Deck 12: Middle Adulthood

Question 1

The health-care worker reminds the 55-year-old executive that,although he is busy,he should find time to engage in the recommended _____ hours of moderate exercise a week.

Answer 1

2.5
As in younger years,the recommendation for moderate exercise is 2.5 hour per week,

Question 2

A 52-year-old woman who is recently divorced and has just sent her last child to college says she just does not understand why she is feeling so "low and alone." She states she is not sleeping well and has no energy for anything.These most likely are symptoms of:

A) worsening depression related to early menopause.
B) pathologic depression related to the divorce.
C) the "empty nest" syndrome related to the children being gone from home and stress from the recent divorce.
D) indicative of her need to go out and get a job.

Answer 2

C
Women at midlife are at higher risk for the "empty nest" syndrome when the last child leaves home.Feelings of depression and isolation may be exacerbated by divorce or widowhood.

Question 3

Middle adulthood is considered the period of development after young adulthood but before retirement and is categorized as age 40 to _____ years.

A) 50
B) 55
C) 60
D) 65

Answer 3

C
Definition of middle adulthood is the life period between the ages of 40 and 60 years of age

Question 4

According to Erikson,the primary task of middle adulthood is contributing positively to family and community,also known as _________________.Failure to achieve this task may result in stagnation.

A) intimacy
B) integrated
C) generativity
D) ego integrity

Question 5

A 50-year-old woman visits the women's health clinic stating her last menstrual period was 6 months ago.Since that time,she has been experiencing palpitations and hot flashes.The health-care worker should suspect that her symptoms are related to:

A) pregnancy.
B) menopause.
C) a cardiac disorder.
D) neurosis.

Question 6

The health-care worker assesses for the physiological changes in the middle-aged person,which include: (Select all that apply. )

A) redistribution of fat.
B) increased muscle tone.
C) loss of skin elasticity.
D) thinning hair.
E) increasing energy.

Question 7

A middle-aged man is considering testosterone replacement therapy to increase his strength and sense of well-being.A deficit of testosterone therapy is that the therapy:

A) is very expensive.
B) does not correct erectile dysfunction.
C) increases accumulation of body fat.
D) may cause hypertension.

Question 8

Many middle-aged adults desire to return to school to continue an education interrupted by career,family,and childrearing.When counseling these adults,an important factor to consider is that:

A) intelligence declines after age 30, so it may be too difficult to resume schooling at this age.
B) it may take more time to learn and assimilate new material, but once learned, the content is remembered with greater accuracy.
C) without family responsibilities or pressures, learning capability will quickly return to young adult levels.
D) there should be no difficulty in keeping up with the younger students in the class.

Question 9

The health-care worker clarifies that the concept of generativity means that the middle adult:

A) provides care for elderly parents.
B) has generated the next generation.
C) contributes positively to family and community.
D) expresses total concern for his well-being.

Question 10

A middle-aged man says that he is taking up a strenuous exercise program to increase his testosterone level and his libido.The best response to this information would be:

A) "That is great! You will begin to feel better and enjoy an increased libido."
B) "While exercising, you should wear tight fitting underwear and an athletic support."
C) "To get the result you want, you will have to exercise every day."
D) "Excessive exercise may actually decrease your testosterone level."

Question 11

As adults move from middle adulthood into older and late adulthood,a productive level of functioning is more likely to be maintained if the person feels:

A) useful and loved.
B) dependent and closely watched.
C) wanted and dependent.
D) financially secure and physically active.

Question 12

A middle-aged woman says that her husband does not seem to want to make love to her anymore.She says he makes excuses every night and she is afraid he no longer loves her.The health-care worker recognizes that most likely:

A) he may be having an affair and is too tired for his wife.
B) the physiological changes occurring in his wife's body have made her unattractive to him.
C) he is working too hard and is too tired at night for anything but sleep.
D) he is concerned about his sexual performance and is afraid to try for fear of failure.

Question 13

The health-care worker reminds a group of middle-aged men that they should take preventative measures to reduce the risk of cardiovascular disorders resultant from their lifestyle,which includes which factor(s)? (Select all that apply. )

A) Sandwich generation stress
B) Lack of intimacy
C) Smoking
D) Inadequate exercise
E) Hormonal changes

Question 14

When assessing a middle-aged person,the health-care worker should be sensitive to the fact that these persons are uniquely challenged by:

A) metabolic changes in their aging bodies.
B) attempting to meet the needs of both their children and their parents.
C) inadequate income and job insecurity in an unstable economy.
D) the need to find their place in their community.

Question 15

In addition to the Eriksonian crisis,middle-aged persons have other developmental tasks,which include: (Select all that apply. )

A) managing finances.
B) nurturing their marriage.
C) maintaining social relationships.
D) managing the household.
E) developing an ego ideal.

Question 16

While discussing health promotion and maintenance to a group of middle-aged men,the health-care worker advises that men should make as a priority to have an annual:

A) screen for prostate cancer.
B) sperm count for infertility.
C) skin assessment for cancer.
D) assessment for testosterone level.

Question 17

The term climacteric refers to a time in life in which:

A) women have erratic menstrual cycles.
B) men have a decrease in libido.
C) women have completed menopause.
D) men become permanently impotent.

Question 18

To enhance success for health teaching to middle-aged adults,the health-care worker should:

A) provide information related to health concerns and stressors common to the age-group.
B) begin with concepts about teaching and learning techniques.
C) incorporate structured learning activities that keep all group members learning at the same rate.
D) direct members to seek independent learning without formal instruction.

Question 19

Health maintenance during middle adulthood should be directed toward:

A) preventing illnesses due to lifestyle and physiological changes.
B) stopping the physiological aging process.
C) preparing for inevitable physical decline.
D) maintaining strength and endurance at the young adult level.

Question 20

A 55-year-old man has recently purchased a sports car,had a hair transplant,and taken up skydiving as a hobby.The term for this behavior as an attempt to challenge the inevitability of the future is known as:

A) generativity.
B) identity accommodation.
C) male climacteric.
D) midlife crisis.

Question 21

______________ is a part of every phase of life and involves beliefs and behaviors that surround physiological responses,emotions,and cultural values.