Chapter 10: Very Late Adulthood

Test Bank

Multiple Choice

1. The ______ concept suggests that a historical event affects a cohort differently than it affects subsequent cohorts because of the life phase in which it occurred.

A. historical effects

B. cohort effects

C. aging effects

D. life experience effects

KEY: Learning Objective: 10.2: Summarize major themes in the historical and cultural contexts of people in very late adulthood, including centenarians.

REF: Cognitive Domain: Knowledge

Answer Location: Very Late Adulthood in Historical and Cultural Perspective

Difficulty Level: Easy

2. Examples of ______ activities include doing laundry, using transportation, and taking medication.

A. daily living

B. leisurely

C. instrumental

D. recreational

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: Easy

3. Changes that are a normal part of the aging process are called ______.

A. primary aging

B. normal aging

C. functional aging

D. secondary aging

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: Easy

4. Changes caused by health-compromising behaviors or environmental factors are called ______.

A. primary aging

B. normal aging

C. nonfunctional aging

D. secondary aging

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: Easy

5. According to the text, loss accumulates in the following areas in very late adulthood: ______.

A. finances, memory, and spirituality

B. health, status, and independence

C. community involvement, family, and health care

D. relationships, control, and mental health

KEY: Learning Objective: 10.6: Analyze the importance of spirituality in very late adulthood.

REF: Cognitive Domain: Comprehension

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: medium

6. In Kubler-Ross’s stages of accepting impending death, ______ occurs before ______.

A. anger; denial

B. depression; denial

C. anger; bargaining

D. depression; bargaining

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Comprehension

Answer Location: The Dying Process

Difficulty Level: Medium

7. ______ is a powerful risk factor that affects much older adults cognitively, intellectually, and physically.

A. Death of a loved one

B. Financial difficulties

C. Decline in daily activities

D. Social isolation

KEY: Learning Objective: 10.4: Summarize the major issues in relationships in very late adulthood.

REF: Cognitive Domain: Comprehension

Answer Location: Relationships With Family and Friends

Difficulty Level: Easy

8.______ consists of a deep sense of caring, compassion, and positive regard and the opportunities to express the same.

A. Mutuality

B. Affective intimacy

C. Commitment

D. Physical intimacy

KEY: Learning Objective: 10.4: Summarize the major issues in relationships in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Intimacy and Sexuality in Very Late Adulthood

Difficulty Level: Easy

9. ______ is a major component of intimacy that includes thinking about and awareness of another.

A. Mutuality

B. Affective intimacy

C. Cognitive intimacy

D. Commitment

KEY: Learning Objective: 10.4: Summarize the major issues in relationships in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Intimacy and Sexuality in Very Late Adulthood

Difficulty Level: Easy

10. Spirituality late in life is associated with which of the following factors?

A. loss

B. grief

C. decline in daily activities

D. social isolation

KEY: Learning Objective: 10.6: Analyze the importance of spirituality in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Spirituality in Very Late Adulthood

Difficulty Level: Easy

11. Restlessness, lowered temperature, and ______ are all signs and symptoms of impending death.

A. faster heart rate

B. dry mouth

C. painful urination

D. difficulty swallowing

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Comprehension

Answer Location: The Dying Process

Difficulty Level: Medium

12. Active care of patients who have received a diagnosis of a serious, life-threatening illness is called ______.

A. long-term care

B. hospice care

C. intensive care

D. palliative care

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Knowledge

Answer Location: Care of People Who Are Dying

Difficulty Level: Easy

13. The state of having suffered a loss is called ______.

A. mourning

B. bereavement

C. grief

D. death

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Knowledge

Answer Location: Loss, Grief, and Bereavement

Difficulty Level: Easy

14. The external expression of grief is called ______.

A. mourning

B. bereavement

C. depression

D. loss

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Knowledge

Answer Location: Loss, Grief, and Bereavement

Difficulty Level: Easy

15. The normal internal reaction of an individual experiencing a loss is called ______.

A. mourning

B. bereavement

C. grief

D. loss

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Knowledge

Answer Location: Loss, Grief, and Bereavement

Difficulty Level: Easy

16. Increased exercise, less consumption of alcohol, and ______ have contributed to the growth in the older-than-85 population.

A. increased attention to mental health

B. increases in education

C. more assisted living facilities

D. improved medical technology

KEY: Learning Objective: 10.2: Summarize major themes in the historical and cultural contexts of people in very late adulthood, including centenarians.

REF: Cognitive Domain: Comprehension

Answer Location: Very Late Adulthood in Historical and Cultural Perspective

Difficulty Level: Medium

17. The study of the causes, processes, and consequences of race, national origin, and culture on individual and population aging is called ______.

A. ethnic studies

B. aging studies

C. ethnogerontology

D. geriatric ethnography

KEY: Learning Objective: 10.2: Summarize major themes in the historical and cultural contexts of people in very late adulthood, including centenarians.

