ALF Core Training Exam: Questions and Answers for 2024-2025, Exams of Nursing

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ALF Core Training, ALF CORE EXAM 2024- 2025

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>>

Which agency is responsible for regulatory inspections of ALF's? - ANSWER>>ACHA

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>> and 15

A fully sprinkled ALF must conduct how many fire drills annually? - ANSWER>>

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>>

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>> 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

Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction. - ANSWER>>

True or False? Deficiencies cited by ACHA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given. - ANSWER>>False 30 days

True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence. - ANSWER>>True

How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - ANSWER>>30 days

ADL - ANSWER>>Activities of Daily Living

ACHA - ANSWER>>Agency Health Care Administartion

DOEA - ANSWER>>Department of elderly affairs

RN - ANSWER>>Registered Nurse

LPN - ANSWER>>Licensed Practical Nurse

ARNP - ANSWER>>Advanced Registered Nurse Practitioner

RD - ANSWER>>Registered Diatitian

LD - ANSWER>>Licensed Diatitian

CLSP - ANSWER>>Community Living Support Plan

CA - ANSWER>>Cooperative Agreement

ACS - ANSWER>>Assisted Care Services

LNS - ANSWER>>Limited Nursing Services Licence

ECC - ANSWER>>Extended Congregate Care Licence

LMH - ANSWER>>Limited Medical Health Licence

AFCH - ANSWER>>Adult Family Care Home

MOR - ANSWER>>Medication Observation Record

DCF - ANSWER>>Department of Children and Families

CNA - ANSWER>>Certified Nursing Assistant

HHA - ANSWER>>Home Health Aide

OSS - ANSWER>>Optional State supplementation

LTCOC - ANSWER>>Long Term Care Ombudsman Council

FPSS - ANSWER>>Florida Protective Service System

POA - ANSWER>>power of attorney

SSI - ANSWER>>Supplemental Security Income

CHOW - ANSWER>>change ownership

CARES - ANSWER>>Comprehensive Assessment and review for long term care services

CPR - ANSWER>>CARDIO PULMONARY RESUSCITATION

RDA - ANSWER>>recommended daily allowance

DOH - ANSWER>>Department of Health

CCRC - ANSWER>>continuing care retirement community

FDLE - ANSWER>>Florida Department of Law Enforcement

What Licence would be required if you are using a COMMUNITY SUPPORT PLAN? - ANSWER>>LMH

What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? - ANSWER>>Cooperative Agreement

What is ACS? - ANSWER>>Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis.

Which Licence allows a nurse to preform any service within the scope of their licence? - ANSWER>>ECC

What Licence is required if you have 3 or more residents on OSS? - ANSWER>>LMH

With a LMH licence, how many days do you have to make a Community Living Support Plan? - ANSWER>>30 Days

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>>

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>>

An ALF administrator must be how old? - ANSWER>>

How many days must be given to a resident for notice of discharge? - ANSWER>>

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>>

What is the minimum square footage for a private room in an ALF? - ANSWER>>

Is an ALF required to carry liability insurance at all times? - ANSWER>>Yes

What is the maximum number of residents per bedroom? - ANSWER>>

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>>

How many days prior must an ALF inform ACHA the discontinuance of operation?

• ANSWER>>

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>>

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

An individual who receives social security disability due to a mental disorder is a what? - ANSWER>>Mental Health Resident

A device that physically limits, restricts or deprives movement or mobility is a what? - ANSWER>>Physical Restraint

A service plan is required for each resident admitted under what licence? - ANSWER>>ECC

True or False A resident under 24-hour-nursing care can be admitted to a ALF. - ANSWER>>False

Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF?

• ANSWER>>yes

True or False A home approved by the department of veteran affairs that provides care exclusively to 3 or less veterans is exempt from aquraring a licence - ANSWER>>True

True or False A facility with an ECC licence may serve a resident requiring 24-hour- nursing service. - ANSWER>>False

An unlicensed ALF commits a felony of the __ Degree. - ANSWER>>Third

During a CHOW you have how many days to notify residents in writing? - ANSWER>>7 days

True or False ACHA can deny or revoke a licence if the ALF has two or more class "I" violations that are similar or identical within the past 2 years - ANSWER>>True

When does a LNS, ECC & LMH licence expire? - ANSWER>>Same time as standard licence regardless of when issued

A conditional licence can not exceed how many months? - ANSWER>>6 months

How soon must an owner of an ALF notify ACHA of a change in administration? - ANSWER>>10 days

If a facility has __ or more residents they must have an awake staff member on duty at all times. - ANSWER>>

If a facility has fewer that 17 residents they must have and awake staff member on at all times or what? - ANSWER>>Have mechanisms in place to monitor and ensure safety of all residents.

