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MISSOURI RCAL EXAM ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION (JUST RELEASED)
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
Prior to the first day new employee should receive how many hours orientation? ------CORRECT ANSWER---------------2 hours In addition to the orientation required employees that work with Alzheimer's residence shall receive how many hours of additional training during orientation? ------CORRECT ANSWER---------------3 hours For employees that do not have direct care with Alzheimer's patients how many hours of Alzheimer's orientation training shall they attend? ------ CORRECT ANSWER---------------1 hour Definition of evacuating the facility? ------CORRECT ANSWER--------------- The act of the residents going from one smoke session to another within the facility, going to an area of refuge in the facility, or going out at the facility. What is an individual evacuation plan? ------CORRECT ANSWER------------- --I plan to remove the residence of the Silletti to an area of refuge within the personality or from one smoke session to another within the facility. Define smoke section ------CORRECT ANSWER---------------Fire rated separation of one section of the building from the rest of the building. How often should you review the residents individually evacuation plan? ---- --CORRECT ANSWER---------------Every six months and upon any significant change in the plan.
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 In which: a residential care facility or assisted living, can the administrator be used to dispose of a controlled substance when the nurse is not available? ------CORRECT ANSWER---------------Residential care facility How often are medication medication reconciliation reports reviewed in a residential care facility? ------CORRECT ANSWER---------------Every three months In a residential care facility how long is discontinued medication retained? - -----CORRECT ANSWER---------------120 days For a residential care facility to maintain scheduled activities how many residents must be present at the facility? ------CORRECT ANSWER---------- ----- 12 In a residential care facility how often is self control medication review? -----
- CORRECT ANSWER---------------Monthly In a new or extensively remodeled facility for more than 12 residents how many utility sinks must be available? ------CORRECT ANSWER--------------- One
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 equipment should be immersed at 170°F for at least one and a half minutes. Each resident shall be prepared food and served under safe sanitary conditions that is consistent in accordance with what order. ------CORRECT ANSWER---------------Attending physicians order Each resident shall receive three meals per day how many of these meals must be hot. ------CORRECT ANSWER--------------- 2 What is the minimum and maximum times between the evening meal and breakfast ------CORRECT ANSWER--------------- 14 - 16 How many days of food supply shall be maintained in the facility? ------ CORRECT ANSWER--------------- 3 How does a resident with a modified diet stay within the facility? ------ CORRECT ANSWER---------------A resident with a modified diet may be excepted and remain in the facility with a physicians order. A physician must monitor the residents condition on what periodic basis? -- ----CORRECT ANSWER---------------Quarterly
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. Skilled Nursing Facility (SNF) ------CORRECT ANSWER---------------a facility that provides 24-hour room, board, and skilled nursing care and treatment to at least three residents. Skilled nursing care and treatment services are those performed by or under the supervision of a registered nurse for individuals requiring 24-hour-a-day care by licensed nursing personnel and under the direction of a licensed doctor. Social model of care ------CORRECT ANSWER---------------Providing for all the needs of a client and providing a home-like environment. An administrator cannot be listed or function in more than how many facilities? ------CORRECT ANSWER---------------No more than one license of a facilty at a time unless he or she serves more than five facilities within 30 miles that had no more than 100 residence in total. However the administrator may serve as the administrator of more than one license facility if all facilities are on the same premises. What is the protocol if the administrator is absent? ------CORRECT ANSWER---------------If the administrator is gone for more than 30 consecutive days in which he or she is not accessible by phone the delegated individual will have to be an administrator that is currently license by the board of nursing home administrators. Such 30 day consecutive absences my only occur within a 12 month period.
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.
Community based assessments shall be done and what time frame? ------ CORRECT ANSWER---------------Within five days of admission, at least semi annually How often should the ISP be reviewed with the resident? ------CORRECT ANSWER---------------Annually What does the review of the ISP with the resident include? ------CORRECT ANSWER---------------Signature of authorized representative of the facility and the resident or the residence legal representative. The facility shall not admit or continue to care for residents who have the following behavior? ------CORRECT ANSWER---------------As exhibit behaviors that present serious harm to himself or others, requires physical or chemical restraints is bedbound or immobilize. These requirements do not apply to residents receiving hospice care. What time period should category one disease is finding be reported to the local health authority? ------CORRECT ANSWER---------------24 hours such as Cholera hepatitis a, b c And what time frame should category two diseases be reported to the local health authority? ------CORRECT ANSWER---------------Three days such as tuberculosis
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. Definition of long-term care facilities? ------CORRECT ANSWER--------------- A facility that is it that is license either solely or in combination of a skilled nursing facility and intermediate intermediate care facility a residential care facility or assisted living facility. Definition of a residential care facility ------CORRECT ANSWER--------------- A premises that provides 24 hour care of three or more residents or not related or have affinity to the owner operator at the facility who needs to be provided with shelter, board and with protective oversight which may include storage and distribution and administration of medication and care of doing short-term illness and recuperation. The facility shall submit the physicians written version of any oral order within how many days? ------CORRECT ANSWER---------------4 days Record shall be maintained upon receipt and disposition of all controlled substances and shall be maintain separately from other records for how many years? ------CORRECT ANSWER---------------Two years How often should controlled substances be reconciled? ------CORRECT ANSWER---------------Every shift Who can reconcile schedule two medication? ------CORRECT ANSWER---- -----------2 medication personnel one who must be a licensed nurse or two
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. 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
