ALF Core Test Questions and Answers (Latest 2023 – 2024) With Complete Solution, Exams of Health sciences

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ALF Core Test Questions and Answers (Latest 2023 – 2024)

With Complete Solution

Comprehensive emergency management plans are reviewed by - the county emergency management agency Assisted Living facilities are licensed by - the Agency for Health Care Administration (AHCA) Allegations of abuse, neglect and exploitation are investigated by - representatives of the Department of Children and Families Assisted Living facilities should be operated as - residential environments with supportive services "Agency" as used in chapter 429, F.S. means - the Agency for Health Care Administration To be eligible to receive a limited nursing services license - a facility must not have been subject to administrative sanctions affecting the health, safety or welfare of residents in the past 24 months Providing "personal services" includes providing direct physical assistance with or supervision of - the self-administration of medication (NOT medication administration) The Department of Health is responsible for - sanitation inspections Representatives from the local health departments are responsible for - inspections related to food hygiene Facilities with extended congregate care licenses - may provide any service under the scope of the nurse's license Assisted living facilities with a standard license may - employ nurses to administer medications to residents Any entity that provides housing, meals and one or more personal services to more than 2 persons who are not relatives for a period exceeding 24 hours must have an assisted living license unless - licensed as an Adult Family Care Home When a representative of the Department of Children and Families or the Agency for Health Care or the Long Term Care Ombudsman comes to your ALF - you may ask to see identification Assisted living services should be provided - in a manner that promotes the dignity and individuality of residents

Operating an unlicensed assisted living facility is - a third-degree felony Facilities seeking to obtain an extended congregate care license - must develop policies and procedures and residency criteria specifically for extended congregate care Perimeter or egress control devices and equipment must - comply with all life safety requirements Residents sleeping rooms designed for double occupancy must have a minimum square footage of ___ usable floor space per occupant - 60 square feet Temperatures must be maintained at ___ when residents are normally awake - at least 72 degrees There must be at least one bathroom with at least one toilet and sink for every - 6 persons Resident bathrooms must have - a working door In order to license a room as a resident sleeping room - the room must be at least 80 square feet Legacy facilities that are fully sprinklered must conduct - 6 fire drills per year The shower or tub ratio to residents is - 1 to 8 An assisted living facility that receives its certificate of occupancy on or after July 1, 2016 must comply with - NFPA 101 and NFPA 101A current editions Assisted living facilities must provide - areas separate from bedrooms for activities When calculating the minimum square footage requirement for living and dining space - live-in staff and family members must be included in the ratio Fire evacuation capability determination must be completed - within 6 months of becoming licensed as an ALF If a facility has a limited nursing services license - a resident who requires intravenous therapy administered in the facility may be admitted if this is agreeable to the ALF A resident being admitted to an ALF may - receive assistance from more than one person to transfer For residents placed by the Department of Children and Families, the 1823 must be completed - within 30 days prior to admission

A terminally ill resident who exceeds the residency criteria may remain living in an ALF under what circumstance? - the resident is on hospice and continued residency is agreeable to the resident and the facility In order to be admitted to an ALF, a person must be - 18 years of age At the time of admission, a resident who is receiving hospice services may be admitted as long as - the resident meets the admission criteria What condition of need is the resident allowed to have and still be admitted to an ALF? - Assistance with a CPAP machine Administrators are responsible for ensuring - the ALF can meet residents' needs Activies of daily living include - feeding, grooming, toileting, bathing A resident being admitted to an ALF may - be receiving hospice services The Health Assessment of 1823 must be completed by - physician or physician's assistant or an advanced registered nurse practitioner Resident needing ____ services may be admitted to an ALF - assistance with bathing All residents must be assessed for risk of elopement - within 30 days of admission When a resident experiences a "significant change," the ALF must - obtain a new 1823 completed by a health care provider ALFs demonstrate resident involvement in activity of planning in which ways? - resident council and committee meetings, a monitored suggestion box, group discussions Mr. Billings requires assistance to get to his neurologist... - a friend may take him to the neurologist Supervision includes - contacting the resident's family when the resident exhibits a significant change In an ALF with a standard license, nurses are allowed to - administer medications, give pre- packaged enemas and supervise the taking of vital signs A type of assistance an ALF must provide - assistance with scheduling doctor appointments With regard to third party providers - residents may contract directly with these providers to provide services as long as they continue to meet the residency criteria and the provider coordinates with the facility regarding the resident's care

