Deck 9: Facilities for Individuals With Intellectual Disabilities

Question 1

_______________ is the process by which a person is assisted to acquire and maintain life skills that enable the person to cope more effectively with personal and environmental demands and to raise the level of his or her physical, mental, and social efficiency.

A) Assessment
B) Direct care
C) Habilitation
D) Training objective

Answer 1

Habilitation

Question 2

One difference in the way that services rendered to an ICF/IID client differ from those in other settings is that in the ICF/IID setting, __________________.

A) services must include training
B) dietary services are rarely included
C) services are provided during the day, but not at night
D) dental services are excluded

Answer 2

services must include training

Question 3

What types of coding may be utilized in an ICF/IID?

A) ICD
B) DSM
C) Intellectual Disability: Definition, Classification, and Systems of Supports, Eleventh Edition
D) All of the above
E) None of the above

Answer 3

All of the above

Question 4

The ______________________is a standardized assessment instrument that can be used for program planning and is also used in several states as a data collection tool for case mix reimbursement to ICF/IID organizations.

A) American Association on Intellectual Disability Assessment (AAIDA)
B) Inventory for Client and Agency Planning (ICAP)
C) Annual Staffing Process (ASP)
D) Home and Community Based Services (HCBS) Assessment

Question 5

The preferred term for significant limitations in both intellectual functioning and adaptive behavior expressed in conceptual, social, and practical adaptive skills and age of onset before the age of 18 is _____________________.

A) intellectual disability
B) mental retardation
C) cognitively challenged
D) special needs

Question 6

In an ICF/IID, the individualized program plan is developed by the ___________________.

A) qualified developmental disability professional
B)individual receiving services
C) interdisciplinary team
D) health information manager

Question 7

With regard to placement of an individual in an ICF/IID setting, _____________________

A) the ICF/IID setting is preferable to less restrictive settings
B) the ICF/IID is almost always the least restrictive setting for individuals with intellectual disabilities
C) such placements should be considered permanent, unless the ICF/IID is the least restrictive setting for the individual
D) such placements should not be considered permanent, because the goal of training is to move the individual to a less restrictive setting

Question 8

Individual records at an ICF/IID facility are often divided into sections, as follows:

A) history, examination, and medical decision-making
B) administrative, health, and habilitation/training
C) medical, nursing, and ancillary
D) past, present, and future

Question 9

The effect of the Olmsteadruling on services for individuals with intellectual disabilities has been _________________________.

A) an increase in community-based services
B) an increase in institutional-based services
C) a decrease in services available to individuals
D) a decrease in individuals requiring services

Question 10

Studying incident and accident reports to identify patterns and reduce hazards is a function of ______________________.

A) person-centered planning
B) utilization management
C) habilitation training
D)risk management

Question 11

In an ICF/IID, the most active portion of the individual's record is ___________________.

A)housed in the HIM department.
B)housed on the living unit.
C) microfilmed or imaged weekly
D)maintained in original form for 21 years past the statute of limitations

Question 12

The primary source of funding for an ICF/IID is from _______________.

A) private donations
B)government grants
C) Medicare
D)Medicaid

Question 13

The Joint Commission would accredit an ICF/IID using its ________________________.

A) Hospital Accreditation Standards
B) Standards for Behavioral Health Care
C)Standards for Home Health
D)Standards for Long-Term Care

Question 14

Which accrediting agency for organizations that provide services to individuals with intellectual disabilities is sponsored by the American Association on Intellectual and Developmental Disabilities, American Network of Community Options and Resources, The Arc, Autism Society of America, Mosaic, National Association of QDDPs, Self Advocates Becoming Empowered, and United Cerebral Palsy Associations, Inc.

A)Council on Quality and Leadership
B) The Joint Commission
C) Commission on Accreditation of Rehabilitation Facilities
D) National Committee on Quality Assurance

Question 15

A summary of the goals and the objectives that the staff will assist the individual to attain during the coming year, this document outlines how the program will guide the individual toward achieving the set goals.

A) standing orders
B)training schedule
C) core team summary sheet
D) individualized program plan

Question 16

The publisher of Intellectual Disability: Definition, Classification, and Systems of Supports, Eleventh Edition is ________________________.

A) National Association of Qualified Developmental Disability Professionals (NAQ)
B) American Association on Intellectual and Developmental Disabilities (AAIDD)
C) Council on Quality and Leadership (CQL)
D)American Psychiatric Association (APA)

Question 17

How is reimbursement to the ICF/IID handled in most states?

A) The ICF/IID receives a DRG payment for each episode of care.
B) The ICF/IID receives a capitation payment for each individual in its geographic region.
C) The ICF/IID receives a per diem payment for each day of service to each individual resident.
D) The ICF/IID receives payment for each item of service provided according to a statewide fee schedule.

Question 18

The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is mainly used by _____________________.

A)psychologists and psychiatrists
B) health information managers
C)case managers
D)nurses

Question 19

With regard to development of forms for the ICF/IID record, _____________________.

A) each department should be encouraged to develop its own forms independently
B) the health information director should be an active participant in the establishment of standardized forms
C)the increase in the number of ICFs/IID with an imaging program has decreased the need for standardized forms
D) most ICFs/IID use mandatory standardized forms developed by the Centers for Medicare & Medicaid Services

Question 20

The Scales of Independent Behavior-Revised (SIB-R), the Vineland Adaptive Behavior Scales, the AAIDD Diagnostic Adaptive Behavior Scales (DABS), and the Inventory for Client and Agency Planning (ICAP) are _________________________.

