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 client asks the nurse working in a dermatology clinic what causes skin to wrinkle. The nurse should 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: Application             REF:    594

 

2. A 45-year-old client asks the nurse if she thinks iron supplements would help increase her energy. She has gained 10 lb within the past year. The nurse should:

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/activity and 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: Application             REF:    594

 

3. The normal physiological changes that occur during middle age include:

a.	An increase in gastric emptying resulting in acid reflux
b.	Kyphosis causing a loss in height
c.	50% reduction of glomerular filtration
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: Knowledge             REF:    594-595

 

4. The nurse conducting a community education program should stress that the leading cause of death in middle-age adults is:

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

 

ANS:   B

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: Application             REF:    595-596

 

5. The nurse has received a grant to provide a community-based education series for middle-age adults. The nurse will make the greatest impact on the health of this age group if he or she focuses the series on:

a.	Diet and exercise
b.	Seat belt use
c.	Depression screening
d.	Cancer prevention

 

ANS:   A

Obesity is a major risk factor for heart disease, metabolic syndrome, and Type 2 Diabetes Mellitus. An educational series devoted to discussing diet and exercise will have the greatest impact on health.

 

DIF:    Cognitive Level: Analysis                  REF:    596-597