RCFE Dementia Care and Services 2

Question 1

What is 'person-centered care' in the context of dementia care in an RCFE?

Accepted Answer

Tailoring care to the individual's unique life history, preferences, values, and remaining abilities

Answer

Providing the same standardized care routine to all residents with dementia

Answer

Focusing exclusively on managing behavioral symptoms with medication

Answer

Limiting activities to reduce confusion and overstimulation for all dementia residents

Question 2

What is the recommended approach when a resident with advanced dementia becomes agitated in an RCFE?

Accepted Answer

Use non-pharmacological interventions first, such as redirection, calming music, or a familiar activity

Answer

Immediately administer a PRN sedative medication

Answer

Physically restrain the resident until agitation subsides

Answer

Isolate the resident in their room with the door locked

Question 3

Why is structured routine important for residents with dementia in an RCFE?

Accepted Answer

Predictable daily routines reduce anxiety and confusion, providing security for people with dementia

Answer

Routine benefits only staff scheduling, not residents

Answer

Routines are only necessary for residents with severe dementia

Answer

Structured routines eliminate the need for individualized care planning

Question 4

What is 'sundowning' and how should RCFE staff respond to it?

Accepted Answer

Sundowning refers to increased confusion, agitation, or behavioral changes that occur in the late afternoon and evening in some people with dementia

Answer

Sundowning is a seasonal affective disorder requiring vitamin D supplements

Answer

Sundowning only occurs in residents who are awake past midnight

Answer

Sundowning is caused by medication interactions and requires immediate physician notification

Question 5

How should an RCFE staff member communicate with a resident in the early stages of Alzheimer's disease?

Accepted Answer

Use simple, clear sentences, allow extra time to respond, and avoid arguing or correcting mistaken beliefs

Answer

Use complex multi-step instructions to maintain cognitive stimulation

Answer

Avoid communicating with the resident to prevent frustration

Answer

Raise your voice to ensure the resident can hear and understand

Question 6

What is the purpose of a life history or personal biography form used in RCFE dementia care?

Accepted Answer

It collects information about the resident's background, preferences, and life story to inform person-centered care

Answer

It is used for billing and insurance purposes only

Answer

It is required only for residents who have legal conservators

Answer

It replaces the need for a formal ISP