Deck 17: Economic,Residential,and Legal Issues

Question 1

One significant difference in the two levels of care in a nursing home-subacute (skilled)care and chronic care-is that subacute care:

A) provides 24-hour personal assistance to the resident.
B) focuses on rehabilitation or management of complex medical needs.
C) is provided in for-profit facilities only.
D) is not covered by Medicare.

Answer 1

focuses on rehabilitation or management of complex medical needs.

Question 2

The original intent of Social Security was to:

A) provide a hospital insurance plan.
B) minimize the dependency of older members on younger members of society.
C) provide the blind,elderly,or disabled with adequate financial support.
D) penalize women financially for numerous zero wage years while raising children.

Answer 2

minimize the dependency of older members on younger members of society.

Question 3

An 82-year-old widow was admitted to the hospital after sustaining a fall.She was found by the superintendent of her apartment building after she was not seen for 4 days.She has no living relatives.Cognitive testing performed at the time of hospital admission revealed mild cognitive impairment.The interdisciplinary team on the Acute Care for the Elderly Unit recommends long-term care placement,and guardianship is sought.The woman asks what this means.You base your response on the knowledge that:

A) a guardian is a person designated by the individual to make health care decisions when the individual is not able to.
B) a guardian is a person designated by the individual to make financial decisions when the individual is not able to.
C) a guardian is a person appointed by the court to have care,custody,and control of a disabled person and to manage personal and/or financial affairs.
D) a guardian is a person who is appointed by the court to make nursing home placement decisions only.

Answer 3

a guardian is a person appointed by the court to have care,custody,and control of a disabled person and to manage personal and/or financial affairs.

Question 4

An older adult woman is concerned that her husband,who recently suffered a stroke,is to be placed in a nursing home.The main concern that she voices to the nurse is that she will not be able to remain in the community because the nursing home will take her home away from her and she will have no money to purchase food.She is also fearful that her car will have to be sold to pay for the nursing home and she will not be able to visit her husband.Your best response is that:

A) she should not worry because a spouse is allowed to keep a percentage of the family income and cash as well as the family home,car,and personal property.
B) she should transfer all her money and assets to her son so that she will qualify for Medicaid.
C) she should make plans to care for her husband at home because Medicare will cover custodial care at home.
D) she should ask her son for the money to provide support for her because a son is legally obligated to care for older parents.

Question 5

When are managed care systems most effective?

A) When a client avoids using the system until needed in an emergency situation
B) When a client avoids using primary care practitioners and routinely accesses specialists
C) When a client uses high-tech treatments before trying less costly treatments
D) When a client uses preventive primary care services to maintain his or her health

Question 6

Your 88-year-old neighbor tells you that her daughter wants her to move to a life care community.These communities typically:

A) require that in the case of married couples,both individuals require the same level of care.
B) are decreasing in number across the United States.
C) offer a full range of residential options all in one location.
D) are for low-income seniors only.

Question 7

The cost of nursing home care is significant.The primary payer for nursing home care is:

A) Medicare.
B) Medicaid and private pay.
C) long-term care insurance.
D) Medi-Gap insurance.

Question 8

When an older adult is considering long-term care insurance (LTCI),what is an important consideration?

A) The older one is when applying,the lower the rates will be.
B) It is financially better to avoid purchasing LTCI through a group policy.
C) It is wise to scrutinize all exclusions before enrolling.
D) All policies cover care at home as well as in a long-term care facility.

Question 9

The Omnibus Budget Reconciliation Act (OBRA)of 1987 included:

A) mandatory registered nurse (RN)to patient ratios in nursing homes.
B) mandatory RN continuing education.
C) elimination of the use of restraints and medications for discipline of residents.
D) mandatory daily patient assessments by physicians.

Question 10

All are true statements about Medicare Part D except that:

A) it is an elective prescription drug plan with associated out-of-pocket premiums and co-payments.
B) all persons with either Medicare Part A or B can voluntarily purchase a Medicare Part D prescription drug plan.
C) it covers all costs of drugs after a deductible is paid.
D) the plan is not voluntary for individuals who are eligible for Medicaid and Medicare.