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NURS5461 Adult Gerontology Management Across
Continuum of Care Quiz 1 2026/2027 Actual Exam -
Complete Questions with Detailed Rationales | 100%
Verified Graded A+ Pass Guaranteed - A+ Graded
Section 1: Foundations of Continuum of Care (Questions 1-15)
Q1: Which post-acute care setting is most appropriate for a patient who has had a total knee
replacement and requires intensive rehabilitation for at least 3 hours a day but is medically
stable?
A. Skilled Nursing Facility (SNF)
B. Inpatient Rehabilitation Facility (IRF)
C. Long-Term Acute Care Hospital (LTAC)
D. Home Health Care
Q2: A 78-year-old patient with end-stage COPD wishes to avoid mechanical ventilation and
intubation in the future. The Advance Directive that specifically documents these medical orders
based on the patient's current health status is:
A. Living Will
B. Durable Power of Attorney for Healthcare
C. Physician Orders for Life-Sustaining Treatment (POLST)
D. Healthcare Proxy
Q3: The nurse practitioner is managing the transition of a patient from the hospital to a Skilled
Nursing Facility (SNF). To prevent readmission, which factor is most critical to assess regarding
the receiving facility?
A. The distance from the patient’s family home
B. The availability of 24-hour on-site physician coverage
C. The facility's ability to manage the patient's specific medical needs (e.g., IV antibiotics,
complex wound care)
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D. The quality of the cafeteria food
Q4: Which model of care focuses on providing comprehensive medical, social, and
environmental services to frail elderly individuals to help them remain in the community?
A. Accountable Care Organization (ACO)
B. Program of All-Inclusive Care for the Elderly (PACE)
C. Patient-Centered Medical Home (PCMH)
D. Transitional Care Model (TCM)
Q5: A patient is being discharged from an acute care hospital after a stroke. They require
physical therapy but do not meet the intensity criteria for an Inpatient Rehabilitation Facility
(IRF). Which setting is the most appropriate?
A. Long-Term Acute Care (LTAC)
B. Skilled Nursing Facility (SNF)
C. Assisted Living Facility
D. Acute Rehabilitation Unit
Q6: Which of the following best describes the primary focus of "Palliative Care" compared to
"Hospice Care"?
A. Palliative care is only for patients with cancer; hospice is for non-cancer diagnoses.
B. Palliative care can be provided at any stage of serious illness, while hospice is specifically for
end-of-life care (prognosis < 6 months).
C. Palliative care focuses on curative treatments; hospice focuses on comfort.
D. Palliative care is provided in the hospital; hospice is only provided at home.
Q7: When discussing "Continuum of Care" with a graduate nursing student, the instructor
emphasizes that continuity includes:
A. Only the medical services provided by physicians.
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B. A seamless, integrated system of care that guides and tracks patients over time through a
comprehensive array of health services.
C. The insurance coverage a patient maintains throughout their life.
D. The single episode of care from admission to discharge.
Q8: A frail older adult is being assessed for eligibility for PACE (Program of All-Inclusive Care
for the Elderly). Which of the following is a requirement for enrollment?
A. The patient must be 55 years or older, certified by the state as needing nursing home level of
care, and able to live safely in the community with PACE services.
B. The patient must be 65 years or older and reside in a nursing home.
C. The patient must have a terminal illness with a prognosis of less than 6 months.
D. The patient must have Medicare only.
Q9: The nurse practitioner is conducting a medication reconciliation during a transition of care.
Which action is the priority to prevent adverse drug events (ADEs) in an older adult?
A. Asking the family to bring all pill bottles from home.
B. Discontinuing all medications prescribed by other specialists.
C. Reviewing the current medication list against the discharge summary and checking for
duplication or interactions.
D. Reducing the dosage of all maintenance medications by half.
Q10: Which healthcare setting is designed for patients who require prolonged mechanical
ventilation or complex wound care for an extended period (usually > 25 days) after an acute
hospital stay?
