RCFE Resident Care 2

Question 1

An RCFE resident refuses to take their prescribed medication. What is the staff's first responsibility?

Accepted Answer

Document the refusal and notify the resident's physician

Answer

Crush the medication and mix it into food without telling the resident

Answer

Contact the resident's family to override the refusal

Answer

Administer the medication anyway to protect the resident's health

Question 2

Which action best protects a resident's right to privacy during personal care tasks like bathing?

Accepted Answer

Close the door and use a curtain or screen to minimize exposure

Answer

Leave the door open so staff can monitor for safety

Answer

Invite family members to observe and assist

Answer

Complete care quickly without explaining each step

Question 3

A resident with a care plan specifying a low-sodium diet repeatedly requests salty snacks. How should staff respond?

Accepted Answer

Redirect the resident to approved snacks and explain dietary restrictions

Answer

Allow the snacks occasionally since small amounts are harmless

Answer

Provide the snacks to honor the resident's personal preference

Answer

Ignore the request and offer no alternative

Question 4

What is the correct action when a resident develops a new skin tear during routine care?

Accepted Answer

Clean and cover the wound, document it, and notify the supervisor and physician

Answer

Apply any available cream and monitor it privately without logging

Answer

Ask the resident not to mention it to family to avoid concern

Answer

Continue routine care and assess the wound at end of shift

Question 5

Under California regulations, how often must an RCFE conduct a face-to-face review of each resident's individualized service plan (ISP)?

Accepted Answer

At least annually or when there is a significant change in condition

Answer

Every 30 days for all residents regardless of condition

Answer

Only upon admission and upon discharge

Answer

Every six months for residents over age 80

Question 6

A resident who is ambulatory suddenly begins using a wheelchair. Which action is required?

Accepted Answer

Update the resident's ISP to reflect the change in mobility status

Answer

Note it in the daily log only and wait for the annual review

Answer

Report it to the facility director after one week of observation

Answer

Arrange physical therapy without notifying the physician first

Question 7

Which statement about a resident's personal funds held by an RCFE is correct?

Accepted Answer

The facility must keep a written account and provide statements to the resident upon request

Answer

The facility may commingle resident funds with operating accounts for convenience

Answer

Residents are not allowed to keep personal funds at an RCFE

Answer

Fund accounting is required only for residents receiving Medi-Cal benefits