Deck 7: Long-Term Care

Question 1

Which of the following is a result of the focus on decreasing chemical restraints?

A) Residents are overagitated.
B) Residents are undermedicated.
C) Residents go untreated due to biases against the use of antianxiety and antipsychotic medications.
D) All of the above

Answer 1

All of the above

Question 2

Match the president with his contribution:
Which of the following is a focus of hospice services?

A) Supporting the primary family caregiver by managing patient pain
B) Providing drugs
C) Providing supplies
D) All of the above

Answer 2

All of the above

Question 3

Match the president with his contribution:
Which of the following is a goal of LTC?

A) To promote and maintain health and independence in functional abilities and to obtain optimal quality of life in individuals with decreased physical and or mental functioning
B) To provide ambulatory care.
C) To provide emergency care for traumatic injuries.
D) None of the above

Answer 3

To promote and maintain health and independence in functional abilities and to obtain optimal quality of life in individuals with decreased physical and or mental functioning

Question 4

Match the president with his contribution:
LTC insurance policies require that the policy holder pay out of pocket for how many days of care?

A) The first 30 days
B) The first 60 days
C) 0 days
D) The first 90 days

Question 5

Match the president with his contribution:
How old are most residents of nursing homes?

A) Over 85 years old
B) Over 65 years old
C) Over 75 years old
D) Over 55 years old

Question 6

What is the primary reason that long-term care facilities are experiencing staffing shortages?

A) Low pay
B) National nursing shortage
C) Rural locations
D) Availability of informal caregivers

Question 7

Match the president with his contribution:
Which of the following is a requirement for receiving home health care?

A) Being homebound
B) Needing skilled but intermittent care
C) Both A and B
D) Neither A nor B

Question 8

Match the president with his contribution:
The research culture that developed during the focus on improving the quality of LTC created a positive impression regarding the use of chemical restraints.

Question 9

Match the president with his contribution:
Medicare-covered home care is intended for custodial care.

Question 10

Match the president with his contribution:
Agitated residents have been found to physically injure themselves and others more often than calm residents.

Question 11

Match the president with his contribution:
What change did the Balanced Budget Act of 1997 make to HHA reimbursement?

A) It changed from fee-for-service to the prospective payment system (PPS).
B) It changed from a prospective payment system (PPS) to fee-for-service.
C) It did not change; the Act maintained the existing payment system.
D) None of the above

Question 12

Match the president with his contribution:
Collectively, mental illnesses are the third-leading cause of hospitalization.

Question 13

Match the president with his contribution:
On the long-term care continuum, where would nursing homes, assisted living facilities, and adult day care fall?

A) Far left
B) Middle
C) Far right
D) None of the above

Question 14

Match the president with his contribution:
It is estimated that an individual incurs the bulk of his or her lifetime medical expenditures in the last month or so of life.

Question 15

Match the president with his contribution:
Which of the following is a characteristic of mental health?

A) Successful performance of mental functioning resulting in productive activities
B) Fulfilling relationships with other people
C) The ability to adapt to change and cope with adversity
D) All of the above

Question 16

Match the president with his contribution:
Approximately what percent of elderly or disabled receive their LTC informally from friends and family?

A) 25
B) 40
C) 80
D) 50

Question 17

Match the president with his contribution:
Medicare covers how many days of rehabilitation after a minimum 3-day hospital stay?

A) 30
B) 100
C) 20
D) 90

Question 18

Match the president with his contribution:
Which of the following is true regarding the mentally ill?

A) Mental illness affects women more than men
B) Mental illness affects men more than women
C) Mental illness is higher among Caucasians.
D) Approximately 20 percent of those ages 9-17 years and 20 percent of those over age 65 are mentally ill.

Question 19

Match the president with his contribution:
Which of the following is a goal of LTC?

