Author Question: Which statement is true about health care costs for older adults in the United States? a. Older ... (Read 114 times)

big1devin · **on:** Jul 11, 2018

Which statement is true about health care costs for older adults in the United States?

a. Older adults become eligible for full Social Security benefits upon reaching the age of 65.
b. Medicare Part A covers physician visits, whereas Part B covers prescription drugs.
c. Health maintenance organizations (HMOs) can obtain an exemption from Medi-care's per capita spending limit.
d. Older adults pay a fixed premium and low out-of-pocket costs in a preferred pro-vider organization (PPO).

Question 2

Which mental status assessment tool(s) would be appropriate for use in long-term care facilities? (Select all that apply.)

a. Fulmer SPICES
b. Clock Drawing Test
c. The Mini-Cog
d. Mini-Mental State Examination (MMSE)

ASDFGJLO · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

C

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A Incorrect. The eligibility age for full Social Security benefits increases for per-sons born after 1937, up to 67 for those born in 1960 or later.
B Incorrect. Medicare Part A covers hospitalizations and other inpatient care. Medicare Part B, optional insurance purchased by the beneficiary, covers outpa-tient services, physician visits, some therapy sessions, and some home health care.
C Correct. If an HMO is granted such a per capita waiver, it cannot refuse an ap-plicant on the basis of a preexisting condition.
D Incorrect. This is a description of an HMO rather than a PPO.

Answer to Question 2

B, C, D
The Clock Drawing Test, which has been used since 1992, is a screening tool that helps identify those with a cognitive impairment and is used as a measure of severity. The Mini-Cog was de-veloped as a tool that could establish cognitive status more quickly than the MMSE and the li-mitations of educational adjustments. It is now the recommended evidenced-based tool and combines one aspect of the MMSE (short-term memory recall) with the test of executive function of the Clock Drawing Test. It has been found to be highly sensitive to diagnosing dementia. The MMSE tool has been used most often and is a 30-item instrument that has been used to screen for cognitive difficulties and is one of the tools often used in determining a diagnosis of dementia or delirium. Fulmer SPICES is an overall assessment tool developed in 2007.