Long-Term Care exam study guide 2024 with questions and answers already graded a+

Which of the following most precisely defines the fundamentals of self-care and the basic tasks of everyday life? A. instrumental activities of daily living B. activities of daily living C. self-awareness D. mental acuity B. activities of daily living True or False: Long-term care occurs only in nursing facilities. False What is a primary goal of long-term care? A. to maintain functionality B. to find a permanent cure for the affliction C. to prolong life D. to prevent the spread of disease A. to maintain functionality On what basis are benefits payable under a long-term care insurance policy typically triggered? A. the diagnosis of an acute medical condition B. the number and types of medications prescribed C. the inability to perform defined ADLs D. all of the above C. the inability to perform defined ADLs All of the following are examples of formal caregiving EXCEPT: A. home health aides B. intermediate care facilities C. volunteer charitable groups D. daily transportation to a senior center provided by a neighbor D. daily transportation to a senior center provided by a neighbor Which level of care has as its chief characteristic assistance with ADLs? A. custodial B. intermediate C. skilled D. managed A. custodial All of the following are services commonly offered by assisted living residences EXCEPT: A. health care management B. help with medications C. housekeeping D. continuous post-operative monitoring D. continuous post-operative monitoring Which of the following is not an example of home or community-based long-term care? A. adult day care B. CCRCs C. respite care' D. hospice care B. CCRCs True or False: A long-term care ombudsman represents people in a given geographical area who live in assisted living residences or skilled nursing facilities. True Which of the following is a correct statement about Medicare Part D Prescription Drug coverage? A. enrollment in Part D is mandatory B. all prescriptions are paid in full under Part D C. no additional premium is required for this coverage D. enrollment in Part D is voluntary D. enrollment in Part D is voluntary True or False: Medicare covers the cost of long-term care in the home when it is delivered by a Medicare-certified agency. False Which of the following is a correct statement about Medicare? A. Medicare is available only to those 65 and older B. Medicare pays all of the costs of health care for those 65 and older C. Medicare does not cover long-term care D. Medicare covers custodial care in the home whenever help with ADLs is needed C. Medicare does not cover long-term care With regard to Medicare and long-term care, which of the following statements is true? A. Medicare covers long-term care for as long as necessary, but only if the individual requires skilled nursing care in an institution B. Medicare covers long-term care for as long as necessary, but only if the care is delivered in the individual's home C. Medicare covers care in a skilled nursing facility for a limited time, but only if the care follows an admitted hospital stay and is ordered by a physician D. Medicare covers custodial care for up to one year regardless of whether the custodial care is delivered in a facility or in the individual's home C. Medicare covers care in a skilled nursing facility for a limited time, but only if the care follows an admitted hospital stay and is ordered by a physician Which of the following covers inpatient hospital care and hospice? A. Medicare Part A B. Medicare Part B C. Medicare Part C D. Medicare Part D A. Medicare Part A The federal government: A. has no role in state-run Medicaid programs B. tells states how much they can pay for LTC services and supplies C. gives states flexibility in administering their Medicaid programs D. shares equally in Medicaid expenses with each state C. gives states flexibility in administering their Medicaid programs Of the factors below, which does a state review to determine a person's eligibility for Medicaid? I. assets II. income III. transfers of assets A. I only B. I and II only C. II and III only D. I, II, and III D. I, II, and III True or False: A burial plot is exempt when determining Medicaid eligibility True How much of a community spouse's own income must be spent on care for an institutionalized spouse who is receiving Medicaid assistance? A. all of it B. 50 percent C. 25 percent D. none of it D. none of it Under current Medicaid rules, what is the look-back period for the transfer of assets? A. 12 months B. 24 months C. 36 months D. 60 months D. 60 months True or False: Medicaid is available to pay for LTC expenses for anyone without LTC insurance False True or False: An insurance company can increase the premiums on its LTCI policies after policy inception if the insured's health declines False All of the following may deduct the full cost of their qualified LTCI premiums, subject to the age-based limits, EXCEPT: A. sole proprietors B. members of a partnership C. employees whose premiums are paid by their employers D. LLC owners C. employees whose premiums are paid by their employers True or False: Group LTCI policies are contracts between the insurance company and each individual member of the group False True or False: Long-term care insurance policies are easy to compare and contrast False Which of the following sets forth the length of time an LTCI policy will pay benefits? A. the grace period B. the elimination period C. the benefit period D. the restoration period C. the benefit period Which of the following best describes the elimination period in an LTCI policy? A. it is a means of disqualifying unsuitable LTCI applicants B. it is a way to restore benefits to the original amount available C. it is a waiting period before benefits begin D. it is a way for the insured to cancel a policy if he or she is not satisfied with it C. it is a waiting period before the benefits begin Marcus purchases a long-term care insurance policy at age 45. Which of the following will give him the most protection against the rising cost of long-term care? A. level premiums B. comprehensive plan C. a lifetime maximum benefit D. inflation protection D. inflation protection True or False: A guaranteed renewable LTCI policy provides that coverage must be continued as long as premiums are paid. True After being effectively frozen in place for a number of years, state LTCI partnership programs were allowed to expand as a result of what legislation? A. Tax Reform Act of 1986 B. OBRA '93 C. HIPAA '96 D. DRA 2005 D. DRA 2005 Who (or what) pays the largest share of total long-term care expenses in the US? A. consumers B. Medicaid C. Medicare D. insurance companies B. Medicaid All of the following statements regarding the benefits of state LTC partnership programs are generally correct EXCEPT: A. consumers benefit through the assurance of long-term care protection that may help them preserve personal assets B. insurance companies benefit through an expanded market for their product and a larger pool of insureds to spread the insurance risk C. state Medicaid programs benefit by potentially reducing demand for Medicaid financing D. the federal Medicare program benefits by reducing demand for acute long-term care among seniors D. the federal Medicare program benefits by reducing demand for acute long-term care among seniors