NJ CALA Real Exam Questions and Answers (Latest 2025), Exams of Nursing

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A process whereby individuals remain in their living environment despite the physical and/mental decline and growing needs for supportive services that may occur in the course of aging. - Correct Answer ✅ Aging in Place The functions or tasks for self-care, which are performed either independently or with supervision or assistance, such as: dressing, bathing, toileting, transfer, locomotion, bed mobility, and eating. - Correct Answer ✅ ADLs (Activity of Daily Living) A coordinated array of supportive personal and health services 24 hours per day, to residents who have been assessed to need these services including persons who require nursing home level care. It promotes resident self direction and participation in decisions that emphasize independence, individuality, privacy, dignity, and homelike surroundings. - Correct Answer ✅ Assisted Living Limits places on a resident's choice as a result of an assessment, in accordance with N.J.A.C. 8:36-5.18, which

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indicates that such resident's choices or preference place the resident or others at a risk of harm or lead to consequences which violate the norms of the facility or program or the rights of others. - Correct Answer ✅ Bounded Choice A facility which is licensed by the Department of Health and Senior Services to provide room and board and to assure that assisted living services are available when needed, to four or more adults unrelated to the proprietor. Residential units in this type of facility have no more than two residents and have a lockable door on the unit entrance. - Correct Answer ✅ CPCH (Comprehensive Personal Care Home) A facility that has received a certificate of authority pursuant to the _________ and Financial Disclosure Act, N.J.S.A. 52:27D- 300 et seq. - Correct Answer ✅ CCRC (Continuing Care Retirement Community) A unit-of-use package prepared by a pharmacist for a specific resident comprising a series of containers and containing two or more prescribed sold oral dosage forms, and so designed

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or labeled as to indicate the day and time, or period of time, that the contents within each container are to be taken. - Correct Answer ✅ Customized Resident Medication Package A person appointed by a court of competent jurisdiction to handle the affairs and protect the rights of any resident of the facility who has been declared a mental incompetent. This does not include a person affiliated with the facility, its operations or personnel, unless so ordered by the court. - Correct Answer ✅ Guardian Any service provided to a resident of an assisted living or comprehensive personal care home that is ordered by a physician and required to be provided or delegated by a licensed, registered or certified health care professional. - Correct Answer ✅ Health Care Service A program of palliative and supportive services provided to terminally ill persons and their families in the form of physical, psychological, social, and spiritual care. - Correct Answer ✅ Hospice

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The process of balancing resident choice and independence with the health and safety of the resident and other persons in the facility or program. If a resident's preference or decision places the resident or others at risk and is likely to lead to adverse consequences, such risks or consequences are discussed with the resident, and, if the resident agrees, a resident representative, and a formal plan to avoid or reduce negative or adverse outcomes is negotiated, in accordance with the provisions of N.J.A.C. 8:36-5.18. - Correct Answer ✅ Managed Risk The written formal plan developed in consideration of shared responsibility, bounded choice and assisted living values and negotiated between the resident and the facility or program to avoid or reduce the risk of adverse outcomes which may occur in an assisted living environment. - Correct Answer ✅ Manage Risk Agreement A procedure in which a prescribed medication or biological is given to a resident by an authorized individual in accordance

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with all laws and regulations governing such procedures. - Correct Answer ✅ Medication Administration 1.) Removing an individual dose from a previously dispensed, properly labeled container (including a unit dose or unit-of- use container). 2.) Verifying it with the prescriber's orders. 3.) Giving the individual dose to the resident. 4.) Seeing that the resident takes it (if oral). 5.) Recording the required information, including but not limited to the method of administration, time administered, initials of individuals who administered the medication, and effect of the medication when "PRN" or as-needed medications are administered. - Correct Answer ✅ Process of Medication Administration The self-worth of a resident. - Correct Answer ✅ Dignity The support and enhancement of resident capabilities and facilitation of resident abilities so that the resident's

