Deck 5: Should Families Provide for Their Own

Question 1

While divesting of one's assets to qualify for Medicaid is legal, Strauss and Lederman argue that it is an unethical practice.

Answer 1

False

Question 2

The majority of older people live alone.

Answer 2

False

Question 3

Older people first rely on ______ when long-term care needs develop.

A) spouses
B) daughters
C) sons
D) daughters-in-law
E) none of these

Answer 3

A

Question 4

Which of the following theories of aging is best applied to patterns of caregiving over the life span?

A) disengagement theory
B) activity theory
C) continuity theory
D) exchange theory
E) conflict theory

Question 5

The number of older people who live alone has ______ over the last several years.

A) increased
B) decreased
C) remained the same

Question 6

In the first part of the 21st century, there has been an increase in multigenerational households.

Question 7

Half of the states in the United States have laws that could compel filial responsibility of care for the aged.

Question 8

Kunkel, Applebaum, and Nelson focus on which type of financial support for caregivers?

A) direct payment for services provided
B) tax credits
C) unpaid leave
D) cash allowances related to caregiving-related expenses
E) all of these

Question 9

Public opinion poll data show that a majority of adults in the United States support increased taxes to help pay for a long-term care program.

Question 10

The major public payer of care in nursing homes is ______.

A) Medicare
B) Medicaid
C) families
D) Social Security
E) none of these

Question 11

Medicare is the fastest growing component of many state budgets.

Question 12

To allow caregivers some time off, ______ may be provided, which constitutes temporary care of dependent elders.

A) exchange care
B) filial care
C) long-term care
D) respite care
E) none of these

Question 13

Strauss and Lederman caution that people should plan ahead to legally qualify for Medicaid coverage of long-term care costs.

Question 14

Critics of paying family members to provide care do so for which of the following reasons?

A) Family responsibility for caregiving would diminish.
B) The quality of the caregiving experience for care recipient and caregiver would decrease.
C) Public expenditures would increase.
D) a and b
E) all of these

Question 15

The vast majority of care for aged relatives is provided by women, typically wives, daughters, or daughters-in-law.

Question 16

Since 2012, the number of companies offering long-term care insurance has increased dramatically.

Question 17

The persistent stereotype that older people are abandoned by their children is largely accurate.

Question 18

Quinn argues that divestment planning for the purpose of qualifying for Medicaid coverage of long-term care costs is an ethical practice.

Question 19

According to Blaser, those who support paying family caregivers do so for which of the following reasons?

A) Paying family caregivers supports and strengthens family values.
B) Clients have a choice between hiring a family member to provide care or hiring a stranger.
C) Workers would not have to be recruited, hired, trained, supervised, or paid benefits or health insurance.
D) all of the these
E) a and b

Question 20

When problems arise in old age, most people turn to their families and friends for help.

Question 21

According to Quinn, when middle- and upper-middle-class people qualify for Medicaid rather than use their own money to pay for care, the quality of care deteriorates.

Question 22

People should purchase long-term care insurance or use their savings to pay for care in a nursing home, according to Quinn.

Question 23

Blaser argues that direct payments to families for caregiving should be avoided; instead, services that complement and support family members should be provided.

Question 24

Explain Quinn's position on divestment planning to qualify for Medicaid coverage of nursing home care. Do you agree or disagree with her argument? Explain.

Question 25

Do you agree or disagree with Strauss and Lederman's position on qualifying for Medicaid coverage of nursing home care? Explain.

Question 26

How is Social Security structured so as to redistribute retirement benefits to low wage workers?

Question 27

Consumer-directed demonstration programs show better health and safety outcomes, fewer caregivers arriving late or not at all, and better care than in traditional service systems.

Question 28

Explain Blaser's argument against paying family members to provide care. Do you agree or disagree with her position?

Question 29

What is meant by "consumer-directed" care? How would paying family caregivers support the philosophy of consumer-direction?

Question 30

There are important family and social justice questions to be asked about the life-course impact for women of being expected to assume elder caregiving responsibilities in addition to other family caregiving and professional responsibilities, not to mention personal development. What are some of these questions?

Question 31

How is institutionally based long-term care financed? How can individuals qualify for Medicaid coverage of nursing homes costs?

Question 32

The National Cash and Counseling Demonstration and Evaluation project found large increases in the satisfaction levels of consumers and caregivers who participated in consumer-directed programs.

Question 33

The potential for fraud and abuse would increase if family members were paid to provide care, according to Blaser.

Question 34

When may family caregivers of persons with Alzheimer's Disease become the "hidden victims" of the disease? What strategies can be used to ameliorate caregiver stress and burnout?

Question 35

What are the arguments for and against "divestment planning" to protect assets and qualify for Medicaid coverage of nursing home costs? In your opinion, is divestment planning an ethical practice? Why, or why not?

Question 36

Quinn argues that middle- and upper-middle-class people are acting irresponsibly when they rid themselves of their assets to qualify for Medicaid.

Question 37

According to Blaser, paying family members to provide care would solve the problem of the shortage of personal care attendants.