ALF Core Training exam with correct answers, Exams of Nursing

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ALF Core Training

All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency?correct answerThe Agency for Health Care Administration The licensing procedures have been established to comply withcorrect answerChapter 429, Part I, F.S. and Chapter 59A-36 of the Administrative Code Top Care ALF has been in business for over 30 years. They have hired many staff members and have recently been faced with a need to hire more caregivers because the resident census increased during the month of November. Top Care ALF's administrator, who has taken the CORE training, is providing the 2 hours orientation training because the newly hired staff have not taken the ________.correct answerALF 26 Core Training The facility received an uncorrected Class III deficiency for non-compliance with medication for the third time in the calendar year. The administrator found herself making corrections as required. The agency corrective plan required that the operator hire a _____ consultant to assist with deficiency. The administrator was informed by the Agency that the consultant is to remain in place until cleared by the agencycorrect answerRegistered Nurse or a Pharmacy On July 7 , 2018, there was a fire at Long Wind ALF located in Tallahassee. The fire broke out at about 3am in the morning. Both the residents and the staff were asleep during the time the fire broke out. The facility was not cited for the staff sleeping because there was an alarm that rung, and the staff was able to immediately step into action to save lives. The facility had a _____licensed capacity.correct answerless than 17 The administrator received an announced visit from the Agency on May 12, 2018 at 9:03am. When they arrived, they found her husband with the residents and no staff was on duty as her husband was acting administrator and staff. When the agency asked for him to provide his employee folder, his response was, "I am her husband and I am 50 percent owner, I gave her the money to open the business." The agency agent repeated the request for an employee file. The husband needed at least the following to have direct contact with the residents.correct answerEligible Level II, Application on file and free of TB and Communicable disease

Barbara is the administrator of Barbara's Loving Home ALF; it is time to renew her license. The application must be received by the Agency for Health Care Administration (AHCA) within how many days?correct answer60 days prior to license expiration The facility was visited by AHCA and during their unannounced visit the surveyor found that one of three staff members did not complete the HIV / AIDS training course. Which class violation did the facility receive?correct answerClass 3 Which class violation may not result in a financial penalty if corrected during the survey?correct answerClass 4 As Ms. Jones is allowed to age in place, she developed a stage II before and was given a prescription order that the sore had up to ___days to heal or she would have to be discharged. The administrator then monitored the care given to the residents by the Registered Nurse who visited the facility to attend the wound.correct answer30 days Beverly Hills Assisted Living Facility 39 residents. How many on duty staff members must always be trained and on duty in CPR and First Aid?correct answer1 staff Clara Jones decided that she did not want to pursue an Assisted Living Facility license because of the many requirements. Therefore, she elected to operate an Adult Family Care Home license where she is required to live on the premises and not to exceed ____ resident capacity and having at least _____ bed reserved for Optional State Supplementation.correct answer5, 1 When a duty designated officer or employee of the department, the Department of Children and Families, the Medicated Fraud Control Unit of the Office of the Attorney General, the state or local Fire Marshall or representative of the long term care ombudsman council shows up to the facility, the owner or administrator cannot refuse the visit because they have the:correct answerRight of entry and inspection Barbara was appointed as a new administrator because of the relative dying unexpected. Her relative was the administrator and now Barbara finds herself as an acting administrator, carrying out the duties that she learned from her relative. She now has ______________ days to take the ALF CORE and pass the exam.correct answer90 days

Bob and Mary's ALF received an unannounced bi-ennial survey visit. The facility has an Limited Nursing Service specialty license. The inspectors were an unlicensed agent and a nurse. The nurse requested to see the resident's progress notes that should have been done on a ______ basis. She also asked to see the nurse _____________ with the facility since they had the LNS license.correct answermonthly, license A standard license includescorrect answerThe facility must provide housing, meals and one or more personal services for a period exceeding 24 hours An Emergency Management Plan includescorrect answerSeparate plans prepared for each emergency Any emergency internal or external to the facility A plan for fire, tornadoes, hurricane, flood, and electrical failures All of the following activities can be counted toward social and leisure activities EXCEPTcorrect answerWatching television The facility did not have any food in the fridge when AHCA arrived to conduct an unannounced inspection. When the agent was conducting the exit interview, she stated that the facility will be receiving a Class I violation, resulting in a fine of:correct answer$10,000. The administrator received a call from the local hospital regarding a potential referral. When asked what is the admission age, the administrator responded?correct answer18 years old The medical doctor conducted a face to face for the resident at the Assisted Living Facility to complete the three-year assessment that is due after the initial health assessment that is conducted either before or within 30 days after the admission to the facility. What type of facility would best describe where the resident resides?correct answerStandard with LNS The facility provided the family member with a _______ notice when it was determined that the resident can no longer age in place at the facility. The family member told the administrator that she would hire a private nurse to provide the extra care that could not be provided by the ALF staff. The administrator stated that she must carry out the request for a discharge because her license does not allow her to provide services beyond the scope of the license.correct answer45 days

