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Historical Overview

AJN, American Journal of Nursing: September 2008 - Volume 108 - Issue 9 - p 22
doi: 10.1097/01.NAJ.0000336405.07130.25
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LEARNING OBJECTIVE: After reading this article and taking this test, you should be able to

  • outline the history of public policy on family and informal caregiving for older adults.

1. What 1970s development provided assistance for family caregivers?

a. first national surveys of informal caregivers for disabled older adults were conducted

b. caregiver support organizations were founded

c. Medicaid offered financial assistance to caregivers

d. the National Alliance for Caregiving was founded

2. What event occurred in the 1980s that affected informal caregivers?

a. the American Association of Retired Persons provided disability insurance

b. the Carers (Recognition and Services) Act passed in the United States

c. hospice care became reimbursable under Medicare

d. the United Way provided support services for caregiver

3. What federal legislation was passed in 1993 that provided support for workers who wanted to care for a parent, spouse, or child with a serious health condition?

a. Family and Medical Leave Act

b. Federal Medical Care Policy

c. Focus on Family Health Act

d. William F. Goodling Even Start Family Act

4. Several studies of caregiving prevalence and needs in the 1990s identified

a. the financial burden faced by family caregivers.

b. that 15 million disabled Americans were receiving care in their homes.

c. the physiologic and psychological toll of caregivers' chronic stress.

d. that 1 in 7 families was caring for an older family member at home.

5. Approximately what percentage of all disabled older adults receive no human assistance of any kind?

a. 5%

b. 15%

c. 22%

d. 30%

6. The rationale behind Title III-E of the Older Americans Act is to

a. enable disabled older persons to choose their long-term care facility.

b. provide access to disease-specific organizations and information.

c. enable families to provide care for people with disabilities.

d. provide older Americans with financial assistance to cover medication costs.

7. Trends over the past 20 years show that

a. women now make up more than 90% of caregivers.

b. caregiving families have become more diverse racially and ethnically.

c. more caregivers today are married.

d. more caregivers today live with their care recipient.

8. According to this article, which statement is accurate?

a. The total number of caregivers nationwide is estimated at about 32 million.

b. The 2001 AARP Caregiver Identification Study found that three quarters of respondents who were providing informal care identified themselves as "caregivers."

c. Cultural differences among ethnic groups affect people's self-identification as caregivers as opposed to being family members simply fulfilling familial roles.

d. The 2003 Caregiving in the U.S. survey identified the number of persons caring for someone age 65 or older at 9.5 million adults.


© 2008 Lippincott Williams & Wilkins, Inc.