A "significant change" - describes a sudden shift in behavior or mood or a deterioration in health status ALFs must keep a record of - changes in the resident's condition which resulted in the provision of additional services ALFs shall consult with residents in - selecting, planning, and scheduling activities A facility's elopement policies and procedures must cover - how staff will conduct an immediate search of the facility's premises Third party providers - must follow the facility's policies and coordinate with the facility regarding the resident's condition Person centered care for persons with memory impairments includes - recognition that the person is not diminished When moving from person centered moments to a person centered culture it is important to - provide relationship opportunities for all stakeholders Person centered care is an orientation to the delivery of care and supportive services that address the individual's - needs and goals, preferences and cultural traditions, and family situations and values Admission package information must be made available to potential residents and include _____ - information about rates and services Which items must be provided at the time of admission if not previously included in information shared with potential residents? - copy of resident contract, copy of resident bill of rights, and a copy of the long term care ombudsman brochure Residents must undergo a face-to-face medical examination at least - every three years This person can complete an 1823 - physician's assistant Admission packages must include - a written description of services for persons with ALZ disease if the ALF advertises it provides special care for dementia _______ is considered to not be patient brokering - providing monetary compensation to a resident who refers a former neighbor to your facility ALFs must include ____ on all advertisements - the facility's license number Contracts must include express provisions which address - the facility's services nd accommodations included in the rates

Resident contracts must include - provisions that the resident must be assessed upon admission and every three years thereafter Resident contracts must include a ___ policy - refund Resident contracts must be maintained for a period of - 5 years Pro-rated refunds must be calculated based on - the termination date A contract must be executed with the resident - at the time of admission Residents may not be required to provide more than a ____ notice of move-out - 30 days Security deposits must be kept in a - Florida banking institution When your contracts include a bed-hold agreement, you must - include a provision which addresses termination of the bed hold should the resident be unable to return to your community When an ALF provides safekeeping for a resident's money or property - 1) a quarterly statement must be provided detailing income and expense records

2. a monthly statement must be provided when an ALF administrator or staff member serves as a resident's attorney in fact
3. within 30 days of receipt of advance rent or security deposit, the facility shall notify the resident in writing of how the ALF is holding the advance rent or deposit A facility's whose owner, administrator or staff serves as the POA for a resident, must - maintain a surety bond equal to twice the average monthly income of the resident, plus the value of the resident property An ALF may provide safekeeping of a resident's funds and property in the amount of - up to $500 cash and $500 personal effects A facility that serves as a representative payee for a resident receiving optional state supplementation (OSS), the facility must - maintain a minimum bond equaling twice supplemental security income (SSI) or social security disability income (SSDI) and the OSS payment Resident funds and property held in safekeeping shall be held - in a Florida banking institution ALFs must use a _____ accounting system - recognized Withholding evidence of financial instability from the Agency - is evidenced by things like purposely hiding from the agency things like unpaid liens and taxes

An ALF must maintain a surety bond if - it serves as a representative payee for a resident who receives optional state supplementation When a controlling interest is involved as a defendant or a petitioner in a bankruptcy or foreclosure - the Agency must be notified in 10 days ALFs must maintain _____ insurance at all times - liability A facility may serve as - a resident's attorney in fact When there is a change to a resident's medication order - a brightly colored "alert" label may be used to alert the staff to the change in directions for use When assisting residents with their medications, unlicensed staff may - prepare items such as water, cups, spoons, and juice Unlicensed staff are allowed to - assist with colostomy bags Nurses are allowed to: - administer "as needed" medications Residents who are capable of self-administering their medications may be required to: - store their medications centrally Prior to assisting residents with their medications, staff should - wash their hands Mary is assisting a resident with medications when one falls to the floor - the medication should be considered contaminated and disposed of properly Unlicensed staff trained to assist with the self-administration of medications may - assist a competent resident who requests a prescribed "as-needed" sedative Mr. Parker self-administers his medications and tells you he is no longer taking one of them because it makes him feel funny - call Mr. Parker's health care provider Mr. Wittaker moved out of your community on June 1 and left some medications behind - destroy the medications within 30 days and document this in the resident record Mary is your primary unlicensed staff person who assists residents with their medications. She is allowed to: - record changes to medication directions in the MOR PRN or "as-needed" medication may be administered by - a licensed nurse Medications may be administered by - a nurse Unlicensed, trained staff may - apply patches, perform glucometer testing, and crush medications according to a health care provider's order

