RCFE Resident Care Test

Question 1

Under Title 22, which of the following is a prohibited practice regarding physical restraints in an RCFE?

Accepted Answer

Routinely using physical restraints as a behavioral management strategy

Answer

Using a seatbelt in a wheelchair as a safety measure when approved in the ISP

Answer

Using bed rails that the resident specifically requests and are approved by a physician

Answer

Providing a positioning device recommended by a physical therapist

Question 2

What does 'least restrictive environment' mean in the context of RCFE care?

Accepted Answer

Using the approach that provides necessary care while maximizing the resident's freedom, independence, and dignity

Answer

Providing the minimum number of care services to reduce costs

Answer

Allowing residents to do whatever they want regardless of safety

Answer

Placing residents in the facility wing with the fewest rules

Question 3

An RCFE resident with limited mobility is at risk for pressure injuries (bed sores). What care measures are required?

Accepted Answer

Implement a regular repositioning schedule, use pressure-relieving devices, maintain skin hygiene, and monitor for early signs of breakdown

Answer

Restrict the resident to bed to prevent falls, which reduces pressure injury risk

Answer

Only address pressure injuries after they develop

Answer

Pressure injury prevention is the physician's responsibility, not the facility's

Question 4

What is the RCFE's obligation when a resident is hospitalized and later returns to the facility?

Accepted Answer

Conduct a re-admission assessment to identify any changes in care needs resulting from the hospitalization and update the ISP accordingly

Answer

No action is required; the resident simply returns to their previous room and routine

Answer

Require the resident to sign a new admission agreement upon return from hospitalization

Answer

Place the resident on a 14-day observation period with no care plan in place

Question 5

How should RCFE staff handle a situation where a resident's family member demands care approaches that conflict with the resident's own stated preferences?

Accepted Answer

Honor the resident's preferences if the resident has decision-making capacity; family input should be considered but does not override the resident's choices

Answer

Follow the family member's instructions as they likely know what is best

Answer

Request the family to take custody of the resident if they disagree with care

Answer

Escalate to CDSS immediately for all family disagreements

Question 6

What is the significance of the 'Residents' Bill of Rights' in California's RCFE regulatory framework?

Accepted Answer

It is a legally enforceable set of rights protecting the dignity, autonomy, and well-being of all RCFE residents

Answer

It is an optional code of conduct that facilities may adopt voluntarily

Answer

It applies only to residents receiving government funding

Answer

It is a federal document that supersedes California state regulations