Exam (elaborations)
CALA NJ
Exam of 43 pages for the course CALA NJ at CALA NJ (CALA NJ)
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CALA NJAssisted living residence - correct answer-Facility licenced by the department of health &
senior servics to provide apartment style housing & congregate dining & to assure that
assisted living servicea are abailable when needed for 4 or more adult persons unrelated to
the proprietor. Apartments offer at a minimum, 1 unfurnished room, a private bathroom, a
kitchenette & a lockable door on the unit entrance.
Assisted living values - correct answer-Promotes dignity, independence, privacy, choice,
individuality in a home like environment.
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.
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.
drug regimen review - correct answer-Individual resident record review conducted by the
consultant or provider pharmacist including but not limited to laboratory tests, dietary
requirements, medication administration records, physicians APN's or PA orders and
progress notes in order to monitor for potentially significant adverse drug reactions,
drug-to-drug and drug-to-food interactions, allergies, contractions rationality of therapy, drug
use evaluations & lab test results.
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.
Managed Risk Agreement - correct answer-A written formal plan developed in consideration
of shared responsibility, bounded choice and AL values, negotiated between the resident &
the facility to avoid or reduce risk he risk of adverse outcomes which may occur in an AL
environment.
activities of daily living (ADLs) - correct answer-basic self-care tasks such as eating, bathing,
toileting, walking, and dressing, bed mobility & transferring.
aging in place - correct answer-Individuals remain in their living environment despite their
physical and/or mental decline and growing needs for supportive services that may occur in
,the course of aging. For aging in place to occur services are added, increased or adjusted to
compensate for the individuals physical and/or mental decline.
assisted living - correct answer-Supportive personal and health services available 24/7 to
residents who have w been assessed to need these services including persons who require
nursing home level of care. AL promotes self direction & participation in decisions that
emphasize independence, dignity, privacy, choice, and individuality in home like
surroundings.
unit dose drug distribution system - correct answer-a system for distributing medication in
which the medication is delivered in single unit packaging and:
Is individually wrapped & labeled with the generic or brand name & strength of the
medication, lot number or reference code, expiration date & manufacturer name & shall be
ready for administration to the resident.
Cautionary instructions will be on residents MAR & will allow provisions for noting additional
info (special times or routes of administration, storage conditions, etc)
Commercial repackages shall comply with 21 CFR 201.1 as amended and supplemented &
NJAC8:39
Unit of use - correct answer-System of medications for resident that are delivered in either
single dose packs, bingo, or punch cards, blister or strip packs or other systems where each
medication is physically separate. Individually labels unit dose medications may be
combined in a "bingo or punch card" to create a unit of use drug distribution system.
labeled with the generic or brand name & strength of the medication, lot number or reference
code, expiration date & manufacturer name & shall be ready for administration to the
resident.
Cautionary instructions will be on residents MAR & will allow provisions for noting additional
info (special times or routes of administration, storage conditions, etc)
September 2001 - correct answer-Within 3 years the faculty has to have 10% Medicaid
eligible and 20% LTC residents
AL required services - correct answer-Staffing, environmental, nursing, dining, community
life
How often are AL values required to be taught to staff? - correct answer-Upon hire &
annually
Dignity - correct answer-the quality of being worthy of esteem or respect. The enhanced
feeling of self respect and self worth
Individuality - correct answer-Relating to a single human being; the quality of being unique
and distinctive from others.
Privacy - correct answer-The maintenance of an individual's separateness, personal space,
solitude, or seclusion; secluded or removal from public view.
,Choice - correct answer-To select or pick out; the opportunity, right or power to choose.
Independence - correct answer-the quality or state of being free of the control of others; the
quality of autonomy; not relying on others.
How long is Dementia training? - correct answer-6 hours at hire & annually
What are the 6 key points to Dementia compliance? - correct answer-1. Program policy's &
procedures
2. Required staffing postings daily
3. Assessment tools, specific to diagnosis of memory care issues
4. Staff training programs 6 hours at hire & annually
5. Services for residents
6. Elopement & Saftey protocols
What % of people live in nursing homes? - correct answer-Less than 5%
What age does intelligence peak - correct answer-65 & remains stable or continues to grow
gradually until the mid 90's
What are the theories of aging? - correct answer-Autoimmunity Theory
Activity Theory
Continuity Theory
Human needs theory
Autoimmunity theory - correct answer-The ability of immunologic system to produce
antibodies diminishes
Activity theory - correct answer-Those who stay active & can substitute activities in their life
accordingly to changes in life circumstances will obtain optimal age
Continuity theory - correct answer-Aging is dependent on a persons personality type, how
they adapt to stress & if they are able to remain socially stable over their lifespan. People
become more individual as they age. Therefore the persons lifestyle and personality will be
reflected in old age as it is in younger years
Human Needs Theory (Maslow) - correct answer-hierarchy of five needs motivates human
behavior: physiological, safety and security, love and belonging, self esteem, and self
actualization. The old person should eventually become fully self actualized. Meaning
fulfilled in self creativity relationships with friends family & society.
Aging - correct answer-The decline in physiological capabilities of functions that occurs in an
organism with the passage of time that would eventually lead to death
Disease - correct answer-A pathological or abnormal state found in any cell organ or organ
system in a unit of time or extending over many units of time. Resulting in a disturbance in
function or structure of any part, organ, or system of the body.
, CVA - correct answer-cerebrovascular accident (stroke)
Parkinson's disease - correct answer-Progressive nervous system disorder that affects
movement pill, rolling, shuffling, mask like face
TIA - correct answer-transient ischemic attack (mini stroke), recent episode of neurological
dysfunction, caused by loss of blood fell in the brain, spinal cord or retina without tissue.
Death can cause paralysis on one side of the body, difficulty with speech, difficulty,
swallowing and change and level of awareness
COPD - correct answer-Chronic obstructive, pulmonary disease, shortness of breath,
wheezing
high blood pressure - correct answer-hypertension
orthostatic hypotension - correct answer-Decrease in blood pressure related to positional or
postural changes from lying to sitting or standing positions
CHF - correct answer-Congestive heart failure, shortness of breath, swelling of the legs and
feet or stomach cough
CAD - correct answer-coronary artery disease angina pain
PVD - correct answer-peripheral vascular disease cramping of lags during activity
Diabetes - correct answer-Thirsty, sweating, lightheadedness, increased, urination, high
blood sugars
UTI - correct answer-Urinary track infection burning altered mental status
What is the top mental health issue for elders? - correct answer-Depression is anger, turned
inward
Alzheimer's disease - correct answer-Abnormal loss of brain cells accounts for 50 to 60% of
dementia and aged early onset as early as 40s and 50s progressive ends in death loss of
memory, mental functions, ability to do activities of daily living mood swings loss of
recognition of people, places, and things
What is the regulation if a resident, Mrs. three doses of a medication? - correct answer-The
RN needs to be notified because she needs to notify the physician
In assisted-living, do the residents have to be independent and ADLs? - correct answer-No
Is Alzheimer's disease reversible? - correct answer-No
How many resident rights are there? - correct answer-42
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