CALA NJ EXAM QUESTIONS WITH
ACCURATE COMPLETE SOLUTIONS
Assisted |living |residence |- |correct |answer-Facility |licenced |by |the |department |of |health |&
|senior |servics |to |provide |apartment |style |housing |& |congregate |dining |& |to |assure |that
|assisted |living |servicea |are |abailable |when |needed |for |4 |or |more |adult |persons |unrelated |to |the
|proprietor. |Apartments |offer |at |a |minimum, |1 |unfurnished |room, |a |private |bathroom, |a
|kitchenette |& |a |lockable |door |on |the |unit |entrance.
Assisted |living |values |- |correct |answer-Promotes |dignity, |independence, |privacy, |choice,
|individuality |in |a |home |like |environment.
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.
drug |regimen |review |- |correct |answer-Individual |resident |record |review |conducted |by |the
|consultant |or |provider |pharmacist |including |but |not |limited |to |laboratory |tests, |dietary
|requirements, |medication |administration |records, |physicians |APN's |or |PA |orders |and
|progress |notes |in |order |to |monitor |for |potentially |significant |adverse |drug |reactions,
drug-to-drug |and |drug-to-food |interactions, |allergies, |contractions |rationality |of |therapy, |drug
|use |evaluations |& |lab |test |results.
Managed |Risk |- |correct |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.
Managed |Risk |Agreement |- |correct |answer-A |written |formal |plan |developed |in |consideration
|of |shared |responsibility, |bounded |choice |and |AL |values, |negotiated |between |the |resident |&
|the |facility |to |avoid |or |reduce |risk |he |risk |of |adverse |outcomes |which |may |occur |in |an |AL
|environment.
activities |of |daily |living |(ADLs) |- |correct |answer-basic |self-care |tasks |such |as |eating, |bathing,
|toileting, |walking, |and |dressing, |bed |mobility |& |transferring.
aging |in |place |- |correct |answer-Individuals |remain |in |their |living |environment |despite |their
|physical |and/or |mental |decline |and |growing |needs |for |supportive |services |that |may |occur |in
,the |course |of |aging. |For |aging |in |place |to |occur |services |are |added, |increased |or |adjusted |to
|compensate |for |the |individuals |physical |and/or |mental |decline.
assisted |living |- |correct |answer-Supportive |personal |and |health |services |available |24/7 |to
|residents |who |have |w |been |assessed |to |need |these |services |including |persons |who |require
|nursing |home |level |of |care. |AL |promotes |self |direction |& |participation |in |decisions |that
|emphasize |independence, |dignity, |privacy, |choice, |and |individuality |in |home |like
|surroundings.
unit |dose |drug |distribution |system |- |correct |answer-a |system |for |distributing |medication |in
|which |the |medication |is |delivered |in |single |unit |packaging |and:
Is |individually |wrapped |& |labeled |with |the |generic |or |brand |name |& |strength |of |the |medication,
|lot |number |or |reference |code, |expiration |date |& |manufacturer |name |& |shall |be |ready |for
|administration |to |the |resident.
Cautionary |instructions |will |be |on |residents |MAR |& |will |allow |provisions |for |noting |additional
|info |(special |times |or |routes |of |administration, |storage |conditions, |etc)
Commercial |repackages |shall |comply |with |21 |CFR |201.1 |as |amended |and |supplemented |&
|NJAC8:39
Unit |of |use |- |correct |answer-System |of |medications |for |resident |that |are |delivered |in |either
|single |dose |packs, |bingo, |or |punch |cards, |blister |or |strip |packs |or |other |systems |where |each
|medication |is |physically |separate. |Individually |labels |unit |dose |medications |may |be
|combined |in |a |"bingo |or |punch |card" |to |create |a |unit |of |use |drug |distribution |system.
labeled |with |the |generic |or |brand |name |& |strength |of |the |medication, |lot |number |or |reference
|code, |expiration |date |& |manufacturer |name |& |shall |be |ready |for |administration |to |the
|resident.
