Chapter 1 Review Questions

NOTE to Department of Financial Services.  The following questions represent a bank of questions that we willuse to compile this chapter's review questions.  We use a software package that creates a unique review for each student, scrambles choices and question order.  This bank is presented in its current format to allow the Department to see the text references for these questions.  Simply click on the question link to see the text reference. The software package provides feedback to the student -- the correct answer and the rationale.

Which of the following is NOT an ADL?
a. bathing   
b. taking medication   
c. transference   
d. continance

ANS B
The six ADLs used under HIPAA's benefit trigger are bathing, eating, dressing, transference, continance and toileting

An insured needs assistance with bathing and dressing, as well as help with light housework and laundry, but is not in need of around-the-clock assistance.  What level of care does this insured need?
a. custodial   
b. supervisory   
c. personal  
d. acute

ANS:     C
Personal care provides assistance with basic living functions and household chores.


  A terminally ill insured needing assistance bathing, dressing and eating would most likely rely on:
a. custodial care   
b. hospice care   
c. respite care   
d. home health care

ANS:     B
Hospice care is designed to especially address the needs of terminally ill persons

 Which of the following is an example of community based care?
a. respite care   
b. home health care   
c. adult day care   
d. assisted living residences

ANS:     C
There are three levels of care: home, community and residential.  Home health care and respite care is usually provided in the individual's private residence.  Residential care is given in a congregate living facility such as a nursing home or assisted living facility.  Community based care is care given temporarily outside the individual's residence -- such as in adult day care centers.

   Joann has been caring for her aged parents and has become exhausted.  Her physician recommends that she take a break from caregiving. What type of care is most appropriate?
a. custodial care   
b. personal care   
c. respite care   
d. assisted living facilities

ANS:     C
Respite care is short-term care that allows primary caregivers to take a break.

 Which two ADLS are the most likely to be lost first?
a. bathing and dressing   
b. toileting and continance   
c. transferrance and eating   
d. toileting and eating

ANS:     A
Dressing and bathing require fine motor skills, which are typically lost first.
Assisted living factilities provide all of the following EXCEPT:
a. meal preparation   
b. personal care   
c. help with medication   
d. on-staff physical therapist

ANS:     D
ALFs typical include up to three meals a day, assistance with personal care; help with medication, staff to handle medical emergencies and social programs.

 The cost of assisted living facilities is generally:
a. the same as that at nursing home   
b. the same as that of a hospital stay   
c. less than that of a nursing home   
d. more than that of a nursing home

ANS:     C
The average cost of a semi-private room in  a nursing home for one year is more than $60,000 ($5,000 per month).  The average cost of assisted living is a little more than half than amount ($2,700 per month).

Continuing Care Retirement Communities (CCRCs):
a. tie fees to the level of services provided   
b. offer a wide range of home-care services at one fixed rate   
c. are another name for assisted living facilities   
d. provide personal and skilled in-home care

ANS:     A
CCRCs offer a wide range of services in one location -- allowing a patient to stay in one location even if the level of needed service changes.