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541 alf test questions and answers
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Live-in staff and their family members are allowed to sleep in a residents room as long as the following requirements are met:
the resident is in shared room
the facility is under licensed capacity ✔✔false
The provider shall at all times maintain first aid and emergency supplies including a 3-day supply of non-perishable food based on the number of residents and household members currently residing in the home,
and 2 gallons of drinking water per current resident and household member. ✔✔true
. Newly hired staff shall have 30 days to submit a statement from a health care provider, based on a examination conducted within the last six months, that the person does not have any signs or symptoms of a communicable disease including tuberculosis. ✔✔true
Newly hired staff shall have 30 days to submit a statement from a health care provider, based on a examination conducted within the last six months, that the person does not have any signs or symptoms of a communicable disease including tuberculosis ✔✔true
The Florida Building Code requires a minimum of 60 square feet of usable floor space per resident in a share room. ✔✔true
The Florida Building Code requires a minimum of 80 square feet of usable floor space per resident ✔✔true
Income from residents shall be identified by resident name in supporting documents, and income and expenses from other sources, such as from day care or interest on facility funds, shall be separately identified. ✔✔true
An administrator is required to complete 12 hours of continuing education every two years. What should you do with the administrators continuing education completion certificates? ✔✔true
There is no requirement to submit these certificates to state agencies. Certificates are kept in the Administrators employee file along with their administrator license. ✔✔true
applications shall be postmarked or hand delivered to the Agency a minimum of 60 days prior to the expiration date appearing on the currently held license.A ✔✔true
Any change in directions for use of a medication for which the facility is providing assistance with self-administration of medication must be accompanied by a written medication order issued and signed by the resident's health care provider. Unlicensed persons can implement changes without first obtaining a written order. To ease this process, a faxed copy of the order is acceptable. ✔✔false
Personnel records for each staff member shall contain, at a minimum, a copy of the original employment application with references furnished and verification of freedom from communicable disease including tuberculosis. ✔✔true
Facilities may offer 2 servings milk or milk equivalent. ✔✔true
Facilities may not serve a milk equivalent as a replacement for the required 2 servings of milk. ✔✔false
A facility can have a class 3 violation but cannot have any class 1 or 2 violations among other requirements ✔✔true
In order for existing facilities to receive an ECC license, they must have no class 3 violations. ✔✔fALSE
Types of activities should include volunteerism, sedentary, formal, scheduled and competitive without consideration of the resident's limitations in order to ensure comprehensive program. ✔✔FALSE
ayloring resident care to the resident's needs and wishes ✔✔The definition of Resident Centered Care is
Any new facility with 9 or more beds must be equipped with an automatic fire sprinkler system. ✔✔TRUE
Usable floor space cannot include closets and bathrooms. ✔✔TRUE
1/4 cup of cottage cheese may be substituted for 1oz meat. ✔✔TRUE
Successful completion of the assisted living facility core training is not a prerequisite for the initial 4 hour ECC training. ✔✔FALSE
Any new facility with 9 or more beds must be equipped with an automatic fire sprinkler system. ✔✔TRUE
he facility is not required to make the daily work schedules for direct care staff available up request, to residents or representatives that are specific to the residents care. ✔✔FALSE
Facility records should include:
Select one:
a. The facility's liability insurance policy
b. A copy of the surety bond currently in effect as required by Rule 58A-5.021, F.A.C. ✔✔c. The admission package presented to new or prospective residents (less the resident's contract)
d. If the facility advertises that it provides special care for persons with Alzheimer's disease or related disorders, a copy of all such facility advertisement
Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years ✔✔TRUE
Medication administration includes the conducting of any examination or testing such as blood glucose testing or other procedure necessary for the proper administration of medication that the resident cannot conduct himself and that can be performed by licensed staff. ✔✔TRUE
In order for your residents to maintain a healthy weight, a resident is not allowed to eat less than what is on the menu. ✔✔FALSE
A resident can choose to eat less; however be aware of significant weight loss. ✔✔TTRUE
Only staff who provide residents with assistance of self administered medication. ✔✔All staff need to know how to read a prescription label.
A copy of the facility's resident elopement response policies and procedures must be in the resident records. ✔✔TRUE
.Limited mental health records should include ✔✔b. Written verification provided by the Social Security Administration that the resident is receiving SSI or SSDI for a mental disorder. Such verification may be acquired from the Social Security Administration upon obtaining a release from the resident permitting the Social Security Administration to provide such information to the Department of Children and Family Services.
The elderly more susceptible to food contamination because:
.
d ✔✔Reduced gastric acid secretion due to aging and the use of certain drugs and antacids
The elderly more susceptible to food contamination because: ✔✔Residency in nursing homes or retirement communities with crowded conditions.
A possible decreased mucosal sensitivity to toxins.
Select
You have 45 days to give the refund. ✔✔when resident death, discharge,The resident contract shall include a refund policy to be implemented at the time of a resident's transfer, discharge, or death
The resident contract shall include a refund policy to be implemented at the time of a resident's transfer, discharge, or death. The refund policy shall provide that the resident or responsible
party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other than normal use, have been paid to the licensee ✔✔You have 45 days to give the refund.
