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ALF Core Exam Prep (mock Exam 2)100 complete solutions. ALF Core Exam Prep (mock Exam 2)100 complete solutions. ALF Core Exam Prep (mock Exam 2)100 complete solutions.
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Newly hired facility administrators, managers, direct care staff and staff involved in resident admissions must receive at least one hour of training in the facilities policy and procedures regarding DNROs within 30 days of employment.
True or false - ANSWER True
When handling raw or prepared meats, room temperature is within the danger zone.
Select one:
True
False - ANSWER True
You hire a new facility administrator. They have not taken the required 26 hour Core Training or the State Competency Exam. How many days does this employee have to complete the training and test requirements?
a. None. Requirements must be completed before hire date.
b. 30 days from the date of hire
c. 60 days from the date of hire
d. 90 days from the date of hire - ANSWER D. 90 days from the date of hire
Personnel records for each staff members must contain, at a minimum:
a. Employment application with references & a level 2 background screening
b. Documentation verifying freedom of communicable disease
c. Copies of licenses and staff training requirements
d. All of the above - ANSWER D. All of the above
Staff who provide direct care to residents must receive a mini mum of 1 hour in-service training within 30 days of employment that covers the following subjects:
a. reporting major incidents
b. reporting adverse incidents
c. facility emergency procedures
d. abuse, neglect, and exploitation AND all of the above. - ANSWER D. Abuse, neglect, and exploitation and all of the above.
The health assessment form (1823) must include the date of the examination, and the name, signature, address, phone number, and license number of the examining licensed health care provider.
True
False - ANSWER True
How many days notice do you have to give a resident when you are discharging them from the facility?
a. 45
b. 3
c. 30
d. 60 - ANSWER A. 45
Assisted living facilities must keep an up-to-date admission and discharge log listing the names of all residents and each resident's:
a. Date of admission, the place from which the resident was admitted, and if applicable, a notation the resident was admitted with a stage 2 pressure sore
explain its policies to a family member or friend of the resident or another individual who can communicate the information to the resident.
True
False - ANSWER True
After a resident is discharged from your facility, how many days until unclaimed medication are considered abandoned?
a. Immediately
b. 30 days
c. 15 days
d. 14 days or 2 weeks - ANSWER C. 15 days
A facility that has a change of administrator must complete form 3180-1006 and notify the agency within how many days?
a. 90 days
b. 10 days
c. 30 days
d. 7 business days - ANSWER b. 10 days
You are a med-tech at a facility with an ECC license. Ms. Hunt is a resident at your facility who requires Assistance with Self-Administered medication. She moved into your facility 45 days ago. Ms. Hunt asks for her heart medication that she takes PRN because of heart palpitations. Which of the following is true?
a. Only a nurse can give PRN heart medications
b. Call 911
c. If her blood pressure is lower than 100 do not give the medication to the resident
d. Give the resident the medication as prescribed and record it on the MOR - ANSWER d. Give the resident the medication as prescribed and record it on the MOR
Both prescription and over the counter medication must be centrally stored if:
a. The facility administers the medication
b. The resident requests central storage
c. The resident fails to maintain medication in a safe manor
d. All of the above - ANSWER d. All of the above
After a residents medication has been abandoned or expired, how many days do you have to dispose it?
a. 30 days
b. 30 business days
c. 15 days
d. Immediately - ANSWER a. 30 days
Residents receiving assistance with the activities of daily living must have their weight recorded:
a. Semi annually
b. Monthly
c. Yearly
d. Every 3 months - ANSWER a. Semi annually
Jackie is a resident in your facility. Jackie's 1823 Health Assessment form indicates that she can self - administer medications. Today your staff notified you that they found pills on the ground and it appears that Jackie has missed some medications. Which steps must be taken?
b. a level 2 background check every year
c. Alzheimer's Level 1 & Level 2 training
d. Both A & B - ANSWER a. a copy of the job description for all employees
Mr. Carroll lives at your facility where you assist with self-administration of his medication. Mr. Carroll is going on a trip with his daughter to visit his grandchildren and he needs to take his medication with him. Which of the following is true?
a. The medication in its original container may be given to his daughter
b. The medication can be in a pill organizer and given to his daughter as long as it is filled by a n urse
c. His daughter must fill a pill box to take on their trip but your facility must keep the original container
d. Both A & B - ANSWER d. Both A & B
Mr. Samson goes to his doctors appointment. When he returns he told you his heart medication is cut in half. What must you do?
a. Obtain a fax or electronic copy of the order
b. Place an alert label on the medication container
c. Notify the family
d. Both A & B - ANSWER d. Both A & B
Sally is an activities coordinator at your facility that you want to promote to ALF Administrator. Sally is 20 years old and has a high school diploma and she's had her level 2 background screening. What does she need to become an administrator?
a. At least 21 years old
b. Complete the ALF Core Training and State Competency Exam
c. 4 year college degree
d. Both A & Both A & B - ANSWER d. Both A & Both A & B
All showers or bathtubs must have nonslip safety devices such as bath mats or peel off stickers.
