Hutchison, Dimensions of Human Behavior, 6e
SAGE Publishing, 2019
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
2. Examples of ______ activities include doing laundry, using transportation, and taking
medication.
A. daily living
B. leisurely
C. instrumental
D. recreational
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
4. Changes caused by health-compromising behaviors or environmental factors are
called ______.
A. primary aging
B. normal aging
C. nonfunctional aging
D. secondary aging
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
6. In Kubler-Ross’s stages of accepting impending death, ______ occurs before
______.
A. anger; denial
B. depression; denial
C. anger; bargaining
D. depression; bargaining
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
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
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
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
11. Restlessness, lowered temperature, and ______ are all signs and symptoms of
impending death.
Hutchison, Dimensions of Human Behavior, 6e
SAGE Publishing, 2019
A. faster heart rate
B. dry mouth
C. painful urination
D. difficulty swallowing
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
13. The state of having suffered a loss is called ______.
A. mourning
B. bereavement
C. grief
D. death
14. The external expression of grief is called ______.
A. mourning
B. bereavement
C. depression
D. loss
15. The normal internal reaction of an individual experiencing a loss is called ______.
A. mourning
B. bereavement
C. grief
D. loss
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
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
18. A person living to 100 years of age is called ______.
A. centenarian
B. century old person
C. very, very, very old
D. octogenarian
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
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
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
22. A form of care that focuses on pain and symptom management is called ______.
A. palliative care
B. purposeful care
C. hospice
Hutchison, Dimensions of Human Behavior, 6e
SAGE Publishing, 2019
D. end of life care
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
24. The severing of an attachment an individual has with a loved one is called ______.
A. mourning
B. bereavement
C. grief
D. loss
True/False
1. Current trends indicate that there will be a higher demand for LGBTQ-friendly
housing options in the future.
2. All persons in very late adulthood experience primary aging.
3. Women in particular are more alone in this life stage than at other times in their lives.
4. .Spirituality is primarily concerned with preparing for death and a potential afterlife.
5. Hospice is more a philosophy of care than a place.
6. It is important for family members to have adequate information about the dying
process in order to reduce the anxiety associated with death.
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.
8. The 85-and-older population is the slowest growing segment worldwide.
9. According to Lindemann, a common reaction to loss is hostile reactions toward the
deceased as well as toward others.
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.
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.
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?
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.
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.
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.
