ALF Final Exam: Questions With Proper Solutions

A Standard (STD) License is a specialty license that enables a facility to provide a select number of nursing services - ANS false Culture change in long term care is about: - ANS all of the above Level II ADRD Training includes: - ANS stress management for the caregiver Which of the following is not a risk factor for Alzheimer's disease and dementia? - ANS excessive mental simulation What does ECC mean? - ANS Extended Congregate Care The social and leisure activities shall be scheduled for each day of the week. - ANS false Discontinued medications must be stored separately from medications in current use and marked "discontinued medications." - ANS true A resident is experiencing diarrhea of unknown source, you should: - ANS call the doctor The ALF must provide copies of their most recent licensure report upon request by applicants for admission, residents or their relatives. - ANS true Injunctions against ALFs are designed to limit or prevent activity that is prohibited by law. - ANS true ll facility employees must have annual education course on HIV and AIDS - ANS false ALF residents may elect to contract independently with service providers including private nurses, out-patient clinics and licensed home health agencies. - ANS true A signed statement from the resident or the resident's responsible party refusing a therapeutic diet is acceptable documentation of a resident's preferences. - ANS true A facility holding a Limited Mental Health License must: - ANS all of the above When a facility owner, administrator, or staff, or representative serves as an attorney in fact for a resident, a copy of a written statement of any transaction made on behalf of the resident is recorded - ANS monthly A resident requiring care of a stage 3 pressure sore may be retained in the assisted living facility provided that: The facility has a LNS license and services are provided pursuant to a plan of care issued by a licensed health care provider, or the resident contracts directly with a licensed home health agency or a nurse to provide care. - ANS false the resident's contract does not ned to address social or leisure activities as these are offered at the discretion of the individual facility - ANS false An ALF must have a policy and procedures related to Do Not Resuscitate Orders and all administrators, direct care givers and admission staff must receive at least one hour of training related to the procedures - ANS false Leftovers that have been cooked and refrigerated shall be reheated to a minimum of - ANS 165 degrees Level I training for Alzheimer's disease and related disorders include all of the following except: - ANS dietary requirements Omitted information on the health assessment form received verbally must be documented in the resident's record, including the name of the licensed health care provider, the name of the facility staff recording the information and the date the information was provided. - ANS true f a resident is transported to a receiving facility for involuntary mental health evaluation without a certificate prepared by a health care professional, a court order or a law enforcement officer's report must notify - ANS The Department of Children and Families Except for a pill organizer, no one may transfer medications from one container to another except the: - ANS pharmacist How many days notice must a licensee give AHCA if they will be selling their facility? - ANS 60 days prior A doctor must review and sign a new order for the continuing need for a chemical restraint annually for each resident using a chemical restraint in an Assisted Living Facility. - ANS true Culture change involves person-directed environment for all elders in an assisted living communities except those elders with dementia. - ANS false Assisted living facilities are required to ensure residents complete an advance directive Prior to or at the time of admission. - ANS false Regardless of the method of delivery for the food served, documentation of all resident's intake at meals is required. - ANS true When is information regarding Advanced Directives given to residents in a licensed ALF? - ANS at the time of admission or prior Florida courts will appoint a temporary administrator if an ALF facility is closing and has not found suitable placement for all residents within 7 days of the closing. - ANS true Which of the following would be considered a "mental health resident"? An individual who receives - ANS social sec disability or supplemental As part of the continued residency criteria, a resident must have a face-to-face medical examination by a licensed health care provider at least every (???) year/years after the initial assessment, or after a significant change, whichever comes first - ANS 3 According to law as written in Chapter 429, every resident residing in a licensed ALF shall have the right to all of the following except:: - ANS the right to smoke Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day care client. - ANS true Facilities who advertise that they provide special care for persons with Alzheimer's Disease or other related disorders must: - ANS a and b If the Medical exam is completed after admission, the facility may obtain the omitted information on the health assessment form either verbally or in writing from the licensed health care provider. - ANS true Nurses working in in an assisted living facility with a LNS specialty license can provide hospice residents with any nursing service permitted within the scope of the nurse's license. - ANS true ALF's that have 15 or more residents with Alzheimer's disease must have a staff member on duty (awake) 24 hours a day. - ANS false In order to make DNRO forms easy for emergency responders to locate the official forms are always printed on - ANS canary yellow Documentation of the care plan, resident care and changes in condition is maintained by the hospice or case manager. - ANS false An ALF may not hold itself out to the public as providing any service other than a service for which it is licensed. - ANS true Florida's fire safety requirements are meant to provide a maximum degree of safety from fire in buildings and structures used as assisted living facilities. - ANS false he definition of Resident Centered Care is: - ANS tailoring resident care Class III violations carry fines of - ANS 500-1000 How often must a license be renewed? - ANS every 2 years Assistance with toileting includes - ANS routine emptying of ostomy bag Staff providing direct care for residents with Alzheimer's disease must complete - ANS until 4 hrs within 3 months and then 4 hrs within 9 months Not including closet or bathroom space, resident sleeping rooms designated for single occupancy shall provide a minimum inside measurement of . . . - ANS 80 Class II violations indirectly or potentially threaten the physical or