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 (A)</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 (B)</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) (C)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Documentation of medications' need and use (C)</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 (D)</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) (B)</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 (C)</p> Signup and view all the answers

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

<p>At the earliest possible time (A)</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 (A)</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 (C)</p> Signup and view all the answers

Which federal agency oversees quality in nursing homes nationwide?

<p>Center for Medicare and Medicaid Services (CMS) (B)</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 (B)</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 (B)</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 (D)</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 (D)</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 (A)</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 (C)</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. (A)</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. (D)</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. (D)</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. (A)</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. (A)</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. (C)</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 (A)</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 (A)</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 (C)</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 (B)</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 (B)</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 (D)</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) (C)</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 (A)</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 (C)</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) (C)</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 (B)</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) (D)</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 (B)</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 (D)</p> Signup and view all the answers

Why do some providers refuse to accept Medicaid?

<p>Lower reimbursement rates (B)</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 (A)</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 (C)</p> Signup and view all the answers

Why do some providers see Medicaid as a balancing game?

<p>To maintain a certain patient volume (D)</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 (B)</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 (B)</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 (D)</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 (C)</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 (A)</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 (B)</p> Signup and view all the answers

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