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Florida ALF Core competency multiple choice
Answers 2025
You have a standard license and your resident needs to be fed. What do you do? - A. Let the staff feed the resident* B. Give the resident a 45 day notice to relocate C. Tell the family they need to hire a person to feed the resident. D. Apply for an ECC license. You Hired a maintenance worker on January 5, 2018. It is May 31, 2018 and he has already taken the Alzheimer's level one class. What class does he need to take now? - A. Alz level 2 class B. No class unless he has been working a year C. No other alz class is needed * D. He needs to take the alz 1 class again You have hired an LPN. What training does she need to take? - A. CPR * B. CPR and first aid C. Infection control D. Band C Mrs. Alverez wants to self administer her own meds. What do you tell her? - A. She needs to get an order from her physician * B She needs to get permission from her daughter C. The staff nurse needs to evaluate her first D. All of the above Assisted living facility means... - A any building or buildings, section or distinct part of the building * B private home, and one or more personal services for a period Exceeding 12 hours
C 3 or more adults who are not relatives of the owner or administrators D all of them You just hired a CNA. What training does she need within 30 days? - A. Three hours on residence behavior and needs B. Three hours of providing assistance with ADLs C. One hour reporting adverse incidents * D. All of the above What should be in the admission package? - A list of activities offered B special diets C policy on DNR's D all of the above * Menus must be dated and planned how far in advance? - A Two weeks B One week * C One month D Five days Mrs. Howard is having problems with constipation. What should you do first? - A. Offer her some prune juice * B Ask her daughter to bring in a laxative C. Tell her to exercise more D. Call her physician What staff need to have the six our LMH training when working in a LMH facility? - A. All staff B. Administrator C Administrator and nurse D. Administrator, managers and staff who have direct contact with residents *
True or false. You can provide 24 hour nursing care under a LNS license. - A. True B. False * A guardian is a person the law has entrusted what? - A The custody or control of a person or property or both * B The custody of a person's property C The control over their finances D Both B and C How long does a facility keep employee work schedules? - A 3months B 2 months C 6 months * D 12 months Menu substitutions and a copy of them are to be kept on file for ____ - A 2 years B 1 year C 6 months * D none of these A violation that presents an imminent danger to clients would be considered a what class? - A class 2 B class 1 * C class 3 D class 4 How long does a facility keep major incident reports? - A 2 years * B 1 year
C 5 years D 6 months Can ACHA impose an administrative fine for violations not designated as one of the four classes? - A. Yes * B No You have a resident that moves into your facility today. What must you do the day of move-in? - A put the resident on the admission and discharge log * B give them a tour of the facility C complete all paperwork D evaluate them on their evacuation capability You have an at risk resident for elopement. What should you have in place? - A a photo identification within 10 days of the resident moving in * B a photo identification within 14 days of the resident moving in C a photo identification the day the resident tried to leave the facility unattended D a photo identification the day the resident moved into your facility For ECC licensure: - A the facility must obtain a license for ECC before accepting at ECC resident * B direct care staff must complete four hours of specialized ECC training C the administrator must have one year experience serving elderly residents in a long-term care facility D all statements are correct When there is evidence of financial instability, the agency shall require the facility to submit the following: - A delinquent accounts B receipt of residents rent payment C number of checks returned for insufficient fun's during the previous 12 months D both a and B *
C 5
D 2 *
If an AL F license is up for renewal, how many days at a minimum before the license expires must a renewal application be received by ACHA? - A 60 days * B 90 days C 30 days D 15 days ALF's may suggest to residents as a condition to being admitted to their facility to waive or execute a DNRO? - A true B false * An elopement means an occurrence in which a resident leaves a facility without following the facility's policy and procedures? - A true * B false The sufficient non-perishable food supply is based on the ALF ______? - A bed capacity B census * C the result of the ombudsman assessment D the result of the ALF survey If a consultant is required by ACHA because of a dietary or medication issue, the facility must provide a plan of correction, if a plan is required by the agency, no later than how many days from the on- site visit? - A 7 calendar days B 30 calendar days C 15 calendar days D 10 calendar days *
ACHA may deny, revoke or suspend an ALF license, if the facility receives one or more classes 2 deficiencies? - A true B false * According to the fire protection Association, a fire drill is considered prompt if executed within what timeframe? - A 13 minutes B 3 minutes * C 9 minutes D 5 minutes ALF's with a bed capacity of 16 or less do not have to have planned menus? - A true B false * ALF staffing hours is determined by its census? - A true * B false OTC medication that is prescribed should only contain the residents name somewhere on the medication bottle? - A true B false * What is the minimum number of fire drills for a non-sprinklered building? - A 10 fire drills annually B 6 fire drills annually C 12 fire drills annually * D 24 fire drills annually
D 60 ft.² * ALF's are required to obtain and maintain a surety bond if it is the power of attorney or if it is a _______? - A guardian B trustee C representative payee * D all of the above Individuals who are bedridden cannot be admitted to an ALF. However residents may be bedridden in a standard, limited nursing, or limited mental health licensed facilities. These residents cannot be bedridden for more than how many days consecutively? - A five days B 14 days C 7 days * D4 days How many days written notice must be given before a rate increase? - A two weeks B 10 days C 15 days D 30 days * ALF's must secure fire safety and health department inspections. These inspections must be done and submitted to ACHA _______ - A every quarter B every six months C every month D every year * What is the minimum number of fire drills required for a sprinkler building for the night shift? - A Four fire drills annually
B one fire drill annually C two fire drills annually * D three fire drills annually ALF's must maintain work schedule for 24 hours. - A true B false * What is the minimum square footage for a one person room in an ALF? - A 60 ft.² B 40 ft.² C 80 ft.² * D 90 ft.² Which of the following is not considered an ADL? - A bathing B grooming C transferring * D feeding When contracting with an establishment to cater food for your AL F, you need a current license of the establishment and a contract on file. - A true * B false DOEA write the rules for ALF's? - A true B false * Bed capacity of an ALF is determined by which agency? - A DOH *
