DHEC 61-84 Deck 1 Exam Questions and Answers Latest Update 2025-2026
Physical Abuse - Answers The act of intentionally inflicting or allowing to be inflicted physical
injury on a resident by an act or failure to act. Physical abuse includes, but is not limited to,
slapping, hitting, kicking, biting, choking, pinching, burning, actual or attempted sexual battery,
use of medication outside the standards of reasonable medical practice for the purpose of
controlling behavior, and unreasonable confinement.
Psychological Abuse - Answers The deliberate use of any oral, written, or gestured language or
depiction that includes disparaging or derogatory terms to a resident or within the resident's
hearing distance, regardless of the resident's age, ability to comprehend, or disability, including
threats or harassment or other forms of intimidating behavior causing fear, humiliation,
degradation, agitation, confusion, or other forms of serious emotional distress.
Activities of Daily Living (ADLs) - Answers Those personal functions performed by an individual
in the course of a day that include, but are not limited to, walking; bathing; shaving; brushing
teeth; combing hair; dressing; eating; getting in or getting out of bed; toileting; ambulating; doing
laundry; cleaning room; managing money; shopping; using public transportation; making
telephone calls; obtaining appointments; administration of medication; and other similar
activities
Administrator - Answers The staff member designated by the licensee to have the authority and
responsibility to manage the facility, is in charge of all functions and activities of the facility, and
is appropriately by the S.C. State Board of Long Term Health Care Administrators.
Airborne Infection Isolation Room (Formerly negative pressure room) - Answers A single-
occupancy resident care room used to isolate persons with suspected or confirmed infectious
tuberculosis (TB) disease or other airborne infection
Alzheimer's Special Care Unit (or Program) - Answers A facility or area within a facility providing
a secure, special program or unit for residents with a diagnosis of probable Alzheimer's disease
and/or related dementia to prevent or limit access by a resident outside the designated or
separated areas, and that advertises, markets, or otherwise promotes the facility as providing
specialized care/services for persons with Alzheimer's disease and/or related dementia or both.
Annual - Answers A time period that requires an activity to be performed at least every twelve to
thirteen (12 to 13) months.
Assessment - Answers A procedure for determining the nature and extent of the problem(s) and
needs of a resident/potential resident to ascertain if the facility can adequately address those
problems, meet those needs, and to secure information for use in the development of the
individual care plan. Included in the process are an evaluation of the physical, emotional,
behavioral, social, spiritual, nutritional, recreational, and, when appropriate, vocational,
educational, legal status/needs of a resident/potential resident
, Authorized Healthcare Provider - Answers An individual authorized by law and currently licensed
in South Carolina to provide specific treatments, care, or services to residents, e.g., advanced
practice registered nurse, physician assistant.
Blood Assay for Mycobacterium Tuberculosis (BAMT) - Answers A general term to refer to in
vitro diagnostic tests that assess for the presence of tuberculosis (TB) infection with M.
tuberculosis. This term includes, but is not limited to, IFN-γ release assays (IGRA).
Boarding House - Answers A business/entity which provides room and board to an individual(s)
and which does not provide a degree of personal care to more than one individual.
Community Residential Care Facility (RCAL) - Answers A facility which offers room and board
and which, unlike a boarding house, provides/coordinates a degree of personal care for a period
of time in excess of 24 consecutive hours for two or more persons, 18 years old or older, not
related to the licensee within the third degree of consanguinity
Contact Investigation - Answers Procedures that occur when a case of infectious TB is
identified, including finding persons (contacts) exposed to the case, testing and evaluation of
contacts to identify Latent TB Infection (LTBI) or TB disease, and treatment of these persons, as
indicated.
Controlled Substance - Answers A medication or other substance included in Schedule I, II, III, IV,
and V of the Federal Controlled Substances Act and the South Carolina Controlled Substances
Act.
Consultation (*Confusion alert*: Don't confuse this with an investigation/survey) - Answers A
visit by Department representative(s) who will provide information to the licensee with the goal
of facilitating compliance with these regulations.
The Department - Answers Slang word for The S.C. Department of Health and Environmental
Control (DHEC).
Designee - Answers A staff member designated by the administrator to act on his/her behalf.
Direct Care Staff Member / Volunteer - Answers Those individuals who provide assistance with
activities of daily living to residents.
Discharge - Answers The point at which residence in a facility is terminated and the facility no
longer maintains active responsibility for the care of the resident.
