NJ CALA EXAM | QUESTIONS & ANSWERS (VERIFIED) LATEST UPDATE | GRADED A+

NJ CALA EXAM | QUESTIONS & ANSWERS (VERIFIED) LATEST UPDATE | GRADED A+ "Managed Risk Agreement - CORRECT ANSWER A written document that includes issue of concern, resident preference and choices, identification of possible or probable consequences , alternate options, final agreement and decision if agreement will be re-evaluated at a later date." "Hazard Communication Plan - CORRECT ANSWER A _____________________ has the following components: material safety data sheets, inventory of solutions containing toxic chemicals, and hazardous locations within the facility and treatment areas." "Cross-Link Genetic Theory - CORRECT ANSWER Chemical bonding between organic molecules in the body causes increases stiffness, chemical instability and insolubility of connective tissue and DNA. DNA repair decreases as the cell ages." "Autoimmune Theory - CORRECT ANSWER With age, the ability if the immunologic system to quantitatively and qualitatively produce antibodies diminishes." "Stress and Viral Theories - CORRECT ANSWER Organs have a fixed amount of energy available and they wear out. Residual damage resulting from stress accumulates, and the body no longer is able to resist the stress and dies. Slow virus or ordinary virus is present in the body and may play a part in the aging process." "Activity Theory - CORRECT ANSWER Those who stay active and manage strinkage of their world and substitute activities in their life accordingly to changes in life circumstance will obtain optimal age." "Continuity Theory - CORRECT ANSWER Aging is dependent on the aging person's personalty type, the ability to adjust to stress, and on his or her social milieu remaining stable over the life span. People become more individual as they age. Therefore, the person's lifestyle and personality will be reflected in old age as it is in younger years." "Human Needs Theory - CORRECT ANSWER Emphasizes the concept of motivation and human needs. One such theory is that Maslow's theory of basic needs. It is arranged in a hierarchy of physiologic needs, safety and security, love and belonging, self-esteem, and self-actualization. Persons move between the levels, and are always striving towards the higher needs. The older person should eventually become full self-actualized. Meaning fulfilled in self-creativity, relationships with friends, family, and society." "Aging - CORRECT ANSWER A decline in physiologic capacities of functions that occur in an organism with the passage of time that eventually lead to death. It includes those changed that occur in any cell or organ system as a function of time, independent of any external or pathologic influences." "Balance Sheets, Income Statement, Statement of Cash Flows - CORRECT ANSWER What are the three basic financial statements?" "Balance Sheet - CORRECT ANSWER The _________________ summarizes the assets, liabilities, and owner's equity of the organization. The report is called such because the assets must total the sum of the liabilities and the owner's equity. The date of it is stated "as of the date" indicating that is not a reflection of a specific time period." "Income Statement - CORRECT ANSWER The ________________ summarizes the result of operation of an organization. The report matches expenses against revenue; therefore, it is often referred as a profit and loss statement. The statement is dated "for the period", sine it reflect the activity from a specific beginning date to a specific ending date." "Statement of Cash Flow - CORRECT ANSWER The _______________ is a report that reconciles the cash balance at the beginning of the period with the cash balance at the end of the period. It provides an accountability of the sources of funds and the uses of accounting: cash and accrual. The date of the reports is "for the period" since it covers a specific beginning date and ending date." "Assisted Living - CORRECT ANSWER 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." "Bounded Choice - CORRECT ANSWER 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 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." "Customized Resident Medication Package - CORRECT ANSWER 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 or labeled as to indicate the day and time, or period of time, that the contents within each container are to be taken." "Guardian - CORRECT ANSWER 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." "Health Care Service - CORRECT ANSWER 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." "Hospice - CORRECT ANSWER 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." "Medication Administration - CORRECT ANSWER A procedure in which a prescribed medication or biological is given to a resident by an authorized individual in accordance with all laws and regulations governing such procedures." "Process of Medication Administration - CORRECT ANSWER 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." "Dignity - CORRECT ANSWER The self-worth of a resident." "Independence - CORRECT ANSWER The support and enhancement of resident capabilities and facilitation of resident abilities so that the resident's preferences and choices may be implemented within a barrier-free environment." "Individuality - CORRECT ANSWER Each resident's unique needs, capabilities, personalities, backgrounds and preferences." "MAR (Medication Administration Record) - CORRECT ANSWER 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." "30-hour - CORRECT ANSWER A MATCEP or Medication Aide Training Competency and Evaluation Program is a department approved minimum ____________ training course conducted by a Department 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." "Nursing Home-Level Care - CORRECT ANSWER 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." "Shared Responsibility - CORRECT ANSWER 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." "Total Bed Complement - CORRECT ANSWER Another term for resident census." "Biennially - CORRECT ANSWER Each assisted living, comprehensive personal care home, and assisted living program will be assessed and inspected __________________." "Survey Visits - CORRECT ANSWER 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." "Facility Licensure - CORRECT ANSWER A licensure shall be granted for a period of one year or less as determined by the Department." "Facility Licensure Renewal - CORRECT ANSWER 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." "Surrender of Facility License - CORRECT ANSWER 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." "CALA Qualifications - CORRECT ANSWER 1.) 