Deck 12: Long-Term Care

Question 1

Intermediate care facility- stem What type of care is provided in an intermediate care facility?

A)Group living situations for older people who wish to have companions.
B)Day treatment facilities only with no overnight treatment at all.
C)Health-related services to those who require institutional care.
D)Custodial care only with no health-related services or medical treatment.

Answer 1

C

Question 2

Aging in place- stem The concept of aging in place implies that with respect to living arrangements,older adults are able to:

A)avoid needing any type of residential or outpatient care.
B)move to a comfortable and well-staffed rehabilitation facility.
C)live in special units attached to the homes of their children.
D)remain in their own homes or at least their own communities.

Answer 2

D

Question 3

Intermediate care facility- choice Health-related,but not intense nursing services are provided in a(n)__________ facility.

A)assisted living
B)intermediate nursing
C)continuing care
D)geriatric day

Answer 3

B

Question 4

Caregivers are children and teens The APA's Caregiver Briefcase points out that,surprisingly,many caregivers of disabled family members are:

A)men.
B)neighbors.
C)children and teens.
D)health professionals.

Question 5

CCRC advantage An advantage of living in a Continuing Care Retirement Communities (CCRC)is that older adults:

A)can move from minimal to higher levels of care within the same community.
B)receive extensive services at a moderate price through government assistance.
C)do not need to put down a down payment but only pay monthly rental fees.
D)can live in apartments that are attached to the homes of their children.

Question 6

Financial problems of Medicare When Medicare was signed into law in 1965,budgetary issues were not of great concern to legislators or economists primarily because:

A)the original legislation did not include the disabled.
B)the Medicare and OASDI trust funds at the time were combined.
C)there was no pay-as-you-go system in the original legislation.
D)there were enough under-65 workers to support the system.

Question 7

Aging in place- choice According to the concept of _______________,older adults can remain in their homes or communities rather than needing to be institutionalized.

A)assisted living
B)intermediate care
C)aging in place
D)residential homes

Question 8

Majority are for profit The majority of nursing homes in the U.S.fall into which category of ownership?

A)non-profit
B)for-profit
C)religious
D)government

Question 9

Home health services- choice Which type of community-based service specializes in providing psychiatric care to older adults?

A)Geriatric partial hospital
B)Adult day care
C)Respite service
D)Home health care

Question 10

Costs of assisted living facilities The majority of residents in assisted living facilities pay for their costs out of what types of funds?

A)Combination of Medicare and Medicaid
B)Personal savings and pensions
C)Salaries paid in return for room and board
D)Shared costs among groups of residents.

Question 11

Amount paid out for Medicare in 2011 Benefits paid out by Medicare in 2011 amounted to ___________ billion dollars.

A)50.1
B)19.1
C)558
D)320

Question 12

Respite care- choice Day services for older adults that allow caregivers to attend to their job or household responsibilities are known as:

A)partial treatment.
B)home health assistance.
C)friendly visiting.
D)respite care.

Question 13

Number of institutionalized per year A health care economist is studying the profitability of nursing homes in the U.S.,and bases his estimates on the total 65 and older nursing home population which,to his surprise,has remained fairly stable at about __________ million per year.

A).4 to .5
B)1.3 to 1.4
C)3.1 to 3.5
D)8.1 to 8.2

Question 14

Skilled nursing facility- choice A(n)___________ nursing facility provides the highest level of nursing care that a person can receive outside a hospital.

A)restorative
B)skilled
C)comprehensive
D)assistive

Question 15

Home health services- choice Which type of care for older adults provides such services as Meals on Wheels,friendly visiting,assistance with household tasks,and rehabilitation,outside of an institutional setting?

A)Partial day hospital
B)Home health services
C)Respite services
D)Adult day care

Question 16

Level of care The least amount of nursing services is provided in what type of in-patient facility for older adults?

A)skilled nursing
B)intermediate care
C)geriatric partial
D)nonprofit nursing

Question 17

Home health services- stem Home health services typically include what types of support for older adults?

A)Occasional skilled nursing services.
B)Home maintenance,such as minor repairs.
C)Meals,help with household tasks,and some rehabilitation.
D)Financial advice and assistance with budget planning.

Question 18

Psychological disorders Which psychological disorders are most prevalent among residents of nursing homes?

