Adulthood & Aging Ch: 9-14

Which type of community-based service specializes in providing psychiatric care to older adults? 1. Geriatric partial hospital 2. Adult day care 3. Respite service 4. Home health care

1. Geriatric partial hospital

People who have the anxiety disorder known as agoraphobia fear what type of situation? 1. Having a panic attack without being able to escape. 2. Being exposed to big animals. 3. Speaking in front of others in public places. 4. None of the above

1. Having a panic attack without being able to escape.

What is the main factor accounting for the gender gap in earnings? 1. Much fewer professional women are in higher-paying fields than in lower-paying fields 2. Women work fewer hours than men on a weekly basis 3. Men are more likely to work in healthcare and education. 4. Women have higher childcare expenses than do men.

1. Much fewer professional women are in higher-paying fields than in lower-paying fields

An advantage of living in a Continuing Care Retirement Communities (CCRC) is that older adults: 1. can move from minimal to higher levels of care within the same community. 2. receive extensive services at a moderate price through government assistance. 3. do not need to put down a down payment but only pay monthly rental fees. 4. can live in apartments that are attached to the homes of their children.

1. can move from minimal to higher levels of care within the same community.

An advantage of the Green House model of institutional care for older adults is that it: 1. feels more like a home than a traditional nursing home. 2. allows residents the opportunity to care for each other. 3. is designed to house residents in large, uncluttered hallways. 4. does not require residents to have full-time nursing staff.

1. feels more like a home than a traditional nursing home.

The sibling relationship in later adulthood is unique because siblings typically: 1. have known each other longer than anyone else in their lives. 2. are at the most positive end of the consensual dimension. 3. have the most ambivalent relationships of all family ties. 4. interact with each other more frequently than with any other family member.

1. have known each other longer than anyone else in their lives.

Moving dying patients from the home to hospitals in mid-20th Century Western culture has led to the ethos of the _________ death. 1. institutionalized 2. social 3. tamed 4. noble

1. institutionalized

A couple in their 30s is thinking of getting married. One partner is very outgoing and sociable, and the other is introverted and shy. This is an example of the ____________ theory. 1. Need complementarity 2. socioemotional selectivity 3. marital similarity 4. social inequity

1. need complementarity

In a test of predictors of successful aging, a study on the Women's Health Initiative sample showed that _____________ had the greatest influence. 1. resilience and optimism 2. number of physical symptoms 3. cognitive performance 4. number of children

1. resilience and optimism

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. 1. terror management 2. life review 3. death with dignity 4. none of the above

1. terror management

In a national survey in the U.S., researchers observed a gap of approximately ___% between the extent of loss that older adults actually experienced compared to what younger adults thought would occur. 1. 32 2. 66 3. 5 4. 14

2. 66

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? 1. Partial day hospital 2. Home health services 3. Nursing homes 4. None of the above

2. Home health services

Residents with relatively good cognitive functioning living in nursing homes that provide little intellectual stimulation may experience poor adjustment to the institutional environment. This is because large institutions usually focus on meeting the needs of the "________" residents without the ability to consider different needs of residents with different level of cognitive functioning. 1. all 2. average 3. strongest 4. none of the above

2. average

The view that it is noble to die for a cause characterizes the ____________ death ethos. 1. tamed 2. beautiful 3. social 4. invisible

2. beautiful

An individual showing a steady and continuously declining dying trajectory is likely to have which type of disease? 1. Renal failure. 2. cancer 3. Alzheimer's disease. 4. Cardiovascular disease.

2. cancer

A 67-year-old woman is constantly organizing and re-organizing her kitchen cabinets, wanting every cup, plate, glass, and utensil to be in exactly the "right" place. Her behavior causes her distress, and although she would like to stop, she can't help herself. This behavior would be considered to be what type of psychological symptom? 1. hoarding 2. compulsion 3. delusion 4. none of the above

2. compulsion

The majority of nursing homes in the U.S. fall into which category of ownership? 1. non-profit 2. for-profit 3. religious 4. government

2. for-profit

An appointment of a durable power of attorney for health care specifies who will serve as a(n) _____________ for an individual should he or she become incapacitated. 1. legal guardian 2. health care proxy 3. illness advisor 4. care counselor

2. health care proxy

Health-related, but not intense nursing services are provided in a(n) __________ facility. 1. assisted living 2. intermediate nursing 3. continuing care 4. geriatric day

2. intermediate nursing

An 80-year-old woman planning her living will through use of the "Five Wishes" website. This will allow her to honor her desire for: 1. choosing who will inherit her savings. 2. life-support or resuscitation. 3. gaining access to medical records. 4. none of the above

2. life-support or resuscitation.

