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The United States Health Care System

Combining Business Health and


Delivery 2nd Edition Austin Test Bank
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Chapter Eight

MULTIPLE CHOICE

1) Nursing homes account for ________% of the total LTC given.

A) 4

B) 10

C) 15

D) 20

2) ADLs are:

A) assessment of daily living.

B) assessment delivery location.

C) activities of daily living.

D) alternative delivery location.

3) All of the following are ADLs except:

A) dressing.

B) bathing.

C) toileting.

D) shopping.

4) The two impairments most likely to result in the need for residential long-term care are:

A) bathing and eating.

B) transferring and bathing.

C) continence control and transferring.

D) eating and continence control.

5) What percent of adults age 85 and older require ADL or IADL assistance?
A) 10

B) 40

C) 30

D) 20

6) Of the group over age 85 that requires assistance, _______________ are in nursing

homes.

A) greater than 15% but less than 20%

B) greater than 10% but less than 15%

C) less than 5%

D) greater than 5% and less than 10%

7) Unpaid long-term-care providers are primarily:

A) women.

B) men.

C) local hospital employees.

D) sons.

8) The most prevalent reason for home health care visits is:

A) chronic illness.

B) injury.

C) cardiovascular illness.

D) cancer.

9) All of the following are categories of nursing home ownership except:

A) nonprofit.

B) union.
C) governmental.

D) proprietary.

10) Medicaid will cover LTC payment in which situation?

A) The individual has turned 65.

B) The individual is disabled.

C) The individual qualifies for LTC and meets Medicaid’s income test.

D) The individual did not qualify for LTC insurance.

11) Staffing ratios in long-term care are _______________ in hospitals.

A) greater than

B) less than

C) equal to

12) All of the following are categories of nursing home care except:

A) SNF.

B) ADF.

C) ECF.

D) ICF.

13) The average age of all assisted living residents is:

A) greater than 70 but less than 80 years old.

B) greater than 100 years old.

C) greater than 60 but less than 70 years old.

D) greater than 80 but less than 100 years old.

14) Diane and Steve care for Steve’s elderly mother. They have planned a vacation to Disney

World and cannot take Steve’s mom. Which care option should they explore?
A) Adult day care

B) Respite care

C) Assisted living

D) ICF care

15) When Diane and Steve return from vacation, Steve’s mom expresses her desire to get out

more. Diane wants to return to work as opposed to being a full-time caregiver for her mother-in-

law. Which care option should they explore, excluding total out-of-home care?

A) Adult day care

B) Respite care

C) Assisted living

D) ICF care

16) Long-term care is defined as:

A) care for the elderly.

B) care for the disabled.

C) health care services to an individual for more than 60 days.

D) health care services to an individual for more than 90 days.

17) A LTC system that would provide physical, social, mental health, and financial support

would be considered:

A) aging in place.

B) spending down.

C) a continuum of care.

D) IADL.

18) The sandwich generation is:


A) adults who are caring for both their children and parents.

B) teens who have preschool and adult siblings.

C) an 80-year-old whose needs are supplanted by those of the 60-year-olds and 90-year-olds.

D) those who like sandwiches.

19) Medical power of attorney refers to:

A) an individual who is able to select the proper attorney for a malpractice case.

B) an individual given health care decision power for another person who is deemed

incapable of making decisions.

C) an automatic power which any caregiver has for the care decisions of another.

D) a power only the Veteran’s Administration may grant.

20) All of the following are settings in which LTC may take place except:

A) clinics.

B) hospitals.

C) adult day care.

D) assisted living centers.

21) All of the following are IADL except:

A) managing money.

B) grocery shopping.

C) bathing.

D) housekeeping.

22) All of the following are categories of ADL capability except:

A) totally independent (no mechanical assistance or assistance from another person).

B) requiring mechanical assistance only.


C) requiring no assistance from another person.

D) unable to do the activity at all.

23) All of the following are primary disease processes that affect the elderly except:

A) arthritis.

B) athletic injuries.

C) cancers.

D) dementias.

24. All of the following are true about home health care except:

A) it is the fastest growing segment of LTC.

B) the industry is divided into two categories: Medicare certified and private.

C) it includes hospice care.

D) the number of clients is decreasing.

25) Which of the following is not an ethical or political issue related to LTC?

A) Power of attorney

B) Guardianship

C) End-of-life care

D) The passage of the Hill-Burton Act

TRUE/FALSE

26) A person who requires assistance with bathing, dressing, and meal preparation must

receive long-term care.

