CSA Certified Senior Advisor MCQ 4 — Questions and Answers
Question 1: What is the primary purpose of a 'Five Wishes' document?
- To designate a financial power of attorney
- To outline an individual's personal, emotional, and medical end-of-life preferences (Correct answer)
- To establish a trust for minor beneficiaries
- To formally request hospice enrollment
Correct answer: To outline an individual's personal, emotional, and medical end-of-life preferences
Five Wishes is an advance directive that addresses medical, personal, emotional, and spiritual end-of-life preferences in plain language, meeting legal requirements in most states.
Question 2: A senior advisor notices a client is making repeated large cash gifts to a new romantic partner. Which concern should the advisor address first?
- Tax implications of gift giving
- Possible financial exploitation or undue influence (Correct answer)
- The client's estate plan beneficiary designations
- Whether the gifts are above the annual gift tax exclusion
Correct answer: Possible financial exploitation or undue influence
Repeated large gifts to a new acquaintance are a red flag for financial exploitation, which takes priority over tax or estate planning considerations.
Question 3: Which Medicare Advantage plan feature most directly differentiates it from Original Medicare?
- It is administered by the federal government
- Private insurers administer the plan and may include extra benefits like vision and dental (Correct answer)
- It only covers hospitalization, not outpatient care
- It requires no monthly premium in addition to Part B
Correct answer: Private insurers administer the plan and may include extra benefits like vision and dental
Medicare Advantage (Part C) plans are offered by private insurers approved by Medicare and often include supplemental benefits such as vision, dental, and hearing not covered by Original Medicare.
Question 4: What does 'Instrumental Activities of Daily Living' (IADLs) measure that ADLs do not?
- Basic physical self-care capacity
- Complex tasks needed for independent living such as managing finances and transportation (Correct answer)
- Cognitive memory and orientation status
- Emotional well-being and social engagement
Correct answer: Complex tasks needed for independent living such as managing finances and transportation
IADLs assess higher-order functions like cooking, managing medications, finances, and transportation that allow someone to live independently in the community.
Question 5: Which of the following best describes a 'continuing care retirement community' (CCRC)?
- A community exclusively for independent seniors with no on-site care services
- A campus providing a continuum from independent living to skilled nursing care under one contract (Correct answer)
- A government-run facility for low-income seniors
- An outpatient day program offering medical and social services
Correct answer: A campus providing a continuum from independent living to skilled nursing care under one contract
CCRCs offer multiple levels of care—independent living, assisted living, and skilled nursing—on one campus, typically requiring an entrance fee and monthly fees.
Question 6: Which concept in geriatric care refers to the cumulative effect of multiple medications interacting in an older adult's body?
- Polypharmacy (Correct answer)
- Pharmacokinetics
- Bioaccumulation
- Therapeutic index
Correct answer: Polypharmacy
Polypharmacy—the simultaneous use of multiple medications—is common in older adults and increases the risk of adverse drug interactions and side effects.
Question 7: Under the Older Americans Act (OAA), which organization coordinates and funds services for older adults at the local level?
- Social Security Administration field offices
- Area Agencies on Aging (AAA) (Correct answer)
- County health departments
- Medicare administrative contractors
Correct answer: Area Agencies on Aging (AAA)
Area Agencies on Aging, established under the OAA, plan, coordinate, and fund local aging services including meal programs, transportation, and caregiver support.
CSA Certified Senior Advisor MCQ 4
What is the primary purpose of a 'Five Wishes' document?