1-50

Question 0

What are the fees for CNA certification ...
Initial Certification?
Renewal?
Delinquency?
Duplicate?

Answer 0

Initial $15.00
Renewal $20.00
Delinquency $10.00
Duplicate $5.00

Question 1

The local mental health department will reassess the certification of the Special Treatment Program how often?

Answer 1

Every 4 months

Question 2

What is the required temperature for hot water for the dishwashing machines?
What is the required temperature at the manifold of the final rinse?

Answer 2

Dishwashing machine hot water … 110 degrees Fahrenheit

Manifold final rinse … 180 degrees Fahrenheit

Question 3

What type of supervision is required for a physical therapy aid?

Answer 3

Direct supervision

Question 4

What is the required supply for medication in the unit dose system?

Answer 4

Unit dose must have 24 hours supply and no more than 48 hours

Question 5

What are the required minimum number of patient for a Special Treatment Program?

Answer 5

30 patients minimum

Question 6

How many hours of direct group or individual program service is required for each patient of a Special Treatment Program?

Answer 6

27 hours per week of direct group or individual service

Question 7

Initial evaluation and assessment by the facility staff must be done within how many days? (STP)

Answer 7

15 days after admission
OR
30 days prior by the referring agency

Question 8

In an emergency, a physical restraint may be applied under what circumstances? (STP)

Answer 8

A physical restraint may be applied if the patient is a danger to themselves or others
AND
must have a verbal physician’s order within one hour of the actual restraint
AND
order must be signed by the physician within 5 days

Question 9

A licensed psychiatric technician in a Special Treatment Program may do what?

Answer 9

Serve as a charge nurse and administer medications in a distinct part.

NOTE: A psych tech cannot serve as a charge nurse or administer medications in a SNF.

Question 10

What is the time frame for a psychological evaluation and assessment after admission in a Special Treatment Program?

Answer 10

45 days

Question 11

Resident’s right in a Special Treatment Program shall be prominently posted in the facility in what languages?

Answer 11

English and Spanish

Question 12

Orders for a restraint and/or seclusion, not in an emergency situation, shall be signed by the physician and renewed within what time frame?

Answer 12

Every 24 hours

Question 13

Drugs ordered STAT shall be administered within how many hours when the pharmacy is closed?

Answer 13

2 hours

Question 14

A copy of the menu as served shall be kept on file for how long?

Answer 14

At least 30 days

Question 15

List the rights of patients in a Special Treatment Program.

Answer 15

1) To wear their own clothes and to keep and use personal possessions.
2) To have access to individual storage.
3) To see visitors each day.
4) To have reasonable access to a telephone, to make and receive confidential calls.
5) To have access to letter writing materials and to receive mail un-opened.
6) To refuse shock treatments.
7) To refuse lobotomy.
8) And all other rights provided by law.

Question 16

Define Social Work Services.

Answer 16

Services which assist staff, a patient’s family to understand and cope with a patient’s personal, emotional and related health and environmental problems.

Question 17

Food supply requirements for staple and perishable foods are what?

Answer 17

One week (not 7 days) supply for staple foods and 2 days for perishables.

Question 18

Menus for regular and therapeutic diets shall be written and posted when?

Answer 18

Written and posted one week in advance.

NOTE: ICF says written one week in advance and posted only 3 days in advance.

Question 19

Define supervision, direct supervision and immediate supervision.

Answer 19

Supervision does not require the immediate presence of the supervisor.

Direct Supervision requires the supervisor to be in the same building and available.

Immediate Supervision requires the supervisor to literally be present while the task is being performed.

Question 20

How are glass thermometers disinfected?

Answer 20

Ten minutes in 70% Ethyl alcohol or 90% Isopropyl alcohol with 0.2% iodine.

Question 21

What are the requirements for a CNA who hasn’t worked as a CNA for over 2 years?

Answer 21

State says continue to meet the continuing education requirements and keep the certification up to date.
Fed regs says must re-take the original 75 hours of training and competency.

NOTE: Fed regs say that the required CNA training and competency is only 75 versus State who says 100 clinical hours and 50 hours of theory/classroom.

Question 22

Define core curriculum.

Answer 22

Core curriculum means a description of each category of study within a program which covers the minimum knowledge and skills required for nurse assistants.

Question 23

CNA program shall include what?

Answer 23

100 hours of supervised clinical training and 50 hours of theory.

NOTE: Theory hours assigned to each module are mandatory. Modules can be out of sequence but the theory hours assigned to each module must stay the same.

Question 24

How often must a CNA license be renewed?

Answer 24

Every 2 years

Question 25

How long can a part time or full time nurse assistant be employed as a nurse assistant by a facility before they are certified?

Answer 25

4 months ... after 4 months he or she must be certified to continue employment in a facility.

Question 26

How many opportunities is a CNA given to take the examination and pass?

Answer 26

A total of 3.

Question 27

Explain denial of rights.

