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True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - ANS > True Which of the following is not considered an ADL? a. Eating b. Dressing c. transferring d. ambulation e. toileting - ANS > c. transferring What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety c. psychotherapy d. antidepressant - ANS > C. psychotherapy Hospice services are allowed in an ALF and must be coordinated through the development of a what? - ANS > Interdiscplinary care plan What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry - ANS > Fruit There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? - ANS > Insulin injections True or False? Alzheimer disease is curable by stimulating the brain? - ANS > False Any items a facility uses to advertise must contain what two things? - ANS > Assisted living facility & Licence # At least one staff member who is trained in & must be in the facility at all times. - ANS > CPR & First Aid ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules? - ANS > Biennial Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction. - ANS > 60 Limited nursing services can only be provided by? - ANS > LPN, RN, ARNP 1/2 bed rails are considered a and are allowed in an ALF only if? - ANS > 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? - ANS > Adverse Incident Adverse incidents are submitted on day __ and day __ to ACHA. - ANS > 1. and 15 A fully sprinkled ALF must conduct how many fire drills annually? - ANS > 5 True or False? A limited mental health resident must receive OSS? - ANS > True True or False? Facilities licensed for 16 residents must have an awake staff person at night. - ANS > False The specialty licences for an ALF are? - ANS > LMH, LNS, ECC The facility must have a surety bond if it has power of attorney or is a? - ANS > 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? - ANS > quarterly A facility must conduct how many elopement drills annually? - ANS > 2 A minimum weekly staffing hours for an ALF with four residents is? - ANS > 168 hours An ALF with ___ or more residents that receive OSS must have which type of licence? - ANS > 3 Limited mental health licence True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence. - ANS > True How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice? - ANS > 30 days How many residents on OSS are required for an ADULT FAMILY CARE HOME licence? - ANS > 6 True or False? In Adult family care homes, care must be provided in the person providing cares own home. - ANS > True What does the "Long Term Care Ombudsman Council" Do? - ANS > respond and resolve problems for residents in long term care facilities In how many days must the "Health Assessment(1823)" prior to the move-in be completed? - ANS > 60 days How many days after Admission must a "health assessment (1823) be completed for a resident? - ANS > 30 days True or False? Residents that store medication may do so in their rooms if the medications are kept locked. - ANS > True What is a Moratorium? - ANS > the prohibition on the acceptance of new clients What is the minimum time frame allotted to inform ACHA of a CHOW? - ANS > 60 days Every___ Years of employment a new background screening must be done. - ANS >5 How many days prior must an ALF inform ACHA the discontinuance of operation? - ANS > 30 True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. - ANS > False 30 days How many years must copies of ACHA inspections be kept on file? - ANS >5 True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. - ANS > False The may require one If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted? - ANS > 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? - ANS > Isolated Deficiency A deficiency in which more then a limited number of clients or staff would be considered a what? - ANS > 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? - ANS > Widespread Deficiency How soon must a Class "I" violation be corrected? - ANS > 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? - ANS > Class "I" A violation that directly threatens clients is considered what class? - ANS > Class “I A violation that potentially threatens a client is considered what class? - ANS > Class "III" In the case of an emergency and ALF may exceed its licensed capacity for how many days? - ANS > 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? - ANS > 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? - ANS > Assisted Living Facility A drug that physically limits, restricts or deprives an individual of movement of mobility is a what? - ANS > Chemical Restraint A guardian is a person the law has entrusted what? - ANS > 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. - ANS > False An individual who receives social security disability due to a mental disorder is a what? - ANS > Mental Health Resident A device that physically limits, restricts or deprives movement or mobility is a what? - ANS > Physical Restraint A service plan is required for each resident admitted under what licence? - ANS > ECC True or False A resident under 24-hour-nursing care can be admitted to a ALF. - ANS > False Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? - ANS > 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 - ANS > True True or False A facility with an ECC licence may serve a resident requiring 24-hour- nursing service. - ANS > False An unlicensed ALF commits a felony of the __ Degree. - ANS > Third During a CHOW you have how many days to notify residents in writing? - ANS > 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 - ANS > True When does a LNS, ECC & LMH licence expire? - ANS > Same time as standard licence regardless of when issued A conditional licence can not exceed how many months? - ANS > 6 months 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. - ANS > True A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident? - ANS > Adverse incident True or false A RN can not perform their professional duties in an emergency situation at an ALF. - ANS > False They can until emergency medical personal assume responsibility. An ALF with 17 or more beds must have a functioning what? - ANS > Automated External Defrillator What is a DNR? - ANS > Do Not Resuscitate Order Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED? - ANS > 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? - ANS > 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. - ANS > 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. - ANS > 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? - ANS > A licensed physician with in 30 days Can a resident use their own belongings as space permits in an ALF? - ANS > 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. - ANS > False Upon mutual consent how much cash can a facility keep in safekeeping for a resident? - ANS > $200 Can an ALF employee barrow money from a resident? - ANS > No What are the minimum records kept on file for all staff members? - ANS > 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? - ANS > Medical reasons certified my physician to require emergency relocation, or the resident has a pattern of harmful or offensive conduct towards other residents A deficiency cited during a survey for medication must be corrected how soon? - ANS > 48 hours True or False A facility associated with a religious organization shall include it in their advertising. - ANS > True True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's - ANS > True Are Alzheimer's, dimentias or mental retardation considered Mental disorders? - ANS > 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? - ANS > 21 days True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence. - ANS > True how often does a facilities license need to be renewed? - ANS > every 2 years True or False when a resident uses a third party provider it is not required to be documented in their records. - ANS > False True or False When a resident denies the use of a third party provider it must be documented in their resident record. - ANS > True Can someone with HIV be admitted to an ALF facility? - ANS > Yes Can a facility accept a resident that requires the administration of medication? - ANS > 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. - ANS > False Can a facility obtain information omitted from the Health assessment form, from the physician verbally? - ANS > 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? - ANS > Every 3 years or after any significant change how many days a week shall activities be available? - ANS > 6 days what is the minimum hours of activities required for an ALF per week? - ANS > 12 hours True or False A one-time special event television program can be counted as an activity? - ANS > True Can a facility require a resident to see a specific health care provider? - ANS > No A written order for a half-bed rail must be reviewed by the physician how often? - ANS > every 6 months True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission. - ANS > True In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider? - ANS > at least every 3 years after initial assessment, or after a significant change. Residents my be bedridden for up to how many days? - ANS > 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 - ANS > 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 - ANS > True True or False the administrator of a facility is responsible for monitoring the continued appropriateness of placement of the resident in the facility. - ANS > 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. - ANS > 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) - ANS > 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. - ANS > False, 18 True or False For admission to a facility a resident must be free of communicable diseases - ANS > True True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary. - ANS > True True or False For admission to a facility a resident must not have any stage 2,3,4 pressure sores. - ANS > False, only stage 3,4 not allowed What is the common living area in an ALF? - ANS > 35 square feet per resident, any area used by all residents and staff 