21 years or older; 2.) Possess a high school diploma or equivalent; 3.) hold a CALA or LNHA license." "2 Years - CORRECT ANSWER 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." "3 Years - CORRECT ANSWER An assisted living administrator certification shall be valid for a period of ____________ from date of issue." "3 Years - CORRECT ANSWER 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." "30 hours - CORRECT ANSWER Complete at least ____________, of continuing education regarding assisted living concepts and related topics, as specified and approved by the Department of Health and Senior Services." "Eligibility for Renewal - CORRECT ANSWER 1.) Complete 30 hours of CEUs, 2.) Criminal History Background Check" "Lapse of Certification - CORRECT ANSWER 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." "40 Hours - CORRECT ANSWER In order to be an assisted living administrator trainer, they must complete at least ____________ of the basic concepts etc. of assisted living." "Administrator's Responsibilites - CORRECT ANSWER 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.) 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." "Types of Services for ALF - CORRECT ANSWER 1.) Assistance with Personal Care; 2.) Nursing; 3.) Pharmacy; 4.) Dining; 5.) Activities; 6.) Recreational; 7.) and Social Work services." "Nursing Home Level Care Characteristics - CORRECT ANSWER 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 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 environment." "10 Percent - CORRECT ANSWER 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)" "60 - CORRECT ANSWER 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." "Resident Transportation - CORRECT ANSWER 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 required by individual residents and specified in resident service plans." "Written Agreements - CORRECT ANSWER 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." "Psychiartric Disorders - CORRECT ANSWER 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." "72 Hours - CORRECT ANSWER The facility shall notify the Department immediately by telephone, followed by ________ by written confirmation for a reportable event." "3 or more hours - CORRECT ANSWER Interruption for ____________________ of basic physical plant services, such as heat, light, power, water, food, or staff is a reportable event." "Reportable Events - CORRECT ANSWER 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." "Notices for Residents & the Public - CORRECT ANSWER 1.) All waivers granted by the Department 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." "Register - CORRECT ANSWER 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 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." "15 Days - CORRECT ANSWER 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." "30 Days - CORRECT ANSWER 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 _________ 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." "Interpretation Services - CORRECT ANSWER 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." "Referral & Transfer Agreements - CORRECT ANSWER 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." "Financial Arrangements - CORRECT ANSWER 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." "Personal Needs Allowance - CORRECT ANSWER The administrator or his or her representative shall develop a policy and procedure for handling the monthly _______________________ for each resident who receives SSI or other forms of public assistance. Every administrator to whom resident's personal funds are entrusted shall maintain written records, such as a ledger, including the date each payment was received, the amount of payment, the date of each disbursement, the amount of each disbursement, the reason for each disbursement and to whom each disbursement was made. It shall not be commingled with any other facility operating account and shall be deposited into an interest bearing account." "72 hours - CORRECT ANSWER Each resident shall receive his or her personal needs allowance within ____________ of the receipt of the check by the administrator." "Financial Power of Attorney - CORRECT ANSWER The resident or, if the resident is not competent, the resident's representative with ________________________, shall sign to acknowledge receipt of funds, goods or services purchased with such funds at the time of disbursement." "30 days - CORRECT ANSWER Within ____________ prior to admission to the assisted living residence, comprehensive personal care home, or assisted living program, a physician, advanced practice nurse or physician assistant shall specify in writing that the resident is appropriate for this level of care to have a health service plan." "Physician and Dentist - CORRECT ANSWER At the time of admission, arrangements shall be made between the administrator and the resident, guardian, or responsible person regarding the _______________and ______________ to be called in case of illness, or the individual to be called for a resident who, because of religious affiliation, is opposed to medical treatment." "14 days - CORRECT ANSWER If the initial assessment of N.J.A.CC. 8:36-7.1(a) indicates that the resident requires health care services, a health care assessment shall be completed within __________ of admission by RN using an assessment instrument available from the Department, or an assessment instrument adopted by the facility or program, equivalent to the instrument available from the Department, and which meets the requirements." "Health Care Assessment - CORRECT ANSWER 1.) Need for assistance with ADLs. 2.) Cognitive patterns. 3.) Communication/hearing patterns. 4.) Vision Patterns. 5.) Physical functioning and structural problems. 6.) Continence. 7.) Psychosocial well-being. 8.) Mood and behavior problems. 9.) Activity pursuit patterns. 10.) Disease diagnoses. 