Long Term Care Final
Monthly costs for congregate housing can range from $500 to over _______.
$4,000
Medicare coverage of skilled nursing services is limited to how many days per benefit period?
100
Care planning begins with:
A detailed assessment
Medicare pays hospice providers on the basis of:
A per diem rate
Long-term care consumers are predominantly elderly and
A very diverse group of people
The term "consumer-driven" means that long-term care consumers are:
Allowed to make decisions related to their care and financing as much as possible
History has shown that increasing the availability of services usually results in:
An increase in usage of services
"Baby Boomers" is a term used to describe people born?
Between 1946 and 1964
The term "nursing facility":
Came from OBRA legislation
Rising acuity levels in long-term care facilities refers to:
Caring for sicker patients/residents
Integrated clinical information systems typically address four specific areas: patient management, clinical guidelines, quality improvement, and:
Clinical outcomes
Which of the following is not a reason why long-term care is so heavily regulated?
Consumers of long-term care are politically powerful
Health information systems are built on the foundation of three processing phases - data input, data output, and:
Data management
The current system of long-term care providers has developed largely in response to:
Demand Availability of reimbursement Need
Special care units in nursing facilities may be created based on:
Disease or condition & Age
1.The majority of old people (past 65 years) have Alzheimer's disease
F
14.All women develop osteoporosis as they age
F
17.Most old people lose interest in and capacity for sexual relations.
F
19.Kidney function is not affected by age
F
2.As people grow older, their intelligence declines significantly.
F
20.Constipation increases in more people as they get older.
F
23.Retirement is often detrimental to health--i.e., people frequently seem to become ill or die soon after retirement
F
25.People 65 years of age and older make up about 20 percent of the U.S. population.
F
26.Most older people are living in nursing homes
F
27.The modern family no longer takes care of its elderly
F
28.The life expectancy of men at age 65 is about the same as that of women.
F
3.It is very difficult for older adults to learn new things.
F
31.Living below or near the poverty level is no longer a significant problem for most older Americans.
F
33.Older workers cannot work as effectively as younger workers.
F
34.Most old people are set in their ways and unable to change.
F
35.The majority of old people are bored.
F
36.In general, most old people are pretty much alike
F
37.Older adults (65+) have higher rates of criminal victimization than adults under 62.
F
38.Older people tend to become more religious as they grow older.
F
39.Older adults (65+) are more fearful of crime than are persons under 65.
F
4.Personality changes with age.
F
40.Older people do not adapt as well as younger age groups when they relocate to a new environment
F
41.Participation in voluntary organizations (churches and clubs) tends to decline among older adults.
F
42.Older people are much happier if they are allowed to disengage from society.
F
43.Geriatrics is a specialty in American medicine.
F
44.All medical schools now require students to take courses in geriatrics and gerontology.
F
45.Abuse of older adults is not a significant problem in the U.S.
F
46.Grandparents today take less responsibility for rearing grandchildren than ever before.
F
50.Research has shown that old age truly begins at 65
F
7.Clinical depression occurs more frequently in older than younger people.
F
9.Alcoholism and alcohol abuse are significantly greater problems in the adult population over age 65 than that under age 65.
F
An assisted living facility is staffed with
Fewer nurses than a nursing facility of the same size
Which of the following are not "informal caregivers?
Government Agencies
Mainframe computers:
Have been largely replaced by personal computer networks
The demand for tort reform to reduce liability insurance costs is being led by:
Health care providers and insurance companies
The most common source of admissions to assisted living is
Home
To date, most integrated health systems have been built around:
Hospitals
Most private long-term care insurance is sold to:
Individuals
The influence of managed care on the competitiveness of long-term care:
Is growing
Assisted living is:
Largely unregulated but likely to become more regulated
The time to deal with chronic illness is:
Long before the onset of that illness
The four generally agreed upon categories of sub-acute care are transitional, general, chronic, and:
Long-term transitional
Which of the following is not a function of an institutional ethics committee?
Making difficult ethical decisions concerning individual residents
Which of the following is not a Medicare-covered home care service?
Meals on Wheels
The largest single source of financing for most nursing facilities today is:
Medicaid
The largest source of reimbursement for sub-acute care is:
Medicare
The most common destination for people leaving assisted living is:
Nursing
Sub-acute care is generally provided in:
Nursing Care Facilities & Hospitals
Least restrictive environments include:
Nursing Facility Home Assisted Living Facility
Which of the following must be licensed?
Nursing facility administrators
The part of Medicare that covers skilled nursing and home health care is:
Part A
Denying care that would prevent pain or suffering is a form of what type of abuse?
Physical abuse
Most residents in long-term care facilities prefer rooms that are:
Private
A major fault found with most current long-term care regulations is the emphasis of regulators on:
Process and structure
"Multi-level facilities" refers to facilities that:
Provide multiple levels of care
Public/private partnerships are efforts to reduce:
Public funding of long-term care
Which of the following is not a reason for joining an integrated health system?
Reduced regulation
Independent living units are for
Relatively healthy, active seniors
Autonomy, as used in the context of long-term care, means:
Self-determination
Most accreditation agencies measure performance against standards that are:
Set higher than licensure requirements
Nursing facility administrators are licensed by:
State governments
Medicaid is managed by:
State governments under federal guidelines
There is limited federal subsidization of senior housing. The _______________________________ subsidizes an estimated 5,800 residential units each year.
Supportive Housing for the Elderly Program
10.Older adults have more trouble sleeping than younger adults do
T
11.Older adults have the highest suicide rate of any age group.
T
13.Older people perspire less, so they are more likely to suffer from hyperthermia
T
15.A person's height tends to decline in old age.
T
16.Physical strength declines in old age.
T
18.Bladder capacity decreases with age, which leads to frequent urination
T
21.All five senses tend to decline with age.
T
22.As people live longer, they face fewer acute conditions and more chronic health conditions.
T
24.Older adults are less anxious about death than are younger and middle-aged adults
T
29.Remaining life expectancy of blacks at age 85 is about the same as whites
T
30.Social Security benefits automatically increase with inflation.
T
32.Most older drivers are quite capable of safely operating a motor vehicle.
T
47.Older persons take longer to recover from physical and psychological stress.
T
48.Most older adults consider their health to be good.
T
49.Older females exhibit better health care practices than older males.
T
5.Memory loss is a normal part of aging.
T
8.Older adults are at risk for HIV/AIDS.
T
12.High blood pressure increases with age.
T&F
6.As adults grow older, reaction time increases.
T&F
People who have to care for both their parents and their children are called:
The "sandwich generation"
Case management is primarily concerned with:
The cost-effectiveness of care received
One of the major advantages of a continuing care retirement community is:
The option of moving between housing environments
In long-term care, family members are:
Usually involved
Home health care is more cost-effective than nursing facility care:
When used intermittently
Which of the following types of disclosure of health information is not permitted by HIPAA without the consumer's permission?
Which of the following types of disclosure of health information is not permitted by HIPAA without the consumer's permission?
The impact of the large number of "baby boomers" on long-term care:
Will grow over the next two decades
The term "legacy" when describing hardware and processing systems refers to systems that:
Will not interact with other hardware or systems
The patient self-determination act mandates that:
a health care provider provides information about advance directives
The most common type of ownership of independent living communities is:
for-profit
In relationship to acute care providers, long term care providers have
have not advanced as fast as acute care to use the tools of technology
Physician services for hospice patients are provided by
physician employed by the hopice & The patient's own physician
The largest source of financing for assisted living facilities is:
self-pay
Most adult day care has traditionally been paid for by:
the consumer themselves or their family