RCFE - Residential Care Facility for the Elderly Dementia Care and Services Questions and Answers

Question 1

According to California Title 22 regulations, what are the initial dementia-specific training requirements for direct care staff working in a facility that advertises special care for persons with dementia?

Accepted Answer

6 hours of orientation specific to dementia care within the first four weeks of employment and 8 hours of annual in-service training.

Answer

4 hours of orientation before working alone and 8 hours of annual in-service training.

Answer

A 10-hour online course to be completed within the first 90 days of employment.

Answer

12 hours of on-the-job training supervised by the administrator within the first 30 days.

Question 2

A resident with dementia in an RCFE's memory care unit becomes increasingly agitated every evening, stating "I need to go home." Which of the following is the MOST appropriate initial, non-pharmacological intervention by staff?

Accepted Answer

Validating the resident's feelings, offering reassurance, and redirecting them to a calming activity like listening to familiar music.

Answer

Isolating the resident in their room to prevent them from disturbing others.

Answer

Telling the resident firmly that this is their home now and they need to stay.

Answer

Immediately administering a PRN anti-anxiety medication as ordered by the physician.

Question 3

An RCFE is opening a new, secured memory care unit to prevent elopement. According to Title 22, which of the following is a mandatory requirement for the physical environment of this unit?

Accepted Answer

The unit must have an auditory device or staff alert feature to monitor exits.

Answer

All resident rooms must be private to reduce confusion.

Answer

All flooring must be dark-colored and non-reflective.

Answer

The dining area must be separate from all common living areas.

Question 4

Which of the following is a key requirement for the activity program in a dedicated dementia care unit of an RCFE?

Accepted Answer

Activities must be tailored to the residents' abilities and preferences, focusing on meaningful engagement.

Answer

All residents must participate in at least two group activities per day to promote socialization.

Answer

The program must be designed and led exclusively by a licensed recreational therapist.

Answer

Activities must primarily focus on cognitive games to slow memory decline.

Question 5

A resident with advancing dementia begins to exhibit frequent aggressive behaviors toward staff during care. The facility has attempted multiple documented non-pharmacological interventions without success. What is the facility's primary responsibility in this situation?

Accepted Answer

Initiate a formal reassessment of the resident's condition to determine if their needs exceed the facility's licensed capabilities.

Answer

Request that the resident's physician prescribe a strong sedative.

Answer

Immediately issue a 30-day eviction notice for endangering staff.

Answer

Assign two staff members to be with the resident at all times.

Question 6

Which of the following is the most effective communication technique when assisting a resident with moderate dementia with their morning care routine?

Accepted Answer

Giving simple, one-step directions using both verbal and visual cues, such as holding up a shirt.

Answer

Asking, "What would you like to wear today and what do you want for breakfast?"

Answer

Speaking loudly and quickly to ensure the instructions are heard.

Answer

Correcting the resident each time they attempt a task incorrectly to teach them the right way.