Exam Questions Ch.12 Middle Adulthood Test Questions 6e

Chapter 12. Middle Adulthood – Test Questions

1. Physiological changes in middle age commonly:

2. In middle age, the bones become more porous because of:

3. Forty-two-year-old Beverly has a history of periodontal disease. You would instruct her that to prevent a flare-up, she should:

4. Melissa, on her 37th birthday, asks what is causing the wrinkles on her skin. She should be told that this occurs because of:

5. The major role change during middle age is:

6. Menopause usually occurs between:

7. The major difference in physiological changes between men and women during middle age is:

8. Self-absorption, when seen in middle age, is most commonly due to:

9. The leading cause of death in middle age is:

10. The period of middle age is often depicted as a time of:

11. Grandparenting has changed today, in that today’s grandparents:

12. Brooke is caring for her elderly mother since her father’s death. In order to promote a healthy relationship, you advise Brooke to:

13. Forty-year-old Lisa tells you she used to wear a dress size 8, and now she is a size 10. She also tells you she has not changed her exercise patterns or increased her food intake. What explanation would you offer her?

14. The most common type of medical problem seen in middle age is:

15. John, aged 42, has been complaining of difficulty voiding. The most common cause of voiding difficulty in this age group is:

16. Which of the following goals is not generally associated with middle adulthood?

17. Which factor may contribute to a healthy retirement?

18. A slight increase in blood pressure associated with middle age is due to:

19. Hair growth pattern is generally influenced by:

20. A decrease in peripheral vision as one ages is caused by:

21. Bob is 49 years old and troubled by his age and some of the related changes he notices. His physician explained that he is experiencing the climacteric. She described the male climacteric as:

22. What is true of the relationship between middle-aged adults and their aging parents?

23. A 55-year-old woman discusses her changing family life with you. She has two adult children: one attends school in another state far from home and the other is married and living 1,000 miles away. She complains that she hardly ever gets to see them anymore. Which would be the most therapeutic response?

24. During middle adulthood, the gradual loss of muscle strength can best be prevented by which of the following?

a. Staying active

b. Taking vitamins

c. Using relaxation methods

d. Supplementing diet with energy drinks

25. The nurse in a community setting provides guidance and educates middle-aged clients as to the developmental tasks of this stage, including (select all that apply):

Chapter 12. Middle Adulthood – Test Questions With Answers and Rationales

1. Physiological changes in middle age commonly:

Rationale: Physiological changes occur at different times for different individuals.

Nursing process: Assessment

Client Needs: Physiological Integrity

2. In middle age, the bones become more porous because of:

Rationale: Demineralization, or the loss of mineral salts, causes bones to weaken and become porous.

Nursing Process: Assessment

Client Needs: Physiological Integrity

3. Forty-two-year-old Beverly has a history of periodontal disease. You would instruct her that to prevent a flare-up, she should:

Rationale: Proper home dental care prevents gum disease and tooth loss.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance

4. Melissa, on her 37th birthday, asks what is causing the wrinkles on her skin. She should be told that this occurs because of:

Rationale: The loss of elasticity in the skin causes the appearance of wrinkles.

Nursing Process: Implementation

Client Needs: Physiological Integrity

5. The major role change during middle age is:

Rationale: A significant role change occurs in the period of middle age when children become independent and go out on their own.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

6. Menopause usually occurs between:

Rationale: The exact age at which menopause occurs varies in individuals, but it usually occurs between the ages of 45 and 55 years.

Nursing Process: Assessment

Client Needs: Physiological Integrity

7. The major difference in physiological changes between men and women during middle age is:

Rationale: Women are unable to bear children after menopause, whereas men retain the ability to father a child until later in life.

Nursing Process: Planning

Client Needs: Physiological Integrity

8. Self-absorption, when seen in middle age, is most commonly due to:

Rationale: The task for the middle years is generativity. Failure to achieve this can lead to self-absorption.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

9. The leading cause of death in middle age is:

Rationale: Heart disease remains the leading cause of death in middle age.

Nursing Process: Planning

Client Needs: Physiological Integrity

10. The period of middle age is often depicted as a time of:

Rationale: Youth-oriented society often depicts middle age as a decline in function.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

11. Grandparenting has changed today, in that today’s grandparents:

Rationale: It is common today to see younger, more active and vital grandparents.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

12. Brooke is caring for her elderly mother since her father’s death. In order to promote a healthy relationship, you advise Brooke to:

Rationale: Caregivers should allow themselves time away from caregiving duties. This helps them maintain balance and prevents resentment and fatigue.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

13. Forty-year-old Lisa tells you she used to wear a dress size 8, and now she is a size 10. She also tells you she has not changed her exercise patterns or increased her food intake. What explanation would you offer her?

Rationale: Weight may be distributed differently in middle age, causing individuals to need a larger size of clothing.

Nursing Process: Implementation

Client Needs: Physiological Integrity

14. The most common type of medical problem seen in middle age is:

Rationale: Years of use—and sometimes even abuse—commonly cause joint problems.

Nursing Process: Assessment

Client Needs: Physiological Integrity

15. John, aged 42, has been complaining of difficulty voiding. The most common cause of voiding difficulty in this age group is:

Rationale: The prostate gland normally enlarges, causing difficulty in voiding.

Nursing Process: Assessment

Client Needs: Physiological Integrity

16. Which of the following goals is not generally associated with middle adulthood?

Rationale: Middle adulthood is a period of time when parenting roles change, grandparenting roles often begin, and economic security is more likely.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

17. Which factor may contribute to a healthy retirement?

Rationale: Leisure activities help give purpose and enjoyment during retirement.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

18. A slight increase in blood pressure associated with middle age is due to:

Rationale: In middle age, the heart becomes somewhat less efficient and has to work harder to be effective.

Nursing Process: Evaluation

Client Needs: Physiological Integrity

19. Hair growth pattern is generally influenced by:

Rationale: Race, genes, and gender influence hair growth patterns.

Nursing Process: Planning

Client Needs: Physiological Integrity

20. A decrease in peripheral vision as one ages is caused by:

Rationale: Peripheral vision decreases as the lens becomes thicker and more opaque.

Nursing Process: Planning

Client Needs: Physiological Integrity

21. Bob is 49 years old and troubled by his age and some of the related changes he notices. His physician explained that he is experiencing the climacteric. She described the male climacteric as:

Rationale: Climacteric refers to the male change of life.

Nursing Process: Planning

Client Needs: Physiological Integrity

22. What is true of the relationship between middle-aged adults and their aging parents?

Rationale: Many middle-aged adults find themselves in the role of parenting their parents.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

23. A 55-year-old woman discusses her changing family life with you. She has two adult children: one attends school in another state far from home and the other is married and living 1,000 miles away. She complains that she hardly ever gets to see them anymore. Which would be the most therapeutic response?

Rationale: Adjustment to new roles is a part of middle adulthood.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

24. During middle adulthood, the gradual loss of muscle strength can best be prevented by which of the following?

a. Staying active

b. Taking vitamins

c. Using relaxation methods

d. Supplementing diet with energy drinks

Rationale: Without exercise, muscle strength and capacity decline during middle age.

Nursing Process: Assessment

Client Needs: Physiological Integrity

25. The nurse in a community setting provides guidance and educates middle-aged clients as to the developmental tasks of this stage, including (select all that apply):

Rationale: Middle-aged tasks include adjusting to menopause, establishing a positive influence on one’s children and community, adjusting to role changes, establishing leisure interests, and possibly changing careers.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance