1.   Changes in body structure that result from the passage of time are called _______________ aging.

            a)    sociological    b)  psychological    c)  biological    d)  chronological

 

      2.   People in their teens should undertake which one of the following steps to help them with the aging process?

            a)    assess financial status                                   c)   establish good health habits

            b)   reevaluate health insurance plans                  d)   develop important relationships

 

      3.   People in their twenties and thirties should undertake which one of the following to help them with the aging process?

            a)    assess financial status                                   c)   establish good health habits

            b)   reevaluate health insurance plans                  d)   develop important relationships

 

      4.   Individuals in their forties should undertake which one of the following to help them with the aging process?

            a)    develop important relationships                    c)   establish good health habits

            b)   reevaluate health insurance plans                  d)   assess financial status

 

      5.   Which of the following steps should individuals undertake in their fifties to help them with the aging process?

            a)    reevaluate health insurance plans                  c)   develop important relationships

            b)   establish good health habits                          d)   assess financial status

 

      6.   Physical changes due to aging that can be prevented by a healthy lifestyle include all of the following EXCEPT

            a)    weak muscles.    b)  loss of teeth.    c)  osteoporosis.    d)  loss of height.

 

      7.   A degenerative illness that causes shaking or trembling is called

            a)    glaucoma.                                                    c)   Alzheimer's disease.

            b)   Parkinson's disease.                                    d)   macular degeneration.

 

      8.   What is the most common treatment for Parkinson's disease?

            a)    fetal-cell implantation                                   c)   dietary changes

            b)   the drug L-dopa                                          d)   It is untreatable.

 

      9.   Regular physical exercise enhances all of the following EXCEPT

            a)    sustained lung capacity.                                c)   physical health.

            b)   hearing ability.                                             d)   memory capacity.

 

    10.   Regular physical exercise leads to all of the following EXCEPT

            a)    weight control.

            b)   maintenance of flexibility.

            c)    protection against heart attack.

            d)   decreased resilience and suppleness of arteries.

 

    11.   Benefits of regular physical activity include all of the following EXCEPT

            a)    prevention against osteoporosis.

            b)   increased bone fractures caused by increased bone mass.

            c)    increased effectiveness of the immune system.

            d)   maintenance of flexibility and balance.

 

    12.   Rapid decision-making and problem-solving ability is referred to as

            a)    fluid intelligence.                                          c)   solid intelligence.

            b)   common sense.                                           d)   crystallized intelligence.

 

    13.   Fluid intelligence is the ability to

            a)    move easily from situation to situation.

            b)   maintain short-term memory.

            c)    find solutions when confronted with a new problem.

            d)   memorize information and repeat it at a later date.

 

    14.   Which of the following three nutrients are most often lacking in seniors' diets?

            a)    niacin, vitamin C, and vitamin A                   c)   calcium, vitamin D, and vitamin B-12

            b)   folic acid, chromium, and vitamin K             d)   iron, sodium, and vitamin E

 

    15.   Which of the following should be eaten by the elderly person who wants to effectively manage his or her diet?

            a)    low-carbohydrate foods                              c)   low-fat foods

            b)   high-protein foods                                       d)   low-fiber foods

 

    16.   Achieving and maintaining normal weight CANNOT be achieved by

            a)    starvation diets.

            b)   regular physical exercise.

            c)    reduction in calories.

            d)   combining exercise and calorie reduction.

 

    17.   Signs of potential alcohol or drug dependence in older adults include all of the following EXCEPT

            a)    increased activity.    b)  unexplained falls    c)  malnutrition    d)  frequent injuries

 

    18.   Cigarette smoking is linked to all of the following EXCEPT

            a)    osteoporosis.    b)  skin wrinkling.    c)  hearing loss.    d)  premature balding.

 

    19.   A disease in which the fluid inside the eye is under abnormally high pressure and can lead to blindness is

            a)    glaucoma.    b)  cataracts.    c)  conjunctivitis    d)  presbyopia.

