Chapter 34: Relationships, Roles, and Transitions Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. Which of the following reactions to the loss of a spouse or long-term partner is a unique
example of older adult male bereavement? a. Withdrawing from friends and family b. Remarrying within months of the loss c. Focusing on “doing” rather than “feeling” d. Experiencing moderate to severe depression ANS: B
Bereaved males may be more socially and emotionally vulnerable. Widowers adapt more slowly than widows to the loss of a spouse and often remarry quickly. The remaining options reflect reactions that are typically seen in both grieving men and women. DIF: Cognitive Level: Applying REF: p. 465 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Psychosocial Integrity 2. Which question will best assess the ability of the LGBT older couple to successfully adjust to
the challenges of aging? a. “How long have you been in this relationship?” b. “Have you experienced prejudice and discrimination in your life?” c. “As a couple are you financially secure?” d. “Do you as a couple share similar religious beliefs?” ANS: B
Some research has suggested that this population may adapt more successfully to old age as a result of successful coping over a lifetime with discrimination and prejudice. While the remaining options are positive factors, they do not have the same degree on influence on the development of coping skills that the correct option has. DIF: Cognitive Level: Applying REF: pp. 469–470 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Psychosocial Integrity 3. When acting as a fictive kin, in which activity will a paid caregiver engage? a. Being responsible for paying the client’s bills b. Organizing the client’s birthday celebration c. Accompanying the client to doctor’s appointments d. Assuring the client has clean, appropriate clothing available ANS: B
Fictive kin are nonrelatives who become surrogate family members. These individuals take on instrumental and affectional attributes of family such as described in the correct option. The remaining options lack the element of affection and familial concern. DIF: Cognitive Level: Applying REF: p. 471 TOP: Integrated Process: Teaching/Learning