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This quiz covers all the reading assignments for week 6 and week 7.

T and F

1)  Private transportation has come to dominate travel in this country to such an extent that the United States is less connected via public transportation now than it was in the late 1980s.

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2)  Older Americans do not rely on private vehicles for their transportation needs; almost 90% of trips taken by older adults over age 65 are in public transportation.

3)  Up to age 80 the majority of older adults have good driving records and appear to perform as well as middle-aged drivers.

4)  Medicare beneficiaries estimate that 14.1 million older adults have some degree of difficulty walking or climbing stairs.

5)  Walking long distances to the nearest bus stop and bus stops that have inadequate shelters, no benches, and poor lighting are barriers to public transit by older adults.

6)  Public transportation is defined as service that is available for specific trip purpose to working individuals of any age and is operated by public agencies or supported by public funds to some extent.

7)  Competence refers to the upper limits of an individual’s abilities and extends across several areas of functioning, including sensory-cognitive abilities, capacity for self-care but not the ability to perform instrumental activities, mastery, and social skills.

8)   To expand housing choices, we need to ensure that the Fair Housing Act is being followed when building new housing areas.

9)  A moderately challenging environment is not beneficial to an elder because it encourages growth and therefore stretches the person’s abilities.

10)  To be eligible for a Reversible Mortgage, a homeowner must be 67 years of age or older, have a very low outstanding mortgage balance or own the home free and clear, occupy the property as the principal resident, but could be delinquent on any federal debt.

11)  Federal legislation has created a number of housing programs that assist older adults who have limited incomes through Section 8, Section 202, and public housing.

12)  Once borrowers receive an HECM, (Reversible Mortgage) they are obligated to occupy the home as a principal residence, make timely payments of the property taxes, maintain a homeowner’s hazard insurance policy, and maintain the property in a condition equal to when they secured the loan.

13)  Many public housing communities employ on-site service coordinators who help elderly residents obtain supportive services that allow them to continue to live in place independently, without having to move to more expensive assisted care environments

14)  Cohousing, a form of residential development designed to promote the practice of caring for neighbors as they age while retaining individual privacy, is not an appealing living arrangement for older adults.

15)  Respite Programs provide services in the older person’s home or at a specific site in the community (e.g., adult day services, nursing home, hospital).

16)  The role of spousal caregiver often comes at a time in the couple’s lives when they may be experiencing health problems or the reduction of functional capacities associated with aging.

17)  Hospice is a philosophy of caring for individuals who are terminally ill, but not their family members.

18)  Respite care is temporary, short-term supervisory, personal, and nursing care provided to older adults with physical or mental impairments to allow caregivers to take a break from their caregiver’s role.

19)  Personal care is a reimbursable service under Medicare.

20)  An alternative type of in-home respite is called Video Respite. This series of 20 to 50 minute videotapes was designed to capture and maintain the attention of persons with dementia.

21)  System barriers related to the use of respite care services include lack of service availability when wanted or needed most and lack of control over who provides services

22)  Older adults who receive in-home care typically exhibit more frequent social and behavioral problems than do participants in other types of respite programs

23)  The Tax Equity and Fiscal Responsibility Act enacted in 1982 created the Medicare hospice program

24)  Shared housing is an arrangement in which two or more unrelated individuals share a home or apartment. For older adults with extra living space in their homes, this housing option can provide financial benefits

25)   The 2010 Patient Protection and Affordable Care Act (ACA) put forth by the Obama administration created two new Medicaid options for states to cover HCBS—Community First Choice and the Balancing Incentive Program

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