Exam 4 study guide

What is the approximate percentage of grandparents raising grandchildren who are 60 years and older?

14

According to the _____________, parents tend to give more support to their adult children who need the most help

contingincy theory

blue zones 3 countries focused on to continue high longevity rates

costa rica: highest rating of positive affect denmark: most trust singapore: everyone has own homes, racial equality

An advantage of the Green House model of institutional care for older adults is that it:

designed to feel like home, medical equipment stored out of sight, outdoor easily accessible better quality of life

The situation in families when parents and their adult children no longer want to be with each other and, in fact, no longer value the relationship is known as a(n):

developmental scheme

Research on satisfaction in close, long-term relationships shows that the couples who are most likely to get along well in their later years were those who:

got along well during early years

what were some of the acceptable places of residence for receiving hospice care? what was mentioned as an unacceptable place of residence?

personal home (nursing/long term care/assisted living) -homelessness not acceptable

Based on socioemotional selectivity theory, members of a couple in a long-term relationship should show which pattern of social interaction in relation to their friends and social network?

spend more time with their partner than investing in new relationships

vulnerability of older adults social relationships

-Early life experiences will influence ability to have close, positive network (For example, think attachment, coping skills, and social competency) -Some social network members cannot be avoided (May be a source of conflict) -Experience the loss of disruption of close relationships that are beyond one's control

list and describe the levels of hospice care provided:

1. routine hospice care: live at home, no intensive care 2. general inpatient care: live in hospice house and needs round the clock care 3. continuous home care: nurse stays in home until they can be moved to hospice care center 4. respite care: provide temporary relief for primary caregiver

A woman would like to have her mother cared for in one of the best nursing homes in her town, but is unable to afford the cost which, for a private pay facility would be about $____ thousand per year.

75

what is difference between social network comparison and social network substitution

SNC: support from others SNS: extent to which these alternative sources of support boost emoltional and physical health

How do older adults navigate the loss of a close social tie (think about substitution and compensation as well as actively seeking new contacts or not)?

Social network substitution and compensation

first priority of the balm of gilead palliative care service

alive pain and discomfort

how was the building site for st. marys hospice center funded? how long did it take to complete the building process?

all funded off donations and took 10 years

In equity theory, partners are seen as having the highest marital satisfaction if they:

are getting what they deserve/believe they are contributing similarly to the relationship

The relatives in a young woman's family see each other only for major holidays and family events on average about two or three times a year, even though they live within 30 minutes from each other. Based on this information, you would rate this family as on the negative end of which dimension of the Intergenerational Solidarity Model?

associational

According to the ________________ view of bereavement the bereaved can continue to benefit from maintaining emotional bonds to the deceased individual.

attachment

The phenomenon in families known as "doing gender" describes what happens when parents:

behave according to traditional roles

what model has been discussed frequently in lecture best represents the goals of the balm of gilead?

biopsychosocial model

In Ancient Egypt, the ______________ was considered to be the guidebook to ensure that an individual would be guided through the underworld and into the afterlife.

book of the dead

Where do the amount of activity and cognitive demands placed on the individual fit within the competence-press model?

both are considered aspects of competence

Mental health workers who serve the older adult population are concerned about the skip generation family because they believe it has the potential to:

cause stress and strain to grandparents

Couples who cohabitate before getting engaged will have a higher divorce rate should they marry. The most likely contributing factor is that:

cohabitation effect: fact that they were already living together becomes basis for entering marriage

Discuss the implications of the competence-press model for the design of nursing home environments.

competence may be defined in terms of biological and psychological characteristics. the social factors in this model are incorporated into the levels of press in the environment, which include the expectations of staff

The idea that Western culture is unwilling to accept the reality of mortality led Ernest Becker to write the critique of this attitude, called:

death with dignity

Summarize the five stages of dying in the theory of Kübler-Ross. Describe four criticisms of the theory.

denial, anger, bargaining, depression, acceptance criticisms: -interpretted as steps that must be done by each dying person -ignores other emotions the patient might be feeling

