Deck 9: Middle Adulthood

Question 1

Discuss the psychosocial implications of hearing loss on individuals in adulthood. What difficulties might these individuals face?

Answer 1

Answers will vary.​

Question 2

The sexual profile in midlife

A)is quite different for men and women; men's sex drive frequently declines while women's erotic interests often increase.
B)is usually quite similar for men and women, resulting in an increased compitability in the sexual response cycle.
C)is usually quite similar, resulting in an increase compatibility regarding desire, excitement, and orgasm.
D)is quite different for men and women; women's sex drive frequently declines while men's erotic interests often increase.

Answer 2

A

Question 3

Discuss the implications for social workers in working with families of adults with developmental disabilities. In what ways can social workers intervene to assist these families?

Answer 3

Answers will vary.​

Question 4

Define and describe menopause and the biopsychosocial factors related to it. Include the following in your discussion: hot flashes, osteoporosis, endorphins, and estrogen replacement therapy.

Question 5

___________ is the second most common cause of death in men and women.

A)AIDS
B)Alcoholism
C)Cancer
D)Heart disease

Question 6

The following are consequences of estrogen loss, EXCEPT

A)greater risk of heart disease.
B)drying of vaginal membranes.
C)increase in frequency of urination.
D)diminished sense of touch.

Question 7

Discuss how cognitive functioning differs in middle adulthood compared to adolescence and young adulthood.

Question 8

The following statement is FALSE regarding grandparents parenting:

A)They are often isolated from their peers.
B)They worry about living long enough or becoming ill and unable to care for their grandchildren.
C)Social support does not mediate the stress they face.
D)They face increased stress.

Question 9

Which of the following statements about ethnic differences in symptoms of menopause is FALSE?

A)African-American women report experiencing more somatic symptoms than all other ethnic groups.
B)Asian-American women report experiencing less symptoms than any other ethnic groups.
C)Hispanic women report experiencing problems with urinary leakage.
D)Hispanic women report experiencing more problems with a racing heart.

Question 10

The following statements reflect useful strategies for increasing happiness EXCEPT

A)having new experiences.
B)focusing on giving to yourself rather than to others.
C)experiencing the present more consciously.
D)being grateful.

Question 11

Is a midlife crisis a developmental state of middle adulthood? Explain your answer. Include gender and ethnic differences discussed in the text.

Question 12

Summarize characteristics and tasks of blended or step-families. Discuss social work implications.

Question 13

Menopause is when

A)a woman's menstrual cycle becomes irregular.
B)a woman has not had a menstrual cycle for one year.
C)a woman can no longer get pregnant due to her age.
D)a woman has missed her period three consecutive times.

Question 14

A useful strategy that fits with the midlife search for meaning and quality of life is

A)conquering fears and anxieties.
B)developing truth and altruism.
C)developing optimism and happiness.
D)identifying causes of anger and frustration.

Question 15

Menopause

A)usually occurs between 45 and 55 years of age and is a gradual process than can take from 5 to 20 years.
B)causes a rise in a woman's estrogen level, and the resulting symptom is hot flashes.
C)usually occurs between 45 and 65 years of age and is a gradual process that takes no more than five years.
D)decreases a woman's risk of heart disease.

Question 16

Erikson defined middle adulthood as a stage characterized by

A)despair.
B)integrity.
C)intimacy.
D)generativity.

Question 17

Obesity increases the risk for all of the following EXCEPT

A)heart disease.
B)diabetes.
C)high blood pressure.
D)mental illness.

Question 18

Define the phases of forgiveness. Discuss key aspects of forgiveness. What is the role of empathy in forgiveness?

Question 19

Discuss some of the significant family changes that take place in middle adulthood.

Question 20

Women who live to age 95 have a        chance of developing breast cancer in their lifetime.

A)1 in 5
B)1 in 8
C)1 in 12
D)1 in 20

Question 21

Which of the following comparisons between forgiveness and revenge is TRUE? Forgiveness __________, and revenge __________.

A)involves only the person who was hurt; is dependent upon the actions and experiences of both parties
B)does not seem to result in mental-health benefits; expedites the grieving process
C)can lead to unresolved anger; is a way to move past feelings of rage
D)can be automatic; is a task-conscious effort

Question 22

One in six American men will develop the following

A)prostate cancer.
B)heart disease.
C)diabetes.
D)high cholesterol.

Question 23

Social responsibility is

A)emphasized in midlife yet difficult to attain due to parental obligations.
B)identified by Maas as behavior represented in midlife but is not consistent with Erikson's psychosocial stage for this age group.
C)a major task during midlife that involves participation in social causes to enhance the welfare of others.
D)an innate skill that is repressed until middle adulthood.

Question 24

Functional illiteracy

A)affects as many as 20% of the adults in our society.
B)is not a problem in the United States because children are required to complete the eighth grade.
C)is usually found in people who did not attend school.
D)means a person cannot read or write their own name and/or they do not possess any reading or writing skills.

