Barriers to Health Engagement and Cultural Respect Quiz
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Questions and Answers

How should healthcare professionals address older adults across cultures?

  • Addressing the eldest family member first (correct)
  • Referring to them by their surname only
  • Using first names to show informality
  • Interrupting to show interest in the conversation

What is a key tip regarding the formality of addressing older adults?

  • Use informal language from the start
  • Maintain formality using title & surname until corrected (correct)
  • Immediately switch to informality for rapport building
  • Always use the person's first name

In family communication and decision-making, what should healthcare professionals assess?

  • Degree of patient vs. family involvement preferences (correct)
  • The family's preference for excluding the patient
  • The patient's preference for total isolation
  • Whether to ignore the family's input

Why is it important to address patient and family preferences in decision-making?

<p>To respect and align care with individual and familial wishes (B)</p> Signup and view all the answers

What is a common cultural practice associated with aging across many societies?

<p>Acknowledging wisdom and respecting elders (B)</p> Signup and view all the answers

What should healthcare providers prioritize when working with older adults from different cultures?

<p>Assessing individual preferences and contextual factors (B)</p> Signup and view all the answers

In the context of end-of-life care, what does the 'right to know' refer to?

<p>Patients should be informed about their diagnosis and prognosis (A)</p> Signup and view all the answers

What historical experiences can influence marginalized groups' comfort accessing healthcare?

<p>Challenging experiences like racism and discrimination (A)</p> Signup and view all the answers

How can healthcare providers demonstrate cultural competency in family communication during end-of-life care?

<p>Understanding stigmatized dimensions of both patient's and family's identities (D)</p> Signup and view all the answers

How can healthcare providers address challenges in end-of-life care for older adults?

<p>By considering individual preferences and contextual factors (A)</p> Signup and view all the answers

What does culturally responsive care emphasize in terms of decision-making for older adults?

<p>Assessing individual preferences and contextual factors (D)</p> Signup and view all the answers

What can the 'right to not know' challenge in health care providers?

<p>Patient autonomy (D)</p> Signup and view all the answers

Why might willingness to use hospice and palliative care be seen as not fulfilling values of filial piety?

<p>It can be perceived as challenging religious will (C)</p> Signup and view all the answers

How can low faith in healthcare due to mistreatment affect end-of-life care?

<p>Lead to reduced trust at end-of-life (B)</p> Signup and view all the answers

Why might some individuals perceive involvement in hospice as showing a lack of faith in God/Allah?

<p>Hospice may challenge religious beliefs (B)</p> Signup and view all the answers

How can discussing terms and forms in end-of-life care help improve communication?

<p>Assist in clarifying beliefs and preferences (B)</p> Signup and view all the answers

Why is involving religious leaders or hospital chaplains important in end-of-life care?

<p>To provide spiritual support and guidance (B)</p> Signup and view all the answers

What is the impact of loneliness on mortality rates among older adults compared to those who are not lonely?

<p>65% increased risk of mortality (C)</p> Signup and view all the answers

According to Holt-Lunstad et al., 2017, what outcomes are most conclusively linked to social connection?

<p>Blood pressure, cortisol, and systemic inflammation (C)</p> Signup and view all the answers

Which of the following is NOT considered a protective effect from social support networks mentioned in the text?

<p>Healthcare costs (A)</p> Signup and view all the answers

What is the consequence of chronic illness for marginalized groups mentioned in the text?

<p>Premature aging and accelerated brain aging (B)</p> Signup and view all the answers

According to Commonwealth Fund, 2001, what are some contributory factors to worse mental health in marginalized groups?

<p>History of discrimination and healthcare access disparities (B)</p> Signup and view all the answers

Which biological outcomes are linked to increased morbidity and mortality according to research cited in the text?

<p>Blood pressure, cortisol, and systemic inflammation (D)</p> Signup and view all the answers

What is a concerning trend related to social isolation and race/ethnicity in healthcare?

<p>Lower mortality rates but higher disability rates among Latinx individuals (A)</p> Signup and view all the answers

What is a common characteristic of rural areas that can contribute to adverse health outcomes for older adults?

<p>Reduced access to medical care and support services (A)</p> Signup and view all the answers

Which racial/ethnic group experiences almost twice the likelihood of developing Alzheimer’s disease compared to White adults?

