Social Work With Older Adults 432

Unfortunately, medication is often seen as the primary, if not only, treatment for depression and anxiety

True

Unfortunately, when older adults want to talk about death and their feelings about it, professionals and family members are more likely to brush aside their concerns with well-meaning but destructive comments.

True

Validation therapy is based on the assumption that all behaviors of persons with dementia are need driven

True

Workers in contemporary society have very mixed feelings about retirement.

True

Which of the following is not one of the special considerations in assessing older adults

Understanding specific Medicare policies and procedures specific to older Americans

All of the following are risk factors associated with alcohol dependence EXCEPT

Use of hard liquor

A geriatric evaluation is

Usually done by a team of service providers to evaluate an older adult within his or her own area of professional expertise, and then the team develops interventions and treatment plans.

assessment of a suicidal ideation is not needed in every gerontological assessment if the older adult does not appear depressed in his or her mood and affect.

false

In the absence of disease, the human brain

has almost unlimited capacity for memory

All of the following are stages in the group process except

norming

Assessing an older adult's competence in the activities of daily living determine his or her ability to complete all of the following tasks except

shopping

Depression, dementia, delirium, and anxiety are for the most common cognitive and emotional problems observed in older adults.

true

Home health-care agencies often have gerontological social workers on staff as part of a team approach to providing services to older adults

true

Most older adults lose some sensory acuity in their sight, hearing, taste, and smell and develop a higher sensory threshold and their sense of touch.

true

Women are twice as likely to live alone than older men

true

applying a strengths perspective to both assessment and intervention means that every effort on the part of the social worker is focused on helping older adults to discover and employee their strengths, mobilizing their capabilities, not deficits, to help them solve problems and achieve their own service goals

true

whereas depression is an affective or mood disorder, dementia is a biologically-based dysfunction and cognitive or intellectual functioning

true

All of the following are needs of a dying older adult EXCEPT

Financial needs

The scientific community does not agree on what initiates the biological aging process, but the primary theories currently espoused fall into which three categories?

Genetic programming, cross-linked cells, and free radicals, and changes in the immunological system.

The purpose of a life review is to

Help in older adults find in face unresolved are problematic experiences along with happy memories.

Psychoanalysis has been found to be one of the most effective therapeutic approaches in treating depression with older adults.

false

What percentage of African Americans disproportionately have a high rate of poverty?

19.5%

The young old is between the ages of

65 and 74 years of age

What percentage of those admitted for treatment for illicit drugs had initiated drug use in young adulthood?

80%

In 2008, what percentage of the adult population in the United States identified with one religion or another religious group.

83.1%

simulated presence therapy is

A therapeutic approach, based in attachment therapy, developed to address problem behaviors in older adults with dementia, specifically verbal and physical aggression, agitation, and social isolation.

All of the following are common elements as identified by Wade and Worthington to facilitate forgiveness EXCEPT

Achieving the ability to forgive but not forget to prevent future hurt

A DNR is

An order initiated by an individual that if he or she stops breathing or the heart stops, he or she does not want any intervention to help the resumption of breathing or to stimulate the heart to begin beating again

According to Mclnnis-Dittrich, to work effectively with older adults, the social worker has to

Believe that the older adults continue to have the power to grow and change as they face challenges of aging.

What percentage of older adults have experienced depression?

Between 15 and 20 percent

What changes associated with the natural aging process are often the first overt signals to adults that they are moving from middle-aged becoming an older adult?

Biological changes

Interaction with animals has been shown to reduce

Blood-pressure

Therapeutic recreation is synonymous with the general activities often found in the senior center, assisted-or independent living center, or nursing home.

False

Which of the following is not a social theory on aging?

Cognitive behavioral therapy, social constructionism, and disengagement and activity theories.

According to Mclnnis-Dittrich, all of the following are obstacles to intervention and treatment with older adults except?

Debility and weakness

All of the following are considered complementary and alternative therapies EXCEPT?

Dialectical behavioral therapy

According to McInnis-Dittrich, which of the following questions can be asked to engage the client in a conversation about spirituality and religion EXCEPT?

Do you believe in Heaven and Hell

The following, according to McInnis-Dittrich, are considered abuse or neglect specific to older adults EXCEPT

Domestic violence

All of the following statements are true specific to domestic violence EXCEPT.

Domestic violence and elder abuse are handled through the same system.

Which of the following is considered a treatment of last resort by the mental health community but should not be discontinued as a treatment choice in case of severe depression?

Electroconvulsive therapy

According to McInnis-Dittrich, massage therapy is the application of various techniques to the muscular structure and soft tissues of the body for the purpose of healing or improving the functioning of all body systems EXCEPT

Epidermis

A setting for older adults care that falls between independent living and skilled nursing care is assisted living

False

Alcohol use and abuse remains one of the most visible problems of older adults.

False

In the absence of disease, older adults lose the ability to perform complex tasks remember important information regardless of time.

False

Only devout Christians have a spiritual self, just as all humans have a biological, psychological, and social self.

False

Palliative care is synonymous with hospice.

False

Social workers most apparent role for older adults and their families in the dying process is to identify burial needs.

False

The National Center on Elder Abuse estimates that only one in five incidents of abuse of older adults are reported to APS.

False

The success of any support group does not depend on the development of an atmosphere of warmth and respect that encourages members to share their own "story" with the group

False

By age 85, what percentage of women are living with their husbands?

Less than 20%

The following risk factors for suicide among older adults include all of the following EXCEPT

Medication regime

According to, McInnis-Dittrich, all of the following are considered stresses of caregiving EXCEPT

Navigating Medicare

Last for months or even years with a complete turnover and group membership and group leadership

Open-ended groups

All of the following are types of anxiety disorders except

Paranoid schizophrenia

All of the following are goals of supportive interventions with older adults EXCEPT?

Preplanning memorial and funeral services

One of the greatest challenges, according to Mclnnis-Dittrich, of the 21st century we will be the tremendous increase in

The number of older adults in both the United States and throughout the world.

All of the following characteristics indicate a caregiver, family member, or other acquaintance is at particularly high risk for inflicting abuse or neglect EXCEPT

The older adult and caregiver jointly developed an Advanced Directive.

Countertransference is defined as

The presence of unrealistic and often inappropriate feelings by the social worker toward the older adult the distorts the helping relationship

Delirium is a

Transient organically based disorder that frequently mimics dementia

75% of older adults who commit suicide have seen their primary health care provider within the month preceding the suicide with somatic complaints that may be manifestations of a deep depression.

True

Art therapist work with clients to help identify the underlying conflicts that impaired social functioning through an artistic medium.

True

Assisted living is defined as a residential, long-term, arrangement designed to promote maximum independent functioning among frail older adults while providing in-homes support services.

True

Social Support is one of the most important predictors of satisfaction and emotional well-being among older adults

True

Social support, according to McInnis-Dittrich, is defined as an ongoing connection with others that makes a person feel cared for, valued, and part of a network.

True

Spirituality is considered a legitimate component of a comprehensive psychological assessment and calls on the social work profession to consider a person's faith development as an important part of psychosocial development.

True

Thinking family means seeing the older adult is part of a complex system of multigenerational relationships that have had a profound influence on his or her life and serve as the primary source of interaction and support.

True

Crystallized intelligence means

based on accumulating information, that intelligence does increase or at least is maintained well into old age

two primary types of cardiovascular disease that contribute to making heart disease the number one killer and adults is

coronary artery disease and hypertension

It is estimates that between 34% and 54% of community-dwelling older adults experience incontinence at some time in their lives

false

Men have a life expectancy of 80.4 years compared to 75.4 years for women

false