 

    20.   Regular testing for glaucoma should begin after age

            a)    30.    b)  40.    c)  50.    d)  60.

 

    21.   To reduce stress in your life as you age, it is a good idea to

            a)    sleep 6 hours or less every night.                  c)   practice relaxation techniques.

            b)   work as hard as you can.                             d)   use recreational drugs and alcohol.

 

    22.   Which of the following is most characteristic of retirement?

            a)    meeting deadlines

            b)   trying to find enough leisure time

            c)    needing to learn how to enjoy leisure time

            d)   seeking competition

 

    23.   Women are more likely to be at a financial disadvantage during retirement than are men. Which one of the following is NOT a contributing factor?

            a)    Women have, on average, lower lifetime incomes than men.

            b)   Women are less likely to be covered by pension plans.

            c)    Women are less likely to develop chronic conditions, which are not covered by health insurance.

            d)   Women are less likely to invest in retirement plans.

 

    24.   Which of the following strategies will NOT improve communication with a person who has hearing loss?

            a)    Speak at a distance of 3 to 6 feet.

            b)   Use short sentences.

            c)    Speak at a slightly louder than normal voice.

            d)   Speak quickly.

 

    25.   The slow disintegration of the tissue at the center of the retina is known as

            a)    glaucoma.    b)  osteoporosis.    c)  macular degeneration.    d)  arthritis.

 

    26.   Usually occurring by one's forties, this vision problem causes a gradual inability to focus on objects close to you.

            a)    cataracts    b)  presbyopia    c)  macular degeneration    d)  glaucoma

 

    27.   Which of the following strategies can help a person with vision loss?

            a)    Increase light sources.

            b)   Avoid the use of hats and/or sunglasses outside.

            c)    Get treatment for presbyopia.

            d)   Paint rooms a darker color.

 

    28.   Warning signs of arthritis include all of the following EXCEPT

            a)    fever with joint pain.    b)  early morning stiffness.    c)  swelling.    d)  sore throat.

 

    29.   The type of arthritis that typically affects the hands and weight-bearing joints of the knees, ankles, and hips is

            a)    rheumatoid arthritis.    b)  lupus.    c)  osteoarthritis.    d)  muscular arthritis.

 

    30.   Which of the following is a strategy for reducing the risk of arthritis?

            a)    avoiding retirement                                      c)   getting more sleep

            b)   exercise                                                      d)   lifting and carrying grandchildren

 

    31.   The enzymes that produce prostaglandins causing pain and inflammation are

            a)    COX-1.    b)  NSAIDs.    c)  COX-2.    d)  MAO.

 

    32.   Strategies to reduce the severity of arthritis includes all of the following EXCEPT

            a)    taking medication.                                        c)   exercising.

            b)   having surgery.                                            d)   maintaining appropriate weight.

 

    33.   Symptoms related to menopause include

            a)    increased sexual desire.                               c)   emotional changes.

            b)   excessive energy.                                        d)   intellectual deterioration.

 

    34.   Drawbacks associated with hormone replacement therapy for menopause include all of the following EXCEPT

            a)    potential rapid weight gain.                           c)   breast tenderness.

            b)   depression.                                                 d)   Alzheimer's disease.

 

    35.   The most serious potential consequence of menopause is

            a)    memory loss.    b)  joint discomfort.    c)  bone fractures.    d)  tooth decay.

 

    36.   Which of the following medications can have a negative impact on bone mass?

            a)    corticosteroids    b)  aspirin    c)  prozac    d)  fosamax

 

    37.   Which of the following is a good lifelong strategy for reducing the effects of osteoporosis?

            a)    avoid alcohol use                                         c)   avoid tobacco use

            b)   avoid exercise                                             d)   avoid overexposure to the sun

 

    38.   The medical term for severe brain deterioration is

            a)    dementia.    b)  senility.    c)  Alzheimer's disease.    d)  pre-senile dementia.

