Chapter 4 – Policy And Systems Around The World | Exam Prep

Chapter 4: Policy and Systems Around the World: Supplemental Essays

1. Among older Mexicans from indigenous populations, the majority are characterized by:

a. Stable families and broad social supports

b. High levels of literacy and work achievement

c. High levels of illiteracy and poverty

d. Socioeconomic circumstances comparable to other Mexican populations

2. The change in the name of the INSEN (Instituto Nacional de la Senectud) was changed to Instituto Nacional de Adultos en Plenitud (INAPLEN) as a way to:

a. Make it clear that many services were being provided to older adults in Mexico

b. Eliminate the somewhat stigmatized concept of senectud (senescence)

c. Increase awareness that older adults in Mexico have numerous social service needs and concerns

d. Make it clear that older adults in Mexico have substantial resources

3. A Mexican institution that is organized to boost the physical, emotional, and intellectual abilities of senior citizens is:

a. Third Age Clubs

b. INAPLEN

c. “70 and Over”

d. University of the Third Age

4. In Israel, the focus of services for older adults with long-term disabilities is on:

a. Requiring families to provide the majority of the care needed

b. Encouraging placement in long-term care facilities

c. Providing supports that allow these elders to remain in the community

d. Avoiding services because there are no common kinds of needs

5. An innovative aspect of care in Israel is the implementation of Supportive Communities. These communities provide all of the following EXCEPT:

a. A neighborhood facilitator who ensures personal safety, safety and security of homes, and home repairs

b. An emergency call button

c. A physician/ambulance on call 24 hours a day

d. Clothing shopping allowance

6. Among the reasons for the aging of the population in Israel are all of the following, EXCEPT:

a. Reductions in disease in the older populations

b. Reduced fertility rates

c. Increased immigration of older populations

d. Increase in women in the workforce

7. In South Africa, health care and services for older adults are structured as:

a. Distinct and inequitable public and private programs

b. A single-payer, comprehensive public system

c. A combination of public sector and traditional healing strategies

d. Private insurance and private pay services

8. The view of traditional medicine practices as seen by general medical practitioners is:

a. Reluctant acceptance in spite of doubts about efficacy

b. A tendency to ignore any traditional medicine practices

c. Enthusiastic embrace of traditional practices as superior to general medicine

d. Acceptance and coordination of care among providers to the extent possible

9. Traditional roles of older adults in South Africa at present:

a. Remain strong and central to family structures

b. Have eroded as a result of economic changes and urbanization

c. Continue to be marginalized as they were throughout the history of the country

d. Have improved as the proportion of the population that is aging has increased

10. A common feature of the health care and social services systems in Mexico, Israel, and South Africa is:

a. Careful coordination of services through strong government oversight

b. Complexity and gaps in services as a result of fragmented sources of funding

c. Equity regardless of cultural/ethnic background and socioeconomic status

d. Excessive reliance on families as the sole method of caring for elders