Exam 1 GERO questions with
complete solutions passed
D)I have already used 45 Medicare days this year.
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Medicare and other insurance programs will cover all or part of the care for up to 100 days of
care. Typical diagnoses associated with skilled care in a nursing home are stroke, fractured hip,
congestive heart failure, and rehabilitation after acute illnesses (e.g., pneumonia and myocardial
infarction). About 65% of older adults spend some time in a nursing home. - correct answer
✔✔A hospital nurse is discussing with an older adult the possibility transfer to a nursing home
for skilled care after pneumonia. Which statement by the client indicates an understanding of
this possible transfer?
A)Old people who go to the nursing home don't get out.
B)They will take my home if I go to the nursing home.
C)I don't qualify for skilled care, I only had pneumonia.
D)I have already used 45 Medicare days this year.
A)A client requiring twice-daily dressing changes for a coccyx wound
Feedback
Skilled home care is most appropriate for older adults who are recovering from an illness or
injury and have potential for returning to their previous level of functioning. Following a stroke,
a client requires hospitalization. A client with a poorly understood or undiagnosed health
problem would not be an ideal candidate for home care, nor would a preoperative client. -
correct answer ✔✔A nursing case manager monitors admissions into an acute care unit. Which
of the following clients would be the most appropriate candidate for in-home skilled nursing
care?
,A)A client requiring twice-daily dressing changes for a coccyx wound
B)A client who has been admitted to the emergency department with a recent stroke
C)A client with reoccurring urinary retention of unknown etiology
D)A client who is scheduled for hip replacement surgery tomorrow
C)"The day center can be a useful alternative to medical care."
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Adult day centers are a community-based resource providing food, supervision, and activity, but
are not designed to provide acute medical care. They provide caregiver relief and have been
linked to improved quality of life and decreased symptoms of dementia. - correct answer ✔✔A
nurse is teaching a family of an older adult about the role of adult day centers. Which of the
statements by the family member indicates a need for further teaching?
A)"The day center can give me respite."
B)"The day center can improve our quality of life."
C)"The day center can be a useful alternative to medical care."
D)"The day center can contribute to an actual improvement in dementia symptoms."
A)PACE programs provide several social and medical services on a managed care basis.
Feedback
PACE programs provide a range of services using a capitated managed care model. They are
focused on meeting the needs of adults with chronic conditions and are not an alternative to in-
hospital treatment of acute illness. They are less expensive than fee-for-service models and
presently are receiving funding under both Medicare and Medicaid. The 2010 Affordable Care
Act provides incentives for further expansion of PACE programs. - correct answer ✔✔A nurse is
,teaching an older adult about possible involvement in Programs of All-inclusive Care for the
Elderly (PACE). Which of the following statements by the older adult shows understanding?
A)PACE programs provide several social and medical services on a managed care basis.
B)PACE programs provide a cost-effective alternative to hospital-based acute care.
C)PACE programs are more expensive than fee-for-service models but offer better health
outcomes.
D)There is pressure for Medicare and Medicaid to begin funding PACE programs.
D)Nursing home care
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Medicare was established as a means of funding some types of direct client medical care,
hospice and rehabilitation care may be covered, but nursing home residence is not. - correct
answer ✔✔A client has recently begun receiving Social Security benefits and is asking the nurse
about what services might be included or excluded under Medicare. Which of the following
services is most likely to be excluded from Medicare funding?
A)Hospital care
B)Hospice care
C)Rehabilitation care
D)Nursing home care
C)Personal emergency response system
Feedback
The rural client is unlikely to have grocery delivery. And as a homebound rural client, a senior
center would not be available. Only some clients qualify for skilled home nursing visits, there
are not location limitations on personal emergency response systems, some now come with GPS
, and cellular capabilities. - correct answer ✔✔A nurse assists an older adult who is homebound
in a rural area. Which community resources might this client best benefit from?
A)Skilled home nursing
B)Senior center
C)Personal emergency response system
D)Grocery delivery
B)A decrease in the client's level of function and activities of daily living (ADLs)
Feedback
Nursing home settings are becoming increasingly diverse, but a common feature of older adults
who are admitted to nursing homes is a decrease in function and ADLs. Acute health problems
that require medical treatment necessitate hospital admission, and a change in social support
would not necessarily prompt a move from assisted living. - correct answer ✔✔An 84-year-old
client has been living in an assisted living facility for several years but is now faced with the
prospect of relocating to a nursing home. Which of the following characteristics of the client's
current situation is most likely to prompt this move?
A)The development of a severe, acute health problem
B)A decrease in the client's level of function and activities of daily living (ADLs)
C)Exacerbation of a chronic health problem that may require medical treatment
D)A change in the level of the client's social support
A)A 90-year-old man who lives alone and has no living family members
Feedback
Community-dwelling older adults who may lack family involvement in their care often require
independent community-based professional geriatric care management. Individuals who are
complete solutions passed
D)I have already used 45 Medicare days this year.
