CSA Adult Care Planning 2

Question 1

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?

Accepted Answer

Katz Index of Activities of Daily Living (ADL)

Answer

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.

Question 2

Under the PACE (Program of All-inclusive Care for the Elderly) model, which statement is most accurate?

Accepted Answer

PACE provides coordinated care allowing nursing-home-eligible seniors to remain in the community

Answer

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.

Question 3

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?

Accepted Answer

Type C (Fee-for-Service) contract

Answer

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.

Question 4

Which federal law requires nursing facilities participating in Medicare and Medicaid to conduct comprehensive resident assessments using the Minimum Data Set (MDS)?

Accepted Answer

Omnibus Budget Reconciliation Act (OBRA) of 1987

Answer

OBRA 1987 established the Resident Assessment Instrument (RAI), including the MDS, to ensure individualized, comprehensive care planning in certified nursing facilities.

Question 5

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?

Accepted Answer

Medication management through a home health aide or automatic dispenser

Answer

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.

Certified Senior Advisor Exam Practice Test

Certified Senior Advisor Exam Practice Test

CSA Adult Care Planning 2