CSA Certified Senior Advisor MCQ 2 — Questions and Answers
Question 1: Which federal program provides health insurance primarily for Americans aged 65 and older?
- Medicaid
- Medicare (Correct answer)
- TRICARE
- CHIP
Correct answer: Medicare
Medicare is the federal health insurance program for people 65 and older, and for certain younger people with disabilities.
Question 2: What is the primary distinction between Medicare Part A and Medicare Part B?
- Part A covers prescription drugs; Part B covers hospital care
- Part A covers hospital care; Part B covers outpatient and physician services (Correct answer)
- Part A covers dental; Part B covers vision
- Part A is optional; Part B is automatic
Correct answer: Part A covers hospital care; Part B covers outpatient and physician services
Medicare Part A covers inpatient hospital stays and skilled nursing facility care, while Part B covers outpatient services and physician visits.
Question 3: A senior client mentions they feel isolated since their spouse passed away. Which aspect of the CSA body of knowledge does this primarily address?
- Financial planning
- Social aspects of aging (Correct answer)
- Legal and ethical issues
- Physical health of aging
Correct answer: Social aspects of aging
Bereavement and social isolation fall under the social aspects of aging, a core domain in the CSA curriculum.
Question 4: Which cognitive change is considered a NORMAL part of aging rather than a sign of dementia?
- Getting lost in familiar neighborhoods
- Occasionally forgetting a word but recalling it later (Correct answer)
- Forgetting the names of close family members
- Inability to manage finances or pay bills
Correct answer: Occasionally forgetting a word but recalling it later
Occasional word-finding difficulty that resolves is a normal age-related change, whereas persistent memory loss interfering with daily life suggests pathology.
Question 5: Under the Elder Justice Act, which federal agency has primary responsibility for coordinating elder abuse prevention efforts?
- Department of Justice
- Department of Health and Human Services (Correct answer)
- Social Security Administration
- Department of Veterans Affairs
Correct answer: Department of Health and Human Services
The Elder Justice Act, part of the ACA, places coordination authority with the Department of Health and Human Services.
Question 6: What is a 'spend-down' in the context of Medicaid eligibility for long-term care?
- A required annual wellness visit cost
- The process of reducing assets to meet Medicaid financial thresholds (Correct answer)
- A penalty for early Medicare withdrawal
- A gift tax exemption strategy
Correct answer: The process of reducing assets to meet Medicaid financial thresholds
Medicaid spend-down refers to the legal process of reducing countable assets or income to qualify for Medicaid long-term care benefits.
Question 7: Which housing option allows older adults to retain home ownership while receiving a stream of income based on home equity?
- Continuing Care Retirement Community (CCRC)
- Reverse mortgage (Correct answer)
- Home equity line of credit (HELOC)
- Sale-leaseback arrangement
Correct answer: Reverse mortgage
A reverse mortgage allows homeowners aged 62+ to convert home equity into loan proceeds without selling, with repayment deferred until the home is sold or vacated.
Which federal program provides health insurance primarily for Americans aged 65 and older?