Federal Nursing Home Administrator Practice Exam

What is the primary function of governance in a nursing home setting?

1. To provide resident care

2. To exercise authority and oversight

3. To handle financial transactions

4. To manage day-to-day operations

The correct answer is: To exercise authority and oversight

In a nursing home setting, the primary function of governance is to exercise authority and oversight. Governance involves establishing policies, making strategic decisions, and ensuring accountability within the organization. This includes overseeing the administration of resident care, financial practices, and compliance with regulations, all to maintain the highest standards of care and operational efficiency. Effective governance means that the board or governing body has a strategic role in guiding the facility's mission and responding to the needs of residents and staff alike. It provides a framework within which the nursing home operates, ensuring that decisions are made in alignment with the facility’s goals and that the best interests of residents are prioritized. By focusing on governance, administrators can ensure that the nursing home adheres to ethical practices, maintains regulatory compliance, and fosters an environment conducive to quality care. While providing resident care, handling financial transactions, and managing day-to-day operations are all essential functions within a nursing home, they fall under the broader oversight implemented by governance. Governance sets the tone and direction for these activities but does not engage in them directly. Instead, it ensures that there are systems and processes in place for the effective delivery of care, sound financial management, and operational efficiency.