ALF Resident Care & Safety Management 2

Question 1

A resident with mild dementia repeatedly attempts to exit through a delivery entrance. What is the administrator's most appropriate FIRST action?

Accepted Answer

Update the resident's service plan and implement elopement precautions

Answer

Restrict the resident to their room during delivery hours

Answer

Transfer the resident to a skilled nursing facility immediately

Answer

Ask the family to hire a private sitter

Question 2

How often must most states require staff to conduct fire drills in an assisted living facility?

Accepted Answer

Quarterly on each shift

Answer

Only when new staff are hired

Answer

Monthly for day shift only

Answer

Annually for all staff

Question 3

Which finding during a medication administration observation is the most serious violation?

Accepted Answer

An unlicensed staff member pre-pouring medications for multiple residents

Answer

A med aide double-checking a dose with the pharmacy

Answer

Medications stored in a locked cart

Answer

A resident self-administering after a documented self-administration assessment

Question 4

A resident falls in the dining room but appears uninjured. What must staff do in addition to assessing the resident?

Accepted Answer

Document the incident and initiate post-fall monitoring per policy

Answer

Nothing further if there is no visible injury

Answer

Send the resident to the emergency room automatically

Answer

Wait 72 hours before notifying the family

Question 5

Which water temperature standard best protects assisted living residents from scald injuries?

Accepted Answer

Hot water at resident fixtures maintained at or below approximately 120°F

Answer

Hot water maintained above 140°F to control bacteria at the tap

Answer

Any temperature residents personally prefer

Answer

Cold water only in resident bathrooms

Question 6

During an infection outbreak of norovirus, which control measure is most critical for the administrator to enforce?

Accepted Answer

Strict handwashing with soap and water and enhanced environmental cleaning

Answer

Reliance on alcohol-based hand sanitizer alone

Answer

Doubling residents' fluid intake

Answer

Closing all windows to prevent airborne spread

Question 7

A resident's family demands the facility use a lap belt to keep the resident from standing. The administrator should explain that:

Accepted Answer

Physical restraints are generally prohibited and less restrictive fall interventions must be used

Answer

Restraints are permitted if applied for less than four hours

Answer

Restraints are allowed whenever family provides written consent

Answer

The facility can use restraints only on weekends