Question 1

Housing options for older adults that provide a supportive living arrangement for people who need assistance with personal care, but who are not so impaired they need 24-hour care, describes which of the following?

Accepted Answer

Assisted living is specifically designed for older adults who need assistance with personal care, but do not require 24-hour skilled nursing care. It provides support with activities of daily living, such as bathing, dressing, and medication management, while allowing residents to maintain their independence and privacy. Nursing homes offer more intensive medical care and supervision, while congregate housing provides independent living options for older adults who do not need assistance with personal care. Adult day care provides a structured program of services and activities for people who require supervision during the day, but do not need to live in a facility.

Question 2

Eighty-two-year-old Robert is recovering from an ATV accident from which he now has numerous broken ribs, a broken arm, and a surgically reconstructed ankle. Where is Robert most likely living at the moment?

Accepted Answer

Given Robert's age and extensive injuries, it is likely that he is currently residing in a nursing home where he can receive the necessary medical attention and rehabilitation services. It is unlikely that he would be able to care for himself at home or that he would be in an assisted living facility or congregate housing which typically provide less intensive medical care.

Question 3

Nursing home placement decisions are often made in reaction to

Accepted Answer

Nursing home placement decisions are often made in response to a crisis, such as an impending discharge from a hospital. Other factors, such as opening up of a space or making a planned relocation, may play a role, but the urgency of a crisis is typically the driving force behind the decision.

Question 4

Lou and NG showed cognitive competence, closeness to family, and relationship-based coping are helping _______________ older adults who live alone to deal effectively with loneliness.

Accepted Answer

The article specifically mentions that Lou and NG's study was conducted with "Chinese older adults who live alone." There is no mention of Korean, Taiwanese or Japanese older adults in relation to this study.

Question 5

The Lawton-Nahemow competence-environmental press model accounts for all of the following except

Accepted Answer

The answer of The Lawton-Nahemow competence-environmental press model accounts for...

Question 6

The Gerontological Society of America suggests all of the following for making visits to long-term care facility residents more pleasant except

Accepted Answer

The Gerontological Society of America does not suggest that the visitor should control the visit to maximize conversation. Instead, they suggest letting the resident lead the conversation and paying attention to nonverbal cues to create a more comfortable and enjoyable visit.

Question 7

An apartment complex of older individuals that provides some level of services, such as shared meals, to clients is best described as

Accepted Answer

Congregate housing is designed for older adults who can live independently but want some level of services, such as shared meals or transportation services. It is not as intensive as assisted living, which typically provides assistance with daily activities such as bathing and dressing. Adult day care is a program that provides care and activities for individuals who require supervision during the day. Auxiliary dwelling units are small, independent living units that are often located on the same property as a primary residence and are designed to provide housing for additional family members or renters.

Question 8

According to Willis' model of everyday competence, one's health and the availability of health insurance would be considered

Accepted Answer

Willis' model of everyday competence breaks down competence into three categories: antecedents, mechanisms, and outcomes. Antecedents are factors that influence one's competence, such as health and education. Mechanisms are the specific skills and abilities that contribute to competence, such as problem solving and communication. Outcomes are the results of competence, such as success in achieving a goal. Health and the availability of health insurance would be considered antecedents because they are factors that influence one's overall competence in daily life.

Question 9

According to your textbook, older adults who age in place form strong emotional and cognitive attachment with their residences that help transform a _________into a ______________.

Accepted Answer

According to the textbook, older adults who age in place form strong emotional and cognitive attachment with their residences that help transform a house into a home.

Question 10

Allowing residents to decorate their own rooms, choosing what they want to eat from a buffet, and deciding whether they want to take a shower or a bath, is a description of which of the following?

Accepted Answer

Allowing residents to have control over their own lives and decisions, such as how they decorate their room and what they eat, is a key feature of person-centered planning. This approach emphasizes the individual's preferences, needs, and goals, and aims to create a supportive and empowering environment that promotes their autonomy and well-being. Assisted living may offer some degree of individual choice and autonomy, but it is a broader concept that includes various services and support for older adults who need help with activities of daily living. Person-environment planning and staff programs are not relevant choices in this context.

