Download ALF Core Training Questions and answers for ALF core training test for Florida completed | and more Exams Nursing in PDF only on Docsity! 1 ALF Core Training Questions and answers for ALF core training test for Florida completed | A+ GRADE What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepreassant - ANSWER>> c. psychotheraphy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - ANSWER>> Interdisciplinary 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 Any items a facility uses to advertise must contain what two things? - ANSWER>> Assisted living facility and License # ANSWER>> CPR and First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - ANSWER>> Biennial Application for a CHOW must be submitted to AHCA days prior to the transaction. - ANSWER>> 60 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. - ANSWER>> False 30 days True or False? An individual with stage 2 pressure sore can be admitted to an ALF with a standard license. - 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 At least one staff member who is trained in and must be in the facility at all times. - 2 ADL - ANSWER>> Activities of Daily Living 5 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 How many years must copies of ACHA inspections be kept on file? - ANSWER>> 5 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 than a limited number of clients or staff would be considered a what? - ANSWER>> Patterned 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? - 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 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" and "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 license, or violating any terms of your license are considered what type of violation? - ANSWER>> Unclassified 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. - 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? - 6 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 7 A building that provides housing, meals, one or more personal services exceeding 24 hours to one or more adult 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 guardians is a person the law has entrusted what? - ANSWER>> the custody and control of a person or property, or both A service plan is required for each resident admitted under what license? - ANSWER>> ECC Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? - ANSWER>> Yes 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 When does a LNS, ECC and LMH license expire? - ANSWER>> Same time as standard license regardless of when issued. A conditional license 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>> 17 How many hours of initial training are required for an employee with regular contact with Alzheimer's residents? - ANSWER>> 4 hours An ALF with 17 or more beds must have a functioning what? - ANSWER>> Automated External Defoliator What is a DNR? - ANSWER>> do not resuscitate order Upon metal consent how much cash can a facility keep in safekeeping for a resident? - ANSWER>> $200 The evacuation evaluation fro initial licensure shall be conducted within how many months? - ANSWER>> 6 Months A facility without a automatic sprinkler must conduct evacuation capability's how often? - ANSWER>> At least Annually How many elopement drip must a facility conduct minimum per year? - ANSWER>> 2 How often does a facilities license need to be renewed? - ANSWER>> every 2 years 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 What is the minimum hours of activities required for an ALF per week? - ANSWER>> 12 hours A written order for a half-bed rail must be reviewed by the physician how often? - ANSWER>> every 6 10 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 11 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 All Assisted Living Facilities operating in the state of Florida must be licensed by which Agency? - ANSWER>> The Agency for Health Care Administration The licensing procedures have been established to comply with - ANSWER>> Chapter 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 . - ANSWER>> ALF 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 agency - ANSWER>> Registered 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. - ANSWER>> less 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. - ANSWER>> Eligible 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? - ANSWER>> 60 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? - ANSWER>> Class 3 Which class violation may not result in a financial penalty if corrected during the survey? - ANSWER>> 12 Class 4 15 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. - ANSWER>> 45 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. - ANSWER>> 60, 30 After the resident has been discharged, how long should the facility keep the contract? - ANSWER>> 5 years The occupancy cycle is one of the most important cycles of the ALF business operation. What is the BEST format to conduct the process? - ANSWER>> Initial Interview, Orientation and Screening, Data Collection, Move in To help a resident cope with change, it is important to - ANSWER>> Respect 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? - ANSWER>> Limited Mental Health What are some responsibilities of the Ombudsman's Council? - ANSWER>> Advocate for residents of ALF's Exploitation is when - ANSWER>> It 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? - ANSWER>> Neglect 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. - ANSWER>> 9am-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. - ANSWER>> dietician Resident does not like the decorations at the ALF. What should the Administrator do? - ANSWER>> Consult 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: - ANSWER>> Ombudsman Council An administrator can own ALF's and administer________ ALF's. - ANSWER>> Many, 3 16 Which of the following is not required when applying for license - ANSWER>> Picture of facility When should your staff NOT follow the chain of command - ANSWER>> During a fire 17 The inspector visited the facility to conduct an unannounced visit, the first thing that they may want to see The facility conducts a fire drill 6 times per year (every other month). What does this mean about the facility? - ANSWER>> The facility has a sprinkler system installed. Resident's record must contain the following information - ANSWER>> Next 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 standards - ANSWER>> annually The facility's direct care staff was able to take the residents blood glucose test because the facility had a certificate. - ANSWER>> CLIA Who is the representing guardian for a resident referred from the state - ANSWER>> DCF When there is a need to report abuse, neglect, exploitation, is the best choice of contact first. - ANSWER>> The abuse registry Most elders experience fatigue, impaired vision, and hearing loss due to: - ANSWER>> Aging 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? - ANSWER>> Schedule 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 hand - ANSWER>> 3 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. - ANSWER>> competent Which of the following health care providers can give a resident an insulin shot - ANSWER>> Medical Assistant Medication can be disposed of with the administrator and . - ANSWER>> one other witness Who can transfer medication from one bottle to another - ANSWER>> A pharmacist Only a staff member who has been trained in assistance with medication can? - ANSWER>> Assist with medication The administrator or designee should contact the doctor immediately, when - ANSWER>> resident 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 is your ? - ANSWER>> Your posted license 20 AHCA wrote the applicant about the omission to their submitted application and it stated that they have day to return the corrections. - ANSWER>> 21 21 The resident has 30 days to inform you that he or she is leaving the facility, you have days to inform them. - ANSWER>> 45 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 . - ANSWER>> New 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? - ANSWER>> AFCH How often shall an Extended Congregate Care review the service plan? - ANSWER>> Quarterly Which specialty license would you need if you were willing to have 1 mental health resident? - ANSWER>> Limited Mental Health In the Florida Administrative Codes 59A-36, a resident is entitled to which of the following rights? - ANSWER>> Live 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. - ANSWER>> 60 days The service plan needs to be completed within days after a resident has moved into an Extended Congregate Care facility. - ANSWER>> 14 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. - ANSWER>> Grievance How long can a resident wait to eat from the night before to the morning? - ANSWER>> 14 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. - ANSWER>> Community 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? - ANSWER>> Class 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. - ANSWER>> Impractical 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 . - ANSWER>> Assessment 22 What is the maximum amount that the CORE exam can be, according to F.A.C 59A-36. - ANSWER>> $200