Chapter 20

Question 0

provides for minimum level of economic support to persons regardless of earning power in early life or when capable of working
-either provides total support or supplements low social security benefit

Answer 0

supplemental security income

Question 1

set up as an age entitlement program

-amount of benefit calculated on persons average salary during 35 of his/her working years

Answer 1

social security

Question 2

other late life income

Answer 2

• private retirement or pension plans

- invested in private sector financial instruments or in government treasury notes

Question 3

federal government insurance plans

Answer 3

• medicare
• railroad medicare
• medicaid
• tricare
• veterans administration

Question 4

• person automatically receives this when they turn 65 and have paid medicare taxes for at least 10 years
• includes blind, totally disabled, and individuals with end stage renal disease
• includes acute care, acute and short term rehab, some hospice, and some home health care

Answer 4

medicare part a

Question 5

• eligible to apply for within 7 months of 65th bday
• covers costs associated with services provided by physicians, NPs, output services, qualified physical, speech, and occupational therapists, and some home health care providers

Answer 5

medicare part b

Question 6

• medicare advantage plans
• use prospective payment plan including HMO’s and managed care plans
• includes medicare a&b with other services
• premium varies depending on local and range of services
• plan receives set amount for each enrollee regardless of services used

Answer 6

medicare part c

Question 7

-elective prescription drug plan with associated out of pocket premiums and co payments

Answer 7

medicare part d

Question 8

what does medicare not cover

Answer 8

custodial care

Question 9

are families under legal responsibility to care for elders

Answer 9

no

Question 10

• people often purchase these because of potentially high co payments associated with medicare
• covers only deductibles and part of coinsurance amounts based on medicare approved amounts contracted with providers

Answer 10

supplemental or medigap insurance policies

Question 11

problem with tricare

Answer 11

most veteran hospitals will only cover and treat problems deemed service connected

Question 12

health care for low income kids, pregnant women, permanently disabled, and people over 65
-provides long term care

Answer 12

medicaid

Question 13

main primary prayer for long term care

Answer 13

medicaid and primary pay

Question 14

legal term indicating that individual still has decision making capacity

Answer 14

competence

Question 15

indicating ability to understand at level needed for decision at hand

Answer 15

capacity

Question 16

implied consent

Answer 16

• taking meds

- cooperates with various treatments

Question 17

• legal document
• client must be competent
• must understand problem, options, decision, consequences of decision, risk and benefits

Answer 17

informed consent

Question 18

another person designated to act on behalf of person in matters of business and otherwise indicated

Answer 18

POA

Question 19

another person designated to make health care related decisions for individual unable to make decisions for themselves

Answer 19

health care poa

Question 20

individuals, agencies, or corporations appointed by the court to have care, custody, and control of a disabled person and manage personal, health care and financial affairs

Answer 20

guardians and conservators

Question 21

controls finances of ward

Answer 21

conservator

Question 22

responsible for the person

Answer 22

guardian

Question 23

complex phenomenon including elder abuse, exploitation and neglect
-can be intentional, accidental, episodic, or recurrent

Answer 23

elder mistreatment

Question 24

laws that protect elders against abuse

Answer 24

- family violence prevention and services act | - vulnerable elder rights actt

Question 25

who is mandatory to report abuse in IL

Answer 25

everyone involved in pts care

Question 26

where does most abuse occur

Answer 26

home setting

Question 27

any use of physical force that results in bodily injury, pain, or impairment

Answer 27

physical abuse

Question 28

possible sign of physical abuse

Answer 28

- unexpected injury - bruise - change in behavior

Question 29

examples of physical abuse

Answer 29

- inappropriate use of chemical and physical restraints - force feeding - physical punishment

Question 30

verbal assaults, threats, intimidation, humiliation, and harassment -infliction on anguish, pain, or distress through verbal or non verbal acts

Answer 30

psychological/emotional abuse

Question 31

examples of psychological emotional abuse

Answer 31

- treating older person like child - social isolation - isolating from family or friends

Question 32

- improper use of another's funds, property, identity or assets - can be by force or by deciet, misrepresentation, or fraud - difficult to detect - abuser takes advantage of someone for monetary or personal benefit

Answer 32

financial or material exploitation

Question 33

personal uses their role or power to exploit trust, dependancy, or fear of another

Answer 33

undue influence

Question 34

examples of physical neglect

Answer 34

- failure to thrive - malnutrition - dehydration - neglected grooming - untreated medical condions

Question 35

most common form of neglect

Answer 35

not attending needs

Question 36

act of omission or withholding of needed goods and services such as food, medication, medical treatment, and personal care necessary for the well being of elder -behavior that ignores obvious needs even when caregiver is present

Answer 36

caregiver neglect

Question 37

usually a function of diminished physical or mental capacity that threatens persons safety -at times, a mentally competent person makes a conscious and voluntary decision to engage in acts that threaten health or safety as matter of personal choice

Answer 37

self neglect

Question 38

ways to prevent abuse

Answer 38

- caregiver support services to lessen caregiver stress and provide respite care - insure that vulnerable elders know how to get help if needed - provide encouragement and support to leave a potentially abusive situation