A. Skilled Nursing Facility (SNF)
B. Inpatient Rehabilitation Facility (IRF)
C. Long-Term Acute Care Hospital (LTAC)
D. Residential Care Facility
NURS5461 Adult Gerontology Management Across
Continuum of Care Quiz 1 2026/2027 Actual Exam -
Complete Questions with Detailed Rationales | 100%
Verified Graded A+ Pass Guaranteed - A+ Graded
Section 1: Foundations of Continuum of Care (Questions 1-15)
Q1: Which post-acute care setting is most appropriate for a patient who has had a total knee
replacement and requires intensive rehabilitation for at least 3 hours a day but is medically
stable?
A. Skilled Nursing Facility (SNF)
B. Inpatient Rehabilitation Facility (IRF)
C. Long-Term Acute Care Hospital (LTAC)
D. Home Health Care
Q2: A 78-year-old patient with end-stage COPD wishes to avoid mechanical ventilation and
intubation in the future. The Advance Directive that specifically documents these medical orders
based on the patient's current health status is:
A. Living Will
B. Durable Power of Attorney for Healthcare
C. Physician Orders for Life-Sustaining Treatment (POLST)
D. Healthcare Proxy
Q3: The nurse practitioner is managing the transition of a patient from the hospital to a Skilled
Nursing Facility (SNF). To prevent readmission, which factor is most critical to assess regarding
the receiving facility?
A. The distance from the patient’s family home
B. The availability of 24-hour on-site physician coverage
C. The facility's ability to manage the patient's specific medical needs (e.g., IV antibiotics,
complex wound care)
,2
D. The quality of the cafeteria food
Q4: Which model of care focuses on providing comprehensive medical, social, and
environmental services to frail elderly individuals to help them remain in the community?
A. Accountable Care Organization (ACO)
B. Program of All-Inclusive Care for the Elderly (PACE)
C. Patient-Centered Medical Home (PCMH)
D. Transitional Care Model (TCM)
Q5: A patient is being discharged from an acute care hospital after a stroke. They require
physical therapy but do not meet the intensity criteria for an Inpatient Rehabilitation Facility
(IRF). Which setting is the most appropriate?
A. Long-Term Acute Care (LTAC)
B. Skilled Nursing Facility (SNF)
C. Assisted Living Facility
D. Acute Rehabilitation Unit
Q6: Which of the following best describes the primary focus of "Palliative Care" compared to
"Hospice Care"?
A. Palliative care is only for patients with cancer; hospice is for non-cancer diagnoses.
B. Palliative care can be provided at any stage of serious illness, while hospice is specifically for
end-of-life care (prognosis < 6 months).
C. Palliative care focuses on curative treatments; hospice focuses on comfort.
D. Palliative care is provided in the hospital; hospice is only provided at home.
Q7: When discussing "Continuum of Care" with a graduate nursing student, the instructor
emphasizes that continuity includes:
A. Only the medical services provided by physicians.
, 3
B. A seamless, integrated system of care that guides and tracks patients over time through a
comprehensive array of health services.
C. The insurance coverage a patient maintains throughout their life.
D. The single episode of care from admission to discharge.
Q8: A frail older adult is being assessed for eligibility for PACE (Program of All-Inclusive Care
for the Elderly). Which of the following is a requirement for enrollment?
A. The patient must be 55 years or older, certified by the state as needing nursing home level of
care, and able to live safely in the community with PACE services.
B. The patient must be 65 years or older and reside in a nursing home.
C. The patient must have a terminal illness with a prognosis of less than 6 months.
D. The patient must have Medicare only.
Q9: The nurse practitioner is conducting a medication reconciliation during a transition of care.
Which action is the priority to prevent adverse drug events (ADEs) in an older adult?
A. Asking the family to bring all pill bottles from home.
B. Discontinuing all medications prescribed by other specialists.
C. Reviewing the current medication list against the discharge summary and checking for
duplication or interactions.
D. Reducing the dosage of all maintenance medications by half.
Q10: Which healthcare setting is designed for patients who require prolonged mechanical
ventilation or complex wound care for an extended period (usually > 25 days) after an acute
hospital stay?
A. Skilled Nursing Facility (SNF)
B. Inpatient Rehabilitation Facility (IRF)
C. Long-Term Acute Care Hospital (LTAC)
D. Residential Care Facility