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preferences and choices may be implemented within a barrier-free environment. - Correct Answer ✅ Independence Each resident's unique needs, capabilities, personalities, backgrounds and preferences. - Correct Answer ✅ Individuality An individual resident record that contains, but is not limited to: resident name, date of birth, diagnosis(es), age, physician, name and medication strength, dosage form, route of administration, frequency, date and time of administration, initials of individual administering the medication, a section containing the full signature and title of each individual who initials it, date medication ordered, stop date if appliacable, allergies, and all other professionally acceptable information that is appropriate. - Correct Answer ✅ MAR (Medication Administration Record) A MATCEP or Medication Aide Training Competency and Evaluation Program is a department approved minimum ____________ training course conducted by a Department

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approved registered professional nurse and registered pharmacist, to instruct CNA, CHHA, or PCAs, in the administration of medications to residents, within assisted living residences, comprehensive personal care homes and assisted living programs. - Correct Answer ✅ 30-hour An individual requires this as defined by N.J.A.C. 8:85-2.1. It is provided to individuals who have chronic medical condition(s) resulting in moderate to severe impairments in physical, behavioral, cognitive, and/or psychosocial functioning. It is determined by a registered professional nurse and identified in a plan of care. - Correct Answer ✅ Nursing Home-Level Care In accordance with N.J.A.C. 8:43E-6, means the assessment of pain and, if appropriate, treatment in order to assure the needs of patients or residents of health care facilities who experience problems with pain are met. Treatment of pain may include the use of medication or application of other modalities and medical devices such as, but not limited to, heat or cold, massage, transcutaneous electrical nerve stimulation (TENS), acupuncture, and neurolytic techniques

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such as radiofrequency coagulation and cryotherapy. - Correct Answer ✅ Pain Management A resident's degree of control over a specific physical area and/or time; levels of intimacy with family and others; and communication and contact with others outside the facility or program environment. - Correct Answer ✅ Privacy Residents (and if the resident wishes the resident's family) and providers of assisted living services share responsibility for planning and decision making affecting residents. To participate fully in this, residents shaw be provided with clear and understandable information about the possible consequences of their decision-making, in accordance with the provisions of N.J.A.C. 8:35-5.18(a)2. - Correct Answer ✅ Shared Responsibility Another term for resident census. - Correct Answer ✅ Total Bed Complement

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A system in which medications are delivered to the residents areas in single unit packaging, and which meets the following criteria: 1.) Each medication shall be individually wrapped and labeled with the generic or trade (brand) name and strength of medication, lot number or reference code, expiration date, and manufacturer's name, and shall be ready for administration to the resident. 2.) Cautionary instructions shall appear on the resident's record of medication administration, and the system shall include provisions for noting additional information, including but no limited to, special times or routes of administration and storage conditions. 3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by reference, as amended and supplemented, and N.J.A.C. 8:39. - Correct Answer ✅ Unit Dose Drug Distribution System A system of in which medications are delivered to the resident areas either in single unity packaging, bingo or punch cards, blister or strip packs, or other system where each medication is physically separate. Individually labeled

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unit dose medications may be combined in a "bingo or punch card" to create a unit-of-dose drug distribution system. - Correct Answer ✅ Unit-of-Use An assisted living facility shall indicate within 36 months of after licensure, at least ______________ of the facility's residents shall be individuals with nursing home-level care. This percentage shall be computed based upon the number of residents days per calendar year and may include direct admissions as well as maintained residents with nursing home-level of care needs. - Correct Answer ✅ 20 percent Each assisted living, comprehensive personal care home, and assisted living program will be assessed and inspected __________________. - Correct Answer ✅ Biennially This may be made to a facility at any time by authorized staff of the Department. Such may include, but not limited to, the review of all facility documents and resident records and conferences with residents. - Correct Answer ✅ Survey Visits

