Long Term Care and Administration
Exam 1 Review questions and answers
"Disability" can have which of the following dimensions? - answer Bodily function
Activity restriction
Participation restrictions
The most significant difference between independent elderly housing and congregate elderly
housing is the group dining experience being found in the latter. - answer True
Discrimination based on a person's age could be defined as ageism. - answer True
3 types of senior centers are multipurpose centers, specialized centers, and intergenerational
centers. - answer True
Most people over age 65, for personal care needs, rely upon unpaid caregivers. - answer True
A nursing home resident who needs physical assistance in completing a functional activity-of-
daily living, but who can personally contribute at least 50% to completing the task, would be
rated at "limited" assistance level. - answer True
12 staff work must each work Monday-Friday 4 hours a day; and, one different staff member
must 8 hours on a Monday and 8 hours on a Wednesday. Collectively, these workers FOR THE
WEEK represent 7.4 paid productive F.T.E. - answer False
The term "universal worker" (if the employer chooses to use such an employee) applies to an
employee in exclusively the nursing home setting who would perform a variety of tasks such as
dietary, nursing and housekeeping. - answer False
, Telehealth, senior centers, and adult day care are forms of community-based services. - answer
True
A nursing home participating in the Medicare or Medicaid program cannot require a resident
family member to personally pay out of his/her own monies for a resident's stay. The nursing
home can only look to the resources of the resident. However, if the family member manages
that resident's money, the nursing home can look to recovery of those monies. - answer True
Determination of adequate staffing for a facility for budget determination purposes should rely
on actual occupancy patterns (census), patient/resident acuity levels, physical plant
configuration, governmental regulation requirements and the facility's own policies and
procedures. - answer True
There typically are cures for chronic health conditions, but not for chronic disability conditions. -
answer False
Combative residents are typically acceptable for retention in both an assisted living setting and
nursing home setting, but not in independent or congregate elderly housing. - answer False
In medical homes, a _______ provides 24-hour access to healthcare services. - answer
multidisciplinary team
A goal of the Affordable Care Act is to shift Medicaid dollars away from institutional care and
move towards home and community-based service options. The primary goal of this Act is to
diminish the availability of private health insurance to persons supported by government
subsidies. - answer False
Another name for a Continuing Care Retirement Community is a Life Plan Community. These
organizations typically provide elderly housing, assisted living and nursing home care all on the
same property, and if they do not do all on the same property, they have arrangements locally
to provide same. The CCRC is considered to be in the healthcare model because it has the
ultimate discretion to determine whether someone has to leave the independent housing
section of the campus and move to a higher level of care on campus. - answer False
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