Download Residential Care Facility Regulations and Requirements and more Exams Nursing in PDF only on Docsity!
MISSOURI RCAL EXAM LATEST EXAM 2024
| ALL QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED
ANSWERS | LATEST VERSION
What is the amount of the residence personal funds bond? ------CORRECT ANSWER---------------The bonds will be in the amount equal to at least one and a half times the average monthly balance of the residence personal funds. The average monthly balance shall be rounded to the nearest $1000. What happens to unclaimed funds from the residence personal account that have a value of over $150 or less? ------CORRECT ANSWER------------ ---The facility may keep the funds for social and educational activities. What happens to unclaimed funds of residence accounts that are more than $150? ------CORRECT ANSWER---------------The facility shall return the property and report it abandoned to the Missouri State treasurer. Residential care facilities how much orientation must be given to new employees before starting work? ------CORRECT ANSWER---------------One hour In a residential care facility how long shall employee records be maintained after termination? ------CORRECT ANSWER---------------Two years
What are the current staffing ratios for a residential care facility? ------ CORRECT ANSWER---------------One to 40, 2 to 40 to 81, 3 to 81 to 120 In a residential care facility when is an employee allowed to sleep? ------ CORRECT ANSWER---------------The employee is allowed to sleep if there are fewer than 20 residents on a night shift and the facility has a sprinkler sprinkler system that is complete with automatic fire detection system. In a residential care facility resident suffering short periods of incapacity due to illness or injury may be allowed to remain or readmitted as long as the incapacity does not exceed what timeframe? ------CORRECT ANSWER---------------45 days In a residential care facility what is the youngest resident that is able to be admitted? ------CORRECT ANSWER---------------16 years of age Are physicians instructions Required at a residential care facility? ------ CORRECT ANSWER---------------Physicians instructions in writing and signed orders are not required but if the facility does use the orders they should be renewed at least every three months. In a residential care facility telephone and verbal orders shall be written and signed within how many days by the physician? ------CORRECT ANSWER- --------------7 days In a residential care facility how long should record speed maintain regarding the disposition of controlled substances after discharge of a resident? ------CORRECT ANSWER---------------Two years
faucet which provides a water flow of at least 15 seconds without the need to reactivate. If a facility has a bird aviation area how often should it be maintained? ------ CORRECT ANSWER---------------Twice a week and more often as needed to maintain a clean environment What is the temperature for potentially hazardous food? ------CORRECT ANSWER---------------The temperature of potentially hazard food should be 45° or below or 140° or above. Food temperature should be accurate within how many degrees of Fahrenheit? ------CORRECT ANSWER---------------Plus or - 3°F What is the maximum time period for the cooling period for food? ------ CORRECT ANSWER---------------Four hours At what temperature should frozen food be stored at? ------CORRECT ANSWER---------------0° Poultry poultry stuffing stuffed meat and stuffing containing meat should be cooked to at least what temperature? ------CORRECT ANSWER--------------- 165° Pork and food containing pork should be cooked to at least what degrees? ------CORRECT ANSWER---------------150°
Beef products should be cooked to what temperature? ------CORRECT ANSWER---------------130° What type of thermometers should be used to maintain proper internal holding a refrigerated foods? ------CORRECT ANSWER---------------Metal stem type numerically scale thermometers are to be used, must be accurate within plus or - 2°F. At the time of service to resident what temperature should the food be? -----
- CORRECT ANSWER---------------Food should be at least 120°F or 45°F or below during food service. Can reconstituted dry milk or milk products be used for drinking purposes? ------CORRECT ANSWER---------------Reconstituted dry milk and dry milk products are to be used only for cooking and baking purposes. Manual washing rinsing and sanitizing the utensils and equipment a sink may not have fewer than how many compartments provided? ------ CORRECT ANSWER---------------Three Equipment must be no less than how many inches away from the wall or between the equipment? ------CORRECT ANSWER---------------1/32 inches At what temperature and for how long should film contact service equipment be immersed? ------CORRECT ANSWER---------------The
What does an individual service plan include? ------CORRECT ANSWER--- ------------Residence culture, lifelong routines, habits, patterns and preferences In an assisted living if the residents eating and dining preferences have potential health risk staff shall inform who? ------CORRECT ANSWER-------- -------The resident or his or her legally authorized representative and then should be documented in the individualized service plan. Before admission to an Alzheimer's special care program or unit the next of kin or legal represent she'll be given a copy of what form? ------CORRECT ANSWER---------------Alzheimer's special care services disclosure form at the time of admission. Before admission into an assisted living what form should be given to each resident or his or her legally authorized representative Or kin. ------ CORRECT ANSWER---------------Missouri's guide to home and community based services How often should all CPR forms be updated? ------CORRECT ANSWER---- -----------Annually within a group or individually If a resident refuses treatment what is your course of action? ------ CORRECT ANSWER---------------The refusal shall be documented in the residence record and his or her legally authorized representative shall be informed of possible consequences of not receiving treatment.
