ALF CORE TRAINING, ALF CORE EXAM Questions with Verified Answers Latest Updates 2024.pdf, Exams of Nursing

Download ALF CORE TRAINING, ALF CORE EXAM Questions with Verified Answers Latest Updates 2024.pdf and more Exams Nursing in PDF only on Docsity! ALF CORE TRAINING, ALF CORE EXAM Questions with Verified Answers Latest Updates 2024 True or False? An ALF can be only one building? - Answer- False A resident can be bedridden in an ALF with a standard licence for no more then __ days? - Answer- 7 Which agency is responsible for regulatory inspections of ALF's? - Answer- AHCA Capacity in an ALF is the ____ of residents it is licensed to care for. - Answer- number Which of the following is not considered an ADL? a. Eating b.Dressing c.transferring d.ambulation e.toileting - Answer- c. transferring Limited nursing services can only be provided by? - Answer- LPN, RN, ARNP 1/2 bed rails are considered a ________ and are allowed in an ALF only if? - Answer- Physical Restraint they are ordered by a physician An event over which facility personnel could exercise control rather than as result of the resident's condition and results in? - Answer- Adverse Incident Adverse incidents are submitted on day __ and day __ to ACHA. - Answer- 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - Answer- 5 True or False? A limited mental health resident must receive OSS? - Answer- True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - Answer- False The specialty licences for an ALF are? - Answer- LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - Answer- Representative payee If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often? - Answer- quarterly A facility must conduct how many elopement drills annually? - Answer- 2 A minimum weekly staffing hours for an ALF with four residents is? - Answer- 168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - Answer- 3 Limited mental health licence What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepressant - Answer- C. psychotherapy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - Answer- Interdiscplinary care plan What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry - Answer- Fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - Answer- Insulin injections True or False? Alzheimer disease is curable by stimulating the brain? - Answer- False Any items a facility uses to advertise must contain what two things? - Answer- Assisted living facility & Licence # At least one staff member who is trained in ____ & ____ must be in the facility at all times. - Answer- CPR & First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - Answer- Biennial Can a cooperative agreement be included in a community living support plan? - Answer- Yes Which Licence allows full help with ADL's? - Answer- ECC Can you care for a stage 3 pressure sore with a LNS licence? - Answer- No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - Answer- 6 True or False? In Adult family care homes, care must be provided in the person providing cares own home. - Answer- True What does the "Long Term Care Ombudsman Council" Do? - Answer- respond and resolve problems for residents in long term care facilities How many days can a resident be bed ridden in a standard licence ALF? - Answer- 7 days An ALF owner must be how old? - Answer- 18 An ALF administrator must be how old? - Answer- 21 How many days must be given to a resident for notice of discharge? - Answer- 45 How many days does a resident need to provide for notice of termination? - Answer- 30 days How many months does an administrator have to complete all CORE training requirements? - Answer- 3 months What is the minimum square feet need per resident in an ALF for common living areas? - Answer- 35 What is the minimum square footage for a private room in an ALF? - Answer- 80 Is an ALF required to carry liability insurance at all times? - Answer- Yes What is the maximum number of residents per bedroom? - Answer- 2 What is the Toilet to sink ratio in an ALF? - Answer- 1-6 In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - Answer- 60 days How many days after Admission must a "health assessment (1823) be completed for a resident? - Answer- 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - Answer- True What is a Moratorium? - Answer- the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - Answer- 60 days Every ___ Years of employment a new background screening must be done. - Answer- 5 How many days prior must an ALF inform ACHA the discontinuance of operation? - Answer- 30 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - Answer- False 30 days How many years must copies of ACHA inspections be kept on file? - Answer- 5 True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - Answer- False The may require one If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - Answer- 10 days unless alternative time frame is required A deficiency affecting one, or a very limited number of clients or staff would be considered a what? - Answer- Isolated Deficiency A deficiency in which more then a limited number of clients or staff would be considered a what? - Answer- Patterned Dificiency A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what? - Answer- Widespread Deficiency How soon must a Class "I" violation be corrected? - Answer- 24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger clients would be considered a what class? - Answer- Class "I" A violation that directly threatens clients is considered what class? - Answer- Class "II" A violation that potentially threatens a client is considered what class? - Answer- Class "III" True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified. - Answer- False A violation that does not have the potential to negatively affect a client is considered what class? - Answer- Class "IV" Can ACHA impose an administrative fine for violations not designated as one of the four classes? - Answer- Yes When a moratorium or emergency suspension is placed on a facility they must post what where? - Answer- A notice of action in a place visible to the public What class violation would a personal hygiene issue be considered? - Answer- Class "III" Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your licence, or violating any terms of your licence are considered what type of violation? - Answer- Unclassified Violation How many days may ACHA extend a denied, revoked or set to terminate licence for the sole purpose of allowing safe and orderly discharge of clients - Answer- 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - Answer- 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - Answer- 15 days The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what? - Answer- Aging in place A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what? - Answer- Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - Answer- Chemical Restraint A guardian is a person the law has entrusted what? - Answer- the custody and control of a person or property, or both True or False you can provide 24-hour nursing care under a LNS licence. - Answer- False You may not however place the medicine directly in their mouth. A facility must notify who and how soon when they acknowledge that a resident is exhibiting signs of dementia or cognitive impairment? - Answer- A licensed physician with in 30 days Can a resident use their own belongings as space permits in an ALF? - Answer- Yes, unless they are adjudicated incompetent or incapacitated under state law. True or False A resident does not have the right to choose their own roommate. - Answer- False Upon mutual consent how much cash can a facility keep in safekeeping for a resident? - Answer- $200 Can an ALF employee barrow money from a resident? - Answer- No What are the minimum records kept on file for all staff members? - Answer- Background screening, compliance with all training and all licenses or certifications. Under what circumstance may a resident give a notice of relocation or termination of residency in less than 45 days? - Answer- Medical reasons certified my physician to require emergency relocation, or the resident has a pattern of harmful or offensive conduct towards other residents Does a resident have the right to share a room with their spouse? - Answer- Yes, if they are both residents of the facility Can an ALF require residents to wear uniforms? - Answer- No Can ACHA have private conversations with residents during a survey? - Answer- Yes The evacuation evaluation for initial licensure shall be conducted within how many months? - Answer- 6 Months A facility without a automatic sprinkler system must conduct evacuation capability's how often? - Answer- At least Aunnualy What is the maximum time allotted for an evacuation drill in an unsprinkled facility? - Answer- 3 minutes True or False All new facilities must be equipped with an automatic fire sprinkler system. - Answer- True, unless the facility houses 8 or fewer residents How many elopement drills must a facility conduct minimum per year? - Answer- 2 True or False A facility is not required to document the implement of elopement drills. - Answer- False A deficiency cited during a survey for medication must be corrected how soon? - Answer- 48 hours True or False A facility associated with a religious organization shall include it in their advertising. - Answer- True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - Answer- True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - Answer- No, however schizophrenic and other psychotic disorders are. If ACHA informs a licence applicant of errors or omissions on their application how many days do they have to respond with the required information? - Answer- 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - Answer- True how often does a facilities license need to be renewed? - Answer- every 2 years True or False when a resident uses a third party provider it is not required to be documented in their records. - Answer- False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - Answer- True Can someone with HIV be admitted to an ALF facility? - Answer- Yes Can a facility accept a resident that requires the administration of medication? - Answer- Yes, if a nurse is there to provide the service True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility. - Answer- False Can a facility obtain information omitted from the Health assessment form, from the physician verbally? - Answer- Yes, but it must be documented in the residents records. A resident must have a face to face medical examination how often to maintain continued residency? - Answer- Every 3 years or after any significant change how many days a week shall activities be available? - Answer- 6 days what is the minimum hours of activities required for an ALF per week? - Answer- 12 hours True or False A one-time special event television program can be counted as an activity? - Answer- True Can a facility require a resident to see a specific health care provider? - Answer- No A written order for a half-bed rail must be reviewed by the physician how often? - Answer- every 6 months How often should staff asses the risk of elopement in residents? - Answer- at a minimum, Daily True or False A MOR sheet does not need to list known allergies of a resident. - Answer- False