8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
NACCM EXAM ELABORATIONS QUESTIONS AND
VERIFIED ANSWERS 2025-2026 UPDATE | 100%
SOLVED ! NEWEST VERSION
Living will, Powers of Attorney/Durable Powers of
Estate Planning Documents
Attorney, health care proxy, HIPAA Releases,
Advanced Directives
Document executed by an individual directing how
his/her estate is to be distributed after his/her death
• Does NOT give authority to the executor (or other
Definition of a Will
responsible person as the titles differ by state) to do
anything during the individual's lifetime
• Must have legal capacity to execute a will
• Will s may be simple or very complex
A durable power of attorney is a written instrument
that allows an individual, called the "principal", to
designate someone else as his or her "attorney-in-fact", or
"agent", to act on that principal's behalf.
DPOA Authority includes: Property dealings, Ability to contract.
Access & use of
financial resources, Ability to gift, person can have
What is a Power of Attorney? multiple people assigned as an agent -ensure can work
together, Third parties may rely upon the authority
granted in the POA until the third party receives
written notice otherwise, May contain
language to include health care decisions
Always request copy -individuals should not give away
originals unless necessary Ability to contract & give
consent; also ability to make gifts
Durable power of attorney survives incapacity
Immediately effective once executed (unless "Springing")
… 1/33
,8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
No longer valid once principal dies, if revoked in writing,
if principal is determined totally incapacitated.
DPOAs are NOT recognized by federal agencies such
as the VA and the Social Security Administration -each
has its own process for determining representation or
fiduciary
Fine Print for Durable Power • DPOAs can be very broad or have restrictions
of Attorney • DPOAs do not expire yet many places refuse to
recognize "old" documents (more than a few years
old) so may need to be re-certified by the attorney
who originally executed.
• Many people download forms from the internet but
then not tailored for their specific situation
Funded through the state government. Interventions
include Receiving and investigating reports
• Evaluating victim
• Assessing victim's ability to understand risk and give informed
Elder Abuse: APS
consent
• Drafting a case plan
• Arranging for care
• Monitoring of care
1 out of 10 experience abuse, 90% of abusers are family
members, less than 20% get reported, Most elder abuse
Elder Abuse Perpertrators
cases happen in the home or the home of the caregiver,
perpetrators usually family members (adult children,
spouses, partners or others).
Victims are often confused about this abuse.
Fastest growing problem, frequently underestimated,
underdiagnosed, and undertreated, 4 out of 5 seniors
Alcohol Abuse and the
Elderly seeking treatment for substance abuse have
… 2/33
,8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
problems with alcohol vs. other drugs, 9% of Medicare
beneficiaries drink 30+ drinks per month and more
than 4 drinks in one sitting
Sensitivity to alcohol
increases with age Alcohol
causes increased health
problems Interacts poorly
Alcohol Effects and the with prescription meds
Elderly
Signs of Alcohol Abuse
• Non adherence with medical appointments
• Poorly controlled HTN
• Recurrent accidents and falls
• Unexpected delerium
• Unpredictable coumadin levels
Detoxification should be done in hospital setting.
Inpatient programs, day treatment or outpatient therapy.
Alcohol Abuse: Treatment
Disulfiram (Antabuse) -not recommended due to
increased risk of serious side effects.
Grief and Loss Grief is experienced after the loss of a spouse and sometimes
leads to depression.
Kubler-Ross: "Stages" of Grief Denial, anger, bargaining, depression, and acceptance.
Loss of appetite
Excessive fatigue
and sleep
Increased physical
weakness Mental
Death and Dying: Signs and
confusion
Symptoms
Labored
breathing
Social
withdrawal
Changes in urination
Swelling in feet and ankles
Coolness in tips of fingers
and toes Mottled veins
Focuses on quality rather than length of life
Humane and compassionate care during
Death and Dying: Hospice
last phases of life Generally not
care
started soon enough
… 3/33
, 8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
Covered under Medicare
Pain and Symptom
Control Home Care
and Inpatient care
Hospice Care: Services Spiritual guidance
Family
meetings
Respite
Care
Bereavement
care Team
Approach
Came into law in 1990. The ADA is a civil rights law that
prohibits discrimination against individuals with
disabilities in all areas of public life, including jobs,
schools, transportation, and all public and private places
Americans With Disabilities that are open to the general public. The purpose of the
Act Req's.
law is to make sure that people with disabilities have
the same rights and opportunities as everyone else. It
covers employment, State or Public
programs, activities, transportation, physical layouts re: businesses
or enabling
people to serve people better with communication
issues, the telecommunication area (making it easier for
people), finally (not allowing state laws to discriminate,
etc.).
A special needs trust is a trust designed for
beneficiaries who are disabled, either physically or
Special Needs Trust
mentally. It ensures that the person will be taken care of
for the rest of their lives and ensures eligibility to obtain
public benefits such as Medicaid or SSI. It must be
irrevocable.
