RCFE Resident Care 3

Question 1

A resident with dementia becomes agitated and starts hitting a staff member. What is the best immediate response?

Accepted Answer

Stay calm, step back to a safe distance, and use a gentle redirecting technique

Answer

Physically restrain the resident to prevent injury

Answer

Raise your voice firmly to stop the behavior

Answer

Leave the room immediately and lock the door

Question 2

An RCFE resident's family asks staff to not tell the resident about a recent terminal diagnosis. What should the staff do?

Accepted Answer

Consult the administrator and follow the resident's own wishes, as residents have the right to know their health status

Answer

Honor the family's request to reduce the resident's distress

Answer

Immediately inform the resident to uphold transparency

Answer

Defer entirely to the attending physician's preference

Question 3

What is the primary purpose of an RCFE maintaining a 24-hour activity and food log for residents?

Accepted Answer

To track patterns that may indicate changes in health or well-being

Answer

To prove the facility is meeting licensing minimums during inspections

Answer

To bill insurance companies for daily services rendered

Answer

To satisfy family members who request routine updates

Question 4

A resident is found on the floor but denies falling. What should staff do first?

Accepted Answer

Assess the resident for injuries before moving them

Answer

Help the resident up immediately so they are not on the floor longer than necessary

Answer

Call 911 before doing anything else

Answer

Ask the resident to stand up on their own to assess mobility

Question 5

Which practice best reduces the risk of infection transmission during wound care in an RCFE?

Accepted Answer

Perform hand hygiene and wear gloves before and after the procedure

Answer

Use the same pair of gloves for multiple residents to conserve supplies

Answer

Rinse gloves between residents rather than replacing them

Answer

Wear gloves only when contact with blood is expected

Question 6

An RCFE resident who has dysphagia is prescribed a minced-and-moist diet. A new staff member serves the resident regular-texture food. What is the most serious risk?

Accepted Answer

Aspiration, which can lead to aspiration pneumonia or choking

Answer

Indigestion due to harder food textures

Answer

Increased caloric intake leading to weight gain

Answer

Social embarrassment at mealtimes

Question 7

When a resident requests to speak privately with an ombudsman, what must the RCFE ensure?

Accepted Answer

That the meeting occurs without staff present and without prior notification to the facility administration

Answer

That a staff witness is present for the safety of both parties

Answer

That administration reviews any written materials the ombudsman brings

Answer

That family members are notified before the meeting takes place