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, TESTBANK FOR Pratt's Long-Term Care Managing Across the Continuum
Fifth Edition Chies

Important Notes
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,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 1 Quiz
Multiple Choice



1. The current system of long-term care providers has developed largely in response to:
A) need.
B) demand.
C) availability of reimbursement.
D) All of these are correct.
Ans: D
Complexity: Easy
Ahead: The Consumers of Long-Term Care
Subject: Chapter 1



2. Which of the following are not “informal caregivers?”
A) Family and friends
B) Religious organizations
C) Community groups
D) Government agencies
Ans: D
Complexity: Easy
Ahead: Strengths and Weaknesses in the Long-Term Care System
Subject: Chapter 1



3. Baby boomers is a term used to describe people born:
A) since 1990.
B) between 1946 and 1964.
C) before 1956.
D) between 1964 and 1999.
Ans: B
Complexity: Easy
Ahead: The Consumers of Long-Term Care
Subject: Chapter 1



4. “Multilevel facilities” refers to facilities that:
A) provide multiple levels of care.
B) are built on more than one floor.
C) accept multiple levels of reimbursement for each type of care.
D) All of these are correct.
Ans: A
Complexity: Easy
Ahead: Strengths and Weaknesses in the Long-Term Care System
Subject: Chapter 1



5. Which of the following is not a weakness of the long-term care system?
A) It is fragmented and uncoordinated.



Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 1 Quiz
B) Services are distributed inequitably.
C) There has been no innovation by providers.
D) There are multiple entry points into the system.
Ans: C
Complexity: Easy
Ahead: Strengths and Weaknesses in the Long-Term Care System
Subject: Chapter 1



True/False



1. The terms chronic care and long-term care are generally used interchangeably.
Ans: True
Complexity: Easy
Ahead: Defining the Long-Term Care System
Subject: Chapter 1



2. Long-term care consumers are usually defined by a single disease or condition.
Ans: False
Complexity: Easy
Ahead: The Consumers of Long-Term Care
Subject: Chapter 1



3. Long-term care is defined as care provided in nursing homes.
Ans: False
Complexity: Easy
Ahead: Defining the Long-Term Care System
Subject: Chapter 1



4. Although we usually think of long-term care as being for the elderly, nearly half of the people using
long-term care are non-elderly.
Ans: True
Complexity: Easy
Ahead: Defining the Long-Term Care System
Subject: Chapter 1



5. Aging in place is a form of single-site care availability.
Ans: True
Complexity: Easy
Ahead: Strengths and Weaknesses in the Long-Term Care System
Subject: Chapter 1




Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 2 Quiz

Multiple Choice



1. Which of these is not part of the stated aim of the ACA?
A) To increase the affordability of health insurance coverage for Americans
B) To reduce the costs of health care for individuals
C) To be implemented within two years
D) To reduce the costs of health care for the government
Ans: C
Complexity: Easy
Ahead: Introduction
Subject: Chapter 2



2. The ACA makes cuts in Medicare to finance part of the new spending, including:
A) reduction in funding for Medicare Advantage policies.
B) reduction in Medicare home healthcare payments.
C) reduction in certain Medicare hospital payments.
D) All of these are correct.
Ans: D
Complexity: Easy
Ahead: Funding of the ACA
Subject: Chapter 2



3. The Medicare hospital readmissions reduction program (HRRP):
A) assesses penalties on hospitals with high readmission rates for patients with certain medical
conditions.
B) assesses penalties on nursing homes with high readmission rates from hospitals.
C) has little impact on long-term care providers.
D) requires that long-term care providers have contracts with hospitals.
Ans: A
Complexity: Easy
Ahead: Other Provisions Impacting Long-Term Care
Subject: Chapter 2



4. The Community Living Assistance Services and Supports (CLASS) Act:
A) was designed to mandate and established a national long-term care insurance program.
B) was repealed by Congress.
C) is not considered particularly important.
D) None of these is correct.
Ans: B
Complexity: Easy
Ahead: Shifting Focus Away from Institutional Care
Subject: Chapter 2



5. The ACA’s employer mandate:



Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 2 Quiz

A) has no impact on long-term care providers.
B) affects all long-term care providers.
C) affects only larger long-term care providers.
D) None of these is correct.
Ans: C
Complexity: Easy
Ahead: Other Provisions Impacting Long-Term Care
Subject: Chapter 2



True/False



1. The Affordable Care Act passed with a mix of Republican and Democrats votes.
Ans: False
Complexity: Easy
Ahead: Passage of the ACA Law
Subject: Chapter 2



2. The ACA requires individuals to have insurance coverage and businesses to provide coverage or pay
fines.
Ans: True
Complexity: Easy
Ahead: Introduction
Subject: Chapter 2



3. The U.S. Supreme Court ruled that the individual mandate was, in fact, a tax.
Ans: True
Complexity: Easy
Ahead: Constitutionality of the Law
Subject: Chapter 2