Question 25

False memory syndrome is associated with

A)cognitive difficulties that occur in midlife.
B)when a person becomes mentally suspicious of others without cause.
C)memories of being sexually abused in childhood.
D)any memory that turns out to be false.

Question 26

Which of the following is an incorrect classification match (according to the text)?

A)narcotics - heroin
B)sedatives - morphine
C)stimulants - cocaine
D)cannabis - hashish

Question 27

For social workers working with hearing impaired individuals, the first thing that should be done is

A)to fit the individual with hearing aids.
B)to establish a way to communicate.
C)to learn American Sign Language.
D)to speak clearly so the individual can read your lips.

Question 28

Which two emotions become more prominent in midlife?

A)Depression and anxiety
B)Anger and depression
C)Guilt and depression
D)Fear and anxiety

Question 29

It is estimated that  family in is affected in some way by drinking.

A)1; 3
B)1; 5
C)1; 8
D)1; 20

Question 30

The process of communication at midlife

A)is usually at a business level and dominated by peers and work associates.
B)is usually at a deeper level, dominated by family and friends, and includes engaging in forgiveness.
C)is usually at a more shallow level because the majority of people live a very fast-paced lifestyle during this time.
D)includes engaging in forgiveness.

Question 31

The following statement about the harm reduction approach is FALSE:

A)The addicted person must hit "rock bottom" in order to reach maximum motivation for change.
B)It challenges some fundamental tenets of AA.
C)It is widely implemented in urban low-income health clinics and community mental health centers.
D)Motivation can be gradually enhance in response to skillful therapeutic interventions.

Question 32

Social responsibility is often based on two aspects of development:

A)sense of obligation and ability to act on his or her sense of obligation.
B)level of motivation and ability to act on his or her level of motivation.
C)identity development and degree of identity achievement.
D)sense of generativity and ability to resolve generativity.

Question 33

The primary reasons why A.A. works include all the following, EXCEPT

A)it provides a needed social context for addressing the problem.
B)it provides a group setting for social support.
C)it provides the motivation for people to quit drinking.
D)it provides a clear structure and a path to follow.

Question 34

Delirium Tremens or DTs is

A)uncontrolled shaking resulting from withdrawal from alcohol.
B)the memory lapses or "blackouts" that occur while drinking.
C)a term that reflects the increase in a person's tolerance for alcohol.
D)a withdrawal syndrome of alcoholism which may include symptoms of agitation, tremor, hallucination, and sometimes seizures.

Question 35

What is NOT the best coping mechanism for couples dealing with a spouse who is seriously ill?

A)Communicating about their desire to share
B)Talking about things other than the illness if couples do not want to discuss it openly
C)Openly talking about the illness
D)Talking about the illness if they both desire to do so

Question 36

Schaie's series of studies concluded

A)that intellectual functioning increases in middle age.
B)that intellectual functioning decreases in middle age.
C)that childhood is the primary period for intellectual development.
D)that intellectual functioning is stable in middle age.

Question 37

Men and women in middle adulthood may reflect upon the meaning of their lives because

A)they are recognizing their own mortality through loss of youth, decline in physical functioning, and increased risk for illness or death.
B)they are becoming more concerned about what others think of them.
C)they are aware that they are currently experiencing a crisis.
D)friendships and cultural ties are often lost during this timeframe.

Question 38

In midlife, _____________ intelligence increases but ___________ intelligence decreases.

A)philosophical; cognitive
B)stable; decision-making
C)crystallized; fluid
D)fluid; crystallized

Question 39

Addicted women are more likely than addicted men to experience the following, EXCEPT

A)guilt.
B)anxiety.
C)depression.
D)hope.

Question 40

Alcoholism

A)is a problem for the alcoholic and their family but is not considered a serious social problem.
B)is basically a problem for young, poor, minority men.
C)is like depression-it more often affects women.
D)is a problem that reaches all ages and sociocultural and economic groups, with the majority (75%)of alcoholics being men.

Question 41

Which of the following statements is FALSE about step-families?

A)Boys become less anxious, experience an increase in self-esteem, and make a better adjustment when they gain a step-father.
B)Girls do not seem to benefit from gaining a step-father.
C)The step-father should refrain from directly controlling the child's behavior.
D)Girls tend to become more aggressive and less passive when they gain a step-father.

Question 42

Which of the following statements is FALSE?

A)Men have only slightly more affairs than women in heterosexual relationships.
B)Gay men affairs are extremely common; over 80% report affairs.
C)Lesbian women affairs are common; over 50% report affairs.
D)Couples involved for 10 years or more have a greater instance of affairs than couples involved for 2 to 10 years or zero to two years.

Question 43

Both male and female practitioners have negative stereotypes about their _______ clients; diagnosing them with more serious problems even though the described symptoms were characteristic of only adjustment disorders.

A)female
B)single
C)male
D)homosexual

Question 44

Because care-giving can be stressful and lead to both physical and mental consequences, caregiver support groups are helpful because they provide the following EXCEPT

A)respite.
B)coping skills.
C)validation and hope.
D)financial resources.