 

    39.   What is the percentage of people under age 80 who suffer from dementia?

            a)    7%    b)  14%    c)  21%    d)  28%

 

    40.   Which of the following is the earliest indicator of dementia?

            a)    failure to grasp a situation                             c)   forgetting events of the day

            b)   forgetting conversations                               d)   forgetting how to perform simple tasks

 

    41.   Which of the following is NOT necessarily a symptom of dementia?

            a)    failure to grasp a situation                             c)   repeatedly telling stories from the past

            b)   forgetting how to perform simple tasks         d)   forgetting events of the day

 

    42.   Causes of reversible dementia include all of the following EXCEPT

            a)    depression.    b)  vitamin B-12 deficiency.    c)  Alzheimer's disease.    d)  alcoholism.

 

    43.   The first symptom(s) of Alzheimer's disease is/are

            a)    forgetfulness and inability to concentrate.

            b)   confusion or disorientation.

            c)    aggressive behavior.

            d)   change in personality.

 

    44.   Factors that may possibly delay the onset of Alzheimer's disease include all of the following EXCEPT

            a)    regularly using nonsteroidal anti-inflammatory drugs.

            b)   having antioxidants in the diet.

            c)    consuming fish rich in omega-3 fatty acids.

            d)   taking vitamin D supplements.

 

    45.   Which of the following methods is the only certain way of diagnosing Alzheimer's disease?

            a)    blood tests    b)  MRI    c)  autopsy    d)  CT scan

 

    46.   How much time does it generally take to resolve the grief associated with losing a loved one?

            a)    3 months    b)  6 months    c)  1 to 2 years    d)  3 years

 

    47.   Symptoms of unresolved grief over a death usually include all of the following EXCEPT

            a)    hostility toward those connected with the death.

            b)   talking about the death as if it were "just yesterday."

            c)    harmful behavior (giving away all of one's belongings).

            d)   manic behavior.

 

    48.   The worst consequence of unresolved grief among the elderly is

            a)    isolation and withdrawal.                              c)   chronic depression.

            b)   suicide.                                                       d)   total dependency on others.

 

    49.   For a female born in the United States in 2000, life expectancy is _______________ years.

            a)    68.9    b)  73.6    c)  79.4    d)  85.3

 

    50.   The average length of life of members of a species is called

            a)    life span.    b)  life expectancy.    c)  life cycle.    d)  lifetime.

 

    51.   For a male born in the United States in 2000, life expectancy is _______________ years.

            a)    68.9    b)  73.0    c)  79.7    d)  85.3

 

    52.   Differences in life expectancy between males and females are due to all of the following EXCEPT rates of

            a)    injury.    b)  exercise.    c)  alcohol use.    d)  tobacco use.

 

    53.   Increased life expectancy in the United States during this century is due to

            a)    the control of childhood and infectious diseases.

            b)   the defeat of chronic illness.

            c)    the fitness boom.

            d)   increased use of vitamin supplements.

 

    54.   The increase in life expectancy of Americans in this century is due to all of the following EXCEPT

            a)    control of childhood diseases.

            b)   greater success in treating chronic diseases.

            c)    less stressful lifestyles.

            d)   improved sanitation conditions.

 

    55.   The theoretically projected length of life based on maximum potential of the human body in the best environment is called

            a)    life span.    b)  life expectancy.    c)  life cycle.    d)  lifetime.

 

    56.   Although not many people reach this age, the upper end of the human life span is about _______________ years.

            a)    105    b)  110    c)  115    d)  120

 

    57.   Failure to achieve a maximum potential life span results from all of the following EXCEPT

            a)    destructive environmental factors.                 c)   destructive behavioral factors.

            b)   retirement.                                                   d)   physical inactivity.

 

    58.   Which of the following statements are not part of cellular theories of aging?

            a)    Cells can duplicate themselves only a set number of times.

            b)   Normal cellular activity is undermined by environmental pollution.

            c)    Connective tissue and collagen become hyperelastic resulting in wear and tear on the body.

            d)   The body generates free radicals, which impair cellular functioning.

