Deck 10: Living Environments

Question 1

To the elderly,housing is

A) comfort.
B) memory.
C) connection to family and community.
D) All of these choices

Answer 1

D

Question 2

The National Older Adults Housing Survey (2005)found

A) the older a person was the less he or she was interested in having accessible features in the home.
B) most respondents had made plans to move if necessary.
C) most respondents were interested in moving to an age-restricted community.
D) safety, convenience, and proximity to medical facilities were important in selecting housing.

Answer 2

D

Question 3

In an AARP study,the most common reason older people gave for relocating was

A) inability to afford current housing.
B) retirement.
C) wanting to be closer to family.
D) wanting a change.

Answer 3

C

Question 4

The 1996 welfare reform bill called the Personal Responsibility and Work Opportunity Reconciliation Act

A) assumes that poverty and homelessness is an individual responsibility that can be addressed by the homeless person getting a job.
B) is expected by analysts to radically decrease the number of homeless persons in the next few decades.
C) was accompanied by social programs designed as safety nets for people living in the streets.
D) contained provisions to increase programs to provide health care, food, and shelter to homeless elders.

Question 5

Profound effects of aging begin to affect the ways in which older people can live in their homes by age

A) 70.
B) 75.
C) 80.
D) 85.

Question 6

The majority of elderly

A) live alone if they are not institutionalized.
B) live in a family setting, usually with a spouse.
C) live with their adult children.
D) live in a nursing home or assisted living facility.

Question 7

Migration studies of elders show that

A) a snowbird is one who loves the cold weather.
B) migration to the sunbelt states has halted.
C) Florida is the state with the highest percentage of elders.
D) most migrating elderly do not know anyone in their new location.

Question 8

When being forcibly relocated,the elderly must reinterpret feelings of

A) mistrust and violation.
B) self-estrangement.
C) guilt and sorrow.
D) All of these choices

Question 9

Older people are more likely to reside in

A) institutions.
B) age-segregated housing.
C) resort condominiums.
D) ordinary houses in ordinary neighborhoods.

Question 10

Section 8 housing

A) is tenant-based assistance in which federal assistance is provided to the individual who locates his or her own housing.
B) is federally subsidized rental assistance for income-eligible seniors and people with disabilities.
C) allows the use of home equity to make home repairs.
D) is government owned housing for homeless people.

Question 11

Amenity relocation refers to moving to

A) the same community as one's children and grandchildren.
B) a resort location comprised of young and old.
C) an age-homogenous community for one's retirement pleasure.
D) an assisted living facility that provides activities as well as meals and other services.

Question 12

According to your text,stress has to do with

A) estrangement.
B) loss of control.
C) inefficiency.
D) disillusionment.

Question 13

In 2006,the percent increase in the 65-plus population was greatest in

A) California.
B) Nevada.
C) Florida.
D) Arizona.

Question 14

Studies of homeless elderly have found all of the following EXCEPT

A) homeless shelters tend to boost the self-esteem of the homeless elders they take in.
B) many homeless people have a lifelong pattern of being asocial loners.
C) many homeless men and women suffer mental health problems.
D) the homeless have limited social skills and frail mental health.

Question 15

_____ percent of older people living in their own homes have lived there 20 years or longer.

A) 20
B) 40
C) 60
D) 80

Question 16

Some places individuals decide to migrate when they become older include

A) Florida, Arizona, and Southern California.
B) Texas, Florida, and Seattle.
C) Arizona, Texas, and Seattle.
D) Southern California, Nevada, and Seattle.

Question 17

A surveillance zone is

A) outside space than can be viewed from inside a door or window.
B) what can be seen outside from standing just outside one's door.
C) what one can survey within a one mile radius of one's home.
D) the zone that policemen target for closer scrutiny.

Question 18

In 2006,there the most people over the age of 65 lived in

A) California.
B) Florida.
C) Nevada.
D) Arizona.

Question 19

A first move for the elderly typically occurs

A) around retirement for the young-old.
B) about age 70, when people begin to be bored due to retirement.
C) about age 75, when the elderly begin to have problems negotiating their environment.
D) near 80, when health begins to fail.

