Competency 15 Section 1

Question 1

1. Long-term care is frequently provided in a hospital for health conditions such as the
   flu, asthma attacks, and allergic reactions.

Answer 1

False. These are examples of acute health problems, which are commonly treated in
a hospital. Long-term care does not typically take place in a hospital, but rather in
other locations such as the home or a nursing facility. (LO 15-1-1)

Question 2

2. The majority of long-term care recipients are under the age of 65.

Answer 2

False. The majority of long-term care recipients are over the age of 65. (LO 15-1-1)

Question 3

3. Custodial care can be provided by unlicensed professionals in a long-term care
   recipient’s home

Answer 3

True. The majority of custodial care is provided by family members in a home
setting. (LO 15-1-1)

Question 4

4. Custodial care expenditures are typically covered by Medicare

Answer 4

False. Medicare does not typically cover custodial care services. (LO 15-1-1)

Question 5

5. Activities of daily living (ADLs) include: bathing, dressing, personal hygiene, using
   the toilet, maintaining continence, eating, walking, mobility inside the home, and
   transferring in and out of a bed, chair, or wheelchair

Answer 5

True. (LO 15-1-1)

Question 6

6. On average, men need long-term care for a greater length of time than women.

Answer 6

False. On average, men need 2.2 years of long-term care and women need an
average of 3.7 years of long-term care. (LO 15-1-1)

Question 7

7. Alzheimer’s and dementia are the number one reason for long-term care needs.

Answer 7

True. Alzheimer’s and dementia cause over 20% of all long-term care needs. (LO
15-1-1)

Question 8

8. On average, nursing homes are more expensive than assisted living care facilities.

Answer 8

True. Roughly $80,000 a year compared to $40,000. (LO 15-1-1)

Question 9

9. Private long-term care insurance finances more institutional setting long-term care
   expenditures than out of pocket self-financing.

Answer 9

False. In 2010, private long-term care insurance financed $11.2 billion while out of
pocket covered $29.3 billion. (LO 15-1-1)

Question 10

10.Annual long-term care expenditures equate to roughly 50% of all health care
costs

Answer 10

False. Long-term health care expenditures equate to roughly 8% of all health care
costs. (LO 15-1-2)

Question 11

11.Medicaid is the largest government financing source for long-term health care
expenditures

Answer 11

True. (LO 15-1-2)

Question 12

12.Long-term care Medicare coverage extends to custodial care services required to
assist a long-term care recipient with his or her ADLs.

Answer 12

False. Medicare does cover some long-term care services but is not designed to
specifically provide care services to assist with ADLs. (LO 15-1-2)

Question 13

13.Medicare may cover some long-term care costs in a nursing home if the skilled
care is ordered by a doctor and lasts for over 100 days

Answer 13

False. Under some circumstances, Medicare will cover some long-term health care
costs up to 100 days in a nursing home. (LO 15-1-2)

Question 14

14.Long-term care expenditures comprise over 70% of Medicaid’s total annual
budget

Answer 14

False. Long-term care expenditures comprise roughly 31% of Medicaid’s annual
budget. (LO 15-1-2)

Question 15

15.The Veterans Administration ensures there are enough beds available in VA
homes for all VHA enrolled veterans.

Answer 15

False. There is limited availability in VA homes and all veterans are not eligible.
(LO 15-1-2)

Question 16

16.Family members deliver roughly 70% of all long-term care services.

Answer 16

True. Family members provide the majority of long-term care services. (LO 15-1-2)

Question 17

17.Most family caregivers of long-term care services perform these services on a fulltime
basis and do not have other jobs

Answer 17

False. Roughly 60% of family caregivers have other jobs. (LO 15-1-2)

Question 18

18.Most long-term care recipients live in their own home.

Answer 18

True. 51% of long-term care recipients live in their own home. (LO 15-1-3)

Question 19

19.The majority of long-term family caregivers are men.

Answer 19

False. 66% of family caregivers are women. (LO 15-1-3)

Question 20

20.Medicare can cover up to five continuous days of respite care services.

Answer 20

True. (LO 15-1-3)

Question 21

21.Adult day care centers often provide 24-hour services

Answer 21

False. Adult day care centers are often only open 6-12 hours per day. (LO 15-1-3)

Question 22

22.Assisted living facilities specialize in scheduled long-term care services for their
long-term care recipients

Answer 22

False. Assisted living facilities provide non-scheduled care. (LO 15-1-3)

Question 23

23.Nursing homes are state licensed facilities that specialize in providing 24-hour
long-term care services

Answer 23

True. (LO 15-1-3)

Question 24

24.Some nursing homes provide specialized units for the treatment of Alzheimer’s
and dementia.

Answer 24

True. (LO 15-1-3)

Question 25

25.Medicare might cover hospice care if a doctor certifies that a patient has less than
twelve months to live if the health condition runs its normal course

Answer 25

False. The correct time frame is 6 months. (LO 15-1-3)

Question 26

18. Which of the following is an Instrumental Activity of Daily Living (IADL)? (LO 15-1-1)
A. Bathing
B. Shopping
C. Dressing
D. Walking

Answer 26

18. The answer is B. The others are all ADLs. Other IADLs include managing money, using the telephone, preparing meals, and managing medication

Question 27

19. Which of the following statements accurately describes Medicare’s role in long-term care financing? (LO 15-1-2)
    A. Medicare is the largest government financing option for long-term care expenditures.
    B. Medicare often covers custodial care for ADLs.
    C. Medicare does not cover any post-acute care services in the home.
    D. Medicare may cover some Nursing Home care costs for a short period of time.

Answer 27

19. The answer is D. Medicare does cover some post-acute care recovery in a nursing home.

Question 28

20. Which of the following statements is correct regarding respite care? (LO 15-1-3)
    A. Medicare does not cover respite care.
    B. Respite care can be provided for weeks at a time.
    C. Respite care cannot be provided by informal caregivers.
    D. Respite care can only be provided in an institutional setting.

Answer 28

20. The answer is B. Medicare can cover up to five days of respite care. Respite care can be provided for weeks at a time at home or in an institutional setting and can be provided by skilled or informal caregivers

Question 29

50. Which of the following statements concerning custodial care is (are) correct? (LO 15-1-1)
    I. Custodial care is primarily provided by family members.
    II. Custodial care excludes assistance with activities of daily living.
    A. I only
    B. II only
    C. Both I and II
    D. Neither I nor II

Answer 29

50. The answer is A. Custodial care can be provided by unlicensed personnel and is primarily provided by family members. Custodial care is care that assists a recipient with his or her activities of daily living.

Question 30

80. All of the following statements concerning Adult Day Care Centers are correct EXCEPT (LO 15-1-3)
    A. There are roughly 5,000 Adult Day Care Centers in the U.S.
    B. Adult Day Care Centers provide part-time services.
    C. The majority of long-term care recipients at Adult Day Care Centers live in long-term care facilities.
    D. Many long-term care recipients at Adult Day Care Centers suffer from cognitive impairments.

Answer 30

80. The answer is C. One major benefit of Adult Day Care Centers is that it enables many people who need long-term care services to remain living outside of a long-term care facility.