Question 1

Older adults are most likely to have a positive experience in driving cessation when:&#10;A)They make the decision themselves&#10;B)Family members gently guide the decision&#10;C)Therapists use evaluation to show the need for driving cessation&#10;D)The licensing agency revokes the driver's license

Accepted Answer

When older adults make the decision to stop driving themselves, they are more likely to have a positive experience because they have control over the situation and can plan for alternative transportation methods. Family members suggesting that the older adult stop driving may cause resentment or rebellion, while revoking the license by the licensing agency or using evaluation by a therapist may be seen as a loss of independence or autonomy.

Question 2

If it is necessary to have an older adult stop driving,community mobility strategies can:&#10;A)Accomplish all the meanings ascribed to driving to avoid difficulty with driving cessation&#10;B)Enable individuals to access many or most valued activities&#10;C)Maintain identical levels of independent function in most settings&#10;D)Reduce the burden on families to provide transportation

Accepted Answer

Community mobility strategies can help older adults access many or most of the valued activities they may have been able to do through driving. It may not necessarily maintain identical levels of independent function, as driving is a significant aspect of independence, but it can help reduce the burden on families to provide transportation. Accomplishing all the meanings ascribed to driving may not be possible without actually driving.

Question 3

Which of the following is LEAST likely to be an outcome of driving cessation?&#10;A)Limitations on occupational engagement&#10;B)Depression and sense of loss&#10;C)Increased disability and mortality&#10;D)Increased social interaction using public transportation

Accepted Answer

Driving cessation may lead to limitations on occupational engagement, depression and a sense of loss, and increased disability and mortality. However, it may also provide opportunities for increased social interaction using public transportation, which makes option D the least likely outcome.

Question 4

Limiting nighttime driving,driving only in familiar areas,and avoiding freeway driving tend to be adopted as a result of:&#10;A)Older adults making voluntary,personal choices about driving&#10;B)Family demands for driving limitations&#10;C)Limitations imposed by licensing agencies&#10;D)Recommendations of personal physicians

Accepted Answer

Limiting nighttime driving, driving only in familiar areas, and avoiding freeway driving are typically adopted as personal choices by older adults who may recognize their own limitations and want to reduce their risk of accidents or getting lost. These choices are not typically imposed by family, licensing agencies, or personal physicians.

Question 5

An important step in planning for driving cessation is to:&#10;A)Hide the car keys to prevent unauthorized driving&#10;B)Identify important destinations&#10;C)Reduce engagement in activities at a distance&#10;D)Increase peer pressure to stop driving

Accepted Answer

Identifying important destinations can help older adults plan for alternative transportation options when they are no longer able to drive. This can help them maintain their independence and quality of life even without a car. The other options are not helpful or may even be harmful - hiding the keys can create mistrust and resentment, reducing engagement in activities can lead to social isolation, and increasing peer pressure can be unhelpful or coercive.

Question 6

Therapists working with older adults to develop alternative transportation plans need to be able to:&#10;A)Provide a comprehensive driving evaluation&#10;B)Communicate with driver's license agencies&#10;C)Identify resources to accommodate transportation needs&#10;D)Work in confidence with worried family members

Accepted Answer

Therapists should identify resources to accommodate transportation needs to help older adults maintain independence and mobility when driving is no longer an option.

Question 7

Screening to determine whether evaluation of driving cessation is warranted should include identifying all of the following EXCEPT:&#10;A)Recent health episodes or declining health&#10;B)Physical limitations in ambulation and mobility&#10;C)Family concerns about safety&#10;D)Increase in frequency of driving

Accepted Answer

The screening should include identifying recent health episodes or declining health, physical limitations in ambulation and mobility, and family concerns about safety. The increase in frequency of driving is not relevant to determining whether an evaluation of driving cessation is warranted.

Question 8

&#34;Copiloting&#34; is generally considered:&#10;A)A good strategy for retaining the ability to drive as capacity diminishes&#10;B)An intermediate step in giving up driving&#10;C)Unsafe and not recommended&#10;D)A positive social experience associated with driving

Accepted Answer

The answer of &#34;Copiloting&#34; is generally considered:&#10;A)A good strategy for...

Question 9

Factors that have led to the perception that driving is essential to enjoyment of life include all of the following EXCEPT:&#10;A)Commercial development&#10;B)Increase in numbers of individuals living in suburban areas&#10;C)Residential development&#10;D)Increasing number of options for automobile features

Accepted Answer

The perception that driving is essential to enjoyment of life is influenced by factors such as commercial and residential development and the increase in suburban living, which necessitate the use of personal vehicles for convenience and accessibility. The increasing number of options for automobile features, however, relates more to consumer choice and technological advancement in vehicles rather than the fundamental perception of driving's necessity for enjoying life.

Question 10

In dealing with the psychosocial consequences of driving cessation,therapists should:&#10;A)Encourage clients to ignore their negative feelings&#10;B)Address the sense of loss and identity change&#10;C)Confer with physicians about antidepressant medication&#10;D)Tell families that it is their responsibility to deal with these feelings

Accepted Answer

It is important for therapists to address the sense of loss and identity change that clients may experience with driving cessation as this can significantly impact their psychosocial well-being. Encouraging them to ignore their negative feelings or telling families to deal with it may not be helpful, and conferring with physicians about antidepressant medication may not always be necessary or appropriate without considering the individual's specific circumstances.

Deck 23: Community Mobility