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A licensure shall be granted for a period of one year or less as determined by the Department. - Correct Answer ✅ Facility Licensure The license, unless suspended or revoked, shall be renewed annually on the original license date, or within 30 days thereafter as of the original licensure date. The facility will receive a request for renewal fee 30 days prior to the expiration of the license. A renewal license will not be issued unless the licensure fee is received by the Department. - Correct Answer ✅ Facility Licensure Renewal The facility shall notify each resident, the resident's physician, and any guarantors of payment at least 30 days prior to the voluntary surrender of a license, or as directed under an order of revocation, refusal to renew, or suspension of license. In such cases, the license shall be returned to the Long-Term Care Licensing Program of the Department within 7 working days after the voluntary surrender, revocation, non-renewal, or suspension of license. - Correct Answer ✅ Surrender of Facility License

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1.) 21 years or older; 2.) Possess a high school diploma or equivalent; 3.) hold a CALA or LNHA license. - Correct Answer ✅ CALA Qualifications An applicant for certification as an assisted living administrator shall sit for the Assisted Living Competency Examination within ____________ of successful completion of the assisted living training course. - Correct Answer ✅ 2 Years An assisted living administrator certification shall be valid for a period of ____________ from date of issue. - Correct Answer ✅ 3 Years At least once every ___________, on a schedule to be determined by the Department, an assisted living administrator shall file an application for renewal of current certification. - Correct Answer ✅ 3 Years Complete at least ____________, of continuing education regarding assisted living concepts and related topics, as

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specified and approved by the Department of Health and Senior Services. - Correct Answer ✅ 30 hours 1.) Complete 30 hours of CEUs, 2.) Criminal History Background Check - Correct Answer ✅ Eligibility for Renewal The applicant shall be required to complete 10 hours of continuing education credit for each year in which the certification was inactive in addition to the required 30 hours of continuing education for the last completed triennial certification period in which the applicant's certification was active. - Correct Answer ✅ Lapse of Certification In order to be an assisted living administrator trainer, they must complete at least ____________ of the basic concepts etc. of assisted living. - Correct Answer ✅ 40 Hours 1.) Ensuring the development, implementation, and enforcement of all policies and procedures, including resident rights; 2.) Planning for, and administration of, the managerial, operational, fiscal, and report components of the facility; 3.)

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Ensuring that all personnel are assigned duties based upon their ability and competency to perform the job and in accordance with written job descriptions; 4.) Ensuring the provision of staff orientation and staff education; 5.) Establishing and maintaining liaison relationships and communication with facility staff and services and with residents and their families; 6.) Establishing and maintaining liaison relationships and communications with community hospitals, social services agencies, and mental health service agencies. - Correct Answer ✅ Administrator's Responsibilites An advocate who is an official in charge of representing the interests of the public by investigating and addressing complaints of maladministration or a violation of rights. - Correct Answer ✅ Ombudsman The resident has a right to refuse medication and treatment after the resident has been informed, in language that the resident understands, of the possible consequences of this decision. - Correct Answer ✅ Informed Consent in Different Languaes

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The resident has the right to receive written notice at least ___________ in advance when the facility requests the resident's transfer or discharge, except in an emergency. This written notice shall include the name, address, and telephone number of the New Jersey Office of the Ombudsman for the Institutionalized Elderly, and shall also be provided to the resident's legally appointed guardian, if applicable, or, with the resident's consent, to the resident's family, ___________ in advance. - Correct Answer ✅ 30 Days 1.) Assistance with Personal Care; 2.) Nursing; 3.) Pharmacy; 4.) Dining; 5.) Activities; 6.) Recreational; 7.) and Social Work services. - Correct Answer ✅ Types of Services for ALF 1.) The resident requires 24/7 nursing supervision; 2.) The resident is bedridden for more than 14 days; 3.) The resident is consistently and totally dependent in four or more of the following activities of daily living: dressing, bathing, toilet use, transfer, locomotion, bed mobility, and eating; 4.) The resident has a cognitive decline severe enough to prevent the making of simple decisions regarding activities such as bathing, dressing, and eating and cannot respond