Cautionary |instructions |will |be |on |residents |MAR |& |will |allow |provisions |for |noting |additional
|info |(special |times |or |routes |of |administration, |storage |conditions, |etc)
September |2001 |- |correct |answer-Within |3 |years |the |faculty |has |to |have |10% |Medicaid
|eligible |and |20% |LTC |residents
AL |required |services |- |correct |answer-Staffing, |environmental, |nursing, |dining, |community
|life
How |often |are |AL |values |required |to |be |taught |to |staff? |- |correct |answer-Upon |hire |&
|annually
Dignity |- |correct |answer-the |quality |of |being |worthy |of |esteem |or |respect. |The |enhanced |feeling
|of |self |respect |and |self |worth
Individuality |- |correct |answer-Relating |to |a |single |human |being; |the |quality |of |being |unique
|and |distinctive |from |others.
Privacy |- |correct |answer-The |maintenance |of |an |individual's |separateness, |personal |space,
|solitude, |or |seclusion; |secluded |or |removal |from |public |view.
,Choice |- |correct |answer-To |select |or |pick |out; |the |opportunity, |right |or |power |to |choose.
Independence |- |correct |answer-the |quality |or |state |of |being |free |of |the |control |of |others; |the
|quality |of |autonomy; |not |relying |on |others.
How |long |is |Dementia |training? |- |correct |answer-6 |hours |at |hire |& |annually
What |are |the |6 |key |points |to |Dementia |compliance? |- |correct |answer-1. |Program |policy's |&
|procedures
2. Required |staffing |postings |daily
3. Assessment |tools, |specific |to |diagnosis |of |memory |care |issues
4. Staff |training |programs |6 |hours |at |hire |& |annually
5. Services |for |residents
6. Elopement |& |Saftey |protocols
What |% |of |people |live |in |nursing |homes? |- |correct |answer-Less |than |5%
What |age |does |intelligence |peak |- |correct |answer-65 |& |remains |stable |or |continues |to |grow
|gradually |until |the |mid |90's
What |are |the |theories |of |aging? |- |correct |answer-Autoimmunity |Theory
|Activity |Theory
Continuity |Theory
|Human |needs |theory
Autoimmunity |theory |- |correct |answer-The |ability |of |immunologic |system |to |produce
|antibodies |diminishes
Activity |theory |- |correct |answer-Those |who |stay |active |& |can |substitute |activities |in |their |life
|accordingly |to |changes |in |life |circumstances |will |obtain |optimal |age
Continuity |theory |- |correct |answer-Aging |is |dependent |on |a |persons |personality |type, |how
|they |adapt |to |stress |& |if |they |are |able |to |remain |socially |stable |over |their |lifespan. |People
|become |more |individual |as |they |age. |Therefore |the |persons |lifestyle |and |personality |will |be
|reflected |in |old |age |as |it |is |in |younger |years
Human |Needs |Theory |(Maslow) |- |correct |answer-hierarchy |of |five |needs |motivates |human
|behavior: |physiological, |safety |and |security, |love |and |belonging, |self |esteem, |and |self
|actualization. |The |old |person |should |eventually |become |fully |self |actualized. |Meaning
|fulfilled |in |self |creativity |relationships |with |friends |family |& |society.
Aging |- |correct |answer-The |decline |in |physiological |capabilities |of |functions |that |occurs |in |an
|organism |with |the |passage |of |time |that |would |eventually |lead |to |death
Disease |- |correct |answer-A |pathological |or |abnormal |state |found |in |any |cell |organ |or |organ
|system |in |a |unit |of |time |or |extending |over |many |units |of |time. |Resulting |in |a |disturbance |in
|function |or |structure |of |any |part, |organ, |or |system |of |the |body.
, CVA |- |correct |answer-cerebrovascular |accident |(stroke)
Parkinson's |disease |- |correct |answer-Progressive |nervous |system |disorder |that |affects
|movement |pill, |rolling, |shuffling, |mask |like |face
TIA |- |correct |answer-transient |ischemic |attack |(mini |stroke), |recent |episode |of |neurological
|dysfunction, |caused |by |loss |of |blood |fell |in |the |brain, |spinal |cord |or |retina |without |tissue.
