Assisted Living Practice Questions

Question 1

Which of the following statement LEAST describes the principles of Assisted Living? Assisted Living facilities should:

Answer 1

involve family members and significant others in care giving decisions.

Question 2

A resident service plan shall be developed

Answer 2

within 14 days of admission

Question 3

The resident service plan shall include all of the following EXCEPT:

Answer 3

the resident’s requirement for on going nursing assessment

Question 4

Minimum requirement for dining services shall include all the following EXCEPT

Answer 4

availability of room service when requested by residents

Question 5

Promoting resident dignity on a daily basis in Assisted Living is LEAST demonstrated
by:

Answer 5

addressing each resident with warm, friendly terms such as “Honey” and “Dear”.

Question 6

Discharge from the Assisted Living facility to a higher levcl of care is required when the
resident:

Answer 6

requires specialized long-term care as defined in NJAC 8:36-1.3.

Question 7

Home like environment in Assisted Living is NOT promoted by:

Answer 7

attractive, clean, oncluttered resident rooms.

Question 8

The BEST example of how the care/service could be accommodated for an individual with
hearing loss is:

Answer 8

speaking clearly, in a low tone.

Question 9

Examples of how to support independence for a resident who is legally blind include all the following EXCEPT:

Answer 9

assist the person whenever he/she is walking.

Question 10

The principles of Assisted Living are LEAST supported when:

Answer 10

each resident’s diet card is available with special instructions on the dining room
table.

Question 11

Enhancing self direction and choice is illustrated by the personal care assistant

Answer 11

incorporating bath time into the resident’s selection of daily activities.

Question 12

Which of the following statements regarding the effect of normal aging is INCORRECT:

Answer 12

Personality changes as people age.

Question 13

Documentation is best defined as a process by which:

Answer 13

information is recorded which describes the status of individuals and the results
of treatments and/or interventions.

Question 14

Documentation is important because:

Answer 14

it facilitates continuity of care.

Question 15

Which statement is most correct:

Answer 15

Staff should recognize that when they are documenting in a resident’s record,
they are documenting in a legal document.

Question 16

All of the following information must be documented in the resident’s record EXCEPT:

Answer 16

Notification of family when service plan changes.

Question 17

An assisted living facility shall maintain and implement written staffing schedules. The
facility must document:

Answer 17

the actual hours each staff person worked.

Question 18

The development of the nursing practice policies and procedures and the coordination of all
resident health care services is the responsibility of the:

Answer 18

registered nurse.

Question 19

If a resident who is not receiving a health care service requires a health care service on a temporary basis, the Administrator shall:

Answer 19

develop a system for identifying residents who have temporary health care plans.

Question 20

Each resident shall receive an initial assessment by a registered nurse to determine the resident’s:

Answer 20

needs for general and/or health care services.

Question 21

If a resident needs a health care plan, family members shall:

Answer 21

participate only if the resident agrees.

Question 22

If the assisted living facility provides care to residents with psychiatric disorders, the facility should maintain written agreements with:

Answer 22

one or more community mental health centers

Question 23

If a resident is ill, meals shall be:

Answer 23

prepared as indicated in the resident service plan.

Question 24

After 3 years, licensed AL facilities are required by the regulations to have a population that is:

Answer 24

20% nursing home eligible.

Question 25

Complete the following statement with the best answer in accordance to the state regulations. Health care assessments must:

Answer 25

be completed within 14 days of the resident admission date and updated quarterly by the RN if the resident has health care needs; also an annual physical examination must be conducted by a physician, nurse practitioner or clinical
nurse specialist.

Question 26

Ensuring an effective infection prevention and control program is in place is the responsibility
of:

Answer 26

the administrator.

Question 27

Dealing with a resident with emotional and behavioral symptoms resulting from a stroke is difficult. All of the following suggestions may help except:

Answer 27

Remember that although brain damage may cause some negative behavior, the
person can control his/her behavior with the proper direction and emotional
support.

Question 28

The NJ State Nurse Association supports the delegation of nursing tasks if all of the major principles are adhered to. Which of the following is not one of the three (3) conditions that
must be in place for delegation to be in compliance with State Standards?

Answer 28

The RN and the institution assume the responsibility and accountability for
delegation.

Question 29

An assisted living residence or CPCH is required to have:

Answer 29

an RN available at all times, 24 hours per day.

Question 30

According to OSHA Standards, Hepatitis B vaccination must be made available to:

Answer 30

all employees who have occupational blood exposure within 10 working days of
assignment.

