RCA Resident Rights & Advocacy 2

Question 1

A resident's family member demands to see the resident's medical chart without the resident's consent. What is the administrator's correct response?

Accepted Answer

Deny access and explain that the resident must provide written authorization

Answer

Under HIPAA, residents control their own health information and family members cannot access records without the resident's written authorization.

Question 2

Which federal law enacted in 1987 established comprehensive resident rights in nursing facilities receiving Medicare or Medicaid funding?

Accepted Answer

OBRA (Omnibus Budget Reconciliation Act)

Answer

OBRA 1987 established the foundation of nursing facility resident rights and quality-of-care standards still enforced today.

Question 3

A resident refuses a prescribed medication. Staff insists the resident must take it for their own safety. Which principle is being violated?

Accepted Answer

Autonomy and the right to refuse treatment

Answer

Residents have the absolute right to refuse any treatment, including medications, and staff cannot override this decision.

Question 4

The Long-Term Care Ombudsman program is required by which legislation?

Accepted Answer

Older Americans Act

Answer

The Older Americans Act mandates the Long-Term Care Ombudsman Program, which advocates for residents in nursing facilities and board-and-care homes.

Question 5

A resident with dementia is placed in physical restraints without a physician order or informed consent process. This violates which resident right?

Accepted Answer

Freedom from restraint used for discipline or staff convenience

Answer

OBRA mandates freedom from physical restraints imposed for discipline or convenience; restraints require a physician order, clinical justification, and least-restrictive approach.

(RCA) Relativity Certified Administrator Practice Test

(RCA) Relativity Certified Administrator Practice Test

RCA Resident Rights & Advocacy 2