A middle-aged man was disappointed that his family reunion was spoiled when the older relatives clashed with the younger relatives about the most recent presidential election. No matter what he did, it was impossible for him to get each side to see the other's point. According to the Intergenerational Solidarity Model, the generations were separated by:

disagreements and values

A couple who had initially seemed destined to remain together for years, if not decades, surprised their families when they announced their impending divorce. Neither of them could cite a particular problem; it's just they felt they grew apart. This pattern of long-term relationship is known as:

disillusionment

theoretic model of strength and vulnerability integration is focused on

distressing situations that cause changes and arousal that challenge aging body

Because many adults enter into remarriages more likely to leave because they are open to the relationship's ending, they are said to be high on the factor known as:

divorce proneness

what do DNR and AND stand for?

dnr: do not resuscitate and: allow natural death

A meta-analysis of studies on satisfaction among couples before and after birth of the first child showed that, compared to non-parents, the parents:

experienced a slight decline in marital satisfaction

true/false: hospice care requires that family be defined and limited to only immediate blood relatives

false

palliative care

fancy word for comfort care, holistic approach to caring for the dying

The "anniversary reaction," as applied to widowhood, refers to the:

feelings around day of death

When children reach the age at which they enter adulthood, they and their parents experience a phenomenon

filial maturity

Older adults in the Living Apart Together relationship status do so primarily because of which consideration?

financial concerns

The majority of nursing homes in the U.S. fall into which category of ownership?

for profit

The phenomenon known as doing _________ occurs after the transition to parenthood, when men and women adopt more stereotyped roles in the household.

gender

blue zones key common theme

generosity, tolerance, social, trusting

Being able to die in a way that protects the individual's sense of autonomy and control over end-of-life decisions is consistent with the idea of:

good death

Couples in long-term relationships characterized by emergent distress show which pattern of conflict over time?

gradual disappointment with each other and the relationship, poor communication patterns (defensiveness, withdrawing, stonewalling, viciousness

countries with healthiest diet eat what

grains, greens, beans, nuts

what are some of the eligibility requirements for entering hospice?

having a prognosis of 6 months or less to live, reside in certain area, no age requirement, can't be receiving interventions to cure disease

What type of care is provided in an intermediate care facility?

health related services for people who do not need hospitalization or skilled nursing care

Home health services typically include what types of support for older adults?

help in private homes, meals, help with household tasks, rehab

Which type of care for older adults provides such services as Meals on Wheels, friendly visiting, assistance with household tasks, and rehabilitation, outside of an institutional setting?

home health service

What are the four major categories of community-based services and facilities?

home health services (i.e. meals on wheels, support visitors), Geriatric partial hospital, adult day care, and community housing alternatives (i.e. government assisted housing, continuing care retirement community).

Health-related, but not intense nursing services are provided in a(n) __________ facility.

immediate care

what is one reason why age is relevant in considering the relationship between marital quality and health?

immune system declines and activates cardiovascular reactivity

what is secondary trauma?

indirect exposure to trauma by first hand account of someone else

The number one deficiency in U.S. nursing homes in 2014, involving 43% of all institutions, was:

infection control

List the top five deficiencies noted in the 1997 survey of U.S. nursing homes. Why do you think these problems exist?

infection control accident environment food sanitation quality of care unnecessary drugs

How does Socioemotional Selectivity Fit into the study of older adults' social networks?

interactions with close ties provides emotional and health related benefits, evoking more positive and less negative emotions

The least amount of nursing services is provided in what type of in-patient facility for older adults?

intermediate care facility

Moving dying patients from the home to hospitals in mid-20th Century Western culture has led to the ethos of the _________ death.

invisible

who fore fronted the hospice movement in the US?

kubler ross

Soon after becoming widows, research shows that women exhibit which of the following behaviors that relate to their health?

less physical activity, smoke, drink, unhealthy eating

what theory did umbersom work from in his study of effects on marital quality and health

life course perspective

people who are 20% happier think life is

long and easy

according to umbersom, what accelerated typical decline in self related health over time?

marital strain

Since 1970, of the following, there has been the greatest decrease in U.S. households that fall into the category of:

married couples with children

The __________________ is the length of time an individual can live without significant disease and disability.

maximum health expectancy

The DSM-5 considers extreme grief past a 2-week period following the loss of a close relative or friend to fit the criteria for which disorder?