Question 31

Which of the following three methods of medication administration may be provided in the Assisted Living setting according to NJ regulatory requirements?

Answer 31

Total self-administration; assisted self-administration; a unit of dose system.

Question 32

Which of the following is not the responsibility of the RN in the assisted living setting:

Answer 32

Ensuring that the physician’s orders are followed by each resident as prescribed.

Question 33

A task must be re-delegated to a PCA if:

Answer 33

the resident’s condition has changed.

Question 34

The major difference between a medical model and a social model of care is:

Answer 34

the approach to meeting needs.

Question 35

Mrs. Jones is 84 and has been a resident of an assisted living facility for two years. The staff
has noticed that she is having some difficulty remembering when she last ate or if she has
taken her medication. She is also getting lost on occasion on the way to the dining room.
Mrs. Jones’s symptoms are often associated with:

Answer 35

dementia associated with mild to moderate Alzheimer’s Disease

Question 36

All cleaning and maintenance products shall:

Answer 36

be properly identified, labeled and stored.

Question 37

All electrical inspections shall:

Answer 37

be conducted annually and properly documented.

Question 38

Residents may regulate temperature controls in residential units, and may excced the
maximum regulated temperature by:

Answer 38

choice

Question 39

The person responsible for the direction, provision and quality of infection prevention and
control service is:

Answer 39

wellness nurse

Question 40

Written policies and procedures for infection prevention and control shall be reviewed at least:

Answer 40

annually

Question 41

In order for the employer to implement the standard for Bloodborne pathogens, a first step is to develop:

Answer 41

a written Exposure Control Plan.

Question 42

OSHA requires hcalth care employers to offer at-risk employces the Hepatitis B vaccine:

Answer 42

free of charge.

Question 43

All staff members shall be informed about the facility’s:

Answer 43

infection control procedures and personal bygiene requirements.

Question 44

The facility shall notify the Department of Health for the interruption of physical plant
services, such as heat, light, power, water, food, or staff’ if interrupted for more than:

Answer 44

3 hours

Question 45

According to 8:36.12.2 Emergency Plans and Procedures; emergency plans shall be filed with
the Department of Health. Copies of emergency plans shall be forwarded:

Answer 45

to other agencies in accordance with state and municipal laws.

Question 46

A balance sheet summarizes a firm’s:

Answer 46

assets, liabilities, and net worth.

Question 47

The amount of debits less credits of a bookkeeping system should:

Answer 47

equal zero.

Question 48

The prerequisite to take the Certified Medication Aide course, is that an individual must have at least one of the following levels of training except:

Answer 48

Hospital Nursing Assistant.

Question 49

Which person must be at the Assisted Living/CPCH at all times; a/an:

Answer 49

Personal Care Assistant

Question 50

The staffing levels in an Assisted Living Residence:

Answer 50

must be of a sufficient number based on an assessment of the acuity of resident’s
needs.

Question 51

When thinking of alternatives in developing a Managed Risk Agreement, it is helpful to get input from:

Answer 51

as many people as possible.

Question 52

When discussing a resident’s desires, all parties involved must consider:

Answer 52

The prevention of imminent harm to the resident

Question 53

A resident’s choice would be considered “high risk” if it:

Answer 53

if it could lead to imminent or probable harm

Question 54

Managed Risk agreements should include the following items in writing:

Answer 54

Cause for concern, possible consequences, resident desires, possible alternatives, and final agreement by all parties

Question 55

Managed Risk agreements should include the following items in writing:

Answer 55

cause for concern, possible consequences, resident desires, possible alternatives, and final agreement by all parties

Question 56

A Managed Risk Agreement’s primary purpose is to:

Answer 56

decrease the probability of a negative outcome.

Question 57

A facility is licensed for 90 beds and the occupancy today is 100 perceat.
All of the residents take some medication on a daily basis. Today, there were 250 doses of drugs scheduled to be administered at 7:30 a.m. However, three residents were given an incorrect medication and seven residents were not administered a drug. What was the drug error rate?

Answer 57

3+7 = 10
10 ÷ 250 = .04 = 4%

Add the incorrect medications (3) and the drugs not administered (10) to determine the number of drug errors (10). Then divide he number of drug errors (10) by the umber of doses scheduled (250).

Question 58

A facility is licensed for 120 beds and the census today is 114. What is the occupancy rate?

Answer 58

114 / 120=95%

Divide the census (1 14) by the number of licensed beds (120)