Question 1

When working with older adults who are gay or lesbian,the most important factor for the therapist is:&#10;A)Making sure that the individual has an appropriate partner&#10;B)Discussing issues of arousal and sexual interest&#10;C)Recognizing that gay and lesbian elders have different sexual interests than heterosexual elders&#10;D)Conveying an attitude of respect and acceptance

Accepted Answer

When working with older adults who are gay or lesbian, it is most important for the therapist to convey an attitude of respect and acceptance. This can help create a safe and comfortable environment where the individual can feel comfortable discussing their issues and concerns. Making assumptions about their relationships, sexual interests, or appropriateness of their partner can be harmful and should be avoided. It is important to approach all clients with an open mind and without stereotypes or biases.

Question 2

Which of the following statements about family interactions in later life is NOT true?&#10;A)Families can be a source of emotional and instrumental support.&#10;B)In later life,family issues almost always disappear.&#10;C)Strong family support can reduce risk of depression.&#10;D)Individuals without family support are unable to find other sources of help.

Accepted Answer

Family issues do not necessarily disappear in later life. While family interactions can provide support for older individuals, conflicts and challenges within families can become more pronounced as family members age and face issues such as caregiving, inheritances, and end-of-life decisions.

Question 3

Of the following,which is the family constellation that is most likely to support positive aging?&#10;A)Diverse&#10;B)Family&#10;C)Restricted&#10;D)Neighbors

Accepted Answer

Diverse family constellations often provide a broader support network, different perspectives, and varied resources, which can contribute to a more positive aging experience by offering emotional, social, and sometimes financial support.

Question 4

An 86-year-old woman has never married.Her siblings have died,and her nieces and nephews live at a distance.She is very close with several of her neighbors and has a strong network of former coworkers.Their children call her "aunt," and she typically spends holidays and weekends with these individuals.This woman can be said to have a family constellation most closely reflecting:

A)Nuclear family
B)Extended family
C)Friendships
D)Fictive kin

Accepted Answer

Fictive kin refers to individuals who are considered family members even though they are not related by blood or marriage. In this case, the woman has created a family-like network through her relationships with neighbors, former coworkers, and their children who call her "aunt." She does not have close blood relatives, but has formed bonds with those around her who have become her chosen family.

Question 5

Grandparents are most likely to be full-time guardians for grandchildren in which circumstances?&#10;A)Minority and disadvantaged groups&#10;B)Rural and agricultural cultures&#10;C)Fundamentalist families&#10;D)Suburban working-class groups

Accepted Answer

Research has shown that grandparents are more likely to be full-time guardians for grandchildren in minority and disadvantaged groups, such as in low-income families or families where the parents are absent due to drug addiction or incarceration.

Question 6

A strong social welfare network to support older adults is most evident in which of the following cultures?&#10;A)United States majority culture&#10;B)Central American native cultures&#10;C)Scandinavian countries&#10;D)Central and Southern African groups

Accepted Answer

Scandinavian countries have a strong social welfare network that supports older adults, including healthcare, pensions, and services that aim to facilitate their well-being and independence. This is achieved through comprehensive social policies and strong government support. The United States and Central American native cultures do not have such a comprehensive system while central and southern African groups lack the resources to adequately support older adults.

Question 7

A unique factor with regard to sexually transmitted diseases in older populations is:&#10;A)Most sexually transmitted diseases in this population are chronic and long-standing&#10;B)Older adults are not at risk for most sexually transmitted diseases&#10;C)Older adults may not be aware they are at risk for sexually transmitted diseases&#10;D)Health-care providers are too aggressive in reporting the risks among this population

Accepted Answer

Many older adults may not be aware that they are still at risk for sexually transmitted diseases and may not practice safe sex or get tested regularly. As a result, infections can go undiagnosed and lead to more serious health problems.

Question 8

Which of the following is the most accurate statement about older adults' perceptions regarding sexuality in later life?&#10;A)Sex and sexual expression are unimportant.&#10;B)Sex is unappealing because of changes in function and appearance.&#10;C)Sexual well-being is integral to overall quality of life.&#10;D)Sexual activity is the most important aspect of positive aging.

Accepted Answer

Research has shown that sexual well-being is an important aspect of overall quality of life for older adults. While there may be physical changes that can impact sexual function and appearance, many older adults still desire and engage in sexual activity. It is important to acknowledge and support older adults' sexual needs and desires. Choices A, B, and D are not accurate statements about older adults' perceptions regarding sexuality in later life.

Question 9

Which of the following is NOT a change in sexual functioning of older men?&#10;A)Premature ejaculation&#10;B)Delayed ejaculation&#10;C)Decreased testosterone&#10;D)Delayed erection

Accepted Answer

Premature ejaculation is not a common change in sexual functioning for older men. It is more commonly associated with younger men. The other choices (B, C, and D) are all changes that can occur in sexual functioning for older men.

Question 10

After the loss of a spouse,women are less likely to remarry for all of the following reasons EXCEPT:&#10;A)Demographic imbalance in number of available partners&#10;B)Preference for independence&#10;C)Establishment of new occupational constellations&#10;D)Social pressure to remain single

Accepted Answer

After the loss of a spouse, women may be reluctant to remarry due to demographic imbalance, preference for independence, and establishment of new occupational constellations. However, there is generally no social pressure for women to remain single after the loss of a spouse. In fact, society often encourages widows to remarry and resume a "normal" life.

Deck 24: Interactions,relationships,and Sexuality