1
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NURS 5462 Geriatric Issues Questions and
Answers (100% Correct Answers) Already
Graded A+
GLOBAL AGING TRENDS (2 of 3) [ Ans: ] ➢ In 2050, 80% of the
global proportion of older adults will reside in less developed
regions • Individuals ≥80 yr are the fastest-growing age group in
the world ➢ Increasing at a rate of 3.8% per year
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REGIONAL DISTRIBUTION OF THE OLDER US POPULATION [ Ans: ]
Half of people ≥65 yr live in 10 states, led by California, Florida,
Texas, and New York • Older adults disproportionately live in urban
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or suburban areas ➢ Just 1 in 5 lives in a non-metropolitan area.
Between 2014 and 2050: ➢ The proportion of adults 65 yr who are
minorities will almost double, from 22% to 39%
SOCIOECONOMIC STATUS (1 of 2) [ Ans: ] • About 10% of older
adults are poor ― income below the federal poverty level • About
41.4 million older adults are enrolled in Medicare • About 2.8
million older adults are enrolled in both Medicare and Medicaid.
LIVING ARRANGEMENTS [ Ans: ] Approximately 57.4% of older
adults live with a spouse • Living arrangements vary dramatically
by age, gender, and race/ethnicity subgroups ➢ For example,
older women are nearly twice as likely as older men to live alone
(35.4% vs. 19.2% in 2014).
LEADING CAUSES OF DEATH [ Ans: ] 1 Diseases of heart 489,722 2
Malignant neoplasms 413,885 3 Chronic lower respiratory disease
124,693 4 Cerebrovascular diseases 113,308 5 Alzheimer disease
92,604
NURSING HOMES [ Ans: ] In 2014, 1.3 million Americans lived in
nursing homes • The nursing home population has become older
and more disable
, 2
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OVERVIEW OF THE AFFORDABLE CARE ACT (ACA) (1 of 2) [ Ans: ]
The ACA established the Center for Medicare & Medicaid
Innovation (CMI), CMI has been tasked with developing, testing,
and supporting new delivery models to increase coordination of
care and improve quality, along with new payment systems to
encourage more value-based care and move away from fee-for-
service payment
ACCOUNTABLE CARE ORGANIZATIONS ( [ Ans: ] • Goal of
coordinated care: Ensure that Medicare beneficiaries, especially
the chronically ill, get the right care at the right time, while
avoiding unnecessary duplication of services and preventing
medical errors • ACOs are able to share in the cost-savings it
© 2025 Assignment Expert
achieves for the Medicare program (get some savings back)
Medicare offers the following ACO programs: [ Ans: ] ➢
Medicare Shared Savings Program: Helps Medicare fee-forservice
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program providers become an ACO ➢ Advance Payment ACO
Model: Supplementary incentive program for selected
participants in the Shared Savings Program ➢ Pioneer ACO
Model: Designed for early adopters of coordinated care
Fee For Service (FFS) Model: [ Ans: ] Medicare makes separate
payments to providers for each service they perform for
beneficiaries during a single illness or course of treatment ➢ Results
in fragmented care with minimal coordination across providers
and health care settings ➢ Rewards quantity of services, rather
than quality
Bundled Payments for Care Improvement [ Ans: ] Aligns
incentives for providers (hospitals, post-acute care providers,
physicians, and other practitioners) ➢ Allows providers to work
closely together across all specialties and settings ➢ Introduced in
2013, by CMS to provide higher quality and more coordinated
care at a lower cost to Medicare, consists of 4 payment models
focused on financial and performance accountability for
episodes of care
, 3
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BUNDLED PAYMENT MODELS [ Ans: ] Services included in the
bundle All Part A services paid as part of the MSDRG payment All
nonhospice Part A and B services during the initial inpatient stay,
postacute period, and readmissions All nonhospice Part A and B
services during the postacute period and readmissions All
nonhospice Part A and B services (including the hospital and
physician) during initial inpatient stay and readmissions
MEDICARE BASICS [ Ans: ] Federal insurance program run by the
Centers for Medicare and Medicaid Services (CMS) • Pays for
acute health care provided to Americans who are ages 65+,
disabled, or suffering from end-stage renal disease • As originally
enacted, comprises 2 FFS plans (Parts A and B), each of which
© 2025 Assignment Expert
pays predetermined amounts for specified health-related goods
and services • More than 47 million Americans (15% of the US
population) are covered by both plans
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MEDICARE PART A [ Ans: ] Coverage • Hospital, skilled nursing
home, home-health, and hospice services
Does Not Cover • Routine dental or foot care, hearing aids,
eyeglasses, orthopedic shoes, cosmetic surgery, care in foreign
countries, or custodial long-term care at home or in nursing
homes. Deductible for Part A : $1288 per benefit period, ie, the first
60 days following an admission, every hospitalization
MEDICARE PART B [ Ans: ] Coverage Physicians, nurse
practitioners, social workers, psychologists, rehabilitation therapists,
home-care agencies, ambulances, outpatient facilities, laboratory
and imaging facilities, and suppliers of durable medical
equipment
Does Not Cover • Routine dental or foot care, hearing aids,
eyeglasses, orthopedic shoes, cosmetic surgery, care in foreign
countries, or custodial longterm care at home or in nursing home
MEDICARE PART B eligibility [ Ans: ] At age 65, people become
eligible for Part B coverage if: ➢ They are entitled to Part A
coverage, or ➢ They are citizens or permanent residents of the
United States ➢ Must enroll in Part B and pay premiums (usually
For Expert help and assignment solutions, +254707240657
NURS 5462 Geriatric Issues Questions and
Answers (100% Correct Answers) Already
Graded A+
GLOBAL AGING TRENDS (2 of 3) [ Ans: ] ➢ In 2050, 80% of the
global proportion of older adults will reside in less developed
regions • Individuals ≥80 yr are the fastest-growing age group in
the world ➢ Increasing at a rate of 3.8% per year
© 2025 Assignment Expert
REGIONAL DISTRIBUTION OF THE OLDER US POPULATION [ Ans: ]
Half of people ≥65 yr live in 10 states, led by California, Florida,
Texas, and New York • Older adults disproportionately live in urban
Guru01 - Stuvia
or suburban areas ➢ Just 1 in 5 lives in a non-metropolitan area.
