CALA Resident Care & Services 2 — Questions and Answers
Question 1: A resident with dementia repeatedly refuses a scheduled bath. What is the best initial response by staff?
- Document refusal and skip bathing entirely
- Use a calm voice, offer choices, and try again later (Correct answer)
- Proceed with bathing to maintain hygiene regardless of refusal
- Notify family and wait for their decision
Correct answer: Use a calm voice, offer choices, and try again later
Person-centered care requires offering choices and approaching refusal with patience before escalating.
Question 2: Which federal regulation primarily governs residents' rights in assisted living facilities that accept Medicaid?
- OSHA 1910
- ADA Title II
- State Medicaid waiver agreements and state ALF regulations (Correct answer)
- HIPAA Privacy Rule
Correct answer: State Medicaid waiver agreements and state ALF regulations
Residents' rights in Medicaid-funded ALFs are governed by state Medicaid waiver agreements and state-specific ALF licensing regulations.
Question 3: A resident's care plan calls for a 1,500 mL daily fluid restriction. The resident asks for extra water at dinner. What should staff do?
- Provide extra water as requested to honor autonomy
- Refuse and explain the physician-ordered restriction
- Document the request and offer a small portion within the daily limit (Correct answer)
- Contact the administrator before responding
Correct answer: Document the request and offer a small portion within the daily limit
Staff should honor the care plan by tracking intake and offering a portion within the prescribed limit while respecting the resident's request.
Question 4: What is the purpose of a Minimum Data Set (MDS) in resident care?
- To calculate Medicare billing for assisted living
- To assess resident needs and guide care planning in nursing facilities (Correct answer)
- To document medication administration errors
- To screen residents for assisted living admission eligibility
Correct answer: To assess resident needs and guide care planning in nursing facilities
The MDS is a standardized assessment tool used in nursing facilities to evaluate resident needs and drive individualized care planning.
Question 5: A resident newly diagnosed with Type 2 diabetes needs dietary education. Who is the most appropriate person to provide this education?
- The administrator
- A registered dietitian (Correct answer)
- Any direct care staff member
- The resident's family member
Correct answer: A registered dietitian
A registered dietitian has the clinical expertise to provide medically accurate dietary education for diabetes management.
Question 6: Under person-centered care principles, who should be the primary decision-maker regarding a competent resident's daily routine?
- The facility administrator
- The resident's physician
- The resident themselves (Correct answer)
- The resident's family
Correct answer: The resident themselves
A competent resident retains the right to make decisions about their own daily life, including schedule, activities, and personal choices.
Question 7: A resident reports feeling lonely and isolated. Which intervention best addresses psychosocial wellbeing?
- Increase medication review frequency
- Schedule a meeting with the administrator
- Develop a personalized activity plan based on past interests (Correct answer)
- Move the resident to a room closer to the nurses' station
Correct answer: Develop a personalized activity plan based on past interests
Meaningful engagement based on individual interests is the most effective intervention for loneliness and social isolation.
CALA Resident Care & Services 2
A resident with dementia repeatedly refuses a scheduled bath.
What is the best initial response by staff?