RCA Resident Rights & Advocacy 4

Question 1

A resident with intact decision-making capacity refuses a bath for three consecutive days. The appropriate response is:

Accepted Answer

Document the refusal, offer alternatives, and respect the resident's decision

Answer

Competent residents have the right to refuse personal care; staff must document refusals, offer alternatives, and respect the decision without coercion.

Question 2

Which best describes 'least restrictive alternative' as applied to resident care?

Accepted Answer

Using the minimum intervention necessary to meet the resident's care needs while preserving independence

Answer

Least restrictive alternative means choosing care interventions that meet clinical goals while maintaining the maximum possible resident independence and freedom.

Question 3

A resident's family requests that a diagnosis of cancer NOT be disclosed to the resident. The care team should:

Accepted Answer

Respect the resident's right to know their own diagnosis unless the resident has previously stated they do not want certain information

Answer

Competent residents have the right to full information about their health status; families cannot block disclosure unless the resident themselves has declined certain information.

Question 4

A facility posts a resident's name, room number, and medical condition on a public bulletin board. This violates:

Accepted Answer

The resident's right to privacy under HIPAA and OBRA

Answer

Public posting of identifiable resident health information violates both HIPAA privacy rules and the OBRA-based right to privacy and confidentiality.

Question 5

When must a facility provide written information about advance directives to a resident?

Accepted Answer

At the time of admission

Answer

The Patient Self-Determination Act requires facilities to provide written information about advance directives at the time of admission.

(RCA) Relativity Certified Administrator Practice Test

(RCA) Relativity Certified Administrator Practice Test

RCA Resident Rights & Advocacy 4