Between 2014 and 2050: ➢ The proportion of adults 65 yr who are
minorities will almost double, from 22% to 39%
SOCIOECONOMIC STATUS (1 of 2) [ Ans: ] • About 10% of older
adults are poor ― income below the federal poverty level • About
41.4 million older adults are enrolled in Medicare • About 2.8
million older adults are enrolled in both Medicare and Medicaid.
LIVING ARRANGEMENTS [ Ans: ] Approximately 57.4% of older
adults live with a spouse • Living arrangements vary dramatically
by age, gender, and race/ethnicity subgroups ➢ For example,
older women are nearly twice as likely as older men to live alone
(35.4% vs. 19.2% in 2014).
LEADING CAUSES OF DEATH [ Ans: ] 1 Diseases of heart 489,722 2
Malignant neoplasms 413,885 3 Chronic lower respiratory disease
124,693 4 Cerebrovascular diseases 113,308 5 Alzheimer disease
92,604
NURSING HOMES [ Ans: ] In 2014, 1.3 million Americans lived in
nursing homes • The nursing home population has become older
and more disable
, 2
For Expert help and assignment solutions, +254707240657
OVERVIEW OF THE AFFORDABLE CARE ACT (ACA) (1 of 2) [ Ans: ]
The ACA established the Center for Medicare & Medicaid
Innovation (CMI), CMI has been tasked with developing, testing,
and supporting new delivery models to increase coordination of
care and improve quality, along with new payment systems to
encourage more value-based care and move away from fee-for-
service payment
ACCOUNTABLE CARE ORGANIZATIONS ( [ Ans: ] • Goal of
coordinated care: Ensure that Medicare beneficiaries, especially
the chronically ill, get the right care at the right time, while
avoiding unnecessary duplication of services and preventing
medical errors • ACOs are able to share in the cost-savings it
© 2025 Assignment Expert
achieves for the Medicare program (get some savings back)
Medicare offers the following ACO programs: [ Ans: ] ➢
Medicare Shared Savings Program: Helps Medicare fee-forservice
Guru01 - Stuvia
program providers become an ACO ➢ Advance Payment ACO
Model: Supplementary incentive program for selected
participants in the Shared Savings Program ➢ Pioneer ACO
Model: Designed for early adopters of coordinated care
Fee For Service (FFS) Model: [ Ans: ] Medicare makes separate
payments to providers for each service they perform for
beneficiaries during a single illness or course of treatment ➢ Results
in fragmented care with minimal coordination across providers
and health care settings ➢ Rewards quantity of services, rather
than quality
Bundled Payments for Care Improvement [ Ans: ] Aligns
incentives for providers (hospitals, post-acute care providers,
physicians, and other practitioners) ➢ Allows providers to work
closely together across all specialties and settings ➢ Introduced in
2013, by CMS to provide higher quality and more coordinated
care at a lower cost to Medicare, consists of 4 payment models
focused on financial and performance accountability for
episodes of care
, 3
For Expert help and assignment solutions, +254707240657
BUNDLED PAYMENT MODELS [ Ans: ] Services included in the
bundle All Part A services paid as part of the MSDRG payment All
nonhospice Part A and B services during the initial inpatient stay,
postacute period, and readmissions All nonhospice Part A and B
services during the postacute period and readmissions All
nonhospice Part A and B services (including the hospital and
physician) during initial inpatient stay and readmissions
MEDICARE BASICS [ Ans: ] Federal insurance program run by the
Centers for Medicare and Medicaid Services (CMS) • Pays for
acute health care provided to Americans who are ages 65+,
disabled, or suffering from end-stage renal disease • As originally
enacted, comprises 2 FFS plans (Parts A and B), each of which
© 2025 Assignment Expert
pays predetermined amounts for specified health-related goods
and services • More than 47 million Americans (15% of the US
population) are covered by both plans
Guru01 - Stuvia
MEDICARE PART A [ Ans: ] Coverage • Hospital, skilled nursing
home, home-health, and hospice services
Does Not Cover • Routine dental or foot care, hearing aids,
eyeglasses, orthopedic shoes, cosmetic surgery, care in foreign
countries, or custodial long-term care at home or in nursing
homes. Deductible for Part A : $1288 per benefit period, ie, the first
60 days following an admission, every hospitalization
MEDICARE PART B [ Ans: ] Coverage Physicians, nurse
practitioners, social workers, psychologists, rehabilitation therapists,
home-care agencies, ambulances, outpatient facilities, laboratory
and imaging facilities, and suppliers of durable medical
equipment
Does Not Cover • Routine dental or foot care, hearing aids,
eyeglasses, orthopedic shoes, cosmetic surgery, care in foreign
countries, or custodial longterm care at home or in nursing home
MEDICARE PART B eligibility [ Ans: ] At age 65, people become
eligible for Part B coverage if: ➢ They are entitled to Part A
coverage, or ➢ They are citizens or permanent residents of the
United States ➢ Must enroll in Part B and pay premiums (usually
