Deck 10: Living Environments

Question 1

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.

Answer 1

D

Question 2

In 2006, over half of the people over age 65 in the US lived in

A) 9 States
B) 10 States
C) 3 States
D) 2 States

Answer 2

A

Question 3

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.

Answer 3

D

Question 4

The "Person-Environment Fit" involves the interaction between

A) person, house, environment.
B) behavior, function, environment and person
C) fitness level, person, environment
D) individual, house, mobility and access

Question 5

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 6

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 7

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 8

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 9

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 10

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 11

To the elderly, housing is

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

Question 12

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 13

According to your text, stress has to do with

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

Question 14

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 15

According to the text, the proportion of homeless men is declining

A) but the number of homeless men is increasing.
B) and the number of homeless men is declining
C) and homelessness is becoming less common among women and children
D) and many programs exist to help homeless elders

Question 16

Factors that can influence dissatisfaction with housing include

A) increased cost of maintenance on older homes.
B) close proximity to family
C) lower tax rates
D) warm and sunny weather

Question 17

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 18

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.

Question 19

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 20

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 21

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 22

"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 23

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 24

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 25

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 26

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 27

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 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

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 30

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 31

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 32

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 33

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 34

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 35

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 36

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 37

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 38

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 39

Elements that determine a nursing home's star rating include

A) health inspections
B) nursing staff ratios
C) quality measures
D) all of the above

Question 40

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 41

Currently, the hottest senior housing market is nursing homes.

Question 42

An SRO hotel is a

A) cheap, single-room occupancy hotel, apartment or rooming house
B) government subsidized housing facility for people in poverty
C) motel or hotel that offers kitchenettes and laundry facilities
D) temporary shelter for the homeless offered by city missions

Question 43

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

Question 44

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

Question 45

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

Question 46

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

Question 47

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

Question 48

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

Question 49

A study of homeless in the Bowery skid-row area of New York found

A) most lived on the street
B) most had only recently arrived in New York
C) over half had lived at their skid-row address for less than 6 months
D) about half had been living on the streets for 3 years

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

Among older Americans, single men have the poorest housing.

Question 52

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

Question 53

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

Question 54

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

Question 55

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

Question 56

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

Question 57

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

Question 58

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

Question 59

Some older adults are satisfied with their housing situations.

Question 60

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

Question 61

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

Question 62

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

Question 63

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