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n3 gero > Exam 3 - Lecture 2 (Retirement, Legal & Ethical Issues) > Flashcards

Exam 3 - Lecture 2 (Retirement, Legal & Ethical Issues) Flashcards

1
Q

what are the types of economic assistance that older adults are entitled to?

A
  • SS
  • Medicare
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2
Q

what is retirement?

A

the expectation that older adults will cease full-time work

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3
Q

which group of older adults plan to work past 65 yrs old or have no intentions to retire?

A

Baby Boomers

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4
Q

retirement planning is largely aimed at these group of people

A
  • highly educated
  • those with high occupational status
  • government employees
  • employees in companies with pensions
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5
Q

why do women retire earlier than men?

A
  • gender bias
  • family responsibilities
  • more variability in work due to interrupted careers
  • sporadic work history
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6
Q

what are the nursing responsibilities regarding retirement?

A
  • discuss it with clients in primary care
  • discuss transition to retired status
  • address health issues affecting retirement
  • provide resources for planning & support
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7
Q

what is the full retirement age for SS?

A

65-67 years old

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8
Q

what was the purpose of the “Age-entitlement Program” (SS) under FDR?

A

provide monetary support at a certain age regardless of personal financial resources

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9
Q

how is the “benefit amount” calculated for SS?

A

get the avg salary during 35 working years

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10
Q

what are the different insurance plans provided by the US government?

A
  • Medicare
  • Railroad Medicare
  • Medicaid
  • TRICARE
  • VA
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11
Q

which insurance plan is designed for adults age 65, people who are blind or totally disabled and those with ESRD?

A

Medicare

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12
Q

what do supplemental insurance plans (Medigap) help with?

A
  • Medicare co-pays
  • deductibles
  • a portion of coinsurance amounts
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13
Q

what does Supplemental Security Income provide?

A

minimum level of economic support to people older than 65 regardless of earning power in early working life

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14
Q

what is Medicaid?

A

a health insurance program funded by the federal and state with tax dollars

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15
Q

Medicaid provides health services to which group of people?

A
  • low-income children
  • pregnant women
  • permanently disabled
  • adults 65 and older
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16
Q

this type of insurance is designed to cover expenses for LTC that are not included in health insurance or Medicare

A

LTC insurance

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17
Q

what are some things that LTC insurance offer?

A
  • wide range of benefits
  • wide range of costs
  • some offer a maximum time for coverage (5 years)
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18
Q

how are costs for LTC paid for?

A
  • Medicaid
  • Medicare
  • private LTC insurance
  • out-of-pocket
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19
Q

most older adults prefer to stay at home

A

true

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20
Q

what are the 3 residence options for older adults?

A
  • shared housing with family members
  • community care
  • skilled-nursing facilities
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21
Q

what are the 4 types of community care?

A
  • PACE (care for older adults living in communities)
  • adult day services
  • assisted living facilities
  • continuing care retirement communities
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22
Q

what are the 2 types of skilled nursing facilities?

A
  • sub-acute
  • chronic care (LTC)
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23
Q

who are typical residents of an LTC facility?

A
  • women older than 80
  • widowed
24
Q

what is fictive kin?

A

people unrelated to an individual who are close to them

25
Q

who is considered fictive kin?

A
  • CNA
  • RN
  • caregivers
  • case managers
26
Q

who is most likely to inflict abuse on an older adult?

A

their own children

27
Q

nurses are mandated to report elder abuse

A

true

28
Q

documented elder abuse occurs with which population?

A

Caucasians

29
Q

most elderly abuse occurs in the home by spouses and children

A

true

30
Q

types of abuse

A
  • physical
  • sexual
  • emotional
  • medical
  • financial
  • discrmination
  • abandonment / neglect
31
Q

what is the most common type of elder abuse?

A

neglect

32
Q

what are 2 common bruising patterns in abused older adults

A
  • wrap-around
  • linear
33
Q

where are linear bruising patterns most commonly seen?

A
  • back
  • thighs
  • arms
  • buttocks
34
Q

what causes linear bruising?

A

striking with an object

35
Q

what are the nursing interventions for elder abuse?

A
  • observe for obvious bruises
  • ask about medications (medical abuse)
  • photograph injuries
  • note body odor, dirty clothing
  • other signs of neglect
  • look for signs of restraints
36
Q

which agency are nurses required to report elderly abuse to?

A

Adult Protective Services

37
Q

according to SS, what does one “credit” equal to?

A

$1,300

38
Q

how many credits can a working adult earn in one year?

A

4

39
Q

how can one receive the minimal monthly income from SS?

A

earn 40 credits

40
Q

how much does does the Supplemental Security Income (SSI) provide?

A

maximum benefit of $750 per month

41
Q

how are beneficiaries determined for SSI?

A

consideration of total income plus the value of “gifts” such as housing

42
Q

this type of Medicare is designed to partially cover costs of acute hospitalization (semiprivate rooms), short-term rehabilitation, hospice care, and any necessary medical services and supplies

A

Medicare part A

43
Q

this type of Medicare is designed to cover costs associated with outpatient or ambulatory services

outpt: clinics, outpt surgery, imaging, dialysis, chemotherapy, etc

A

Medicare part B

44
Q

under Medicare part B, diabetic supplies require deductibles & copays

A

true

45
Q

what other name is Medicare part C referred to as?

A

Medicare Advantage Plans

46
Q

what does Medicare part C entail?

A
  • use of prospective payment system (reimbursement based on fixed amount)
  • inclusion of health maintenance organizations (HMOs)
47
Q

Medicare part C requires what special rule in order to provide full coverage?

A

providing proof of referral to the assigned PCP

48
Q

what does Medicare part D help cover?

A

cost of prescription drugs

49
Q

assisted living facilities

annual cost

A

$45,000

50
Q

nursing home care

national median daily rate (semiprivate room)

A

$235

51
Q

nursing home care

national median monthly rate

A

$7,148

52
Q

nursing home care

annual cost

A

$85,783

53
Q

assisted living facility

national median monthly rate

A

$3,750

54
Q

what are the factors to consider when selecting a nursing home?

Box 32.13

A
  • central focus are the residents & families
  • positive interactions between staff
  • calm & friendly milieu
  • clean & well-maintained environment
  • individualized care
  • well-trained staff
  • involved RNs
  • safety
55
Q

nursing home culture change competencies for nurses

A
  • effective communication skills
  • accommodation of resident preferences
  • views self as part of the team
  • addresses barriers to person-directed care
  • views the environment as the resident’s home
  • consistency
  • shared problem solving

n3 gero (19 decks)

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