11.) Health conditions and preventative health measures, including, but limited to, pain, falls, and lifestyle. 12.) Oral/nutritional status. 13.) Oral/dental status. 14.) Skill conditions. 15.) Medication Use* 16.) Special treatment and procedures. 17.) Restraint use. 18.) Outside service utilization." "Semi-annually - CORRECT ANSWER The resident general service plan shall be reviewed and, if necessary, revised _______________, and more frequently as needed based upon the resident's response to the care provided and any changes in the resident's physical or cognitive status." "Quarterly - CORRECT ANSWER The resident health service plan shall be reviewed, and if necessary, revised ________________, and as needed, based upon the resident's response to the care provided and any changes in the resident's physical or cognitive status." "Annually - CORRECT ANSWER The facility shall be responsible for reassessing residents who have neither a general service or health service plan in response to changes in the resident's functional and/or cognitive status at least ______________ and more frequently if such reassessment is predicted to change in the resident's functional and/or cognitive status." "14 days or less - CORRECT ANSWER If a resident who has not been receiving a health care service requires a health care service on a temporary basis (meaning a period of time reasonably expected to be _____________________ and not involving a significant change in condition or a life-threatening illness), neither a health care assessment nor a health service plan be required. The administrator shall develop a system to identify the residents receiving a health care service on a temporary basis." "Annual, Annually - CORRECT ANSWER Each resident shall have an ____________ physical examination by a physician, advanced practical nurse or physician assistant which shall be documented in the resident's record. The physician advanced practical nurse or physician assistant shall certify _________________ that the resident does not have any needs which exceed the are of that facility or program is capable of providing." "7 day - CORRECT ANSWER If it is determined that there is a medical need for a transfer of a resident to another health care facility because of the assisted living residence, comprehensive personal care home, or assisted living program cannot meet the resident's needs, such transfers shall be initiated promptly. The RN shall be notified to ensure that the resident is receiving appropriate care during the transfer period. If the resident is not transferred within _____________, the Department shall be notified and assistance shall be requested from the Department to arrange for transfer of the resident." "Nursing Staff Requirments - CORRECT ANSWER A facility shall have a least one registered professional nurse available at all times." "CNA - CORRECT ANSWER A nurse aide training course approved by the New Jersey State Department of Health and Senior Services in accordance with N.J.A.C. 8:39-43, and shall have passed the New Jersey Nurse Aide Certification Examination." "CHHA - CORRECT ANSWER A homemaker-home health aide training program approved by the New Jersey Board of Nursing and shall be certified by the Board in accordance with N.J.A.C. 13:37-14." "PCA - CORRECT ANSWER A personal care assistant training course approved by the New Jersey Department of Health and Senior Services and the competency evaluation program approved by the Department result in personal care assistant certification." "2 years - CORRECT ANSWER Personal care assistant certification shall be valid for a period of __________ from the date of issue. At least once every ____________, on a schedule to be determined by the Department, a certified personal care assistant shall file an application for renewal of current certification and shall complete an updated criminal history background check as required by N.J.A.C. 8:43I." "20 hours - CORRECT ANSWER In order to be eligible to renew a current certification, the certified personal care assistant shall complete at least ____________ every two years of continuing education in assisted living concepts, and related topics, including cognitive and physical impairment and dementia." "CMA (Certified Medical Assistant) - CORRECT ANSWER Certified as a CNA, CHHA, or PCA; Successfully completion of medication administration training coursed approved by the Department; Successful completion of a Department of Health and Senior Services approved standardized examination regarding medication administration for PCAs. An oral examination shall not substitute for the written component of this examination." "2 years - CORRECT ANSWER Medication aide certification shall be valid for a period of ___________ from the date of issue. At least once every __________, on a schedule to be determined by the Department, a medication aide shall file an application for renewal of current certification." "30 hours - CORRECT ANSWER In order to be eligible to renew for a current certification, the medication aide have completed at least _________ of continuing education, seminars, or in-service training every two year certification period. This includes continuing education for review of the fundamental principles of medication administration, the skills and knowledge necessary for the task of medication administration, and topics of current drug use relevant to the elderly." "Provision of Meals - CORRECT ANSWER The assisted living residence or comprehensive personal care home shall provide dining services to meet the daily nutritional needs of residents, directly in the facility." "Designation of a Food Coordinator - CORRECT ANSWER The facility shall designate a food service coordinator who, if not a dietitican, functions with scheduled consultation from a dietician. When meals are prepared in the facility, the food service coordinator or designee shall be present in the facility. The food service coordinator shall ensure that dining services are provided as specified in the dining portion of the health care plan." "Responsibilities of Dietitians - CORRECT ANSWER If indicated, according to residents' needs, a dietitian shall be responsible for providing resident care, including, but not