A medication provided at an outpatient clinic * B assistance with self administration of medication C medications administered while on leave with family D none of the above If the resident complains of tingling or numbness in the leg after the antiembolism stockings are applied, the caregiver should: - A call the resident's family and ask them to bring in a large set of hosiery B monitor the situation C call the resident's physician and get an order for discontinuation of hosiery D notify the administrator or facility nurse immediately * The caregiver should notify the administrator or facility nurse of the following observations during colostomy bag replacement: - A leaking from around the pouch system and change in size or appearance of the stoma B observation of any skin rashes, irritations or rawness around the stoma site C bleeding from the stoma or any complaint of pain by the resident D A and B E all of the above * Hyperglycemia typically occurs when a resident with diabetes misses a meal or snack. The most common symptoms of hypoglycemia include: - A cold, clammy skin B confusion and fatigue C nausea and headache D all of the above * CPAP means: - A constant positive airway pushing B continuous positive active pressure C continuous positive airway pressure* D constant pressure airway pushing
You assist Mrs. Jones with her glucometer and her blood sugar reading is 311. Your best response would be to: - A call the physician and get a new order for additional insulin B call Mrs. Jones family and have them bring in a new glucometer C notify the administrator or facility nurse * D wait a few hours and retake the blood sugar reading What is a normal respiratory rate per minute in a resting adult? - A 12 to 16 * B 9 to 10 C 25 to 32 D there is no normal rate since everyone is different The purpose of specialty licenses is to: - A allow individuals to Age in place in familiar surroundings * B allow individuals to get 24 hour nursing care C A and B D none of the above "direct care staff" means staff in regular contact or staff in direct contact with residents that provide personal or nursing services to residents, including administrators and managers providing such services. - A true * B false The terms "judgment" and "discretion" means: - A interpreting vital signs B evaluating a resident's condition C assessing a resident's condition D all of the above *
D all of these If you have a policy that states to weigh residents monthly but the regulations state that weight should be done every six months, how often do you weigh your residents? - A monthly * B every 6 months C every 9 months D every 12 months A resident is leaving to go to their daughters house for the day and asks for their evening pills, what do you do? - A pull out their evening dose of medication and put it in an envelope and give it to the daughter B tell the resident you have to call the healthcare provider first C give the daughter the bubble pack of meds that contain her evening medication * D hand the dose of medication to the daughter and ask her to sign for it You have a hospice resident who has a stage 2 pressure ulcer. It is getting progressively worse and turning into a stage 3. What do you do? - A call hospice and ask for direct treatment for wound care B give the family member a 45 day notice * C leave the resident where they are since they are on hospice D call the healthcare provider and ask for a different hospice Which staff members should receive DNRO training? - A administrators B direct care staff C admission director D all of the above * How often do you update an 1823 health assessment? - A. every year B every 3 years
C when there is a significant change D both B and C * Scheduled activities must be available for at least six days a week for a total of not less than how many hours per week? - A 12 hours * B 14 hours C 20 hours D 24 hours At a minimum the facility must have a photo identification of at risk residents ( for elopement) on file that is accessible to all faculty staff and law-enforcement as necessary. The facility's file must contain the resident photo identification within how many days of admission or within how many days of being assessed at risk for elopement subsequent to admission. - A 10 days and 20 days B 10 days and 15 days C 10 days and 10 days * D 15 and 15 days At least how many staff members who have access to facility and resident records in case of an emergency must to be in the facility at all times when residents are in the facility? - A one * B two C one on each floor D zero Staff who provide direct care to residents, other than nurses, CNA's, or home health aides, must receive how many hours of in-service training within 30 days of employment that covers the following subjects: resident behavior and needs and providing assistance with the activities of daily living? - A 1 hour B 3 hours * C 2 hours D none of the above
All regular and therapeutic menus to be used by the facility must be reviewed how often by a licensed or registered dietitian, a licensed nutritionist, or a registered dietetic technician supervised by a licensed or registered dietitian, or a licensed nutritionist to ensure the meals meet the nutritional standards established in this rule? - A one time B once a year * C every other year D every five years Use of the medication observation record is not required for which of the following - A administration of medications B assistance with self administration of medications C self administration of medications * D none of the above Mrs. Benson lives in your memory care unit. As a trained and licensed staff member you observe Mrs. Benson saying ouch when the staff assist her to transfer. She has an order for Tylenol as needed for pain. Can you give her the Tylenol? - A yes B no * You noticed that Mr. Martin is having frequent falls. The staff reports that he is unsteady on his feet. What should you do? - A notify the healthcare provider B ask the healthcare provider for an order for PT C document that you called the healthcare provider D all of the above * Under ECC license, at least how often a nursing assessment of the resident must be conducted? - A monthly * B daily C weekly
D twice a week Who can assist a resident with a pill organizer in an ALF in Florida? - A a nurse B a family member C A and B * D unlicensed staff During periods of temporary absence of the administrator or manager of more than how many hours when residents are on the premises, a staff member who is at least 21 years of age must be physically present and designated in writing to be in charge of the facility. - A 48 hours * B 24 hours C 12 hours D 72 hours How many specialty licenses are there? - A 2 B 4 C 3 * D 1 What are the specialty licenses? - LNS, LMH, ECC When assisting with medication, the med tech can do all of the following except? - A put the medication in the resident hand B put the medication in a cup C but the medication in the resident mouth * D get water for the resident The deficiency statement shall include: -
