RCFE Administrator Exam Study Guide Questions and Complete Solutions, Exams of Nursing

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RCFE Administrator Exam Study Guide

Questions and Complete Solutions

Every residential care facility for the elderly shall _____ the provisions of the lesbian, gay, bisexual, and transgender long-term care facility residents' bill of rights. - Correct Ans: Abide by When observed changes in a resident's behavior result in a diagnosis of dementia, a licensee, wanting to retain the resident, shall ensure that all of the following are complete EXCEPT: - Correct Ans: Submit a restricted health care waiver to the department on behalf of the resident Outdoor facility space used for resident recreation and leisure shall be completely enclose to protect the safety of residents by all of the following methods EXCEPT: - Correct Ans: Fence with self-closing gate What must the licensee do 30 days prior to discontinuing advertising or promoting dementia special care, programming, or environments? - Correct Ans: Submit a request to the licensing agency for a change to the type to license on file What term is given to the loss of intellectual and cognitive functions, sufficient to interfere with an individual's ability to perform activities of daily living or carry out social or occupation activities? - Correct Ans: Bedridden To protect the safety of residents with dementia, outdoor facilities space used for resident recreation and leisure shall be completely secured by a: - Correct Ans: Door that sounds an alarm when opened Which of the following is an example of something dangerous to residents diagnosed with dementia, and therefore shall be stored inaccessible to those residents? - Correct Ans: Weed killer Which of the following training topic MUST. Be included in training for staff who provide direct care to residents with dementia? - Correct Ans: Recognizing the effects of medications commonly used to treat the symptoms of dementia In addition to on-the-job training requirements, staff who provide direct care to residents with dementia shall receive all of the following training on dementia care EXCEPT: - Correct Ans: Behavioral challenges

The activity program shall address the needs and limitations of residents and include large motor activities along with perceptual and sensory stimulation for residents with what type of illness? - Correct Ans: Dementia Activity programs for residents with dementia should include all of the following EXCEPT activities that: - Correct Ans: Improve skills with sharp objects Under which of the follow conditions MAY RCFE staff designated by the licensee assist residents with self-administered medications? - Correct Ans: Assistance required because of tremors, failing eyesight and similar conditions A resident's medication shall NOT be: - Correct Ans: Transferred between containers In facilities licensed to provide care for 15 or fewer persons, how many hours of hands-on shadowing training shall direct care staff employees complete prior to assisting with self-administrations of medications for residents? - Correct Ans: Three (3) Which of the following is NOT one of the licensee's responsibilities regarding residents with diabetes? - Correct Ans: Ensure sufficient amounts of medicines, testing equipment, syringes, and supplies are maintained and stored in the facility RCFEs licensed to provide care for 16 or more persons shall maintain documentation that demonstrates that consultant pharmacist or nurse has reviewed the facility's medication management program and procedures at least how often? - Correct Ans: Once a year If a resident is unable to determine his/her own needs, the facility may assist with the self- administration of medications per the direction of: - Correct Ans: The resident's physician As of January 2016, in RCFEs licensed to provide care for 16 or more person, how many hours of hands- on shadowing training shall direct care staff employees complete prior to assisting with self- administration of medications for residents? - Correct Ans: 12 hours

What type of clearance must an applicant or licensee of a facility obtain to accept or retain non ambulatory persons or bedridden persons? - Correct Ans: Fire safety If a licensee safeguards a resident's cash in an amount ranging from $1 to $750, the licensee shall have a copy of a valid surety bond on file for the amount of: - Correct Ans: $1, If a poisoning occurs that threatens the welfare, safety, or health of residents, personnel or visitors, the licensee shall notify the licensing agency within: - Correct Ans: 24 hours The fair labor standards act sets a minimum age of ____ years old for non-agricultural employment. - Correct Ans: Sixteen In which of the following locations must planned activity schedules be posted? - Correct Ans: A dental location that is accessible to residents, relatives, and representatives or placement and referral agencies The fair labor standards act states that employers are required to keep payroll records for how many years? - Correct Ans: 3 Emergency exiting plans and telephone numbers shall be: - Correct Ans: Posted Following termination of service to the resident, original records or reproductions shall be retained for a minimum of: - Correct Ans: 3 years Without a formal release of information, the licensee shall ensure that separate, complete and current record is maintained for each resident in the facility that is available to whom? - Correct Ans: Facility staff and licensing agency staff Without a formal release of information, the licensee shall ensure that a separate, complete and current record is maintained for each resident in the facility that is available to whom? - Correct Ans: Facility staff and licensing agency staff Start-up funds for an RCFE shall be sufficient to meet a minimum of ______ operating costs. - Correct Ans: 3 months

The minimum amount of food that shall be stored in an RCFE is: - Correct Ans: One week of nonperishable and two days of perishable When accepting a resident in an RCFE, the licensee shall obtain and keep on file documentation of a complete medical assessment which must be signed by: - Correct Ans: A physician All of the following foods are acceptable to serve or be made available to RCFE residents EXCEPT: - Correct Ans: Home-canned pickles Freezers must be of adequate size and maintained at a temperature of: - Correct Ans: 0 degrees F The term "transfer trauma" is used to describe the consequences of stress and emotional shock caused:

• Correct Ans: By an abrupt, involuntary relocation of a resident from one facility to another Meals prepared for RCFE residents shall consist of an appropriate variety of foods and shall be planned with consideration for cultural and religious background and: - Correct Ans: Food habits of residents If all food is provided by the facility, each resident has available at least three meals per day plus between-meal nourishment or snacks unless the resident's dietary needs: - Correct Ans: Are limited by dietary restrictions prescribed by a physician What is the longest amount of time that may pass between a resident's 3rd meal of one day to the first meal of the next day? - Correct Ans: 15 hours Per definition, an "ambulatory person" is a person who is capable of demonstrating the mental competence and physical ability to - Correct Ans: Leave a building without assistance of any other person or without the use of any mechanical aid in case of an emergency An RCFE must have all of the following regarding food EXCEPT: - Correct Ans: A variety of food to meet the dietary needs of staff and visitors