NJ CALA CERTIFICATION
CERTIFICATION EVALUATION EXAMS
COMPLETE QUESTIONS AND ANSWERS
◉ ADLs (Activity of Daily Living). Answer: The functions or tasks for self-care, which are performed either
independently or with supervision or assistance, such as: dressing, bathing, toileting, transfer,
locomotion, bed mobility, and eating.
◉ Assisted Living. 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. 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.
◉ CPCH (Comprehensive Personal Care Home). Answer: A facility which is licensed by the Department of
Health and Senior Services to provide room and board and to assure that assisted living services are
available when needed, to four or more adults unrelated to the proprietor. Residential units in this type
of facility have no more than two residents and have a lockable door on the unit entrance.
◉ CCRC (Continuing Care Retirement Community). Answer: A facility that has received a certificate of
authority pursuant to the _________ and Financial Disclosure Act, N.J.S.A. 52:27D-300 et seq.
◉ Customized Resident Medication Package. 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. 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. 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. 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.
◉ Managed Risk. Answer: The process of balancing resident choice and independence with the health
and safety of the resident and other persons in the facility or program. If a resident's preference or
decision places the resident or others at risk and is likely to lead to adverse consequences, such risks or
consequences are discussed with the resident, and, if the resident agrees, a resident representative, and
a formal plan to avoid or reduce negative or adverse outcomes is negotiated, in accordance with the
provisions of N.J.A.C. 8:36-5.18.
◉ Manage Risk Agreement. Answer: The written formal plan developed in consideration of shared
responsibility, bounded choice and assisted living values and negotiated between the resident and the
facility or program to avoid or reduce the risk of adverse outcomes which may occur in an assisted living
environment.
◉ Medication Administration. 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. 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. Answer: The self-worth of a resident.
◉ Independence. 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. Answer: Each resident's unique needs, capabilities, personalities, backgrounds and
preferences.
◉ MAR (Medication Administration Record). 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. 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. 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.
◉ Pain Management. Answer: In accordance with N.J.A.C. 8:43E-6, means the assessment of pain and, if
appropriate, treatment in order to assure the needs of patients or residents of health care facilities who
experience problems with pain are met. Treatment of pain may include the use of medication or
application of other modalities and medical devices such as, but not limited to, heat or cold, massage,
transcutaneous electrical nerve stimulation (TENS), acupuncture, and neurolytic techniques such as
radiofrequency coagulation and cryotherapy.
, ◉ Privacy. Answer: A resident's degree of control over a specific physical area and/or time; levels of
intimacy with family and others; and communication and contact with others outside the facility or
program environment.
◉ Shared Responsibility. 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. Answer: Another term for resident census.
◉ Unit Dose Drug Distribution System. Answer: A system in which medications are delivered to the
residents areas in single unit packaging, and which meets the following criteria:
1.) Each medication shall be individually wrapped and labeled with the generic or trade (brand) name
and strength of medication, lot number or reference code, expiration date, and manufacturer's name,
and shall be ready for administration to the resident.
2.) Cautionary instructions shall appear on the resident's record of medication administration, and the
system shall include provisions for noting additional information, including but no limited to, special
times or routes of administration and storage conditions.
3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by reference, as
amended and supplemented, and N.J.A.C. 8:39.
◉ Unit-of-Use. Answer: A system of in which medications are delivered to the resident areas either in
single unity packaging, bingo or punch cards, blister or strip packs, or other system where each
medication is physically separate. Individually labeled unit dose medications may be combined in a
"bingo or punch card" to create a unit-of-dose drug distribution system.
◉ 20 percent. Answer: An assisted living facility shall indicate within 36 months of after licensure, at
least ______________ of the facility's residents shall be individuals with nursing home-level care. This
percentage shall be computed based upon the number of residents days per calendar year and may
include direct admissions as well as maintained residents with nursing home-level of care needs.
CERTIFICATION EVALUATION EXAMS
COMPLETE QUESTIONS AND ANSWERS
◉ ADLs (Activity of Daily Living). Answer: The functions or tasks for self-care, which are performed either
independently or with supervision or assistance, such as: dressing, bathing, toileting, transfer,
locomotion, bed mobility, and eating.
◉ Assisted Living. 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. 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.
◉ CPCH (Comprehensive Personal Care Home). Answer: A facility which is licensed by the Department of
Health and Senior Services to provide room and board and to assure that assisted living services are
available when needed, to four or more adults unrelated to the proprietor. Residential units in this type
of facility have no more than two residents and have a lockable door on the unit entrance.
◉ CCRC (Continuing Care Retirement Community). Answer: A facility that has received a certificate of
authority pursuant to the _________ and Financial Disclosure Act, N.J.S.A. 52:27D-300 et seq.
◉ Customized Resident Medication Package. 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. 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. 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. 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.
◉ Managed Risk. Answer: The process of balancing resident choice and independence with the health
and safety of the resident and other persons in the facility or program. If a resident's preference or
decision places the resident or others at risk and is likely to lead to adverse consequences, such risks or
consequences are discussed with the resident, and, if the resident agrees, a resident representative, and
a formal plan to avoid or reduce negative or adverse outcomes is negotiated, in accordance with the
provisions of N.J.A.C. 8:36-5.18.
◉ Manage Risk Agreement. Answer: The written formal plan developed in consideration of shared
responsibility, bounded choice and assisted living values and negotiated between the resident and the
facility or program to avoid or reduce the risk of adverse outcomes which may occur in an assisted living
environment.
◉ Medication Administration. 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. 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. Answer: The self-worth of a resident.
◉ Independence. 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. Answer: Each resident's unique needs, capabilities, personalities, backgrounds and
preferences.
◉ MAR (Medication Administration Record). 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. 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. 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.
◉ Pain Management. Answer: In accordance with N.J.A.C. 8:43E-6, means the assessment of pain and, if
appropriate, treatment in order to assure the needs of patients or residents of health care facilities who
experience problems with pain are met. Treatment of pain may include the use of medication or
application of other modalities and medical devices such as, but not limited to, heat or cold, massage,
transcutaneous electrical nerve stimulation (TENS), acupuncture, and neurolytic techniques such as
radiofrequency coagulation and cryotherapy.
, ◉ Privacy. Answer: A resident's degree of control over a specific physical area and/or time; levels of
intimacy with family and others; and communication and contact with others outside the facility or
program environment.
◉ Shared Responsibility. 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. Answer: Another term for resident census.
◉ Unit Dose Drug Distribution System. Answer: A system in which medications are delivered to the
residents areas in single unit packaging, and which meets the following criteria:
1.) Each medication shall be individually wrapped and labeled with the generic or trade (brand) name
and strength of medication, lot number or reference code, expiration date, and manufacturer's name,
and shall be ready for administration to the resident.
2.) Cautionary instructions shall appear on the resident's record of medication administration, and the
system shall include provisions for noting additional information, including but no limited to, special
times or routes of administration and storage conditions.
3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by reference, as
amended and supplemented, and N.J.A.C. 8:39.
◉ Unit-of-Use. Answer: A system of in which medications are delivered to the resident areas either in
single unity packaging, bingo or punch cards, blister or strip packs, or other system where each
medication is physically separate. Individually labeled unit dose medications may be combined in a
"bingo or punch card" to create a unit-of-dose drug distribution system.
◉ 20 percent. Answer: An assisted living facility shall indicate within 36 months of after licensure, at
least ______________ of the facility's residents shall be individuals with nursing home-level care. This
percentage shall be computed based upon the number of residents days per calendar year and may
include direct admissions as well as maintained residents with nursing home-level of care needs.
