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NJ Certified Assisted Living Administrator (CALA) Exam
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NJ Certified Assisted Living Administrator (CALA) Exam ...
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NJ Certified Assisted Living Administrator (CALA) Exam 2023-2024 Aging in Place - 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) - 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 - 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 - 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) - 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) - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - ANSWER The self-worth of a resident. Independence - 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 - ANSWER Each resident's unique needs, capabilities, personalities, backgrounds and preferences. MAR (Medication Administration Record) - 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 - 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 - 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 - 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 - 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 - 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 decisionmaking, in accordance with the provisions of N.J.A.C. 8:35-5.18(a)2. Total Bed Complement - ANSWER Another term for resident census. Unit Dose Drug Distribution System - 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 - 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. 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