Prior to admission the administrator can review the resident's health records or an AHCA form 1823 up to ________ days prior to admission or ________ days after admission.correct answer60, 30 After the resident has been discharged, how long should the facility keep the contract?correct answer years An administrator can own ________ ALF's and administer _______ ALF's.correct answerMany, 3 The occupancy cycle is one of the most important cycles of the ALF business operation. What is the BEST format to conduct the process?correct answerInitial Interview, Orientation and Screening, Data Collection, Move in To help a resident cope with change, it is important tocorrect answerRespect the resident's rights Encourage the personal interest of a resident treat resident with the respect and allow them to express their feeling Laura operates a standard ALF. She has 2 mental health residents. What specialty license must she have with her standard?correct answerLimited Mental Health What are some responsibilities of the Ombudsman's Council?correct answerAdvocate for residents of ALF's Exploitation is whencorrect answerIt has been determined that a staff has been financially manipulating a resident It has been verified that the resident was being deprived of his medication. Which of the following would you report to the abuse hotline?correct answerNeglect Family and friends can visit your facility, according to the Residents Bill of Rights, during _____ to _____. When a resident is deprived of this visitation during these hours the administrator is violating the resident's rights.correct answer9am-9pm

The food director is to ensure that the resident's meals are cooked according to the menu prepared by the _______________ to avoid food adverse incidents.correct answerdietician Resident does not like the decorations at the ALF. What should the Administrator do?correct answerConsult with the resident to get ideas and change them. The resident gave his 30 days' notice as described in the contract. The administrator informs him that she will not refund his money as he did not obey all the rules. The administrator's reasoning was not in the contract. The resident decided to call the ______________ number that is posted on the bulletin board at the facility because it reads that they advocate for the residents in long term care facilities. Who did the resident call:correct answerOmbudsman Council Which of the following is not required when applying for licensecorrect answerPicture of facility When should your staff NOT follow the chain of commandcorrect answerDuring a fire The inspector visited the facility to conduct an unannounced visit, the first thing that they may want to see is your ___________________?correct answerYour posted license The facility conducts a fire drill 6 times per year (every other month). What does this mean about the facility?correct answerThe facility has a sprinkler system installed. Resident's record must contain the following informationcorrect answerNext of Kin, name, address, phone and relationship All regular and therapeutic menus to be used by the facility must be reviewed___________ by a licensed or registered dietitian, a licensed nutritionist, or a registered dietetic technician supervised by a licensed or registered dietitian, or a licensed nutritionist to ensure the meals meet the nutritional standardscorrect answerannually The facility's direct care staff was able to take the residents blood glucose test because the facility had a ______________ certificate.correct answerCLIA

Who is the representing guardian for a resident referred from the statecorrect answerDCF When there is a need to report abuse, neglect, exploitation, _________ is the best choice of contact first.correct answerThe abuse registry Most elders experience fatigue, impaired vision, and hearing loss due to:correct answerAging When a resident who uses a pill organizer is going away for the weekend and needs to take his medication what is the best course of action that the administrator can take?correct answerSchedule a visit for the nurse to prepare the pill organizer Have the resident and their family sign out for medication A __________ supply of nonperishable food, based on the number of weekly meals the facility has contracted with residents to serve, must always be on handcorrect answer3 days A resident who can have medication in their room is a resident who is ____________ and the doctor has indicated this on his health assessment 1823.correct answercompetent Which of the following health care providers can give a resident an insulin shotcorrect answerMedical Assistant Medication can be disposed of with the administrator and __________.correct answerone other witness Who can transfer medication from one bottle to anothercorrect answerA pharmacist Only a staff member who has been trained in assistance with medication can?correct answerAssist with medication The administrator or designee should contact the doctor immediately, whencorrect answerresident refuses to take his medication when the resident has an adverse reaction when the staff forgot to give the resident his medication at the appropriate hour