mdd

who covers costs associated with hospice?

medicare/medicaid

Which psychological disorders are most prevalent among residents of nursing homes?

mood and anxiety

9 common traits of locations with happiest and healthiest people

move naturally know your purpose downshift 80% rule plant slant wine @ 5 family belonging right tribe

A couple in their 30s is thinking of getting married. One partner is very outgoing and sociable, and the other is introverted and shy. According to the ____________ hypothesis on long-term relationships, they should be very happy together.

need complementary

Couples who divorce seem to adapt best if, in the process, they protect each other's sense of identity, in what's referred to as:

not loosing their "face"

The greatest degree of filial _________is likely to be experienced by Asian American families.

obligation

strengths of older adults social relationships

older adults continue ties with close, most rewarding social ties

The intergenerational stake hypothesis about families with adult children proposes that:

older generations favor relationships with children rather than children value relationship with parent

what age groups were effects of marital quality most pervasive for individual health (umbersom)

oldest populations

The sibling relationship in later adulthood is unique because siblings typically:

only remaining members of original family

The role of grand parenting to aging individuals is shown by researchers to:

positively contribute to grandparent's well being, be important to mental health

A woman grieving after the sudden and unexpected death of her husband is engaged in the "restoration" function of bereavement. This means that she:

practical adaptations to life including taking on new tasks

Within the competence-press model of adaptation to the institutional environment, which dimension captures the extent to which the environment places demands on the individual resident?

press

what are key points and concepts to the hospice philosophy?

provide support and care for person in last phases of incurable disease so that they may live as fully and comfortably as possible

what is an ambivalent social relationship

relationship that holds both positive and negative characteristics

Women who adapt more favorably to widowhood tend to be those women who:

show resilient grief, worry less about money/have less depressive symptoms when they remarry

A hospital social worker decides that one of her patients, an 82-year-old man who is recovering from a stroke, needs to be in a facility that provides him with rehab, round-the-clock nursing care, and help with planning his return to his own home. These kind of services are likely to be found in which type of long-term care facility?

skilled nursing facility

the balm of gilead has recently received support for what type of facility for patient placement that will provide more 1 to 1 care?

skilled nursing home

A new administrator in a nursing home in a large city is concerned because the staff are not providing what she feels is adequate training in bladder continence. She feels this should be a priority because she knows that incontinence is associated with which problem in nursing home residents?

social disengagement

The ______________approach to marital satisfaction predicts greater happiness when couples engage in positive behaviors such as expressing affection.

socioemotional selectivity

what best represents the definition of caregiver burnout?

state of physical, emotional and mental exhaustion that also may be accompanied with change in attitude

A young woman feels that her parents treated her too much like an adult when she was growing up, giving her more responsibility than even she felt she could handle. This situation reflects a relationship characterized by:

structural ambivalence

According to the perspective known as ________________ Theory, activating a person's thoughts about death may trigger a set of positive changes, including closer relationships, greater creativity, and more connection to others.

terror management

what is an issue fo the balm of gilead utilizing boarding homes for patient placement?

the caregiver ratio is not one to one so they have to provide care to all of those people

discussed in the guest lecture was a key sign or trigger that is often associated with the beginning phases of the dying process. what was it?

the individuals in hospice care begin to have no appetite

A marriage therapist working from the social exchange theory of interpersonal relationships would attempt to assess whether the partners in a distressed couple feel that:

the rewards outweigh the costs

Those who study death and dying believe that the main outcome of the work of Kübler-Ross was her emphasis on:

to reach acceptance with a fatal illness to person must be willing to talk openly with family members

A study in the Netherlands of parents and adult children testing the Intergenerational Solidarity Model showed that when parents had poor relationships with their children, the siblings:

turn to each other to make up for failed relationship with parents

A study of Canadian parents showed that the greatest difficulty in adapting to the empty nest was experienced by parents who:

were wrapped up in parent identity, feeling as if they were loosing control over children, had small number of children, lacked a support network, and worried about their children

The ___________ effect refers to the fact that widows are more likely to die after losing their spouse.

widowhood effect -mainly men