ALF CORE EXAM 2023 with complete solutions

Do Not Resuscitate - Answer- DNR AHCA - Answer- Agency for Health Care Administration When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained - Answer- False Unlicensed persons who will be providing assistance with self-administered medications must take the requested training - Answer- Training must be done prior to assuming responsibilities Assistance with medication by an unlicensed person requires the written informed consent of the resident - Answer- True If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR - Answer- false MOR - Answer- Medication Observation Record OTC - Answer- Over the counter If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records. - Answer- Quarterly Documents required to be in the admission package shall be in English. If the resident does not understand English and translated documents are not available, the facility must explain policies to a family member or friend of the resident or another individual who can communicate the information to the resident. - Answer- true The resident contract shall include a refund policy to be implemented at the time of a resident's transfer , discharge or death. The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other the normal use have been paid to the license. You have 60 days to give the refund. - Answer- false In order for existing facilities to receive an ECC license, they must have no class 3 violations. - Answer- false ECC - Answer- Extended Congregate Care Residents must participate in all elopement drills. - Answer- False When an "as needed" or "PRN" medication is labeled without all of the necessary information, you area required to contact the health care provider to obtain any missing information. An unlicensed person may obtain such clarification from the health care provider; revised instructions clarifying the order are not considered a change in the health care provider's order. - Answer- True A copy of Alternate Care Certification for Optional State Supplemental must be in the resident file. The absence of this form shall not be considered a deficiency if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services. - Answer- True Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons. - Answer- True During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility. - Answer- True Facility records should include: - Answer- A grievance procedure for receiving and responding to resident complaints and recommendations.. Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. - Answer- True Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment. - Answer- False Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years. - Answer- True How often must facilities have elopement frills? - Answer- A minimum of two resident elopement prevention and response drills per year. A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate. - Answer- True Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour in service training in infection control, including universal precautions, and facility sanitation procedures. - Answer- Before providing personal care to residents If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond. The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident. - Answer- 14 Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system. - Answer- True A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month. - Answer- True Facilities with 8 or more residents do not need a fire sprinkler system, unless the local authority with jurisdiction over fire safety requires one to be installed. - Answer- false An assisted living facility may not accepts additional supplementation from third parties on behalf of residents receiving OSS - Answer- False Every 5 years must have level 2 background rescreening - Answer- True Staff required hours of coverage from patients 0-to 5 is 168 hours per week - Answer- True Staff required hours per week for 6 to 15 residents - Answer- 212 per week LMH - Answer- Licensed Mental Health Form 1823 should be done prior to admission - Answer- True 3 types of contaminants - Answer- Chemical, physical, biological Portions must be listed on menu - Answer- True A terminally ill resident who no longer meets the criteria for continued residency may remain in the facility if the agreeable to the resident and facility. - Answer- true Abuse has many forms - Answer- True An ALF must maintain Fiscal Stability at all times to ensure the well being of the residents - Answer- True Resident Funds can be combined with Facility funds - Answer- False, resident and facility funds must be separate Surety Bond is required and must be filed with the Agency Central Office - Answer- True Liability insurance does not have to be maintained - Answer- False Within 30 days of employment staff members must submit documentation from a health provider stating that the individual does not have any signs of a communicable disease - Answer- True TB exam must be done within six months of being hired - Answer- True A Level 2 Backgroud Screening must be done on staff every five years - Answer- True 3 types of contaminants - Answer- chemical, physical, biological physical contaminant - Answer- nails, hair biological contaminant - Answer- bacteria, virus, parasites, protozoan, fungus Menus in Assisted living must be reviewed by dieticain annually - Answer- True Menu must be easily accessible for residents. - Answer- True Dietician signature, date and License # is required on Menu - Answer- True Portion sizes must be listed on Menu - Answer- True There must be a 3 day portion of non perishable for emergency food based on census not capacity. - Answer- True Subistution is based on personal resident preferences - Answer- True Subistutions must be recorded when meal is served - Answer- True Facility policy to centrally locate medication must be give to resident prior to admission. - Answer- true OTC RX must be labeled with Residents Name - Answer- True PRN RX Label should include under condition when RX should be given, dosage, hours it should be given - Answer- True 3 types of Advance Directives - Answer- A Living Will, A Health Care Surrogate, An Anatomical Donation Advance Directive must be given at or prior to admission - Answer- True Living Will is a written document that specifies what type of medical treatment are desired. - Answer- True Health Care Surrogate - Answer- This is a legal documents in which an individual designates another person to make health care decisions if he or she is rendered incapable of making their wishes known. DNR - Answer- Do Not Resuscitate Portable DNR - Answer- Used with Paramedics Resident ill of right must be posted in a prominent place infacility. Noticesh shall include name address anc telephone number of local ombudsan council, central abuse hotlineand when applicable the advocacy. center for persons with disabities and the Florida local advocacy council, where complaints may be lodged. - Answer- True No resident. of a facility shall be deprived of any civilor legal right, benefits, or privileges guaranteed bylaw. - Answer- True Residents shall have the right to - Answer- Live in a safe and decent living environment, free from abuse and neglect. Residents shall have the right to - Answer- Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy.. Residents shall have the right to - Answer- Retain and use his/her own clothes and other personal property in his or her. immediate living quarters, as to maintain individuality and personal dignity, except when the facility can demonstrate that su such would be impractical or an infringement upon the rights of other residents. Residents shall have the right to - Answer- Unrestricted private communication, including receiving and sending correspondence, access to a telephone, and visiting with any person of his/her choice at any time between 9am & 9pm at a minnium. Upon request the facility shall make provision to extend hours for caregiivers and out of town guest, and in similar situations. Residents shall have the right to - Answer- Freedom to participate in benefit from community services and activities and to achieve the highest possible level of independence, autonomy, and interaction, within the community. Residents shall have the right to - Answer- Manage his/her financial affairs unless the resident or resident representative. in fact authorizes the administrator of the facility to provide safekeeping for funds as provided. Residents shall have the right to - Answer- Share a room with his or her spouse if both are residents of the facility Residents shall have the right to - Answer- Reasonable opportunity for regular exercise several times a week and to. be outdoors at regular and frequent intervals except when prevented by inclement weather Residents shall have the right to - Answer- Exercise civil and religious liberties including the right to independent personal decisions. No religious belief or practice, nor any attendance at religious services, shall be imposed upon any resident. Residents shall have the right to - Answer- Access to adequate and appropriate health care consistent with established and recognized standards swithin the community. Residents shall have the right to - Answer- At least 45days notice of relocation or termination of residency from the facility unless for medical reasons, the resident is certified by a physician to require an emergency relocation to a facility providing a more skilled level of care or the resident in a pattern of conduct that is harmful or offensive to other residents. Residents shall have the right to - Answer- Present grievances and recommend change in policies, procedures and services to the staff of the facility, governing officials, or any other person without restraint, interference, coercion, discrimination, or r