ALF Core Training: Questions and Answers, Exams of Nursing

Download ALF Core Training: Questions and Answers and more Exams Nursing in PDF only on Docsity!

Wow STUVIA

ALF Core Training

QUESTIONS WITH

ANSWERS

True or False? An ALF can be only one building? - answer False A resident can be bedridden in an ALF with a standard license for no more then __ days? - answer 7 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 1 and 15 A fully sprinkled ALF must conduct how many fire drills annually? - answer 5 True or False? A limited mental health resident must receive OSS? - answer True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - answer False The specialty licences for an ALF are? - answer LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - answer Representative payee If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often? - answer quarterly

A facility must conduct how many elopement drills annually? - answer 2 A minimum weekly staffing hours for an ALF with four residents is? - answer 168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - answer 3 Limited mental health licence What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepressant - answer C. psychotherapy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - answer Interdiscplinary care plan What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry - answer Fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - answer Insulin injections True or False? Alzheimer disease is curable by stimulating the brain? - answer False Any items a facility uses to advertise must contain what two things? - answer Assisted living facility & Licence # At least one staff member who is trained in ____ & ____ must be in the facility at all times. - answer CPR & First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - answer Biennial Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction. - 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. - 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 6

True or False? In Adult family care homes, care must be provided in the person providing cares own home. - answer True What does the "Long Term Care Ombudsman Council" Do? - answer respond and resolve problems for residents in long term care facilities How many days can a resident be bed ridden in a standard licence ALF? - answer 7 days An ALF owner must be how old? - answer 18 An ALF administrator must be how old? - answer 21 How many days must be given to a resident for notice of discharge? - answer 45 How many days does a resident need to provide for notice of termination? - answer 30 days How many months does an administrator have to complete all CORE training requirements? - answer 3 months What is the minimum square feet need per resident in an ALF for common living areas?

• answer 35 What is the minimum square footage for a private room in an ALF? - answer 80 Is an ALF required to carry liability insurance at all times? - answer Yes What is the maximum number of residents per bedroom? - answer 2 What is the Toilet to sink ratio in an ALF? - answer 1- In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - answer 60 days How many days after Admission must a "health assessment (1823) be completed for a resident? - answer 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - answer True What is a Moratorium? - answer the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - answer 60 days

Every ___ Years of employment a new background screening must be done. - answer 5 How many days prior must an ALF inform ACHA the discontinuance of operation? - answer 30 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - answer False 30 days How many years must copies of ACHA inspections be kept on file? - answer 5 True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - answer False The may require one If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - answer 10 days unless alternative time frame is required A deficiency affecting one, or a very limited number of clients or staff would be considered a what? - answer Isolated Deficiency A deficiency in which more then a limited number of clients or staff would be considered a what? - answer Patterned Dificiency A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what? - answer Widespread Deficiency How soon must a Class "I" violation be corrected? - answer 24 hours unless a fixed time period is determined by ACHA A Violation that presents an imminent danger clients would be considered a what class?

• answer Class "I" A violation that directly threatens clients is considered what class? - answer Class "II" A violation that potentially threatens a client is considered what class? - answer Class "III" True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified. - answer False A violation that does not have the potential to negatively affect a client is considered what class? - answer Class "IV" Can ACHA impose an administrative fine for violations not designated as one of the four classes? - answer Yes

When a moratorium or emergency suspension is placed on a facility they must post what where? - answer A notice of action in a place visible to the public What class violation would a personal hygiene issue be considered? - answer Class "III" Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your licence, or violating any terms of your licence are considered what type of violation? - answer Unclassified Violation How many days may ACHA extend a denied, revoked or set to terminate licence for the sole purpose of allowing safe and orderly discharge of clients - answer 30 days How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? - answer 6 months In the case of an emergency and ALF may exceed its licensed capacity for how many days? - answer 15 days The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what? - answer Aging in place A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what? - answer Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - answer Chemical Restraint A guardian is a person the law has entrusted what? - answer the custody and control of a person or property, or both True or False you can provide 24-hour nursing care under a LNS licence. - answer False 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 17 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 2 True or False A facility is not required to document the implement of elopement drills. - answer False A deficiency cited during a survey for medication must be corrected how soon? - answer 48 hours True or False A facility associated with a religious organization shall include it in their advertising. - answer True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - answer True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - answer No, however schizophrenic and other psychotic disorders are.

If ACHA informs a licence applicant of errors or omissions on their application how many days do they have to respond with the required information? - answer 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - answer True how often does a facilities license need to be renewed? - answer every 2 years True or False when a resident uses a third party provider it is not required to be documented in their records. - answer False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - answer True Can someone with HIV be admitted to an ALF facility? - answer Yes Can a facility accept a resident that requires the administration of medication? - answer Yes, if a nurse is there to provide the service True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility. - answer False Can a facility obtain information omitted from the Health assessment form, from the physician verbally? - answer Yes, but it must be documented in the residents records. A resident must have a face to face medical examination how often to maintain continued residency? - answer Every 3 years or after any significant change how many days a week shall activities be available? - answer 6 days what is the minimum hours of activities required for an ALF per week? - answer 12 hours True or False A one-time special event television program can be counted as an activity? - answer True Can a facility require a resident to see a specific health care provider? - answer No A written order for a half-bed rail must be reviewed by the physician how often? - answer every 6 months How often should staff asses the risk of elopement in residents? - answer at a minimum, Daily True or False A MOR sheet does not need to list known allergies of a resident. - answer False

How soon must an abandoned or expired medication be disposed of? - answer within 30 days True or False A stock supply of over the counter products for multiple residents is permitted. - answer False How many separate ALF's can a administrator supervise? - answer 3 True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility. - answer True How often does freedom from tuberculosis need to be documented for staff members? - answer annually How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months? - answer 30 days A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year? - answer 2 True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission. - answer True In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider? - answer at least every 3 years after initial assessment, or after a significant change. Residents my be bedridden for up to how many days? - answer 7 days True 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 2,3,4 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 30 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 5 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