Answer 27

Denial of Rights: A doctor can deny a patient rights for "good cause" except the right to refuse shock treatment or lobotomy. The denial must also be noted entered into the patient health record.

Question 28

Milk dispensing devices need to be approved by who?

Answer 28

The local Health Department. NOTE: ICF's are not allowed to use milk dispensing devices. They must have individual cartons and they must be opened in front of the residents. The exception is homogenized milk.

Question 29

Signed drug orders shall be transmitted to the issuing pharmacy within how many hours and transmitted how?

Answer 29

Within 48 hours either with a written prescription or an order form which produces a direct copy of the order or by fax.

Question 30

Oxygen equipment shall be maintained as follows: Humidifier bottles changed how often? And what type of water is used?

Answer 30

Changed every 24 hours and used only distilled, demineralized or de-ionized water. NOT ionized water. NOTE: ICF says vaporizer bottles must be sterilized after each use AND changed every 2 hours. Use only sterile distilled water.

Question 31

Social work services shall include but not be limited to the following:

Answer 31

1) Interview and written assessment within five days of admission. 2) Involve the patient, the family, the MD and other appropriate staff in developing a plan of care. 3) Weekly progress notes. 4) Monthly in-services for all shifts. 5) Discharge planning.

Question 32

The dietetic manual is approved by who? Reviewed how often? And revised how often?

Answer 32

1) Dietician and Patient Care Policy Committee NOTE: ICF says dietician only 2) Annually 3) At least every 5 years NOTE: ICF says "keep current"

Question 33

What are the required services in a Skilled Nursing Facility?

Answer 33

``` Physician Nursing Pharmaceutical Activities Dietary ```

Question 34

Discontinued drugs shall be destroyed within how many days of the date the drug was discontinued?

Answer 34

90 days unless the drug was started again within the 90 days

Question 35

What is the difference between drug administration and drug dispensing?

Answer 35

Drug administration is done by the person actually preparing the dose and actually giving it to the patient i.e., a nurse. Drug dispensing is the packaging and labeling of medication i.e., the pharmacist.

Question 36

Define mechanically altered diet.

Answer 36

Means a diet altered in texture.

Question 37

Define medication.

Answer 37

Means any chemical compound, remedy or non infectious biological substance, the action of which is not solely mechanical, which may be administered to patients by any route as an aid in the diagnosis, treatment or prevention of disease or other abnormal condition, for relief of pain or suffering, or to control or improve any psychological or pathological condition. NOTE: Medications used for cosmetic purposes or other non medication purposes not mentioned above are not considered "medications" in a SNF environment.

Question 38

What type of milk shall be served? | And processed according to who?

Answer 38

1) Pasteurized Grade A | 2) Division 15 of the California Food and Agricultural Code

Question 39

Changes to the menu must be noted where and how?

Answer 39

On the menu posted in the kitchen. | Line out the old item, write the reason for the change and write in the new replacement.

Question 40

What are the requirements of the facility for out patient services such as PT, OT, ST or Audiology?

Answer 40

1) Located as to minimize noise, odors, hazards and unsightliness to facility patients. 2) Out patients service units shall not traverse a nursing unit. 3) Must have separate toilets for men and women. 4) Drinking water facilities approved by DHS. 5) Hand washing facilities with hot and cold water. 6) Waiting area with space enough to seat the maximum number of persons expected at any one time.

Question 41

What is the minimum floor area requirement for PT and OT units?

Answer 41

300 square feet and no dimension less than 12 feet

Question 42

What is the requirement for exercise for a patient in a restraint?

Answer 42

No less than 10 minutes for every 2 hours in which the restraint is applied.

Question 43

How often can a cycle menu be used? | Must be revised?

Answer 43

1) No less than 3 weeks | 2) Quarterly

Question 44

Storage of non legend drugs at bedside shall meet the following:

Answer 44

1) Shall prevent access by other patients. 2) Document the use of medications and quantity of medications supplied in the patient health record. 3) Must have a physician order.

Question 45

Physician history and physical evaluation is required within what time frame?

Answer 45

72 hours following admission or 5 days prior to admission

Question 46

What is the time frame for approving a request for a change in curriculum of a certified nursing assistant program? (Also known as Program Flexibility.)

Answer 46

Minimum 30 days Medium 45 days Maximim 60 days

Question 47

Who reviews and approves the Special Treatment Program?

Answer 47

Local mental health director or designee

Question 48

Define physical restraint

Answer 48

Means any physical or mechanical device or material attached or adjacent to a patient's body that the patient cannot remove easily, which has the effect of restricting the patient's freedom of movement. NOTE: A physical restraint is not the same as a treatment restraint.

Question 49

What is the process for washing utensils not using mechanical means?

Answer 49

Wash in minimum temperature of 110 degrees F with soap or detergent and rinsed in hot water AND disinfected by one of the following: Immersion for 2 minutes at 170 degrees F, OR 30 seconds at 180 degrees F, OR in water containing bactericidal chemical approved by the Department of Health.