What is an area of refuge? ------CORRECT ANSWER---------------This is an area of a building where persons unable to use stairways can safely await instructions or assistance during an emergency evacuation. It can also be used as a staging area. What does evacuating the facility mean? ------CORRECT ANSWER---------- -----Evacuating the facility means moving to an area of refuge or from one smoke session to another or exiting the facility. What does Home like mean? ------CORRECT ANSWER---------------A self- contained long-term care setting that integrates psychosocial, organizational and environmental qualities that are associated with being at home. May include common areas kitchen areas laundry areas outdoor activities areas. What is an individual service plan? ------CORRECT ANSWER--------------- The planning document prepared by an assisted living facility which outlined the residents needs and preferences and services that shall be provided. What actions are considered to be more than minimal assistance? ------ CORRECT ANSWER---------------Assistance to traverse down stairways, assistance to open doors and assistance to propel a wheelchair. What is the definition of a significant change? ------CORRECT ANSWER---- -----------Any change in the residents physical, emotional or psycho social condition or behavior that will not normally resolve without further further intervention by staff.
All personnel responsible for resident care she'll have access to the following? ------CORRECT ANSWER---------------Legal name of each resident name and telephone number of resident position residents designee or legal representative in the event of an emergency. True or false if a minister priest or rabbi serves as a volunteer facility chaplain the facility is required to check the EDL list? ------CORRECT ANSWER---------------True Upon hiring for part-time or temporary employees that have contact with the residents which two things must be in place? ------CORRECT ANSWER---------------An employee must have a criminal background check and also have not been convicted of found guilty or pled guilty to any crime which would be considered a class a or B felony violation in the state of Missouri. What is a good cause waiver? ------CORRECT ANSWER---------------If an employee has found guilty or pled guilty to a crime in the state of Missouri that would be a class a or B felony violation for further employment must receive a cause of a good waiver. Can professional services example plumbing or air conditioning repair be permitted to the facility without a criminal background check? ------ CORRECT ANSWER---------------Yes if the individual is officially monitored by facility staff to ensure the safety of all residence. Can personnel who have been diagnosed with communicable begin work? ------CORRECT ANSWER---------------Personnel with communicable disease may begin work with written approval by physician or physician designate which indicates any limitations.
The administrator shall maintain on the premises an individual personal record of each facility employee which should include which of the following? ------CORRECT ANSWER---------------The employees name and address, Social Security number, date of birth, and date of employment, references, documentation of experience in education, written physician statement, document of the employees TB screening status pot, documentation of what the employee was instructed on during orientation, reason for termination. How long shall employee personnel records be maintained? ------ CORRECT ANSWER---------------Two years What is the maximum amount of time that an employee can care for a resident? ------CORRECT ANSWER---------------18 hours per day The facility sure shall ensure that each resident be admitted or readmitted to the facility receive an admissions physical examination by a licensed physician. The facility shall request documentation on file for the physical exam on file no later than how many days after admission? ------CORRECT ANSWER---------------10 days Employees who provide direct care must be what age? ------CORRECT ANSWER---------------If 16 years of age must have an employee on the premises who is at least 18 years of age.
Who is notified upon death of a resident? ------CORRECT ANSWER---------- -----Resident legal authorized representative, attending physician, local corner or medical examiner. In the event that the resident brings in unsealed medication what is the procedure? ------CORRECT ANSWER---------------Medication must be verified my pharmacist, physician or nurse exam identify and determine content to be suitable for use and document these findings. Can residents self control prescription medication? ------CORRECT ANSWER---------------Residents self control prescription medication if approved in writing by the residents physician and included in the residents individual service plan. Orders for self control of prescription must be rewritten at least annually and after any period of hospitalization. Where should medication be stored? ------CORRECT ANSWER--------------- Medication must be stored at proper temperature behind one locked door or cabinet and only accessible two persons authorized to administer medication's. The facility shall employee license nurse eight hours per week for how many residents per how many residents to monitor residents conditions and medication? ------CORRECT ANSWER---------------30 residents What does the physician written and signed orders include? ------ CORRECT ANSWER---------------Name of medication, dosage, frequency and route of administration.
How often should resident medication orders be renewed? ------CORRECT ANSWER---------------Every three months. Who can review telephone and other verbal orders? ------CORRECT ANSWER---------------Telephone and verbal orders shall be received by licensed nurse certified med tech, level one Medicaid or pharmacist and should be immediately reduced to writing inside by the individual. A certified med tech or level 18 may receive the phone order for medication but the dosage cannot be administered until reviewed by a licensed nurse or pharmacist. What is a communicable disease? ------CORRECT ANSWER---------------A disease that is caused by a pathogen which can be spread from person to person And reportable to the Missouri Department of health and Senior services. What is the definition of exit? ------CORRECT ANSWER---------------a door leading to the outside or through a horizontal exit in a firewall to a fire safe area in the building. Definition of Intermediate care facility? ------CORRECT ANSWER------------- --Show mean any premises other than residential care assisted-living or skilled nursing which utilized by its owner to provide 24 hour accommodations, board, personal care and basic health nursing services other than daily supervision of a licensed nurse and under the directed license position of three or more residents dependent for Care who are not related.
