RCFE Resident Care 2 — Questions and Answers
Question 1: An RCFE resident refuses to take their prescribed medication. What is the staff's first responsibility?
- Document the refusal and notify the resident's physician (Correct answer)
- Crush the medication and mix it into food without telling the resident
- Contact the resident's family to override the refusal
- Administer the medication anyway to protect the resident's health
Correct answer: Document the refusal and notify the resident's physician
Staff must document any medication refusal and notify the physician so appropriate follow-up care can be arranged.
Question 2: Which action best protects a resident's right to privacy during personal care tasks like bathing?
- Close the door and use a curtain or screen to minimize exposure (Correct answer)
- Leave the door open so staff can monitor for safety
- Invite family members to observe and assist
- Complete care quickly without explaining each step
Correct answer: Close the door and use a curtain or screen to minimize exposure
Closing the door and using a curtain minimizes unnecessary exposure and upholds the resident's dignity and privacy rights.
Question 3: A resident with a care plan specifying a low-sodium diet repeatedly requests salty snacks. How should staff respond?
- Redirect the resident to approved snacks and explain dietary restrictions (Correct answer)
- Allow the snacks occasionally since small amounts are harmless
- Provide the snacks to honor the resident's personal preference
- Ignore the request and offer no alternative
Correct answer: Redirect the resident to approved snacks and explain dietary restrictions
Staff should redirect the resident to care-plan-approved alternatives and explain the reason for the dietary restriction.
Question 4: What is the correct action when a resident develops a new skin tear during routine care?
- Clean and cover the wound, document it, and notify the supervisor and physician (Correct answer)
- Apply any available cream and monitor it privately without logging
- Ask the resident not to mention it to family to avoid concern
- Continue routine care and assess the wound at end of shift
Correct answer: Clean and cover the wound, document it, and notify the supervisor and physician
A new skin tear requires immediate first aid, documentation in the resident's record, and notification of the supervisor and physician.
Question 5: Under California regulations, how often must an RCFE conduct a face-to-face review of each resident's individualized service plan (ISP)?
- At least annually or when there is a significant change in condition (Correct answer)
- Every 30 days for all residents regardless of condition
- Only upon admission and upon discharge
- Every six months for residents over age 80
Correct answer: At least annually or when there is a significant change in condition
California Title 22 requires an ISP review at least annually and whenever a significant change in the resident's condition occurs.
Question 6: A resident who is ambulatory suddenly begins using a wheelchair. Which action is required?
- Update the resident's ISP to reflect the change in mobility status (Correct answer)
- Note it in the daily log only and wait for the annual review
- Report it to the facility director after one week of observation
- Arrange physical therapy without notifying the physician first
Correct answer: Update the resident's ISP to reflect the change in mobility status
A significant change in functional status requires immediate updating of the ISP to ensure appropriate care is planned.
Question 7: Which statement about a resident's personal funds held by an RCFE is correct?
- The facility must keep a written account and provide statements to the resident upon request (Correct answer)
- The facility may commingle resident funds with operating accounts for convenience
- Residents are not allowed to keep personal funds at an RCFE
- Fund accounting is required only for residents receiving Medi-Cal benefits
Correct answer: The facility must keep a written account and provide statements to the resident upon request
RCFEs must maintain separate written accounts of any resident personal funds held and make records available to the resident upon request.
RCFE Resident Care 2
An RCFE resident refuses to take their prescribed medication.
What is the staff's first responsibility?