Deck 10: Opportunities and Challenges of Informal Caregiving

Question 1

Which of the following variables is least predictive of an older person's move to a nursing home?

A) perceived burden of the caregiver
B) negative interpersonal dynamics
C) disease symptoms of the elder
D) low confidence in care

Answer 1

C

Question 2

Which of the following ethnic groups is least likely to report stress, burden, and depression in the caregiver role?

A) Hispanic caregivers
B) African American caregivers
C) Asian American caregivers
D) Caucasian, non-Hispanic caregivers

Answer 2

B

Question 3

The use of elder abuse screening tools is problematic because:

A) they are expensive to conduct.
B) families are reluctant to report risk factors.
C) primary care physicians are not trained to use them.
D) no assessments have strong psychometric properties.

Answer 3

B

Question 4

Which of the following is not a part of caregiver assessment?

A) assesses financial resources needed for caregiving
B) validates the family's experiences
C) gives the family a defined role in the treatment process
D) reduces risks to caregivers' well-being

Question 5

Elder abuse on the part of a caregiver includes:

A) verbal threats.
B) misuse of the older person's money or property.
C) physical abuse.
D) all of the above.

Question 6

Evidence for shifts in filial piety among ethnic minorities includes:

A) increased use of services for support among older Asian Americans.
B) increasing proportions of older African Americans using nursing homes.
C) decreasing proportions of older African Americans using nursing homes.
D) increased rates of depression among Latino caregivers.

Question 7

When compared with their white counterparts, African American and Latino caregivers tend to be:

A) more likely to have physical health problems.
B) more likely to be spouses.
C) more likely to have alternative caregivers to assist them.
D) as likely to be economically disadvantaged.

Question 8

It is estimated that ________ percent of older adults are abused by someone with whom they share housing.

A) 70-80
B) 50-60
C) 20-30
D) 0-10

Question 9

The vast majority of older persons:

A) with three or more limitations in daily activities (ADLs) live in the community.
B) receive services by paid care-givers.
C) live in nursing homes.
D) live with their children.

Question 10

Elder abuse is:

A) often concealed by the elderly care recipient.
B) reported in high numbers to adult protective services.
C) screened with an easily administered questionnaire.
D) prosecuted in the majority of cases.

Question 11

Short-term interventions to support caregivers:

A) are rare.
B) require the expertise of geriatric mental health workers.
C) are most effective if focused on relieving subjective burden.
D) have not been proven to relieve burden.

Question 12

Caregiver stress is increased by:

A) severity of the care receiver's disease.
B) availability of formal services.
C) living with the care recipient.
D) cognitive status of care receiver.

Question 13

One of the strongest explanations for elder mistreatment is:

A) abuser impairment.
B) filial piety.
C) objective burden.
D) all of the above.

Question 14

Which demographic and social changes are intensifying demands on families to provide more complex care?

A) rapid growth of the oldest-old with acute illnesses
B) increased nuclear family structures
C) declining racial and economic inequities
D) more women employed outside the home

Question 15

Financial abuse refers primarily to:

A) physical abuse.
B) emotional abuse.
C) economic exploitation.
D) violation of an older person's legal rights.

Question 16

The "sandwich generation" refers to:

A) the young adult generation who feels sandwiched between their parents' and their own.
B) middle-aged men sandwiched between the role of caregiver and wage earner.
C) middle-aged women caring for their parents and children.
D) young women worried about young children and careers.

Question 17

The following have been found to be helpful for the family caregiver's self-care and well-being:

A) setting limits to the older relative's demands.
B) remaining isolated from other relatives.
C) high levels of interaction with other family members.
D) using formal support services.

Question 18

Male caregivers of frail elders:

A) constitute about the same percentage of caregivers as do females
B) feel as psychologically responsible as female caregivers
C) face multiple demands like females
D) are less likely to give up jobs than females

Question 19

A major problem faced by adult protective services when investigating cases of elder abuse is:

A) lack of evidence about the case.
B) a national policy on elder mistreatment.
C) too many community options for referring the elder.
D) inadequate finances of the elder.

Question 20

Elder self-neglect is least likely to be associated with:

A) attention-seeking.
B) cognitive impairment.
C) depression.
D) alcohol abuse.

Question 21

An example of financial caregiver stress would be:

A) missed opportunities in one's career
B) increased morbidity
C) worry and anxiety
D) grief and loss

Question 22

Withholding or improper administration of needed medication would be an example of which type of elder mistreatment?

A) physical
B) medical
C) material
D) violation of rights

Question 23

Adult daughters typically provide more direct care for their older parents than do adult sons.

Question 24

The average female caregiver of an older adult is a full-time homemaker.

Question 25

Researchers have found that caregivers of color perceive less subjective burden from their roles than do Caucasian caregivers.

Question 26

The role of caregiver continues even after the older adult moves to a long-term care facility.

Question 27

Family caregivers tend to experience the stress of emotional burdens more than financial or physical care burdens.

Question 28

All 50 states require Adult Protective Services to investigate claims of elder mistreatment in institutional settings.

Question 29

Older people who are mentally competent have the right to remain in their homes, even if they are at risk.

Question 30

The Family and Medical Leave Act offers job protection to all workers in the private sector who must take short-term leave for family caregiving.

Question 31

The most frequent caregiving pattern is between partners.

Question 32

Strained social and family relationships is an example of what type of caregiver stress?

A) emotional
B) financial
C) physical
D) biological

Question 33

Ethnic minority caregivers more frequently turn to formal services for help than do their white counterparts.

Question 34

Who is least likely to turn to formal services for caregiving?

A) women
B) ethnic minorities
C) men
D) both A and B

Question 35

A caregiver's subjective burden is less important than objective burden or actual tasks performed.

Question 36

Most family caregivers make extensive use of formal services to assist them with their care tasks.

Question 37

Because families are so busy, agencies and facilities are the major providers of long-term care to older adults with chronic illness.

Question 38

From a feminist perspective, women predominate caregiving because they are socialized to be caregivers and because society devalues women's paid and unpaid work.

Question 39

An example of a physical problem attributed to caregiver stress would be:

A) sleep disorders and exhaustion.
B) work absenteeism.
C) social isolation.
D) direct costs of care.

Question 40

The stress of caregiving is the major factor contributing to instances of elder abuse.

Question 41

Outline the two federal policy initiatives, the Family and Medical Leave Act of 1993 and the National Family Caregiver Support Program of 2000, aimed at supporting families.

Question 42

________ refers to the daily physical demands and behavioral phenomena of caregiving.

Question 43

Discuss the costs and benefits of informal care for society and for informal caregivers.

Question 44

________ includes harmful or hurtful conduct that is willfully inflicted upon an older person.

Question 45

Discuss women as caregivers using the feminist theory perspective.

Question 46

The ________ is the part of the Older Americans Act that extends services to caregivers of older adults.

Question 47

Discuss the warning signs of elder abuse and neglect.

Question 48

What are the characteristics of elder abusers that reflect power inequalities?

Question 49

________ is planned for emergency short-term relief to caregivers from the demands of ongoing care.

Question 50

________ occurs when the older adult engages in behavior that threatens his or her safety, even though he or she is mentally competent and understands the consequences of decisions.