emotional health, safety, or security of clients. - ANS false njunctions can terminate the operation of an ALF when sanctions placed on the facility have failed to correct the identified problems. - ANS false ALF residents except those with moderate to severe cognitive deficits have an unrestricted right to use of a telephone for private communication. - ANS false Fines of up to $500 can be assessed for violations other than those identified as Class I, II, III, or IV. Those unclassified violations include: - ANS exceed license capacity Facilities must maintain - ANS all of the above Resident records shall include: - ANS all of the above What is the toilet and sink requirement for new facilities with a Standard License? - ANS one toilet/sink for every 6 residents What type of license would an AFL need to best meet the needs of individuals who wish to "age-in-place?" - ANS ECC Sample or complimentary prescription drugs - ANS require a written prescription What document does not need to be posted in full view in a common area accessible to all residents? - ANS names of health care providers residents An unlicensed person who has completed the required ALF training related to assisting with self-administration of medications should recognize the need to obtain clarification of circumstances of an "as needed" prescription order. - ANS true Standard license are obtained from: - ANS department of health Staff records should have all of the following except: - ANS copy of job description Facility rules and procedures cover policies such as - ANS all of the above What is a primary purpose of ECC services? - ANS remain at current place of residence In order for existing facilities to receive an ECC license, they must have no class 3 violations. - ANS false The Green House concept creates a living environmental based on the Medical Model of care. - ANS false The facility doesn't have to keep documentation of radon testing that was conducted. . - ANS false A copy of Alternate Care Certification for Optional State Supplementation (OSS) Form must be in the residents file. The absence of this form shall be considered a deficiency even if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services. - ANS false If a facility maintains a separate trust fund to receive funds or other property belonging to or due a resident, a written statement of the funds or property disbursed must be recorded - ANS quarterly The owner or administrator of a facility is responsible for determining the appropriateness of admission of an individual to the facility and for determining the continued appropriateness of residence of an individual in the facility. - ANS true Special care for residents with Alzheimer's Disease includes programs designed for the cognitively impaired. - ANS true If an ALF is cited for one or more deficiencies that require a plan of correction, that plan of correction must be filed with the agency within _____ calendar days after notification. - ANS 10 days Efforts to ensure ALFs are compliant with Florida laws and rules include - ANS unannounced visits A doctor must review and sign a new order for the continuing need for a chemical restraint annually for each resident using a chemical restraint in an Assisted Living Facility. - ANS true There is no fee for the Standard License. - ANS false The facility determines that because of physical arrangements and the conditions or habits of a particular resident, the personal possession of drugs by that resident poses a safety hazard to other residents. In this case, the facility may centrally store the medication. - ANS true The facility shall maintain a daily medication observation record for each resident who receives assistance with self-administration of medications or medication administration. - ANS true The Eden Alternative advocates for - ANS maximum decision making by resident When providing assistance with self-administration of medication staff may do all except: - ANS allow the resident privacy An as needed prescription must always have clear specific directions for use and the condition for which the medication should be given. - ANS true In-service training for staff that has not completed CORE training and is responsible for preparing or serving food includes 1-hour of safe food handling practices within 90 days of employment. - ANS false A Do Not Resuscitate Order (DNRO) is only used when someone is on life support. - ANS false Administrators need to compete a minimum of 15 hours of continuing education each year. - ANS false Alzheimer's Disease makes up what portion of all dementias? - ANS 60-80 Reports related to complaint investigations should be - ANS residents and public When residents need to attend a medical appointment the ALF staff need to select a health care provider for them to see. - ANS false Level 2 background rescreening must be redone every 5 years by licensee (owner) as a condition of retaining the license and by employee or contact workers to continue employment. - ANS true Facilities without a sprinkler system must conduct - ANS a and c On inspection it is found that four of 25 Golden Valley ALF residents had significant weight loss recorded in their records but no intervention to address the problem was identified. This is considered: - ANS patterned diffency Any person seeking employment or contracting with a licensee or provider who is expected to or provides personal care or services directly to clients or have access to client funds, personal property, or living areas must have level 2 background screening. - ANS true Advanced directives include living wills, health care surrogate designation and anatomical donation. - ANS true The Pioneer Network focuses its culture change message exclusively toward ALF and Senior group home settings. - ANS false Facility Records should include - ANS all of the above The core concept of The Eden Alternative is one where we view places where elders live as _____ rather than facilities. - ANS habitats In the medical model of care - ANS injury and illness are primary focus A photo identification of "high risk" residents shall be made available in the file within ___calendar days of admission. - ANS 15 days Unlicensed staff must have initial four (4) hour training in assisting with self-administration of medication before providing assistance to any resident. - ANS false Resident records should include all of the following except: - ANS written informed consent for self-administration Mental retardation is not considered a mental disorder. - ANS true What is the role of Long Term Care Ombudsman volunteers? - ANS investigate complaints The facility is not required to document resident elopement response drills. - ANS false When selecting egg products for use - ANS a only facilities with 17 or fewer residents must have accessible telephone - ANS true residents for mental health license? - ANS 2