ALF Core Training Questions and Answers 2023, Exams of Nursing

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ALF Core Training questions with

correct answers 2023

True or False? An ALF can be only one building? - correct answer False A resident can be bedridden in an ALF with a standard licence for no more then __ days? - correct answer 7 Which agency is responsible for regulatory inspections of ALF's? - correct answer ACHA Capacity in an ALF is the ____ of residents it is licensed to care for. - correct answer number Which of the following is not considered an ADL? a. Eating b.Dressing c.transferring d.ambulation e.toileting - correct answer c. transferring Limited nursing services can only be provided by? - correct answer LPN, RN, ARNP 1/2 bed rails are considered a ________ and are allowed in an ALF only if? - correct 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? - correct answer Adverse Incident

Adverse incidents are submitted on day __ and day __ to ACHA. - correct answer 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - correct answer 5 True or False? A limited mental health resident must receive OSS? - correct answer True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - correct answer False The specialty licences for an ALF are? - correct answer LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - correct 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? - correct answer quarterly A facility must conduct how many elopement drills annually? - correct answer 2 A minimum weekly staffing hours for an ALF with four residents is? - correct answer 168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - correct 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 - correct answer C. psychotherapy

Hospice services are allowed in an ALF and must be coordinated through the development of a what? - correct answer Interdiscplinary care plan What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry - correct answer Fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - correct answer Insulin injections True or False? Alzheimer disease is curable by stimulating the brain? - correct answer False Any items a facility uses to advertise must contain what two things? - correct answer Assisted living facility & Licence # At least one staff member who is trained in ____ & ____ must be in the facility at all times. - correct answer CPR & First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - correct answer Biennial Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction. - correct answer 60 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. - correct answer False 30 days True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence. - correct answer True

How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - correct answer 30 days ADL - correct answer Activities of Daily Living ACHA - correct answer Agency Health Care Administartion DOEA - correct answer Department of elderly affairs RN - correct answer Registered Nurse LPN - correct answer Licensed Practical Nurse ARNP - correct answer Advanced Registered Nurse Practitioner RD - correct answer Registered Diatitian LD - correct answer Licensed Diatitian CLSP - correct answer Community Living Support Plan CA - correct answer Cooperative Agreement ACS - correct answer Assisted Care Services LNS - correct answer Limited Nursing Services Licence ECC - correct answer Extended Congregate Care Licence

LMH - correct answer Limited Medical Health Licence AFCH - correct answer Adult Family Care Home MOR - correct answer Medication Observation Record DCF - correct answer Department of Children and Families CNA - correct answer Certified Nursing Assistant HHA - correct answer Home Health Aide OSS - correct answer Optional State supplementation LTCOC - correct answer Long Term Care Ombudsman Council FPSS - correct answer Florida Protective Service System POA - correct answer power of attorney SSI - correct answer Supplemental Security Income CHOW - correct answer change ownership CARES - correct answer Comprehensive Assessment and review for long term care services CPR - correct answer CARDIO PULMONARY RESUSCITATION RDA - correct answer recommended daily allowance

DOH - correct answer Department of Health CCRC - correct answer continuing care retirement community FDLE - correct answer Florida Department of Law Enforcement What Licence would be required if you are using a COMMUNITY SUPPORT PLAN? - correct answer LMH What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? - correct answer Cooperative Agreement What is ACS? - correct 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? - correct answer ECC What Licence is required if you have 3 or more residents on OSS? - correct answer LMH With a LMH licence, how many days do you have to make a Community Living Support Plan? - correct answer 30 Days Can a cooperative agreement be included in a community living support plan? - correct answer Yes Which Licence allows full help with ADL's? - correct answer ECC Can you care for a stage 3 pressure sore with a LNS licence? - correct answer No How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - correct answer 6

True or False? In Adult family care homes, care must be provided in the person providing cares own home. - correct answer True What does the "Long Term Care Ombudsman Council" Do? - correct 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? - correct answer 7 days An ALF owner must be how old? - correct answer 18 An ALF administrator must be how old? - correct answer 21 How many days must be given to a resident for notice of discharge? - correct answer 45 How many days does a resident need to provide for notice of termination? - correct answer 30 days How many months does an administrator have to complete all CORE training requirements? - correct answer 3 months What is the minimum square feet need per resident in an ALF for common living areas? - correct answer 35 What is the minimum square footage for a private room in an ALF? - correct answer 80 Is an ALF required to carry liability insurance at all times? - correct answer Yes What is the maximum number of residents per bedroom? - correct answer 2 What is the Toilet to sink ratio in an ALF? - correct answer 1-

