Chapter4

Question 1

Chronic Diseases

Answer 1

arising both emotional and psychical causes will be the most important of the future disabilities

Question 2

Preadmission screening and resident Review

Answer 2

this is anoher federal requirement that ensures that the individuals are not appropriately placed in a nursing home for long term care

Question 3

Why do americans continue to live longer?

Answer 3

they continue to live longer becuse they have a mroe effective diagnosis and treatment for heart disease and cancer the two leading causes of death in those 65 years and older

Question 4

A skilled nursing facility (SNF)

Answer 4

a nursing home that provides the level of care closest to hospital care

Question 5

Nursing facilities services are provided by

Answer 5

Medicaid certified nursing homes which primarily provide three types of services; skilled nursing or medical care and related services; rehabilitation needed due to injury, disability, or illness: and long term, helath related care and services (above the level of room and board)

Question 6

Residential Care Communities/assisted living facilities are

Answer 6

non medical facilities that provide room or apartment, meals, housekeeping, medication management, assistance with ADL’s as needed, and recreational activities

Question 7

Hospice Care

Answer 7

helps manage pain and other symptoms associated with dying when conventional treatment is no longer of value

Question 8

Other Hospice services are

Answer 8

emotional, psychological and spiritual support for the patient and family and bereavement counseling for surviving family and friends. Medical care may include necessary medication, medical supplied and equipment

Question 9

Case Management

Answer 9

is necessary to coordinate the care of older adults with multiple health problems

Question 10

Medicare Supplement Health Insurance (Medigap)

Answer 10

Most older adults purchase this from a private company to cover deductibles and co payments for Parts A and B

Question 11

Institutional services refer to specific benefits authorized under the

Answer 11

Social Security Act

Question 12

Part C (Medicare Advantage)

Answer 12

most older adults purchase this alongside Part D prescription medication, from private insurance companies

Question 13

When were native american added to the aging programs?

Answer 13

A programs for aging native americans was added to the 1979 Amendment to the OAA

Question 14

Health Literacy

Answer 14

is the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions

Question 15

Medicare A

Answer 15

hospital care

Question 16

The Omnibus Budget Reconciliation Act of 1987 (OBRA 870)

Answer 16

was enacted in response to the poor quality of care and inadequate regulation in the U.S nursing homes

Question 17

An Evaluation of the ADL’s

Answer 17

bathing, dressing, toileting, and eating are used to measure physical and cognitive function for users of long-term services. Assistance with bathing is most common

Question 18

Hospices

Answer 18

are operated on the principle that the dying have special needs that hospital personnel are too busy to handle

Question 19

PACE

Answer 19

is available only for individuals 55 years of age or older who are certified by their state to need nursing home care but who are able to live safely in the community

Question 20

ICF’s

Answer 20

are available only for individuals in need of, and receiving, active treatment that consists of a programs specialized and generic training, treatment and health services

Question 21

Nursing homes were first established

Answer 21

in the 19th century for the poor and provided food, shelter and clothing