NJ CALA CERTIFICATION VIEW AHEAD
EXAM TEST PAPER QUESTIONS AND
SOLUTIONS 100 PERCENT CORRECT
◉ 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.. Answer:
ADLs (Activity of Daily Living)
◉ 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.. Answer: Assisted Living
◉ 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..
Answer: Bounded Choice
◉ 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.. Answer: CPCH (Comprehensive Personal Care Home)
◉ 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.. Answer: CCRC (Continuing Care Retirement Community)
◉ 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..
Answer: Customized Resident Medication Package
,◉ 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.. Answer: Guardian
◉ 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.. Answer: Health Care Service
◉ 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.. Answer: Hospice
◉ 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.. Answer: Managed Risk
◉ 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.. Answer: Manage Risk
Agreement
◉ 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.. Answer: Medication
Administration
◉ 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.. Answer: Process of Medication Administration
,◉ The self-worth of a resident.. Answer: Dignity
◉ 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.. Answer:
Independence
◉ Each resident's unique needs, capabilities, personalities, backgrounds and preferences.. Answer:
Individuality
◉ 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..
Answer: MAR (Medication Administration Record)
◉ 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.. Answer: 30-hour
◉ 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.. Answer: Nursing Home-Level Care
◉ 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.. Answer: Pain Management
, ◉ 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..
Answer: Privacy
◉ 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..
Answer: Shared Responsibility
◉ Another term for resident census.. Answer: Total Bed Complement
◉ 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.. Answer: Unit Dose Drug Distribution System
◉ 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.. Answer: Unit-of-Use
◉ 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.. Answer: 20 percent
◉ Each assisted living, comprehensive personal care home, and assisted living program will be assessed
and inspected __________________.. Answer: Biennially
EXAM TEST PAPER QUESTIONS AND
SOLUTIONS 100 PERCENT CORRECT
◉ 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.. Answer:
ADLs (Activity of Daily Living)
◉ 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.. Answer: Assisted Living
◉ 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..
Answer: Bounded Choice
◉ 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.. Answer: CPCH (Comprehensive Personal Care Home)
◉ 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.. Answer: CCRC (Continuing Care Retirement Community)
◉ 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..
Answer: Customized Resident Medication Package
,◉ 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.. Answer: Guardian
◉ 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.. Answer: Health Care Service
◉ 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.. Answer: Hospice
◉ 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.. Answer: Managed Risk
◉ 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.. Answer: Manage Risk
Agreement
◉ 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.. Answer: Medication
Administration
◉ 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.. Answer: Process of Medication Administration
,◉ The self-worth of a resident.. Answer: Dignity
◉ 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.. Answer:
Independence
◉ Each resident's unique needs, capabilities, personalities, backgrounds and preferences.. Answer:
Individuality
◉ 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..
Answer: MAR (Medication Administration Record)
◉ 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.. Answer: 30-hour
◉ 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.. Answer: Nursing Home-Level Care
◉ 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.. Answer: Pain Management
, ◉ 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..
Answer: Privacy
◉ 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..
Answer: Shared Responsibility
◉ Another term for resident census.. Answer: Total Bed Complement
◉ 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.. Answer: Unit Dose Drug Distribution System
◉ 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.. Answer: Unit-of-Use
◉ 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.. Answer: 20 percent
◉ Each assisted living, comprehensive personal care home, and assisted living program will be assessed
and inspected __________________.. Answer: Biennially