<p>African American population (C)</p> Signup and view all the answers

What is a significant finding related to rural areas and their older adult populations?

<p>Rural areas have higher proportions of older adults and limited access to medical care (C)</p> Signup and view all the answers

Which racial/ethnic group exhibits lower mortality and disability rates according to the text?

<p>Asian American population (D)</p> Signup and view all the answers

How do rural areas differ from urban areas in terms of the older adult population distribution?

<p>Rural areas often have a lower proportion of older adults (A)</p> Signup and view all the answers

Which factor makes some LGBTQ+ older adults more likely to live alone?

<p>Strained relationships with family of origin (C)</p> Signup and view all the answers

What is a common challenge faced by LGBTQ+ older adults when it comes to caregiving and support?

<p>Lack of legal protections (C)</p> Signup and view all the answers

Which aspect of LGBTQ+ older adults' experiences contributes to feelings of being 'invisible' or 'hidden'?

<p>History of discrimination and stigmatization (B)</p> Signup and view all the answers

What is a key protective factor for LGBTQ+ older adults against social isolation and loneliness?

<p>Involvement in intergenerational activities (C)</p> Signup and view all the answers

How does the 'Generation Silent' experience impact the social relationships of LGBTQ+ older adults?

<p>Encourages lateral caregiving from chosen family (D)</p> Signup and view all the answers

Which outcome is most strongly influenced by the history of discrimination faced by LGBTQ+ older adults?

<p>Social isolation and loneliness (D)</p> Signup and view all the answers

What term is used in the text to describe LGBTQ+ older adults who are less likely to have children, may face strained relationships with their family of origin, and experience loss of partners and friends?

<p>Chosen Family (D)</p> Signup and view all the answers

LGBTQ+ older adults are more likely to live alone due to:

<p>Strained relationships with their biological family (B)</p> Signup and view all the answers

Which group is mentioned as having a higher likelihood of transitioning at age 55 or later according to the text?

<p>Transgender adults over age 65 (B)</p> Signup and view all the answers

What term is used in the text to describe LGBTQ+ older adults who may feel 'invisible' or 'hidden' due to a history of discrimination and stigmatization in society?

<p>Hidden Generation (A)</p> Signup and view all the answers

What significant historical event impacted the lives of LGBTQ+ older adults by leading to the removal of homosexuality as a mental disorder?

<p>AIDS epidemic (B)</p> Signup and view all the answers

Which term is used in the text to describe lateral caregiving provided by peers or 'chosen family' to LGBTQ+ older adults?

<p>'Peer Caregiving' (D)</p> Signup and view all the answers

What primary social determinants of health are highlighted in older age?

<p>Income and education (A)</p> Signup and view all the answers

What is a key finding from the Harvard Study of Adult* Development mentioned in the text?

<p>Social connection is a better predictor of well-being than SES (B)</p> Signup and view all the answers

What is the subjective experience associated with loneliness according to the text?

<p>Feeling a lack of relationships (D)</p> Signup and view all the answers

What is essential to consider in order to best treat diverse older adults' needs?

<p>One's own cultural values and assumptions (D)</p> Signup and view all the answers

What does the 2001 Health Care Quality Survey conducted by Princeton Survey Research Associates primarily focus on?

<p>Mental health in marginalized groups (B)</p> Signup and view all the answers

How do older adults strategically choose their social networks according to the text?

<p>By choosing familiar social partners to spend time with (D)</p> Signup and view all the answers

What percentage of older adults in the US spend over half of their waking hours alone on average?

<p>~7 hrs/day (D)</p> Signup and view all the answers

Which organization conducted a web event addressing social isolation & loneliness among older Americans during COVID-19?

<p>Commonwealth Fund (A)</p> Signup and view all the answers

How does social isolation differ from loneliness based on the text?

<p>Loneliness is lacking relationships subjectively, while social isolation involves choosing social networks selectively (C)</p> Signup and view all the answers

In the context of health among older adults, what does the elder economic security standard indexâ„¢ measure?

<p>Economic security needs (C)</p> Signup and view all the answers

What is the impact of one's socioeconomic status (SES) on health outcomes according to the content?

<p>SES affects physical, mental, and functional health outcomes (B)</p> Signup and view all the answers

What was the focus of President & Fellows of Harvard College in 2014 regarding older adults?

<p>Housing affordability (A)</p> Signup and view all the answers

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