limited to, the following: 1.) Assessing the nutritional needs of the resident. If indicated, preparing the dietary portion of the health care plan on the basis of the assessment, providing dietary services to the resident as specified in the dietary portion of the health plan, reassessing the resident, and revising the dietary portion of the health care plan. Each of these activities shall be documented in the resident's record; and 2.) Providing nutritional counseling and education to residents." "14 days - CORRECT ANSWER Written, dated menus shall be planned at least _________ days in advance for all diets." "7 day - CORRECT ANSWER The same menu shall not be used more than once in any continuous __________ period." "30 days - CORRECT ANSWER Menus, with changes or substitutes, shall be kept on file in the facility for at least _____________." "OTC (Over the Counter) - CORRECT ANSWER _____________ solid and liquid dosage forms may be dispensed in a non unit-of-use or non unit-dose medication distribution system." "Prescription Liquid Medications - CORRECT ANSWER ______________ conventional bottles or concentrates may be dispensed in a non unit-of-use, non unit-dose, or conventional medication distribution system." "Delegation to CMA. - CORRECT ANSWER If the appropriate delegation is made, and in accordance with the facility's policies and procedures and all applicable State and Federal laws and regulations, the CMA may: i.) Administer medications through the routes of oral, ophthalmic, otic, inhalant, nasal, rectal, vaginal, topical, and by the percutaneous endoscopic gastrostomy (PEG) (g-tube) tube route of administration; ii.) Administer any prescription or OTC medication according to regulations; iii.) Administer regularly scheduled medications, including prescription, OTC, and Schedule II-V medications; iv.) Administer "PRN" or as needed medication, OTC, and Schedule II-V." "7 days - CORRECT ANSWER CMAs can adminster "PRN" or as needed prescription, OTC and Schedule II-V medications EXCEPT that residents receiving the following medications shall be assessed by the RN at least once every ______________: 1.) Residents receiving PRN Schedule II narcotic analgesics. 2.) Residents receiving Schedule III-IV narcotic analgesics. 3.) Residents receiving Schedule III-IV central nervous system agents." "CMAs Cannot - CORRECT ANSWER 1.) Administer any injection other than pre-drawn properly packaged labeled insulin. 2.) Calculate a medication dosage. 3.) Pre-pour medication for more than one resident at a time. 4.) Contact prescribers for changes in medication, to clarify an order, or contact the pharmacist for questions regarding a dispensed medication. 5.) Administer bolus doses of enteral feedings, or stop and/or start an existing enteral feeding pimp or gravity-fed system." "Weekly - CORRECT ANSWER At least ____________ a RN shall review and sign off on any modifications or additions to the MAR that were made by the CMA under the RN's delegation." "One Day - CORRECT ANSWER Registered professional nurses and pharmacists who participate in certification medication aide training shall attend a Department offered ___________ Train-the-Trainer Medication Aide Workshop prior to providing such training to a Certified Medication Aides." "Quarterly - CORRECT ANSWER Designation of Pharmacist 1.) Training of employees. 2.) Educating residents regarding medications. 3.) Establishing policies and procedures which ensure safe appropriate self-administration of medications. 4.) Reviewing medication administration records on ____________ basis, and at least ___________, inspecting all common areas of the facility or program where medication are stored or administered, documenting any problems and proposing solutions to these problems, and maintaining records of such inspections." "Storage and Control of Medications - CORRECT ANSWER 1.) The storage area shall be kept locked when not in use. 2.) The storage area shall be used only for storage of medication and medical supplies. 3.) The key to the storage area shall be kept on the person of the employee on duty who is responsible for resident supervision." "30 days - CORRECT ANSWER Discontinued or expired medications shall be destroyed within _____________ in the facility, or, if unopened and properly labeled, returned to the pharmacy for credit, if allowable, and in conformance with N.J.A.C. 13:39 and other State and Federal laws, codes, and regulations." "Emergency Medical Services - CORRECT ANSWER Emergency medical services shall be available to or arranged for residents requiring these services. The facility shall develop a written plan for arranging for emergency transportation of residents for medical care and returning them to the assisted living residence." "One - CORRECT ANSWER At least _______ employee trained in cardiopulmonary resuscitation (CPR) and the Heimlich maneuver shall be available in the facility at all times. The facility shall have an automatic external defibrillator (AED) on site. At least _______ employee trained in the use of the AED shall be available in the facility at all times." "Emergency Plan and Procedures - CORRECT ANSWER The facility shall develop written emergency plans, policies, and procedures which shall include plans and procedures to be followed in case of medical emergencies, power failures, fire, and natural disasters. The emergency plan shall be filed with the Department and the Department shall be notified when the plans are changed. Copies of the emergency plans shall also be forwarded to other agencies in accordance with State and municipal laws. Nothing in these rule shall supersede or imply non-compliance with the Uniform Fire Act or Uniform Fire Code, N.J.A.C. 5:70, or NFPA 101." "Month - CORRECT ANSWER The facility shall conduct at least one drill of the emergency plans every _____________." "4 - CORRECT ANSWER The 12 drills shall be conducted on a rotating basis, to ensure that _______drills occur during each working shift on an annual basis." "Year - CORRECT ANSWER The facility shall maintain documentation of all drills, including the date, hour, description of the drill, participating staff, and signature of the person in charge. In addition to the drills for emergencies due to