A) To assist family and friends to cope with a patient's diagnosis
B) To help individuals with terminal illnesses to die in peace and with dignity
C) To provide emergency care for traumatic injuries.
D) None of the above

Question 20

Match the president with his contribution:
Home care is less expensive than nursing home care.

Question 21

The number of people needing LTC is expected to __in the next 30 years due to our aging population, increases in life expectancy, and increases in chronic illness and resultant disability.

Question 22

Which of the following is a supportive service?

A) Physical therapy
B) Transportation
C) Occupational therapy
D) Nursing

Question 23

__conditions are incurable, albeit manageable and evolving, conditions.

Question 24

Changes in ___and Medicaid reimbursement led to expanded coverage for home health care.

Question 25

The most common characteristic of __patients is that they are unable to continue to live at home independently due to physical or mental health problems or functional disabilities.

Question 26

The goal of __care is to prevent and relieve suffering, and to support the best possible quality of life for patients and their families, regardless of their stage of disease or the need for other therapies, in accordance with their values and preferences.

Question 27

Adult day care can follow either a social or __model, or be a combination model.

Question 28

Match the term with the appropriate definition or description:
Encompasses a wide range of health care, as well as social and residential services, provided to people who have lost or never developed the capacity to care for themselves independently as a result of chronic illness or mental or physical disability

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 29

Match the term with the appropriate definition or description:
Provides care to individuals with a chronic incurable or terminal illness

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 30

As a state licensed health care facility, _are inspected and accredited on a regular basis.

Question 31

__care relies on sophisticated medical technology, and the duration of illness is usually short.

Question 32

Match the term with the appropriate definition or description:
Hospital or clinic-based care for brief conditions

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 33

The purpose of case __is to treat the whole patient and all of his or her health and medical needs rather than to treat only episodes requiring care.

Question 34

The goal of hospice is to improve __of life and provide comfort.

Question 35

The goals of adult day care are to prevent premature or inappropriate __and to provide respite care for informal caregivers.

Question 36

The main types of organizations that deliver LTC services are __(HHAs) and hospices.

Question 37

A resident's stay in a nursing home is influenced by his or her __network.

Question 38

Hospice charges per day are substantially __than hospitals and skilled nursing facilities.

Question 39

Assisted-living facilities may be voluntarily accredited through the Joint Commission on Accreditation of Health Care Organizations (JCAHO) or the __(CARF).

Question 40

Which of the following is an example of a community-based service?

A) Assisted-living facility
B) Personal care home
C) Continuing-care retirement community
D) Adult day care center
Completion
Complete each statement.

Question 41

Match the term with the appropriate definition or description:
Often referred to as post-acute care

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 42

Match the term with the appropriate definition or description:
An effort to care for the patient by coordinating a combination of services that will allow for the most independent level of functioning within a supportive system

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 43

Match the term with the appropriate definition or description:
A system of managed care serving frail elderly who are eligible for nursing home care

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 44

Match the term with the appropriate definition or description:
Can follow either a social or medical model, or be a combination model

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 45

Match the term with the appropriate definition or description:
Unique entities that combine the insurance function with the residence and health provision

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 46

Match the term with the appropriate definition or description:
Family members and friends

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 47

Match the term with the appropriate definition or description:
Area or organization that provides social functions for the elderly

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 48

Match the term with the appropriate definition or description:
Designed to give informal caregivers a break by providing care for their loved one who requires LTC

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 49

Match the term with the appropriate definition or description:
A category of facilities that are designed for residents who need minimal assistance with ADLs or who are in the early stages of dementia

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center

Question 50

Match the term with the appropriate definition or description:
Persons receiving LTC may need acute care at certain times

A)acute care
B)adult day care
C)case management
D)continuing care retirement community (CCRC)
E)continuum of care
F)informal caregiver
G)long-term care (LTC)
H)palliative care
I)program of all-inclusive care for the elderly (PACE)
J)rehabilitation
K)residential care facilities
L)respite care
M)senior center