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:

Accepted Answer

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. 
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. B

Question 2

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:

Accepted Answer

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. 
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. C

Question 3

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

Accepted Answer

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. 
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. C

Question 4

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

Accepted Answer

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. 
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 5

The original intent of Social Security was to:

Accepted Answer

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. 
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.

Question 6

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

Accepted Answer

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

Question 7

All are true statements about Medicare Part D except that:

Accepted Answer

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. 
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.

Question 8

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

Accepted Answer

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. 
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 9

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:

Accepted Answer

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. 
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 10

When are managed care systems most effective?

Accepted Answer

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 
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

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

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

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

The original intent of Social Security was to:

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

All are true statements about Medicare Part D except that:

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

When are managed care systems most effective?

Gerontological Nursing and an Aging Society

Theories of Aging

Health and Wellness

Physiological Changes with Aging

Laboratory Values and Diagnostics

Health Assessment in Gerontological Nursing

Managing Basic Physiological Needs

Biological Maintenance Needs

Nutritional Needs

Chronic Disease in Late Life

Pain and Comfort

Geropharmacology

The Use of Herbs and Supplements in Late Life

Sensory Function

Mobility

Environmental Safety and Security

Frailty,Vulnerability,and Elder Mistreatment

Intimacy and Sexuality in Late Life

Relationships,Roles,and Transitions

Culture,Gender,and Aging

Nursing and Aging in Rural and Frontier Settings

Cognition and Caring for Persons with Cognitive Impairment

Stress,Crises,and Health in Aging

Emotional Health in Late Life

Loss,Death,and Dying in Late Life

Self-Actualization,Spirituality,and Transcendence

Filters

Exam 17: Economic,Residential,and Legal Issues

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

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

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

The original intent of Social Security was to:

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

All are true statements about Medicare Part D except that:

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

When are managed care systems most effective?

Gerontological Nursing and an Aging Society

Theories of Aging

Health and Wellness

Physiological Changes with Aging

Laboratory Values and Diagnostics

Health Assessment in Gerontological Nursing

Managing Basic Physiological Needs

Biological Maintenance Needs

Nutritional Needs

Chronic Disease in Late Life

Pain and Comfort

Geropharmacology

The Use of Herbs and Supplements in Late Life

Sensory Function

Mobility

Environmental Safety and Security

Frailty,Vulnerability,and Elder Mistreatment

Intimacy and Sexuality in Late Life

Relationships,Roles,and Transitions

Culture,Gender,and Aging

Nursing and Aging in Rural and Frontier Settings

Cognition and Caring for Persons with Cognitive Impairment

Stress,Crises,and Health in Aging

Emotional Health in Late Life

Loss,Death,and Dying in Late Life

Self-Actualization,Spirituality,and Transcendence

Filters