Deck 11: The Oldest Old and Caregiving

Question 1

percent of the oldest-old, with limitations in three or more ADLs, are able to live alone

A) 25
B) 60
C) 80
D) 35

Answer 1

C

Question 2

Among the oldest old, evaluations of life satisfaction seem to depend on

A) trust.
B) a sense of self-efficacy.
C) religion.
D) lack of worry.

Answer 2

B

Question 3

Compared to the less robustly aging, the robustly aging share all of the following characteristics EXCEPT

A) more social contact.
B) better health and vision.
C) fewer life events.
D) greater obesity.

Answer 3

D

Question 4

The general consensus is that physical losses in old age do not begin taking a heavy toll until after age

A) 75.
B) 80.
C) 85.
D) 90.

Question 5

The predominant lifestyle for women 75 and over is

A) single, never married.
B) married.
C) divorced.
D) widowed.

Question 6

The preferred living arrangement of elders is

A) independently.
B) with adult children.
C) an assisted living facility.
D) a nursing home.

Question 7

Of community dwelling elders, what percent rely exclusively on outside care?

A) 7%
B) 8%
C) 10%
D) 20%

Question 8

percent of the elderly 85 years and over live alone at home.

A) Less than 15
B) 25
C) 35
D) More than 50

Question 9

Which of the following factors contribute to a weakened family support system, according to your text?

A) demography
B) women changing roles
C) changing intergenerational relationships
D) All of these choices

Question 10

Which of the following is an instrumental activity of daily living?

A) grooming
B) eating
C) shopping
D) toileting

Question 11

Which of the following activities is included in the Activities of Daily Living Index (ADL)?

A) bathing
B) preparing meals
C) using the telephone without help
D) doing own housework

Question 12

Canadian researchers who studied the obligations adult children felt toward their disabled elderly parents concluded that

A) the large majority felt emotional support should be provided but they could not provide it.
B) a substantial majority felt physical assistance should be provided but they could not provide it.
C) the overwhelming majority of adult children felt that they had no obligation to help out financially.
D) adult children feel a strong moral obligation to provide care for their disabled parents.

Question 13

What motivates adult children to care for their aging parents?

A) guilt, affection, and gratitude
B) peer pressure
C) government regulations
D) All of these choices

Question 14

Even though there is no clear-cut time at which gerontologists all agree one joins the oldest old, with increases in longevity, the term is most commonly referring to people age and over.

A) 75
B) 80
C) 85
D) 90

Question 15

Using a hypothetical story about a widowed mother, a classic study of three generations of women found

A) in general, respondents from each generation recommended that the widowed mother not move in with an adult child.
B) the oldest group of women was most in favor of sharing the household.
C) older parents judged both male and female family members acceptable to provide personal care, such as meal preparation, housework, and grocery shopping.
D) the oldest mothers in the study were least likely to expect caregiving from their middle-aged daughters.

Question 16

Research reveals that somewhere between , individuals become willing to describe themselves as "old," the spirit is willing but the body is unable to cooperate.

A) 50 and 60
B) 60 and 70
C) 70 and 80
D) 80 and 90

Question 17

Research indicates that for the oldest old, chronic diseases

A) are rare.
B) often do not create functional limitations.
C) keep almost all of them from living alone.
D) keep almost all of them from doing their own personal and household chores without help.

Question 18

The term "modified nuclear family" describes

A) multigenerational families under one roof
B) elders not living with children, but not who are cut off from familites
C) families who do not support the elder
D)

Question 19

A study comparing middle-aged daughters with wives who cared for a frail elderly found

A) wives experienced a significantly greater increase in heart rates than did daughters.
B) wives experienced higher increases in blood pressure than did daughters.
C) daughters recorded significantly more distress in interpersonal interactions than did wives.
D) the physical cost to the wives was significantly greater overall than to the daughters.

Question 20

of the oldest old need some help in doing personal activities of daily living, such as bathing, eating, dressing, toileting, and walking.

A) Less than half
B) Two-thirds
C) Three-fourths
D) Over 80 percent

Question 21

experience the greatest strain from caregiving to the elderly.

A) Wives
B) Husbands
C) Middle-age daughters
D) Middle-age sons

Question 22

The primary predictor of parent-care hours is

A) if the adult child is employed in the labor market.
B) if the adult child has children.
C) the presence of sisters.
D) the age of the adult child.

