Deck 8: Tertiary Care: the Long-Term Care Continuum

Question 1

A LTC system that would provide physical, social, mental health, and financial support would be considered:

A) aging in place.
B) spending down.
C) a continuum of care.
D) IADL.

Answer 1

a continuum of care.

Question 2

Staffing ratios in long-term care are _______________ in hospitals.

A) greater than
B) less than
C) equal to

Answer 2

less than

Question 3

Nursing homes account for ________% of the total LTC given.

A) 4
B) 10
C) 15
D) 20

Answer 3

4

Question 4

What percent of adults age 85 and older require ADL or IADL assistance?

A) 10
B) 40
C) 30
D) 20

Question 5

The sandwich generation is:

A) adults who are caring for both their children and parents.
B) teens who have preschool and adult siblings.
C) an 80-year-old whose needs are supplanted by those of the 60-year-olds and 90-year-olds.
D) those who like sandwiches.

Question 6

All of the following are categories of nursing home care except:

A) SNF.
B) ADF.
C) ECF.
D) ICF.

Question 7

When Diane and Steve return from vacation, Steve's mom expresses her desire to get out more. Diane wants to return to work as opposed to being a full-time caregiver for her mother-in-law. Which care option should they explore, excluding total out-of-home care?

A) Adult day care
B) Respite care
C) Assisted living
D) ICF care

Question 8

The most prevalent reason for home health care visits is:

A) chronic illness.
B) injury.
C) cardiovascular illness.
D) cancer.

Question 9

ADLs are:

A) assessment of daily living.
B) assessment delivery location.
C) activities of daily living.
D) alternative delivery location.

Question 10

The average age of all assisted living residents is:

A) greater than 70 but less than 80 years old.
B) greater than 100 years old.
C) greater than 60 but less than 70 years old.
D) greater than 80 but less than 100 years old.

Question 11

Long-term care is defined as:

A) care for the elderly.
B) care for the disabled.
C) health care services to an individual for more than 60 days.
D) health care services to an individual for more than 90 days.

Question 12

Of the group over age 85 that requires assistance, _______________ are in nursing homes.

A) greater than 15% but less than 20%
B) greater than 10% but less than 15%
C) less than 5%
D) greater than 5% and less than 10%

Question 13

Diane and Steve care for Steve's elderly mother. They have planned a vacation to Disney World and cannot take Steve's mom. Which care option should they explore?

A) Adult day care
B) Respite care
C) Assisted living
D) ICF care

Question 14

All of the following are categories of nursing home ownership except:

A) nonprofit.
B) union.
C) governmental.
D) proprietary.

Question 15

Medicaid will cover LTC payment in which situation?

A) The individual has turned 65.
B) The individual is disabled.
C) The individual qualifies for LTC and meets Medicaid's income test.
D) The individual did not qualify for LTC insurance.

Question 16

Unpaid long-term-care providers are primarily:

A) women.
B) men.
C) local hospital employees.
D) sons.

Question 17

All of the following are ADLs except:

A) dressing.
B) bathing.
C) toileting.
D) shopping.

Question 18

All of the following are settings in which LTC may take place except:

A) clinics.
B) hospitals.
C) adult day care.
D) assisted living centers.

Question 19

The two impairments most likely to result in the need for residential long-term care are:

A) bathing and eating.
B) transferring and bathing.
C) continence control and transferring.
D) eating and continence control.

Question 20

Medical power of attorney refers to:

A) an individual who is able to select the proper attorney for a malpractice case.
B) an individual given health care decision power for another person who is deemed incapable of making decisions.
C) an automatic power which any caregiver has for the care decisions of another.
D) a power only the Veteran's Administration may grant.

Question 21

Differentiate between an ADL and IADL.

Question 22

Describe the health care power of attorney. What are the advantages and disadvantages of this legal document to the patient and to the health care community?

Question 23

Define home health care and identify two current utilization trends and the causes of those trends.

Question 24

Which of the following is not an ethical or political issue related to LTC?

A) Power of attorney
B) Guardianship
C) End-of-life care
D) The passage of the Hill-Burton Act

Question 25

Mary lives in an apartment complex. She has a small one-bedroom apartment with a small kitchen and living area. She eats in the community dining room at least once a day. Mary lives in a _______________ _______________ _______________.

Question 26

The typical home health client is a _______________ _______________.

Question 27

The ideal long-term-care system utilizes a _______________ approach as opposed to the medical model.

Question 28

All of the following are IADL except:

A) managing money.
B) grocery shopping.
C) bathing.
D) housekeeping.

Question 29

Assisted living facilities utilize the same model of care as hospitals and SNFs.

Question 30

All of the following are categories of ADL capability except:

A) totally independent (no mechanical assistance or assistance from another person).
B) requiring mechanical assistance only.
C) requiring no assistance from another person.
D) unable to do the activity at all.

Question 31

DVA is the largest provider of long-term-care services in the nation.

Question 32

The _______________ _______________ are adult persons caring for both children and the elderly.

Question 33

Adult day care provides socialization and treatment.

Question 34

A person who requires assistance with bathing, dressing, and meal preparation must receive long-term care.

Question 35

The Department of Veterans Affairs (DVA) is the largest integrated delivery system.