Exam (elaborations)
NJ CALA QUESTIONS WITH CORRECT ANSWERS
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Exam of 35 pages for the course CALA at CALA (NJ CALA)
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NJ CALAAging in Place - answerA process whereby individuals remain in their living environment
despite the physical and/mental decline and growing needs for supportive services that
may occur in the course of aging.
ADLs (Activity of Daily Living) - answerThe functions or tasks for self-care, which are
performed either independently or with supervision or assistance, such as: dressing,
bathing, toileting, transfer, locomotion, bed mobility, and eating.
Assisted Living - answerA coordinated array of supportive personal and health services
24 hours per day, to residents who have been assessed to need these services
including persons who require nursing home level care. It promotes resident self
direction and participation in decisions that emphasize independence, individuality,
privacy, dignity, and homelike surroundings.
Bounded Choice - answerLimits places on a resident's choice as a result of an
assessment, in accordance with N.J.A.C. 8:36-5.18, which indicates that such resident's
choices or preference place the resident or others at a risk of harm or lead to
consequences which violate the norms of the facility or program or the rights of others.
CPCH (Comprehensive Personal Care Home) - answerA facility which is licensed by
the Department of Health and Senior Services to provide room and board and to assure
that assisted living services are available when needed, to four or more adults unrelated
to the proprietor. Residential units in this type of facility have no more than two residents
and have a lockable door on the unit entrance.
CCRC (Continuing Care Retirement Community) - answerA facility that has received a
certificate of authority pursuant to the _________ and Financial Disclosure Act, N.J.S.A.
52:27D-300 et seq.
Customized Resident Medication Package - answerA unit-of-use package prepared by
a pharmacist for a specific resident comprising a series of containers and containing two
or more prescribed sold oral dosage forms, and so designed or labeled as to indicate
the day and time, or period of time, that the contents within each container are to be
taken.
Guardian - answerA person appointed by a court of competent jurisdiction to handle the
affairs and protect the rights of any resident of the facility who has been declared a
mental incompetent. This does not include a person affiliated with the facility, its
operations or personnel, unless so ordered by the court.
,Health Care Service - answerAny service provided to a resident of an assisted living or
comprehensive personal care home that is ordered by a physician and required to be
provided or delegated by a licensed, registered or certified health care professional.
Hospice - answerA program of palliative and supportive services provided to terminally
ill persons and their families in the form of physical, psychological, social, and spiritual
care.
Managed Risk - answerThe process of balancing resident choice and independence
with the health and safety of the resident and other persons in the facility or program. If
a resident's preference or decision places the resident or others at risk and is likely to
lead to adverse consequences, such risks or consequences are discussed with the
resident, and, if the resident agrees, a resident representative, and a formal plan to
avoid or reduce negative or adverse outcomes is negotiated, in accordance with the
provisions of N.J.A.C. 8:36-5.18.
Manage Risk Agreement - answerThe written formal plan developed in consideration of
shared responsibility, bounded choice and assisted living values and negotiated
between the resident and the facility or program to avoid or reduce the risk of adverse
outcomes which may occur in an assisted living environment.
Medication Administration - answerA procedure in which a prescribed medication or
biological is given to a resident by an authorized individual in accordance with all laws
and regulations governing such procedures.
Process of Medication Administration - answer1.) Removing an individual dose from a
previously dispensed, properly labeled container (including a unit dose or unit-of-use
container).
2.) Verifying it with the prescriber's orders.
3.) Giving the individual dose to the resident.
4.) Seeing that the resident takes it (if oral).
5.) Recording the required information, including but not limited to the method of
administration, time administered, initials of individuals who administered the
medication, and effect of the medication when "PRN" or as-needed medications are
administered.
Dignity - answerThe self-worth of a resident.
Independence - answerThe support and enhancement of resident capabilities and
facilitation of resident abilities so that the resident's preferences and choices may be
implemented within a barrier-free environment.
Individuality - answerEach resident's unique needs, capabilities, personalities,
backgrounds and preferences.