A)schizophrenia
B)stress-related
C)mood and anxiety
D)personality

Question 19

Cost of private facility A woman would like to have her mother cared for in one of the best nursing homes in her town,but is unable to afford the cost which,for a private pay facility would be about $____ thousand per year.

A)60
B)14
C)22
D)90

Question 20

Dimensions of the residential environment The dimensions of the residential environment of older adults include the local area's aesthetics and safety,convenience to services,support and liking among neighbors and:

A)distance from the older adult's children and grandchildren.
B)the home's attractiveness and ease of movement within.
C)how long the individual has lived in the area.
D)amount that the individual pays in monthly rent or mortgage.

Question 21

What Medicare Part B covers Part B,but not Part A,of Medicare covers which type of medical services?

A)Preventive screenings,laboratory tests,and chiropractor visits.
B)Hospice care,including supportive medical and social services.
C)A total of 120 days of hospital care,including outpatient follow-up.
D)Various "luxuries" in the hospital such as television,telephone,and private rooms.

Question 22

Medicaid vs.Medicare Unlike Medicare,the entitlements in Medicaid are administered through:

A)county agencies.
B)the federal government.
C)individual states .
D)community centers.

Question 23

OSCAR- Stem The system known as OSCAR provides which services for nursing home residents?

A)Ratings of individual staff in terms of helpfulness.
B)Social media for residents to share news.
C)Calculation of costs for the most common procedures.
D)Online reporting of adherence to standards of care.

Question 24

Spend down requirement in Medicaid The requirement to "spend down" in order to receive Medicaid for nursing home or other medical care means that,in many states,individuals must:

A)give away their assets to their children before they can qualify for medical coverage.
B)pay their physicians a guaranteed amount to cover a year's worth of charges.
C)consult with a financial planner who will determine how best to use their assets.
D)use up assets and income to pay their medical bills,after which they will be covered.

Question 25

West Virginia had the most deficiencies In 2010,the state with the highest number of nursing home deficiencies was:

A)West Virginia.
B)Delaware.
C)South Carolina.
D)Alabama.

Question 26

Deficiencies reported in 1998 Senate hearings Despite the passage of NHRA 10 years earlier,a 1998 hearing by the U.S.Senate Special Committee on Aging reported at least minimal deficiencies (or more)in approximately what percent of California nursing homes?

A)3
B)98
C)33
D)47

Question 27

Centers for Medicare and Medicaid Services A recent graduate from a public policy and economics program is interested in working for the U.S.government on improving health care for older adults through federally funded programs.She therefore decides to look into working for the agency which oversees these programs known as:

A)Medicare Part A Administration.
B)Centers for Medicare and Medicaid Services.
C)Health Care Financing Administration.
D)Centers for Disease Prevention and Control.

Question 28

Congressional hearings on nursing home abuse Reports to the Senate Committee on Aging in 1999 and 2000 revealed which flaws in the regulation and administration of nursing homes?

A)Hiring of excess staff,resulting in uncontrolled spending
B)Too much administrative time spent following up on abuse reports.
C)Failing to investigate formal complaints made by residents or families.
D)Provision of unhealthy meals,leading to weight gain by residents.

Question 29

Part C coverage Individuals covered under Part C of Medicare are entitled to what type of benefits specifically under this plan?

A)Prescription drug coverage
B)Health and fitness club memberships
C)Home health services.
D)Coverage through a provider organization

Question 30

Number of days of hospital care under Part A of Medicare In Medicare Part A,the maximum number of days that an individual can receive hospital stays by paying the deductible only (but no daily rate)is:

A)60.
B)30.
C)90.
D)14.

Question 31

Medicare Modernization Act Passage of the _____________________ created the mandate that a prescription drug insurance plan be available to Medicare recipients.

A)Drug Affordability Act
B)Prescription Allowance Bill
C)Medicare Modernization Act
D)Healthcare Affordability Legislation.

Question 32

Number one deficiency The number one deficiency in U.S.nursing homes in 2010,involving 43% of all institutions,was:

A)poor food sanitation.
B)lack of infection control.
C)failure to adhere to professional standards.
D)the giving of unnecessary drugs.

Question 33

What Medicare Part A covers A young woman is helping her grandmother understand the hospital bill she just received after being treated for a fractured arm.Unfortunately,she finds that Medicare did not cover the cost of:

A)the wheelchair that her grandmother needed to get around during her stay.
B)X-rays that allowed her fracture to be diagnosed and assessed.
C)the private hospital room that her grandmother had specifically requested.
D)the prescription pain killers that nursing staff had suggested she obtain.