fire, the facility shall conduct at least one drill per _________ for emergencies due to a disaster other than fire, such as storm, flood, other natural disaster, bomb threat, or nuclear accident (a total of 12 drills)." "Fire Extinguishers - CORRECT ANSWER These shall be hung conspicuously, kept easily accessible, shall be visually examined monthly and shall be recorded on a tag which is attached to it. It shall also be inspected and maintained in accordance with manufacturers' and applicable NFPA requirements and N.J.A.C. 5:70. Each shall be labeled to show the date of such inspection and maintenance." "10 years - CORRECT ANSWER All resident records shall be maintained for a period of _______________ after the discharge of a resident from the assisted living residence, comprehensive personal care home, or assisted living." "48 hours - CORRECT ANSWER The register shall be kept up-to-date at all times. Admissions, discharges and discharge destination, and other changes shall be recorded within ____________." "Residents' Individual Records - CORRECT ANSWER 1.) The resident's completed admission application and all records forwarded to the facility; 2.) The resident's name, last name, date of birth, name and address of sponsor or interested agency, date of admission, date of discharge (and discharge destination) or death, the name, address and telephone number of physician to be called, and the name, address and of nearest relative, guardian, responsible person, or interested agency, together with any other information the resident wishes to have recorded; 3.) A copy of the resident's advanced directive, if applicable; and 4.) A copy of the resident's general service plan and/or health service plan, if applicable." "Record of Death - CORRECT ANSWER 1.) Promptly notify a family member, guardian, or other designated person of the death of the resident. Notification shall be made at the time of the occurrence, and the time between the resident's death and notification shall not exceed one hour; and 2.) Including in the resident's record written documentation from the physician of the date and time of death, the name of the person who pronounced the death, disposition of the body, and a record of notification of the family. The administrator or administrator's designee shall include in the record of notification of the family confirmation and written documentation of that notification. 3.) A physician, registered nurse or paramedic may make a determination and pronouncement of death in accordance with N.J.A.C. 13:35-6.2(d) and (e)." "Ventilation - CORRECT ANSWER Means of _______________shall be provided in accordance with the Uniform Construction Code, N.J.A.C 5:23, either by windows or by mechanical ________________ for every habitable room. Means of ________________ shall be provided for every bathroom or water closet (toilet) compartment. ________________ shall be provided either by a window with an openable area or by mechanical _______________." "44 inches - CORRECT ANSWER The width of passageways, aisles and corridors shall have a minimum of ___________ of clear space." "Smoke Detectors - CORRECT ANSWER These shall be provided in all residents' bedrooms, living rooms, and "studio apartment" units, whether or not the facility contains a comprehensive automatic fire suppression system throughout." "150 square feet - CORRECT ANSWER Residential units occupied by one person shall have minimum of ______________ of clear and usable floor area. This excludes closets, bathroom, kitchenette, hallways, corridors, vestibules, alcoves, and foyers (unless the Department grants such a request)." "80 additional square feet - CORRECT ANSWER In units occupied by more than one resident, there shall be a minimum of ______________________ for an additional occupant." "Two - CORRECT ANSWER No residential unit in an assisted living shall be occupied by more than ________ individuals." "230 square feet - CORRECT ANSWER Total amount of clear and usable floor area for two person occupied assisted living residence." "30 square feet - CORRECT ANSWER The facility shall provide a minimum of ___________ per resident of community spaces for dining and for active and passive recreation." "One - CORRECT ANSWER Each assisted living facility shall provide at least ________ non-commercial washer and dryer to be used exclusively for the residents' personal items." "One hour - CORRECT ANSWER When a commercial type laundry equipment is utilized, it shall be installed in a separate laundry room. The remainder of the shall be protected from the laundry room by fire separation assemblies of a least ___________ rated construction." "Administration and Public Areas - CORRECT ANSWER 1.) A grade level barrier-free entrance, sheltered from the weather and able to accommodate wheelchairs shall be provided, and shall include a reception and information counter or desk and waiting space for eating. 2.) Space for private interviews shall be provided. 3.) An individual mailbox for each resident shall be provided. 4.) General or individual offices for records, administrative and professional staff shall be provided. 5.) Space shall be provided for storing employee's personal possessions. 6.) Separate space shall be provided or storage of office supplies, sterile or pharmaceutical supplies, and housekeeping supplies. 