How soon must an abandoned or expired medication be disposed of? - Answer- within 30 days True or False A stock supply of over the counter products for multiple residents is permitted. - Answer- False How many separate ALF's can a administrator supervise? - Answer- 3 True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. - Answer- True How often does freedom from tuberculosis need to be documented for staff members? - Answer- annually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? - Answer- 30 days A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year? - Answer- 2 True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission. - Answer- True In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider? - Answer- at least every 3 years after initial assessment, or after a significant change. Residents my be bedridden for up to how many days? - Answer- 7 days True of False A standard licence may be issued to an applicant at the time of initial licensure, renewed, or CHOW. As long as when issued, applicant is in compliance with all statutory requirements and agency rules. - Answer- True A standard licence expires ___ years after date of issue. - Answer- 2 years True or False Provisional licence can be issued to an applicant against whom a proceeding, denying or revoking a licence is pending at the time of licence renewal. - Answer- True True of False a provisional licence may be issued to an applicant applying for a CHOW. - Answer- True Does a Financial officer of the company need to have a level 2 background screening? - Answer- Yes Does any person having controlling interest in a facility need a level 2 background screening? - Answer- Yes Do Not Resuscitate - Answer- DNR AHCA - Answer- Agency for Health Care Administration When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained - Answer- False Unlicensed persons who will be providing assistance with self-administered medications must take the requested training - Answer- Training must be done prior to assuming responsibilities Assistance with medication by an unlicensed person requires the written informed consent of the resident - Answer- True If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR - Answer- false MOR - Answer- Medication Observation Record OTC - Answer- Over the counter If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records. - Answer- Quarterly Documents required to be in the admission package shall be in English. If the resident does not understand English and translated documents are not available, the facility must explain policies to a family member or friend of the resident or another individual who can communicate the information to the resident. - Answer- true The resident contract shall include a refund policy to be implemented at the time of a resident's transfer , discharge or death. The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other the normal use have been paid to the license. You have 60 days to give the refund. - Answer- false In order for existing facilities to receive an ECC license, they must have no class 3 violations. - Answer- false ECC - Answer- Extended Congregate Care Residents must participate in all elopement drills. - Answer- False When an "as needed" or "PRN" medication is labeled without all of the necessary information, you area required to contact the health care provider to obtain any missing information. An unlicensed person may obtain such clarification from the health care provider; revised instructions clarifying the order are not considered a change in the health care provider's order. - Answer- True A copy of Alternate Care Certification for Optional State Supplemental must be in the resident file. The absence of this form shall not be considered a deficiency if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services. - Answer- True Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons. - Answer- True During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility. - Answer- True Facility records should include: - Answer- A grievance procedure for receiving and responding to resident complaints and recommendations.. Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. - Answer- True Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment. - Answer- False Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years. - Answer- True How often must facilities have elopement frills? - Answer- A minimum of two resident elopement prevention and response drills per year. A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate. - Answer- True Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour in service training in infection control, including universal precautions, and facility sanitation procedures. - Answer- Before providing personal care to residents If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond. The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident. - Answer- 14 Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system. - Answer- True A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month. - Answer- True Facilities with 8 or more residents do not need a fire sprinkler system, unless the local authority with jurisdiction over fire safety requires one to be installed. - Answer- false An assisted living facility may not accepts additional supplementation from third parties on behalf of residents receiving OSS - Answer- False Every 5 years must have level 2 background rescreening - Answer- True Staff required hours of coverage from patients 0-to 5 is 168 hours per week - Answer- True Staff required hours per week for 6 to 15 residents - Answer- 212 per week