Question 23

According to your text,

A) businesses would run less efficiently if they accommodated needs of their employees to care for the elderly.
B) about one-fourth of U.S. businesses now have policies that assist employees who care for the elderly.
C) the cost of policies that help employees care for elderly family members is too exorbitant to make it cost effective for businesses.
D) growth in the labor force will come primarily from "women in the middle."

Question 24

percent of all caregiving is provided by spouses.

A) 20
B) 30
C) 40
D) 50

Question 25

The Tax Reform Act of 1986 entitles workers who pay for the care of an elderly dependent to a maximum tax credit of percent of care expenses per dependent.

A) 30
B) 50
C) 75
D) 100

Question 26

The fastest growing segment of the older population is the 85 and older population).

Question 27

Paraprofessional home-care workers

A) are paid more than their counterparts in nursing homes and hospitals.
B) are at the lower end of the employment scale but have good prospects for advancement.
C) have a high turnover rate.
D) are generally well trained.

Question 28

A research study reported that of daughter caregivers felt they were not doing enough for their mothers.

A) 1/4
B) 1/3
C) 1/2
D) 3/4

Question 29

By 2050, the needs of individuals 75 and older will not place a demand on society.

Question 30

Of the following types of husband caregiving, in which type is the husband most likely to read everything he can about his ailing wives disease?

A) worker
B) labor of love
C) sense of duty
D) at the crossroads

Question 31

Robust longevity suggest that, as the old become very old, there will be a massive drain on the economy due to the need to care for the growing population of frail, disabled older people.

Question 32

Respite care refers to

A) professional supervision of caregiving.
B) providing 24-hour caregiving.
C) time off for the caregiver.
D) family counseling.

Question 33

The three-generation family was more common in the 20th century than in the 1700s and 1800s.

Question 34

Compared to elderly with adult children, the childless elderly

A) are less financially secure.
B) are in poorer health.
C) experience greater loneliness, isolation, and unhappiness.
D) follow the principle of substitution and turn to others for help.

Question 35

Which of the following most affects family caregiving?

A) marital status
B) being employed
C) living apart
D) ethnicity
E) All of these choices

Question 36

Which of the following is NOT one of the three most common stressors for those caring for a person with Alzheimer's disease?

A) memory defects of the infirmed
B) physical care requirements
C) the unrelenting decline of Alzheimers
D) the patient's loss of ability to communicate

Question 37

The number of years of caregiving a married person with children might plan for is around 18 years for children and for elderly parents.

A) 7
B) 10
C) 14
D) 20

Question 38

Men 75 and older are more likely to be married than oldest old women.

Question 39

All of the following are psychosocial interventions for caretakers EXCEPT

A) individual counseling.
B) a vacation for the caregiver.
C) caregiver support groups.
D) social worker visits.

Question 40

Based on a study of 30 women caring for chronically ill parents, in comparison with care managers to parental care providers, the parental care providers

A) have more knowledge of available resources.
B) are more likely to provide stimulating activities.
C) are more strained.
D) have higher incomes.

Question 41

What policies, benefits, and services could businesses offer to help employees who are home caregivers for frail elderly?

Question 42

. Psychosocial interventions for caregivers are more effective than respite care.

Question 43

How do the childless elderly cope with increasing frailty? How do their attitudes compare with those elderly who have adult children?

Question 44

Explain the sources of stress for caregivers of frail elderly? What might be done to help them cope better with the stress?

Question 45

A Canadian study showed that the majority of individuals believe adult children should provide emotional support to their parents.

Question 46

Is there or will there be a home care crisis in the United States? Give arguments pro and con.

Question 47

What problems confront elders who are caregivers to adult children and grandchildren?

Question 48

When asked the question, "If an old man has a medical bill of $1,000 that he cannot pay, his son or daughter is morally obligated to pay the debt," older generations were more likely to agree than younger generations.

Question 49

Why is parental care-giving so difficult for middle-age daughters?

Question 50

Why is care-giving difficult for spouses of frail elderly? What could help relieve the problems of wife and husband caregivers?

Question 51

. The fastest growing segment of the long-term care industry is home health care workers.

Question 52

. Males are more likely than females to refer to caregiving of their spouse as emotional work.

Question 53

. To qualify for the tax credit for care for an elderly dependent, the taxpayer must provide more than half of the needed support of the dependent.

Question 54

Coping techniques and abilities are the same for everyone.

Question 55

Most elderly live in separate households with little contact with their extended families.

Question 56

Research has found that American families generally work hard together to provide care for their relatives.