HSC3010 Long Term Care

HSC3010 Long Term Care

Instructions: This test consists of both True/ False questions as well as multiple-choice questions. Each of these questions are worth one (1) point each and there is a short answer portion which is worth five (5) points with the total of the exam worth 100 points. Please note that the chapter wherein to locate the answers is provided on the exam. This is an open note/ open book exam. Please submit your completed exam to the appropriate DropBox or you may submit your paper submission no later than Saturday, February 11th 11:59pm CST.

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Chapter 1
True/False:
1. The terms chronic care and long-term care are generally used interchangeably.
2. Long-term care consumers are usually defined by a single disease or condition.
3. Long-term care is defined as care provided in nursing homes.
4. Although we usually think of long-term care as being for the elderly, nearly half of the people using long-term care are non-elderly.
5. Aging in place is a form of single-site care availability.
Multiple Choice:
6. The current system of long-term care providers has developed largely in response to:
[1] need.
[2] demand.
[3] availability of reimbursement.
[4] all of the above.

7. Which of the following are not “informal caregivers?”
[1] family and friends
[2] religious organizations
[3] community groups
[4] government agencies

8. Baby boomers is a term used to describe people born:
[1] since 1990.
[2] between 1946 and 1964.
[3] before 1956.
[4] between 1964 and 1999.

9. “Multilevel facilities” refers to facilities that:
[1] provide multiple levels of care.
[2] are built on more than one floor.
[3] accept multiple levels of reimbursement for each type of care.
[4] all of the above.

10. Which of the following is not a weakness of the long-term care system?
[1] It is fragmented and uncoordinated.
[2] Services are distributed inequitably.
[3] There has been no innovation by providers.
[4] There are multiple entry points into the system.

Chapter 3
11. Which of the following is not a component of accessibility of long-term care services?
[1] financial eligibility
[2] location of services
[3] consumer choice
[4] complexity of the consumer’s care needs

12. The term “consumer-driven” means that long-term care consumers are:
[1] capable of driving themselves to where services are provided.
[2] entitled to receive any services they wish.
[3] allowed to make decisions related to their care and financing as much as possible.
[4] driven from one provider to another by Medicaid staff if they cannot afford a car.

13. Public/private partnerships are efforts to reduce:
[1] the number of long-term care regulations.
[2] hostility between government agencies and private providers.
[3] purchases of private long-term care insurance.
[4] public funding of long-term care.

14. People who have to care for both their parents and their children are called:
[1] the “sandwich generation.”
[2] the “lost generation.”
[3] “generation X.”
[4] none of the above.

15. The long-term care system is made up of providers who are organizationally:
[1] nonprofit.
[2] for-profit.
[3] government-owned.
[4] a mix of for-profit, nonprofit, and government-owned.

Chapter 4
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