ASC Community Reintegration & Support 3 — Questions and Answers
Question 1: Which community mobility option is most appropriate for a stroke survivor who cannot use public transit independently due to wheelchair dependence?
- ADA paratransit services (Correct answer)
- Ride-share apps without modifications
- Standard city bus routes
- Volunteer carpool programs only
Correct answer: ADA paratransit services
ADA paratransit services are federally mandated accessible transportation options for individuals who cannot use fixed-route transit due to disability.
Question 2: Which financial assistance program provides income support to stroke survivors who cannot return to work and have a sufficient work history?
- Social Security Disability Insurance (SSDI) (Correct answer)
- Supplemental Security Income (SSI)
- Medicaid waiver
- Medicare Advantage
Correct answer: Social Security Disability Insurance (SSDI)
SSDI provides income replacement benefits to workers who become disabled and have paid sufficient Social Security taxes prior to their disability.
Question 3: A stroke survivor's family reports caregiver burnout 3 months post-discharge. Which community resource should the stroke coordinator recommend first?
- Respite care services (Correct answer)
- Long-term nursing home placement
- Increased outpatient therapy frequency
- Home health nursing visits
Correct answer: Respite care services
Respite care provides temporary relief for caregivers by arranging alternative supervision for the stroke survivor, directly addressing burnout without requiring permanent placement.
Question 4: When conducting a home environment assessment for a stroke survivor with left-sided neglect, which hazard should receive the highest priority?
- Objects and furniture on the left side of walking paths (Correct answer)
- Loose rugs on the right side of the home
- High shelving on the right side
- Lighting intensity in right-sided rooms
Correct answer: Objects and furniture on the left side of walking paths
Left-sided neglect causes the survivor to be unaware of objects on their neglected side, creating a fall and collision risk from left-side obstacles.
Question 5: Which model of care is most consistent with the chronic care model for long-term stroke management in the community?
- Proactive patient self-management support with regular follow-up (Correct answer)
- Reactive emergency department visits for symptom management
- Annual neurology clinic check-ups only
- Discharge to home with no scheduled follow-up
Correct answer: Proactive patient self-management support with regular follow-up
The chronic care model emphasizes proactive, planned, patient-centered care with self-management support, informed patients, and prepared care teams to improve long-term outcomes.
Question 6: A stroke survivor with dysphagia is transitioning to community living. Which team member's outpatient involvement is most critical for safe community reintegration?
- Speech-language pathologist (Correct answer)
- Cardiologist
- Neuropsychologist
- Social worker
Correct answer: Speech-language pathologist
The speech-language pathologist addresses ongoing dysphagia management, diet texture recommendations, and safe swallowing strategies essential for preventing aspiration in the community.
Question 7: Which outcome measure is best suited to evaluate participation in social roles following stroke at a community level?
- Reintegration to Normal Living (RNL) Index (Correct answer)
- Barthel Index
- Glasgow Coma Scale
- Fugl-Meyer Assessment
Correct answer: Reintegration to Normal Living (RNL) Index
The RNL Index measures the extent to which individuals reestablish normal social roles and activities in community life, making it the most appropriate participation-level measure.
ASC Community Reintegration & Support 3
Which community mobility option is most appropriate for a stroke survivor who cannot use public transit independently due to wheelchair dependence?