A prescription should include all the following EXCEPTcorrect answerpharmacist name Medication should be kept in the following areacorrect answerin a secure area where trained staff has the only access Which of the following could lead to an adverse incidentcorrect answerthe medication was given to the wrong resident, however later given to the right resident Which of the following is not a part of the "5 rights"correct answerRight feeling LKJ Assisted Living has 3 residents who are competent. On Thursday morning it was time to take medications. Who is the BEST person to administer medication to the three residents'?correct answerThe residents In which of the following facilities is it required to use an interdisciplinary care plan and service plan? correct answerExtended Congregate Care A daughter brings her mother to your standard facility and the daughter states, "My mother has mental health issues, I know it, I know it" and the mother is not receiving OSS. What can you recommend? correct answerShe can stay in the standard facility. Margaret the daughter visited a standard ALF to place her mother who has dementia. Which is the best facility for her?correct answerStandard ALF After trained staff has assisted and observed resident take his medication, where should the staff record it?correct answerMOR A hospice resident MUST havecorrect answeran Interdisciplinary plan a Service Plan A 32 bed facility staff record must include all the following EXCEPTcorrect answerblood type

A stage 2 pressure sore resident can be admitted to an ALF if there is a ___ and a ___.correct answerprescription order and a care plan What is the danger zone in food preparationcorrect answer40 degrees to 140 degrees What can you do if a resident refuse to eat and his medication requires a meal before taking the medication?correct answerReport it to the doctor immediately What is the minimum number of hours allowed between mealscorrect answer2 hours How frequently do you need to revise your menus?correct answerannually The administrator manages three facilities currently. She wants to own the facility on 56th and Parkway; what can she do?correct answerPurchases the facility. Regardless of the outside temperature, the inside temperature must be?correct answer72 degrees What is the time measurement for a SLOW evacuation capability?correct answerover 5 min How many days does an owner have to notify AHCA for change of administratorcorrect answer10 days AHCA wrote the applicant about the omission to their submitted application and it stated that they have ___ day to return the corrections.correct answer The resident has 30 days to inform you that he or she is leaving the facility, you have ____ days to inform them.correct answer45 days Ms. Clara and her husband decided they are ready for retirement after operating an ALF for the past 15 years. They have decided to sell it to their daughter and son in-law. The daughter and her husband are considered _____ and Ms. Clara and her husband are considered _____.correct answerNew owners and Old owners

Ms. Barton was operating a facility that had 5 residents as maximum capacity and she must reside in the facility as the administrator/operator, which type of setting is this?correct answerAFCH How often shall an Extended Congregate Care review the service plan?correct answerQuarterly A mental health resident returning to a facility from treatment in a hospital or crisis stabilization unit will not be considered a new admission and will not require a new _________.correct answerAssessment Which specialty license would you need if you were willing to have 1 mental health resident?correct answerLimited Mental Health In the Florida Administrative Codes 59A-36, a resident is entitled to which of the following rights?correct answerLive in a safe environment Have the choice of roommate Have the right to guest Ms. Jones owns a standard only ALF and she is ready to sell after 32 years of service to the adult population. She found Ms. Margaret who is willing to purchase her beautiful facility. She informs the Agency and informs Ms. Margaret that she needs to inform the agency that she is the buyer. They both inform the agency within _______days.correct answer60 days The service plan needs to be completed within days after a resident has moved into an Extended Congregate Care facility.correct answer14 days Every Assisted Living Facility in the state of Florida must allow residents to express their feelings and needs by having which policy and procedures.correct answerGrievance How long can a resident wait to eat from the night before to the morning?correct answer14 hours