Question 20

Thirty percent of elderly homeowners pay about 25 percent of their income for shelter compared to _____ percent of elderly renters.

A) 40
B) 55
C) 67
D) 82

Question 21

A naturally occurring retirement community (NORC)refers to

A) buildings or neighborhoods where the residents have aged over the years.
B) mobile home retirement areas placed near natural areas, such as national parks.
C) nursing homes comprised of mostly elderly people.
D) resort areas composed mostly of retired residents.

Question 22

Shared Housing is an arrangement predicted by the need of what?

A) companionship and the need to help others
B) downsizing without leaving ones home
C) financial relief, services, and companionship
D) reducing debt and collecting on rent

Question 23

Assisted living provides

A) assistance to maximize the independence of the elderly residents, but in a homelike setting.
B) hands-on skilled nursing care and assistance of the elderly with all of their needs.
C) an on-campus grocery store, bank, and medical clinic for its residents.
D) at-home assistance and health care for elderly who wish to remain in their homes.

Question 24

Studies reveal that high-density senior citizen housing is associated with

A) lower morale.
B) fewer numbers of friends.
C) less active friendships.
D) middle- to high-income elders.

Question 25

A sunbird

A) lives in the north and moves south for the winter.
B) lives in the south and moves north for the summer.
C) enjoys a warm climate more than a cool one.
D) is a person prone to skin cancer and other diseases caused by too much sunlight.

Question 26

A Life Care at Home (LCH)health insurance policy is

A) a government funded form of Medicaid designed to provide home health-care for low-income elders.
B) is a private health insurance that requires a large initial entry fee, a monthly fee, and at least a one year contract.
C) a government subsidized plan that provides hospice care for elderly with terminal illnesses.
D) is a private health insurance plan that provides local out-patient health care services and transportation to the center for its elderly members.

Question 27

The second move of the elderly usually occurs when

A) adult children move to the city for jobs.
B) the weather in the snowbelt traps them inside due to deteriorating driving skills.
C) they develop chronic disabilities that make it difficult to carry out everyday tasks.
D) amenities become boring and they long for a more meaningful existence.

Question 28

A granny unit is

A) a condominium apartment in a senior housing complex.
B) an apartment in an assisted living facility for the elderly and mildly disabled.
C) a private bedroom with bath in a home or building in which other elders also live and share common areas, such the living room, kitchen, and dining room.
D) a small living unit, built on the lot of a single-family home, often attached to the home of an adult child.

Question 29

"Aging in place" means

A) aging with self-esteem and dignity in any environment.
B) moving to a retirement community and living the life style of "old."
C) living as an elder in the style to which you have become accustomed.
D) staying in one's home as long as possible.

Question 30

Most nursing home residents come to the facility from

A) their own home.
B) the home of an adult child.
C) an assisted living facility.
D) a medical hospital.

Question 31

Which of the following is LEAST likely to characterize continuing care retirement communities (CCRCs)?

A) They require no entry fee.
B) They require at least a year long contract.
C) Monthly fees range from $500 to $5,000.
D) The member is provided with housing, health care, social activities, and meals.

Question 32

Snowbelt seniors who migrate are more likely to

A) seasonally migrate to the sunbelt.
B) permanently migrate to the sunbelt.
C) migrate to the sunbelt on their first move, then return to the snowbelt to be near family.
D) move to projects within a six- to seven-mile radius of their former home.

Question 33

The typical nursing home patient is

A) an African American or Hispanic male over age 75.
B) a white, widowed female over age 80.
C) a never-married African American woman over age 70.
D) a white, widowed male over age 85.

Question 34

Courts have ruled that adult communities for residents over 50

A) cannot legally be planned but are legal if they occur naturally.
B) cannot legally prohibit children under age 18.
C) are legal only in the case of small mobile home parks.
D) are legal in most circumstances.

Question 35

Sun City in Arizona is

A) a shared living facility for the elderly.
B) an age-segregated retirement city.
C) a large mobile-home park for the elderly.
D) an assisted living facility for the elderly.

