ALF Resident Care and Services 2 — Questions and Answers
Question 1: A resident with mild dementia repeatedly refuses her morning medications. What should the administrator ensure staff do first?
- Withhold breakfast until she complies
- Hide the medication in the resident's food
- Ask another resident to encourage her to take it
- Document the refusal and notify the resident's physician (Correct answer)
Correct answer: Document the refusal and notify the resident's physician
Residents retain the right to refuse medication, and refusals must be documented and reported to the prescriber for follow-up.
Question 2: Which document must be completed before or shortly after admission to determine the services a resident will receive?
- A Medicaid eligibility form
- A do-not-resuscitate order
- A comprehensive resident assessment (Correct answer)
- A power of attorney
Correct answer: A comprehensive resident assessment
An initial resident assessment identifies care needs and drives the individualized service plan required at admission.
Question 3: How often should a resident's service plan typically be reviewed and updated in an assisted living facility?
- Only when the family requests it
- Only upon discharge
- Every five years
- At least annually and whenever the resident's condition changes significantly (Correct answer)
Correct answer: At least annually and whenever the resident's condition changes significantly
Most state regulations require service plan reviews at set intervals and after any significant change in condition.
Question 4: A resident begins requiring two-person assistance for all transfers and 24-hour skilled nursing. What issue does this raise for the facility?
- The facility must immediately hire the resident a private nurse
- The resident must be moved to a shared room
- The resident may exceed the facility's licensed level of care and need discharge planning (Correct answer)
- Nothing; assisted living can meet any care need
Correct answer: The resident may exceed the facility's licensed level of care and need discharge planning
When needs exceed the scope of the facility's license, the administrator must initiate appropriate transfer or discharge planning.
Question 5: Which practice best supports resident autonomy in daily care?
- Assigning all residents the same wake-up time
- Having staff complete all ADLs to save time
- Restricting residents to preplanned menus only
- Offering choices in dressing, meals, and activity schedules (Correct answer)
Correct answer: Offering choices in dressing, meals, and activity schedules
Person-centered care preserves independence by giving residents meaningful choices in their daily routines.
Question 6: A caregiver notices a new stage 2 pressure injury on a resident's heel. What is the appropriate immediate action?
- Apply an over-the-counter ointment and monitor
- Cover it with a bandage and continue rounds
- Wait to see if it worsens before reporting
- Report it to the nurse or supervisor and document the finding (Correct answer)
Correct answer: Report it to the nurse or supervisor and document the finding
Skin breakdown is a significant change requiring prompt reporting, documentation, and clinical follow-up.
Question 7: Which service is generally OUTSIDE the scope of a standard assisted living facility?
- Help with bathing and dressing
- Medication administration assistance
- Continuous ventilator care (Correct answer)
- Scheduled transportation to appointments
Correct answer: Continuous ventilator care
Continuous ventilator dependence is a skilled nursing level of care beyond most assisted living licenses.
ALF Resident Care and Services 2
A resident with mild dementia repeatedly refuses her morning medications.
What should the administrator ensure staff do first?