Question 11

All of the following are essential in a special care unit except

Accepted Answer

Special medication and soft restraints for all residents are not essential in a special care unit. In fact, restraint use should be minimized and used only when necessary for the safety of the resident and others. Other alternatives, such as redirection or environmental modifications, should be tried before resorting to restraints.

Question 12

According to Lawton and Nahemow, the area where press level is average for a given level of competence and where behavior and affect are normal is called

Accepted Answer

The adaptation level, according to Lawton and Nahemow's ecological model of aging, is the point where the environmental press and the individual's competence are in balance, leading to normal behavior and affect.

Question 13

Deciding on the best option for an elderly person entails assessing the ability of family members or friends to provide__________or care.

Accepted Answer

The ability of family members or friends to provide support is crucial in deciding on the best option for an elderly person. This support may include emotional support, companionship, assistance with daily activities, and healthcare management. While finances, safety, and love are all important considerations, they may not be the determining factor in choosing the best option for the elderly person.

Question 14

Secondary baby talk, also called ___________, involves the unwarranted use of a person's first name, terms of endearment, simplified expressions, and an assumption that the recipient has no memory.

Accepted Answer

The description given matches the definition of elderspeak, which is a form of communication that is often used by younger individuals when speaking to older adults. It is characterized by simplified vocabulary, slow speech rate, and an assumption of cognitive decline or memory loss.

Question 15

Special care units in nursing homes have been designed specifically to best suit the needs of clients with

Accepted Answer

Special care units in nursing homes are designed specifically for clients with dementia. These units provide a safe and secure environment with trained staff and specialized programs to meet the unique needs of individuals with dementia.

Question 16

Evidence is clear that compared with keeping relatives with cognitive impairment at home, good adult day care programs can do all of the following except

Accepted Answer

The other options A, B, and C are all benefits of good adult day care programs compared with keeping relatives with cognitive impairment at home. However, there is no evidence to suggest that adult day care programs increase family member efforts to clearly seek what is best for their loved one.

Question 17

The circumstances that facilitate feeling at "home" while living in a nursing home include all of the following except

Accepted Answer

While participating in the placement decision, having prior knowledge of the facility, and focusing on family and social relationships can all facilitate feeling at "home" while living in a nursing home, focusing on autonomy and personal objects may not necessarily contribute to this feeling as much. Feeling at "home" often includes a sense of comfort, familiarity, and belonging, which may be more closely tied to social connections and a sense of control over one's own life rather than material possessions.

Question 18

Ryan and her colleagues' Communication Enhancement Model emphasizes communication with older adults must be based in part on

Accepted Answer

Ryan and her colleagues' Communication Enhancement Model emphasizes the importance of recognizing individualized cues when communicating with older adults. This includes paying attention to nonverbal cues, cultural background, and personal preferences to improve communication and build rapport. While psychological distress may be a factor to consider, it is not the main focus of this model. The model also does not advocate for the relinquishment of power by those needing services in long-term care facilities or the reduction of high-level vocabulary to low-level vocabulary when communicating with older adults.

Question 19

Many older adults compensate in their environments in order to effectively cope. Or, they select a different place to live. This description fits with the

Accepted Answer

The competence-environment press model proposes that individuals adapt and adjust their environments to match their level of competence, in order to maintain a sense of balance and well-being. This model describes how older adults compensate in their environments by selecting a different place to live or modifying their current environment to effectively cope, which aligns with the given description. The other answer choices do not accurately fit this description.

Question 20

In Kahana and Kahana's model (2006), helpful factors, such as having friends and having a positive outlook on life, are called

Accepted Answer

The helpful factors in Kahana and Kahana's model (2006) are referred to as buffers, which protect against negative or stressful situations. These buffers can include friends, positive outlooks on life, and other resources that can help individuals cope with difficulties.

Quiz 5: Where People Live: Person-Environment Interactions