ALF Resident Care and Services 2

Question 1

A resident with mild dementia repeatedly refuses her morning medications. What should the administrator ensure staff do first?

Accepted Answer

Document the refusal and notify the resident's physician

Answer

Withhold breakfast until she complies

Answer

Hide the medication in the resident's food

Answer

Ask another resident to encourage her to take it

Question 2

Which document must be completed before or shortly after admission to determine the services a resident will receive?

Accepted Answer

A comprehensive resident assessment

Answer

A Medicaid eligibility form

Answer

A do-not-resuscitate order

Answer

A power of attorney

Question 3

How often should a resident's service plan typically be reviewed and updated in an assisted living facility?

Accepted Answer

At least annually and whenever the resident's condition changes significantly

Answer

Only when the family requests it

Answer

Only upon discharge

Answer

Every five years

Question 4

A resident begins requiring two-person assistance for all transfers and 24-hour skilled nursing. What issue does this raise for the facility?

Accepted Answer

The resident may exceed the facility's licensed level of care and need discharge planning

Answer

The facility must immediately hire the resident a private nurse

Answer

The resident must be moved to a shared room

Answer

Nothing; assisted living can meet any care need

Question 5

Which practice best supports resident autonomy in daily care?

Accepted Answer

Offering choices in dressing, meals, and activity schedules

Answer

Assigning all residents the same wake-up time

Answer

Having staff complete all ADLs to save time

Answer

Restricting residents to preplanned menus only

Question 6

A caregiver notices a new stage 2 pressure injury on a resident's heel. What is the appropriate immediate action?

Accepted Answer

Report it to the nurse or supervisor and document the finding

Answer

Apply an over-the-counter ointment and monitor

Answer

Cover it with a bandage and continue rounds

Answer

Wait to see if it worsens before reporting

Question 7

Which service is generally OUTSIDE the scope of a standard assisted living facility?

Accepted Answer

Continuous ventilator care

Answer

Help with bathing and dressing

Answer

Medication administration assistance

Answer

Scheduled transportation to appointments