52 Questions
What types of restraints are mentioned in the text?
Wrist/ankle soft restraints and hand mitts
What determines if bed rails are considered a restraint?
The ability of the resident to voluntarily get in and out of bed
What does the term 'Right to Fall' refer to in the context of restraints?
The right to refuse restraints if they restrict movement
Which of the following is NOT mentioned as a type of restraint in the text?
Pillows for support
What purpose do vest restraints serve, based on the information provided?
To prevent falling out of bed
Which act passed in 1987 set training guidelines and minimum staffing requirements for nursing homes?
Omnibus Budget Reconciliation Act (OBRA)
Under the Omnibus Budget Reconciliation Act (OBRA), what is considered as unnecessary drugs?
Medications without adequate monitoring
Which of the following is a common service provided in Skilled Nursing Facilities (SNFs)?
Orthopedic care
What initiates the Minimum Data Set (MDS) in nursing homes?
Documentation of medications' need and use
What is required for Medicare to pay for an individual's stay in a Long-Term Care Facility (LCTF)?
A qualifying 3-day stay in the hospital
Which type of care integrates features of acute medical care, long-term nursing, and rehabilitation?
Transitional Care Unit (TCU)
What is the main purpose of restraints in nursing homes according to the given text?
To ensure the immediate physical safety of patients, staff, or others
According to CMS standards, when should restraints on patients be discontinued?
At the earliest possible time
Which of the following is a patient right related to restraint or seclusion as per CMS standards?
The right to be free from restraint imposed as coercion or retaliation by staff
What is the main responsibility of state officials in nursing homes?
To certify nursing homes after surveying them
Which federal agency oversees quality in nursing homes nationwide?
Center for Medicare and Medicaid Services (CMS)
What is a common reason some providers may not accept Medicaid?
They view Medicaid fees as being subsidized by commercial insurance
What is the process of moving around money and assets to qualify for Medicaid for long term care known as?
Medicaid Spend Down
What do Long-Term Care Facilities (LTCFs) offer in addition to nursing care?
Dietary services and medical oversight
What is the primary goal of 'Aging in Place' services provided by states?
To help older adults live meaningful lives at home
Which of the following services is typically NOT provided in Skilled Nursing Facilities (SNFs)?
Home health aide visits
What can be a common risk management challenge in the Medical-Legal Interface for providers accepting Medicaid?
Avoiding mistreatment and neglect accusations
What is the main difference between Medicare and Medicaid eligibility criteria?
Medicare is for individuals age 65 and older, while Medicaid is based on income and special circumstances.
What is a Medicaid spend-down in the context of healthcare?
A process where patients must spend a certain amount of their own money before becoming eligible for Medicaid.
What is the 'right to fall' in the regulatory context of long-term care facilities?
The right of patients to have unrestricted movement even if it poses a risk of falling.
What are the types of risks discussed in the context of elder abuse and neglect?
Risks related to financial exploitation and physical harm to older adults.
Which legal issues are commonly associated with elder abuse and neglect?
Matters related to guardianship, power of attorney, and neglect in elder care.
What is a key aspect of risk management concerning mistreatment in long-term care facilities?
Implementing comprehensive training programs for staff on identifying and preventing abuse.
What is the main purpose of the Medicaid spend-down mentioned in the text?
To provide financial assistance for long-term care services
What is a key aspect of the Minimum Data Set (MDS) in Long-Term Care Facilities?
It triggers a review of diagnostic and therapeutic protocols for residents
What is the primary role of the Omnibus Budget Reconciliation Act (OBRA) in relation to nursing homes?
Establishing minimum staffing requirements and training guidelines
How does Medicare Part A coverage differ for days 21-100 at Skilled Nursing Facilities (SNFs)?
A co-pay is required for each day of care during this period
What do Transitional Care Units (TCUs) or Post-acute Care units integrate?
Acute medical care, long-term care nursing, and rehabilitation features
What is required for Medicare to pay for an individual's stay at a Long-Term Care Facility (LCTF)?
At least a 3-day stay in a hospital prior to admission to LCTF
Which federal agency oversees the rules and regulations for Medicare and Medicaid?
Department of Health and Human Services (HHS)
In what year did federal legislation pass Medicare and Medicaid for elderly and select low-income populations?
1965
What does CMS stand for in the context of overseeing Medicare and Medicaid regulations?
Centers for Medicare and Medicaid Services
Which group of individuals may qualify for Medicare before the age of 65?
Individuals with Lou Gehrig's Disease (ALS)
What is the main purpose of Medicaid spend-down in relation to long-term care?
To reduce assets to qualify for Medicaid coverage
Which federal legislation is responsible for setting training guidelines and minimum staffing requirements for nursing homes?
Omnibus Budget Reconciliation Act (OBRA)
What strategy do some providers use to view Medicaid fees as subsidized by commercial insurance?
Balancing game
What is the process of rearranging money and assets to qualify for Medicaid called?
Medicaid Spend Down
Why do some providers refuse to accept Medicaid?
Lower reimbursement rates
What is the primary goal of 'Aging in Place' services provided by states?
Promote living meaningful lives for older adults
How do some providers perceive Medicaid fees in relation to commercial insurance?
As subsidized by commercial insurance
Why do some providers see Medicaid as a balancing game?
To maintain a certain patient volume
What concept is explored in the journal article by Menec et al. in the text?
Conceptualizing age-friendly communities
In the context of older individuals, what is the main focus of the Handbook of Salutogenesis mentioned in the text?
Sense of coherence and community
Which issue is addressed in the Willink et al. study cited in the text?
Long-term services and supports for older Americans
What is a potential challenge associated with doctors not accepting Medicare?
Limited insurance coverage options for patients
What is the primary focus of the article by Koelen et al. cited in the text?
Sense of coherence and community
In relation to Medicare and Medicaid, what does the text primarily discuss about doctors' acceptance decisions?
Trends related to doctors not accepting Medicaid
Learn about the organizations that offer help in the home for older adults, such as housework, cooking, and laundry, to enable them to stay at home. Explore the features and services provided by Skilled Nursing Facilities (SNF) and Transitional Care Units (TCU) in the context of elderly care.
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