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appropriately to cueing and simple directions; 5.) The resident requires treatment of a stage 3 or 4 pressure sore or multiple stage two pressure sores; 6.) The residents requires than assistance with transfer; 7.) The resident is a danger to self or others; 8.) The resident has a medically unstable condition and/or has special health problems, and a regimen of therapy cannot be appropriately developed and implemented in the assisted living environmen - Correct Answer ✅ Nursing Home Level Care Characteristics A new or existing assisted living residence or comprehensive personal care home licensed on or after Sept. 1st, 2001, shall attain a level of occupancy by Medicaid-eligible persons of at least ______________ of its total bed complement within 3 years of licensure (for new ALFs) and shall maintain this level of Medicaid occupancy thereafter. In cases in which either the total bed complement or the total number of beds added in an existing facility is less than that amount, at least one bed shall be reserved for a Medicaid-eligible person. (p.34-35) - Correct Answer ✅ 10 Percent

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Residents who shall not remain in the assisted living residence or comprehensive personal care home and shall be transferred to a long-term care facility. - Correct Answer ✅ Specialized Long-Term Care An individual who has been determined as satisfying the financial eligibility criteria for medical assistance under the Medicaid program, and has been assessed as being in need of nursing home-level care, and has been approved by the Department for participation in a Federally approved waiver program for assisted living services. - Correct Answer ✅ Medicaid-Eligible Person The facility shall report the number of resident days per calendar year to the Department's Long-Tern Care Licensing Program by _______________ of each year, for the prior calendar year. - Correct Answer ✅ April 15th 1.) Concepts of Assisted Living; 2.) Emergency plans and procedures; 3.) Infection Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse & Neglect; 6.) Pain Management;

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7.) Alzheimer's and related Dementia conditions. - Correct Answer ✅ Inservices Staffing is based upon the an assessment of the ___________ of residents' needs. - Correct Answer ✅ Acuity Policies and procedures for reporting all alleged and/or suspected cases of resident abuse or exploitation to the Complaints Program of the Division of Long-Term Care Systems. If the resident is ___________ years of age or older, the State of New Jersey Office of the Ombudsman for the Institutionalized Elderly shall be notified. - Correct Answer ✅ 60 The facility shall be capable of providing this, either directly or by arrangement, to and from health care services provided outside the facility, and shall promote reasonable plans for security and accountability for the resident and his or her personal possessions, as well as transfer of resident information to and form the provider of the service, as

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required by individual residents and specified in resident service plans. - Correct Answer ✅ Resident Transportation The facility or program shall have a written agreement or its equivalent, or a linkage for services not provided directly by the facility or program. - Correct Answer ✅ Written Agreements If the facility or program provides care to residents with _________________________, the facility or program shall also have a written agreement with one or more community mental health centers specifying which services will be provided by the mental health center. - Correct Answer ✅ Psychiartric Disorders The facility shall notify the Department immediately by telephone, followed by ________ by written confirmation for a reportable event. - Correct Answer ✅ 72 Hours

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Interruption for ____________________ of basic physical plant services, such as heat, light, power, water, food, or staff is a reportable event. - Correct Answer ✅ 3 or more hours Any major occurrence or incident of an unusual nature, including, but not limited to, all fires, disasters, elopements, and all deaths resulting from accidents or incidents in the facility or related to facility services. Incidents shall also contain information about injuries to residents and/or personnel disruption of services, and extent of damages; All suspected cases of resident abuse, neglect, or misappropriation of resident property, including incidents reported to the Ombudsman; All alleged or suspected crimes which are serious crimes commitment by or against residents, reported at the time of occurrence to the local police department; Occurrence of epidemic disease in the facility; Termination of employment of the administrator, and the name and qualifications of his or her replacement. - Correct Answer ✅ Reportable Events 1.) All waivers granted by the Department