7.) A room(s) for examination and treatment of residents, which is adequate for an overnight stay and include toilet facilities, may be provided. The room shall have a minimum floor area of 100 square feet, excluding space for vestibule, toilet and closet. The room shall contain a lavatory or sink equipped for hand-washing, a work counter, storage facilities, and a desk, counter or shelf for writing." "100 square feet - CORRECT ANSWER A room(s) for examination and treatment of residents, which is adequate. The room shall have a minimum floor area of __________________, excluding space for vestibule, toilet and closet. The room shall contain a lavatory or sink equipped for handwashing, a work counter, storage facilities, and a desk, counter or shift for writing." "Sounding Devices - CORRECT ANSWER If self-locking doors are used at the main entrance and other entrances which open onto a roof or balconies, they shall be equipped with a sounding device, such as a bell, buzzer, or chime, which is in operating condition. The sounding device shall be affixed to the outside of the door or to the adjacent exterior wall for use in the event that a person is unable to enter the building, and shall ring an area staffed 24 hours a day." "3 degrees Fahrenheit - CORRECT ANSWER For central kitchens, thermometers which are accurate to within _______________ shall be kept in a visible location within refrigerators, freezers, and storerooms used for perishable and other items subject to deterioration." "Household and Cleaning Products - CORRECT ANSWER All household and cleaning product used by facility staff shall be identified, labeled, and secured. All poisonous and toxic materials shall be identified, labeled, and stored in a locked cabinet or room. The telephone number of the poison control center shall be conspicuously posted in the facility." "72 degrees Fahrenheit - CORRECT ANSWER During the heating season, the temperature in the facility shall be kept at minimum of ____________ during the day (between sunrise and sunset)." "68 degrees Fahrenheit - CORRECT ANSWER During the heating season, the temperature in the facility shall be kept at minimum of ____________ during the night." "82 degrees Fahrenheit - CORRECT ANSWER During warm weather conditions, the temperature within the facility shall not exceed _____________." "95 to 120 degrees Fahrenheit - CORRECT ANSWER According to current regulations, the temperature of the hot water used for bathing and handwashing shall be at least _________________." "Soiled Laundry - CORRECT ANSWER This shall be stored in a ventilated, vermin proof-area, separate from other supplies, and shall be stored, sorted, rinsed, and laundered only in areas specifically designed for those purposes. It shall be stores, transported, collected, and delivered in a covered laundry bag or cart. Laundry carts shall be in good repair, kept clean, and identified for use when either clean or soiled laundry." "Annually - CORRECT ANSWER The facility shall develop, implement, and review at least _______________, written policies and procedures regarding infection prevention and control. Written policies and procedures shall be consistent withe the Centers for Disease Control publications and OSHA standards." "Annual - CORRECT ANSWER The facility shall document evidence of ___________ vaccination against influenza for each residents, in accordance with the General Recommendations on Immunization of the Advisory Committee on Immunization Practice of the CDC. Influenza vaccines for all residents accepting the vaccine shall be completed by November 30th of each year. Residents admitted after this date, during the flu season and up to February 1, shall as medically appropriate, receive influenza vaccination prior to or on admission unless refused by the resident." "Pneumococcal Disease - CORRECT ANSWER The facility shall document evidence of vaccination against pneumococcal disease for all residents who are 65 years of age or older. The facility shall provide or arrange for pneumococcal vaccination of residents who have not received this immunization, prior to or on admission unless the resident refuses offer of the vaccine." "Services for Residents with Alzheimer's/dementia - CORRECT ANSWER Provided the following information: 1.) The number of licensed and unlicensed staff providing direct care to residents diagnosed with Alzheimer's and related disorders. 2.) The activities that specifically directed towards residents disagnosed with Alzheimer's and related disorders, including but not limited to, those designed to maintain the resident's dignity and personal identity, enhance socialization and success, and accomodate the cognitive and functional ability of the resident. 3.) The frequency of the activities. 4.) The safety policies and procedures and any security monitoring system that is specific to residents diagnosed with Alzheimer's and related disorders." "Respite - CORRECT ANSWER Assisted living facilities are permitted to accept short-term residents who regular caregivers are participating in a respite care program." "Caregiver - CORRECT ANSWER Defined as any individual, paid or unpaid, who provides regular in-home care for an elderly, disabled, or cognitively impaired person." "Quality Improvement Program - CORRECT ANSWER The facility shall establish a written plan for a quality improvement program for resident care. The plan shall specify a timetable and the person(s) responsible for the quality improvement program and shall provide the ongoing monitoring of staff and resident care services. Polices and produces should be reviewed annually. The administrator shall implement measures to ensure that corrections or improvements area made." "Use of Restraints - CORRECT ANSWER 1.) The facility shall develop policies and procedures that support a restraint-free environment for all residents. 2.) The use of any restraining devices shall be based on an assessment and shall require a physician, advanced practice nurse, or physician assistant order. 3.) The least restrictive device shall be used, in compliance with the prescriber's order. 4.) A specific plan of care shall be developed for the use of any restraining device." "N.J.A.C. 8:36 - CORRECT ANSWER Regulations: Standards for Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs." "N.J.A.C. 8:43E - CORRECT ANSWER General Licensure Procedures and Enforcement of Licensure Regulations" "Commissioner - CORRECT ANSWER Refers to the Commissioner of the New Jersey Department of Health and Senior Services." "Curtailment - CORRECT ANSWER An order by the Department which requires a licensed health care facility to cease and desist all admissions and readmissions of patients or residents to the facility or affected service." "Deficiency - CORRECT ANSWER A determination by the Department of one or more instances in which a State licensing regulation or Federal certification regulation has been violated." "Department - CORRECT ANSWER Refers to the New Jersey Department of Health and Senior Services." "Division - CORRECT ANSWER Refers to the Division of Health Care Systems Analysis, New Jersey Department of Health and Senior Services." "Facility - CORRECT ANSWER The entity which has been issued a license to operate a health care facility pursuant to N.J.S.A. 26:2H-1 et seq. For the purposes of this chapter, this includes ambulance and invalid coach services." "Immediate and Serious Threat - CORRECT ANSWER A deficiency or violation that has caused or will imminently cause any time serious injury harm, impairment, or even death to residents or patients of the facility and therefore requires immediate corrective action." "Patient - CORRECT ANSWER An individual under the medical and nursing care and supervision of a licensed health care facility." "Resident - CORRECT ANSWER An individual residing in a licensed health care facility and under the supervision of that facility for the purpose of receiving medical, nursing, and/or personal care services." "Survey - CORRECT ANSWER The evaluation of the quality of care and/or the fitness of the premises, staff, and services provided by a facility as conducted by the Department and/or designees to determine compliance or non-compliance with applicable State licensing regulations, statutes, or Federal Medicare/Medicaid certification regulations or statutes." "10 business days - CORRECT ANSWER At the conclusion of a survey or within ______________ thereafter, the Department shall provide a facility with a written summary of the factual findings used as a basis to determine that a licensure violation has occurred, and a statement of each licensure regulation to which the finding of deficiency relates. Following completion of the survey, an acute care facility may contact the Inspections, Complaints and Compliance Program and a long term care facility may contact the Long Term Care Assessment Survey Program to request an informal review of deficiencies cited. The request must be made in writing within _______________ of the receipt of the written survery findings. The plan of correction shall be submitted within ______________ of the facility's receipt of the notice of violations, unless the Department specifically authorizes an extension for cause. Where deficiencies are the subject of informal dispute resolution pursuant to N.J.A.C. 8:43E-2.3, the extension shall pertain only to the plans of correction for the deficiencies under review." "Suspension of a license - CORRECT ANSWER The Commissioner may order the summary suspension of a license of a health care facility or a component or distinct part of a facility upon a finding that violations pertaining to the care of patients or to the hazardous or unsafe conditions of the physical structure pose an immediate threat to the health, safety, and welfare of the public or the residents of the facility. Except in the case of life-threatening emergency, the notice shall provide the facility with a 72-hour period from receipt to correct the violations and provide proof to the Department of such correction. If the Department determines the violations have not been corrected, and the facility has not filed notice requesting a hearing to contest the notice of suspension within 48 hours of receipt of the Commissioner's notice pursuant, then the license shall be deemed suspended. Upon the effective date of the suspension, the facility shall cease and desist the provision of health care services and effect an orderly transfer of patients. If the facility requests a hearing within 48 hours of receipt of the Notice of Proposed Suspension of License in accordance with N.J.S.A. 26:2-H-14, the Department shall arrange for an immediate hearing to be conducted by the Commissioner and a final agency decision shall be issued within 48 hours by the Commissioner." "Pain - CORRECT ANSWER An unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage." "Pain Rating Scale - CORRECT ANSWER A tool that is age cognitive and culturally specific to the patient or resident population to which it is applied and which results in an assessment and measurement of the intensity of pain." "Pain Treatment Plan - CORRECT ANSWER A plan based on information gathered during a patient/resident pain assessment, that identifies the patient's/resident's needs and specifies appropriate interventions to alleviate pain, to the extent feasible and medically appropriate." "Pain Assessment Procedure - CORRECT ANSWER A facility shall formulate a system for assessing and monitoring patients'/residents/ pain using a pain rating scale. Pain should be assessed at minimum upon admission, on the day of a planned discharge, and when warranted by changes in a patients'/residents' condition, self-reporting of pain and/or evidence of behavioral cues indicative of the presence of pain. If pain is identified, a pain treatment plan shall be developed and implemented within the health care facility or the patient/resident shall be referred for treatment or consultation." "Pain and Home Health Care Services - CORRECT ANSWER In the case of individuals receiving home health care services, assessment shall coincide with a visit by staff of the home health service agency and assessment on the day of discharge is not required if the individual has been admitted to an inpatient or residential health care facility and discharge from the home health service agency takes place after the admission." "Staff Education and Training Programs - CORRECT ANSWER 1.) Orientation of new staff to the facility's policies and procedures on pain assessment and management. 2.) Training of staff in pain assessment tools; behaviors potentially indicating pain; personal, cultural, spiritual and/or ethnic beliefs that may impact a patient's/resident's perception of pain; new equipment and new technologies to assess and monitor a patient's/resident's pain status. 3.) Incorporation of pain assessment, monitoring and management into the initial orientation and ongoing education of all appropriate staff. 4.) Patient/resident rights. 