FLORIDA ALF CORE TRAINING EXAM STUDY GUIDE Expected 300+ Questions and Answers (Verified, Exams of Training and Development

Download FLORIDA ALF CORE TRAINING EXAM STUDY GUIDE Expected 300+ Questions and Answers (Verified and more Exams Training and Development in PDF only on Docsity! 1 / 16 FLORIDA ALF CORE TRAINING EXAM STUDY GUIDE Expected 300+ Questions and Answers (Verified Answers) 1. True or False? An ALF can be only one building? Ans>> False 2. A resident can be bedridden in an ALF with a standard licence for no more then days? Ans>> 7 3. Which agency is responsible for regulatory inspections of ALF's? Ans>> AHCA 4. Capacity in an ALF is the of residents it is licensed to care for. Ans>> number 2 / 16 5. Which of the following is not considered an ADL? a. Eating b.Dressing c.transferring d.ambulation e.toileting Ans>> c. transferring 6. Limited nursing services can only be provided by? Ans>> LPN, RN, ARNP 7. 1/2 bed rails are considered a and are allowed in an ALF only if? Ans>> Physical Restraint they are ordered by a physician 8. An event over which facility personnel could exercise control rather than as 5 / 16 18. An ALF with or more residents that receive OSS must have which type of licence? Ans>> 3 Limited mental health licence 19. What is not commonly used medication to treat symptoms of mental health disorders? a. anti-psychotic b. anti-anxiety 6 / 16 c. psychotherapy d. antidepressant Ans>> C. psychotherapy 20. Hospice services are allowed in an ALF and must be coordinated through the development of a what? Ans>> Interdiscplinary care plan 21. What is not a potentially hazardous food? a. milk b. fruit c. eggs d. poultry Ans>> Fruit 22. There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what? Ans>> Insulin injections 23. True or False? Alzheimer disease is curable by stimulating the brain? Ans>> - 7 / 16 False 24. Any items a facility uses to advertise must contain what two things? Ans>> As- sisted living facility & Licence # 25. At least one staff member who is trained in & must be in the facility at all times. Ans>> CPR & First Aid 26. ALF surveys conducted by ACHA will occur how often to ensure compli- ance with all regulations and rules? Ans>> Biennial 27. Applications for a CHOW must be submitted to ACHA many days prior to the transaction. Ans>> 60 28. 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. Ans>> False 30 days 29. True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence. 10 / 16 42. LNS Ans>> Limited Nursing Services Licence 43. ECC Ans>> Extended Congregate Care Licence 44. LMH Ans>> Limited Medical Health Licence 45. AFCH Ans>> Adult Family Care Home 46. MOR Ans>> Medication Observation Record 47. DCF Ans>> Department of Children and Families 48. CNA Ans>> Certified Nursing Assistant 49. HHA Ans>> Home Health Aide 50. OSS Ans>> Optional State supplementation 11 / 16 51. LTCOC Ans>> Long Term Care Ombudsman Council 52. FPSS Ans>> Florida Protective Service System 53. POA Ans>> power of attorney 54. SSI Ans>> Supplemental Security Income 55. CHOW Ans>> change ownership 56. CARES Ans>> Comprehensive Assessment and review for long term care services 57. CPR Ans>> CARDIO PULMONARY RESUSCITATION 58. RDA Ans>> recommended daily allowance 59. DOH Ans>> Department of Health 12 / 16 60. CCRC Ans>> continuing care retirement community 61. FDLE Ans>> Florida Department of Law Enforcement 62. What Licence would be required if you are using a COMMUNITY SUPPORT PLAN? Ans>> LMH 63. What written statement is required for LMH residents that provides specific directions for emergencies and after hours care? Ans>> Cooperative Agreement 64. What is ACS? Ans>> Medicaid based, state plan that provides care to eligible recipi- ents who require an integrated set of services on a 24-hour-per-day-basis. 65. Which Licence allows a nurse to preform any service within the scope of their licence? Ans>> ECC 66. What Licence is required if you have 3 or more residents on OSS? Ans>> LMH 15 / 16 living areas? Ans>> 35 81. What is the minimum square footage for a private room in an ALF? Ans>> 80 82. Is an ALF required to carry liability insurance at all times? Ans>> Yes 83. What is the maximum number of residents per bedroom? Ans>> 2 84. What is the Toilet to sink ratio in an ALF? Ans>> 1-6 85. In how many days must the "Health Assessment(1823)" prior to the move-in be completed? Ans>> 60 days 86. How many days after Admission must a "health assessment (1823) be completed for a resident? Ans>> 30 days 87. True or False? Residents that store medication may do so in their rooms if the medications are kept locked. 16 / 16 Ans>> True 88. What is a Moratorium? Ans>> the prohibition on the acceptance of new clients 89. What is the minimum time frame allotted to inform ACHA of a CHOW? Ans>> 60 days 90. Every Years of employment a new background screening must be done. Ans>> 5 91. How many days prior must an ALF inform ACHA the discontinuance of operation? Ans>> 30 92. True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results. Ans>> False 30 days 93. How many years must copies of ACHA inspections be kept on file? Ans>> 5 94. True or False ACHA shall require an licencee to submit a plan of correction for deficiencies. 17 / 16 Ans>> False The may require one 95. 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 96. A deficiency affecting one, or a very limited number of clients or staff would be considered a what? Ans>> Isolated Deficiency 20 / 16 licence for the sole purpose of allowing safe and orderly discharge of clients- Ans>> 30 days 110. How many months does an ALF have to comply when ACHA is authorized to adopt a new rule? Ans>> 6 months 111. In the case of an emergency and ALF may exceed its licensed capacity for how many days? Ans>> 15 days 112. 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 113. 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 21 / 16 114. A drug that physically limits, restricts or deprives an individual of move- ment of mobility is a what? Ans>> Chemical Restraint 115. A guardian is a person the law has entrusted what? Ans>> the custody and control of a person or property, or both 116. True or False you can provide 24-hour nursing care under a LNS licence.