True/False: 16. Nursing facilities are staffed with only licensed healthcare professionals.

True/False:

16. Nursing facilities are staffed with only licensed healthcare professionals.

17. About three-quarters of residents in nursing facilities are women.

18. OBRA does not require that the facility’s medical director be full-time.

19. To qualify for Medicaid coverage, residents must require assistance with all five activities of daily living (ADLs).

20. Approximately one-third of all nursing facility residents show symptoms of depression.

Multiple Choice:

21. The term “nursing facility”:

[1] came from OBRA legislation.

[2] came from OSHA legislation.

[3] refers to all long-term care facilities.

[4] refers only to facilities providing skilled nursing care.

22. The largest single source of financing for most nursing facilities today is:

[1] Medicare.

[2] Medicaid.

[3] private pay.

[4] long-term care insurance.

23. In long-term care, family members are:

[1] never involved.

[2] rarely involved.

[3] usually involved.

[4] always involved.

24. Special care units in nursing facilities may be created based on:

[1] disease or condition.

[2] age.

[3] either of the above.

[4] neither of the above.

25. Rising acuity levels in long-term care facilities refers to:

[1] caring for sicker patients/residents.

[2] caring for more patients/residents.

[3] denying eligibility for care to more patients/residents.

[4] none of the above.

Chapter 5

True/False:

26. Outcomes management ends at discharge.

27. The case manager may be “internal” (employed by the subacute unit) or “external” (employed by an MCO or other payer).

28. Managed care has been a major factor in the growth of subacute care.

29. Subacute care is generally more intensive than nursing facility care, but less than acute care.

30. Services provided in subacute care units vary depending on the nature of the specific population

Multiple Choice:

31. Subacute care is generally provided in:

[1] hospitals.

[2] nursing care facilities.

[3] either of the above.

[4] neither of the above.

32. The four generally agreed-upon categories of subacute care are transitional, general, chronic, and:

[1] general transitional.

[2] long-term chronic.

[3] long-term transitional.

[4] general chronic.

33. Care planning begins with:

[1] application by the patient for admission to the unit.

[2] onset of the illness or condition requiring admission.

[3] admission.

[4] a detailed assessment.

34. Case management is primarily concerned with:

[1] the type and quality of care received.

[2] the cost-effectiveness of care received.

[3] initial assessment of the patient.

[4] discharge planning.

35. The largest source of reimbursement for subacute care is:

[1] Medicare.

[2] Medicaid.

[3] private insurance.

[4] self-pay.

Chapter 6

True/False:

36. All assisted living facilities provide the same services.

37. The average age of residents in assisted living facilities is 70.

38. Assisted living developed from both boarding homes and independent living facilities.

39. Location relative to family members is not an important consideration in choosing an assisted living facility.

40. Less than half of the residents in assisted living facilities need assistance with one or more activities of daily living (ADLs).

Multiple Choice:

41. An assisted living facility is staffed with:

[1] the same number of nurses as a nursing facility of the same size.

[2] fewer nurses than a nursing facility of the same size.

[3] more nurses than a nursing facility of the same size.

[4] only registered nurses.

42. The most common source of admissions to assisted living is from:

[1] home.

[2] nursing facilities.

[3] other assisted living facilities.

[4] hospitals.

43. The most common destination for people leaving assisted living is:

[1] home.

[2] nursing facilities.

[3] other assisted living facilities.

[4] hospitals.

44. The largest source of financing for assisted living facilities is:

[1] Medicare.

[2] Medicaid.

[3] private insurance.

[4] self-pay.

45. Assisted living is:

[1] highly regulated.

[2] unregulated.

[3] largely unregulated and likely to remain that way.

[4] largely unregulated, but likely to become more regulated.

Chapter 7

True/False:

46. Age-restricted retirement communities are oriented toward an active lifestyle, or “younger-thinking” seniors.

47. Cohousing is age-restricted.

48. Continuing care retirement communities offer several levels of assistance, usually including independent living, assisted living, and nursing home care commonly all on one campus or site.

49. Many seniors enter into a CCRC contract while they are healthy and active.

50. Managers of senior housing must be licensed.

Multiple Choice:

51. One of the major advantages of a continuing care retirement community is:

[1] the option to move between housing environments.

[2] not having to choose among services offered.

[3] the low cost.

[4] Medicare coverage.

52. Monthly costs for congregate housing can range from $500 to over:

[1] $1,000.

[2] $2,000.

[3] $3,000.

[4] $4,000.

53. The most common type of ownership of independent living communities is:

[1] nonprofit.

[2] government-owned.

[3] for-profit.

[4] none of the above.

54. Occupancy rates in senior housing are currently:

[1] around 50%.

[2] around 70%.

[3] over 90%.

[4] unknown.

55. Independent living is for:

[1] fragile elderly.

[2] relatively healthy, active seniors.

[3] nursing facility residents.

[4] homebound seniors.