Deck 12: Development in Late Adulthood

Question 1

Senescence is:

A) The process of aging cheese
B) The process of aging
C) The title of a 2018 sci-fi thriller
D) An medical model term for male menopause

Answer 1

The process of aging

Question 2

An alternative to using chronological age to assess whether a client is old or not is to:

A) Not use age at all since it is socially constructed
B) Use functional age
C) Allow individuals to decide how old they are based on how well they feel
D) Have a health care professional assess the client

Answer 2

Use functional age

Question 3

A disease that leaves the bones weak and vulnerable to fractures is:

A) Arthritis
B) Osteoarthritis
C) Osteoporosis
D) Rheumatoid arthritis

Answer 3

Osteoporosis

Question 4

Which of the following are ways social workers can support clients who are facing struggles with the physical effects of aging?

A) promoting optimal well-being through education about prevention and management of diseases
B) advocate for policies that ensure equitable access to services and opportunities for living with dignity
C) encourage clients to access resources that will allow them to maintain independence as long as possible
D) all of the above

Question 5

The only test that confirms that an individual has Alzheimer's disease is:

A) A blood test
B) A MRI
C) An autopsy after death
D) A mental health assessment

Question 6

Which of the following have been shown by research to effectively help a person with dementia to compensate for memory loss?

A) Reading a newspaper
B) Watching television
C) Use of a memory notebook
D) Exercise regularly

Question 7

The elderly are more likely than younger people to complete suicide because:

A) They tend to give fewer indications of suicidal thoughts
B) They've been discarded by their families
C) Their spouse has died
D) They have no social support system

Question 8

It is difficult to estimate the suicide rates of the elderly because they may deliberately do which of the following?

A) Stop taking their medications
B) Become self-neglectful
C) Have accidents that cause death but are deemed to be "natural causes"
D) All of the above

Question 9

"It is unrealistic to expect older adults to be fully active in societal roles." This is a tenet of which theory?

A) Activity theory
B) Disengagement theory
C) Continuity theory
D) Ageing theory

Question 10

Disengagement theory

A) May actually reinforce beliefs that people lose their usefulness as they age
B) Strengthens the idea that older adults are valuable members of our society
C) Explains how some older adults disengage from their children
D) None of the above

Question 11

"If older adults do disengage from their roles it is because of factors out of their control such as economics, discrimination, and poor health." This is the position of which theory?

A) Continuity theory
B) Ageing theory
C) Activity theory
D) Disengagement theory

Question 12

Who/what does activity theory say is responsible for older adults disengaging from their societal roles?

A) The elderly themselves
B) Families of the elderly
C) Employers
D) Society

Question 13

Continuity theory emphases the role of ________ in determining the outcomes of older adults.

A) Personality
B) Family
C) Spouse
D) Community

Question 14

Helping a new resident in an assisted living facility to move beyond defining himself through his past career by affirming his self-worth through family, friendship, and community life is an example of:

A) Avoiding depression
B) Ego despair
C) Ego integrity
D) Assessing for depression and suicide

Question 15

Social workers who help older clients to explore the meaning of their faith and come to terms with unresolved conflicts that may still be creating barriers to achieving a sense of peace and life satisfaction are following the constructs of which theorist?

A) Fowler's Universalizing faith stage
B) Peck's Ego transcendence stage
C) Erikson's Ego integrity stage
D) Piaget's Formal operations

Question 16

Older adults losing their sexuality

A) Is a real fear for most aging adults
B) Generally only affects older men
C) Is another false stereotype about older adults
D) Is of no concern to the elderly

Question 17

One issue that can complicate grief is when people are denied the opportunity to grieve. Disenfranchised grief refers to:

A) The imminent death of a loved one
B) Situations when people's reactions to loss are unacknowledged by others around them or by larger society
C) Assessing ego integrity
D) Situations when loss or death results from acts of discrimination

Question 18

Kubler-Ross's model helps social workers understand stages of grief and loss in cases of:

A) Divorce
B) Disability
C) Imminent death of a loved one
D) All the above

Question 19

"If you give me more time, I'll…" is a response that corresponds to which stage of Kubler-Ross's model of death and dying?

