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FLORIDA ALF CORE COMPETENCY MULTIPLE
CHOICE
You have a standard license and your resident needs to be fed. What do you do? - Answers :A. Let the staff feed the resident* B. Give the resident a 45 day notice to relocate C. Tell the family they need to hire a person to feed the resident. D. Apply for an ECC license. You Hired a maintenance worker on January 5, 2018. It is May 31, 2018 and he has already taken the Alzheimer's level one class. What class does he need to take now? - Answers :A. Alz level 2 class B. No class unless he has been working a year C. No other alz class is needed * D. He needs to take the alz 1 class again You have hired an LPN. What training does she need to take? - Answers :A. CPR * B. CPR and first aid C. Infection control D. Band C Mrs. Alverez wants to self administer her own meds. What do you tell her? - Answers :A. She needs to get an order from her physician * B She needs to get permission from her daughter C. The staff nurse needs to evaluate her first D. All of the above Assisted living facility means... - Answers :A any building or buildings, section or distinct part of the building * B private home, and one or more personal services for a period Exceeding 12 hours C 3 or more adults who are not relatives of the owner or administrators D all of them You just hired a CNA. What training does she need within 30 days? - Answers :A. Three hours on residence behavior and needs B. Three hours of providing assistance with ADLs C. One hour reporting adverse incidents * D. All of the above What should be in the admission package? - Answers :A list of activities offered B special diets C policy on DNR's D all of the above * Menus must be dated and planned how far in advance? - Answers :A Two weeks B One week *
C One month D Five days Mrs. Howard is having problems with constipation. What should you do first? - Answers :A. Offer her some prune juice * B Ask her daughter to bring in a laxative C. Tell her to exercise more D. Call her physician What staff need to have the six our LMH training when working in a LMH facility? - Answers :A. All staff B. Administrator C Administrator and nurse D. Administrator, managers and staff who have direct contact with residents * What class violation would a personal hygiene issue be considered? - Answers :A class 1 B class 3 * C class 2 D not a violation A service plan is required for each resident admitted under what licence? - Answers :A Standard B ECC * C LNS D none of these Limited nursing services can only be provided by? - Answers :A LPN, RN, ARNP* B LPN C Doctor D CNA How many days notice does a resident need to provide for notice of termination? - Answers :A 30 days * B 45 days C 60 days D 20 days What is the minimum square feet needed per president in an ALF for common living areas? - Answers :A 35 * B 45 C 60 D 80 True or false. You can provide 24 hour nursing care under a LNS license. - Answers :A. True
For ECC licensure: - Answers :A the facility must obtain a license for ECC before accepting at ECC resident * B direct care staff must complete four hours of specialized ECC training C the administrator must have one year experience serving elderly residents in a long- term care facility D all statements are correct When there is evidence of financial instability, the agency shall require the facility to submit the following: - Answers :A delinquent accounts B receipt of residents rent payment C number of checks returned for insufficient fun's during the previous 12 months D both a and B * If an ALF receives a class one violation, the fine may be levied for a maximum of $10,000. - Answers :A true * B false ALFS with one or more mental health resident, enrolled in the optional state supplementation program, must have what type of specialty licenses or license? - Answers :A ECC B LNS C LMH * D all of the above What document is given by ACHA to operate an ALF? - Answers :A permit B certification C license * D none of the above A resident who self administers may use a pill organizer? - Answers :A true * B false Interval between meals shall be provided with no less or more than how many hours? - Answers :A no less than two hours and no more than four hours B no less than two hours and no more than six hours * C none of the above D no less than one hour and no more than five hours. All resident records must be retained for how many years? - Answers :A 3 B 1 C 5 D 2 * If an AL F license is up for renewal, how many days at a minimum before the license expires must a renewal application be received by ACHA? - Answers :A 60 days * B 90 days
C 30 days D 15 days ALF's may suggest to residents as a condition to being admitted to their facility to waive or execute a DNRO? - Answers :A true B false * An elopement means an occurrence in which a resident leaves a facility without following the facility's policy and procedures? - Answers :A true * B false The sufficient non-perishable food supply is based on the ALF ______? - Answers :A bed capacity B census * C the result of the ombudsman assessment D the result of the ALF survey If a consultant is required by ACHA because of a dietary or medication issue, the facility must provide a plan of correction, if a plan is required by the agency, no later than how many days from the on-site visit? - Answers :A 7 calendar days B 30 calendar days C 15 calendar days D 10 calendar days * ACHA may deny, revoke or suspend an ALF license, if the facility receives one or more classes 2 deficiencies? - Answers :A true B false * According to the fire protection Association, a fire drill is considered prompt if executed within what timeframe? - Answers :A 13 minutes B 3 minutes * C 9 minutes D 5 minutes ALF's with a bed capacity of 16 or less do not have to have planned menus? - Answers :A true B false * ALF staffing hours is determined by its census? - Answers :A true * B false OTC medication that is prescribed should only contain the residents name somewhere on the medication bottle? - Answers :A true B false *