A nurse shall be considered as having met the training requirement for First Aid. ✔✔true
There are special requirements if a facility to advertise that it offers special care for people with Alzheimer's Disease ✔✔true
Always store medications in their labeled containers. If, for example, a
tube of medication arrives in a box labeled by the pharmacy, the
medication must be stored in the labeled box. ✔✔true
58A refers to the Florida Building Code and also the Uniform Fire Safety Standards for Assisted Living Facilities physical standards. ✔✔true
Before or at the time of admission to an AFCH, the provider and the
Healthcare provider
The administrator, managers and staff, who have direct contact with mental health residents in a licensed limited mental health facility, must receive: ✔✔a minimum of 3 hours of continuing education
Successful completion of ALF Core Training IS a prerequisite for the initial 4 hour ECC manager training.
If leftovers are to be served hot, heat to an internal temperature of at least ✔✔is: 165 degrees fahrenheit
Administrators and managers shall participate in 12 hours of continuing education in topics related to assisted living every 2 years as provided under Section 429.52, F.S. ✔✔true
A person who has difficulty locating familiar places like the bathroom, bedroom or dining room are at risk of wandering. ✔✔true
At what age does Alzheimer's Disease/dementia pose a greater risk ✔✔ 65
If the facility provides safekeeping for money or property; holds resident money or property in a trust fund; or if the facility owner, administrator, must the facility must provide a statement detailing the income and expense records ✔✔Quarterly
Facilities may offer 2 servings milk or milk equivalent ✔✔true
Facilities may not serve a milk equivalent as a replacement for the required 2 servings of milk. ✔✔false
For such facilities, the administrator shall evaluate the evacuation capability of residents at least annually. ✔✔true
For existing licensed facilities that are not equipped with an automatic fire sprinkler system, the administrator is not required to evaluate the evacuation capability of residents ✔✔false
Extended congregate care facilities records need to include all the following ✔✔b. Nursing assessments. Incorrect
c. The facility's ECC policies and procedures.
d. The service plans for each resident receiving extended congregate care services.
B. In the presence of the resident, reading the label, opening the container, removing a prescribed amount of medication from the container, and closing the container
true ✔✔Placing an oral dosage in the resident's hand or placing the dosage in another container and helping the resident by lifting the container to his or her mouth.
D. Applying topical medications to skin, eye, ear, or nose including solutions, suspensions, sprays, and inhalers.
Returning the medication container to proper storage.
F. Keeping a record of when a resident receives assistance with self-administration of medication using a Medication Observation Record (MOR ✔✔true
assistance with the self administration of medication" by an unlicensed person does NOT include or shall NOT be allowed for: ✔✔Mixing, compounding, converting, or calculating medication doses, except for measuring a prescribed amount of liquid medication or breaking a scored tablet or crushing a tablet as prescribed.
Medications for which the time of administration, the amount, the strength of dosage, the method of administration, or the reason for administration requires judgment or discretion on the part of the unlicensed person. ✔✔not for unlicensed staff
Residents who are receiving medications that can serve as chemical restraints must be evaluated by physician at least annually to assess ✔✔1. The continued need for the medication.
- The level of the medication in the resident's blood.
- The need for adjustments in the prescription.
Pharmacy services. ✔✔1)Any assisted living facility in which the agency has documented a class I or class II deficiency or uncorrected class III deficiencies regarding medicinal drugs or over-the-counter preparations, including their storage, use, delivery, or administration, or both, during a biennial survey or a monitoring visit or an investigation in response to a complaint, shall, in addition to or as an alternative to any penalties imposed under s
- A corrective action plan for deficiencies related to assistance with the self-administration of medication or the administration of medication must be developed and implemented by the facility within 48 hours after notification of such deficiency, or sooner if the deficiency is determined by the agency to be life-threatening. ✔✔true
The agency shall employ at least two pharmacists licensed pursuant to chapter 465 among its personnel who biennially inspect assisted living facilities licensed under this part, to participate
(b) If facility staff note deviations which could reasonably be attributed to the improper self- administration of medication,
(a) A "pill organizer" means a container which is designed to hold solid doses of medication and is according to day and time increments.
(b) A resident who self-administers medications may use a pill organizer. ✔✔true
A nurse may manage a pill organizer to be used only by residents who self-administer medications. The nurse is responsible for instructing the resident in the proper use of the pill organizer. The nurse shall manage the pill organizer in the following manner ✔✔true
Obtain the labeled medication container from the storage area or the resident;
- Transfer the medication from the original container into a pill organizer, labeled with the
resident's name, according to the day and time increments as prescribed; ✔✔by a nurse
- Return the medication container to the storage area or resident; and
- Document the date and time the pill organizer was filled in the resident's record ✔✔by a nurse
If there is a determination that the resident is not taking medications as prescribed after the medicinal benefits are explained, it shall be noted in the resident's record and the facility shall consult with the resident concerning providing assistance with self-administration or the ✔✔by a nurse
The facility shall contact the resident's health care provider regarding questions, concerns, or observations relating to the resident's medications. Such communication shall be documented in the resident's record. ✔✔true
ASSISTANCE WITH SELF-ADMINISTRATION ✔✔For facilities which provide assistance with self-administered medication, either: a nurse; or an unlicensed staff member, who is at least 18 years old, trained to assist with self-administered medication in accordance with Rule 58A-
and able to demonstrate to the administrator the ability to accurately read and interpret a prescription label, must be available to assist residents with self-administered medications in accordance with procedures ✔✔staff need to
Assistance with self-administration of medication includes verbally prompting a resident to take medications as prescribed, retrieving and opening a properly labeled medication container, and
