Chapter 23: Middle-Age Adult

Chapter 23: Middle-Age Adult

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A 35-year-old person asks the nurse working in a dermatology clinic what causes skin to wrinkle. Which of the following statements would be most appropriate way for the nurse to reply?

a.	“There is really nothing you can do to prevent a lot of wrinkles. It is part of aging.”
b.	“As we age, we lose fat beneath the skin so wrinkles appear. There is nothing we can do to prevent it.”
c.	“Wrinkles appear for a number of reasons, including loss of fat beneath your skin and too much sun exposure.”
d.	“Wrinkles are caused by genetic factors.”

 

 

ANS:  C

Loss of subcutaneous fat and collagen damage related to sun exposure cause wrinkles.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 563

 

2. A 45-year-old client who has experienced a ten pound weight gain during the past year asks the nurse if she thinks iron supplements would help increase her energy. Which of the following would be the most appropriate action for the nurse to take?

a.	Ask the client to describe her daily activity and diet
b.	Leave a note requesting an iron supplement on the client’s chart for the doctor
c.	Provide the client with information related to aerobic exercise classes
d.	Ask the client if she is still menstruating

 

 

ANS:  A

A lack of routine exercise and activity plus a diet high in calories contributes to weight gain and a lack of energy. The priority action by the nurse is assessment, which will reveal the reason for a lack of energy.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 563

 

3. Which of the following is a normal physiological change that occurs during middle age?

a.	Increase in gastric emptying resulting in acid reflux
b.	Reduction in height caused by kyphosis
c.	Reduction of glomerular filtration by 50%
d.	Increase in the amount of estrogen produced in both genders

 

 

ANS:  C

Gastric emptying is decreased, kyphosis is not an expected part of aging, and estrogen levels decrease in women and increase in men as male testosterone levels decrease.

 

DIF:    Cognitive Level: Understand (Comprehension)                  REF:   p. 564

 

4. A nurse is conducting a community education program. Which of the following should be stressed as the leading cause of death in middle-age adults?

a.	Automobile accidents
b.	Malignant disease
c.	Homicide
d.	Suicide

 

 

ANS:  B

The leading causes of death during middle adulthood are heart disease, cancer, and accidents. Accidents are the major cause of death for children and young adults. Homicide and suicide are major causes of death for young adults.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 564 | p. 564 (Box 23-1)

 

5. A nurse formed a political action committee to advocate for health insurance for the uninsured. On which of the following populations would the nurse focus the group’s efforts?

a.	Asian Americans
b.	Blacks
c.	Hispanic Americans
d.	Working-poor White Americans

 

 

ANS:  C

Hispanic Americans are the largest minority group in the United States and have the highest uninsured rate.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 567