Chapter 10. Development: Older Adults

Chapter 10. Development: Older Adults

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

 

____    1.         Which of the following is the most common major challenge for older adults?

1)

Dealing with the needs of their children

2)

Chronic health problems leading to the loss of independence

3)

Loss of the ability to reminisce about the past

4)

The decline of intellectual abilities

 

ANS:   2

Older adults have many losses to deal with, including the development of chronic health concerns and loss of independence. During the older adult years, children often provide care for their aging parents. Loss of short-term memory is more common than recollection of events involving long-term memory. Older adults have vivid memories of past events. Intellectual abilities do not become impaired with age; short-term memory and reaction time decline.

 

PTS:    1          DIF:    Moderate         REF:    p.205

KEY:   Nursing process: N/A | Client need: PHSI/PSI | Cognitive level: Comprehension

 

 

 

____    2.         Which of the following would be the most important health assessment focus for older adulthood?

1)

Cancer screening with the annual health examinations

2)

Seeking information about consistent use of seat belts

3)

Screening for eating disorders

4)

A bone scan (DEXA test) for osteoporosis

 

ANS:   1

Chronic diseases, including cancer, are major health problems for older adults. In fact, cancer is the second leading cause of deaths for older adults. Older adults should also have an annual physical exam; they should receive cancer screening at that time. Habits for seat belt use should have already been established; although it may be important to reinforce seat belt use, the most important assessment is cancer screening. Eating disorders are more common in adolescence and young adulthood. Although loss of bone density is fairly common in older adults and can be pathological, it does not assume the status as cancer with regard to mortality for older adults.

 

PTS:    1          DIF:    Difficult          REF:    pp. 211-212

KEY:   Nursing process: Assessment | Client need: HPM | Cognitive level: Comprehension

 

 

 

____    3.         To which age group do most hospitalized patients belong?

1)

Infants

2)

Young adults

3)

Middle adults

4)

Older adults

 

ANS:   4

Half of all hospitalized patients are older adults.

 

PTS:    1          DIF:    Easy    REF:    p. 202

KEY:   Nursing process: N/A | Client need: HPM | Cognitive level: Recall

 

 

 

____    4.         Which of the following reflects an understanding of the characteristics of older adults?

1)

Fewer than 5% of all older adults live in nursing homes.

2)

Average life expectancy at birth has declined slightly over the past 10 years.

3)

In general, males tend to live longer than do females.

4)

Black men have the lowest life expectancy, but the gap decreases as a person ages.

 

ANS:   1

Only 3.3% of people 65 and over live in nursing homes; this rises to 15% for those over 85 years. In the United States, life expectancy at birth has risen dramatically in the past century: In 1900, average life expectancy was 49.2 years; in 2005, average life expectancy was 77.8 years. At age 65, white women led life expectancy with 20 years, followed closely by black women at 18.7 and white men at 17.2 years, whereas black men at age 65 had the lowest life expectancy at 15.2. The disparity in death rates for people of different races is less for older adults than younger ones.

 

PTS:    1          DIF:    Moderate         REF:    p. 206

KEY:   Nursing process: N/A | Client need: HPM  | Cognitive level: Comprehension