How many hours of initial training are required for an employee with regular contact with Alzheimer's residents? - ANSWER>>4 hours

An Event over which facility personnel could exercise control rather than as a result of the residents condition and results in: Death, brain or spinal damage would be considered a what? - ANSWER>>Adverse incident

After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA? - ANSWER>>1 day

How many day after an Adverse incident does the facility have to report a full report to ACHA? - ANSWER>>15 days

How often must a facility report any liability claims filed against them? - ANSWER>>monthly

True or False adverse incident reports are confidential and are not discoverable or admissible in any civil or administrative action, except in proceedings by the agency or appropriate regulatory board. - ANSWER>>True

A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident? - ANSWER>>Adverse incident

True or false A RN can not perform their professional duties in an emergency situation at an ALF. - ANSWER>>False They can until emergency medical personal assume responsibility.

An ALF with 17 or more beds must have a functioning what? - ANSWER>>Automated External Defrillator

What is a DNR? - ANSWER>>Do Not Resuscitate Order

Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED? - ANSWER>>When presented with a "do not resuscitate order"

When assisting a resident with self-administration of medication can you remove the prescribed amount while not in the presence of the resident? - ANSWER>>No, medicine must be opened and removed in residents presence

True or False Mixing, compounding, converting or calculating medication doses is allowed with assisting in self-medication. - ANSWER>>False Unless you are measuring the prescribed amount, breaking a scored tablet or crushing a tablet as prescribed.

True or False You may assist the resident with medication by lifting the hand, holding the container of medicine to the residents mouth. - ANSWER>>True 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>>$

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>>

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>>

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>>

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 or False A resident requiring care of a stage 2 pressure sore may be retained providing that:

• facility has a LNS licence, home health or nurse
• the condition is documented in the resident record
• the condition has shown improvement with in 40 days - ANSWER>>False, must show improvement with in 30 days

True of False a terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met: -resident has hospice -continued residency is agreeable to the resident and faculty -An ICP is developed and implemented by a licensed Hospice -faculty staff may provide an nursing services permitted under the facility licence -documentation of the requirements of this are in the residents file - ANSWER>>True

True or False the administrator of a facility is responsible for monitoring the continued appropriateness of placement of the resident in the facility. - ANSWER>>True

true or False If the resident no longer meets the criteria for continued residency or the facility is unable to meet the residents need - as determined by the

administrator or health care provider the resident shall be discharged. - ANSWER>>True

True or False Significant change means; a sudden change or major shift in behavior or meed or deterioration of health status such as (weight , stroke, hearth condition, or not participating in activities) - ANSWER>>False, stage 2,3, pressure sores instead of activities

True of False for admission to a facility a resident must be at least 21 years of age.

• ANSWER>>False, 18

True or False For admission to a facility a resident must be free of communicable diseases - ANSWER>>True

True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary. - ANSWER>>True

True or False For admission to a facility a resident must not have any stage 2,3, pressure sores. - ANSWER>>False, only stage 3,4 not allowed

What is the common living area in an ALF? - ANSWER>>35 square feet per resident, any area used by all residents and staff

what is the minimum square footage for a resident room? - ANSWER>>80 square feet

what is the minimum square footage for a double occupancy room? - ANSWER>>120 square feet

an (1823) health assessment must be completed ___ prior to admission or with in ___ days after admission. - ANSWER>>60 days and 30 days

Menus must be reviewed ______ - ANSWER>>Annualy

Menu substitutions and a copy of them are to be kept on file for ____ - ANSWER>>6 months

ALF surveys for the purpose of relicensure are conducted by ACHA on a _____ basis. - ANSWER>>Biennial

A deficiency must be corrected with in ___ calendar days unless otherwise notified. - ANSWER>>

A facility must provide ____ gallons of water per resident per day in an emergency. - ANSWER>>5 Gallons

An emergency management plan must be approved annually by the? - ANSWER>>County emergency management agency

How long does a facility keep resident contracts? - ANSWER>>5 years

How long does a facility keep employee work schedules? - ANSWER>>6 months

How long does a facility keep major incident reports? - ANSWER>>2 years

How long does a facility keep fire inspections? - ANSWER>>2 years

How long does a facility keep health inspections? - ANSWER>>2 years

All ACHA health inspection reports are at a facility for how long? - ANSWER>> years

Resident records are kept at a facility for how long? - ANSWER>>2 years

Adverse incident reports are kept at a facility for how long? - ANSWER>>2 years

An application for CHOW must be submitted to ACHA ___ days prior to the transaction. - ANSWER>>60 days

ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal. - ANSWER>>90 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