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 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
Controversy 6: Should Older People Be Protected From Bad
Choices?
Test Bank

Multiple Choice
1. How is a case of potential elder abuse different from a case of potential child abuse?
a. The aged are more vulnerable physically, socially, and emotionally
b. Children are more likely than elders to be victims of financial exploitation
c. People of all ages have a right to live in ways that others may judge risky
d. An adult, unlike a child, is always presumed mentally competent until proven
otherwise
e. None of the above
Ans: d
Answer Location: Interfering when People Make Bad Choices
Difficulty Level: Hard

2. Complete cessation of sexual activity is most often a result of which of the following?
a. Marital status
b. Feelings of an older person about sexuality
c. A decline in physical health among one or both partners
d. All of the above
e. A and B above
Ans: c
Answer Location: Sexuality in Later Life
Difficulty Level: Medium

3. Which of the following is the best predictor of sexuality in old age? () ()

a. Marital status
b. Earlier sexual behavior
c. Feelings of an older person about sexuality
d. Physical health
e. None of the above
Ans: b
Answer Location: Sexuality in Later Life
Difficulty Level: Medium

4. According to a recent comprehensive review of research on elder abuse, approximately

what percentage of older adults is thought to have experienced elder abuse?
a. 3%
b. 10%
c. 25%
d. 50%

1
 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
Ans: b
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

5. Which of the following are risk factors for elder abuse?

a. Psychopathology, especially alcohol and substance abuse
b. Family history of violence
c. Social isolation
d. Care giving burdens
e. All of the above
Ans: e
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

6. When a person can no longer manage to prevent harm to himself or herself or others,
legal intervention (i.e., “protective proceedings”) may be sought and may include which
of the following processes?
a. Guardianship
b. Conservatorship
c. Civil commitment
d. All of the above
e. A and B above
Ans: d
Answer Location: Reading 26: The Right to Freedom From Restraints
Difficulty Level: Medium

7. Which of the following powers does Parens patriae refer to?

a. The state has the authority to prohibit individuals from injuring others or harming their
property
b. The state has the authority to protect those who cannot protect themselves
c. That state has the authority to provide procedural safeguards to avoid wrongful
imprisonment
d. All of the above
e. A and B above
Ans: b
Answer Location: Reading 26: The Right to Freedom From Restraints
Difficulty Level: Hard

8. According to Wetle and Fulmer, which of the following protective functions may
result when health professionals assist caregivers in recognizing the limits of their own
health, identifying supportive services, and sharing care-giving responsibilities among
available family members?
a. It may prevent elder abuse or neglect that might have been triggered by caregiver
burden
b. It may protect the caregiver from mistreatment or abuse
c. It may assist professionals in balancing autonomy and beneficence

2
 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
d. All of the above
e. A and B above
Ans: e
Answer Location: Reading 27: Caregiver Burden and Spousal and Intergenerational
Responsibilities Involve Differing Personal and Societal Expectations
Difficulty Level: Hard

9. According to Heisler and Quinn, which of the following ethical issues are most likely
to arise in legal proceedings regarding elder mistreatment?
a. Promotion of autonomy
b. Least restrictive alternative
c. Guardianship concerns
d. All of the above
e. A and B above
Ans: e
Answer Location: Reading 28: Ethical Issues
Difficulty Level: Medium

10. Which of the following the “least restrictive alternative” refers to? () ()
a. The promotion of self-governance, that is, being one’s own person, without constraint
by others or by psychological or physical limitations
b. What an older adult actually does to take care of daily living needs; includes
consideration of past decision-making
c. Practitioners are ethically bound to craft individualized solutions that are least intrusive
upon their client’s freedom.
d. All of the above
e. None of the above
Ans: c
Answer Location: Reading 28: Least Restrictive Alternative
Difficulty Level: Medium

11. According to Fabian and Rathbone-McCuan, which of the following terms has been
used to describe older patients who appear filthy and unkempt, whose homes are dirty
and untidy, but who show no shame for their situation?
a. Self-Neglect Syndrome
b. Senile Breakdown Syndrome
c. Dilemma of Neglect Syndrome
d. Diogenes Syndrome
e. None of the above
Ans: d
Answer Location: Reading 29: Self-Neglect in the Literature
Difficulty Level: Medium

True/False

3
 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
1. Elder abuse and self-neglect are the same phenomenon and can be addressed in the
same way.
Ans: F
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

2. Data from National Crime Victimization Surveys show that people over age 65 are
more likely than other age groups to be victims of serious crimes, such as robbery,
personal theft, assault, and rape.
Ans: F
Answer Location: Crime and Older Adults
Difficulty Level: Medium

