ALF Resident Care and Services 4

Question 1

During a shower, an aide notices unexplained bruising on a resident's inner arms and torso. What must happen next?

Accepted Answer

Report suspected abuse immediately per facility policy and state law

Answer

Wait until the family visits to mention it

Answer

Ask the resident to keep it private

Answer

Assume the resident bruises easily and chart nothing

Question 2

Which approach best manages a resident with dementia who wanders toward exit doors each evening?

Accepted Answer

Identify triggers and provide structured evening engagement and redirection

Answer

Discharge the resident immediately

Answer

Confine the resident to her room after dinner

Answer

Sedate the resident nightly with PRN medication

Question 3

What is the main purpose of a negotiated risk or shared responsibility agreement?

Accepted Answer

To document the resident's informed choice to accept risks of a preference against staff advice

Answer

To waive the facility's liability for all negligence

Answer

To reduce the resident's monthly fees

Answer

To force the resident to follow facility rules

Question 4

A resident's daughter asks staff to give her mother's leftover antibiotics to another resident with similar symptoms. Staff should do what?

Accepted Answer

Refuse, because medications may only be used by the resident for whom they are prescribed

Answer

Agree if the symptoms match

Answer

Check with the other resident's roommate first

Answer

Give half the usual dose to be safe

Question 5

Which observation about a normally alert resident most warrants urgent clinical evaluation?

Accepted Answer

Sudden onset of confusion and slurred speech

Answer

Napping after lunch

Answer

Requesting an extra blanket

Answer

A preference to eat dinner alone

Question 6

How should staff respond when a resident with dysphagia begins coughing repeatedly while eating?

Accepted Answer

Stop the feeding, keep the resident upright, and notify the nurse

Answer

Give the resident water to wash the food down

Answer

Lay the resident flat to rest

Answer

Encourage the resident to eat faster to finish

Question 7

Which practice best protects resident dignity during personal care?

Accepted Answer

Closing doors and curtains and explaining each step before performing it

Answer

Discussing the resident's condition in the hallway

Answer

Completing care as quickly as possible without conversation

Answer

Leaving the door open for quick staff access