4. The No Wrong Door system portion of the ACA mandates that long-term care consumers can access
any provider’s services.
Ans: False
Complexity: Easy
Ahead: Shifting Focus Away from Institutional Care
Subject: Chapter 2



5. Pay-for-performance provides financial incentives to healthcare providers to achieve optimal outcomes
for patients.
Ans: True
Complexity: Easy
Ahead: Other Provisions Impacting Long-Term Care



Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 2 Quiz

Subject: Chapter 2




Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 3 Quiz

Multiple Choice



1. Which of the following is not a component of accessibility of long-term care services?
A) Financial eligibility
B) Location of services
C) Consumer choice
D) Complexity of the consumer’s care needs
Ans: C
Complexity: Easy
Ahead: Criterion V. The Long-Term Care System Should Be Adequately and Fairly Financed
Subject: Chapter 3



2. The term “consumer-driven” means that long-term care consumers are:
A) capable of driving themselves to where services are provided.
B) entitled to receive any services they wish.
C) allowed to make decisions related to their care and financing as much as possible.
D) driven from one provider to another by Medicaid staff if they cannot afford a car.
Ans: C
Complexity: Easy
Ahead: Criterion I. The Long-Term Care System Should Be Based on Recognition of the Needs, Rights,
and Responsibilities of Individuals
Subject: Chapter 3



3. Public/private partnerships are efforts to reduce:
A) the number of long-term care regulations.
B) hostility between government agencies and private providers.
C) purchases of private long-term care insurance.
D) public funding of long-term care.
Ans: D
Complexity: Easy
Ahead: Criterion V. The Long-Term Care System Should Be Adequately and Fairly Financed
Subject: Chapter 3



4. People who have to care for both their parents and their children are called:
A) the “sandwich generation.”
B) the “lost generation.”
C) “generation X.”
D) None of these is correct.
Ans: A
Complexity: Easy
Ahead: Criterion V. The Long-Term Care System Should Be Adequately and Fairly Financed
Subject: Chapter 3



5. The long-term care system is made up of providers who are organizationally:



Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

,Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 3 Quiz

A) nonprofit.
B) for-profit.
C) government-owned.
D) a mix of for-profit, nonprofit, and government-owned.
Ans: D
Complexity: Easy
Ahead: Criterion V. The Long-Term Care System Should Be Adequately and Fairly Financed
Subject: Chapter 3



True/False



1. “Least restrictive environment” means not using physical or chemical restraints.
Ans: False
Complexity: Easy
Ahead: Criterion II. The Long-Term Care System Should Be Easily Accessible
Subject: Chapter 3



2. Illness prevention is an integral part of the long-term care system.
Ans: True
Complexity: Easy
Ahead: Criterion IV. The Long-Term Care System Should Be an Integral Part of the Health and Social
System to Promote Integration, Efficiency, and Cost-Effectiveness
Subject: Chapter 3



3. Nonprofit providers do not need to generate a profit (surplus).
Ans: False
Complexity: Easy
Ahead: Criterion V. The Long-Term Care System Should Be Adequately and Fairly Financed
Subject: Chapter 3



4. An ideal long-term care system would provide all of the services consumers need or want.
Ans: False
Complexity: Easy
Ahead: Criterion I. The Long-Term Care System Should Be Based on Recognition of the Needs, Rights,
and Responsibilities of Individuals
Subject: Chapter 3



5. A primary barrier to consumer education is the lack of available information.
Ans: False
Complexity: Easy
Ahead: Criterion VI. The Long-Term Care System Should Include an Education Component to Create
Informed Consumers, Providers, Reimbursers, and Regulators



Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

, Long-Term Care: Managing Across the Continuum, Fifth Edition
Steven E. Chies
Chapter 4 Quiz

Multiple Choice



1. The term “nursing facility”:
A) came from OBRA legislation.
B) came from OSHA legislation.
C) refers to all long-term care facilities.
D) refers only to facilities providing skilled nursing care.
Ans: A
Complexity: Easy
Ahead: Introduction
Subject: Chapter 4



2. The largest single source of financing for most nursing facilities today is:
A) Medicare.
B) Medicaid.
C) private pay.
D) long-term care insurance.
Ans: B
Complexity: Easy
Ahead: Financing Nursing Facilities
Subject: Chapter 4



3. In long-term care, family members are:
A) never involved.
B) rarely involved.
C) usually involved.
D) always involved.
Ans: C
Complexity: Easy
Ahead: Philosophy of Care
Subject: Chapter 4



4. Special care units in nursing facilities may be created based on:
A) disease or condition.
B) age.
C) disease or condition or age.
D) neither disease or condition nor age.
Ans: C
Complexity: Easy
Ahead: Special Care Units
Subject: Chapter 4



5. Rising acuity levels in long-term care facilities refers to:
A) caring for sicker patients/residents.



Copyright © 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

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