LONG TERM CARE ADMINISTRATION: HCM 413 EXAM
QUESTIONS AND ANSWERS
Long Term Care - CORRECT ANSWER✅✅Involves a variety of services designed to meet a person's
health or personal care needs during a short or long period of time. These services help people live as
independent as possible when they can no longer perform everyday activities on their own.
How are Skilled Care and Custodial Care different? - CORRECT ANSWER✅✅Skilled Care
- Administered when direct medical attention is needed and provided by licensed professional in a
certified facility
- Patient's often receive skilled care as the result of a short-term medical condition that they are
expected to recover from
Custodial Care
-Can be performed by someone without medical skills either at home or in a facility
- Provides assistance with activities for daily live (ADLs), such as eating/bathing, and not direct medical
treatment
-Patients receiving custodial care most often have a chronic condition where their recovery is not
expected
Medicare , as well as private insurance, may cover short-term skilled care needs when certain conditions
are met. If custodial care is the only type of care needed, Medicare will not cover these expenses.
How do the three levels of managers within the nursing home interact to ensure quality care is
provided? - CORRECT ANSWER✅✅Upper Level Management (Administrator) is responsible for the
overall functioning of the facility, formulating policies, interacting directly with the board of directors,
owners and inspectors
Middle Level Managers report to upper level mangers and at the same time interact significantly with
lower level managers/director of nursing reports to the administrator and manages nurse supervisors
and charge nurses
Lower Level Managers have direct supervisory responsibilities for the staff who do the actual
work/nurse supervisor or a charge nurse (i.e. nurse's aide) who physically take care of the residents
, Who is responsible for defining LTC - CORRECT ANSWER✅✅The Centers for Medicare and Medicaid
Services
Whats is MDs? - CORRECT ANSWER✅✅Minimum Data Set (MDs) is a standardized, primary screening
and assessment tool of health status which forms the foundation of the comprehensive assessment for
all residents of long-term care facilities certified to participate in Medicare or Medicaid
What is the difference between Gerontology and Geriatrics? - CORRECT ANSWER✅✅The difference is
Gerontology is multidisciplinary and is concerned with physical, mental, and social implications of aging
while Geriatrics is a medical specialty focused on care and treatment of older persons.
What is a population pyramid and how does it appear to be changing? - CORRECT
ANSWER✅✅Population Pyramid - describe aging of populations (shows the distribution of various age
groups in a population)
America and other countries pyramids have drastically shifted
85+ is the fastest growing segment of the older population
Growth in median range
What are some of the common living arrangements for older adults? - CORRECT ANSWER✅✅Over 1/4
non-institutionalized elders live with someone else or family members
Women are more likely to live alone
Only about 4% of elders live in nursing homes
3/4 of nursing home residents are women
More than half of nursing home residents are 85+
Of a geographic distribution most elders live where? - CORRECT ANSWER✅✅CA, FL, NY, TX, PA, OH, IL,
MI, NC, NJ, GA
California has the greatest number
Florida has the greatest percentage
QUESTIONS AND ANSWERS
Long Term Care - CORRECT ANSWER✅✅Involves a variety of services designed to meet a person's
health or personal care needs during a short or long period of time. These services help people live as
independent as possible when they can no longer perform everyday activities on their own.
How are Skilled Care and Custodial Care different? - CORRECT ANSWER✅✅Skilled Care
- Administered when direct medical attention is needed and provided by licensed professional in a
certified facility
- Patient's often receive skilled care as the result of a short-term medical condition that they are
expected to recover from
Custodial Care
-Can be performed by someone without medical skills either at home or in a facility
- Provides assistance with activities for daily live (ADLs), such as eating/bathing, and not direct medical
treatment
-Patients receiving custodial care most often have a chronic condition where their recovery is not
expected
Medicare , as well as private insurance, may cover short-term skilled care needs when certain conditions
are met. If custodial care is the only type of care needed, Medicare will not cover these expenses.
How do the three levels of managers within the nursing home interact to ensure quality care is
provided? - CORRECT ANSWER✅✅Upper Level Management (Administrator) is responsible for the
overall functioning of the facility, formulating policies, interacting directly with the board of directors,
owners and inspectors
Middle Level Managers report to upper level mangers and at the same time interact significantly with
lower level managers/director of nursing reports to the administrator and manages nurse supervisors
and charge nurses
Lower Level Managers have direct supervisory responsibilities for the staff who do the actual
work/nurse supervisor or a charge nurse (i.e. nurse's aide) who physically take care of the residents
, Who is responsible for defining LTC - CORRECT ANSWER✅✅The Centers for Medicare and Medicaid
Services
Whats is MDs? - CORRECT ANSWER✅✅Minimum Data Set (MDs) is a standardized, primary screening
and assessment tool of health status which forms the foundation of the comprehensive assessment for
all residents of long-term care facilities certified to participate in Medicare or Medicaid
What is the difference between Gerontology and Geriatrics? - CORRECT ANSWER✅✅The difference is
Gerontology is multidisciplinary and is concerned with physical, mental, and social implications of aging
while Geriatrics is a medical specialty focused on care and treatment of older persons.
What is a population pyramid and how does it appear to be changing? - CORRECT
ANSWER✅✅Population Pyramid - describe aging of populations (shows the distribution of various age
groups in a population)
America and other countries pyramids have drastically shifted
85+ is the fastest growing segment of the older population
Growth in median range
What are some of the common living arrangements for older adults? - CORRECT ANSWER✅✅Over 1/4
non-institutionalized elders live with someone else or family members
Women are more likely to live alone
Only about 4% of elders live in nursing homes
3/4 of nursing home residents are women
More than half of nursing home residents are 85+
Of a geographic distribution most elders live where? - CORRECT ANSWER✅✅CA, FL, NY, TX, PA, OH, IL,
MI, NC, NJ, GA
California has the greatest number
Florida has the greatest percentage
