CMD Long-Term Care & Post-Acute Care Management 2

Question 1

As a medical director of a long-term care facility, which of the following is a core regulatory responsibility under federal guidelines?

Accepted Answer

Implementing resident care policies and coordinating medical care

Answer

Federal regulations require the medical director to implement resident care policies and coordinate medical care in the facility, acting as a key clinical and administrative leader.

Question 2

What does the acronym 'PASRR' stand for, and what is its purpose in long-term care admissions?

Accepted Answer

Preadmission Screening and Resident Review — identifies individuals with serious mental illness or intellectual disabilities

Answer

PASRR requires states to screen individuals with serious mental illness or intellectual/developmental disabilities before Medicaid-funded nursing facility admission to ensure appropriate placement.

Question 3

Which document specifies a long-term care resident's wishes regarding life-sustaining treatment and is legally recognized across most U.S. states?

Accepted Answer

POLST (Physician Orders for Life-Sustaining Treatment)

Answer

A POLST form is a medical order document that translates a resident's end-of-life wishes into actionable physician orders for CPR, hospitalization, and other life-sustaining treatments.

Question 4

Under Medicare regulations, what is the minimum required frequency for physician visits to nursing facility residents during long-term care stays?

Accepted Answer

Every 30 days for the first 90 days, then every 60 days thereafter

Answer

Medicare regulations require physician visits every 30 days for the first 90 days of a nursing facility stay, then at least every 60 days thereafter, though more frequent visits may be clinically indicated.

Question 5

Which federal program is the primary payer for long-term custodial nursing home care for low-income elderly and disabled individuals in the United States?

Accepted Answer

Medicaid

Answer

Medicaid is the primary federal-state program funding long-term custodial nursing home care for individuals who meet income and asset eligibility criteria.

(CMD) Certified Medical Director Practice Test

(CMD) Certified Medical Director Practice Test

CMD Long-Term Care & Post-Acute Care Management 2