Medications which are centrally stored must be - accessible only to staff who are responsible for and qualified to assist residents with their medications When assisting residents with topical creams: - staff should wear gloves You have a licensed nurse on shift from 9am-7pm. Ms. Addy needs injections administered at 7a and 7p. - Ms. Addy may contract with a nurse to come in and administer her injections at the times they are prescribed Assistance with the self-administration of medications does not include - injecting medications When a resident returns from the doctor with a sample medication in its original package, what must be on the label? - the resident's name, the physicians name, and the date dispensed Nurses may: - take telephone orders Assistance with self-administration of medication training must be provided by - an RN or licensed pharmacist Unlicensed staff who fail to take the _____hours of CEU on how to assist with the self- administration of medication will be considered to be out of compliance with the training requirements - 2 Mr. Well's daughter wants her father who has his medications administered to take fish oil supplements and American Ginseng. She brought them into the ALF yesterday and has instructed you to give the over the counter medication to her father following the manufacturers instructions. You should: - advise the daughter that OTC medications must be prescribed by a health care providers because her father has his medication administered Required serving temperatures for hot and cold food are - 135 degrees or above, 41 degrees or below Temperature logs may be required for - refrigerators, cooking temperatures, dishwashing temperatures All food handlers must wash their hands for at least - 20 seconds Leftovers must be - reheated to at least 165 degrees and held for 15 seconds Food service regulations address - fingernails Leftovers may be reheated _____ times - one

What is the most important thing you can do to prevent foodborne illness? - wash your hands Hot foods must be maintained at a minimum temperature of - 135 degrees You made a big pot of chili for the Super Bowl and need to refrigerate it until Sunday - you can place it in shallow pans to cool rapidly Food must be stored - at least 6 inches off the floor The recommended way to thaw food is - under refrigeration Regulations related to food services address - dishwashing requirements, sink compartments, vermin control Cold foods must be maintained at a temperature of - 41 degrees or below Today's menu indicates that broccoli is to be served as the vegetable at dinner. You did not receive broccoli from your food vendor this week. - you can substitute asparagus and record this prior to serving the meal All ALFs must keep at least _____ days of non-perishable food as part of the facility's emergency management plan - 3 Menus should be planned - based on the preferences and food habits of the residents Menus must be developed by a licensed or registered dietician, a licensed nutritionist , or a registered dietetic technician supervised by a licensed or registered dietician or licensed nutritionist and reviewed - annually Copies of menus as served, including substitutions must be kept on file for - 6 months Snacks must be available - when residents do not have access to kitchen facilities Therapeutic diets - must be provided in accordance with a health care provider's order Your ALF is licensed for 6 residents, therefore - you must ensure that all food service staff receive training on safe food handling within 30 days of employment The time between meals for facilities serving 3 meals per day must be - not more than 6 hours and no less than 2 hours between meals You are serving 3 ounces of fish for dinner. Ms. Abby does not like fish. - you can offer 3 ounces of chicken in place of the fish

Mr. T is a messy eater and this upsets his tablemates - You assist Mr. T in a dignified manner in the dining room Menus must be planned at least _____ in advance - 1 week How much water is required to be on hand as part of the facilities emergency management plan? - sufficient supply for food preparation and drinking Utensils for plating must include measurements because - staff must plate food according tot he portion sizes identified by the dietary professional who reviews the menus annually For every 20 total combined residents, respite care residents, and day care participants over 95, how many additional staffing hours per week must be included to meet minimum staff hours per week? - 42 You operate 3 ALFs licensed for 25 beds, all located within a 15-mile radius of each other - you must appoint 3 managers, one for each ALF, if you serve as the administrator of all 3 ALFs During a monitoring survey, AHCA has determined that adequate care is not being provided to residents - AHCA may require the facility to immediately increase its staff above the minimum staffing required A new administrator must notify AHCA of the change in administrator within - 10 days Evidence of freedom from communicable disease, including tuberculosis, must be documented for each employee - every year There must be at least one person in the facility at all times who - has completed first aid and CPR courses and holds currently valid CPR and first aid cards Minimum staff hours per week are based on - the number of combined residents, respite care residents, and day care participants Newly hired staff must provide documentation of freedom from communicable disease within - 30 days of employment A manager - may only serve as the manager of one facility and may not simultaneously serve as the administrator Documentation of compliance with level II background screening requirements must be completed - prior to employment When calculating minimum staff hours per week, an administrator's time may be counted if

• The administrator is included on the staffing schedule and is involved in day to day decisions

