Mixed Deck — All RCFE Topics Flashcards
100 cards from real RCFE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 20 Mixed Deck — All RCFE Topics flashcards as text
What is the single most effective method to prevent the spread of infections in an RCFE?
Answer: Frequent and proper handwashing
Proper handwashing remains the most effective measure to prevent transmission of infectious agents in care settings, according to the CDC.
What is the minimum staff-to-resident ratio required during nighttime hours at an RCFE with 16 residents?
Answer: Depends on resident care needs
RCFE staffing ratios during nighttime are determined by the assessed needs of residents rather than a fixed universal ratio.
To ensure resident needs are met during an emergency, Title 22 mandates that an RCFE must maintain a minimum supply of food on the premises at all times. Which of the following correctly states this requirement?
Answer: A 1-week supply of nonperishable food and a 2-day supply of perishable food.
Title 22, Section 87555(b)(26) explicitly requires that RCFEs maintain supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days on the premises.
Under Title 22, which of the following is a prohibited practice regarding physical restraints in an RCFE?
Answer: Routinely using physical restraints as a behavioral management strategy
Routine use of physical restraints as behavior management is prohibited. Restraints may only be used in narrow circumstances with medical justification and informed consent.
What is 'validation therapy' in dementia care?
Answer: A communication approach that acknowledges and respects the emotional reality of a person with dementia rather than correcting factual errors
Validation therapy acknowledges the emotional truth of the dementia patient's experience, reducing distress without arguing about factual accuracy.
Under Title 22, what is the required action when a fire alarm sounds in an RCFE during the night shift?
Answer: Immediately initiate evacuation procedures for all residents according to the emergency plan
A sounding fire alarm requires immediate initiation of evacuation procedures for all residents — investigation delays endanger lives.
If a resident exhibits signs of choking in an RCFE, what is the initial response?
Answer: Perform abdominal thrusts (Heimlich maneuver)
If a resident is exhibiting signs of choking, the initial and most critical response is to perform abdominal thrusts (Heimlich maneuver) if they are conscious and unable to clear their airway. This life-saving technique is designed to dislodge the obstruction and restore breathing. Delaying action or offering water can worsen the situation, making immediate intervention vital.
A resident is diagnosed with Clostridium difficile (C. diff). Which cleaning approach is most effective against C. diff spores?
Answer: Soap and water handwashing; EPA-registered bleach solution on surfaces
C. diff spores are resistant to alcohol, so soap and water must be used for hand hygiene, while EPA-registered sporicidal bleach solutions are required on environmental surfaces.
Which of the following is a permissible reason for an RCFE to involuntarily discharge a resident?
Answer: The resident's needs exceed what the RCFE is licensed to provide
An RCFE may discharge a resident if their care needs have increased beyond what the facility is licensed to safely provide.
During a wildfire evacuation, an RCFE resident refuses to leave. What must staff do?
Answer: Document the refusal, attempt to persuade the resident, and if the emergency is life-threatening, contact emergency services for assistance
Staff must attempt to persuade the resident and, in a life-threatening emergency, contact emergency services — they cannot force the resident but also cannot simply abandon them.
What must an RCFE do if a staff member's criminal background clearance is pending and they have not yet received approval?
Answer: Prohibit the individual from working in the facility until clearance is received
Staff members must receive criminal background clearance before being permitted to work in an RCFE; they cannot begin employment while clearance is pending.
An RCFE licensee wants to increase the number of residents beyond the facility's current licensed capacity. What is the correct procedure?
Answer: The licensee must submit a capacity increase application to CDSS and receive written approval before admitting additional residents
Under Title 22, an RCFE may not exceed its licensed capacity at any time. To increase capacity, the licensee must apply to CDSS, which will evaluate the physical plant, staffing plan, and safety conditions before issuing written approval for the change.
Under California Title 22, what is the required minimum age for a resident to be admitted to an RCFE?
Answer: 60 years of age
Residents admitted to an RCFE must be at least 60 years of age, with some exceptions for younger individuals with qualifying conditions.
An RCFE resident's family asks staff to not tell the resident about a recent terminal diagnosis. What should the staff do?
Answer: Consult the administrator and follow the resident's own wishes, as residents have the right to know their health status
Residents have the right to information about their own health; staff should consult the administrator and respect the resident's expressed wishes.
What must an RCFE do if a communicable disease outbreak occurs among residents?
Answer: Notify the local public health department and implement infection control measures
An RCFE must notify the local public health department and implement infection control procedures during a communicable disease outbreak.
A sudden power outage occurs at an RCFE. The facility's emergency and disaster plan must ensure it can be self-reliant for what minimum period?
Answer: 72 hours
California Health and Safety Code requires RCFE emergency plans to include provisions for the facility to be self-reliant for a period of not less than 72 hours following an emergency, including power failures.
Which of the following actions is considered permissible "assistance with self-administration" of medications by RCFE staff?
Answer: Reminding a resident to take their medication and handing them the pre-filled container.
RCFE staff are permitted to assist residents with the self-administration of medications. This includes reminding the resident, opening containers, and handing the medication to the resident. Staff, unless they are licensed professionals, cannot administer injections. Hiding medication or altering prescription labels is strictly prohibited.
A resident's family has expressed concerns about their mother's privacy. Which of the following actions by the facility would constitute a violation of the resident's personal rights under Title 22?
Answer: Opening and inspecting a package delivered to the resident to check for prohibited items.
According to the Personal Rights for residents in an RCFE (LIC 613A), residents have the right to send and receive mail uncensored and unopened. Opening a resident's package without their consent is a direct violation of their right to privacy.
In RCFE infection control, what does 'cohorting' residents mean?
Answer: Housing residents with the same infection together to limit spread to others
Cohorting involves grouping residents who have the same active infection and assigning dedicated staff to that group to limit pathogen spread to unaffected residents.
An RCFE resident who has dysphagia is prescribed a minced-and-moist diet. A new staff member serves the resident regular-texture food. What is the most serious risk?
Answer: Aspiration, which can lead to aspiration pneumonia or choking
Serving incorrect food texture to a resident with dysphagia creates a serious aspiration risk that can result in pneumonia or death.