Question 45

The following statement is FALSE about men and work:

A)Too often, men tend to confuse what they do with who they are.
B)Men feel caught between family and work demands.
C)Men tend to have more midlife career changes.
D)Men typically pursue a narrow career pathway.

Question 46

The Social Network, previously consisting of organizations such as the American Legion, is not what it used to be. An explanation for this trend that was proposed in the text is

A)upward expansion has increased disorganization within neighborhoods, causing people to become more reclusive.
B)other activities, such as soccer leagues, self-help groups, and connection through the Internet, have replaced traditional social networks.
C)more people are giving dinner parties and hosting card games rather than volunteering.
D)television has been a new source of social connection as families and friends get together regularly to watch specific programs.

Question 47

According to the men's movement, men fail to develop appropriate masculine identity because

A)they feel conflict concerning their aggressive impulses.
B)there are not enough male role models for them to emulate.
C)they don't receive enough physical affection.
D)of the separation and emotionally distant relationship they have with their fathers.

Question 48

Which statement about grandparenthood is most accurate?

A)Grandchildren offer a sense of completion to the middle adult.
B)Most adults are alienated from their grandchildren.
C)If grandparents spend too much time with their grandchildren, resentment and conflict arise between the grandparents and parents.
D)Grandparents take on the "parenting" role with their grandchildren.

Question 49

Care-giving career

A)refers to the typical woman's role to care for children, elderly parents, and dependent husbands when needed.
B)refers to anyone who is in a care-giving or service profession.
C)refers to traditionally female professions such as nursing and teaching.
D)refers only to care-giving work that is performed for monetary compensation.

Question 50

____________ are often referred to as the sandwich generation.

A)Young adults
B)Middle-aged adults
C)Late adults
D)Women of all ages

Question 51

Carole has been feeling overwhelmed because along with her career, being a mom, and being a wife, she also is in charge of hosting all the big family get-togethers at her house and generally keeping the family together. Carole is suffering from/as the ________.

A)sandwich generation
B)kinkeeper
C)verbal abuse
D)men's movement

Question 52

When parents are considering remarrying, it is suggested that they

A)keep the monies separate from their new spouse to avoid confusion.
B)resolve any feelings related to their former marriage.
C)break off communication with the noncustodial parent so the children can form an attachment with the stepparent.
D)focus first on fostering a bond between their children and the stepparent.

Question 53

According to Torrey, how has the deinstitutionalization of the mental health system contributed to the problem of homelessness?

A)People with mental illness are unmotivated to work so they cannot afford housing.
B)Housing programs are designed primarily for minorities, yet the majority of the mentally ill population is Caucasian.
C)Community mental health centers, designed as a diversion to hospitalization, have been unsuccessful.
D)Individuals discharged from psychiatric hospitals do not adhere to their comprehensive follow-up treatment plans.

Question 54

Approximately ___________ of adults with parents over the age of 75 say their parents need assistance.

A)1/4
B)1/3
C)1/2
D)2/3

Question 55

Carl has been married for 28 years but recently has been unable to stop himself from having an affair with his tennis partner. Research indicates that the affair appeals to him for all the reasons below EXCEPT

A)he achieves greater fulfillment in personal relationships.
B)it boosts his confidence in his sexual attractiveness.
C)he has a great desire for excitement.
D)he is no longer attracted to his wife.

Question 56

Within five years of a divorce,  _______ of single-parent families re-marry and form a stepfamily.

A)75%
B)90%
C)50%
D)25%

Question 57

Which factor best predicts marital satisfaction among African-American couples?

A)Perceived adequacy of financial resources
B)Educational achievements
C)Amount of time together as a couple
D)Number of children

Question 58

When couples "launch" their children into  adulthood, there is a period of

A)decreasing marital satisfaction.
B)increasing marital satisfaction.
C)stability with neither an increase nor a decrease in marital satisfaction.
D)an increase in marital satisfaction for men, but a decrease in marital satisfaction for women.

Question 59

Which of the following is NOT a risk associated with joblessness?

A)Substance abuse
B)Increased conflict
C)Loss of morale
D)Violence

Question 60

Cynthia is a 45-year-old Mexican-American woman. When she was younger, she rarely spoke Spanish and made efforts to try to blend in with the mainstream culture. She is now recognizing the importance of her heritage and is starting a photo album of her ancestors and how they migrated to the US. She also decided to practice her Spanish with family and close friends. Cynthia is developing stronger

A)assimilation.
B)spirituality.
C)ethnic identity.
D)accommodation.

Question 61

The major social roles of women are

A)marriage role, home role, career role, and family role.
B)marriage role, career role, and family role.
C)home role and career role.
D)home role, career role, sexual role, and family role.

Question 62

When the physical, cognitive, and emotional state of hyperarousal persists long past the original threatening event, when it pervades daily life and impairs role-functioning, or when it's triggered by multiple daily situations, we refer to this as ______________.

A)depression
B)fear
C)anxiety
D)post-traumatic stress disorder

Question 63

When a new parent comes into a blended family, they should take the role of

A)a parent.
B)a buddy until a solid bond is formed.
C)the disciplinarian.
D)a sibling.