Essentials of the U.S Health Care System Chapter Quiz

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

 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