Deck 14: Long-Term Care

Question 1

Which of the following characterizes nursing home residents?

A) 90 percent are 65 and older
B) average age is 74 years old
C) three-fourths are women
D) all of above
E) a and c only

Answer 1

a and c only

Question 2

What is the single-most-important consideration in determining whether a frail elder can remain at home?

A) the number of chronic illnesses
B) the availability of a caregiver
C) the frailty of the individual
D) the behavior of the individual
E) incontinence

Answer 2

the availability of a caregiver

Question 3

The role of the nurse in home care does NOT include:

A) direct patient care
B) referral
C) instructing family on care techniques
D) prescribing medications
E) all of the above are included

Answer 3

prescribing medications

Question 4

What percent of older people are in nursing homes at any one point in time?

A) 4
B) 8
C) 12
D) 16
E) 20

Question 5

Which of the following programs is the largest public funding source for long term care in the United States?

A) Medicaid
B) Medicare
C) Medigap
D) Title XX
E) Veteran's Administration

Question 6

Which of the following characteristics describe the average person who cares for an elderly family member?

A) woman
B) adult child
C) average age is 63
D) all of above
E) a and b

Question 7

Which of the following is NOT elder abuse?

A) psychological abuse
B) sexual abuse
C) financial exploitation
D) neglect
E) all are elder abuse

Question 8

Which of the following services is the most common and most important to enable a frail elder to postpone or prevent institutionalization?

A) home health services
B) hospice services
C) skilled nursing services
D) transportation services
E) emergency response services

Question 9

Nursing home costs vary, but a national survey in 2006 reported that the average yearly cost for a semi-private room in a nursing home was close to

A) $39,000
B) $48,000
C) $56,000
D) $67,000
E) $81,000

Question 10

What percent of nursing home residents rely on Medicaid to finance their nursing home care?

A) 10
B) 20
C) 40
D) 60
E) 80

Question 11

Which of the following is part of the current law regarding physical restraints?

A) restraints are not allowed to be used in nursing homes
B) restraints can be used but must be regularly monitored
C) restraints are allowable if families request restraints
D) restraints are allowable for those with high fall risk
E) both b and d are correct

Question 12

Ethnic elders have higher rates of disability, but they use a smaller proportion of long-term care services.

Question 13

Many signs of abuse can be overlooked as signs of aging.

Question 14

Three-fourths of nursing home residents are women.

Question 15

The absence of a spouse is a good predictor of institutionalization.

Question 16

Families, not formal services, provide the majority of home care to frail elders.

Question 17

Medicare reimburses costs for adult day care.

Question 18

Board and care facilities do not offer medical care.

Question 19

Most elders are admitted to nursing homes because of mental problems.

Question 20

The majority of nursing homes are non-profit.

Question 21

Studies indicate that non-profit institutions offer better quality care than for-profit nursing homes.

Question 22

Medicaid is the principal public mechanism for funding nursing home care.

Question 23

Most communities do not have coordinated home care services for frail elders.

Question 24

The main contributor to elder abuse is due to long-term stress of caring for a frail elder.

Question 25

Boarding houses are the primary placement for the chronically mentally ill.

Question 26

Physical restraints are used in nursing homes because they are very effective in preventing injury to the patient.

Question 27

The majority of frail elders in nursing homes are there because their families do not want to care for them.

Question 28

The number of nursing homes is rapidly increasing.

Question 29

Nursing home costs impoverish the majority of older persons within two years of entry.

Question 30

Only about one-third of those elders who need home care services use them.

Question 31

About 20 states now have laws that require health care providers to report any type of suspected elder abuse.

Question 32

Very little long term care is financed by either private insurance or Medicare.

Question 33

Only when an elder becomes impoverished does Medicare pay for nursing home care.

Question 34

Medicare now pays for full time nursing and custodial care.

Question 35

Medicaid does not reimburse nursing homes for the full cost of care.

Question 36

Unpaid family caregivers provide the majority of home care to frail elders.