Death |can |cause |paralysis |on |one |side |of |the |body, |difficulty |with |speech, |difficulty, |swallowing
|and |change |and |level |of |awareness
COPD |- |correct |answer-Chronic |obstructive, |pulmonary |disease, |shortness |of |breath,
|wheezing
high |blood |pressure |- |correct |answer-hypertension
orthostatic |hypotension |- |correct |answer-Decrease |in |blood |pressure |related |to |positional |or
|postural |changes |from |lying |to |sitting |or |standing |positions
CHF |- |correct |answer-Congestive |heart |failure, |shortness |of |breath, |swelling |of |the |legs |and
|feet |or |stomach |cough
CAD |- |correct |answer-coronary |artery |disease |angina |pain
PVD |- |correct |answer-peripheral |vascular |disease |cramping |of |lags |during |activity
Diabetes |- |correct |answer-Thirsty, |sweating, |lightheadedness, |increased, |urination, |high |blood
|sugars
UTI |- |correct |answer-Urinary |track |infection |burning |altered |mental |status
What |is |the |top |mental |health |issue |for |elders? |- |correct |answer-Depression |is |anger, |turned
|inward
Alzheimer's |disease |- |correct |answer-Abnormal |loss |of |brain |cells |accounts |for |50 |to |60% |of
|dementia |and |aged |early |onset |as |early |as |40s |and |50s |progressive |ends |in |death |loss |of
|memory, |mental |functions, |ability |to |do |activities |of |daily |living |mood |swings |loss |of
|recognition |of |people, |places, |and |things
What |is |the |regulation |if |a |resident, |Mrs. |three |doses |of |a |medication? |- |correct |answer-The |RN
|needs |to |be |notified |because |she |needs |to |notify |the |physician
In |assisted-living, |do |the |residents |have |to |be |independent |and |ADLs? |- |correct |answer-No
| Is |Alzheimer's |disease |reversible? |- |correct |answer-No
How |many |resident |rights |are |there? |- |correct |answer-42
ACCURATE COMPLETE SOLUTIONS
Assisted |living |residence |- |correct |answer-Facility |licenced |by |the |department |of |health |&
|senior |servics |to |provide |apartment |style |housing |& |congregate |dining |& |to |assure |that
|assisted |living |servicea |are |abailable |when |needed |for |4 |or |more |adult |persons |unrelated |to |the
|proprietor. |Apartments |offer |at |a |minimum, |1 |unfurnished |room, |a |private |bathroom, |a
|kitchenette |& |a |lockable |door |on |the |unit |entrance.
Assisted |living |values |- |correct |answer-Promotes |dignity, |independence, |privacy, |choice,
|individuality |in |a |home |like |environment.
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.
drug |regimen |review |- |correct |answer-Individual |resident |record |review |conducted |by |the
|consultant |or |provider |pharmacist |including |but |not |limited |to |laboratory |tests, |dietary
|requirements, |medication |administration |records, |physicians |APN's |or |PA |orders |and
|progress |notes |in |order |to |monitor |for |potentially |significant |adverse |drug |reactions,
drug-to-drug |and |drug-to-food |interactions, |allergies, |contractions |rationality |of |therapy, |drug
|use |evaluations |& |lab |test |results.
Managed |Risk |- |correct |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.
Managed |Risk |Agreement |- |correct |answer-A |written |formal |plan |developed |in |consideration
|of |shared |responsibility, |bounded |choice |and |AL |values, |negotiated |between |the |resident |&
|the |facility |to |avoid |or |reduce |risk |he |risk |of |adverse |outcomes |which |may |occur |in |an |AL
|environment.
activities |of |daily |living |(ADLs) |- |correct |answer-basic |self-care |tasks |such |as |eating, |bathing,
|toileting, |walking, |and |dressing, |bed |mobility |& |transferring.