3. Advancing age is the major predictor of sexual activity in old age.

Ans: F
Answer Location: Sexuality in Later Life
Difficulty Level: Medium

4. Research has failed to find a clear relationship between age and fear of crime.
Ans: T
Answer Location: Crime and Older Adults
Difficulty Level: Medium

5. Older people are more likely to be victims of financial exploitation than physical
abuse.
Ans: T
Answer Location: Crime and Older Adults
Difficulty Level: Easy

6. All states require mandatory reporting whenever there is evidence of elder abuse.
Ans: F
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

7. Sexuality is a normal part of the human life course, including in later life.
Ans: T
Answer Location: Sexuality in Later Life
Difficulty Level: Medium

8. According to Brown, guardians and conservators often do not know or fail to heed the
wishes and concerns of their wards.
Ans: T
Answer Location: Reading 26: The Right to Freedom From Restraints
Difficulty Level: Medium

9. There are generally no limits to the individual’s right to exercise self-determination.

4
 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
Ans: F
Answer Location: Reading 26: What is the Justification for Government Intervention into
Our Lives?
Difficulty Level: Medium

10. Wetle and Fulmer suggest that a competent patient may refuse interventions even if a
health professional confirms that the patient is being mistreated.
Ans: T
Answer Location: Reading 27: Balancing patient Autonomy and the Best Interests of
Patients
Difficulty Level: Medium

11. Some cases of elder mistreatment occur when the burden of care giving becomes too
great.
Ans: T
Answer Location: Elder Abuse and Neglect
Difficulty Level: Easy

12. According to Wetle and Fulmer, when health professionals treat families, they always
know who the primary patient is and how to balance their professional obligations among
various members of the family.
Ans: F
Answer Location: Reading 27: Who is the Patient?
Difficulty Level: Medium

13. According to Heisler and Quinn, practitioners should not protect a client’s autonomy
to the extent that they fail to take action to protect an elder.
Ans: T
Answer Location: Reading 28: A Legal Perspective on Elder Abuse
Difficulty Level: Medium

14. Evaluating the competency of clients necessitates working with the characteristics of
the individual older adult.
Ans: T
Answer Location: Reading 28: Ethical Issues
Difficulty Level: Easy

15. Fabian and Rathbone-McCuan suggest that the fact that there are stereotypic or
“typical” cases of self-neglect assists professionals in arriving at simplistic solutions to a
variety of situations.
Ans: F
Answer Location: Reading 29: Is There a Typical Case of Self-Neglect?
Difficulty Level: Medium

16. Self-neglect is often attributed to older adults.

Ans: T

5
 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
Answer Location: Reading 29: Self-Neglect in the Literature
Difficulty Level: Medium

17. There is widespread agreement among professionals as to the definitive definition of

elder abuse.
Ans: F
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

18. There is a clear-cut psychopathology that explains the tendency in some individuals
to neglect themselves.
Ans: F
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

Essay
1. What dilemmas do professionals face when they come across cases of suspected abuse
or neglect of elders?
Ans: Varies
Answer Location: Reading 28: Ethical Issues
Difficulty Level: Medium

2. Describe what is meant by “guardianship.” How can guardianship be helpful or

harmful to vulnerable adults?
Ans: Varies
Answer Location: Intervention into the Lives of Vulnerable Older Adults
Difficulty Level: Medium

3. Why is it difficult to define “quality of life” and measure well-being in old age? How
is this difficulty problematic for gerontology? How does this difficulty render decisions
about whether to intervene in suspected cases of abuse or neglect problematic?
Ans: Varies
Answer Location: Perceptions of Quality of Life
Difficulty Level: Hard

4. Is there a difference between neglecting one’s self, and being neglected or abused by
another?
Ans: Varies
Answer Location: Elder Abuse and Neglect
Difficulty Level: Medium

5. Compare and contrast the exercise of police power and parens patriae power. What
procedural protections are provided to safeguard individuals’ rights?
Ans: Varies

6
 Instructor Resource
Moody, Aging, 9e
SAGE Publishing, 2018
Answer Location: Reading 26: What is the Justification for Government Intervention into
Our Lives?
Difficulty Level: Hard

6. Describe the kinds of ethical dilemmas health professionals face in suspected cases of
elder mistreatment.
Ans: Varies
Answer Location: Reading 27: Ethical Dilemmas in Elder Abuse
Difficulty Level: Medium

7. What special considerations must be made in legal proceedings dealing with elder
abuse? Which ethical issues are most likely to arise in these cases, and why?
Ans: Varies
Answer Location: Reading 27: Ethical Dilemmas in Elder Abuse
Difficulty Level: Medium

8. Describe the ambiguities and contradictions that surround the problem of self-neglect
among some older persons.
Ans: Varies
Answer Location: Reading 29: Elder Self-Neglect
Difficulty Level: Medium

7
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