27) The Department of Veterans Affairs (DVA) is the largest integrated delivery system.

28) DVA is the largest provider of long-term-care services in the nation.

29) Adult day care provides socialization and treatment.


30) Assisted living facilities utilize the same model of care as hospitals and SNFs.

FILL IN THE BLANK

31) The ideal long-term-care system utilizes a _______________ approach as opposed to the

medical model.

32) The _______________ _______________ are adult persons caring for both children and

the elderly.

33) Mary lives in an apartment complex. She has a small one-bedroom apartment with a

small kitchen and living area. She eats in the community dining room at least once a day. Mary

lives in a _______________ _______________ _______________.

34) The typical home health client is a _______________ _______________.

ESSAY

35) Differentiate between an ADL and IADL.

36) Define home health care and identify two current utilization trends and the causes of

those trends.

37) Describe the health care power of attorney. What are the advantages and disadvantages of

this legal document to the patient and to the health care community?

Answer Key

1) A

2) C

3) D

4) C

5) D
6) D

7) A

8) C

9) B

10) C

11) B

12) B

13) D

14) B

15) A

16) D

17) C

18) A

19) B

20) A

21) C

22) C

23) B

24) D

25) D

26) false

27) true

28) true
29) true

30) false

31) holistic

32) sandwich generation

33) independent living center or assisted living center

34) married woman

35) ADLs are personal care/needs; IADLs are care/management of the person’s environment.

36) Answers will vary but could include high-tech treatment and cost effectiveness.

37) Gives another authority to make decisions on the patient’s behalf. Other responses will
vary.
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Cumming, C. K., and Pettit, W. W., comps.
and eds. Russian-American relations,
March, 1917–March, 1920. (Jl ’20)
History
Brown, E. S. Constitutional history of the
Louisiana purchase. (Ag ’20)
Evans, L. B. America first. (Ja ’21)
Muzzey. D: S. American history. (O ’20)
Neihardt, J: G. Splendid wayfaring. (F ’21)
Turner, F: J. Frontier in American history. (D
’20)
Colonial period
Gregg, F. M. Founding of a nation. (O ’20)
Revolution
Merlant, J. Soldiers and sailors of France in
the American war for independence. (Ja
’21)
War of 1812
Paine, R. D. Fight for a free sea. (D ’20)
War with Mexico, 1845–48
Smith, J. H. War with Mexico. (Mr ’20)
Civil war
Adams, C: F., and others. Cycle of Adams
letters. (Ja ’21)
Livermore, T: L. Days and events. (Mr ’20)
1865–
Haworth, P. L. United States in our own
times, 1865–1920. (O ’20)
Pettigrew, R: F. Course of empire. (Ja ’21)
Rhodes, J. F. History of the United States
from Hayes to McKinley. (Ag ’20)
Immigration
Orth, S: P. Our foreigners. (D ’20)
Intellectual life
Canby, H: S. Everyday Americans. (O ’20)
Frank, W. D: Our America. (Ag ’20)
Santayana, G: Character and opinion in the
United States. (F ’21)
Military training
Johnsen, J. E., comp. Selected articles on
national defense. (F ’21)
Navy
Fraser, C. C. Boys’ book of sea fights. (N ’20)
Krafft, H. F:, and Norris, W. B. Sea power in
American history. (F ’21)
Leighton, J: L. Simsadus: London. (Jl ’20)
Paine, R. D. Corsair in the war zone. (O ’20)
Police system
Fosdick, R. B. American police systems. (Ja
’21)
Politics and government
Bartlett, W: H. Handbook of American
government. (S ’20)
Beck, J. M. Passing of the new freedom. (N
’20)
Butler, N: M. Is America worth saving? (Je
’20)
Clark, C. My quarter century of American
politics. (Ap ’20)
Cleveland, F: A., and Buck, A. E. Budget and
responsible government. (Jl ’20)
Dawson, E. Organized self-government. (Ag
’20)
Dunn, A. W. How presidents are made. (Je
’20)
Fenwick, C: G. Political systems in transition.
(D ’20)
Forman, S: E. American democracy. (F ’21)
Fraser, C. C. Young citizen’s own book. (N
’20)
Kimball, E. National government of the
United States. (My ’20)
Lee, G. S. Ghost in the White House. (S ’20)
McLaughlin, A. C. Steps in the development
of American democracy. (F ’21)
Mason, A. L. Guiding principles for American
voters. (D ’20)
Peterson, S: Democracy and government. (Mr
’20)
Taft. H: W. Occasional papers and addresses
of an American lawyer. (Ag ’20)
Race question

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