In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - correct answer 60 days How many days after Admission must a "health assessment (1823) be completed for a resident? - correct answer 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - correct answer True What is a Moratorium? - correct answer the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - correct answer 60 days Every ___ Years of employment a new background screening must be done. - correct answer 5 How many days prior must an ALF inform ACHA the discontinuance of operation? - correct answer 30 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - correct answer False 30 days How many years must copies of ACHA inspections be kept on file? - correct answer 5 True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - correct 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? - correct 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? - correct answer Isolated Deficiency

A deficiency in which more then a limited number of clients or staff would be considered a what? - correct 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? - correct answer Widespread Deficiency How soon must a Class "I" violation be corrected? - correct 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? - correct answer Class "I" A violation that directly threatens clients is considered what class? - correct answer Class "II" A violation that potentially threatens a client is considered what class? - correct answer Class "III" True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified. - correct answer False A violation that does not have the potential to negatively affect a client is considered what class? - correct answer Class "IV" Can ACHA impose an administrative fine for violations not designated as one of the four classes? - correct answer Yes When a moratorium or emergency suspension is placed on a facility they must post what where? - correct answer A notice of action in a place visible to the public What class violation would a personal hygiene issue be considered? - correct 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? - correct 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 - correct answer 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - correct answer 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - correct 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? - correct 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? - correct answer Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - correct answer Chemical Restraint A guardian is a person the law has entrusted what? - correct 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. - correct answer False An individual who receives social security disability due to a mental disorder is a what? - correct answer Mental Health Resident A device that physically limits, restricts or deprives movement or mobility is a what? - correct answer Physical Restraint

A service plan is required for each resident admitted under what licence? - correct answer ECC True or False A resident under 24-hour-nursing care can be admitted to a ALF. - correct answer False Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? - correct 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 - correct answer True True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service. - correct answer False An unlicensed ALF commits a felony of the __ Degree. - correct answer Third During a CHOW you have how many days to notify residents in writing? - correct 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 - correct answer True When does a LNS, ECC & LMH licence expire? - correct answer Same time as standard licence regardless of when issued A conditional licence can not exceed how many months? - correct answer 6 months How soon must an owner of an ALF notify ACHA of a change in administration? - correct answer 10 days If a facility has __ or more residents they must have an awake staff member on duty at all times. - correct answer 17 If a facility has fewer that 17 residents they must have and awake staff member on at all times or what? - correct 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? - correct 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? - correct answer Adverse incident After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA? - correct answer 1 day How many day after an Adverse incident does the facility have to report a full report to ACHA? - correct answer 15 days How often must a facility report any liability claims filed against them? - correct 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. - correct answer True A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident?

• correct answer Adverse incident True or false A RN can not perform their professional duties in an emergency situation at an ALF. - correct answer False They can until emergency medical personal assume responsibility. An ALF with 17 or more beds must have a functioning what? - correct answer Automated External Defrillator What is a DNR? - correct answer Do Not Resuscitate Order

Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED? - correct 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? - correct 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. - correct 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. - correct 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? - correct answer A licensed physician with in 30 days Can a resident use their own belongings as space permits in an ALF? - correct 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. - correct answer False Upon mutual consent how much cash can a facility keep in safekeeping for a resident? - correct answer $ Can an ALF employee barrow money from a resident? - correct answer No What are the minimum records kept on file for all staff members? - correct 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? - correct 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? - correct answer Yes, if they are both residents of the facility Can an ALF require residents to wear uniforms? - correct answer No Can ACHA have private conversations with residents during a survey? - correct answer Yes The evacuation evaluation for initial licensure shall be conducted within how many months? - correct answer 6 Months A facility without a automatic sprinkler system must conduct evacuation capability's how often? - correct answer At least Aunnualy What is the maximum time allotted for an evacuation drill in an unsprinkled facility? - correct answer 3 minutes True or False All new facilities must be equipped with an automatic fire sprinkler system. - correct answer True, unless the facility houses 8 or fewer residents How many elopement drills must a facility conduct minimum per year? - correct answer 2 True or False A facility is not required to document the implement of elopement drills. - correct answer False A deficiency cited during a survey for medication must be corrected how soon? - correct answer 48 hours

