Skilled Nursing Facilities and Home Assistance for Older Adults
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Questions and Answers

What types of restraints are mentioned in the text?

  • Pillows and blankets
  • Wrist/ankle soft restraints and hand mitts (correct)
  • Bedpans and call bells
  • Curtains and blinds

    • What determines if bed rails are considered a restraint?

  • The color of the bed rails
  • The number of bed rails on the bed
  • The length of the bed rails
  • The ability of the resident to voluntarily get in and out of bed (correct)

    • What does the term 'Right to Fall' refer to in the context of restraints?

  • The right to use bed rails
  • The right to refuse restraints if they restrict movement (correct)
  • The right to fall off a bed
  • The right to have soft mattresses

    • Which of the following is NOT mentioned as a type of restraint in the text?

    <p>Pillows for support</p> Signup and view all the answers

    What purpose do vest restraints serve, based on the information provided?

    <p>To prevent falling out of bed</p> Signup and view all the answers

    Which act passed in 1987 set training guidelines and minimum staffing requirements for nursing homes?

    <p>Omnibus Budget Reconciliation Act (OBRA)</p> Signup and view all the answers

    Under the Omnibus Budget Reconciliation Act (OBRA), what is considered as unnecessary drugs?

    <p>Medications without adequate monitoring</p> Signup and view all the answers

    Which of the following is a common service provided in Skilled Nursing Facilities (SNFs)?

    <p>Orthopedic care</p> Signup and view all the answers

    What initiates the Minimum Data Set (MDS) in nursing homes?

    <p>Documentation of medications' need and use</p> Signup and view all the answers

    What is required for Medicare to pay for an individual's stay in a Long-Term Care Facility (LCTF)?

    <p>A qualifying 3-day stay in the hospital</p> Signup and view all the answers

    Which type of care integrates features of acute medical care, long-term nursing, and rehabilitation?

    <p>Transitional Care Unit (TCU)</p> Signup and view all the answers

    What is the main purpose of restraints in nursing homes according to the given text?

    <p>To ensure the immediate physical safety of patients, staff, or others</p> Signup and view all the answers

    According to CMS standards, when should restraints on patients be discontinued?

    <p>At the earliest possible time</p> Signup and view all the answers

    Which of the following is a patient right related to restraint or seclusion as per CMS standards?

    <p>The right to be free from restraint imposed as coercion or retaliation by staff</p> Signup and view all the answers

    What is the main responsibility of state officials in nursing homes?

    <p>To certify nursing homes after surveying them</p> Signup and view all the answers

    Which federal agency oversees quality in nursing homes nationwide?

    <p>Center for Medicare and Medicaid Services (CMS)</p> Signup and view all the answers

    What is a common reason some providers may not accept Medicaid?

    <p>They view Medicaid fees as being subsidized by commercial insurance</p> Signup and view all the answers

    What is the process of moving around money and assets to qualify for Medicaid for long term care known as?

    <p>Medicaid Spend Down</p> Signup and view all the answers

    What do Long-Term Care Facilities (LTCFs) offer in addition to nursing care?

    <p>Dietary services and medical oversight</p> Signup and view all the answers

    What is the primary goal of 'Aging in Place' services provided by states?

    <p>To help older adults live meaningful lives at home</p> Signup and view all the answers

    Which of the following services is typically NOT provided in Skilled Nursing Facilities (SNFs)?

    <p>Home health aide visits</p> Signup and view all the answers

    What can be a common risk management challenge in the Medical-Legal Interface for providers accepting Medicaid?

    <p>Avoiding mistreatment and neglect accusations</p> Signup and view all the answers

    What is the main difference between Medicare and Medicaid eligibility criteria?

    <p>Medicare is for individuals age 65 and older, while Medicaid is based on income and special circumstances.</p> Signup and view all the answers

    What is a Medicaid spend-down in the context of healthcare?

    <p>A process where patients must spend a certain amount of their own money before becoming eligible for Medicaid.</p> Signup and view all the answers

    What is the 'right to fall' in the regulatory context of long-term care facilities?

    <p>The right of patients to have unrestricted movement even if it poses a risk of falling.</p> Signup and view all the answers

    What are the types of risks discussed in the context of elder abuse and neglect?