 

    59.   The approximate percentage of people in the United States who were over age 65 in 2000 is

            a)    10%.    b)  13%.    c)  15%.    d)  18%.

 

    60.   Which of the following statements regarding the elderly population is FALSE?

            a)    The number of older people who are ill or dependent rises proportionately as the aging population increases.

            b)   Health care is the largest expense for older adults.

            c)    About 11% of people over age 65 live in poverty.

            d)   Overall, the elderly population is worse off today than it has ever been in the past.

 

    61.   Which of the following statements about the financial status of the elderly is TRUE?

            a)    Many live on a fixed income.

            b)   They have fewer living expenses after retirement.

            c)    Few rely on Social Security as their sole source of income.

            d)   They have greater net worth from lifetime savings.

 

    62.   Which of the following statements about Social Security is TRUE?

            a)    Social Security provides most elderly Americans enough to live on.

            b)   Social Security funds can be used to supplement income only by those over age 65.

            c)    Social Security is intended to supplement other income.

            d)   You can collect Social Security benefits anytime in your life when you are unemployed.

 

    63.   What percentage of the elderly live with a spouse or relative?

            a)    6%    b)  26%    c)  56%    d)  66%

 

    64.   What percentage of the elderly in America live alone or with a nonrelative?

            a)    5%    b)  34%    c)  54%    d)  70%

 

    65.   What percentage of the elderly live in nursing homes or institutions?

            a)    4%    b)  25%    c)  50%    d)  70%

 

    66.   A living arrangement for healthy seniors that matches them with like-minded individuals is called

            a)    nursing home.    b)  home sharing.    c)  retirement community.    d)  hospice.

 

    67.   All of the following are necessary to create a safe environment for a person with Alzheimer' disease EXCEPT

            a)    using childproof locks.                                 c)   removing all pets from the home.

            b)   making sure the home is well lit.                   d)   installing grab bars in the bathroom.

 

    68.   The program that was designed to finance health care services for the elderly and disabled but requires the elderly to cover many health care expenses out of their own pockets is

            a)    Medicare.    b)  Social Security.    c)  Medicaid.    d)  Aid to Dependent Individuals.

 

    69.   Which of the following statements regarding Medicare is FALSE?

            a)    Medicare pays for about 70% of the medical costs of the elderly.

            b)   Medicare pays for acute illness.

            c)    Medicare is paid for in part by payroll tax.

            d)   Medicare Part B is a supplement financed by individuals who choose to enroll.

 

    70.   About what percentage of the cost of nursing home care is paid for by Medicare?

            a)    less than 1%    b)  2%    c)  10%    d)  30%

 

    71.   Which of the following statements about Medicaid is true?

            a)    Medicaid is available to low-income people of any age.

            b)   The portion of Medicaid spending attributed to the elderly has risen significantly in the past 10 years.

            c)    The elderly are not eligible for Medicaid.

            d)   Medicaid does not pay for nursing home services.

 

    72.   About what portion of the cost of personal health care expenditures (based on the U.S. gross national product) is spent on the elderly?

            a)    10%    b)  25%    c)  33%    d)  50%

 

    73.   An individual who studies phenomena associated with the aging process is a/an

            a)    gerontologist.    b)  geriatrician.    c)  ageologist.    d)  ornithologist.

 

    74.   An individual who specializes in the diseases, disabilities, and care of the elderly is a/an

            a)    gerontologist.    b)  geriatrician.    c)  ageologist.    d)  ornithologist.

 

    75.   As a larger proportion of the population becomes elderly, changes need to occur in all of the following EXCEPT

            a)    government policies.

            b)   attitudes of the general population.

            c)    health care policies.

            d)   recommendations regarding exercise and diet.

 

    76.   A better arrangement than losing the productivity of elderly individuals at retirement includes all of the following EXCEPT

            a)    setting an arbitrary age for what is old.

            b)   providing volunteer and paid employment for retirees.

            c)    providing retraining programs for occupational and leisure time activities for retirees.

            d)   providing community-sponsored classes for retirees.