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2.) A copy of the last annual licensure inspection survey report and the list of deficiencies from any valid complaint investigation during the past 12 months. 3.) Policies and procedures regarding resident rights. 4.) Business hours of the facility. 5.) Policies and procedures for maintaining security of the assisted living residence and comprehensive personal care homes. 6.) The toll-free hot line number of the Department; telephone numbers of county agencies and the of the State of New Jersey Office of the Ombudsman. 7.) The names of, and a means to formally contact, the owner and/or members of the governing agency. - Correct Answer ✅ Notices for Residents & the Public The facility shall maintain an annual chronological listings of residents admitted and discharged, including the destination of residents who are discharged. It contains a current census of all residents, along with other pertinent information, shall be maintained by each assisted living residence, comprehensive personal care home, or assisted living

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program. The following standards for maintenance shall apply: 1.) The adminstrator or the administrator's desginee shall make all the entries and shall be responsible for its maintenance and safe-keeping. 2.) It shall be kept up-to-date at all times. Admissions, discharges and discharge destinations, and other changes shall be recorded within in 48 hours. 3.) It is a permanent record and shall be kept in a safe place. 4.) All entries into it shall be clear, legible, and written in ink or typed. - Correct Answer ✅ Register A register of residents are to be maintained, along with statistical data; such as resident census and facility characteristics shall be forwarded to the Department on request, in a format provided by the Department. - Correct Answer ✅ Maintenance of Records This shall include at least orientation to the facility's or program's policies, business hours, fee schedule, services provided, residents rights, and criteria for admission and

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discharge. Documentation of this shall be included in the resident record. - Correct Answer ✅ Resident Interview If an applicant, after applying in writing, is denied admission to the assisted living residence, comprehensive personal care home, or assisted living program, the applicant and/or his or her family, guardian, or responsible person shall, upon written request, be given the reason for such denial in writing, signed by the administrator, within ____________ of the receipt of the written request. - Correct Answer ✅ 15 Days Written notification of by the administrator shall be provided to a resident and/or his or family, guardian, or designated responsible person, of a decision to involuntarily discharge the resident from the facility or program. Such involuntary discharge shall only be upon grounds contained in the facility's or program's policies and procedures and shall only occur only if the resident has been notified and informed of such policies in advance. The notice of discharge shall be given at least __________ in advance and shall include the reason for discharge and the resident's right to appeal. This

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_________ advance notice shall not apply if the discharge is for reasons in accordance with the criteria specified at N.J.A.C. 8:36-5.1(d) (such as an emergency situation). A copy of the notice shall be entered into the resident's record. - Correct Answer ✅ 30 Days 1.) The resident acquires an acute illness requiring medical care. 2.) Any serious accident, criminal act or incident occurs which involves the resident and results in serious harm or injury or results in the resident's arrest or detention. 3.) The resident is transferred from the facility. 4.) The resident expires. - Correct Answer ✅ Notification Requirements The facility or program shall demonstrate the ability to provide a means to communicate with any resident admitted who is non-English-speaking and/or has a communication disability, using available community or on-site resources. - Correct Answer ✅ Interpretation Services

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Each licensed assisted living residence and comprehensive personal care home shall maintain written referral and/or transfer agreements with at least one licensed acute care hospital in New Jersey, at least one licensed State, county, or private psychiatric hospital in New Jersey, and with at least one licensed New Jersey long-term care facility. A written agreement with an acute care hospital with licensed adult psychiatric beds in New Jersey shall enable compliance with psychiatric hospital component of the requirement. - Correct Answer ✅ Referral & Transfer Agreements Upon admission and at the time of any changes in charges, inform the residents in writing, of any and all all fees for services provided and charges for supplies routinely provided by the facility. The facility shall also inform the resident of the costs of supplies which are specially ordered. At the resident's request, this information may be provided instead to the resident's family, guardian, or responsible person. - Correct Answer ✅ Financial Arrangements The administrator or his or her representative shall develop a policy and procedure for handling the monthly