    <p>Risks related to financial exploitation and physical harm to older adults.</p> Signup and view all the answers

    Which legal issues are commonly associated with elder abuse and neglect?

    <p>Matters related to guardianship, power of attorney, and neglect in elder care.</p> Signup and view all the answers

    What is a key aspect of risk management concerning mistreatment in long-term care facilities?

    <p>Implementing comprehensive training programs for staff on identifying and preventing abuse.</p> Signup and view all the answers

    What is the main purpose of the Medicaid spend-down mentioned in the text?

    <p>To provide financial assistance for long-term care services</p> Signup and view all the answers

    What is a key aspect of the Minimum Data Set (MDS) in Long-Term Care Facilities?

    <p>It triggers a review of diagnostic and therapeutic protocols for residents</p> Signup and view all the answers

    What is the primary role of the Omnibus Budget Reconciliation Act (OBRA) in relation to nursing homes?

    <p>Establishing minimum staffing requirements and training guidelines</p> Signup and view all the answers

    How does Medicare Part A coverage differ for days 21-100 at Skilled Nursing Facilities (SNFs)?

    <p>A co-pay is required for each day of care during this period</p> Signup and view all the answers

    What do Transitional Care Units (TCUs) or Post-acute Care units integrate?

    <p>Acute medical care, long-term care nursing, and rehabilitation features</p> Signup and view all the answers

    What is required for Medicare to pay for an individual's stay at a Long-Term Care Facility (LCTF)?

    <p>At least a 3-day stay in a hospital prior to admission to LCTF</p> Signup and view all the answers

    Which federal agency oversees the rules and regulations for Medicare and Medicaid?

    <p>Department of Health and Human Services (HHS)</p> Signup and view all the answers

    In what year did federal legislation pass Medicare and Medicaid for elderly and select low-income populations?

    <p>1965</p> Signup and view all the answers

    What does CMS stand for in the context of overseeing Medicare and Medicaid regulations?

    <p>Centers for Medicare and Medicaid Services</p> Signup and view all the answers

    Which group of individuals may qualify for Medicare before the age of 65?

    <p>Individuals with Lou Gehrig's Disease (ALS)</p> Signup and view all the answers

    What is the main purpose of Medicaid spend-down in relation to long-term care?

    <p>To reduce assets to qualify for Medicaid coverage</p> Signup and view all the answers

    Which federal legislation is responsible for setting training guidelines and minimum staffing requirements for nursing homes?

    <p>Omnibus Budget Reconciliation Act (OBRA)</p> Signup and view all the answers

    What strategy do some providers use to view Medicaid fees as subsidized by commercial insurance?

    <p>Balancing game</p> Signup and view all the answers

    What is the process of rearranging money and assets to qualify for Medicaid called?

    <p>Medicaid Spend Down</p> Signup and view all the answers

    Why do some providers refuse to accept Medicaid?

    <p>Lower reimbursement rates</p> Signup and view all the answers

    What is the primary goal of 'Aging in Place' services provided by states?

    <p>Promote living meaningful lives for older adults</p> Signup and view all the answers

    How do some providers perceive Medicaid fees in relation to commercial insurance?

    <p>As subsidized by commercial insurance</p> Signup and view all the answers

    Why do some providers see Medicaid as a balancing game?

    <p>To maintain a certain patient volume</p> Signup and view all the answers

    What concept is explored in the journal article by Menec et al. in the text?

    <p>Conceptualizing age-friendly communities</p> Signup and view all the answers

    In the context of older individuals, what is the main focus of the Handbook of Salutogenesis mentioned in the text?

    <p>Sense of coherence and community</p> Signup and view all the answers

    Which issue is addressed in the Willink et al. study cited in the text?

    <p>Long-term services and supports for older Americans</p> Signup and view all the answers

    What is a potential challenge associated with doctors not accepting Medicare?

    <p>Limited insurance coverage options for patients</p> Signup and view all the answers

    What is the primary focus of the article by Koelen et al. cited in the text?

    <p>Sense of coherence and community</p> Signup and view all the answers

    In relation to Medicare and Medicaid, what does the text primarily discuss about doctors' acceptance decisions?

    <p>Trends related to doctors not accepting Medicaid</p> Signup and view all the answers

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