True or False A facility associated with a religious organization shall include it in their advertising. - correct answer True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - correct answer True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - correct 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? - correct answer 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - correct answer True how often does a facilities license need to be renewed? - correct 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. - correct answer False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - correct answer True Can someone with HIV be admitted to an ALF facility? - correct answer Yes Can a facility accept a resident that requires the administration of medication? - correct 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. - correct answer False

Can a facility obtain information omitted from the Health assessment form, from the physician verbally?

• correct 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? - correct answer Every 3 years or after any significant change how many days a week shall activities be available? - correct answer 6 days what is the minimum hours of activities required for an ALF per week? - correct answer 12 hours True or False A one-time special event television program can be counted as an activity? - correct answer True Can a facility require a resident to see a specific health care provider? - correct answer No A written order for a half-bed rail must be reviewed by the physician how often? - correct answer every 6 months How often should staff asses the risk of elopement in residents? - correct answer at a minimum, Daily True or False A MOR sheet does not need to list known allergies of a resident. - correct answer False How soon must an abandoned or expired medication be disposed of? - correct answer within 30 days True or False A stock supply of over the counter products for multiple residents is permitted. - correct answer False How many separate ALF's can a administrator supervise? - correct answer 3 True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. - correct answer True

How often does freedom from tuberculosis need to be documented for staff members? - correct 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? - correct 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? - correct answer 2 True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission. - correct answer True In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider? - correct answer at least every 3 years after initial assessment, or after a significant change. Residents my be bedridden for up to how many days? - correct 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 - correct 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 - correct 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. - correct 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. - correct 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)

• correct answer False, stage 2,3,4 pressure sores instead of activities True of False for admission to a facility a resident must be at least 21 years of age. - correct answer False, 18 True or False For admission to a facility a resident must be free of communicable diseases - correct answer True True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary. - correct answer True True or False For admission to a facility a resident must not have any stage 2,3,4 pressure sores. - correct answer False, only stage 3,4 not allowed What is the common living area in an ALF? - correct answer 35 square feet per resident, any area used by all residents and staff what is the minimum square footage for a resident room? - correct answer 80 square feet what is the minimum square footage for a double occupancy room? - correct answer 120 square feet

an (1823) health assessment must be completed ___ prior to admission or with in ___ days after admission. - correct answer 60 days and 30 days Menus must be reviewed ______ - correct answer Annualy Menu substitutions and a copy of them are to be kept on file for ____ - correct answer 6 months ALF surveys for the purpose of relicensure are conducted by ACHA on a _____ basis. - correct answer Biennial A deficiency must be corrected with in ___ calendar days unless otherwise notified. - correct answer 30 A facility must provide ____ gallons of water per resident per day in an emergency. - correct answer 5 Gallons An emergency management plan must be approved annually by the? - correct answer County emergency management agency How long does a facility keep resident contracts? - correct answer 5 years How long does a facility keep employee work schedules? - correct answer 6 months How long does a facility keep major incident reports? - correct answer 2 years How long does a facility keep fire inspections? - correct answer 2 years How long does a facility keep health inspections? - correct answer 2 years All ACHA health inspection reports are at a facility for how long? - correct answer 5 years

Resident records are kept at a facility for how long? - correct answer 2 years Adverse incident reports are kept at a facility for how long? - correct answer 2 years An application for CHOW must be submitted to ACHA ___ days prior to the transaction. - correct answer 60 days ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal. - correct 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. - correct answer True A standard licence expires ___ years after date of issue. - correct 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. - correct answer True True of False a provisional licence may be issued to an applicant applying for a CHOW. - correct answer True Does a Financial officer of the company need to have a level 2 background screening? - correct answer Yes Does any person having controlling interest in a facility need a level 2 background screening? - correct answer Yes