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
An 82-year-old client lives alone and has increasing difficulty preparing meals and managing finances but has no physical limitations. Which care setting is LEAST appropriate at this stage?
Answer: Skilled nursing facility
A skilled nursing facility is designed for individuals requiring 24-hour skilled medical or rehabilitative care—it would be inappropriate for someone whose only limitations are IADL-based.
What distinguishes palliative care from hospice care?
Answer: Palliative care can be provided alongside curative treatment at any stage; hospice requires forgoing curative treatment
Palliative care provides comfort-focused symptom management concurrently with curative or life-prolonging treatments at any disease stage, while hospice requires electing comfort-only goals when prognosis is 6 months or less.
The Spousal Impoverishment Protection provision under Medicaid is designed to:
Answer: Protect a minimum level of income and assets for the community spouse when the other enters a nursing home
The Spousal Impoverishment Protection rules allow the community (at-home) spouse to retain a Community Spouse Resource Allowance (CSRA) and a Minimum Monthly Maintenance Needs Allowance (MMMNA) of income.
A CSA is working with a family from a culture that views nursing home placement as abandonment. What is the most appropriate approach?
Answer: Acknowledge cultural values, explore culturally congruent alternatives, and involve the family in shared decision-making
Culturally competent care requires acknowledging the family's values, exploring home-based or community alternatives, and collaboratively developing a plan that respects both safety and cultural identity.
Which of the following is the PRIMARY purpose of an elder law attorney in the adult care planning process?
Answer: Handling legal documents such as advance directives, powers of attorney, and Medicaid planning
Elder law attorneys specialize in legal planning for older adults, including advance directives, guardianship, special needs trusts, and Medicaid asset protection strategies.
Which condition would most likely qualify a senior for Medicare's home health benefit?
Answer: Being homebound and requiring skilled nursing wound care after a hospital discharge
Medicare home health requires the patient to be homebound and need part-time or intermittent skilled nursing or therapy services ordered by a physician.
A senior's care plan includes a POLST form. Which statement about POLST is most accurate?
Answer: POLST translates a patient's treatment wishes into actionable medical orders valid outside the hospital
A POLST (Physician Orders for Life-Sustaining Treatment) is a portable medical order set that travels with the patient across care settings and instructs emergency responders on resuscitation and treatment preferences.