aging |in |place |- |correct |answer-Individuals |remain |in |their |living |environment |despite |their
|physical |and/or |mental |decline |and |growing |needs |for |supportive |services |that |may |occur |in
,the |course |of |aging. |For |aging |in |place |to |occur |services |are |added, |increased |or |adjusted |to
|compensate |for |the |individuals |physical |and/or |mental |decline.
assisted |living |- |correct |answer-Supportive |personal |and |health |services |available |24/7 |to
|residents |who |have |w |been |assessed |to |need |these |services |including |persons |who |require
|nursing |home |level |of |care. |AL |promotes |self |direction |& |participation |in |decisions |that
|emphasize |independence, |dignity, |privacy, |choice, |and |individuality |in |home |like
|surroundings.
unit |dose |drug |distribution |system |- |correct |answer-a |system |for |distributing |medication |in
|which |the |medication |is |delivered |in |single |unit |packaging |and:
Is |individually |wrapped |& |labeled |with |the |generic |or |brand |name |& |strength |of |the |medication,
|lot |number |or |reference |code, |expiration |date |& |manufacturer |name |& |shall |be |ready |for
|administration |to |the |resident.
Cautionary |instructions |will |be |on |residents |MAR |& |will |allow |provisions |for |noting |additional
|info |(special |times |or |routes |of |administration, |storage |conditions, |etc)
Commercial |repackages |shall |comply |with |21 |CFR |201.1 |as |amended |and |supplemented |&
|NJAC8:39
Unit |of |use |- |correct |answer-System |of |medications |for |resident |that |are |delivered |in |either
|single |dose |packs, |bingo, |or |punch |cards, |blister |or |strip |packs |or |other |systems |where |each
|medication |is |physically |separate. |Individually |labels |unit |dose |medications |may |be
|combined |in |a |"bingo |or |punch |card" |to |create |a |unit |of |use |drug |distribution |system.
labeled |with |the |generic |or |brand |name |& |strength |of |the |medication, |lot |number |or |reference
|code, |expiration |date |& |manufacturer |name |& |shall |be |ready |for |administration |to |the
|resident.
Cautionary |instructions |will |be |on |residents |MAR |& |will |allow |provisions |for |noting |additional
|info |(special |times |or |routes |of |administration, |storage |conditions, |etc)
September |2001 |- |correct |answer-Within |3 |years |the |faculty |has |to |have |10% |Medicaid
|eligible |and |20% |LTC |residents
AL |required |services |- |correct |answer-Staffing, |environmental, |nursing, |dining, |community
|life
How |often |are |AL |values |required |to |be |taught |to |staff? |- |correct |answer-Upon |hire |&
|annually
Dignity |- |correct |answer-the |quality |of |being |worthy |of |esteem |or |respect. |The |enhanced |feeling
|of |self |respect |and |self |worth
Individuality |- |correct |answer-Relating |to |a |single |human |being; |the |quality |of |being |unique
|and |distinctive |from |others.
Privacy |- |correct |answer-The |maintenance |of |an |individual's |separateness, |personal |space,
|solitude, |or |seclusion; |secluded |or |removal |from |public |view.
,Choice |- |correct |answer-To |select |or |pick |out; |the |opportunity, |right |or |power |to |choose.
Independence |- |correct |answer-the |quality |or |state |of |being |free |of |the |control |of |others; |the
|quality |of |autonomy; |not |relying |on |others.