Question 36

Sociologists predict

A) more age-segregated housing.
B) more age integration.
C) if young old stay on the job longer, they will gravitate toward age-segregated housing at retirement.
D) less seasonal migration of the elderly.

Question 37

Granny units is an old concept in

A) the United States and Mexico.
B) Japan and Australia.
C) Canada and Dominican Republic.
D) France and China.

Question 38

A board and care facility,in contrast to an assisted living facility,offers

A) self-contained housing units.
B) in-home health care and assistance.
C) daytime health services and activities but no overnight accommodations.
D) a bedroom in a private home.

Question 39

The reason(s)many older adults downsize include(s)

A) the family's request.
B) upkeep is easier and taxes are lower.
C) pressure from neighborhood.
D) death of a spouse.

Question 40

An adult day care center

A) provides medical and social services.
B) a center where elders provide care for preschool and after-school children.
C) counsels and provides activities as well as nursing care for the elderly in nursing homes.
D) is an activity center provided for residents of an assisted living or rehabilitation facility.

Question 41

Profits in nursing homes through padding the bills is possible on the reimbursement plan called

A) flat rate.
B) per diem.
C) cost plus.
D) reverse mortgage.

Question 42

Which of the following is one of the two key indicators of nursing home quality,according to a study of nursing home and other related professionals?

A) a low-fat menu
B) housekeeping services once per day
C) absence of the odor of urine
D) a ratio of at least one staff member per every 15 elderly residents

Question 43

Older homeowners spend a larger percentage of their income on house maintenance.

Question 44

Some older adults are satisfied with their housing situations.

Question 45

Housing is considered to be a primary key to quality of life..

Question 46

Among older Americans,single men have the poorest housing.

Question 47

The elderly are more likely to change residence than other age groups.

Question 48

Some universities are investigating instituting continuing care retirement communities (CCRCs)for alumni and faculty.

Question 49

Most elderly express a desire to move from their present home.

Question 50

Compared with other industrialized nations,the United States has been quicker to acknowledge the housing needs of its older citizens and offer the needed housing options.

Question 51

The young-old are more likely than the old-old to migrate to the suburbs.

Question 52

The proportion of the nation's elderly who live in long-term care institutions at any given time is about _______ percent.

A) 5
B) 15
C) 30
D) 50

Question 53

The majority of nursing home residents have disabling mental health conditions.

Question 54

Currently,the hottest senior housing market is nursing homes.

Question 55

Generally speaking,the more dependent a new lifestyle for the elderly,the more difficult the adjustment.

Question 56

According to empirical evidence,The Omnibus Budget Reconciliation Act of 1987 (OBRA)has failed to significantly improve the quality of nursing homes because

A) it does not require training for nurses' aides.
B) it does not require certified social workers to be employed.
C) it did not strengthened patients' rights in their treatment decisions.
D) nursing homes are only occasionally audited because of understaffed health departments.

Question 57

The proportion of men in the nation's homeless population is increasing.

Question 58

In a study by Shea,et al._________ percent of nursing home residents receive mental health services.

A) fewer than 25
B) 33
C) 50
D) 75

Question 59

A national study reveals that ______ percent of the population would rather die than move into a nursing home.

A) 5
B) 10
C) 20
D) over 30

Question 60

"Gang visits" by doctors are most common in flat rate reimbursement plans for nursing homes.

Question 61

Describe the various housing options outside of nursing homes for the elderly and the advantages and disadvantages of each.

Question 62

Explain the pros and cons of age-segregated housing for elders.

Question 63

Why are their homes important to the elderly? What problems do the elderly face when they have to relocate?

Question 64

If you were choosing a nursing home for an aged relative,what things should you look for in a potential home?

Question 65

If you were to design housing for the oldest-old,what factors would you need to consider?

Question 66

What were the provisions of the Omnibus Budget Reconciliation Act of 1987? Why has it not significantly improved nursing home care for the elderly?

Question 67

Those individuals over 65 are more likely to suffer strokes or hip fractures.