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PCHA Competency Exam | Latest 2 025 / 2026 Update |
Questions and Verified Answers | Personal Care Home
Administrator Competency | GRADED A (100%
Correct Solutions)
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Question:
Medication Self Administration
Answer:
home shall provide residents as needed with meds prescribed for self admin can remind them of schedule resident assessment must identify if resident can self administer (review after 90 days)
Question:
Where do you keep self administration medications
Answer:
Keep in resident room locked and in safe and secure location to protect against contamination, spillage and theft
Question:
What does a resident need to be able to do in order to self adminster meds?
Answer:
- be able to recognize and distinguish medication
- know how much is to be taken
- know when medication is to be taken
Question:
Steps to medication administration
Answer:
- identify the correct resident
- if indicated by prescribers, take vital signs
- remove the medication from the original container
- crush or split medication if ordered
- place med in cup or container, or in hand
- place medicaine in hand, mouth or other route of administration
- complete documentation according to medical records
Question:
When can you remove medication from the container
Answer:
not more than 2 hours prior to adminstration. Sterile liquids and insulin is right before
Question:
what are some medication errors?
Answer:
failure to administer medication, admin of the wrong med, admin of wrong amount, failure to admin at correcct time, admin to wrong resident, admin through wrong route
Question:
what should homes do in order to assist in reporting medication errors?
Answer:
create a suystem to identify and document medication errors and notice patterns of error.
Question:
what do you do with an adverse reaction?
Answer:
if a resident has a suspected adverse reaction, home should consult PCP
Question:
how should you modify or eliminate a behavior?
Answer:
positive interventions including improving communication, reinforcing approprate behavior, ppraise, redirection, conflict resolution, violence prevention etc.
Question:
the following procedures are prohibited...
Answer:
- seculsion
- adverse conditioning
- pressure point techniques
- chemical restraint
- mechincal restraint (unless for body position)
- manual restraint
Question:
what should an activities program promote?
Answer:
social, physical, intellectual and recreational activities in planned/coordinated manner
Question:
a home's description of services includes...
Answer:
- scope and general description of services
- criteria for admission and discharge
- specific services that home does not provide, but will arrange and coordinate
Question:
when should one report abuse?
Answer:
immediately. if allegation of abuse, plan should be immediately developed and implemented
Question:
what are some reportable incidents and conditions?
Answer:
- death of a resident (even in hospital)
- physical act to commit suicide
- serious bodily injury requiring treatment or a hospital stay
- violation of resident rights
- unexplained absence for 24 hours (or less depending on RASP)
- misuse of funds by home
- outbreak of disease
- physical or sexual assult
- food poisioning
- fire or structural damage
- incident requiring emergency department
- complaint of resident abuse or referral of complaint
- prescription med error
- emergency requiring procedures
- unscheduled closure
- bankruptcy
- criminal conviction
- termination notice from facility
- violation of health and safety laws
Question:
what should a wavier meet?
Answer:
- no jeporday to residents
- alternative for providing must be equivalent to level of safety and well being
- a resident/residents should benefit from the waiver **need to give waiver to resident at least 30 days before submission to depatement
Question:
how frequently does department review waivers?
Answer:
annually, to determine compliance
Question:
when can a resident manage their personal finances?
Answer:
anytime, unless they are not guardian of their own estate
Question:
if a home provides assistance with financial transactions, they should...
Answer:
Question:
home should provide assistance with assistance of what persoanal hygeine measures?
Answer:
bathing, oral hygiene, grooming hair, clothes, shaving, nails, foot, skin care
Question:
what should the resident-home contract specify?
Answer:
- current personal needs allowance
- fee schedule
- explaination of annual assessment, ME, support plan rewuirements and proedures
- party paying
- method of payment
- conditions under which refunds will be made
- financial arrangements
- conditions under which agreement may be terminiated
- rules related to home services (ex. smoking)
- statement of 30 day noticce
- list of PCH services to be provided to resident
- charges to resident for holding bed during hospitalization
- complaint procedures
Question:
how long does resident have to rescind contract?
Answer:
72 hours; must be addressed in writing to home
Question:
personal needs allowance
Answer:
85$ for those who recieve SSI
Question:
quality management plans for homes include...
Answer:
- reportable indicent and condition reporting procedures
- complaint procedures
- staff person training
- locensing violations and plan of correction
- resident and family councils
Question:
can third party payments be made and what can they be used for?
Answer:
yes, they can be paid directly to the home, but cannot be used to food, clothing or shelter because that would reduce SSI payments
Question:
if home elects to serve residents on hospice, they are not required to evacuate a resident who is actively dying, during a fire drill, or if...
Answer:
- physicial certified that resident may suffer bodily injury or hastened death
- resident POA, legal guardian, or heatlh care provider has provided informed consent
- if home can locate bedroom to ground level or near exit
- during fire drill, one designated person can notify not to evacuate
- informed staff peroson is to practice evacuation with modre, stimulated effort
- if this doesnt happen, the resident has to be ecavuated
- home should maintain sufficent staff to provide for evac of residents 8
- time to evac may not exceed time alloted
Question:
complaint procedures and information of rights should...
Answer:
be communicated in easily understood manner, and right to lodge complaints without retailiation
Question:
Specific resident rights are...
Answer:
right to not be discrimiated against, not tp be neglected, informed of rules of home and changes, access to phone and privacy, recieve and send mail, right to comunication with ombudsman, right to practice religion, recieve assistance in obtaining health servies, recieve assistance in obtraining and having seasonal clothing, resident and designated person have right to access resident record, right to furnish room, right to leave and return, right to recieve assistance in
reolcating, to freely associate, freedom from restraints, compensation for labor, recieve visitors (12 hrs/day, 7 days a week), privacy of self and posessions, file complaints, remain in home, recieve services in contract, right to appeal involuntary discharge, choose own healthcare
Question:
upon complaint, home should provide an update to resident and DP
Answer:
within 2 days
Question:
upon compaint, resident and DP should reicive decision and written explaination of findings and procedures in...
Answer:
7 days
Question:
criminal background checks can be done upon hire
Answer:
Question:
can a staff person be 16/17?
Answer:
Question:
all direct care staff should be awake at all times there are
Answer:
16 or more residents
Question:
at least one direct care staff person should be awake..
Answer:
in home with less than 16 residents with mobility needs
Question:
in home with multiple buildings regardless of distance,
Answer:
2 way communication sustem should be available at all times
Question:
indoor temperature should be between
Answer:
70 - 80 degrees
