TEST BANK
Functional and Occupational Performance in Older Adults
Bette R. Bonder, Noralyn D. Pickens, and Vanina Dal Bello-Haas
5th Edition
,Table of Contents
Chapter 01 Aging in Context 1
Chapter 02 Meaningful Occupations in Later Life 5
Chapter 03 Theories of Aging 9
Chapter 04 Aging and Culture 13
Chapter 05 Identity, Sexuality, and Relationships 19
Chapter 06 Legal and Ethical Issues 22
Chapter 07 Special Concerns in Care and Prevention 26
Chapter 08 Metabolic Conditions 31
Chapter 09 Cardiopulmonary and Cardiovascular Conditions 35
Chapter 10 Sensory Function and Health Conditions 40
Chapter 11 Musculoskeletal Function and Health Conditions 44
Chapter 12 Neuromuscular and Neuromotor Conditions 49
Chapter 13 Neurobehavioral Function and Health Conditions 53
Chapter 14 Self-Care 58
Chapter 15 Home Management 62
Chapter 16 Health Management and Sleep 65
Chapter 17 Leisure 69
Chapter 18 Work and Retirement 73
Chapter 19 Community Mobility and Driving 77
Chapter 20 Caregiving 81
Chapter 21 Special Concerns Around Evaluation of the Older Adult 84
Chapter 22 Wellness and Community-Based Services 88
Chapter 23 Primary Care 91
Chapter 24 Acute Care Services 95
Chapter 25 Rehabilitation Services 100
Chapter 26 Home Health Services 104
Chapter 27 Long-Term Care Services 110
Chapter 28 Hospice and Palliative Care 113
Chapter 29 The Future of Aging 117
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
Chapter 1: Aging in Context
1. In 2019, prior to the COVID-19 pandemic, life expectancy was greatest for which
demographic group in the United States?
A. White women
B. Hispanic women
C. White men
D. Black men
ANS: B
Learning Objective: 1-1
Topic: Life Expectancy
2. An occupational therapist who is working in a community in a lower-income country would
expect to find that the causes of death are greatest from:
A. Respiratory diseases
B. Cardiovascular diseases
C. Cancer
D. Diabetes
ANS: A
Learning Objective: 1-1
Topic: Life Expectancy
3. An older adult’s approach to careful money management and frugality could be due to
experiences living through financially difficult times during:
A. World War I
B. The Great Depression
C. The Industrial Revolution
D. The Great Recession
ANS: B
Learning Objective: 1-1
Topic: Cohort Effects
4. The greatest health disparities are found in which geographic area?
A. High-density urban communities
B. Low-density urban communities
C. Suburban communities
D. Rural communities
ANS: D
Learning Objective: 1-2
Topic: Social Determinants of Health
5. A practice to support health literacy would be best demonstrated by:
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
A. Providing written instructions in the client’s first language
B. Discussing treatment options with the client and care partners
C. Ensuring the client can locate health resources and ask pertinent questions
D. Offering home programs in written and recorded media
ANS: C
Learning Objective: 1-2
Topic: Social Determinants of Health
6. An older adult lives in a suburban area outside a large metropolitan city. What would be the
occupational therapist’s first concern about the older adult’s ability to independently access
health care and basic needs?
A. Access to community senior center programming
B. Access to transportation
C. Neighborhood social supports
D. Family social supports
ANS: B
Learning Objective: 1-3
Topic: Physical Environment
7. When considering aging-in-place supports for their older adult clients, in addition to home
modifications, what would an occupational therapist consider addressing with their client as part
of therapy intervention?
