Essentials of the U.S Health Care System Chapter Quiz

1: Most of the long-term care in the U.S. is provided by

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A: informal caregivers
B: certified nursing assistants
C: skilled nursing facilities
D: home health agencies

2: The elderly are the primary clients of long-term care.

A: TRUE
B: FALSE

3: Most elderly need long-term care.

A: TRUE
B: FALSE

4: Generally, all LTC patients require services that are very similar.

A: TRUE
B: FALSE

5: The primary goal of preventive long-term care services is to

A: help patients cope with their disabilities
B: make people well
C: prevent diseases such as pneumonia or flu
D: prevent or delay institutionalization

6: The need for long-term care is most closely associated with

A: inability to function independently
B: chronic conditions
C: comorbidity
D: aging

7: Generally, as a person ages, a decline in ADLs sets in later than a decline in IADLs.

A: TRUE
B: FALSE

8: In relation to a patient’s functional limitations, the main goal of LTC is to

A: Restore function
B: Provide assistance
C: Promote independence
D: Adapt to change

9: Palliation

A: Nausea
B: Safety
C: Relief
D: Comfort

10: Which of the following is not a goal of community-based long-term care services?

A: Respite care
B: Establish an administrative network of LTC
C: Prevent of delay institutionalization
D: Supplement informal care

11: These programs may specialize in delivering medical, nursing, and rehabilitation services for patients who may be recovering from some acute episode.

A: Adult foster care
B: Senior centers
C: Respite care
D: Adult day care

12: What common purpose is served by senior centers?

A: Respite care
B: Socializing
C: Congregate meals
D: Health education

13: Retirement facilities are best characterized as

A: home health oriented
B: fitness oriented
C: upscale
D: physically supportive

14: Clinical services offered by personal care homes are best characterized as

A: Custodial
B: Maintenance
C: Group
D: Light

15: The main distinction between personal care homes and assisted living is that the latter provide

A: Custodial care
B: Medications
C: Nursing care
D: Advanced rehabilitation

16: Paraprofessional

A: Certified nursing assistant
B: Licensed therapist
C: Physician’s assistant
D: Dietician

17: Subacute care is mainly characterized by

A: Individualizing treatment plans
B: Active monitoring and treatment
C: Involvement of paraprofessionals
D: Maximizing quality of life

18: It is illegal to operate a nursing facility without

A: physicians
B: certification
C: license
D: accreditation

19: The Life Safety Code deals with

A: building and fire safety rules
B: state nursing home standards
C: standards enforced by the department of human services
D: standards of nursing care

20: SNF certification allows a facility to admit both Medicare and Medicaid patients.

A: TRUE
B: FALSE

21: Medicare allows a maximum of ____ days of care in a skilled nursing facility.

A: 23
B: 60
C: 100
D: 120

22: Which facility provides special programming and care modules for patients suffering from mental retardation and associated disabilities?

A: SNF
B: ICF/MR
C: Subacute care
D: NF

23: To be certified, a nursing home must comply with federal rather than state standards.

A: TRUE
B: FALSE

24: Unless a facility is certified, it cannot legally admit any patients.

A: TRUE
B: FALSE

25: In nursing facilities, private pay patients are often placed alongside those who have Medicare or Medicaid coverage.

A: TRUE
B: FALSE

26: Services that relieve caregiving stress and burnout.

A: Hospice
B: Restorative
C: Complementary
D: Respite

27: Most nursing homes in the U.S. are private, for-profit.

A: TRUE
B: FALSE

28: Nationally, the main source of payment for nursing home care is

A: Medicare
B: Private out-of-pocket payment
C: Private insurance
D: Medicaid

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