According to self-determination theory, to the extent that workers lose their intrinsic motivation when they receive extrinsic rewards for doing what they love, they will experience: 1. person-environment correspondence. 2. motivation crowding out. 3. work-family enrichment. 4. occupational reinforcement.

2. motivation crowding out.

Oregon,Washington, and Vermont are unique because they are the states that permit: 1. euthanasia. 2. physician-assisted suicide. 3. peaceful awareness. 4. hospice care.

2. physician-assisted suicide.

The "anniversary reaction", as applied to widowhood, refers to the: 1. increase in mortality in the months following loss of a spouse. 2. renewed feelings of loss near the date of the spouse's death. 3. feelings of relief after a long period of caregiving has ended. 4. unwillingness of widows to date for a year after the spouse's death.

2. renewed feelings of loss near the date of the spouse's death.

Super's theory assumes that people strive to express their __________ in their vocation. 1. preferences 2. self-concept 3. resources 4. satisfaction

2. self-concept

A(n) ___________ nursing facility provides the highest level of nursing care that a person can receive outside a hospital. 1. restorative 2. skilled 3. comprehensive 4. assistive

2. skilled

An older adult who is living on a tight income and has to economize on the essentials of daily living should, according to the _______________, also have low levels of happiness and life satisfaction. 1. paradox of well-being 2. social indicator model 3. demographic hypothesis 4. resilience perspective

2. social indicator model

According to __________________ theory, when people feel that time is running out due to age or illness, their focus tends to shift towards present-oriented and emotion-related goals, instead of instrumental goals such as career advancement. 1. behavioral interaction 2. socioemotional selectivity 3. need complementarity 4. social exchange

2. socioemotional selectivity

According to the Age Discrimination in Employment Act (ADEA), what type of behavior by an employer would explicitly be prohibited? 1. Suggesting that workers invest in the pension plan. 2. Enrolling employees in private health care. 3. Asking a job interviewee for his or her age. 4. Requiring that employees receive on-the-job training.

3. Asking a job interviewee for his or her age.

The crude death rate provides information about which aspect of mortality? 1. Total number of deaths occurring in a given time period. 2. Percentage of deaths within each age group. 3. Number of deaths divided by the size of the population. 4. Average deaths occurring within each age group.

3. Number of deaths divided by the size of the population.

Older adults and their families usually take advantage of which publicly available resource to learn about the quality of a nursing home they are thinking of choosing? 1. The Consumer Watchdog 2. Federal Trade Agency 3. US News and World Reports 4. none of the above

3. US News and World Reports

Of the following, which category of disorders has the highest lifetime prevalence? 1. depressive 2. schizophrenia 3. anxiety 4. none of the above

3. anxiety

Men who become most confident about their roles as fathers are those who: 1. adopt traditional gender roles in the home. 2. have high-paying jobs with flexible hours. 3. are regarded as competent by their wives. 4. were older brothers of younger sisters.

3. are regarded as competent by their wives.

The similarity theory hypothesized that the highest marital satisfaction occurs when couples: 1. have similar values but different personalities 2. start off different and then become more alike 3. are very much alike in their personalities 4. start out alike and then become very different

3. are very much alike in their personalities

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? 1. affectual 2. normative 3. associational 4. structural

3. associational

In equity theory, partners are seen as having the highest marital satisfaction if they: 1. come from similar backgrounds and have similar values. 2. evaluate the costs of being in the couple as greater than the benefits. 3. believe they are each contributing similarly to the relationship. 4. have a complementary set of social attitudes and values.

3. believe they are each contributing similarly to the relationship.

Many retirees experience a(n) ______________ retirement, because they typically do not exit the labor force in an all-or-nothing fashion. 1. crisp 2. voluntary 3. blurred 4. involuntary

3. blurred

Being able to find a ________________ career, in which people are not tied to a particular company or organization, might be difficult during times of a tight economy. 1. protean 2. bridge 3. boundaryless 4. self-determined

3. boundaryless

A 40-year-old man was disappointed that his family reunion was spoiled when the older relatives clashed with the younger relatives about the upcoming 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 would have low scores on the ____________ dimension. 1. normative 2. maturity 3. consensual 4. ambivalence

3. consensual

A woman's mother was diagnosed with terminal cancer but is convinced that, despite the odds, she will survive this disease. The woman realizes that her mother's chances are in fact close to zero. It appears that the mother is in which of the Kübler-Ross stages of dying? 1. bargaining 2. resistance 3. denial 4. depression

3. denial

A clinician may fail to diagnose correctly an older adults' major depressive disorder because he or she assumes that: 1. older adults deliberately try to disguise their symptoms. 2. what seems to be depression is really a medical disease. 3. depression is a natural consequence of growing older. 4. older adults would prefer not to receive such a diagnosis.