A. Roles the older adult can play in civic leadership
B. Employment options
C. Community mobility
D. Internet and virtual technology access
ANS: C
Learning Objective: 1-3
Topic: Aging in Place
8. When considering intervention supports for an older adult client who is homeless, the
therapist’s first priority would be to:
A. Assess basic ADLs, including grooming
B. Consult with social services on basic shelter needs
C. Develop an intervention on basic food preparation
D. Recommend institutionalization, e.g., a nursing home
ANS: B
Learning Objective: 1-3
Topic: Homelessness
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
9. A therapist works with a team to develop a community day-care program in a rural
community. One of the informational brochures states, “We ensure that all the grannies have
access to the best technologies.” This is an example of:
A. Organizational health literacy
B. Personal health literacy
C. Ableist language
D. Ageist language
ANS: D
Learning Objective: 1-4
Topic: Attitudes
10. What government action has helped lift people out of poverty in the United States?
A. Public health measures
B. Americans With Disabilities Act
C. Social Security Act
D. Socialized medicine
ANS: C
Learning Objective: 1-4
Topic: Policy and Aging
11. An occupational therapist is working with an older male client in rehabilitation following a
hip replacement. Motivation to participate has been a challenge in therapy, and the occupational
therapist discovers that the client’s partner of 61 years recently died. What would be the first
action taken by the therapist?
A. Ensure the client’s guns are removed from his home
B. Elicit the client’s perception of his needs
C. Explore the client’s social support system
D. Refer the client to a chaplaincy
ANS: B
Learning Objective: 1-4
Topic: Impact of Economics and Gender
12. A client who lives in Southeast Asia falls while visiting her son’s family in Canada. Prior to
her fall, she enjoyed being a part of her grandchildren’s daily routines, including their afterschool
programs. She is becoming depressed with her slow progress in rehabilitation and not wanting to
attend therapy. What would be the best approach to re-engage her in therapy?
A. Preparing school snacks for her grandchildren
B. Engaging in arts-based activities at the facility
C. Re-engaging in daily faith-based rituals
D. Writing her life story
ANS: A
Learning Objective: 1-5
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
Topic: Positive Aging
13. An example of addressing the “United Nations Decade of Healthy Ageing” initiative on
integrated care is:
A. An occupational therapist working with her community health board to open a locally
supported day-care program
B. An occupational therapist working with her state occupational therapy association to address
affordable access to assistive technologies
C. An occupational therapist working with local government to audit community buildings for
accessibility
D. An occupational therapist working with a nonprofit organization as a volunteer providing
home safety assessments
ANS: B
Learning Objective: 1-6
Topic: Social and Occupational Justice and Aging
14. Addressing the natural environment supports for participation, such as developing shaded
pathways for walking, is an example of addressing which ICF domain?
A. Activity limitation
B. Body structure, body function
C. Personal factors
D. Environmental factors
ANS: D
Learning Objective: 1-7
Topic: WHO ICF: A Framework for Health and Participation
15. An occupational therapist assesses an older adult client’s sensory abilities. They are assessing
which domain of the ICF?
A. Social participation
B. Activity limitation
C. Body functions and structure
D. Personal factors
ANS: C
Learning Objective: 1-7
Topic: WHO ICF: A Framework for Health and Participation
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
Chapter 2: Meaningful Occupations in Later Life
1. According to George and Park (2016), meaning in life comprises which of the following?
A. Resources, health, and social connections
B. Comprehension, purpose, and mattering
C. Prestige, recognition, and social media presence
D. Community engagement, political action, and family solidarity
ANS: B
Learning Objective: 2-1, 2-2
Topic: The Search for Meaning; Occupation, Co-Occupation, and Meaning
2. Which of the following is an example of purpose in life, as defined by George and Park
(2016)?
A. Taking action to reduce climate change
B. Hiking in the mountains
C. Baking a cake
D. Posting a restaurant review on Yelp
ANS: A
Learning Objective: 2-1, 2-2
Topic: The Search for Meaning; Occupation, Co-Occupation, and Meaning
3. An older woman lives with her husband and recently took over managing the household
budget for the first time. She is pleased to be doing this to support the couple’s well-being. This
would be an example of which kind of occupational meaning?
