Test Bank Chapter 13 Oldest-Old Elderhood (Ages 75 And Over)

Chapter 13: Oldest-Old Elderhood (Ages 75 and Over)

1. Question: Multidimensional functional status incorporates physical well-being, _____, emotional well-being, and social well-being.

Choices:

a. multicultural perspectives

b. functional ability

c. integrity

d. relaxation

Cognitive domain: Comprehension

Answer location: Understanding Quality of Life and Life Satisfaction in Old Age

Question type: MC

1. Question: It is important for counselors is to understand that quality of life is described often with both _____ and _____ dimensions based on individuals’ life experiences during their lifespan.

Choices:

a. objective, subjective

b. inductive, deductive

c. quantitative, qualitative

d. cultural, social

Cognitive domain: Analysis

Answer location: Understanding Quality of Life and Life Satisfaction in Old Age

Question type: MC

1. Question: The _____ of aging is concerned with diseases that cause morbidity and mortality and also with the causes of disability and how they affect functional independence.

Choices:

a. comorbidity

b. epidemiology

c. epistemology

d. progressive adjustment

Cognitive domain: Knowledge

Answer location: Adjustment to Advanced Aging

Question type: MC

1. Question: _____ retirement, limited financial resources, health conditions, and bereavement affect one’s interpersonal relationships.

Choices:

a. End-of-life concerns, like

b. Changes in quality of life, like

c. Poor midlife decisions, resulting in

d. Later life transitions, such as

Cognitive domain: Analysis

Answer location: Interpersonal Relationships

Question type: MC

1. Question: People’s interpersonal relationships and communication skills have been shown to influence each of the following, except _____.

Choices:

a. physical health

b. mental health

c. life expectancy

d. the magnitude of some illnesses

Cognitive domain: Comprehension

Answer location: Interpersonal Relationships

Question type: MC

1. Question: _____ is defined as feeling a sense of responsibility for the well-being of the next generation through physically and emotionally caring for younger people.

Choices:

a. Stagnation

b. Altruism

c. Generativity

d. Integrity

Cognitive domain: Knowledge

Answer location: Interpersonal Relationships

Question type: MC

1. Question: _____ has been found to be a powerful risk factor for the development of cognitive and intellectual decline and for _____ in the elderly.

Choices:

a. Retirement, financial instability

b. Depression, drug abuse

c. Alienation, divorce

d. Social isolation, physical illness

Cognitive domain: Analysis

Answer location: Interpersonal Relationships

Question type: MC

1. Question: _____ have notably damaging consequences for the well-being of the elderly, including an increase in morbidity and mortality.

Choices:

a. Divorce and separation

b. Isolation and loneliness

c. Retirement and relocation

d. Overexertion and ongoing social engagement

Cognitive domain: Comprehension

Answer location: Decrease of Participation in Social Activities

Question type: MC

1. Question: _____ accompany individuals through life and expand and diminish across adulthood.

Choices:

a. Social convoys

b. Confidants

c. Intimate partners

d. Life coaches

Cognitive domain: Knowledge

Answer location: Decrease of Participation in Social Activities

Question type: MC

1. Question: The _____ movement, which serves people suffering from terminal illness, is a good example of palliative-patient-centered approach.

Choices:

a. hospice

b. end-of-life planning

c. existentialist

d. social convoy

Cognitive domain: Knowledge

Answer location: End-of-Life Planning

Question type: MC

1. Question: _____, the ___ of Kubler-Ross’ stages of grief, may follow the initial shock that is associated with news of a terminal illness.

Choices:

a. Anger, first

b. Denial, first

c. Anger, second

d. Bargaining, third

Cognitive domain: Application

Answer location: End-of-Life Planning

Question type: MC

1. Question: Kubler-Ross described _____ as a reaction to impending death is characterized by sadness and feelings of hopelessness.

Choices:

a. depression

b. despair

c. stagnation

d. isolation

Cognitive domain: Comprehension

Answer location: End-of-Life Planning

Question type: MC

1. Question: Mental health counselors are _____ to diagnose and recommend treatment for older adults in advanced age, possibly in part due to a clinician’s _____in working with this population and attitudes toward aging.

Choices:

a. more inclined, intrinsic rewards

b. more likely, expanded experience and training

c. less likely, lack of experience

d. less inclined, poor compensation

Cognitive domain: Analysis

Answer location: Gerontological Counseling Expertise

Question type: MC

1. Question: Which of the following did Capuzzi and Gross offer as a preferred group theory/approach applicable to the aging population?

