NJ CALA UPDATED Exam Questions and
CORRECT Answers
Aging in Place - Correct Answer- A 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) - Correct Answer- The 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 - Correct Answer- A 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 - Correct Answer- Limits 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) - Correct Answer- A 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) - Correct Answer- A 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 - Correct Answer- A 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 - Correct Answer- A 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 - Correct Answer- Any 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 - Correct Answer- A 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 - Correct Answer- The 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 - Correct Answer- The 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 - Correct Answer- A 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 - Correct Answer- 1.) 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 - Correct Answer- The self-worth of a resident.
Independence - Correct Answer- The 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 - Correct Answer- Each resident's unique needs, capabilities, personalities,
backgrounds and preferences.
MAR (Medication Administration Record) - Correct Answer- An 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 - Correct Answer- A 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 - Correct Answer- An 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 - Correct Answer- In 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 - Correct Answer- A 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 - Correct Answer- Residents (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 - Correct Answer- Another term for resident census.
Unit Dose Drug Distribution System - Correct Answer- A 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 - Correct Answer- A 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 - Correct Answer- An 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 - Correct Answer- Each assisted living, comprehensive personal care home, and
assisted living program will be assessed and inspected __________________.
