Adult Care Planning Flashcards
7 cards from real CSA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Adult Care Planning flashcards as text
A geriatric care manager recommends transitioning a client from independent living to assisted living. Which assessment tool is most commonly used to evaluate functional ability in this decision?
Answer: Katz Index of Activities of Daily Living (ADL)
The Katz Index of ADLs measures independence in six basic self-care functions and is the standard tool for determining the appropriate level of residential care.
Under the PACE (Program of All-inclusive Care for the Elderly) model, which statement is most accurate?
Answer: PACE provides coordinated care allowing nursing-home-eligible seniors to remain in the community
PACE integrates Medicare and Medicaid funding to deliver comprehensive medical and social services so eligible seniors can live safely in the community instead of a nursing home.
A senior advisor is helping a family choose between a CCRC entrance-fee contract types. Which contract type offers the lowest monthly fees but provides the least predictable long-term costs?
Answer: Type C (Fee-for-Service) contract
Type C Fee-for-Service contracts have lower upfront and monthly fees, but residents pay full market rates for health services as needed, creating unpredictable future costs.
Which federal law requires nursing facilities participating in Medicare and Medicaid to conduct comprehensive resident assessments using the Minimum Data Set (MDS)?
Answer: Omnibus Budget Reconciliation Act (OBRA) of 1987
OBRA 1987 established the Resident Assessment Instrument (RAI), including the MDS, to ensure individualized, comprehensive care planning in certified nursing facilities.
A 78-year-old client has difficulty managing medications but otherwise lives independently. Which service is most appropriate to address this specific gap in IADLs?
Answer: Medication management through a home health aide or automatic dispenser
Medication management is an instrumental ADL, and targeted home-based solutions like a home health aide or automated pill dispenser address this specific gap without unnecessary escalation of care.
When developing a care plan for a senior with mid-stage dementia, which principle should guide the planning process above all others?
Answer: Preserving remaining autonomy and incorporating the person's known preferences
Person-centered care planning for dementia patients prioritizes preserving autonomy and honoring previously expressed preferences even as cognitive capacity declines.
A CSA is advising a family whose 80-year-old relative refuses home care services despite clear safety risks. What is the most appropriate first step?
Answer: Explore the reasons for refusal and attempt to find acceptable alternatives
Exploring the reasons behind refusal—such as fear, cost concerns, or distrust—and offering acceptable alternatives respects autonomy while working toward safety, before escalating to legal interventions.