Feedback
Medicare and other insurance programs will cover all or part of the care for up to 100 days of
care. Typical diagnoses associated with skilled care in a nursing home are stroke, fractured hip,
congestive heart failure, and rehabilitation after acute illnesses (e.g., pneumonia and myocardial
infarction). About 65% of older adults spend some time in a nursing home. - correct answer
✔✔A hospital nurse is discussing with an older adult the possibility transfer to a nursing home
for skilled care after pneumonia. Which statement by the client indicates an understanding of
this possible transfer?
A)Old people who go to the nursing home don't get out.
B)They will take my home if I go to the nursing home.
C)I don't qualify for skilled care, I only had pneumonia.
D)I have already used 45 Medicare days this year.
A)A client requiring twice-daily dressing changes for a coccyx wound
Feedback
Skilled home care is most appropriate for older adults who are recovering from an illness or
injury and have potential for returning to their previous level of functioning. Following a stroke,
a client requires hospitalization. A client with a poorly understood or undiagnosed health
problem would not be an ideal candidate for home care, nor would a preoperative client. -
correct answer ✔✔A nursing case manager monitors admissions into an acute care unit. Which
of the following clients would be the most appropriate candidate for in-home skilled nursing
care?
,A)A client requiring twice-daily dressing changes for a coccyx wound
B)A client who has been admitted to the emergency department with a recent stroke
C)A client with reoccurring urinary retention of unknown etiology
D)A client who is scheduled for hip replacement surgery tomorrow
C)"The day center can be a useful alternative to medical care."
Feedback
Adult day centers are a community-based resource providing food, supervision, and activity, but
are not designed to provide acute medical care. They provide caregiver relief and have been
linked to improved quality of life and decreased symptoms of dementia. - correct answer ✔✔A
nurse is teaching a family of an older adult about the role of adult day centers. Which of the
statements by the family member indicates a need for further teaching?
A)"The day center can give me respite."
B)"The day center can improve our quality of life."
C)"The day center can be a useful alternative to medical care."
D)"The day center can contribute to an actual improvement in dementia symptoms."
A)PACE programs provide several social and medical services on a managed care basis.
Feedback
PACE programs provide a range of services using a capitated managed care model. They are
focused on meeting the needs of adults with chronic conditions and are not an alternative to in-
hospital treatment of acute illness. They are less expensive than fee-for-service models and
presently are receiving funding under both Medicare and Medicaid. The 2010 Affordable Care
Act provides incentives for further expansion of PACE programs. - correct answer ✔✔A nurse is
,teaching an older adult about possible involvement in Programs of All-inclusive Care for the
Elderly (PACE). Which of the following statements by the older adult shows understanding?
A)PACE programs provide several social and medical services on a managed care basis.
B)PACE programs provide a cost-effective alternative to hospital-based acute care.
C)PACE programs are more expensive than fee-for-service models but offer better health
outcomes.
D)There is pressure for Medicare and Medicaid to begin funding PACE programs.
D)Nursing home care
Feedback
Medicare was established as a means of funding some types of direct client medical care,
hospice and rehabilitation care may be covered, but nursing home residence is not. - correct
answer ✔✔A client has recently begun receiving Social Security benefits and is asking the nurse
about what services might be included or excluded under Medicare. Which of the following
services is most likely to be excluded from Medicare funding?
A)Hospital care
B)Hospice care
C)Rehabilitation care
D)Nursing home care
C)Personal emergency response system
Feedback
The rural client is unlikely to have grocery delivery. And as a homebound rural client, a senior
center would not be available. Only some clients qualify for skilled home nursing visits, there
are not location limitations on personal emergency response systems, some now come with GPS
, and cellular capabilities. - correct answer ✔✔A nurse assists an older adult who is homebound
in a rural area. Which community resources might this client best benefit from?
A)Skilled home nursing
B)Senior center
C)Personal emergency response system
D)Grocery delivery
B)A decrease in the client's level of function and activities of daily living (ADLs)
Feedback
Nursing home settings are becoming increasingly diverse, but a common feature of older adults
who are admitted to nursing homes is a decrease in function and ADLs. Acute health problems
that require medical treatment necessitate hospital admission, and a change in social support
would not necessarily prompt a move from assisted living. - correct answer ✔✔An 84-year-old
client has been living in an assisted living facility for several years but is now faced with the
prospect of relocating to a nursing home. Which of the following characteristics of the client's
current situation is most likely to prompt this move?
A)The development of a severe, acute health problem
B)A decrease in the client's level of function and activities of daily living (ADLs)
C)Exacerbation of a chronic health problem that may require medical treatment
D)A change in the level of the client's social support
A)A 90-year-old man who lives alone and has no living family members
Feedback
Community-dwelling older adults who may lack family involvement in their care often require
independent community-based professional geriatric care management. Individuals who are
