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CALA EXAM 120 CORRECT SOLUTIONS
assistance with transfer - ANSWER-providing the physical assistance of no more than two facility staff while the resident moves between bed and a standing position or between bed, chair, or wheelchair
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
medication administration record "MAR" - ANSWER-resident record that contains name, dob, diagnosis, age dr. strength dosage form, route frequency, date ordered, stop date, allergies
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
40 - ANSWER-minimum number of hours for administrator training, plus 16 hours at a licensed facility
30 - ANSWER-hours of continuing education units every 3 years to renew administrator's license
44 inches - ANSWER-minimum width of passageways, aisles, and corridors
150 square feet - ANSWER-Clear usable floor area for one person in an ALR
80 square feet - ANSWER-Space required for an additional person in ALR
80 square feet - ANSWER-clear usable floor area for 1 person in CPCH
50 square feet - ANSWER-space required for additional person in cpch
50 feet - ANSWER-Max travel space to a fire extinguisher
1 personal care assistant awake at all times, 1 additional empoyee - ANSWER-staffing requirements ALP
72 hours - ANSWER-time given to provide written confirmation following a reportable event (immediate -3 hour interruption (heat, light,power, food, staff)
15 days - ANSWER-# of days Administrator must give reason for denial of admission in writing to a prospect upon written request by the resident or family
30 days and should include reason and right to appeal - ANSWER-minimum notice for involuntary discharge
30 days - ANSWER-time prior to admission a physician, nurse practitioner or physician assistant can authorize a resident in writing as appropriate for AL
14 days of admission - ANSWER-# of days resident service plan must be developed if resident has service needs
- residents need for assistance with adls
2.residents need w recreation/activities
- transportation - ANSWER-what should the general service plan include
14 days - ANSWER-# of days health care assessment must be done by a rn when health services are determined during the initial assessment
30 days - ANSWER-# of days menus must be kept on file
1 fire drill - ANSWER-frequency of fire drills every month
72 degrees - ANSWER-temperature must be kept at during the day (heating season)
68 degrees - ANSWER-temperature must be kept during the night (heating season)
82 degrees - ANSWER-temperature not to exceed during cooling system
105 to 120 degrees - ANSWER-bathing and hand washing water temperatures
180 degrees - ANSWER-dishwasher/laundry water temperature
21 years - ANSWER-what is the minimum age of an administrator
20 percent
if licensed after 9/1/2001 (10%) w/in 3 years - ANSWER-percentage of residents receiving nursing home level of care w/in 3 years
nursing home level of care - ANSWER-an individual requires "nursing facility services". provided to individuals who have chronic medical conditions resulting in moderate to severe impairments determined by a rn and identified in the care plan
4 days - ANSWER-number of days for food supply
age 60+ - ANSWER-age for use of ombudsman office
10 years - ANSWER-# of years records are to be maintained
20 hours /2 years (30/3) - ANSWER-# of ce hours for a CNA
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
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
activities of daily living - ANSWER-functions or tasks for self-care, such as dressing, bathing, toileting, transfer, locomotion, bed mobility, and eating
advanced practice nurse - ANSWER-one certified by the nj state board of nursing
aging in place - ANSWER-a process whereby individuals remain in their living environment despite the physical or mental decline and need for services.
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
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)
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
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
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
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
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.
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
self administration - ANSWER-a procedure in which any medication is taken orally, injected, inserted, or topically or otherwise administered by a resident to herself
shared responsibility - ANSWER-the residents (and family) and providers of assisted living services share responsibility for planning and decision making affecting the residents
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.
specialized long term care - ANSWER-care of individuals who must use a respirator or ventilator, and the care of individuals with severe behavior problems
total bed complement - ANSWER-the resident census
unit dose drug distribution system - ANSWER-medications are delivered to the resident areas in single unit packaging, and which meets the following criteria:
individually wrapped and labeled generic or brand and strength, lot number or reference code, expiration date, manufacturers name, and shall be ready for administration to the resident
- Cautionary instructions shall appear on the resident's record of medication administration, including special times or routes of administration and storage
unit of use - ANSWER-a system in which meds are delivered in single unit packaging, bingo or punch cards, blister or strip packs or other system where each medication is physically separate
fees for licensure - ANSWER-the department charges $1500 plus $15.00 per bed for assisted living facility, $750 for an assisted living program
2 years - ANSWER-within what period of time must an assisted living administrator sit for the exam after completing the certification?
every 3 years - ANSWER-how often does the cala certification need to be renewed
30 hours over 3 years - ANSWER-what are the continuing education requirements for a cala
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
residents rights
abuse and neglect
pain management
care of residents w/ alzheimers and related dementia conditions - ANSWER-what should the annual in- service training include
annually - ANSWER-how often should policies and procedures be reviewed
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
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)
the facility or program can either transport or arrange for transport - ANSWER-resident transporation
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
1 week - ANSWER-what is the maximum amount of time a resident can remain in the infirmary
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
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
emergency medical and dental care, including notification of responsible person, and care of resident during periods of acute illness
resident instruction and health
education
the control of smoking
discharge, termination by the facility, transfer, and readmission including criteria for each
care and control of pets
a policy to determine those circumstances where the residents absence should be investigated - ANSWER-what should be included in the resident care policies and proceedures
services it will provide
public programs or benefits it accepts or delivers
policies that affect the residents ability to remain in the residence
waivers that have been granted regarding the plant
(rate for ancillary) - ANSWER-what must the facility disclose in the admission agreement
2 years - ANSWER-how long is the personal care cert valid
once every 2 years - ANSWER-renewal for personal care assistant
20 hours every 2 years - ANSWER-continuing ed requirements for personal care assistants
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
2 years - ANSWER-how long is a medication aid cert valid
10 hours every 2 years (5 hours on fundamentals, 5 hours on meds for the elderly) - ANSWER- medication aide ce requirement
food service coordinator - ANSWER-who shall ensure that dining services are provided as specified in the dining portion of the health care plan
14 days - ANSWER-how many days should written dated menus be planned
the rn - ANSWER-who is responsible for admin of medication
a cma (certified medication aide) - ANSWER-who can an rn delegate medication administration to
a unit of use/unit dose drug distribution system must be developed
otc solid and liquid in a non unit of us /dose
liquid meds in a non unit dose - ANSWER-if meds are delegated to a cma how must it be done?
oral,opthalmic, otic, inhalant, nasal, rectal,vaginal, topical, peg tube - ANSWER-what routes can a cma adminster drugs
prescription, OTC, schedule II-V - ANSWER-what types of meds can a cma administer
administer any injections except for pre drawn insulin
calculate dosage
pre pour medication for more than one resident at a time
contact prescribers for changes, clarify an order,or call the pharmacist
administer bolus doses of enteral feedings - ANSWER-a cma can not
weekly - ANSWER-how often should an rn review and sign off on the mar
train employees
educate residents
ensure safe self-admin
review mar quarterly
inspect common areas quarterly - ANSWER-what are the requirements of the pharmacist
30 days - ANSWER-how many days does a facility have to destroy discontinued or expired meds
annually - ANSWER-how often should a joint fire drill w/ the fire department occur
the administrator or designee - ANSWER-who is responsible for keeping a register containing current census, making entries, and updating changes w/in 48 hours
admission application,name, address, dob, dr. relative,
advanced directive
general and/or health service plan