These residents cannot be bedridden for more than how many days consecutively? - Answers :A five days B 14 days C 7 days * D4 days How many days written notice must be given before a rate increase? - Answers :A two weeks B 10 days C 15 days D 30 days * ALF's must secure fire safety and health department inspections. These inspections must be done and submitted to ACHA _______ - Answers :A every quarter B every six months C every month D every year * What is the minimum number of fire drills required for a sprinkler building for the night shift? - Answers :A Four fire drills annually B one fire drill annually C two fire drills annually * D three fire drills annually ALF's must maintain work schedule for 24 hours. - Answers :A true B false * What is the minimum square footage for a one person room in an ALF? - Answers :A 60 ft.² B 40 ft.² C 80 ft.² * D 90 ft.² Which of the following is not considered an ADL? - Answers :A bathing B grooming C transferring * D feeding When contracting with an establishment to cater food for your AL F, you need a current license of the establishment and a contract on file. - Answers :A true * B false DOEA write the rules for ALF's? - Answers :A true B false * Bed capacity of an ALF is determined by which agency? - Answers :A DOH *
B DOEA
C ACHA
D zoning In an ECC licensed ALF, a toilet sink, and shower our shared at a maximum of how many residents? - Answers :A 6 residents B 4 residents * C 7 residents D 3residents A healthcare providers order is required when a nurse provides assistance with self administration or administration of OTC products? - Answers :A true * B false When a resident returns from her doctors visit with a sample supply of medication, you do not need a written prescription to give the resident his or her meds. - Answers :A true B false * A MOR must be kept on all residents who receive assistance or administration with meds and must contain ____________? - Answers :A known allergies B health providers phone number C C missed dosages D all of the above * It is best practice to store medications for the eyes, ears, and nose separate from each other? - Answers :A true * B false Use of the medication observation record (MOR) is not required for which of the following: - Answers :A medication provided at an outpatient clinic * B assistance with self administration of medication C medications administered while on leave with family D none of the above If the resident complains of tingling or numbness in the leg after the antiembolism stockings are applied, the caregiver should: - Answers :A call the resident's family and ask them to bring in a large set of hosiery B monitor the situation C call the resident's physician and get an order for discontinuation of hosiery D notify the administrator or facility nurse immediately * The caregiver should notify the administrator or facility nurse of the following observations during colostomy bag replacement: - Answers :A leaking from around the pouch system and change in size or appearance of the stoma B observation of any skin rashes, irritations or rawness around the stoma site C bleeding from the stoma or any complaint of pain by the resident D A and B
Medications that have been abandoned or have expired must be disposed up with and how many days of being determined abandoned or expired? - Answers :A 15 days B 20 days C 30 days * D 60 days And administrator supervising a maximum of three assisted-living facilities, each licensed for 16 or if you were a beds and all within how many miles of each other? - Answers :A 10 miles B 5 miles C 15 miles * D none of the above Ms. Westerfield has become agitated and is pushing other residents and yelling at them. Her son does not want her sent to the hospital. As the administrator what should you do? - Answers :A. explain to the son that you have to send her out to be evaluated and send her to the hospital * B call the healthcare provider and ask for some medication to calm her down C. tell the son you will keep a close eye on her and reevaluate the Situation tomorrow D tell the son you will do whatever he wants The term "competent resident" means that... - Answers :A. The resident is cognizant of when a medication is required and understands the purpose for taking the medication * B the resident knows the month, day and year C. the resident knows their name and date of birth D all of these If you have a policy that states to weigh residents monthly but the regulations state that weight should be done every six months, how often do you weigh your residents? - Answers :A monthly * B every 6 months C every 9 months D every 12 months A resident is leaving to go to their daughters house for the day and asks for their evening pills, what do you do? - Answers :A pull out their evening dose of medication and put it in an envelope and give it to the daughter B tell the resident you have to call the healthcare provider first C give the daughter the bubble pack of meds that contain her evening medication * D hand the dose of medication to the daughter and ask her to sign for it You have a hospice resident who has a stage 2 pressure ulcer. It is getting progressively worse and turning into a stage 3. What do you do? - Answers :A call hospice and ask for direct treatment for wound care B give the family member a 45 day notice *
