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Title: Essentials of the U.S. ealth Care System

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Quiz

Instructor's Manual

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

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 of 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

Optional: Enter your name and your instructor's E-mail address to have your results E-mailed to him or her.
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