Dispensing Medication - Answers The transfer or possession of one (1) or more doses of a
medication or device by a licensed pharmacist or individual as permitted by law, to the ultimate
consumer or his or her agent pursuant to a lawful order of a practitioner in a suitable container
appropriately labeled for subsequent administration to, or use by a resident
Exploitation - Answers 1) Causing or requiring a resident to engage in an activity or labor that is
Physical Abuse - Answers The act of intentionally inflicting or allowing to be inflicted physical
injury on a resident by an act or failure to act. Physical abuse includes, but is not limited to,
slapping, hitting, kicking, biting, choking, pinching, burning, actual or attempted sexual battery,
use of medication outside the standards of reasonable medical practice for the purpose of
controlling behavior, and unreasonable confinement.
Psychological Abuse - Answers The deliberate use of any oral, written, or gestured language or
depiction that includes disparaging or derogatory terms to a resident or within the resident's
hearing distance, regardless of the resident's age, ability to comprehend, or disability, including
threats or harassment or other forms of intimidating behavior causing fear, humiliation,
degradation, agitation, confusion, or other forms of serious emotional distress.
Activities of Daily Living (ADLs) - Answers Those personal functions performed by an individual
in the course of a day that include, but are not limited to, walking; bathing; shaving; brushing
teeth; combing hair; dressing; eating; getting in or getting out of bed; toileting; ambulating; doing
laundry; cleaning room; managing money; shopping; using public transportation; making
telephone calls; obtaining appointments; administration of medication; and other similar
activities
Administrator - Answers The staff member designated by the licensee to have the authority and
responsibility to manage the facility, is in charge of all functions and activities of the facility, and
is appropriately by the S.C. State Board of Long Term Health Care Administrators.
Airborne Infection Isolation Room (Formerly negative pressure room) - Answers A single-
occupancy resident care room used to isolate persons with suspected or confirmed infectious
tuberculosis (TB) disease or other airborne infection
Alzheimer's Special Care Unit (or Program) - Answers A facility or area within a facility providing
a secure, special program or unit for residents with a diagnosis of probable Alzheimer's disease
and/or related dementia to prevent or limit access by a resident outside the designated or
separated areas, and that advertises, markets, or otherwise promotes the facility as providing
specialized care/services for persons with Alzheimer's disease and/or related dementia or both.
Annual - Answers A time period that requires an activity to be performed at least every twelve to
thirteen (12 to 13) months.
Assessment - Answers A procedure for determining the nature and extent of the problem(s) and
needs of a resident/potential resident to ascertain if the facility can adequately address those
problems, meet those needs, and to secure information for use in the development of the
individual care plan. Included in the process are an evaluation of the physical, emotional,
behavioral, social, spiritual, nutritional, recreational, and, when appropriate, vocational,
educational, legal status/needs of a resident/potential resident
, Authorized Healthcare Provider - Answers An individual authorized by law and currently licensed
in South Carolina to provide specific treatments, care, or services to residents, e.g., advanced
practice registered nurse, physician assistant.
Blood Assay for Mycobacterium Tuberculosis (BAMT) - Answers A general term to refer to in
vitro diagnostic tests that assess for the presence of tuberculosis (TB) infection with M.
tuberculosis. This term includes, but is not limited to, IFN-γ release assays (IGRA).
Boarding House - Answers A business/entity which provides room and board to an individual(s)
and which does not provide a degree of personal care to more than one individual.
Community Residential Care Facility (RCAL) - Answers A facility which offers room and board
and which, unlike a boarding house, provides/coordinates a degree of personal care for a period
of time in excess of 24 consecutive hours for two or more persons, 18 years old or older, not
related to the licensee within the third degree of consanguinity
Contact Investigation - Answers Procedures that occur when a case of infectious TB is
identified, including finding persons (contacts) exposed to the case, testing and evaluation of
contacts to identify Latent TB Infection (LTBI) or TB disease, and treatment of these persons, as
indicated.
Controlled Substance - Answers A medication or other substance included in Schedule I, II, III, IV,
and V of the Federal Controlled Substances Act and the South Carolina Controlled Substances
Act.
Consultation (*Confusion alert*: Don't confuse this with an investigation/survey) - Answers A
visit by Department representative(s) who will provide information to the licensee with the goal
of facilitating compliance with these regulations.
The Department - Answers Slang word for The S.C. Department of Health and Environmental
Control (DHEC).
Designee - Answers A staff member designated by the administrator to act on his/her behalf.
Direct Care Staff Member / Volunteer - Answers Those individuals who provide assistance with
activities of daily living to residents.
Discharge - Answers The point at which residence in a facility is terminated and the facility no
longer maintains active responsibility for the care of the resident.
Dispensing Medication - Answers The transfer or possession of one (1) or more doses of a
medication or device by a licensed pharmacist or individual as permitted by law, to the ultimate
consumer or his or her agent pursuant to a lawful order of a practitioner in a suitable container
appropriately labeled for subsequent administration to, or use by a resident
Exploitation - Answers 1) Causing or requiring a resident to engage in an activity or labor that is
