Chapter 24 Relationships, Roles, and Transitions

Chapter 24  Relationships, Roles, and Transitions

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of the following statements is not true of older adult relationships?
a.
After 50 years of marriage, a couple can face new and severe challenges to their relationship.
b.
Older adults often hold their families together by arranging get-togethers and documenting the family’s history and rituals.
c.
Losing a brother or sister brings an older adult face-to-face with his or her own death.
d.
For older adults, friends can never take the place of family.

ANS: D
Friendships can provide the commitment and support that is sometimes lacking in family relationships.
Physical and psychosocial changes related to aging, such as declining health, reduced income, and mismatched needs, may cause a severe strain even for a couple who has been together for 50 years or more. A person who holds his or her family together by arranging get-togethers and documenting the family’s history and rituals is known as a kin-keeper. The impact of the loss of a brother or sister, not only at the time of the death but also when a younger survivor reaches the age at which the lost sibling died, can be quite disruptive.

PTS: 1 DIF: Understand REF: 8
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity

2. Which of the following statements is true about the role of grandparents?
a.
The usefulness of grandparents declined with the advent of the industrial age.
b.
Today, many grandparents are the primary caregivers of their grandchildren.
c.
The value of grandparents is to provide gifts to younger family members.
d.
Traditionally, parents are subordinate to the grandparents in caregiving.

ANS: B
Grandparents have always had an important role to play and have become more important than ever in recent decades. An increasing number of parents have been unable to provide necessary care for their children as a result of personal problems; often, grandparents fill the gaps. Grandparents provide continuity, family tradition, and accumulated wisdom. Parents are still expected to be the primary caregivers.

PTS: 1 DIF: Understand REF: 17-18
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity

3. An older man is being abused by his daughter, a single working mother of four children, with whom he lives. The nurse investigates and learns that the abuse is due to situational stress. Which of the following interventions should the nurse implement to address the short-term crisis?
a.
Immediately remove him from his daughter’s home.
b.
Encourage the daughter to work with social services.
c.
Arrange respite care or day care for the patient.
d.
Place the patient in a long-term care facility.

ANS: C
By relieving the daughter of some responsibilities, respite care is likely to be beneficial for the older adult and his daughter; it can help reduce tension.
Unlike children, abused older adults cannot be removed from their situations without their permission. Helping the daughter manage the situational stress would be more effective. Encouraging the daughter to work with social services can help teach her more effective and harmless ways of solving problems, but it does not address the short-term crisis. Placing the patient in a long-term care facility may eventually be necessary, but improving the living situation within the patient’s family would be better.

PTS: 1 DIF: Apply REF: 21-22
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment

4. Which of the following statements is true about caregiving?
a.
Dementia in an older adult can cause grief in the caregiver, comparable with the grief from the older adult’s death.
b.
Middle-aged adults and older parents reverse life-long caregiving roles with increasing age.
c.
Older adults should relocate to the caregiver’s home when long distances separate the two.
d.
Increasing numbers of adult children who are developmentally disabled become caregivers for their older parents.

ANS: A
As the dementia progresses, the patient may cease to recognize a spouse or child. The parent still remains the parent, and the idea that the parent somehow becomes a child again is demeaning. The older person may have significant support in the community where he or she lives. Older parents often remain the caregivers for disabled children, which is a serious burden.

PTS: 1 DIF: Understand REF: 13-24| 51-55
TOP: Nursing Process: Assessment MSC: Psychosocial Integrity