A) Stage one: denial
B) Stage three: bargaining
C) Stage four depression
D) Stage two: anger

Question 20

"There must be a mistake" is a response that corresponds to which stage of Kubler-Ross' model of death and dying?

A) Stage four depression
B) Stage two: anger
C) Stage one: denial
D) Stage five: acceptance

Question 21

Life Review Therapy

A) Involves mentally taking stock of one's life, addressing unresolved conflicts or issues, and elucidating positive past events and accomplishments
B) Helps clients recount dominant life stories that have shaped and formed their identities
C) Keeps in mind that culture impacts how these meanings are shaped and contributes to how a person views his or her identity
D) Contributes to the easing of familial conflict

Question 22

All the following may face older adults when grandparenting EXCEPT:

A) Legal issues
B) Financial challenges
C) Familial conflict
D) Adequate public programs

Question 23

According to the Administration on Aging, when an adult child is the primary caregiver of an elderly parent AND is financially dependent on the parent, the risk of elder abuse and neglect

A) Decreases
B) Increases
C) Diminishes
D) Inconclusive

Question 24

Any set of services provided to people who need sustained help with ADLs and IADLs is referred to as:

A) Continuing care retirement communities (CCRCs)
B) Managed care
C) Long-term care (LTC)
D) Social services

Question 25

The goal of long-term care is to:

A) Keep costs of services down
B) Provide employment for the elderly
C) Assist families with grief
D) Keep elders independent and living in their communities

Question 26

The term triple jeopardy refers to:

A) Someone who is female, ethnic-minority, and elderly
B) Those who live in poverty
C) Those who are eligible for social security disability
D) An elderly individual who is at high risk for suicide

Question 27

With regard to the Older Americans Act (OAA), the ombudsman programs

A) Are part of Medicare
B) Offer advocacy for older adults who are residing in skilled nursing facilities
C) Are available to all the elderly
D) Ensure nursing home staff are protected from labor violations

Question 28

A living will is:

A) One form of an advanced directive
B) The only recognized type of advanced directive
C) Required for overnight hospital stays
D) Required by law

Question 29

Discuss the pros and cons of using chronological age to determine whether a person is old or not.

Question 30

List and describe two measures social workers use to assess level of functioning in older adults.

Question 31

Describe the relationship between dementia and Alzheimer's disease.

Question 32

Discuss the two points of view about how personality affects aging.

Question 33

Discuss the perspective of aging well.

Question 34

How could a social worker use Fowler's stages of faith development to work with older adults?

Question 35

Discuss the challenges the gay, lesbian, bisexual, and transgender individuals may encounter as they age

Question 36

Briefly explain one individual level, one interpersonal level and one societal level intervention social workers could engage in to help older adult gay, lesbian, bisexual, and transgender individuals.

Question 37

Why is it critical that social workers understand models of grief especially if they are working with older adults?

Question 38

Define disenfranchised grief and describe 3 specific circumstances in which disenfranchised grief may occur.

Question 39

Briefly describe 3 of the 6 models referred to in the chapter that describe and explain how we process grief.

Question 40

With regards to informal caregiving of older adults, discuss exchange theory and how it might explain the dynamics of their relationship.

Question 41

Discuss the levels of housing options for older adults. Provide examples of what you would expect to see in each level.

Question 42

Discuss the term triple jeopardy.

Question 43

Define and discuss the differences between active and passive euthanasia.

Question 44

Briefly explain the Social Model of Disability (according to the Kattarim, Lavery, and Hasche article), then discuss one example of how looking at disability and aging as separate topics may result in exclusion or lack of opportunity for an aging adult.