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.

Accepted Answer

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:

Accepted Answer

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.

Accepted Answer

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.

Accepted Answer

Generativity enhances self-image and promotes a feeling of well-being.Adults who do not achieve a sense of generativity may become self-preoccupied and overly concerned with physical and psychological health needs.

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:

Accepted Answer

Hot flashes and palpitations often accompany menopause and are very distracting and uncomfortable for the woman.Hormone replacement may be prescribed,or complementary and alternative medicine therapy may be recommended.

Question 6

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

Accepted Answer

At middle age,the muscles and skin lose their tone and elasticity.Fat is redistributed around the hips,and hair becomes thin,gray,or absent.Visual changes usually require the use of glasses,contacts,or surgery.

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:

Accepted Answer

Testosterone replacement therapy does restore strength,decrease fat accumulation,restore libido,and increase a sense of well-being,but it does not correct erectile dysfunction.

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:

Accepted Answer

Speed in mental functioning may be a problem as adults grow older,but when time is not a factor there is little difference in performance when compared to young adults.

Question 9

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

Accepted Answer

Generativity is the concept of the middle adult contributing in a positive way to the community and family through personal activity and achievements that go beyond the self.

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:

Accepted Answer

Excessive exercise may decrease the level of testosterone.The effect can last for several months.Wearing of tight undergarments also decreases the sperm count as the gonads get too hot.

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:

Accepted Answer

An important aspect of all stages of development is the need for feeling useful and loved,as well as maintaining a positive self-image.According to Kegan (see Chapter 5),individuals need to be included in reciprocal relationships with others and to maintain independence.

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:

Accepted Answer

Middle-aged men often have sexual concerns related to decreased physical fitness and performance anxiety.As well,the male climacteric,with its decrease in hormones,may lead to a decrease in sex drive.

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. )

Accepted Answer

Middle-aged adult males are at risk for cardiovascular disorders due to inappropriate diet,inadequate exercise,stress,and smoking.Lack of intimacy is not a cardiovascular threat.

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:

Accepted Answer

These adults may have to handle increased financial and emotional responsibilities related to the needs of their children and the needs of their aging,and perhaps dependent,parents.Middle-aged persons usually have a stable income and job security and usually have established themselves in a community.

Question 15

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

Accepted Answer

The middle adult must manage finances and households and maintain family and social relationships.The development of an ego ideal is part of the adolescent identity task.

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:

Accepted Answer

Because of the prevalence of cancer of the prostate as the most common cancer in men,annual screening for prostate cancer is recommended.New screening procedures are available which can diagnose prostate cancer much earlier and often before symptoms occur.

Question 17

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

Accepted Answer

The climacteric refers to a period in a person's life when there is a slowing and a cessation of the reproductive ability of the female and a decrease in the sexual activity of the male.

Question 18

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

Accepted Answer

Successful teaching of middle-aged adults depends on having an understanding of their concerns and potential sources of stress.Teaching strategies should incorporate the independence and competencies of adult learners and provide information relevant to the age-group.Directing these adults to independent learning without providing guidelines or initial direction may doom the opportunity to learn.

Question 19

Health maintenance during middle adulthood should be directed toward:

Accepted Answer

Metabolic needs decrease during middle adulthood.Diet and exercise must be part of the lifestyle of the middle-aged adult.Diet,smoking,and lack of exercise influence cardiovascular change.

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:

Accepted Answer

Midlife crisis is a time when adults may fear the inevitability of their own mortality and attempt to make up for lost opportunities or challenge the future by engaging in atypical behaviors.

Quiz 12: Middle Adulthood