Ms. Jones admitted an additional mental health resident to the facility with a limited mental license. She asked the social worker to come to the facility and bring the two required documents.correct answerCommunity Living Support Plan & Cooperative Agreement At Ms. Jones facility, there was a tragic accident that resulted in the death of a resident. The roof caved in and killed a resident and injured 3 other residents. Ms. Jones was told to repair the roof and neglected to do so. What Class violation is Ms. Jones most likely to receive?correct answerClass 1 Ms. Jones was ordered by her county official to install a sprinkler system because she had 3 to many _____evacuation readings, which is the worst of the three evacuation capability readings.correct answerImpractical What is the maximum amount that the CORE exam can be, according to F.A.C 59A-36.correct answer$ Who is the best person who can administer medication at a facility to a resident who is not incompetent?correct answerResident Where is the best place for resident's medication to be kept at a facility?correct answerIn a locked, central location where only a trained staff can access the medication When should a facility have their biennial application at the Agency?correct answer60 days before expiration What is the definition of a nurse?correct answerLPN, RN, ARNP If the local emergency management agency requires revisions to the emergency management plan, such revisions must be made, and the plan resubmitted to the local office within ____days of receiving notification that the plan must be revisedcorrect answer30 days What is the Department?correct answerDOEA Which of the following does not have to be licensed by the Agency?correct answerIndependent Living

What is the best color to paint a resident's private room?correct answerThe color of his choice What is the minimum education requirement for an administrator?correct answerA Highschool Diploma or GED True or False? An ALF can be only one building?correct answerFalse A resident can be bedridden in an ALF with a standard license for no more than __ days?correct answer Capacity in an ALF is the _____ of resident it is licensed to care for.correct answernumber Which of the following is not considered an ADL? a. Eating b. Dressing c. Transferring d. ambulation e. toiletingcorrect answerc. Transferring Limited nursing services can only be provided by?correct answerLPN, RN, ARNP 1/2 bed rails are considered a ________ and are allowed in an ALF only if?correct answerPhysical 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?correct answerAdverse Incident Adverse incidents are submitted on day __ and day __ to ACHA.correct answer1 and 15

A fully sprinkled ALF must conduct how many fire drills annually?correct answer True or False? A limited mental health resident must receive OSS?correct answerTrue True or False? Facilities licensed for 16 residents must have an awake staff person at night.correct answerFalse The specialty licenses for an ALF are?correct answerLMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a?correct answerRepresentative 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?correct answerquarterly A facility must conduct how many elopement drills annually?correct answer A minimum weekly staffing hours for an ALF with four residents is?correct answer168 hours An ALF with ___ or more residents that receive OSS must have which type of licence?correct answer Limited mental health license What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepreassantcorrect answerc. psychotheraphy Hospice services are allowed in an ALF and must be coordinated through the development of a what? correct answerInterdisciplinary care plan

What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultrycorrect answerfruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what?correct answerInsulin injections Any items a facility uses to advertise must contain what two things?correct answerAssisted living facility and License # At least one staff member who is trained in ______ and _______ must be in the facility at all times.correct answerCPR and First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules?correct answerBiennial Application for a CHOW must be submitted to AHCA _______ days prior to the transaction.correct answer True or False? Deficiencies cited by AHCA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given.correct answerFalse 30 days True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license.correct answerTrue How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice?correct answer30 days ADLcorrect answerActivities of Daily Living

What license would be required if you are using a COMMUNITY SUPPORT PLAN?correct answerLMH What written statement is required for LMH residents that provides specific directions for emergencies and after hours care?correct answerCooperative Agreement What is ACS?correct answerMedicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis. Which license allows a nurse to perform any service within the scope of their license?correct answerECC What license is required if you have 3 or more residents on OSS?correct answerLMH With a LMH license, how many days do you have to make a Community Living Support Plan?correct answer30 Days Can a cooperative agreement be included in a community living support plan?correct answeryes Which license allows full help with ADL's?correct answerECC Can you care for stage 3 pressure sore with a LNS license?correct answerNo How many residents on OSS are required for an ADULT FAMILY CARE HOME licence?correct answer What does the "Long Term Care Ombudsman Council" Do?correct answerrespond and resolve problems for residents in long term care facilities How many days can a resident be bed ridden in a standard license ALF?correct answer7 days How many days must be given to a resident for notice of discharge?correct answer

How many days does a resident need to provide for notice of termination?correct answer30 days How many months does an administrator have to complete all CORE training requirements?correct answer3 months What is the minimum square feet needed per resident in an ALF for common living areas?correct answer What is the minimum square footage for a private room in an ALF?correct answer Is an ALF required to carry liability insurance at all times?correct answerYes What is the Toilet to sink ratio in an ALF?correct answer1- In how many days must the "Health Assessment(1823)" prior to the move-in be completed?correct answer60 days How many days after Admission must a "Health Assessment (1823)" be completed for a resident?correct answer30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked.correct answerTrue What is a Moratorium?correct answerthe prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW?correct answer60 days Every ______ years of employment a new background screening must be done.correct answer