C leave the resident where they are since they are on hospice D call the healthcare provider and ask for a different hospice Which staff members should receive DNRO training? - Answers :A administrators B direct care staff C admission director D all of the above * How often do you update an 1823 health assessment? - Answers :A. every year B every 3 years C when there is a significant change D both B and C * Scheduled activities must be available for at least six days a week for a total of not less than how many hours per week? - Answers :A 12 hours * B 14 hours C 20 hours D 24 hours At a minimum the facility must have a photo identification of at risk residents ( for elopement) on file that is accessible to all faculty staff and law-enforcement as necessary. The facility's file must contain the resident photo identification within how many days of admission or within how many days of being assessed at risk for elopement subsequent to admission. - Answers :A 10 days and 20 days B 10 days and 15 days C 10 days and 10 days * D 15 and 15 days At least how many staff members who have access to facility and resident records in case of an emergency must to be in the facility at all times when residents are in the facility? - Answers :A one * B two C one on each floor D zero Staff who provide direct care to residents, other than nurses, CNA's, or home health aides, must receive how many hours of in-service training within 30 days of employment that covers the following subjects: resident behavior and needs and providing assistance with the activities of daily living? - Answers :A 1 hour B 3 hours * C 2 hours D none of the above Assistance with medications does not include_________ - Answers :A mixing, compounding, converting, or calculating dosages B giving injections or suppositories
You noticed that Mr. Martin is having frequent falls. The staff reports that he is unsteady on his feet. What should you do? - Answers :A notify the healthcare provider B ask the healthcare provider for an order for PT C document that you called the healthcare provider D all of the above * Under ECC license, at least how often a nursing assessment of the resident must be conducted? - Answers :A monthly * B daily C weekly D twice a week Who can assist a resident with a pill organizer in an ALF in Florida? - Answers :A a nurse B a family member C A and B * D unlicensed staff During periods of temporary absence of the administrator or manager of more than how many hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility. - Answers :A 48 hours * B 24 hours C 12 hours D 72 hours How many specialty licenses are there? - Answers :A 2 B 4 C 3 * D 1 What are the specialty licenses? - Answers :LNS, LMH, ECC When assisting with medication, the med tech can do all of the following except? - Answers :A put the medication in the resident hand B put the medication in a cup C but the medication in the resident mouth * D get water for the resident The deficiency statement shall include: - Answers :A description of the deficiency * B the name of the person who violated the rule C the number of times this rule has been violated by the facility D all of the above Who is ultimately responsible for determining which type of medication management a resident requires? - Answers :A the facility administrator
B the facility nurse C the resident D the healthcare provider * Which of the following is not a LNS service? - Answers :A applying a cold compress B inserting an Indwelling catheter C cutting the toenails of a resident * D performing ear irrigation's Refrigerator temperatures should be kept at a range of? - Answers :A 32 to 40°F B 35 to 45°F C 30 to 35°F D 30 to 40°F * How many continuing education credits does the Edminister need to keep their license?
- Answers :A 12 every two years * B 6 every two years C 12 every year D 6 every year County health department are responsible for inspecting all license applicants and licensed facilities in matters regulated by: - Answers :A relating to food hygiene B relating to sanitary practices in community-based residential facilities C relating to biomedical waste D all of the above * How often do you have to update and get approval of the emergency management plan? - Answers :A every six months B every year * C every other year D the start of the hurricane season Examples of a third party - Answers :A family friend B home health nurse C staff housekeeper D A and B * An individual serving as a manager must? - Answers :A have level 2 background screening B take the 26 our core class and pass the competency test C supervise all staff D A and B * Who should be on the admission and discharge log? - Answers :A only permanent residents B all residents including respite that have not been discharged *
How many servings of milk or milk products should a resident have per day? - Answers :A 3 servings a day B 2 servings a day * C 3 to 4 servings a day D 1 serving a day Which president is at the greatest risk of developing pressure sores? - Answers :A the resident who ambulates but has frequent falls B the resident who cannot ambulate and uses a wheelchair C the resident who is incontinent * D the resident who refuses to bathe Sample prescription drugs must be kept in a container that has a label containing? - Answers :A physician name B expiration date C date dispensed D all of the above * No staff members shall be in charge of a facility for a consecutive. How many days, or for a total of how many days with in a calendar year, without being an administrator or manager. - Answers :A 14 days and a total of 60 days B 30 days and a total of 90 days C 45 days and a total of 90 days D 21 days in a total of 60 days * Dentures need to be cleaned at least how often? - Answers :A once a day * B twice a day C only when dirty D every other day Any person who fraudulently altars, defaces, or falsifies any medical or other record of an assisted living facility, or causes or procured any such offense to be committed, commits ______ - Answers :A a misdemeanor of the second- degree * B a misdemeanor of the first degree C a felony D none of the above 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 established in this rule. What other documents must you have on file? - Answers :A original signature of the reviewer * B faxed copy with the signature C you can have an original or faxed copy D number of years that the reviewer has been licensed