5.) Implementation of the plan shall include records of attendance for each program." "Continuous Quality Improvement - CORRECT ANSWER This facilities program shall include a systematic review and evaluation of pain assessment, management, and documentation practices. The facility shall develop a plan by which to collect and analyze data in order to evaluate outcomes or performance. Data analysis shall focus on recommendations for implementing corrective actions and improving performance." "Safety with Sharps and Needles - CORRECT ANSWER All facilities shall purchase, for use by health care workers only, available sharp devices containing integrated safety features or available needleless devices designed to prevent needle stick injuries. In cases where there is no available sharp device containing integrated safety features or needleless device, for a specific patient use, faciltiies shall utilize the appropriate sharp device that is available for that specific patient use, including any sharp device which employs non-integrated, add-on safety features, until such time as appropriate sharp device containing integrated safety features becomes available." "Mandatory Overtime - CORRECT ANSWER This does not apply to 1.) Physicians; 2.) Volunteers; 3.) Employees who volunteer to work overtime; 4.) Employees of assisted living facilities that are licensed in accordance with N.J.A.C. 8:36 and who receive room and board as a benefit of employment and reside at the facility on a full-time basis; 5.) Employees who assume on-call duty; 6.) Employees participating in a surgical or therapeutic interventional procedure that is in progress, when it would be detrimental to the patient if the employee left. However, the case of elective procedures, the rules do apply if the procedure was scheduled such that the length of time ordinarily required to complete the procedure would exceed the end of the employee's schedule shift; 7.) Employee not involved in direct patient care activities or clinical services." "Chronic Short Staffing - CORRECT ANSWER A situation characterized by long standing vacancies in that portion of the facility's master staffing plan applicable to the work unit of an employee who files a complaint where such vacancies are the result of open positions that continually remain unfilled over a period of 90 days or more despite active recruitment efforts." "On-call Time - CORRECT ANSWER Time spent by an employee who is not currently working on the premises of the place of employment, but who is compensated for availability, or as a condition of employment has agreed to be available, to return to the premises of the place of employment on shore notice if the need arises." "Employee Complaint - CORRECT ANSWER An employer shall not discharge or in any other manner discriminate against an employee because such employee has made any complaint to his or her employer, including the employer's representative; to the Comissioner of Labor; or to the State agency that licenses the facility where the employee works that the employee has been required to work overtime in contravention to the provisions in the in N.J.A.C. 8:43E." "Staff Education Plan - CORRECT ANSWER A written plan which includes in-services programs and on the job training." "Geriatrician - CORRECT ANSWER A physician specializing in treatment of diseases of aging." "Advance Directive - CORRECT ANSWER A written document that can aid the resident to protect their rights to accept or refuse medical care if they become mentally or physically unable to communicate them." "Portable Heaters - CORRECT ANSWER This warming device must never be used in an assisted living facility." "Antibiotics - CORRECT ANSWER This is the least effective in guarding against infection against bloodborne pathogens." "36 inches - CORRECT ANSWER Corridor widths must have clear space of at least _____________ in CPCH's." "Job Description - CORRECT ANSWER A written summary of the duties and responsibilities of a job." "3000 square feet - CORRECT ANSWER The square footage of community space in an assisted living facility for 100 residents." "2 - CORRECT ANSWER If mechanical ventilation is used in a CPCH, there shall be a least _______ air exchanges per hour." "Accounts Payable - CORRECT ANSWER Debt owed to creditors are listed in the chart of accounts as" "NFPA - CORRECT ANSWER The __________ involvement regards fire protection." "Depression - CORRECT ANSWER A natural response to loss and disappointment." "Managed Risk Agreement - CORRECT ANSWER A ________________ is negotiated in order to balance flexibility and responsibility." "Accurate Assessment of Risks Related to Choices - CORRECT ANSWER _____________________ is the most effective with minimizing the risk of harm to an assisted living resident." "Bounded Choice - CORRECT ANSWER The concept of ______________ may place limits on facility staff, limit resident choice based on assessed risks, and place responsibility for resident choice on resident's, staff, and family." "Managed Risk Agreements - CORRECT ANSWER _________________________ should only be utilized when it has been determined that the residents decision may lead to adverse outcomes." "Fire extinguishers - CORRECT ANSWER ____________________ shall be hung conspicuously, kept easily accessible, and results of exam recorded on tag and attached." "Designee Assigned for Resident Supervision - CORRECT ANSWER The storage area for medications that are not self-administered must be kept locked when not in use and the key shall be kept by:" "72 hours - CORRECT ANSWER A resident with short-term post-operative pain has a prescription order for Darvocet 100mg by mouth every four hours prn for 7 days. In this case the RN must reasses for least every _____________." "Call the RN - CORRECT ANSWER The CMA is changing Mrs. Jones wound dressing and observices that there is a significant amount of drainage on the dressing and a foul odor. The CMA should first:" "40 degrees - CORRECT ANSWER Cold food must be served at a temperature of ____________." "RN - CORRECT ANSWER The administration of medication remains the responsibility of the RN." "10 hours - CORRECT ANSWER The adminstrator shall annually participate in at least _________ of continuing education regarding assisted living concepts and related topics as specified and approved by the DOH or Nursing Home Administrators Licensing Board." "Registered Professional Nurse - CORRECT ANSWER The initial resident assessment must be performed by a:" "72 hours - CORRECT ANSWER A reportable event requires notification of the Department immediately by telephone and in writing with _________."