Resident Care Test 2 Flashcards

Under California Title 22, when must an RCFE notify a resident's responsible person about a change in the resident's condition?

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.

A resident in an RCFE has been diagnosed with dementia and occasionally wanders. Which of the following is the MOST appropriate facility response?

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.

Which of the following best describes the RCFE's responsibility regarding a resident's prescribed medications?

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.

An RCFE resident refuses to eat meals consistently and is losing weight. What is the facility's required course of action?

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.

Under Title 22, what is required before an RCFE can perform a planned physical examination or health assessment on a resident?

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.

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?

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.