course material

1. Gerontology 301 Quiz
QUESTIONFEB 07, 2017Gerontology 301 QuizT and F1. More recently, nutrition programs
have begun offering medical nutrition therapy for older adults who are nutritionally at risk
or malnourished. 2. Home-delivered meal programs have shown that recipients have more
physical limitations, are less socially isolated, and have similar incomes than those who
attend congregate meal programs3. Lack of private transportation makes shopping
assistance an important service under the Older Americans Act program.4. Home-delivered
meals in most communities are provided by government agencies funded under the
OAA.5. The Seniors Farmer Market program provides coupons to low-income elders, aged
60 and older, with incomes not greater than 185% of the federal poverty rate. 6. Older
adults who lack an understanding about what constitutes a legal problem or how laws
originate may not be able to identify that a legal remedy exists when problems
occur 7. Under the OAA legislation, congregate meal programs were required to provide at
least one hot meal five or more days a week in a congregate setting, adult day program, or
multigenerational site including in rural areas and where it is deemed feasible. 8. Home-
delivered meal participants are a more frail and at-risk population than those who attend
congregate meal programs.9. Elder abuse includes physical, psychological, and financial
abuse as well as neglect10. Supplemental Food Program (CSFP) is a service in place that
assists low-income older adults over 60 years of age.11. Personal care tasks, commonly
referred to as activities of daily living (ADLs), include tasks such as bathing and grooming,
toileting, dressing, and eating.12. Home-management activities, or instrumental activities of
daily living (IADLs), include tasks such as shopping and preparing meals, doing housework,
and handling personal finances.13. Chronic conditions vary across different populations of
older adults. Older women are more likely than older men to suffer from chronic arthritis,
hypertension, incontinence and asthma14. The older population is at one point or another
affected by one or more chronic conditions, regardless of race and ethnicity 15. The
disparities in health can be associated to the social economic status of the different groups
rather than on their ethnic or racial status.1 point each x 15 = 15 pointsMultiple
Choices1. For both the congregate and home-delivered programs the following is true
EXCEPTa) Services must be targeted at persons with the greatest social and economic
need, b) Attention should be given to low-income older persons, including low-income
minority older persons, c) Older persons with limited English proficiency, d) Older persons
residing in urban areas 2. Per the CDC, the top 5 chronic conditions for Hispanics are: a)
cancer, heart disease, unintentional injuries, stroke and diabetesb) chronic liver disease,

2. cirrhosis, cancer, unintentional injuries and diabetesc) chronic lower respiratory
disease, Alzheimer’s disease, cancer, unintentional injuries and cancer3. The following is
true;a) As the percentage of persons in the oldest-old category increases, the need for
home-delivered meals may increase.b) Changes in the delivery of health care have an
impact on nutrition programs. c) Programs will be challenged to serve the underserved
population in an era of shrinking public and private dollarsd) A and Ce) All the above4. In
accordance with the Older Americans Act each Title III Nutritional program, the program
must provide the following Except:a) Meals must have a minimum of one third of the
recommended daily allowances b) Meals must be prepared with the advice of
dietitians. c) Services should include nutrition screening, nutrition education, nutrition
assessment, and counseling. d) Participants must live independently. 5. Per the CDC, the
top 5 chronic conditions for African Americans are: a) Heart disease, cancer, stroke,
diabetes and unintentional injuries. b) Kidney disease, heart disease, chronic lower
respiratory disease, diabetes and unintentional injuries c) Heart disease, cancer, stroke,
Alzheimer’s disease and unintentional injuries. d) Kidney disease, heart disease,
Alzheimer’s disease, diabetes and unintentional injuries 6. The Senior Farmers’ Market
Nutrition Program a) Was established through the 2008 Farm Bill to increase the
consumption of agricultural commodities b) The purpose of the SFMNP is to provide fresh,
nutritious, locally grown fruits, vegetables, herbs, and honey from farmers’ markets and
roadside standsc) The program is aiding in the development and expansion of domestic
farmers’ markets and roadside stands d) All the above7. Title III Part F: ‘Disease Prevention
and Health Promotion Services” of the Older Americans Act is designed to enhance the well-
being of older adults and includes the following services excepta) Health risk assessments,
routine health screening, Nutrition counseling and education and Alcohol and substance
abuse, smoking cessation, b) Health risk assessment, weight loss, stress management,
smoking cessation, routine health screening and physical fitnessc) Physical fitness, group
exercise, music therapy, art therapy, dance movements, Health risk assessment and
Nutrition counseling d) Home injury control services education, Medication
management, Information about age related diseasese) All the above services are included,
there are no exceptions.8. To ensure food insecure seniors have access to nutritional meals
the following are some recommendations:a) Enlist the help of local churches to donate non-
perishable goods to seniors b) Contribute monetary donation and time to local food banks
to assist with the distribution of mealsc) Educate seniors on the importance of health and
wellnessd) All the above9. The Elder Justice Act (EJA) includes a comprehensive array of
initiatives except a) Mandates the establishment of an advisory council (federal Elder
Justice Coordinating Council) to provide recommendations to the Secretary of Health and
Human Services regarding the best coordination mechanisms throughout all levels of
government to prevent elderly abuse. B) Requires formation of an advisory board
responsible to develop strategic plans to assure elder justice.C) Background check for those
who have direct contact with elders in long term care facilities D) Creates the Ombudsman
program to protect elders in Nursing Homes10. The Older Americans Act provide services
for caregivers. The following is the list of services this title provides excepta) Assistance in
gaining access to private pay servicesb) Individual counselingc) Respite

3. cared) Supplemental services, including housing improvement, chore, provision of medical
supplies and servicese) Legal assistance for caregivers, grandparents or older individuals
who are caregivers for relatives.f) B and E2 points each x 10 = 20 pointsEssay
questions1) Administration on Aging (AoA) has been instrumental in supporting initiatives
designed to enhance the well-being of older adults. Discuss these efforts. 2) Discuss the
difference among: Food banks,Brown Bags and Senior Farmers Market.3) The Elder Justice
Act (EJA), subtitle H of the Patient Protection and Affordable Care Act, passed into law in
2010, supports initiatives designed to protect vulnerable elders. Please discuss what the
initiatives are included in the Patient Protection and Affordable Care Act to enhance
services to elders.4) Title III, the largest program under the Older Americans Act,
authorizes could you explain and discuss what this title covers.5) If you are a resident in a
Nursing Home or in an Assisted Living Facility how can the Office of Long-Term Care
Ombudsman help you?