A. Evaluative
B. Instrumental
C. Identity
D. Existential
ANS: B
Learning Objective: 2-3
Topic: Themes of Meaning
4. Establishing a meaningful life can best be thought of as:
A. A genetic predisposition
B. A one-time evaluation at the end of life
C. An ongoing process over the life course
D. A preoccupation of retired individuals
ANS: C
Learning Objective: 2-3
Topic: Themes of Meaning
5. Spiritual occupations address which of the following themes of meaning?
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
A. Instrumental
B. Identity
C. Existential
D. Evaluative
ANS: C
Learning Objective: 2-4
Topic: Spirituality and Religion as Contributors to Meaning
6. A woman decides to learn to knit when she retires. She indicates she is motivated by a wish to
feel part of her extended family that includes a number of avid knitters. This reason for taking up
this new occupation could best be categorized as:
A. Doing
B. Being
C. Becoming
D. Belonging
ANS: D
Learning Objective: 2-2
Topic: Occupation, Co-Occupation, and Meaning
7. Which of the following statements about creative occupations is false?
A. Creative occupations require strong verbal skills.
B. Creative occupations facilitate processing of painful emotions.
C. Creative occupations promote a strong sense of identity.
D. Creative occupations promote social engagement.
ANS: A
Learning Objective: 2-3
Topic: Meaning and Identity: Creativity
8. Which of the following is an example of a co-occupation?
A. Taking a walk in the park where a lot of other people walk
B. Listening to music you know your spouse enjoys
C. Playing pickleball
D. Reading a play out loud
ANS: C
Learning Objective: 2-2
Topic: Occupation, Co-Occupation, and Meaning
9. The Engagement in Meaningful Activities Survey (EMAS):
A. Offers a list of activities that clients might find meaningful
B. Measures subjective experience of participation
C. Focuses primarily on creative occupations
D. Delineates the optimal occupational profile
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
ANS: B
Learning Objective: 2-6
Topic: Theoretical Considerations in Assessment and Intervention
10. An important first step in evaluating a client’s occupational preferences and engagement is
to:
A. Assess body functions to determine physical limitations
B. Observe the client’s self-care routines and habits
C. Secure impressions from family caregiver about client satisfaction
D. Complete an occupational profile to get a comprehensive picture
ANS: D
Learning Objective: 2-5, 2-6
Topic: Evaluation
11. Which of the following is a true statement about cultural issues in use of standardized
instruments to measure occupation?
A. Most instruments apply across cultures without modification.
B. Both language and cultural beliefs can alter the applicability of an instrument.
C. Language can be an issue in standardized instruments, but culture is not.
D. Instruments must always be modified for individual background and characteristics.
ANS: B
Learning Objective: 2-6
Topic: Theoretical Considerations in Assessment and Intervention
12. Reminiscence and storytelling are uniquely helpful to older adults because they:
A. Keep older adults busy and give them topics for conversation with peers
B. Can keep older adults from dwelling on physical decline
C. Encourage verbal capacity and a sense of humor
D. Contribute to evaluative meaning by providing opportunities for life review
ANS: D
Learning Objective: 2-5
Topic: Intervention
13. A home care therapist includes the use of generational canning equipment in a therapeutic
cooking activity. This is an example of the importance of how the home can:
A. Provide prestige and importance through location and objects
B. Provide objects of meaning in support of valued occupations
C. Offer opportunities for social engagement
D. Provide symbolic meaning through photos and other memorabilia
ANS: B
Learning Objective: 2-7
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Test Bank - Functional and Occupational Performance in Older Adults, 5th Edition (Bonder, 2024)
Topic: Occupation, Home, and Place
14. Interventions in support of spiritual and religious meanings should focus largely on:
A. Ensuring the client can get to church services and celebrations
B. Helping the client identify and resolve troubling topics related to religious beliefs
C. Correcting misconceptions about either religious or spiritual occupations
D. Identifying and supporting important values and activities related to spirituality and/or
religion
ANS: D
Learning Objective: 2-4, 2-5
Topic: Occupational Therapy Interventions in Support of Spiritual and Religious Meanings
15. Reginald Hill is a 65-year-old man who is recently widowed. He and his wife had no children
and he himself was an only child. His only remaining family are a few distant cousins from his
wife’s family. He reports missing family events and feeling lonely around the holidays. How
might an occupational therapist help him find ways to fulfill his wish for family co-occupations?
A. Encourage him to take up a hobby like hunting or fishing that he can do with a group of other
men
B. Suggest that he volunteer to read to children in a homeless shelter
C. Discuss what in particular he valued about his family occupations and help him explore
alternatives to address those values
D. Give him a list of movies and books that involve family interactions to substitute for his loss
ANS: C
Learning Objective: 2-5
Topic: Intervention
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