REF: Cognitive Domain: Knowledge

Answer Location: Very Late Adulthood in Historical and Cultural Perspective

Difficulty Level: Easy

18. A person living to 100 years of age is called ______.

A. centenarian

B. century old person

C. very, very, very old

D. octogenarian

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Very Late Adulthood: Charting New Territory

Difficulty Level: Easy

19. Most of the residents in nursing homes are what age?

A. 85 and older

B. 100 and older

C. 65–85

D. 50–70

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: Easy

20. Sibling relationships in very late adulthood ______.

A. are often strained

B. have not been found to impact very late adults

C. are related to positive mental health

D. may range from loving and close to distance or hostile

KEY: Learning Objective: 10.4: Summarize the major issues in relationships in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Relationships With Family and Friends

Difficulty Level: Easy

21. According to Erikson, the struggle of very late adulthood is ______.

A. generativity versus stagnation

B. initiative versus guilt

C. ego integrity versus ego despair

D. intimacy versus isolation

KEY: Learning Objective: 10.6: Analyze the importance of spirituality in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Spirituality in Very Late Adulthood

Difficulty Level: Easy

22. A form of care that focuses on pain and symptom management is called ______.

A. palliative care

B. purposeful care

C. hospice

D. end of life care

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Knowledge

Answer Location: Care of People Who Are Dying

Difficulty Level: Easy

23. Advance directives give instructions about ______.

A. one’s preferences for their funeral

B. how one’s possessions should be divided

C. desired health care, if an individual is unable to speak for themselves in the future

D. whom to contact about their will

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Knowledge

Answer Location: Advance Directives

Difficulty Level: Easy

24. The severing of an attachment an individual has with a loved one is called ______.

A. mourning

B. bereavement

C. grief

D. loss

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Knowledge

Answer Location: Loss, Grief, and Bereavement

Difficulty Level: Easy

True/False

1. Current trends indicate that there will be a higher demand for LGBTQ-friendly housing options in the future.

Learning Objective: 10-5: Describe the housing continuum experienced by people in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: The Housing Continuum

Difficulty Level: Easy

2. All persons in very late adulthood experience primary aging.

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Knowledge

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: Easy

3. Women in particular are more alone in this life stage than at other times in their lives.

KEY: Learning Objective: 10.4: Summarize the major issues in relationships in very late adulthood.

REF: Cognitive Domain: Comrpehension

Answer Location: Intimacy and Sexuality in Very Late Adulthood

Difficulty Level: Medium

4. .Spirituality is primarily concerned with preparing for death and a potential afterlife.

KEY: Learning Objective: 10.6: Analyze the importance of spirituality in very late adulthood.

REF: Cognitive Domain: Comprehension

Answer Location: Spirituality in Very Late Adulthood

Difficulty Level: Medium

5. Hospice is more a philosophy of care than a place.

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Comprehension

Answer Location: Care of People Who Are Dying

Difficulty Level: Medium

6. It is important for family members to have adequate information about the dying process in order to reduce the anxiety associated with death.

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Knowledge

Answer Location: End-of-Life Signs and Symptoms

Difficulty Level: Easy

7. There are drawbacks to using chronological markers for entry into very late adulthood because many people in this age range are not dealing with ill health.

KEY: Learning Objective: 10.2: Summarize major themes in the historical and cultural contexts of people in very late adulthood, including centenarians.

REF: Cognitive Domain: Comprehension

Answer Location: Very Late Adulthood

Difficulty Level: Medium

8. The 85-and-older population is the slowest growing segment worldwide.

KEY: Learning Objective: 10.2: Summarize major themes in the historical and cultural contexts of people in very late adulthood, including centenarians.

REF: Cognitive Domain: Comprehension

Answer Location: Very Late Adulthood in Historical and Cultural Perspective

Difficulty Level: Easy

9. According to Lindemann, a common reaction to loss is hostile reactions toward the deceased as well as toward others.

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Knowledge

Answer Location: Theories and Models of Loss

Difficulty Level: Easy

Essays

1. Briefly discuss and give examples of activities of daily living and instrumental activities of daily living that relate to functioning capacity in very late adulthood.

KEY: Learning Objective: 10.3: Describe approaches for evaluating functional capacity in very late adulthood.

REF: Cognitive Domain: Comprehension

Answer Location: Functional Capacity in Very Late Adulthood

Difficulty Level: Medium

2. Identify and discuss the two themes related to relationship patterns in very late-life adults. Include in your discussion relationships with family and friends, intimacy and sexuality, and organizations and community. How do current social arrangements threaten and/or support the desire for social connections among very late-life adults? Cite examples from the Margaret Davis, Mullin, or Marie Cipriani case studies to illustrate different points of your discussion.

KEY: Learning Objective: 10.4: Summarize the major issues in relationships in very late adulthood.

REF: Cognitive Domain: Analysis

Answer Location: Relationships in Very Late Adulthood

Difficulty Level: Hard

3. Discuss the experience of loss in late life. Describe the various aspects of this experience including loss, bereavement, grief, and mourning. Include in your discussion how theories and models of loss help with grief work. What impact does culture have on loss?

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Analysis

Answer Location: Loss, Grief, and Bereavement

Difficulty Level: Hard

4. As a social worker, discuss the importance of recognizing the impact of cultural, religious, and spiritual practices on the bereavement process. Cite examples from your own experience as appropriate.

KEY: Learning Objective: 10.8: Summarize what social workers need to know about loss, grief, and bereavement.

REF: Cognitive Domain: Analysis

Answer Location: Culture and Bereavement

Difficulty Level: Hard

5. Identify current trends in the future for housing options. Cite examples from the Margaret Davis, Pete Mullin, or Marie Cipriani case studies to illustrate what housing options might work for them in the future. Using your own life perspective, evaluate the pros and cons of the various options.

KEY: Learning Objective: 10.5: Describe the housing continuum experienced by people in very late adulthood.

REF: Cognitive Domain: Analysis

Answer Location: The Housing Continuum

Difficulty Level: Hard

6. Discuss the dying process in reference to acceptance of death, advance directives, palliative care, and signs and symptoms. What are your own feelings about death and dying? Describe your comfort level at being physically and emotionally present with clients and their loved ones experiencing a pending death.

KEY: Learning Objective: 10.7: Summarize what social workers need to know about the dying process.

REF: Cognitive Domain: Analysis

Answer Location: The Dying Process

Difficulty Level: Hard