Question 37

A national study of data from Adult Protective Services revealed that approximately 55,000 elders experienced abuse and neglect in the home in 2004.

Question 38

The Adult Protective Services study reported that the most frequent form of elder abuse is self neglect.

Question 39

The stress of caring for a frail elder is the major contributor to elder abuse.

Question 40

A conservatorship removes one or more of an individual's rights.

Question 41

Individuals have the right to make poor decisions about their health and body as long as they can communicate the risks and benefits of those decisions.

Question 42

In some states, reimbursement may be provided by Medicaid to family members to care for a disabled relative.

Question 43

The cost of 24 hour-a-day medical care at home is about the same as institutional care.

Question 44

Elders who are not poor must pay the costs of home care from their own assets, especially if the care is not medical.

Question 45

Because of past problems with home care workers who had criminal records, all states now require all home care workers to have background checks.

Question 46

The majority of staff in nursing homes are nurses who perform the majority of the hands-on care for residents.

Question 47

Physicians or their representatives are mandated to visit each nursing home resident at least once a month.

Question 48

According to the National Nursing Home Survey, the average number of beds per facility is 35.

Question 49

The majority of nursing homes in this country are investor-owned (for-profit).

Question 50

National studies reveal that non-profit nursing homes have better patient outcomes, fewer citations, and more staff per patient than for-profit nursing homes.

Question 51

About three-fourths of those admitted to nursing homes die there.

Question 52

The average amount of time an elder resides in a nursing home is six years.

Question 53

Medicaid pays a flat fee for nursing home residents regardless of how much care they need.

Question 54

Nursing homes are subject to extensive regulations to ensure that the residents are cared for appropriately.

Question 55

Many studies document that the magnitude of serious deficiencies found in nursing homes is unacceptably high: about one in five homes have deficiencies serious enough to cause residents harm or place them in immediate jeopardy.

Question 56

Physical and chemical restraints are now prohibited in nursing homes by federal law.

Question 57

Briefly describe the types of services that fall under "home health care."

Question 58

What is the profile of a typical caregiver?

Question 59

Describe the characteristics of those residing in a nursing home.

Question 60

What are the differences between the Social Security program and the Supplemental Security Income program?

Question 61

What is the role of a case manager?

Question 62

Describe the profile of an elder abuser and the profile of the typical victim.

Question 63

List ten signs of self-neglect.

Question 64

Ethnic elders, despite their higher need, are less likely to use long term services. List five reasons why this occurs.

Question 65

List the four major predictors that determine use of long term care services.

Question 66

How is Medicaid funded? What long term services does Medicaid provide?

Question 67

What factors are important in determining whether frail elders stay in their own homes?

Question 68

List six types of formal support available to the caregiver of a frail relative.

Question 69

List three types of rehabilitation therapists and describe the roles of each.

Question 70

What is the difference between a personal emergency response service and an electronic emergency response system? Give an example of each.

Question 71

Compare and contrast Meals on Wheels with a congregate meal program. Who is eligible for each? What is the funding source for each?

Question 72

Describe the services offered in an adult day health center. How is it funded?

Question 73

It is predicted that a higher proportion of individuals will reside in nursing homes in the future. Give two reasons why this might be true.

Question 74

What does too much care mean in a nursing home setting? Give an example. What are the consequences for the residents?

Question 75

Discuss the benefits and limitations of home care and the benefits and limitations of nursing home care.

Question 76

What are the pros and cons of long term care insurance?

Question 77

Goffman described four characteristics of the total institution. What are they? How do those characteristics contribute to the loss of individuality?

Question 78

Discuss the staffing problems in nursing homes, why they occur, the consequences, and federal attempts to remedy the problems.

Question 79

If you were responsible for an educational program for elder caregivers, which six topics would you address and why?

Question 80

Describe the four major types of community-based sheltered living. For each type, describe the population served and the services offered. What are the advantages and disadvantages of each type of living arrangement?