Question 34

Patient Protection and Affordable Care Act The Patient Protection and Affordable Care Act (PPAPA)was intended to accomplish which goal?

A)Ensure that medical records remain confidential.
B)Expand Medicaid to include coverage of assisted living facilities.
C)Allow U.S.citizens to invest their Medicare contributions in the stock market.
D)Reform Medicare spending and increase healthcare coverage to the uninsured.

Question 35

Patient Protection and Affordable Care Act Which U.S.President is responsible for enacting the Patient Protection and Affordable Care Act (PPACA)in the U.S.,intended to reform healthcare,including the funding of Medicare?

A)Lyndon Johnson
B)John F.Kennedy
C)Franklin Roosevelt
D)Barack Obama

Question 36

First copay period in Part D of Medicare At the first level of coverage,after passing the deductible limit and until the "donut hole" is reached,an individual enrolled in Part D of Medicare pays ____% of total drug costs.

A)25
B)10
C)75
D)0

Question 37

Nursing Home Reform Act- choice The passing of the ______ Act in 1987 first gave nursing home residents protection of rights under U.S.federal law.

A)Social Security Title XIX
B)Health Insurance Privacy
C)Nursing Home Reform
D)Medicare Modernization

Question 38

Medicare Part D- example As a social worker with a local nonprofit agency,you are trying to help a woman in her late 70s figure out which combination of health plans will help them keep her costs down and maximize her benefits.However,you're a little stumped by the "donut hole." After doing some research,you realize that she must be able to come up with at least $4750 until she becomes eligible for:

A)the benefit period
B)respite care.
C)catastrophic coverage.
D)parity evaluations.

Question 39

US News & World Reports rankings Older adults and their families can take advantage of which publicly available resource to learn about the quality of a nursing home they are thinking of choosing?

A)Consumer Reports
B)Federal Trade Agency
C)US News and World Reports
D)The Consumer Watchdog

Question 40

Medicaid payment by states for nursing care The U.S.state with the lowest percent paid by Medicaid for nursing services is:

A)California.
B)New Mexico.
C)Louisiana.
D)Florida.

Question 41

Improvements in functioning In comparing nursing home residents with older adults who live at home,a study in Finland found that admission to the nursing home may be accompanied by a sense of:

A)frustration and anger over losing autonomy.
B)gradual loss of social ties with family.
C)disappointment and personal failure.
D)relief from the burden of living on one's own.

Question 42

Institute of Medicine report A 2007 Institute of Medicine Report recommends which of the following changes to prepare health care workers for the future treatment of older adults?

A)Going back to previous models of care that worked at one time in the past.
B)Decreasing recruitment,because there are already too many positions.
C)Expanding and improving models of comprehensive care from home care to hospitals.
D)Lowering the rates of chronic disease in the young so they will be healthier as they age.

Question 43

Competence-press example- choice Residents with relatively good cognitive functioning living in nursing homes that provide little intellectual stimulation will,according to the _______________ model,experience poor adjustment to the institutional environment.

A)congruence-incongruence
B)competence-press
C)stress-coping
D)green house

Question 44

Example of press Where do the amount of activity and cognitive demands placed on the individual fit within the competence-press model?

A)Both are considered to reflect press.
B)Only activity demands reflect press.
C)Both are considered aspects of competence.
D)Neither of these influence adaptation.

Question 45

Use of restraints in nursing homes A study of nursing home staff regarding their use of chemical and physical restraints on residents showed that they felt they were necessary to:

A)help discipline the residents.
B)make sure residents participated in activities.
C)protect residents from falling or wandering.
D)allow the residents to sleep better at night.

Question 46

Incontinence and social isolation A new administrator in a nursing home in a large city is concerned because the staff are not providing what she feels is adequate training in bladder continence.She feels this should be a priority because she knows that incontinence is associated with which problem in nursing home residents?

A)Cognitive decline
B)Weight gain
C)Aggressiveness
D)Social isolation

Question 47

Green House model advantage An advantage of the Green House model of institutional care for older adults is that it:

A)feels more like a home than a traditional nursing home.
B)allows residents the opportunity to care for each other.
C)is designed to house residents in large,uncluttered hallways.
D)does not require residents to have full-time nursing staff.