,MAR (Medication Administration Record) - answerAn individual resident record that
contains, but is not limited to: resident name, date of birth, diagnosis(es), age,
physician, name and medication strength, dosage form, route of administration,
frequency, date and time of administration, initials of individual administering the
medication, a section containing the full signature and title of each individual who initials
it, date medication ordered, stop date if appliacable, allergies, and all other
professionally acceptable information that is appropriate.
30-hour - answerA MATCEP or Medication Aide Training Competency and Evaluation
Program is a department approved minimum ____________ training course conducted
by a Department approved registered professional nurse and registered pharmacist, to
instruct CNA, CHHA, or PCAs, in the administration of medications to residents, within
assisted living residences, comprehensive personal care homes and assisted living
programs.
Nursing Home-Level Care - answerAn individual requires this as defined by N.J.A.C.
8:85-2.1. It is provided to individuals who have chronic medical condition(s) resulting in
moderate to severe impairments in physical, behavioral, cognitive, and/or psychosocial
functioning. It is determined by a registered professional nurse and identified in a plan of
care.
Pain Management - answerIn accordance with N.J.A.C. 8:43E-6, means the
assessment of pain and, if appropriate, treatment in order to assure the needs of
patients or residents of health care facilities who experience problems with pain are
met. Treatment of pain may include the use of medication or application of other
modalities and medical devices such as, but not limited to, heat or cold, massage,
transcutaneous electrical nerve stimulation (TENS), acupuncture, and neurolytic
techniques such as radiofrequency coagulation and cryotherapy.
Privacy - answerA resident's degree of control over a specific physical area and/or time;
levels of intimacy with family and others; and communication and contact with others
outside the facility or program environment.
Shared Responsibility - answerResidents (and if the resident wishes the resident's
family) and providers of assisted living services share responsibility for planning and
decision making affecting residents. To participate fully in this, residents shaw be
provided with clear and understandable information about the possible consequences of
their decision-making, in accordance with the provisions of N.J.A.C. 8:35-5.18(a)2.
Total Bed Complement - answerAnother term for resident census.
Unit Dose Drug Distribution System - answerA system in which medications are
delivered to the residents areas in single unit packaging, and which meets the following
criteria:
, 1.) Each medication shall be individually wrapped and labeled with the generic or trade
(brand) name and strength of medication, lot number or reference code, expiration date,
and manufacturer's name, and shall be ready for administration to the resident.
2.) Cautionary instructions shall appear on the resident's record of medication
administration, and the system shall include provisions for noting additional information,
including but no limited to, special times or routes of administration and storage
conditions.
3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by
reference, as amended and supplemented, and N.J.A.C. 8:39.
Unit-of-Use - answerA system of in which medications are delivered to the resident
areas either in single unity packaging, bingo or punch cards, blister or strip packs, or
other system where each medication is physically separate. Individually labeled unit
dose medications may be combined in a "bingo or punch card" to create a unit-of-dose
drug distribution system.
20 percent - answerAn assisted living facility shall indicate within 36 months of after
licensure, at least ______________ of the facility's residents shall be individuals with
nursing home-level care. This percentage shall be computed based upon the number of
residents days per calendar year and may include direct admissions as well as
maintained residents with nursing home-level of care needs.
Biennially - answerEach assisted living, comprehensive personal care home, and
assisted living program will be assessed and inspected __________________.
Survey Visits - answerThis may be made to a facility at any time by authorized staff of
the Department . Such may include, but not limited to, the review of all facility
documents and resident records and conferences with residents.
Facility Licensure - answerA licensure shall be granted for a period of one year or less
as determined by the Department.
Facility Licensure Renewal - answerThe license, unless suspended or revoked, shall be
renewed annually on the original license date, or within 30 days thereafter as of the
original licensure date. The facility will receive a request for renewal fee 30 days prior to
the expiration of the license. A renewal license will not be issued unless the licensure
fee is received by the Department.
Surrender of Facility License - answerThe facility shall notify each resident, the
resident's physician, and any guarantors of payment at least 30 days prior to the
voluntary surrender of a license, or as directed under an order of revocation, refusal to
renew, or suspension of license. In such cases, the license shall be returned to the
Long-Term Care Licensing Program of the Department within 7 working days after the
voluntary surrender, revocation, non-renewal, or suspension of license.
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