*Numbering of headings in this Review Guide corresponds to key headings in Nursing Home Administration, Seventh Edition.