- Ans>> False 117. An individual who receives social security disability due to a mental disorder is a what? Ans>> Mental Health Resident 118. A device that physically limits, restricts or deprives movement or mobility is a what? Ans>> Physical Restraint 119. A service plan is required for each resident admitted under what licence?- Ans>> ECC 120. True or False A resident under 24-hour-nursing care can be admitted to a 22 / 16 ALF. Ans>> False 121. Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF? Ans>> yes 122. 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 123. True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service. Ans>> False 124. An unlicensed ALF commits a felony of the Degree. Ans>> Third 125. During a CHOW you have how many days to notify residents in writing? Ans>> 7 days 126. 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 25 / 16 considered what kind of incident? Ans>> Adverse incident 139. True or false A RN can not perform their professional duties in an emer- gency situation at an ALF. Ans>> False They can until emergency medical personal assume responsibility. 140. An ALF with 17 or more beds must have a functioning what? Ans>> Automated External Defrillator 141. What is a DNR? Ans>> Do Not Resuscitate Order 142. 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" 143. 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 144. True or False Mixing, compounding, converting or calculating medication doses is allowed with assisting in self-medication. 26 / 16 Ans>> False Unless you are measuring the prescribed amount, breaking a scored tablet or crushing a tablet as prescribed. 145. 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. 146. 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 147. 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. 148. True or False A resident does not have the right to choose their own roommate. Ans>> False 27 / 16 149. Upon mutual consent how much cash can a facility keep in safekeeping for a resident? Ans>> $200 150. Can an ALF employee barrow money from a resident? Ans>> No 151. What are the minimum records kept on file for all staff members? Ans>> Back- ground screening, compliance with all training and all licenses or certifications. 152. 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 153. Does a resident have the right to share a room with their spouse? Ans>> Yes, if they are both residents of the facility 154. Can an ALF require residents to wear uniforms? Ans>> No 155. Can ACHA have private conversations with residents during a survey? Ans>> - 30 / 16 Ans>> True 168. how often does a facilities license need to be renewed? Ans>> every 2 years 31 / 16 169. True or False when a resident uses a third party provider it is not required to be documented in their records. Ans>> False 170. True or False When a resident denies the use of a third party provider it must be documented in their resident record. Ans>> True 171. Can someone with HIV be admitted to an ALF facility? Ans>> Yes 172. Can a facility accept a resident that requires the administration of med- ication? Ans>> Yes, if a nurse is there to provide the service 173. True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility. Ans>> False 174. Can a facility obtain information omitted from the Health assessment form, from the physician verbally? Ans>> Yes, but it must be documented in the resi- dents records. 175. A resident must have a face to face medical examination how often to 32 / 16 maintain continued residency? Ans>> Every 3 years or after any significant change 176. how many days a week shall activities be available? Ans>> 6 days 177. what is the minimum hours of activities required for an ALF per week? Ans>> 12 hours 178. True or False A one-time special event television program can be counted as an activity? Ans>> True 179. Can a facility require a resident to see a specific health care provider? Ans>> No 180. A written order for a half-bed rail must be reviewed by the physician how often? Ans>> every 6 months 181. How often should staff asses the risk of elopement in residents? Ans>> at a minimum, Daily 182. True or False A MOR sheet does not need to list known allergies of a resident. 10 / 16 Ans>> False, must show improvement with in 30 days 194. 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 Ans>> -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 195. 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 196. 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.- 10 / 16 Ans>> True 197. 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 198. True of False for admission to a facility a resident must be at least 21 years of age. Ans>> False, 18 199. True or False For admission to a facility a resident must be free of communicable diseases Ans>> True 11 / 16 200. True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary. Ans>> True 201. 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 202. What is the common living area in an ALF? Ans>> 35 square feet per resident, any area used by all residents and staff 203. what is the minimum square footage for a resident room? Ans>> 80 square feet 204. what is the minimum square footage for a double occupancy room? Ans>> 120 square feet 205. an (1823) health assessment must be completed prior to admission or with in days after admission. Ans>> 60 days and 30 days 206. Menus must be reviewed Ans>> Annualy 207. Menu substitutions and a copy of them are to be kept on file for 14 / 16 initial licensure, renewed, or CHOW. As long as when issued, applicant is in compliance with all statutory requirements and agency rules. Ans>> True 223. A standard licence expires years after date of issue. Ans>> 2 years 15 / 16 224. 