RCFE - Residential Care Facility for the Elderly Resident Assessment and Care Questions and Answers

Question 1

According to California Title 22 regulations, a pre-admission appraisal for a potential RCFE resident must include an evaluation of their functional capabilities, mental condition, and which other key area?

Accepted Answer

Social factors

Answer

California Code of Regulations, Title 22, Section 87457 mandates that a pre-admission appraisal must document an evaluation of the prospective resident's functional capabilities, mental condition, and social factors to determine their suitability for the facility.

Question 2

A new resident, Mr. Smith, moves into an RCFE. He has a history of falls. During the initial assessment, the administrator notes he has difficulty getting out of his chair and walking to the bathroom. What is the MOST critical immediate action for the facility to take?

Accepted Answer

Incorporate specific interventions for fall risk into his individual Needs and Services Plan.

Answer

Upon identifying a specific need or risk, such as difficulty with transferring and ambulation, the facility must immediately develop and implement an individualized Needs and Services Plan that addresses the issue. This proactive approach is essential for ensuring resident safety and providing appropriate care from the moment of admission.

Question 3

A resident's reappraisal must be conducted at least every 12 months, or when which of the following occurs?

Accepted Answer

There is a significant change in their physical or mental condition.

Answer

Title 22 requires that a resident's appraisal be updated at least annually and, crucially, whenever there is a significant change in the resident's physical, mental, or social condition to ensure their needs continue to be met by the facility.

Question 4

Which of the following is an example of a 'functional capability' that must be assessed in a resident according to Title 22?

Accepted Answer

The need for assistance with dressing and grooming.

Answer

Title 22, Section 87459, explicitly lists the assessment of a person's ability to perform Activities of Daily Living (ADLs) as a key part of evaluating functional capabilities. This includes activities like bathing, dressing, grooming, toileting, transferring, and eating.

Question 5

A resident develops a new, persistent cough and shows signs of confusion. The RCFE staff has observed these changes over the past 48 hours. What is the required next step regarding the resident's care plan and assessment?

Accepted Answer

Initiate a reappraisal to document the change in condition and notify the resident's physician.

Answer

A new cough and confusion constitute a significant change in a resident's physical and mental condition. Regulations require the facility to perform a reappraisal to assess the new needs and report the change to the resident's physician to determine if the facility can continue to meet those needs.

RCFE (Residential Care Facility for the Elderly) Practice Test

RCFE (Residential Care Facility for the Elderly) Practice Test

RCFE - Residential Care Facility for the Elderly Resident Assessment and Care Questions and Answers