Choices:

a. Adlerian therapy

b. reconciliation groups

c. milieu therapy

d. bio-feedback

Cognitive domain: Analysis

Answer location: Gerontological Counseling Expertise

Question type: MC

1. Question: Which of the following is a physical impact of aging?

Choices:

a. anxiety

b. deterioration of body systems

c. embarrassment and shame

d. Epstein Barr

Cognitive domain: Analysis

Answer location: Emotional Impact of Aging (Table 13.1)

Question type: MC

1. Question: _____ recommended a number of essential competencies for a gerontological counseling.

Choices:

a. Levinson

b. Erikson

c. Myers

d. Kubler-Ross

Cognitive domain: Knowledge

Answer location: Gerontological Counseling Expertise

Question type: MC

1. Question: _____ involves trying to postpone death by making promises, usually to a higher power.

Choices:

a. Bargaining

b. Bartering

c. Compensating

d. Negotiating

Cognitive domain: Comprehension

Answer location: End-of-Life Planning

Question type: MC

1. Question: _____ is characterized by a sense of peace and relative tranquility, which suggests that the person has come to terms with his or her impending death or the death of a loved one.

Choices:

a. Reconciliation

b. Integrity

c. Acceptance

d. Resignation

Cognitive domain: Comprehension

Answer location: End-of-Life Planning

Question type: MC

1. Question: General outcome studies reveal that persons in the oldest-old age category respond _____, and in some cases, _____ than younger persons to a variety of counseling techniques.

Choices:

a. negatively, more so

b. poorly, worse

c. angrily, more violently

d. well, better

Cognitive domain: Analysis

Answer location: Counseling Issues

Question type: MC

1. Question: Which of the following is a core principle for end-of-life care?

Choices:

a. recognizing that the physician may never discontinue treatment

b. respecting the right to refuse treatment

c. always encouraging counseling and additional therapeutic options

d. discussing the finality and financial significance of death

Cognitive domain: Analysis

Answer location: Core Principles for End-of-Life Care (Table 13.2)

Question type: MC

1. Question: Life satisfaction is based on the individual’s interpretation of his or her life.

Cognitive domain: Comprehension

Answer location: Understanding Quality of Life and Life Satisfaction in Old Age

Question type: TF

1. Question: Subjectivity refers to the individual’s own perception of his or her quality of life.

Cognitive domain: Comprehension

Answer location: Understanding Quality of Life and Life Satisfaction in Old Age

Question type: TF

1. Question: Poor health in later life is inevitable.

Cognitive domain: Comprehension

Answer location: Adjustment to Advanced Aging

Question type: TF

1. Question: Age is positively related to frequency of socializing with neighbors, religious participation, and volunteering.

Cognitive domain: Application

Answer location: Interpersonal Relationships

Question type: TF

1. Question: Over time, individuals in the oldest-old age groups may have fewer friends and even less family members to interact with.

Cognitive domain: Comprehension

Answer location: Decrease of Participation in Social Activities

Question type: TF

1. Question: Social activity restriction appears to affect the relationship between the older adult and others less than the direct physical demands of caregiving that the aging process needs.

Cognitive domain: Comprehension

Answer location: Decrease of Participation in Social Activities

Question type: TF

1. Question: Improvement of emotional wellness may help control certain physical symptoms in some types of chronic or serious illness of the elderly.

Cognitive domain: Comprehension

Answer location: Emotional Impact of Chronic Illness and Disability

Question type: TF

1. Question: Awareness of the transitions individuals may encounter when facing death can enhance provision of counseling and palliative care.

Cognitive domain: Application

Answer location: End-of-Life Planning

Question type: TF

1. Question: Discuss the possible reasons why the oldest-old adults are often perceived as vulnerable.

Cognitive domain: Application

Answer location: Understanding Quality of Life and Life Satisfaction in Old Age

Question type: SA

Cognitive domain: Application

Answer location: Adjustment to Advanced Aging

Question type: SA

1. Question: Explain the importance of addressing the counseling needs of older people from different cultural, racial, and ethnic backgrounds. Provide examples of specific strategies that counselors can implement to meet the needs of diverse populations of older adults.

1. recruiting, training, and employing counseling practitioners knowledgeable about the older adult population;

2. developing specialized diversity-oriented programs that include aggressive outreach efforts and encourage styles of practice best suited to the challenges of these populations;

3. training all mental health practitioners to be culturally competent by recognizing and responding to the concerns of diverse ethnic aging minorities and other special populations, including their histories, traditions, beliefs, and value systems;

4. encouraging all professional programs to include content pertaining to ethnic and cultural diversity, socioeconomic status, gender, sexual orientation, physical disability, and rural settings in their curriculum;

5. building systems that recognize, incorporate, practice, and value cultural diversity,

6. encouraging sensitivity to language assistance needs and assuring language assistance in the provision of mental health counseling services for older persons with limited English proficiency; and

7. recruiting and training an ethnically and racially diverse counselor workforce.

Cognitive domain: Analysis

Answer location: Cultural Competence

Question type: ESS