ALF Dietary and Nutritional Services 2

Question 1

A resident with dysphagia has been prescribed a mechanically altered diet. What is the administrator's primary responsibility regarding this order?

Accepted Answer

Ensure the dietary staff receives and implements the physician's or dietitian's order accurately

Answer

The administrator must ensure systems exist so therapeutic diet orders are communicated to and correctly implemented by dietary staff.

Question 2

How long must potentially hazardous leftover foods generally be kept before they must be discarded in an assisted living facility?

Accepted Answer

No more than 72 hours when refrigerated and properly labeled with a date

Answer

Most food safety standards require refrigerated leftovers to be labeled, dated, and discarded within about 72 hours.

Question 3

A resident on a physician-ordered low-sodium diet repeatedly requests regular table salt. What is the most appropriate facility response?

Accepted Answer

Document the resident's informed choice after educating them on the risks and notifying the physician

Answer

Residents retain the right to make informed choices, so the facility educates, documents, and notifies the physician rather than forcing compliance or deceiving the resident.

Question 4

What is the maximum amount of time that is generally permitted between the evening meal and breakfast the next morning?

Accepted Answer

14 hours, unless a nutritious snack is offered at bedtime

Answer

Regulations commonly limit the overnight span between dinner and breakfast to about 14 hours, which may be extended slightly when a substantial bedtime snack is provided.

Question 5

During a kitchen inspection, the administrator finds raw chicken stored on a shelf above ready-to-eat salads in the walk-in cooler. Why is this a violation?

Accepted Answer

Raw poultry juices can drip onto ready-to-eat food and cause cross-contamination

Answer

Raw meats must be stored below ready-to-eat foods so drips cannot contaminate items that will not be cooked before serving.

(ALF) Assisted Living Facility Administrator Certification Practice Test

(ALF) Assisted Living Facility Administrator Certification Practice Test

ALF Dietary and Nutritional Services 2