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Multiple Choice Questions (one point each) Highlight the correct answer


Multiple Choice Questions (one point each) Highlight the correct answer.


  1. Long-term care is best described as:
  1. home-based care for physically disabled adults and children
  2. hospital stays lasting more than 30 days
  3. services provided in both home and institutional settings for persons of all ages with varying levels of medical, social, and personal care needs
  4. community-based services for the frail elderly


  1. The US history of institutional long-term care began with:
  1. family-based care for the sick and infirm in their own homes
  2. government supported poorhouses
  3. military hospitals to care for wounded and sick soldiers
  4. communal care settings operated by charitable community members


  1. Which of the following societal factors increases the need for formal long-term care services?
    1. women working outside the home
    2. high divorce rates
    3. smaller family size
    4. all of the above


  1. The development of formal home care services, such as those provided by the Visiting Nurses Association originated as:


  1. a means to get urban children immunized against infectious diseases
  2. a service to the wealthy who wished to receive care in their homes, rather than institutions
  3. a social response intended to improve unhealthy living conditions of immigrants residing in crowded urban tenements
  4. local health departments’ response to the needs of elderly residents living alone



  1. Long-term care and nursing-home reform legislation of the 1970s occurred as a response to which of the following:
  1. widespread media reports and ensuing Congressional hearings on nursing home and residential care facility abuses and negligence
  2. inadequate reimbursement for appropriate care in institutional settings
  3. national recognition of inadequate quality assurance and monitoring systems in the long-term care industry
  4. A and C






  1. The major distinction between skilled-nursing and residential care facilities is that skilled nursing facilities:
  1. provide care in both community and institutional settings
  2. provide care primarily for people requiring intensive nursing, rehabilitation, or related services
  3. can accommodate both the severely medically disabled and relatively self-sufficient resident
  4. primarily provide domiciliary care


  1. Which of the following was not a driver of expanded home care services during the 1980s through the 1990s?
  1. Assertions by increased numbers of older persons of their desire to remain in their own homes for care, whenever possible.
  2. Service audits documenting significant fraud and abuse of Medicare billing.
  3. Decreased availability of informal care-givers available to assist their family members
  4. The Olmstead Supreme Court decision upholding the right of citizens to receive care in the community


  1. Which of the following best describes the informal long-term care system?
  1. group living facilities where residents may come and go as they please
  2. care and assistance provided in the home by family members and friends
  3. adult day care facilities
  4. assistance with activities of daily living from a home care agency


  1. The hospice movement is concerned with care for terminally ill patients. Which of the following is/are major goal(s) of hospice care?


  1. decreasing costs of care for the terminally ill by limiting the use of expensive, life-prolonging technology
  2. providing an alternative to the curative/intervention approach of hospitals in the care of the terminally ill
  3. providing state-of-the-art pain relief interventions while supporting the patient and his/her family through the life-death transition
  4. B and C


  1. Respite care refers to:
  1. services that temporarily relieve informal caregivers through assistance in the home or through institutional placement on a temporary basis
  2. routine assistance from home health agency aides
  3. enrollment in an adult day care center
  4. patient placement in a residential care facility




  1. What did congress pass in 1965 that led spurred development of private nursing homes?
  1. Social security act
  2. Long term insurance act
  3. Medicare and Medicaid
  4. HIPPA


Definition Test Terms – write a short definition for each of the terms below, one to two sentences (one point each).


  1. Informal care system


  1. Skilled nursing facility


  1. Adult day care


  1. Respite care


  1. Assisted living


  1. Hospice


  1. Aging-in-place


  1. Continuing life care community




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