How |long |is |Dementia |training? |- |correct |answer-6 |hours |at |hire |& |annually
What |are |the |6 |key |points |to |Dementia |compliance? |- |correct |answer-1. |Program |policy's |&
|procedures
2. Required |staffing |postings |daily
3. Assessment |tools, |specific |to |diagnosis |of |memory |care |issues
4. Staff |training |programs |6 |hours |at |hire |& |annually
5. Services |for |residents
6. Elopement |& |Saftey |protocols
What |% |of |people |live |in |nursing |homes? |- |correct |answer-Less |than |5%
What |age |does |intelligence |peak |- |correct |answer-65 |& |remains |stable |or |continues |to |grow
|gradually |until |the |mid |90's
What |are |the |theories |of |aging? |- |correct |answer-Autoimmunity |Theory
|Activity |Theory
Continuity |Theory
|Human |needs |theory
Autoimmunity |theory |- |correct |answer-The |ability |of |immunologic |system |to |produce
|antibodies |diminishes
Activity |theory |- |correct |answer-Those |who |stay |active |& |can |substitute |activities |in |their |life
|accordingly |to |changes |in |life |circumstances |will |obtain |optimal |age
Continuity |theory |- |correct |answer-Aging |is |dependent |on |a |persons |personality |type, |how
|they |adapt |to |stress |& |if |they |are |able |to |remain |socially |stable |over |their |lifespan. |People
|become |more |individual |as |they |age. |Therefore |the |persons |lifestyle |and |personality |will |be
|reflected |in |old |age |as |it |is |in |younger |years
Human |Needs |Theory |(Maslow) |- |correct |answer-hierarchy |of |five |needs |motivates |human
|behavior: |physiological, |safety |and |security, |love |and |belonging, |self |esteem, |and |self
|actualization. |The |old |person |should |eventually |become |fully |self |actualized. |Meaning
|fulfilled |in |self |creativity |relationships |with |friends |family |& |society.
Aging |- |correct |answer-The |decline |in |physiological |capabilities |of |functions |that |occurs |in |an
|organism |with |the |passage |of |time |that |would |eventually |lead |to |death
Disease |- |correct |answer-A |pathological |or |abnormal |state |found |in |any |cell |organ |or |organ
|system |in |a |unit |of |time |or |extending |over |many |units |of |time. |Resulting |in |a |disturbance |in
|function |or |structure |of |any |part, |organ, |or |system |of |the |body.
, CVA |- |correct |answer-cerebrovascular |accident |(stroke)
Parkinson's |disease |- |correct |answer-Progressive |nervous |system |disorder |that |affects
|movement |pill, |rolling, |shuffling, |mask |like |face
TIA |- |correct |answer-transient |ischemic |attack |(mini |stroke), |recent |episode |of |neurological
|dysfunction, |caused |by |loss |of |blood |fell |in |the |brain, |spinal |cord |or |retina |without |tissue.
Death |can |cause |paralysis |on |one |side |of |the |body, |difficulty |with |speech, |difficulty, |swallowing
|and |change |and |level |of |awareness
COPD |- |correct |answer-Chronic |obstructive, |pulmonary |disease, |shortness |of |breath,
|wheezing
high |blood |pressure |- |correct |answer-hypertension
orthostatic |hypotension |- |correct |answer-Decrease |in |blood |pressure |related |to |positional |or
|postural |changes |from |lying |to |sitting |or |standing |positions
CHF |- |correct |answer-Congestive |heart |failure, |shortness |of |breath, |swelling |of |the |legs |and
|feet |or |stomach |cough
CAD |- |correct |answer-coronary |artery |disease |angina |pain
PVD |- |correct |answer-peripheral |vascular |disease |cramping |of |lags |during |activity
Diabetes |- |correct |answer-Thirsty, |sweating, |lightheadedness, |increased, |urination, |high |blood
|sugars
UTI |- |correct |answer-Urinary |track |infection |burning |altered |mental |status
What |is |the |top |mental |health |issue |for |elders? |- |correct |answer-Depression |is |anger, |turned
|inward
Alzheimer's |disease |- |correct |answer-Abnormal |loss |of |brain |cells |accounts |for |50 |to |60% |of
|dementia |and |aged |early |onset |as |early |as |40s |and |50s |progressive |ends |in |death |loss |of
|memory, |mental |functions, |ability |to |do |activities |of |daily |living |mood |swings |loss |of
|recognition |of |people, |places, |and |things
What |is |the |regulation |if |a |resident, |Mrs. |three |doses |of |a |medication? |- |correct |answer-The |RN
|needs |to |be |notified |because |she |needs |to |notify |the |physician
In |assisted-living, |do |the |residents |have |to |be |independent |and |ADLs? |- |correct |answer-No
| Is |Alzheimer's |disease |reversible? |- |correct |answer-No
How |many |resident |rights |are |there? |- |correct |answer-42