Your facility qualifies for an abbreviated survey if _______ - Answers :A they do not have any class 1 or class 2 violations within the last licensing period B they do not have any uncorrected class 3 violations within the last two licensing periods * C they have no long-term ombudsman complaints D all of the above The agency may issue what type of license if, at the time of license renewal the facility is found to have uncorrected violations that the facility has had an opportunity to correct? - Answers :A provisional license B conditional license * C standard license D ACHA may deny the license What is the best way to cut a scored tablet? - Answers :A use a pill cutter * B break the tablet with your hands C you cannot break a tablet in an ALF D use pliers What must be included in a resident's contract? - Answers :A the daily, weekly, or monthly rate B a refund policy C a bed hold policy D all of the above * Mrs. Winehurst has been out of her Colace for three days. Her daughter usually brings it in but she is on vacation. What would you do? - Answers :A circle your initials and write on the back of the MOR "daughter out of town" B don't worry about it. Colace is an OTC medication C order a bottle from your pharmacy * D none of the above Discontinued medications..... - Answers :A must be destroyed B must be sent back to the pharmacy C may be kept and stored separately clearly marked discontinued meds * D should always be given to the family The following have to be posted in your facility: - Answers :A information on how and where to lodge complaints with the adult abuse registry B the ombudsman poster with toll-free number C abuse hotline D all of the above * You have a resident who is in your facility under a standard license and has a stage to pressure area that is not showing any improvement and you give them a 45 day notice. During that 45 day notice the wound is improving. Can you rescind the 45 day notice - Answers :A Yes *
D MRSA
Nonperishable food must be stored how many inches off of the floor? - Answers :A 6 inches * B 5 inches C 10 inches D 7 inches Betty is your lead CNA. She supervises all of the nursing assistance in your facility. Can you let Betty do the in services for all of your new employees? - Answers :A yes because she is a supervisor B no because only a nurse or the administrator can in-service the staff and sign the certificates * C yes because she was trained by the administrator D only a nurse can do the training You are applying for an ECC license; do you have to license the whole building? - Answers :A yes B no * You have 50 residents in your facility. How much water do you need in your emergency supply? - Answers :A 300 gallons * B 200 gallons C 100 gallons D 250 gallons The facility must have a written statement of its house rules and procedures that must be included in the admission package. The rules and procedures must at a minimum address the facility's policies regarding: - Answers :A alcohol and tobacco B reporting resident abuse, neglect, and exploitation C medication storage D all of the above * Who cannot be counted toward meeting the minimum staffing requirements? - Answers :A administrator B the nurse C dietary manager * D nursing assistant Mr. black is agitated and doesn't want to take his medication. Can the med tech put the meds in his food? - Answers :A yes B no * Mrs. Perry is coughing every time she eats and drinks. What should you do? - Answers :A contact her health provider and ask for a soft diet
B contact her healthcare provider and ask for a speech therapist evaluation* C contact her family and ask them to bring in foods that she can eat D all of the above Which of the following is considered an activity? - Answers :A listening to the radio B reading C watching TV D both A and B * Mr. Costa moved into your facility on December 15, 2017. His 1823 is dated October 2,
- What do you do? - Answers :A let the resident move in and keep the 1823 B tell the family that the resident can't move in C call the physician and make an appointment for the resident to be seeing * D fax the 1823 to the physician and ask him to change the date Half rails are permitted but must be reviewed and a new order provided by a healthcare provider: - Answers :A every six months B annually * C every quarter D monthly Which agency can make you increase your staffing if the resident's needs are not being met? - Answers :A DCF B Agency central office (ACHA) * C Ombudsman D DOEA And administrator can supervise a maximum of three assisted-living facilities, each licensed for 16 or fewer beds if______ - Answers :A 2 managers assist in the operation
B she appoints a manager to help oversee medication passes C someone is trained in CPR and first aid D all of the above Before assisting a resident with self administered medications, the med tech should first? - Answers :A obtain the medication from the storage area B sign off the medication on the MOR C wash hands properly * D all of the above On Friday evening the staff has called law-enforcement out to the facility due to a resident complaining that someone stole her diamond ring. What is the appropriate next step? - Answers :A document in her resident chart B do a day 1 adverse report on Saturday morning C do a day 1 adverse report on Monday morning * D none of the above