Proper documentation of waste of a controlled substance? ------CORRECT ANSWER---------------Shall include reason for waste and at least two signatures. If two personnel are not available the medication shall be properly labeled, identified as useable and stored in a locked area until a second medication staff is a witness. Can you destroy a schedule II medication with one medication personnel? - -----CORRECT ANSWER---------------Only when the medication is contaminated by bodily fluid and circumstances should be documented. How often should a pharmacist or nurse review the schedule two and reconcile? ------CORRECT ANSWER---------------At least every other month Who should theft or loss of medication be reported to? ------CORRECT ANSWER---------------Section for long term care (SLTC) What should be reported to SLTC? ------CORRECT ANSWER--------------- Specific controlled substance loss, whether loss can be associated with a specific individual, whether there is a pattern of losses, what are the controlled substance is a likely candidate for diversion, and local trends indication of diversion potential. If after how many days there is no action taken by residents physician and a significant concern continue regarding a reservation or residence medication order the administrator shall contact or we contact the position receive the medication? ------CORRECT ANSWER---------------30 days
How many days can discontinue medication be retained in the facility? ------ CORRECT ANSWER--------------- 120 After death what is the procedure for resident medication being given to the family? ------CORRECT ANSWER---------------Medication may be released to the residents family upon discharge. Anything can be given to the family except for controlled substances which may be released to the residents legal representative upon request. What is included in a record of medication destroyed? ------CORRECT ANSWER---------------Residents name day medication name and strength, prescription number and signature of the individual destroying medication. How often should you review the residents general condition? ------ CORRECT ANSWER---------------Monthly this includes: Review of medication prescription medication therapy used appropriately, monthly weights. What are the staffing ratios for assisted-living? ------CORRECT ANSWER--- ------------7 AM to 3 PM ratio is 3 to 15, 3 PM to 9 PM ratio is 3 to 20, 9 PM to 7 AM ratio is 3 to 25. The Administrator she'll count towards staffing when physically present in the facility? ------CORRECT ANSWER---------------True There should be a licensed nurse employed by the facility to work at least how many hours per week according to what resident ratio? ------ CORRECT ANSWER---------------8 hour for every 30 residents
How often should you review the residents individually evacuation plan? ---- --CORRECT ANSWER---------------Every six months and upon any significant change in the plan. Facilities whose plans were approved after December 31, 1987 shall provide a minimum of how many feet per resident in private and multiple occupancy bedrooms. ------CORRECT ANSWER---------------70 feet. How many feet closet space should be given per residence? ------ CORRECT ANSWER---------------5 square feet How many feet high should ceiling bedroom be? ------CORRECT ANSWER---------------7 feet. The Facility shall provide bedrooms with at least One functional window with the screen. Window size shall be no less than what size? ------ CORRECT ANSWER---------------1/20th or 5% of floor area How many toilets per resident required? ------CORRECT ANSWER----------- ----One toilet for every six residence is required if facility was approved before 1980 one to 10. All facilities plans were licensed after December 31, 1987 how many square feet per resident of community living and dining area separate from the residence bedroom? ------CORRECT ANSWER---------------25 ft
What equipment should be provided in dietary? ------CORRECT ANSWER- --------------Kitchen, dishwasher, refrigeration, and garbage disposal facilities. In buildings built prior to September 28, 1979 Corridors she'll have a minimum width of how many inches ------CORRECT ANSWER--------------- Minimum width 36 inches, first floor residence room doors shall have a minimum of 32 inches residents on the second floor doors will have a minimum of 30 inches. In buildings built after September 28, 1979 on corridors shall be how wide? ------CORRECT ANSWER---------------Corridors shall be a minimum of 48 inches all room doors would be a minimum of 32 inches, and interior stair she'll be at least 36 inches. What are the dimensions of exit doors? ------CORRECT ANSWER------------ ---Exit doors in newly license facilities shall be at least 36 inches wide and at least 72 inches high and she'll swing outward. For residential care facilities how many facilities can the administrator operate? ------CORRECT ANSWER---------------No more than four facilities within a 30 minute Radius and said no more than 100 residence. The administrator May service administrator of more than one license facility if all facilities are on the same premises. For residential care facilities in the absence of the administrator how many consecutive days can they be absent? ------CORRECT ANSWER------------- --I've got more than 60 days and unreachable for consultation by phone the person left in charge should be a licensed administrator by the Missouri board of nursing home administrators.
