End-of-Life 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 End-of-Life Planning flashcards as text
A client wants to leave assets to a grandchild with a disability without disqualifying the grandchild from Medicaid. The best tool is:
Answer: A special needs trust (supplemental needs trust)
A special needs trust (supplemental needs trust) holds assets for a person with disabilities without counting them toward Medicaid or SSI asset limits.
Which statement about a 'springing' durable power of attorney is accurate?
Answer: It takes effect only upon a triggering event such as incapacity
A springing power of attorney activates only when a specified condition—typically incapacity certified by a physician—is met.
Under the Medicaid look-back period, asset transfers made within how many years prior to application may be scrutinized?
Answer: 5 years
Medicaid uses a 60-month (5-year) look-back period to review asset transfers that may have been made to qualify for benefits.
A senior's family is in conflict over whether to discontinue life support. Which hospital resource is best suited to mediate this ethical dispute?
Answer: Hospital ethics committee
Hospital ethics committees are specifically convened to provide guidance and mediation in difficult end-of-life and treatment decision conflicts.
What distinguishes a 'testamentary trust' from a 'living trust'?
Answer: A testamentary trust is created through a will and takes effect at death; a living trust is established during life
A testamentary trust is established within a will and only comes into existence and is funded after the testator's death and probate, whereas a living (inter vivos) trust is created and can be funded during life.
A senior's advance directive was created in California and they are hospitalized in Texas. Is the directive valid?
Answer: Generally yes, as most states honor out-of-state advance directives in good faith
Most states have statutes or practices that honor out-of-state advance directives, especially if they meet the requirements of either state or substantially comply.
Which government benefit program is the primary payer for skilled nursing facility care for low-income seniors who have exhausted their assets?
Answer: Medicaid
Medicaid, a joint federal-state program for low-income individuals, is the primary payer for long-term custodial care in nursing facilities once a person has spent down their assets.