Barriers to Health Engagement and Cultural Respect Quiz

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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?

To respect and align care with individual and familial wishes Signup and view all the answers

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

Acknowledging wisdom and respecting elders Signup and view all the answers

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

Assessing individual preferences and contextual factors Signup and view all the answers

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

Patients should be informed about their diagnosis and prognosis Signup and view all the answers

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

Challenging experiences like racism and discrimination Signup and view all the answers

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

Understanding stigmatized dimensions of both patient's and family's identities Signup and view all the answers

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

By considering individual preferences and contextual factors Signup and view all the answers

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

Assessing individual preferences and contextual factors Signup and view all the answers

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

Patient autonomy Signup and view all the answers

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

It can be perceived as challenging religious will Signup and view all the answers

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

Lead to reduced trust at end-of-life Signup and view all the answers

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

Hospice may challenge religious beliefs Signup and view all the answers

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

Assist in clarifying beliefs and preferences Signup and view all the answers

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

To provide spiritual support and guidance 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?

65% increased risk of mortality Signup and view all the answers

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

Blood pressure, cortisol, and systemic inflammation Signup and view all the answers

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

Healthcare costs Signup and view all the answers

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

Premature aging and accelerated brain aging Signup and view all the answers

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

History of discrimination and healthcare access disparities Signup and view all the answers

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

Blood pressure, cortisol, and systemic inflammation Signup and view all the answers

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

Lower mortality rates but higher disability rates among Latinx individuals Signup and view all the answers

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

Reduced access to medical care and support services Signup and view all the answers

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

African American population Signup and view all the answers

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

Rural areas have higher proportions of older adults and limited access to medical care Signup and view all the answers

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

Asian American population Signup and view all the answers

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

Rural areas often have a lower proportion of older adults Signup and view all the answers

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

Strained relationships with family of origin Signup and view all the answers

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

Lack of legal protections Signup and view all the answers

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

History of discrimination and stigmatization Signup and view all the answers

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

Involvement in intergenerational activities Signup and view all the answers

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

Encourages lateral caregiving from chosen family Signup and view all the answers

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

Social isolation and loneliness 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?

Chosen Family Signup and view all the answers

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

Strained relationships with their biological family 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?

Transgender adults over age 65 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?

Hidden Generation 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?

AIDS epidemic 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?

'Peer Caregiving' Signup and view all the answers

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

Income and education Signup and view all the answers

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

Social connection is a better predictor of well-being than SES Signup and view all the answers

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

Feeling a lack of relationships Signup and view all the answers

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

One's own cultural values and assumptions Signup and view all the answers

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

Mental health in marginalized groups Signup and view all the answers

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

By choosing familiar social partners to spend time with Signup and view all the answers

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

~7 hrs/day Signup and view all the answers

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

Commonwealth Fund Signup and view all the answers

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

Loneliness is lacking relationships subjectively, while social isolation involves choosing social networks selectively Signup and view all the answers

In the context of health among older adults, what does the elder economic security standard index™ measure?

Economic security needs Signup and view all the answers

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

SES affects physical, mental, and functional health outcomes Signup and view all the answers

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

Housing affordability Signup and view all the answers