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. Ans>> True 225. True of False a provisional licence may be issued to an applicant applying for a CHOW. Ans>> True 226. Does a Financial officer of the company need to have a level 2 background screening? Ans>> Yes 227. Does any person having controlling interest in a facility need a level 2 background screening? Ans>> Yes 228. Do Not Resuscitate Ans>> DNR 229. AHCA Ans>> Agency for Health Care Administration 230. When outside temperatures are 65F or below at Minimum, the same 16 / 16 tempertaures shall be maintained Ans>> False 231. Unlicensed persons who will be providing assistance with self-adminis- tered medications must take the requested training Ans>> Training must be done prior to assuming responsibilities 232. Assistance with medication by an unlicensed person requires the written informed consent of the resident Ans>> True 233. If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR Ans>> false 234. OTC Ans>> Over the counter 235. If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records. Ans>> Quarterly 236. Documents required to be in the admission package shall be in English. If 19 / 16 Ans>> True 244. During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility. Ans>> True 245. Facility records should include Ans>> Ans>> A grievance procedure for receiving and responding to resident complaints and recommendations.. 246. Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. Ans>> True 247. Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment. Ans>> False 248. Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administra- 20 / 16 tive sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years. Ans>> True 249. How often must facilities have elopement frills? Ans>> A minimum of two resident elopement prevention and response drills per year. 250. A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate. Ans>> True 251. Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour 21 / 16 in service training in infection control, including universal precautions, and facility sanitation procedures. Ans>> Before providing personal care to residents 252. If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond.The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident. Ans>> 14 253. Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system. Ans>> True 254. A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month. Ans>> True 255. Facilities with 8 or more residents do not need a fire sprinkler system, 24 / 16 Ans>> False 25 / 16 270. Within 30 days of employment staff members must submit documentation from a health provider stating that the individual does not have any signs of a communicable disease Ans>> True 271. TB exam must be done within six months of being hired Ans>> True 272. A Level 2 Backgroud Screening must be done on staff every five years Ans>> - True 273. 3 types of contaminants Ans>> chemical, physical, biological 274. physical contaminant Ans>> nails, hair 275. biological contaminant Ans>> bacteria, virus, parasites, protozoan, fungus 276. Menus in Assisted living must be reviewed by dieticain annually Ans>> True 277. Menu must be easily accessible for residents. 26 / 16 Ans>> True 278. Dietician signature, date and License # is required on Menu Ans>> True 279. Portion sizes must be listed on Menu Ans>> True 280. There must be a 3 day portion of non perishable for emergency food based on census not capacity. Ans>> True 281. Subistution is based on personal resident preferences Ans>> True 282. Subistutions must be recorded when meal is served Ans>> True 283. Facility policy to centrally locate medication must be give to resident prior to admission. Ans>> true 284. OTC RX must be labeled with Residents Name Ans>> True 285. PRN RX Label should include under condition when RX should be given, 29 / 16 294. Residents shall have the right to Ans>> Live in a safe and decent living environ- ment, free from abuse and neglect. 295. Residents shall have the right to Ans>> Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy.. 296. Residents shall have the right to Ans>> Retain and use his/her own clothes and other personal property in his or her. immediate living quarters, as to maintain individuality and personal dignity, except when the facility can demonstrate that su such would be impractical or an infringement upon the rights of other residents. 297. Residents shall have the right to Ans>> Unrestricted private communication, in- cluding receiving and sending correspondence, access to a telephone, and visiting with any person of his/her choice at any time between 9am & 9pm at a minnium. Upon request the facility shall make provision to extend hours for caregiivers and out of town guest, and in similar situations. 298. Residents shall have the right to 30 / 16 Ans>> Freedom to participate in benefit from community services and activities and to achieve the highest possible level of independence, autonomy, and interaction, within the community. 299. Residents shall have the right to Ans>> Manage his/her financial affairs unless the resident or resident representative. in fact authorizes the administrator of the facility to provide safekeeping for funds as provided. 300. Residents shall have the right to Ans>> Share a room with his or her spouse if both are residents of the facility 301. Residents shall have the right to Ans>> Reasonable opportunity for regular exer- cise several times a week and to. be outdoors at regular and frequent intervals except when prevented by inclement weather 302. Residents shall have the right to Ans>> Exercise civil and religious liberties includ- ing the right to independent personal decisions. No religious belief or practice, nor any attendance at religious services, shall be imposed upon any resident. 303. Residents shall have the right to 31 / 16 Ans>> Access to adequate and appropriate health care consistent with established and recognized standards swithin the community. 304. Residents shall have the right to Ans>> At least 45days notice of relocation or termination of residency from the facility unless for medical reasons, the resident is certified by a physician to require an emergency relocation to a facility providing a more skilled level of care or the resident in a pattern of conduct that is harmful or offensive to other residents. 305. Residents shall have the right to Ans>> Present grievances and recommend change in policies, procedures and services to the staff of the facility, governing officials, or any other person without restraint, interference, coercion, discrimination, or reprisal.