Questions:
10.
According to Douthit, how might it be possible to counteract the damaging effects of Alzheimer’s genes?
11.
What areas involving counseling older adults are there few or inadequate ethical guidelines that currently exist?
12.
What are the most important predictors of harm for persons with cognitive impairment living alone?
13.
According to Zarit, what manifestations of dementia are more responsive to behavioral and environmental intervention?
14.
What is "pseudodementia"?
15.
As Alzheimer's disease advances, what two advance directives are important to bring up while the patient still has decision-making capacity?
16.
What are the intrapersonal issues older adults face near the end of life?
17.
Past therapeutic work with older adults focused on having clients review their feelings about past negative events and relationships. What is the theme of newer therapeutic work with older adults?
18.
According to Welfel, what are the guidelines to assist counselors in reporting suspected cases of elderly maltreatment/abuse?
19.
What is the most common cause of dementia in clients younger than 50 years of age?
20.
What gerontological counseling methods have been proven effective with older clients?
21.
What are common interventions used with dementia clients?
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Answers:
A. A theme in much of the newer therapeutic work is to help older adults rediscover and expand on existing competencies and improve their sense of perceived efficacy.
B. by building complex verbal skills early in life
C. Mutable conditions, such as client's behavior, mood and functional competency, should be the focus of treatment, though gains may be temporary.
D. cognitive behavior, life review, and bibliotherapy
E. alcoholism and AIDS
F. Autonomy/control, decision-making capacity, dignity, existential issues and spiritual beliefs, fear, grief,
hopelessness, and psychodynamic issues and counter-transference.
G. the unique needs of older adults who have cognitive impairments, victims of abuse, and those with a terminal illness
H. the
durable power of attorney for health care, which allows a family member or other person to make healthcare decisions in the event of the patient's incapacity, and the living will.
I. special design of the care environment, reality orientation, reminiscence, validation therapy, psychotherapy, cognitive-behavior
J. a syndrome of reversible objective or subjective cognitive problems caused by a non-organic disorder, such as clinical depression
K. (1) routinely consider elder maltreatment as a possibility when dealing with an older client who is dependent on family or others for care (2) provide an empathic and supportive atmosphere in which to discuss the older person's problems (3) gather information related to the risk factors for abuse (4) interviewing family members separately is more likely to result in honest disclosures than is a multiple-person session (5) educate clients about the services available to assist them
L. (1) the etiology of the cognitive impairment; (2) the kinds of cognitive deficits exhibited; (3) the behavior disturbances present; and (4) existing social resources
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