ALF - Assisted Living Facility Administrator Dementia and Memory Care Questions and Answers Flashcards
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Which of the following is the most common form of dementia affecting residents in assisted living facilities?
Answer: Alzheimer's disease
Alzheimer's disease accounts for approximately 60–80% of all dementia cases and is the most prevalent type seen in ALF memory care units.
A resident with dementia repeatedly tries to leave the ALF, believing they need to pick up their children from school. This behavior is BEST described as:
Answer: Exit-seeking or elopement behavior rooted in past role memory
Exit-seeking in dementia is often driven by deeply ingrained memories and past roles, requiring a person-centered, validating response.
In a memory care unit, the physical environment should be designed to:
Answer: Support orientation, safety, and familiar cues to reduce confusion
Memory care environments should include familiar cues, clear wayfinding, safe outdoor access, and calm aesthetics to support resident well-being.
When a memory care resident becomes agitated, the FIRST recommended intervention is:
Answer: Identify and address the underlying unmet need or trigger
Agitation in dementia is often a communication of unmet needs such as pain, hunger, or overstimulation; addressing the root cause is the first non-pharmacological step.
Which federal law requires that nursing facilities and ALFs receiving Medicaid funds protect the rights of residents with cognitive impairments?
Answer: Nursing Home Reform Act (OBRA 1987)
OBRA 1987 established comprehensive resident rights protections, including for cognitively impaired residents, that influence ALF standards nationwide.
What does 'person-centered care' mean in the context of memory care in an ALF?
Answer: Tailoring care to each resident's individual history, preferences, and strengths
Person-centered care in memory care honors each resident's life history, preferences, and remaining abilities to promote dignity and quality of life.