How many days prior must an ALF inform ACHA the discontinuance of operation?correct answer How many years must copies of ACHA inspections be kept on file?correct answer If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? correct answer10 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? correct answerIsolated Deficiency A deficiency in which more than a limited number of clients or staff would be considered a what?correct answerPatterned Deficiency 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?correct answerWidespread Deficiency How soon must a Class "I" violation be corrected?correct answer24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger would be considered a what class?correct answerClass "I" A violation that directly threatens clients is considered what class?correct answerClass "II" A violation that potentially threatens a client is considered what class?correct answerClass "III" True or False? For Class "I" and "II" violations fines can be waved if corrected in a time specified.correct answerFalse A violation that does not have the potential to negatively affect a client is considered what class?correct answerClass "IV"

Can ACHA impose an administrative fine for violations not designated as one of the four classes?correct answerYes When a moratorium or emergency suspension is placed on a facility they must post what where?correct answerA notice of action in a place visible to the public. What class violation would a personal hygiene issue be considered?correct answerClass "III" Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your license, or violating any terms of your license are considered what type of violation?correct answerUnclassified Violation How many days may ACHA extends a denied, revoked or set to terminate license for the sole purpose of allowing safe and orderly discharge of clients.correct answer30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule?correct answer6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days?correct answer15 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?correct answerAging in place A building that provides housing, meals, one or more personal services exceeding 24 hours to one or more adult is considered a what?correct answerAssisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what?correct answerChemical Restraint A guardians is a person the law has entrusted what?correct answerthe custody and control of a person or property, or both

A service plan is required for each resident admitted under what license?correct answerECC Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF?correct answerYes an unlicensed ALF commits a felony of the _____ Degree.correct answerthird During a CHOW you have how many days to notify residents in writing?correct answer7 days When does a LNS, ECC and LMH license expire?correct answerSame time as standard license regardless of when issued. A conditional license can not exceed how many months?correct answer6 months How soon must an owner of an ALF notify ACHA of a change in administration?correct answer10 days If a facility has __ or more residents they must have an awake staff member on duty at all times.correct answer How many hours of initial training are required for an employee with regular contact with Alzheimer's residents?correct answer4 hours An ALF with 17 or more beds must have a functioning what?correct answerAutomated External Defoliator What is a DNR?correct answerdo not resuscitate order Upon metal consent how much cash can a facility keep in safekeeping for a resident?correct answer$ The evacuation evaluation fro initial licensure shall be conducted within how many months?correct answer6 Months

A facility without a automatic sprinkler must conduct evacuation capability's how often?correct answerAt least Annually How many elopement drip must a facility conduct minimum per year?correct answer How often does a facilities license need to be renewed?correct answerevery 2 years A resident must have a face to face medical examination how often to maintain continued residency? correct answerEvery 3 years or after any significant change What is the minimum hours of activities required for an ALF per week?correct answer12 hours A written order for a half-bed rail must be reviewed by the physician how often?correct answerevery 6 months How soon must an abandoned or expired medication be disposed of?correct answerwithin 30 days How often does freedom from tuberculosis need to be documented for staff members?correct answerannually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months?correct answer30 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? correct answer Residents may be bedridden for up to how many days?correct answer7 days True or 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 license -documentation of the requirements of this are in the residents filecorrect answerTrue What is the common living area in an ALF?correct answer35 square feet per resident, any area used by all residents and staff What is the minimum square footage for a resident room?correct answer80 square feet What is the minimum square footage for a double occupancy room?correct answer120 square feet Menu substitutions and a copy of them are to be kept on file for ___correct answer6 months A facility must provide _________ gallons of water per resident per day in an emergency.correct answer Gallons An emergency management plan must be approved annually by the?correct answerCounty emergency management agency How long does a facility keep residents contacts?correct answer5 years How long does a facility keep employee work schedules?correct answer6 months How long does a facility keep major incident reports?correct answer2 years How long does a facility keep fire inspections?correct answer2 years How long does a facility keep health inspections?correct answer2 years

All ACHA health inspection reports are at a facility for how long?correct answer5 years Resident records are kept at a facility for how long?correct answer2 years Adverse incident reports are kept at a facility for how long?correct answer2 years An application for CHOW must be submitted to ACHA _____ days prior to the transaction.correct answer60 days ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal.correct answer90 days