CALA Exam 2024: Comprehensive Study Guide with Accurate Answers, Study notes of Nursing

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CALA EXAM 2024 WITH 100%

ACCURATE ANSWERS

CALA EXAM 2024 WITH 100%

ACCURATE ANSWERS

30 days - correct answershow many days does a facility have to destroy discontinued or expired meds annually - correct answershow often should a joint fire drill w/ the fire department occur the administrator or designee - correct answerswho is responsible for keeping a register containing current census, making entries, and updating changes w/in 48 hours assistance with transfer - correct answersproviding 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 - correct answers1.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" - correct answersresident record that contains name, dob, diagnosis, age dr. strength dosage form, route frequency, date ordered, stop date, allergies medication error - correct answersany preventable event that may cause inappropriate medication use or resident harm while the medication is in the control of the health care professional 40 - correct answersminimum number of hours for administrator training, plus 16 hours at a licensed facility

14 days of admission - correct answers# of days resident service plan must be developed if resident has service needs

1. residents need for assistance with adls 2.residents need w recreation/activities
2. transportation - correct answerswhat should the general service plan include 14 days - correct answers# of days health care assessment must be done by a rn when health services are determined during the initial assessment 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 - correct answerswhat does the health care assessment by the rn include 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 - correct answersbased on the health care assessment, a written service plan shall include 3 months - correct answers# of months health care plan must be reviewed or as needed (quarterly) 6 Months - correct answers# of days resident general service plan must be reviewed or as needed if changes in physical or cognitive status 30 days - correct answers# of days menus must be kept on file 1 fire drill - correct answersfrequency of fire drills every month 72 degrees - correct answerstemperature must be kept at during the day (heating season) 68 degrees - correct answerstemperature must be kept during the night (heating season) 82 degrees - correct answerstemperature not to exceed during cooling system 105 to 120 degrees - correct answersbathing and hand washing water temperatures 180 degrees - correct answersdishwasher/laundry water temperature 21 years - correct answerswhat is the minimum age of an administrator 20 percent if licensed after 9/1/2001 (10%) w/in 3 years - correct answerspercentage of residents receiving nursing home level of care w/in 3 years

nursing home level of care - correct answersan 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 - correct answersthe 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 - correct answersan organization licensed by the nj dept of health and senior services to provide all services required of an assisted living program assisted living residence - correct answersa facility which is licensed by the department of health and senior services to provide apartment style housing and congregate dining and assures assisted living services are available when needed for 4 or more adult persons. apartment must have one unfurnished room, a private bathroom, a kitchenette, and a lockable door on the unit assisted living values - correct answersto promote and encourage resident's choice, dignity, independence, individuality,and privacy available - correct answersready for immediate use bedridden - correct answersphysically unable to rise from bed, even with assistance with transfer from the bed bounded choice - correct answerslimits placed on a residents choice as a result of an assessment communicable disease - correct answersan illness that occurs through transmission form a reservoir to a susceptible host comprehensive personal care home - correct answersa facility licensed by the dept of health and senior services to provide room and board and to assure that assisted living services are available when needed

customized resident medication package - correct answersa 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 dignity - correct answersself-worth. enhanced when the facility and staff demonstrate courtesy, respect to make decisons, and allow personal assistance and care in privacy documented - correct answerswritten, signed, and dated drug regimen review - correct answersresident review by the consultant or provider pharmacist health care service - correct answersany 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 - correct answersprogram 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 - correct answersa 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 - correct answersa 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 - correct answersa procedure in which any medication is taken orally, injected, inserted, or topically or otherwise administered by a resident to herself

2. the right to receive services that address changing physical psychosocial status 3.the right to have independence and individuality
3. the right the be treated with respect, courtesy,consideration,and dignity
4. the right to make choices w respect to services and lifestyle 6.the right to privacy
5. the right to have or not have family participation is resident service planning and implementation
6. the right to receive pain management as needed 9.the right to choose a physician, advanced practice nurse, or physician assistant
7. the right to appeal an involuntary discharge
8. the right to receive written documentation that fee increases based on a higher level of care are based on reassessment of the resident
9. the right to receive a written explanation of fee increases that are not related to increased - correct answerswhat are the 42 rights of the resident 1.assistance with personal care
10. nursing
11. pharmacy 4.dining
12. activities 6.recreational
13. social work - correct answerswhat are the 7 services that an alf must be capable of providing at the least 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) the alf shall provide supervision of self-admin of meds, and admin of meds by trained and supervised personnel the alf must be capable of providing nursing home level of care (unless a higher level of care of documented including 24 hour, 7 days/week nursing supervision, bedridden for more than 14 days,

consistently and totally dependent in 4 or more adl's, has cognitive decline sever enough to prevent simple decisions, requires treatment of stage 3 or 4 pressure wounds or multiple stage 2 pressure wounds, the resident requires more than "assistance with transfer", the resident is a danger to self or other - correct answerswhat types of services must be provided to residents concepts of assisted living and care of residents w physical impairment emergency plans and procedures infection prevention and control program residents rights abuse and neglect pain management care of residents w/ alzheimers and related dementia conditions - correct answerswhat should the annual in-service training include annually - correct answershow 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 - correct answersreportable 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) - correct answersreferral/transfer agreements (with whom is required)

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) - correct answerswhat must the facility disclose in the admission agreement at admission or any change, inform in writing any and all fees for services cost of supplies - correct answerswhat must the facility do regarding financial arrangements must be documentation of reassessment by the registered nurse - correct answershow can additional charges for increased level of care be imposed upon admission the initial assessment is done by the rn to determine needs - correct answerswho conducts the initial assessment and why the general service plan within 14 days - correct answersif the initial assessment indicates the resident has general service needs what is created next and when a physician, advanced practice nurse or physician assistant - correct answerswho conducts the healthcare assessment 30 days prior to admission a health care assessment must be completed w/in 14 days by a rn using an assessment instrument - correct answersif the initial assessment indicates the need for health care services, what happens next and by whom? 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 - correct answersbased on the health care assessment a written service plan must be developed to include: annually - correct answershow often should a resident be reassessed if no general or health service plan? nurse aide training course w cert, criminal background check, orientation on concepts of assisted living - correct answerswhat are the qualifications of the personal care assistants 2 years - correct answershow long is the personal care cert valid once every 2 years - correct answersrenewal for personal care assistant 20 hours every 2 years - correct answerscontinuing 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 - correct answerswhat requirements shall a cma meet 2 years - correct answershow long is a medication aid cert valid 10 hours every 2 years (5 hours on fundamentals, 5 hours on meds for the elderly) - correct answersmedication aide ce requirement food service coordinator - correct answerswho shall ensure that dining services are provided as specified in the dining portion of the health care plan 14 days - correct answershow many days should written dated menus be planned the rn - correct answerswho is responsible for admin of medication

assessments and treatments - correct answerswhat is included in the residentsindividual record notify a family member/guardian within 1 hour document in the residents record the date and time of death, name of person who pronounced, disposition of the body and record of notification of the family - correct answersrecord of death - when a resident dies the administrator or designee shall... a physician, rn, or parademic - correct answerswho may make a determination of death annually - correct answershow often should the electric be inspected RN w/ administrator - correct answersinfection control: who is responsible for the direction,provision, and quality of infection prevention and control services health care service director/w administrator - correct answerswho is responsible for developing policy and proceedures for infection plan