AHCA may immediately require an ALF to increase staff above the required minimum - when the fire safety authority determines that fire safety requirements are not being met ALFs licensed for 17 or more residents must have - awake staff at all hours of day/night If an administrator will be absent from the facility for more than 21 consecutive days - a person who has met the administrator or manager requirements must be appointed in writing to be in charge of the facility Administrators and managers must complete the core competencies requirements within - 3 months of becoming the administrator or manager All staff must have training on HIV/AIDS and elopement policies and procedures - within 30 days of employment Staff who provide direct care assistance to residents must be trained on infection control, universal precautions and facility sanitation procedures - before providing care Who must participate in elopement drills? - administrators and direct care staff ALFs are required to maintain minimum staffing based on staff hours per week. Which of the following may be included in the minimum staffing hours? - ALF manager who is actively involved in day to day operation of the facility Administrators who are in charge of a facility which holds an ECC license - must complete 12 hours of CEUs every two years Pre-service orientation must address which of the following topics at a minimum - resident rights Staffing schedules must be kept on file for a period of - 6 months Administrators must complete ____ hours of CEUs every 2 years - 12 Staff who provide direct care services to residents with memory impairments must - complete training on elopement policies and procedures within 30 days of employment Staff who handle, prepare or serve food - must receive training on safe food handling within 30 days of employment Staff assisting with the self-administration of medications must have ___ hours of training - 6 hours, prior to providing assistance Staff who provide assistance with the self-administration of medication must complete ___ hours of CEU annually - 2

A completed employment application is required for ____ - all employees The admission and discharge log must contain - a notation if a resident is admitted with a stage 2 pressure sore If a resident is receiving hospice services, this item is required: - an interdisciplinary plan of care If a resident has a health care surrogate or POA - this must be documented in the resident record Copies of past AHCA surveys must be retained for a period of - 5 years ____ incidents must be reported to the Agency - adverse Weight records are required - on admission and semi-annually Resident records must be retained for a period of ____ years after the resident is no longer living in the ALF - 2 years Residents who refuse to follow a therapeutic diet must - be counseled and documentation of refusal noted in the resident record Health assessment must be completed by the resident's health care provider and include - the license number and address of the HCP, whether or not the resident requires a special diet and a list of the resident's medications Residents may be admitted to ECC if they require - total care with their ADLs ALFs who wish to serve "mental health residents" must obtain a limited mental health license - prior to admitting 1 mental health resident In an ECC facility, nurses may - provide any service under the scope of their nursing license as long as the resident continues to meet the residency criteria Residents who exceed the continued residency requirements for an ECC facility may remain living in the facility if - the resident qualifies for and is agreeable to hospice services Residents receiving ECC services must have a face to face medical examination - at least annually A community living support plan for a mental health resident is required to be updated - at least annually or whenever there is a significant change in the persons behavioral health

A mental health resident must be assessed to determine - whether or not the person is appropriate to reside in an ALF Facilities licensed for mental health services must - assist the resident to carry out the goals identified in the community living support plan ALFs holding a limited nursing license must - ensure HCPs orders for all nursing services Residents receiving ECC services must have a service plan completed - quarterly Emergency management plan must be reviewed ___ by the count emergency management agency - annually Prior to obtaining an ALF license, a new applicant must - submit an environmental control plan to the emergency management agency ALFs are required to have alternate ____________ in the event of an emergency - power sources Emergency management plans must include information on - evacuation procedures, emergency food and water supplies, fire safety plan Emergency environmental control plans address - minimum temperatures during a loss of a primary power source ALF are licensed by - the Agency for Health Care Administration When a licensee discontinues operations, the agency must be notified - 30 days prior to the discontinuance An application for license renewal must be submitted to the agency at least - 60 days prior, but no more than 120 days before the expiration of the current license When a change of ownership occurs, the transferor shall notify the agency - at least 60 days before the transfer Requested information omitted from an application for licensure must be filed with the agency within how many days after the agency's request? - 21 Satisfactory sanitation and fires safety inspections must be completed ______ - annually and copies must be submitted with an application for re-licensure The agency has how many days to approve or deny an application after receipt of a complete application? - 60

Controlling interest means an applicant or licensee that serves as an officer, is on the board of directors, or - has 5% ownership interest the Agency may deny or revoke a license - when the administrator is found to have misappropriated a resident's property AHCA must deny a license when - the facility has two class I violations from unrelated circumstances during the same survey The Agency has identified problems with your dietary practices and cited a class II violation. You must - bring in a consultant dietician within 7 days A receiver may be appointed when - a facility doesn't have enough money to provide care for residents When the agency places a moratorium on admissions - the facility must post the notice of moratorium to the public Fines are assessed when you receive a - class II violation Relicensure surveys are conducted by the AHCA - biennially AHCA may deny a license - upon recommendations from the local fire safety authority when a facility fails to correct fire code violations that threaten the safety and welfare of residents Issued when the agency determines imminent danger to residents - class I violations The fine for non-compliance with level II background screening requirements is: - $