3. depression is a natural consequence of growing older.

Patients who choose not to have medical intervention when their heart or lungs shut down are issuing a(n): 1. palliative care commitment. 2. health care proxy 3. do-not-resuscitate order. 4. none of the above

3. do-not-resuscitate order.

In the ______________ pathway of long-term relationships, the way a couple gets along at the outset of the marriage will continue throughout the length time they stay together. 1. disillusionment 2. dyadic withdrawal 3. enduring dynamics 4. emergent distress

3. enduring dynamics

People who feel that their occupation is a "calling" are likely to believe that it: 1. will help them achieve recognition. 2. can bring them closer to retirement. 3. fulfills their purpose in life. 4. makes their families proud of them.

3. fulfills their purpose in life.

The __________________ is the length of time an individual can live without significant disease and disability. 1. dying trajectory 2. age-adjusted death rate 3. healthy lifespan 4. good death

3. healthy lifespan

Unlike hospitals or nursing homes, hospices provide only ______________ for their patients. 1. spiritual counseling 2. advance directives 3. palliative care 4. overtreatment

3. palliative care

Compared to younger adults, older adults with major depressive disorder are more likely to have symptoms involving: 1. suicidal thoughts 2. feelings of guilt 3. physical pain 4. low self-esteem

3. physical pain

Which type of information would a cultural anthropologist use to classify a culture's death ethos? 1. class differences in mortality rates 2. rates of terminal illness by age group 3. the language people use to describe death 4. average cost of a long-term hospital stay

3. the language people use to describe death

What is the living situation known as a skip generation family? 1. An extended family all lives in one home. 2. Grandparents retire and move away. 3. Parents and grandparents live with the children. 4. Grandparents alone raise the grandchildren.

4. Grandparents alone raise the grandchildren.

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? 1. Cognitive decline 2. Weight gain 3. Aggressiveness 4. Social isolation

4. Social isolation

The medical and legal definition of death considers it to occur when: 1. all vital organs have ceased functioning except the brain. 2. the individual is being kept alive only through life support. 3. life support is removed but the vital organs continue to function. 4. all vital organs, including the brain have ceased functioning.

4. all vital organs, including the brain have ceased functioning.

According to the ________________ view of bereavement the bereaved can continue to benefit from maintaining emotional bonds to the deceased individual. 1. traditional 2. social death 3. behavioral 4. attachment

4. attachment

Reaching a point in your vocational development where you no longer feel that you are growing might keep you at the: 1. establishment stage 2. bridge employment 3. recycling stage 4. career plateau

4. career plateau

In the disorder known as _______________, individuals continually collect objects that they don't need, are unable to throw out those objects, and may clutter up their homes to the point of being almost unlivable. 1. agoraphobia 2. schizophrenia 3. psychopathy 4. hoarding

4. hoarding

A physician working with a terminally ill patient and his family suggest that they consider palliative care. This means that the patient would receive: 1. resuscitation if the patient goes into cardiac arrest. 2. life support for a maximum period of two weeks. 3. a minimum of pain medication unless absolutely necessary. 4. medications to provide pain relief and some physical therapy, as desired.

4. medications to provide pain relief and some physical therapy, as desired.

Studies of successful aging fit into the perspective known as _______________ psychology, which attempts to understand people's strengths and virtues. 1. psychoanalytic 2. subjective 3. behavioral 4. positive

4. positive

The concept of aging in place implies that with respect to living arrangements, older adults are able to: 1. avoid needing any type of residential or outpatient care. 2. move to a comfortable and well-staffed rehabilitation facility. 3. live in special units attached to the homes of their children. 4. remain in their own homes or at least their own communities.

4. remain in their own homes or at least their own communities.

Day services for older adults that allow caregivers to attend to their job or household responsibilities are known as: 1. partial treatment. 2. home health assistance. 3. friendly visiting. 4. respite care.

4. respite care.

The view of tamed death, prevalent until the early Middle Ages, regards death as: 1. a welcome end to life. 2. glorification of the self. 3. a noble path to life's end. 4. transition to eternal life.

4. transition to eternal life.