True
False - ANSWER True
As part of the continued residency criteria, a resident must have a face -to-face medical examination by a licensed health care provider at least every ...... year/years after the initial assessment, or after a significant change, whichever comes first
a. 1
b. 3
c. 5
d. 2 - ANSWER b. 3
A terminally ill resident who no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met:
a. The resident qualifies for, is admitted to, and consents to the services of a licensed hospice which coordinates and ensures the provision of any additional care and services that may be needed;
b. Continued residency is agreeable to the resident and the facility;
c. An interdisciplinary care plan is developed and implemented by a licensed hospice in consultation with the facility. Facility staff may provide any nursing service permitted under the facility's license and total help with the activities of daily living
d. Documentation of the requirements is maintained in the resident's file.
e. All of the above - ANSWER e. All of the above
An up to date admission and discharge log listing the names of all residents and:
d. She can be admitted as she meets the criteria for a Standard license(STD). - ANSWER a. She cannot be admitted
Natalie is a Med-Tech in your facility with a Standard License. Ms. Smith asked Natalie for her Tylenol that is prescribed as needed for back pain. Natalie got the Tylenol, in its previously dispensed, properly labeled container from the locked medication cart, and brought it to the resident. In the presence of the Ms. Smith, she read the label, opened the container, removed the proper dose as prescribed and put the medication in a cup. Natalie left and went to her cart to initial the MOR and put the time the medications was taken. Which of the following is true?
a. You cannot place medication into a cup
b. Only a nurse can assist with PRN medication
c. Natalie did not observe the resident taking the medication
d. Natalie properly assisted with self-administered medication - ANSWER c. Natalie did not observe the resident taking the medication
Your facility hires a new administrator on January 1st. who has NOT taken the ALF Core Training or passed the State Competency Exam. This employee has 90 days from to complete which requirements?
a. 26 ALF Core Training & State Competency Exam
b. 26 Hour ALF Core Training
c. Level 2 background screening
d. State Competency Exam - ANSWER A. 26 hour ALF core training & state competency exam
Your facility has been licensed for 2 years. You cannot find a copy of your disaster preparedness plan. Where can you get a copy of the plan?
a. The emergency management office where you filed your plan
b. AHCA Assisted Living Licensing Unit
c. Department of Emergency Planning
d. Local Fire Marshal - ANSWER a. The emergency management office where you filed your plan
ALF Administrators are required to do which of the following in order to maintain their license?
a. Complete 12 hours of continuing education every 2 years from the license date.
b. File your CEU's with AHCA
c. Complete 12 hours of continuing education every year from the license date.
d. Both A & B - ANSWER a. Complete 12 hours of continuing education every 2 years from the license date.
For residents who use a pill organizer, what must you keep?
a. Residents cannot use pill organizers
b. The original labeled medication container
c. Nothing if it's filled by a nurse
d. Nothing if filled by family or a nurse - ANSWER b. The original labeled medication container
A resident in your facility preforms their own clinical laboratory tests. Which of the following is true?
a. Your facility is not required to have a CLIA certificate or Laboratory License.
b. Your facility must have a State Clinical Laboratory License.
c. Your facility must have a Federal CLIA Certificate
d. Both B & C - ANSWER a. Your facility is not required to have a CLIA certificate or Laboratory License.
It is unlawful to own, operate, or maintain an ALF without obtaining/maintaining a current ALF li cense. Any person who owns, operates, or maintains an unlicensed ALF commits a felony of the third degree. ALF licenses are required to be posted in a common area.
Facilities must offer 3-5 servings of vegetables every day.
True
False - ANSWER True
What is the toilet and sink requirement for new facilities with a Standard License?
a. One toilet and sink for every 6 residents.
b. One toilet and sink for every 8 residents
c. 1 toilet and sink for every resident with a private room
d. 2 toilets and sinks for every 6 residents - ANSWER A. One toilet and sink for every 6 residents.
What determines if a resident is competent to take their own medication?
a. A resident is cognizant of when a medication is required
b. A resident understands the purpose for taking the medication
c. A resident must have passed a dementia or Alzheimer's test with 30 days
d. Both A & B - ANSWER d. Both A & B
A Interdisciplinary Care Plan must be on file for residents that are receiving:
a. Hospice Services
b. Medication Administration
c. Home Health Services
d. All of the above - ANSWER d. All of the above
Administrators may supervise a maximum of either three assisted living facilities or a group of facilities on a single campus providing housing and health care.
