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

Staff are mandated reporters, and unexplained injuries in patterns suggestive of abuse must be reported without delay.

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

Nonpharmacological, person-centered interventions addressing sundowning triggers are the first-line response to wandering behavior.

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

Negotiated risk agreements record an informed resident decision that balances autonomy with documented understanding of potential consequences.

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

Sharing prescription medications between residents is illegal and unsafe under all circumstances.

Question 5

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

Accepted Answer

Sudden onset of confusion and slurred speech

Answer

Acute confusion with slurred speech may indicate stroke or another emergency requiring immediate medical attention.

(ALF) Assisted Living Facility Administrator Certification Practice Test