QUESTION 1 An individual suffers a stroke. This is an example of a chronic condition … 

QUESTION 1

An individual suffers a stroke. This is an example of

		a chronic condition
		a functional decline
		a comorbidity
		an acute episode

1 points   

QUESTION 2

Which of the following is not an activity of daily living (ADL)

		Moving from the bed to a wheelchair
		Taking a bath
		Using the toilet
		Grocery shopping

1 points   

QUESTION 3

Which policy triggered the growth of the nursing home industry in the US?

		Federal grants to states under the Old Age Assistance Program
		The Hospital Survey and Construction Program
		Creation of Medicaid and Medicare
		OBRA 87

1 points   

QUESTION 4

The Nursing Home Reform Act contained in OBRA-87 was triggered by

		a Congressional investigation into abuse and neglect of nursing home residents
		class- action law suits across the county
		complaints from consumers
		the Institute of Medicine’s scathing report on nursing homes

1 points   

QUESTION 5

It is difficult to cut costs or raise productivity in a nursing home because

		nursing home care is highly labor-intensive
		an increasing number of people need nursing home care
		reimbursement levels are low
		current policy supports mvoing people out of nursing homes to the community

1 points   

QUESTION 6

What is the purpose of an assessment?

		To ensure functional independence
		To determine individual needs
		To maximize quality of care
		None of the above

1 points   

QUESTION 7

Certification of a nursing home

		is mandated in each state
		is a mark of high quality
		enables it to participate in the Medicare and Medicaid programs
		None of the above

1 points   

QUESTION 8

In a nursing home which group of staff members render the majority of care

		Licensed nurses
		Certified Nurse Assistants
		Social Workers
		Physicians

1 points   

QUESTION 9

Which is the largest source of payment for nursing home services

		Private insurance
		Medicare
		Medicaid
		Managed Care

1 points   

QUESTION 10

For a nursing home to cover a patient under Medicare Part A, the patient must have stayed ____ nights in a hospital

		3
		20
		30
		100

1 points   

QUESTION 11

Which of the following is not covered under Medicare Part A

		Custodial care
		Subacute care
		Restorative Therapy administered by a registed physical therapist
		Nursing care such as dressing changes and treatment of surgical wounds

1 points   

QUESTION 12

How are prescription drug expenses covered while a patient is receiving Medicare Part A services in a nursing home?

		They are included as a portion of the Medicare Part A reimbursement for that patient
		They are covered under Medicare Part D
		The patient is required to pay for them privately
		None of the above

1 points   

QUESTION 13

Case mix measures

		Clinical severity oif the patient
		Skill level of the Staff
		Number of patients with a given condition
		None of the above

1 points   

QUESTION 14

To determine the case mix, MDS information is used to

		refine patient assessment
		evaluate quality indicators
		adjust the base rate
		classify patients

1 points   

QUESTION 15

Who established Medicaid reimbursement rates?

		State governments
		Federal government
		CMS
		The fiscal intermediary

1 points   

QUESTION 16

Under the various federal fraud and abuse statutes, it is a crime

		to make a false claim of services that are billed to Medicaid and/or Medicare
		to offer a kickback for admission referrals
		for financial mismanagement
		All of the above

1 points   

QUESTION 17

A Nursing Home that receives a Life Safety Code Deficiency can respond by

		submitting a plan of corrections
		request a waiver
		undergo a Fires Safety Evaluation Assessment
		all of the above

1 points   

QUESTION 18

Which funding source provides the largest portion on the nursing home’s revenue?

		Medicare
		Medicaid
		private pay
		managed care

1 points   

QUESTION 19

Which of the following is not a purpose of the medical record

		Where clinical disciplines can document their disagreements
		Defense in a malpractice case
		Coordinating services across disciplines
		Demonstrating compliance with regulations

1 points   

QUESTION 20

The midnight census is used for

		collection of accounts receivable
		verification of residents physically presence in the facility
		billing third party payers
		none of the above

1 points   

QUESTION 21

What is meant by accounts payable

		Money owed to vendors
		Credit
		Good purchased on a non cash basis
		An invoice sent by a vendor

1 points   

QUESTION 22

Which of the following is an advanced directive

		Living will
		DNR
		DPOA
		All of the above

1 points   

QUESTION 23

Which of the following is not a current trend in the nursing home industry

		The number of nursing homes and beds are declining
		The number of not-for profit facilities is increasing
		Some nursing homes operate assisted living facilities
		The nursing home industry is dominated by private, for profit chains

1 points   

QUESTION 24

Which category of individuals is Medicare not designed to cover

		The elderly
		The disabled
		People with end stage renal disease
		Indigent adults under the age of 65

1 points   

QUESTION 25

To qualify for Medicaid, a senior must

		be disabled
		spend (down) their assets
		have a spouse
		be admitted to a nursing home