… 4/33
NACCM EXAM ELABORATIONS QUESTIONS AND
VERIFIED ANSWERS 2025-2026 UPDATE | 100%
SOLVED ! NEWEST VERSION
Living will, Powers of Attorney/Durable Powers of
Estate Planning Documents
Attorney, health care proxy, HIPAA Releases,
Advanced Directives
Document executed by an individual directing how
his/her estate is to be distributed after his/her death
• Does NOT give authority to the executor (or other
Definition of a Will
responsible person as the titles differ by state) to do
anything during the individual's lifetime
• Must have legal capacity to execute a will
• Will s may be simple or very complex
A durable power of attorney is a written instrument
that allows an individual, called the "principal", to
designate someone else as his or her "attorney-in-fact", or
"agent", to act on that principal's behalf.
DPOA Authority includes: Property dealings, Ability to contract.
Access & use of
financial resources, Ability to gift, person can have
What is a Power of Attorney? multiple people assigned as an agent -ensure can work
together, Third parties may rely upon the authority
granted in the POA until the third party receives
written notice otherwise, May contain
language to include health care decisions
Always request copy -individuals should not give away
originals unless necessary Ability to contract & give
consent; also ability to make gifts
Durable power of attorney survives incapacity
Immediately effective once executed (unless "Springing")
… 1/33
,8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
No longer valid once principal dies, if revoked in writing,
if principal is determined totally incapacitated.
DPOAs are NOT recognized by federal agencies such
as the VA and the Social Security Administration -each
has its own process for determining representation or
fiduciary
Fine Print for Durable Power • DPOAs can be very broad or have restrictions
of Attorney • DPOAs do not expire yet many places refuse to
recognize "old" documents (more than a few years
old) so may need to be re-certified by the attorney
who originally executed.
• Many people download forms from the internet but
then not tailored for their specific situation
Funded through the state government. Interventions
include Receiving and investigating reports
• Evaluating victim
• Assessing victim's ability to understand risk and give informed
Elder Abuse: APS
consent
• Drafting a case plan
• Arranging for care
• Monitoring of care
1 out of 10 experience abuse, 90% of abusers are family
members, less than 20% get reported, Most elder abuse
Elder Abuse Perpertrators
cases happen in the home or the home of the caregiver,
perpetrators usually family members (adult children,
spouses, partners or others).
Victims are often confused about this abuse.
Fastest growing problem, frequently underestimated,
underdiagnosed, and undertreated, 4 out of 5 seniors
Alcohol Abuse and the
Elderly seeking treatment for substance abuse have
… 2/33
,8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
problems with alcohol vs. other drugs, 9% of Medicare
beneficiaries drink 30+ drinks per month and more
than 4 drinks in one sitting
Sensitivity to alcohol
increases with age Alcohol
causes increased health
problems Interacts poorly
Alcohol Effects and the with prescription meds
Elderly
Signs of Alcohol Abuse
• Non adherence with medical appointments
• Poorly controlled HTN
• Recurrent accidents and falls
• Unexpected delerium
• Unpredictable coumadin levels
Detoxification should be done in hospital setting.
Inpatient programs, day treatment or outpatient therapy.
Alcohol Abuse: Treatment
Disulfiram (Antabuse) -not recommended due to
increased risk of serious side effects.
Grief and Loss Grief is experienced after the loss of a spouse and sometimes
leads to depression.
Kubler-Ross: "Stages" of Grief Denial, anger, bargaining, depression, and acceptance.
Loss of appetite
Excessive fatigue
and sleep
Increased physical
weakness Mental
Death and Dying: Signs and
confusion
Symptoms
Labored
breathing
Social
withdrawal
Changes in urination
Swelling in feet and ankles
Coolness in tips of fingers
and toes Mottled veins
Focuses on quality rather than length of life
Humane and compassionate care during
Death and Dying: Hospice
last phases of life Generally not
care
started soon enough
… 3/33
, 8/9/25, 10:47 PM NACCM EXAM ELABORATIONS QUESTIONS AND VERIFIED ANSWERS 2025 UPDATE | 100% SOLVED!!
Covered under Medicare
Pain and Symptom
Control Home Care
and Inpatient care
Hospice Care: Services Spiritual guidance
Family
meetings
Respite
Care
Bereavement
care Team
Approach
Came into law in 1990. The ADA is a civil rights law that
prohibits discrimination against individuals with
disabilities in all areas of public life, including jobs,
schools, transportation, and all public and private places
Americans With Disabilities that are open to the general public. The purpose of the
Act Req's.
law is to make sure that people with disabilities have
the same rights and opportunities as everyone else. It
covers employment, State or Public
programs, activities, transportation, physical layouts re: businesses
or enabling
people to serve people better with communication
issues, the telecommunication area (making it easier for
people), finally (not allowing state laws to discriminate,
etc.).
A special needs trust is a trust designed for
beneficiaries who are disabled, either physically or
Special Needs Trust
mentally. It ensures that the person will be taken care of
for the rest of their lives and ensures eligibility to obtain
public benefits such as Medicaid or SSI. It must be
irrevocable.
… 4/33