Administrators who supervise more than one facility must appoint in writing a separate manager for each facility. However, an administrator supervising a maximum of three assisted living facilities, each licensed for 16 or fewer beds is only required to appoint two managers to assist in the operation and maintenance if those facilities are within what distance?
a. 15 Miles
b. 15 Minutes
c. 5 Miles
d. 40 Miles - ANSWER a. 15 Miles
The primary purpose of ECC services is to allow residents, as they become more impaired, the opti on of remaining in a familiar setting from which they would otherwise be disqualified for continued residency.
True
False - ANSWER True
Successful completion of the core training requirements includes passing the competency test.
True
False - ANSWER True
Mrs Johnson moves into your facility for respite for 2 weeks. Your does not enter respite or temporary placements into the admission log since they are not permanent residents. Which of the following is true?
a. They do not need to be entered into the admission log
b. They need to be entered in the admission log
c. They can be entered in a separate log
A facility must maintain a record of the prescribing physician's annual evaluation of the use of medication that serve as a:
a. Chemical Restraint
b. Diabetes management
c. Anti-Depressant
d. Sleep Aid - ANSWER a. Chemical Restraint
A resident in an ECC facility may be bedridden up to how many days?
a. 7
b. 30
c. 14
d. 21 - ANSWER c. 14
A medical examination completed after the resident's admission to the facility must be completed within how many calendar days of the admission date?
a. 15
b. 45
c. 60
d. 30 - ANSWER d. 30
According to law, every resident residing in a licensed ALF/AFCH shall have the right to:
Unrestricted private communication, including receiving and sending unopened correspondence, access to a telephone, and visiting with any person of his or her choice, at any time between the hours of 9 a.m. and 9 p.m. at a minimum.
True
False - ANSWER True
You are an unlicensed staff member with the assistance with self administered medication training. Mr. Jones has Alzheimer's and requires assistance with self administered medication. Mr. Jones is appears to be very agitated and is yelling. Mr. Jones has a medication Ativan 5 mg PRN for agitation. Which statement is NOT true.
a. As an unlicensed staff member you cannot give Mr. Jones his PRN medication for agitation.
b. You should give Mr. Jones his Ativan as prescribed, notify the administrator, and contact the family.
c. Giving Mr. Jones his Ativan would be considered Medication Administration.
d. Ativan can be given to Mr. Jones by a licensed personnel - ANSWER b. You should give Mr. Jones his Ativan as prescribed, notify the administrator, and contact the family.
Facilities with 17 or more residents must include:
a. a copy of the job description for all employees
b. a level 2 background check every year
c. Alzheimer's Level 1 & Level 2 training
d. Both A & B - ANSWER a. a copy of the job description for all employees
It has been determined that Mr. Johnson has had a significant change in his well -being. Which of the following is true?
a. It must be documented in the record, reported to the healthcare provi der, and requires a new 1823 Health Assessment completed
b. It must be documented in the record, submit an adverse incident report, and report to healthcare provider
c. The family must provide 24 hour stand by assist until alternative placement can be arranged
Assisted Living Facility with a license number of 55512 considering placing an ad in the newspaper.
For the facility to be in compliance, which of the following must be on all advertising:
a. Assisted Living Facility #
b. ALF #
c. newspaper ads are not considered "advertising"
d. #55512 - ANSWER a. Assisted Living Facility #
Jill is a resident at your facility. She has dementia and COPD. She takes several medications daily. Jill moved into your facility on January 12, 2014. Jill went to the doctor today and came home with a medication sample to try. Her doctor wants her to try the medication to see if it makes her feel dizzy or not. On the sample medication the doctor listed the following things:
Practitioner's name;
Resident's name;
Date dispensed;
Name and strength of the drug;
Directions for use
The doctor forgot to list something else. Which one is it?
a. Her diagnosis
b. The color of the pill
c. The expiration date
d. The manufacturers name - ANSWER c. The expiration date
Mrs. White self administers her own medication. She stores her medication in her room. Which of the following is NOT true?
a. Medications must be centrally stored in a secure location.
b. Medication must be out of sight of other residents
c. Medication must be in a secure location in the room or apartment
d. The room or apartment must be kept locked during resident absence. - ANSWER a. Medications must be centrally stored in a secure location.
f an administrator fails to complete the required 12 hours of continuing education every 2 years, what must they do to renew their license?
a. File for a 3 month extension
b. retake the 26 hour initial core training and the state competency exam
c. pay a late fee of $
d. retake the 26 hour initial core training - ANSWER b. retake the 26 hour initial core training and the state competency exam
How many years must you keep surveys, inspection, complaint investigation reports, and notices of sanctions and moratoriums insued by the agency.
a. 2 years
b. 5 years
c. None. They are digitally stored.
d. 4 years - ANSWER b. 5 years
It is acceptable to use paper products to serve meals routine ly.
True
False - ANSWER False
The facility shall document a resident's refusal to comply with a therapeutic diet and notification to the resident's health care provider of such refusal. If a resident refuses to follow a therapeutic diet after the