ALF - Assisted Living Facility Administrator Dementia and Memory Care Questions and Answers Flashcards
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Which stage of Alzheimer's disease is characterized by the loss of ability to recognize family members and the need for full assistance with all activities of daily living (ADLs)?
Answer: Late stage
In late-stage Alzheimer's, individuals lose recognition of loved ones, verbal communication, and the ability to perform any ADLs independently.
Restraint use in a memory care ALF must comply with which standard?
Answer: Restraints require informed consent, documentation of need, regular re-evaluation, and must be the least restrictive option
Restraint use requires informed consent, documented clinical justification, regular monitoring, and must always represent the least restrictive appropriate option.
An ALF administrator notices that a memory care resident's documented weight has decreased significantly over three months. The FIRST action should be:
Answer: Notify the interdisciplinary care team and conduct a nutritional assessment
Significant weight loss warrants prompt interdisciplinary review including dietary assessment to identify causes such as swallowing difficulties, depression, or medication effects.
In a memory care unit, 'validation therapy' is used to:
Answer: Acknowledge and empathize with the resident's feelings and perceived reality rather than arguing
Validation therapy respects the subjective experience of dementia residents by meeting them in their reality rather than correcting or confronting their confusion.
Families of memory care residents should be involved in care planning primarily because:
Answer: They can provide valuable information about the resident's life history, preferences, and baseline behavior
Families are often the most knowledgeable source of the resident's personal history and preferences, which is essential for individualized dementia care.
Which of the following is a key responsibility of an ALF administrator overseeing a memory care unit during a state inspection?
Answer: Ensuring all documentation, care plans, and staff training records are current and accessible
Administrators must maintain accurate, up-to-date documentation and staff training records to demonstrate compliance with memory care standards during surveys.