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NJ CALA PRACTICE SOLUTION 2026 SOLVED
ITEMS CONFIRMED A+
โ managed risk agreement. Answer: 1.identify the specific cause for concern 2.provide the resident with clear, understandable information about the possible consequences of her choice or action 3.seek to negotiate a manged risk agreement with the resident that will minimize risk and adverse consequensces while still respecting the resident's preferences 4.document the process of negotiation 5.The final agreement reached 6.the date and time frames if applicable โ medication administration record "MAR". Answer: resident record that contains name, dob, diagnosis, age dr. strength dosage form, route frequency, date ordered, stop date, allergies โ medication error. Answer: any preventable event that may cause inappropriate medication use or resident harm while the medication is in the control of the health care professional
โ 40. Answer: minimum number of hours for administrator training, plus 16 hours at a licensed facility โ 30. Answer: hours of continuing education units every 3 years to renew administrator's license โ 44 inches. Answer: minimum width of passageways, aisles, and corridors in assisted living โ 36 inches. Answer: minimum width of passageways, aisles, and corridors in comprehensive personal care home โ 150 square feet. Answer: Clear usable floor area for one person in an ALR โ 80 square feet. Answer: Space required for an additional person in ALR โ 80 square feet. Answer: clear usable floor area for 1 person in CPCH โ 50 square feet. Answer: space required for additional person in cpch
2.residents need w recreation/activities
- transportation. Answer: what should the general service plan include โ 14 days. Answer: # of days health care assessment must be done by a rn when health services are determined during the initial assessment โ need for assistance with adls cognitive patterns communication/hearing vision physical functioning and structural problems continence psychosocial well-being mood and behavior problems activity pursuit patterns'disease diagnoses health conditions and preventive health measures(pain falls, and lifestyle) oral/nutritional status oran/dental sttus skin medication use
special treatment and procedures restraint use outside service utilization. Answer: what does the health care assessment by the rn include โ orders for treatment or services, medications and diet the residents needs and preferences specific goal of treatment if any time intervals at which the resident's response to treatment shall be reviewed the measures to be used to assess the effects of treatment. Answer: based on the health care assessment, a written service plan shall include โ 3 months. Answer: # of months health care plan must be reviewed or as needed (quarterly) โ 6 Months. Answer: # of days resident general service plan must be reviewed or as needed if changes in physical or cognitive status โ 30 days. Answer: # of days menus must be kept on file โ 1 fire drill. Answer: frequency of fire drills every month
medical conditions resulting in moderate to severe impairments determined by a rn and identified in the care plan โ 4 days. Answer: number of days for food supply โ age 60+. Answer: age for use of ombudsman office โ 10 years. Answer: # of years records are to be maintained โ 20 hours /2 years (30/3). Answer: # of ce hours for a CNA โ 30 days. Answer: number of days and advanced practice nurse or physician assistant shall specify in writing that the resident is appropriate for this level of care โ annually (or sooner if there is a change in function). Answer: if a resident has neither a health service plan or a general services plan, when should they be reassessed โ activities of daily living. Answer: functions or tasks for self-care, such as dressing, bathing, toileting, transfer, locomotion, bed mobility, and eating
โ advanced practice nurse. Answer: one certified by the nj state board of nursing โ aging in place. Answer: a process whereby individuals remain in their living environment despite the physical or mental decline and need for services. โ assisted living. Answer: coordinated array of supportive personal and health services, 24 hours a day, to residents who have been assessed to need services including those requiring nursing home level of care โ nursing home level of care. Answer: an individual needs nursing facility services for chronic medical conditions resulting in mderate to severe impairments in physical, behavioral, cognitive, and or psychosocial functioning as determined by a rn and identified in a plan of care (20% of census) โ assisted living program. Answer: the provision of or arrangement for meals and assisted living services, when needed, to the tenants of publicly subsidized housing. may also provide staff and services to an assisted living residence โ assisted living provider. Answer: an organization licensed by the nj dept of health and senior services to provide all services required of an assisted living program
โ customized resident medication package. Answer: a unit - of-use package prepared by a pharmacist for a specific resident comprising a series of containers and containing 2 or more prescribed solid oral dosage forms, and labeled for day time, period and contents w/in each container โ dignity. Answer: self-worth. enhanced when the facility and staff demonstrate courtesy, respect to make decisons, and allow personal assistance and care in privacy โ documented. Answer: written, signed, and dated โ drug regimen review. Answer: resident review by the consultant or provider pharmacist โ health care service. Answer: any service provided to a resident that is ordered by a physician and required to be provided by a licensed, registered or certified health care professional โ hospice. Answer: program of palliative and supportive services provided to terminally ill persons and their families in the form of physical, psychological, social, and spiritual care
โ medication administration. Answer: a procedure in which a prescribed medication is given to a resident. the process includes: removing an individual does from a previously dispensed, properly labeled container verifying it with the prescribers orders giving the dose to the resident seeing that the resident takes it recording method of admin, time given, initials of who administered it, and effect when "prn" or as needed meds are administered. โ privacy. Answer: a residents degree of control over a specific physical area and/or time; levels of intimacy with family and others, and communication and contact with other outside the facility โ self administration. Answer: a procedure in which any medication is taken orally, injected, inserted, or topically or otherwise administered by a resident to herself โ shared responsibility. Answer: the residents (and family) and providers of assisted living services share responsibility for planning and decision making affecting the residents โ signature. Answer: at a minimum, the first initial and full surname and title, legibly written with his or her own hand. an electronic signature is acceptable.
