RCFE - Residential Care Facility for the Elderly Resident Care Test 2 — Questions and Answers
Question 1: Under California Title 22, when must an RCFE notify a resident's responsible person about a change in the resident's condition?
- Within 24 hours of the change occurring (Correct answer)
- Within 7 days of the change occurring
- Only when the change requires hospitalization
- At the next scheduled care conference
Correct answer: Within 24 hours of the change occurring
Title 22 §87211 requires RCFEs to notify the resident's responsible person or designated contact within 24 hours of any significant change in a resident's physical, mental, or emotional condition.
Question 2: A resident in an RCFE has been diagnosed with dementia and occasionally wanders. Which of the following is the MOST appropriate facility response?
- Lock the resident in their room at night to ensure safety
- Implement a secured environment with appropriate supervision and safety measures (Correct answer)
- Transfer the resident immediately to a skilled nursing facility
- Require the resident to wear physical restraints during nighttime hours
Correct answer: Implement a secured environment with appropriate supervision and safety measures
RCFEs must provide a safe environment for residents with dementia, which includes secured perimeters, monitoring systems, and adequate supervision — not physical restraints or room confinement, which are prohibited.
Question 3: Which of the following best describes the RCFE's responsibility regarding a resident's prescribed medications?
- RCFE staff may decide which medications a resident needs based on observed symptoms
- The RCFE may store, assist with self-administration, or administer medications only as authorized and in compliance with Title 22 (Correct answer)
- Only licensed nurses may touch or handle any resident medications in an RCFE
- Medications must be kept in each resident's personal room for self-access at all times
Correct answer: The RCFE may store, assist with self-administration, or administer medications only as authorized and in compliance with Title 22
Under Title 22, RCFEs must follow specific regulations for medication storage and administration, including having physician orders and ensuring staff act only within their authorized scope — whether assisting with self-administration or administering directly.
Question 4: An RCFE resident refuses to eat meals consistently and is losing weight. What is the facility's required course of action?
- Document the refusal and take no further action since it is the resident's right
- Notify the resident's physician and responsible person, document the issue, and develop a care plan to address nutritional needs (Correct answer)
- Force-feed the resident to prevent further weight loss
- Immediately discharge the resident for failure to maintain their own health
Correct answer: Notify the resident's physician and responsible person, document the issue, and develop a care plan to address nutritional needs
RCFEs must monitor residents' nutritional status and, when a concern arises, notify the physician and responsible party, document findings, and revise the care plan — all while respecting the resident's autonomy.
Question 5: Under Title 22, what is required before an RCFE can perform a planned physical examination or health assessment on a resident?
- A court order authorizing the assessment
- Written consent from the facility administrator
- The resident's informed consent or consent from their authorized representative (Correct answer)
- Approval from the California Department of Social Services
Correct answer: The resident's informed consent or consent from their authorized representative
Residents retain the right to make decisions about their own health care. Before performing assessments or examinations, the RCFE must obtain informed consent from the resident or, if they lack capacity, from their authorized representative.
Question 6: A new resident arrives at an RCFE with a pre-existing stage 2 pressure injury documented by the hospital. What is the facility's first obligation?
- Begin wound care immediately without contacting any outside parties
- Refuse admission until the wound is fully healed
- Document the wound upon admission, notify the physician, and incorporate wound care into the resident's care plan (Correct answer)
- Transfer the wound care responsibility entirely to the resident's family
Correct answer: Document the wound upon admission, notify the physician, and incorporate wound care into the resident's care plan
Upon admission, RCFEs must thoroughly document the resident's current health status including existing wounds, notify the attending physician, and ensure appropriate wound care is reflected in the individualized care plan from day one.
RCFE - Residential Care Facility for the Elderly Resident Care Test 2
Under California Title 22, when must an RCFE notify a resident's responsible person about a change in the resident's condition?