T and F 1.  More recently, nutrition programs have begun offering medical nutrition therapy for older adults who are nutritio nally at risk or malnourished.  2.  Home-delivered meal programs have shown that recipients have more physical limitations, are less socially isolated, and have similar incomes than those who attend congregate meal programs 3.  Lack of private transportation makes shopping assistance an important service  under the Older Americans Act program . 4.  Home-delivered meals in most communities are provided by government agencies funded under the OAA. 5.  The Seniors Farmer Market program provides coupons to low-income elders, aged 60 and older, with incomes not greater than 185% of the federal poverty rate.  6.  Older adults who lack an understanding about what constitutes a legal problem or how laws originate may not be able to identify that a legal remedy exists when problems occur  7.  Under the OAA legislation, congregate meal programs were required to provide at least one hot meal five or more days a week in a congregate setting, adult day program, or multigenerational site including in rural areas and where it is deemed feasible .  8.  Home-delivered meal participants are a more frail and at-risk population than those who attend congregate meal programs. 9.  Elder abuse includes physical, psychological, and financial abuse as well as neglect 10.  Supplemental Food Program (CSFP) is a service in place that assists low-income older adults over 60 years of age. 11.  Personal care tasks, commonly referred to as activities of daily living (ADLs), include tasks such as bathing and grooming, toileting, dressing, and eating. 12.  Home-management activities, or instrumental activities of daily living (IADLs), include tasks such as shopping and preparing meals, doing housework, and handling personal finances. 13.  Chronic conditions vary across different populations of older adults. Older women are more likely than older men to suffer from chronic arthritis, hypertension, incontinence and asthma 14.  The older population is at one point or another affected by one or more chronic conditions, regardless of race and ethnicity  15.  The disparities in health can be associated to the social economic status of the different groups rather than on their ethnic or racial status. 1 point each x 15 = 15 points Multiple Choices 1.  For both the congregate and home-delivered programs the following is true EXCEPT a)  S ervices must be targeted at persons with the greatest social and economic need,  b)  Attention  should be given to low-income older persons, including low-income minority older persons,  c)  O lder persons with limited English proficiency,  d)  O lder perso ns residing in urban areas       2.   Per  the CDC, the top 5 chronic conditions for Hispanics are:  a) cancer, heart disease, unintentional injuries, stroke and diabetes b) chronic liver disease, cirrhosis, cancer, unintentional injuries and diabetes.

1. T and F
1.
More recently, nutrition programs have begun offering medical
nutrition therapy for older adults who are nutritio
nally at risk or malnourished.
2.
Home-delivered meal programs have shown that recipients have
more physical limitations, are less socially isolated, and have
similar incomes than those who attend congregate meal
programs
3.
Lack of private transportation makes shopping assistance an
important service
under the Older Americans Act program
.
4.
Home-delivered meals in most communities are provided by
government agencies funded under the OAA.
5.
The Seniors Farmer Market program provides coupons to low-
income elders, aged 60 and older, with incomes not greater than
185% of the federal poverty rate.
6.
Older adults who lack an understanding about what constitutes a
legal problem or how laws originate may not be able to identify
that a legal remedy exists when problems occur
7.

2. Under the OAA legislation, congregate meal programs were
required to provide at least one hot meal five or more days a
week in a congregate setting, adult day program, or
multigenerational site including in rural areas and where it is
deemed feasible
.
8.
Home-delivered meal participants are a more frail and at-risk
population than those who attend congregate meal programs.
9.
Elder abuse includes physical, psychological, and financial
abuse as well as neglect
10.
Supplemental Food Program (CSFP) is a service in place that
assists low-income older adults over 60 years of age.
11.
Personal care tasks, commonly referred to as activities of daily
living (ADLs), include tasks such as bathing and grooming,
toileting, dressing, and eating.
12.
Home-management activities, or instrumental activities of daily
living (IADLs), include tasks such as shopping and preparing
meals, doing housework, and handling personal finances.
13.
Chronic conditions vary across different populations of older
adults. Older women are more likely than older men to suffer
from chronic arthritis, hypertension, incontinence and asthma
14.
The older population is at one point or another affected by one

3. or more chronic conditions, regardless of race and ethnicity
15.
The disparities in health can be associated to the social
economic status of the different groups rather than on their
ethnic or racial status.
1 point each x 15 = 15 points
Multiple Choices
1.
For both the congregate and home-delivered programs the
following is true EXCEPT
a)
S
ervices must be targeted at persons with the greatest social and
economic need,
b)
Attention
should be given to low-income older persons, including low-
income minority older persons,
c)
O
lder persons with limited English proficiency,
d)
O
lder perso
ns residing in urban areas
2.
Per
the CDC, the top 5 chronic conditions for Hispanics are:

4. a) cancer, heart disease, unintentional injuries, stroke and
diabetes
b) chronic liver disease, cirrhosis, cancer, unintentional injuries
and diabetes
c) chronic lower respiratory disease, Alzheimer's
disease, cancer, unintentional injuries and cancer
3
.
The following is true
;
a)
As the percentage of persons in the oldest-old category
increases, the need for home-delivered meals may increase.
b)
Changes in the delivery of health care have an impact on
nutrition programs.
c)
Programs will be challenged to serve the underserved
population in an era of shrinking public and private dollars
d)
A and C
e)
All the above
4
.
In accordance with the Older Americans Act each
Title III Nutritional program, the program must provide the
following Except
:
a)
Meals must have a

5. minimum of one third of the recommended daily allowances
b)
Meals must b
e prepared with the advice of dietitians.
c)
Services should include
nutrition screening, nutrition education, nutrition assessment,
and counseling.
d)
P
articipants
must
live independently.
5
.
Per
the CDC, the top 5 chronic conditions for African
Americans are:
a) Heart disease, cancer, stroke, diabetes and unintentional
injuries.
b) Kidney disease, heart disease, chronic lower respiratory
disease, diabetes and unintentional injuries
c) Heart disease, cancer, stroke, Alzheimer’s disease and
unintentional injuries.
d) Kidney disease, heart disease, Alzheimer’s disease, diabetes
and unintentional injuries
6
.
The Senior Farmers’ Market Nutrition Program

6. a)
Was established through the 2008 Farm Bill
to increase the consumption of agricultural commodities
b)
The purpose of the SFMNP is to provide fresh, nutritious,
locally grown fruits, vegetables, herbs, and honey from farmers’
markets and roadside stands
c)
The program
is
aiding in the development and expansion of domestic far
mers’ markets and roadside stands
d)
All the above
7. Title III Part F: ‘Disease Prevention and Health Promotion
Services” of the Older Amer
icans Act
is designed to enhance the well-being of older adults and
includes the following services except
a) Health risk assessments, routine health screening, Nutrition
counseling and education and Alcohol and substance abuse,
smoking cessation,
b) Health risk assessment, weight loss,
stress management
, smoking cessation, routine health screening and physical
fitness
c)
Physical fitness, group exercise,
music therapy, art therapy,
dance movements
, Health risk assessment and Nutrition counseling

7. d)
Home injury control services
education,
Medication management
,
Information about age related diseases
e) All the above services are included, there are no exceptions.
8.
To ensure food insecure seniors have access to nutritional
meals the following
are some recommendations:
a) Enlist the help of local churches to donate non-perishable
goods to seniors
b)
Contribute monetary donation and time to local food banks to
assist with the distribution of meals
c
) Educate seniors on the importance of health and wellness
d) All the above
9.
The Elder Justice Act (EJA) includes a comprehensive array of
initiat
ives except
a) M
andates the establishment of an advisory council (federal Elder
Justice Coordinating Council) to provide recommendations to
the Secretary of Health and Human Services regarding the best
coordination mechanisms throughout all levels of government t
o prevent elderly abuse.

8. B) R
equires formation of an advisory board responsible to develop
strategic plans to assure elder justice.
C) Background check for those who have direct contact with
elders in long term care facilities
D) Creates the Ombudsman program to protect elders in Nursing
Homes
10.
The Older Americans Act provide services for caregivers. The
following is the list of services this title provides except
a)
Assistance in gaining access to private pay services
b)
Individual counseling
c)
Respite care
d)
Supplemental services, including housing improvement, chore,
provision of medical supplies and services
e)
Legal assistance for caregivers, grandparents or older
individuals who are caregivers for relatives.
f)
B and E
2 points each x 10
= 2
0 points
Essay questions
1)
Administration on Aging (AoA) has been instrumental in
supporting initiatives designed to enhance the well-being of
older adults. Discuss these efforts.

9. 2)
Discuss the difference
among: Food banks,
Brown Bags
and Senior Farmers Market.
3)
The Elder Justice Act (EJA), subtitle H of the Patient Protection
and Affordable Care Act, passed into law in 2010, supports
initiatives designed to protect vulnerable elders. Please discuss
what the initiatives are included in the Patient Protection and
Affordable Care Act to enhance services to elders.
4)
Title III, the largest program under the Older Americans Act,
aut
horizes
could you explain and discuss what this title covers.
5)
If you are a resident in a Nursing Home or in an Assisted Living
Facility how can the Office of Long-Term Care Ombudsman
help you?