Gerontological Healthcare Social Work | Full Test Bank Ch.11

Chapter 11: Gerontological Healthcare Social Work Practice

Multiple Choice

1. The number of overall deaths per 1,000 in a given population is the __________________.

a. Health status

b. Health disparity rate

c. Death ratio

d. Crude death rate

@ Cognitive domain: Comprehension; Answer location: Demographic Influences; Question type: MC

2. Much of the long-term care received by the frail elderly is provided informally by __________________________.

a. Adult sons

b. Spouses

c. Adult daughters

d. Neighbors

@ Cognitive domain: Knowledge; Answer location: Healthcare And Social Service Needs Of The Aging Population; Evolution of Medical Social Work Practice: Question type: MC

3. The availability of family caregivers is predicted to _________________ over time.

a. Increase

b. Decrease

c. Level out

d. Stay the same

@ Cognitive domain: Comprehension; Answer location: Present Health Status Of The Aging Population; Question type: MC

4. There are ____________________ stages in the progression of Alzheimer’s disease.

a. 4

b. 5

c. 6

d. 8

@ Cognitive domain: Knowledge; Answer location: Intervention With An Aging Population; Question type: MC

5. ______________ begin with the onset of physical and/or social problems and attempt to contain any resulting functional impairments.

a. Primary interventions

b. Secondary interventions

c. Community interventions

d. Tertiary interventions

@ Cognitive domain: Comprehension; Answer location: Interventions With An Aging Population: Question type: MC

6. The primary purpose of reminiscence therapy is to stimulate memory in order to make connections with the past and possibly provides an opportunity for conscious or unconscious resolution of unresolved grief or other issues. ____________________________ reminiscence involves the pleasant recollection of past memories for the purpose of enjoyment.

a. Simple reminiscence

b. Evaluative reminiscence

c. Offensive-defensive reminiscence

d. Complex reminiscence

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population: Question type: MC

7. _________________ are employed with older patients and their caregivers when the patient experiences more profound functional impairments and support is needed for ongoing care.

a. Primary interventions

b. Secondary interventions

c. Community interventions

d. Tertiary interventions

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population: Question type: MC

8. Lisa is working in a community hospital on the medical surgical unit. Her patient, Ruth, is 82 years old. Ruth was brought to the hospital with a severe bowel obstruction and ended up needing surgery. When Ruth woke up from the surgery, she was very agitated and repeatedly tried to get out of bed. Lisa also observed that Ruth was unable to follow the topic of conversation, and Ruth was picking at the air like she was trying to catch bugs that only Ruth could see. Lisa immediately became concerned that Ruth was suffering from ______________________.

a. Alzheimer’s disease

b. Vascular dementia

c. Depression

d. Delirium

@ Cognitive domain: Applied; Comprehension; Answer location: Interventions With An Aging Population; Question type: MC

9. The highest rate of suicide in the United States is among ____________.

a. Elderly white females

b. Elderly African American females

c. Elderly white males

d. Elderly African American females

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population; Question type: MC

10. ____________________ interventions focus on preventing problems from occurring and are exemplified in health and wellness programs as well as targeted efforts to intervene with specific problems like alcoholism.

a. Primary interventions

b. Secondary interventions

c. Community interventions

d. Tertiary interventions

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population: Question type: MC

11. Conditions that can cause dementia are all of the following except _____.

a. Decreased cerebrovascular flow

b. Parkinson’s disease

c. Amyotrophic lateral sclerosis

d. Alcoholism

@ Cognitive domain: Knowledge; Answer location: Intervention With An Aging Population; Question type: MC

12. Social workers and nurses typically use the ______________________ to determine a patient’s general orientation.

a. Mental Status Exam

b. Mini Mental Status Exam

c. Binet-Simon questionnaire

d. Minnesota Multiphasic Personality Inventory (MMPI)

@ Cognitive domain: Applied; Answer location: Intervention With An Aging Population; Question type: MC

13. Dawn is called to the emergency room to meet with a patient and her family. The patient is an elderly woman who is disheveled. She appears very frail and thin. Dawn asks the woman if she can tell Dawn her name; the woman just stares blankly at Dawn. Next, Dawn asks the woman if she knows where she is. The woman nods her head and says she is in her grandmother’s home. Dawn asks if the woman knows the time of day; the woman just stares at Dawn. Dawn tries asking what month, season, or year it is, but the woman is unable to answer any of these questions. The woman’s family tells Dawn that the woman has been like this for some time and they do not feel they can care for her at home any longer. They ask Dawn if the woman can be admitted to the hospital. Dawn suspects that this patient has ______________________.

a. Alcoholism

b. Dementia

c. Depression

d. Delirium

@ Cognitive domain: Application; Answer location: Intervention With An Aging Population; Question type: MC

14. The “spheres” of orientation include all of the following except _____.

a. Person

b. Place

c. Direction

d. Time

@ Cognitive domain: Application; Answer location: Intervention With An Aging Population; Question type: MC

15. Typically, a _______________________________ will do a competency evaluation if there a question that an individual has the capacity to make personal decisions.

a. Social worker

b. Nurse

c. Psychiatrist

d. Judge

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population; Question type: MC

16. A _______________________ can make healthcare decisions for another individual, while a _____________________ can handle the financial affairs of another individual. A judge must appoint both positions.

a. Legal guardian/conservator

b. Conservator/legal guardian

c. Family members/legal guardian

d. Family member/conservator

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population; Question type: MC

17. ________________________________ is a common treatment approach for dementia that is used by gerontological social workers.

a. Cognitive behavioral therapy

b. Psychoanalytic therapy

c. Abreaction therapy

d. Reminiscence therapy

@ Cognitive domain: Application; Answer location: Intervention With An Aging Population; Question type: MC

18. The highest rate of suicide in the United States is among elderly white males. Tragically, most of these individuals see a physician within a(n) ______________ before committing suicide, suggesting that the depression was undiagnosed and untreated.

a. Year

b. Month

c. Day

d. Hour

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population; Question type: MC

19. The experience of emotional conflict and anxiety in the body, which results in the person experiencing physical rather than emotional symptoms, is ____________________.

a. Hypochondria

b. Somatizaton

c. Mindfulness

d. Histrionics

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population; Question type: MC

20. When social workers identify problems resulting from conditions beyond the client’s ability to change or influence them as an individual, they should practice _______________________.

a. Informed advocacy

b. Peer advocacy

c. Cause advocacy

d. Statutory advocacy

@ Cognitive domain: Knowledge; Answer location: Social Work Policy Practice With An Aging Population; Question type: MC

True/False

1. The risk of behavioral health problems, including chronic illness, physical or mental disability and dependence, and other stresses, decreases with aging.

a. True

b. False

@ Cognitive domain: Present Health Status Of The Aging Population; Answer location: ; Question type: TF

2. While more male births occur than female births, male mortality exceeds female mortality in every age group.

a. True

b. False

@ Cognitive domain: Answer location: Demographic Influences; Question type: TF

3. Untreated depression in the elderly is correlated with dependency, chronic illness, and loss of functioning, which is unfortunate ,since treatment with antidepressant medication can be effective in up to 80% of elderly patients with depression.

. True

b. False

@ Cognitive domain: Comprehension: Answer location: Intervention With An Aging Populations; Question type: TF

4. Since 1900, the percentage of Americans older than 65 years of age has more than tripled.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Our Aging Populations; Question type: TF

5. Social workers are among the healthcare professionals who conduct competency evaluations.

a. True

b. False

@ Cognitive domain: Answer location: Intervention With An Aging Population; Question type: TF

6. In terms of elder abuse, the most common abuser of the elderly is a paid caregiver.

a. True

b. False

@ Cognitive domain: Knowledge; Answer location: Intervention With An Aging Population; Question type: TF

7. A legal guardian has the authority to make healthcare decisions regarding the patient’s care and treatment as well as to handle the financial affairs of the individual.

a. True

b. False

@ Cognitive domain: Application; Answer location: Intervention With An Aging Population; Question type: TF

8. The two main forms of dementia are Alzheimer’s disease and vascular dementia.

a. True

b. False

@ Cognitive domain: Comprehension; Answer location: Intervention With An Aging Population Question type: TF

Short Answer/Essay

1. Health is characteristically reflected in measures such as birth rates, death rates, and ___________________________.

a. Life expectancy

@ Cognitive domain; Knowledge; Answer location: Demographic Influences; Question type: FIB

2. The ______________________ states that microorganisms cause some diseases.

a. Germ theory of disease

@ Cognitive domain; Knowledge; Answer location; Demographic Influences; Question type: FIB

3. _________________ has been defined as bias against elder adults because of their age.

a. Ageism

@ Cognitive domain; Knowledge; Answer location; Intervention With An Aging Populations; Question type: FIB

4. Describe the onset of delirium and list five major conditions commonly associated with delirium.

a. Disturbance in attention and a change in cognition (including memory deficits and disorientation) that develops over a short period of time

b. Postoperative recovery

b. Drug intoxication and withdrawal

c. Inappropriate or overmedication

d. Metabolic disorders such as dehydration and electrolyte imbalance

e. Neurologic diseases such as head trauma and tumors

f. Severe psychological stress

@Cognitive domain: Comprehension: Answer locations: Intervention With An Aging Population; Question type: ESS

5. Discuss the factors that are thought to have contributed to the decrease in mortality and increase in life expectancy during the first half of the 20^th century.

a. Increased food supply

b. Reduced human contact with microorganisms

c. The evolution of germ theory of disease lead to the eradication and control of may parasitic diseases, especially among infants and children.

d. Greater emphasis on preventative medicine

e. Water purification, sewage disposal, and milk pasteurization and a greater emphasis on sanitary food preparation and hand washing

@Cognitive domain: Analysis; Answer: Demographic Influences; Question type: ESS