Assignment:
Q1. An individual suffers a stroke. This is an example of
- a chronic condition
- a functional decline
- a comorbidity
- an acute episode
Q2. Which of the following is not an activity of daily living (ADL)
- Moving from the bed to a wheelchair
- Taking a bath
- Using the toilet
- Grocery shopping
Q3. Which policy triggered the growth of the nursing home industry in the US?
- Federal grants to states under the Old Age Assistance Program
- The Hospital Survey and Construction Program
- Creation of Medicaid and Medicare
- OBRA 87
Q4. The Nursing Home Reform Act contained in OBRA-87 was triggered by
- a Congressional investigation into abuse and neglect of nursing home residents
- class- action law suits across the county
- complaints from consumers
- the Institute of Medicine's scathing report on nursing homes
Q5. It is difficult to cut costs or raise productivity in a nursing home because
- nursing home care is highly labor-intensive
- an increasing number of people need nursing home care
- reimbursement levels are low
- current policy supports mvoing people out of nursing homes to the community
Q6. What is the purpose of an assessment?
- To ensure functional independence
- To determine individual needs
- To maximize quality of care
- None of the above
Q7. Certification of a nursing home
- is mandated in each state
- is a mark of high quality
- enables it to participate in the Medicare and Medicaid programs
- None of the above
Q8. In a nursing home which group of staff members render the majority of care
- Licensed nurses
- Certified Nurse Assistants
- Social Workers
- Physicians
Q9. Which is the largest source of payment for nursing home services
- Private insurance
- Medicare
- Medicaid
- Managed Care
Q10. For a nursing home to cover a patient under Medicare Part A, the patient must have stayed ____ nights in a hospital
Q11. Which of the following is not covered under Medicare Part A
- Custodial care
- Subacute care
- Restorative Therapy administered by a registed physical therapist
- Nursing care such as dressing changes and treatment of surgical wounds
Q12. How are prescription drug expenses covered while a patient is receiving Medicare Part A services in a nursing home?
- They are included as a portion of the Medicare Part A reimbursement for that patient
- They are covered under Medicare Part D
- The patient is required to pay for them privately
- None of the above
Q13. Case mix measures
- Clinical severity oif the patient
- Skill level of the Staff
- Number of patients with a given condition
- None of the above
Q14. To determine the case mix, MDS information is used to
- refine patient assessment
- evaluate quality indicators
- adjust the base rate
- classify patients
Q15. Who established Medicaid reimbursement rates?
- State governments
- Federal government
- CMS
- The fiscal intermediary
Q16. Under the various federal fraud and abuse statutes, it is a crime
- to make a false claim of services that are billed to Medicaid and/or Medicare
- to offer a kickback for admission referrals
- for financial mismanagement
- All of the above
Q17. A Nursing Home that receives a Life Safety Code Deficiency can respond by
- submitting a plan of corrections
- request a waiver
- undergo a Fires Safety Evaluation Assessment
- all of the above
Q18. Which funding source provides the largest portion on the nursing home's revenue?
- Medicare
- Medicaid
- private pay
- managed care
Q19. Which of the following is not a purpose of the medical record
- Where clinical disciplines can document their disagreements
- Defense in a malpractice case
- Coordinating services across disciplines
- Demonstrating compliance with regulations
Q20. The midnight census is used for
- collection of accounts receivable
- verification of residents physically presence in the facility
- billing third party payers
- none of the above
Q21. What is meant by accounts payable
- Money owed to vendors
- Credit
- Good purchased on a non cash basis
- An invoice sent by a vendor
Q22. Which of the following is an advanced directive
- Living will
- DNR
- DPOA
- All of the above
Q23. Which of the following is not a current trend in the nursing home industry
- The number of nursing homes and beds are declining
- The number of not-for profit facilities is increasing
- Some nursing homes operate assisted living facilities
- The nursing home industry is dominated by private, for profit chains
Q24. Which category of individuals is Medicare not designed to cover
- The elderly
- The disabled
- People with end stage renal disease
- Indigent adults under the age of 65
Q25. To qualify for Medicaid, a senior must
- be disabled
- spend (down) their assets
- have a spouse
- be admitted to a nursing home