A) standardized assessments
B) flowsheets maintained by nursing staff
C) electronic health record products for the ICF/IID setting
D) used to document the services planned to achieve program goals

Question 21

An ICF/IID differs from other health care facilities in that ICF/IID clients receive no training in activities of daily living.

Question 22

Mental retardation is characterized by limitations in intellectual functioning and adaptive behavior that begin prior to age 12.

Question 23

It is important to prevent the individual receiving services from participating in interdisciplinary team meetings.

Question 24

A qualified developmental disabilities professional (QDDP) is responsible for coordinating and monitoring each individual's

Question 25

The Council on Quality and Leadership publishes its accreditation standards for facilities for individuals with intellectual disabilities in a document called Personal Outcome Measures.

Question 26

Interdisciplinary team meetings may be informally referred to as staffings.

Question 27

Medicaid (Title XIX) provides most funding for ICF/IIDs.

Question 28

DSM-5 recognizes four degrees of severity of intellectual disabilities: mild, moderate, severe, and profound.

Question 29

ICF/IID client records are often divided into three sections-administrative, health, and habilitation/training sections.

Question 30

Reimbursement for intellectual disabilities services is usually a capitation payment, which is an easily determined amount based on services received.

Question 31

The United States Supreme Court has ruled that the Americans with Disabilities Act may require states to provide community-based services rather than institutional placements for individuals with disabilities.

Question 32

For security purposes, no part of the individual's record is stored on the person's living unit at any time.

Question 33

Habilitation is a process by which a person is assisted to acquire and maintain life skills that enable him or her to cope more effectively with personal and environmental demands and to raise the level of physical, mental, and social efficiency.

Question 34

The group program plan (GPP) is the sole responsibility of the case manager and is a summary of the goals and objectives that the staff will assist the individual to attain.

Question 35

The Inventory for Client and Agency Planning (ICAP) is an assessment instrument used by some states that provides service scores that can be used to adjust payments to providers.

Question 36

​_____________________ is the process of identifying an individual's functional level, strengths, needs, causes of disabilities, and conditions hindering development.
​

Question 37

_______________________ are personnel whose daily responsibility is to manage, supervise, and provide direct care to individuals in their residential living units.​

Question 38

​The ____________-centered approach to habilitation has been instrumental in improving the services rendered to individuals with intellectual disabilities and identifying the least restrictive program alternative.

Question 39

​The ________________________________ program is a federal program that allows states to use Medicaid funding to serve persons in their own homes and communities, not just in institutional settings.

Question 40

A(n) ____________________________ is a facility that provides care and training for persons with intellectual disabilities in order to increase their adaptive skills, such as self-care skills, language skills, social skills, vocational skills, and so on.​

Question 41

?The ______________________________ is a standardized assessment instrument that can be used for program planning and is also used in several states as a data collection tool for case mix reimbursement to ICF/IID organizations.

Question 42

A ___________________is a single outcome expected to be achieved by the individual within one year, as a result of training. Measurable outcome, criteria for measuring progress, and projected completion date should be specified relative to strengths, needs, and established goals.​

Question 43

An organization serving individuals with intellectual disabilities might voluntarily seek accreditation from the Council on _______________.​

Question 44

In the ICF/IID, caring for each individual in the most appropriate setting and managing resources efficiently are the goals of _______________________.​

Question 45

Match each description with the correct item

-Informal term for a meeting of the interdisciplinary team during which the individual program plan is reviewed and revised

A) Active treatment
B) Staffing
C) Developmental disability
D) Individualized program plan
E) Person-centered planning

Question 46

Match each description with the correct item

-Aggressive and consistent implementation of specialized and generic training, treatment, health and related services received by each ICF/IID client.

A) Active treatment
B) Staffing
C) Developmental disability
D) Individualized program plan
E) Person-centered planning

Question 47

Match each description with the correct item

-A process that focuses on the preferences of the individual receiving services in planning the type of future life that individual wishes to live

A) Active treatment
B) Staffing
C) Developmental disability
D) Individualized program plan
E) Person-centered planning

Question 48

Match each description with the correct item

-A term used almost interchangeably with the term intellectual disability

A) Active treatment
B) Staffing
C) Developmental disability
D) Individualized program plan
E) Person-centered planning

Question 49

Match each description with the correct item

-The major tool in the care and services rendered to the individual, consisting of a comprehensive individualized assessment, list of goals and objectives, and plans to attain those goals

A) Active treatment
B) Staffing
C) Developmental disability
D) Individualized program plan
E) Person-centered planning

Question 50

List three of the members who may serve on the interdisciplinary team for an individual with an intellectual disability.

Question 51

?Name three types of caregivers that help individuals with intellectual disabilities

Question 52

List three administrative staff members.

Question 53

​Describe why an addendum should be used in a medical record.

Question 54

List three major duties and responsibilities performed by a full-time health information manager in an ICF/IID facility.

Question 55

What happens to a medical record at a facility serving individuals with intellectual disabilities if there is a death or discharge of the individual?​