โ 2 years. Answer: within what period of time must an assisted living administrator sit for the exam after completing the certification? โ every 3 years. Answer: how often does the cala certification need to be renewed โ 30 hours over 3 years. Answer: what are the continuing education requirements for a cala โ 1.the right to receive personalized services and care as defined by the general and or health service plan
- the right to receive services that address changing physical psychosocial status 3.the right to have independence and individuality
- the right the be treated with respect, courtesy,consideration,and dignity
- the right to make choices w respect to services and lifestyle 6.the right to privacy
- the right to have or not have family participation is resident service planning and implementation
- the right to receive pain management as needed 9.the right to choose a physician, advanced practice nurse, or physician assistant
- the right to appeal an involuntary discharge
- the right to receive written documentation that fee increases based on a higher level of care are based on reassessment of the resident
- the right to receive a written explanation of fee increases that are not related to increased. Answer: what are the 42 rights of the resident โ 1.assistance with personal care
- nursing
- pharmacy 4.dining
- activities 6.recreational
- social work. Answer: what are the 7 services that an alf must be capable of providing at the least โ the alf shall provide or coordinate personal care and services based on assessment by qualified persons in a manner which promotes and encourages assisted living values the alf shall be capable of providing the 7 services of (assistance with personal care,nursing,pharmacy,dining,activities,recreational,social work)
โ interruption of heat, light, power, water, food, or staff for 3 or more hours any major occurrence such as fires, disasters elopements and deaths all suspected cases of abuse, neglect, or misappropriation of resident property including those reported to the ombudsman alleged or suspected crimes occurrence of epidemic disease in the facility termination of the administrator, and name of replacement. Answer: reportable events, the facility shall the department by phone, immediately, and in writing within 72 hours for these events โ each facility shall maintain written referral and/or transfer agreements with at least one licensed acute care hospital in NJ private psychiatric hospital long term care facility (or an acute care hospital w/psychiatric beds). Answer: referral/transfer agreements (with whom is required) โ the facility or program can either transport or arrange for transport. Answer: resident transporation
โ the facility shall maintain an annual chronological list of residents admitted and discharged, including the destination of residents who are discharged
- statistical data, such as resident census and facility characterisitcs. Answer: maintenance of records requirement by the facility โ 1 week. Answer: what is the maximum amount of time a resident can remain in the infirmary โ the resident acquires an acute illness requiring medical care any serious accident, criminal act or incident which resolves in serious harm , injury, arrest or detention the resident is transferred the resident expires. Answer: what events require immediate notification of the residents responsible party โ resident rights advance directives staffing levels delivery of personal care and assistance encouraging independence and personal decision making referral of residents to health care providers
โ must be documentation of reassessment by the registered nurse. Answer: how can additional charges for increased level of care be imposed โ upon admission the initial assessment is done by the rn to determine needs. Answer: who conducts the initial assessment and why โ the general service plan within 14 days. Answer: if the initial assessment indicates the resident has general service needs what is created next and when โ a physician, advanced practice nurse or physician assistant. Answer: who conducts the healthcare assessment 30 days prior to admission โ a health care assessment must be completed w/in 14 days by a rn using an assessment instrument. Answer: if the initial assessment indicates the need for health care services, what happens next and by whom? โ orders for treatment or services, medication and diet residents needs and preferences specific goals of treatment
time intervals at which the residents response will be reviewed measures used to assess effectiveness. Answer: based on the health care assessment a written service plan must be developed to include: โ annually. Answer: how often should a resident be reassessed if no general or health service plan? โ nurse aide training course w cert, criminal background check, orientation on concepts of assisted living. Answer: what are the qualifications of the personal care assistants โ 2 years. Answer: how long is the personal care cert valid โ once every 2 years. Answer: renewal for personal care assistant โ 20 hours every 2 years. Answer: continuing ed requirements for personal care assistants โ cert as a nurse aide, homemaker-home health aide, or personal care assistant completion of the cma course passing the exam. Answer: what requirements shall a cma meet
