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During middle adulthood, physiological changes affect most bodily systems.
These changes include:
a. increased cardiac output.
b. increased glomerular filtration rates.
c. thinning of the intervertebral disks.
d. decreased bone density and mass.
c
The leading causes of death in middle adulthood, in both White and Black
populations, are the same and include:
a. heart disease.
b. kidney disease.
c. respiratory disease.
d. gastrointestinal disease.
a
The nurse initiates an exercise program with middle-aged adults by:
a. planning physical activity for a minimum of 45 minutes.
b. considering activities that have the least potential for injury.
c. counseling the adult that exercise should be rigorous to produce results.
d. advising that the heart rate should double during exercise for cardiovascular
benefits to be achieved.
b
Bloom (1984) has developed a hierarchy of cognitive levels in the adult learner.
The analysis cognitive level for the adult learner would be:
a. recalling specific facts.
b. grasping the meaning of the communicated message.
c. breaking down material into its constituent parts while noting their
relationship.
d. applying knowledge in the form of abstractions and ideas to concrete
situations.
c
The nurse, teaching a class on smoking cessation to a group of middle-age
adults, presents the adverse effects of smoking, which include that nicotine:
a. acts to stimulate the heart.
b. calms the central nervous system.
c. assists in decreasing blood pressure.
d. causes a decrease in carbon monoxide.
a
A condition of the bone that is the result of bone lysis exceeding the rate of bone
matrix synthesis is called:
a. osteoarthritis.
b. kyphosis.
,c. osteopenia.
d. osteoporosis.
c
A 50-year-old man is initiating an exercise program to help improve his
cardiovascular health. What are some of the recommended guidelines that the
nurse should instruct him on? (select all that apply)
a. Every adult over the age of 50 should start with a daily running program.
b. Overexertion should be avoided.
c. Increase fluid intake during periods of strenuous exercise in hot weather.
d. Adults over the age of 50 benefit from intense strength training.
e. Suggested activities include walking, jogging, swimming and bicycling
bce
A 48-year-old woman complains to her nurse that she is experiencing frequent
episodes of insomnia. What are some measures the nurse should educate her
about? (select all that apply)
a. Insomnia is common for this age group.
b. Engage in activity 1 to 2 hours before bed to encourage sleep.
c. Avoid or reduce the amount of caffeinated beverages that are consumed.
d. Occasional napping should be avoided.
e. Have a regular schedule for waking and sleep
ace
Common visual conditions which may occur in middle-aged adults include which
of the following? (select all that apply)
a. Presbyopia
b. Glaucoma
c. Cataracts
d. Macular degeneration
e. Presbycusis
abcd
The nurse provides anticipatory guidance to people during middle age to meet
developmental tasks of: (select all that apply)
a. helping children become responsible, happy adults.
b. rediscovering new satisfaction in the relationship with one's spouse.
c. developing an affectionate but independent relationship with aging parents.
d. reaching the peak in one's career.
e. passing on traditions and skills to grandchildren.
f. developing leisure-time activities.
abcdf
Characteristic behaviors of older adults who have successfully met Erikson's ego
integrity versus despair developmental task include:
a. fear of death.
b. feelings that life has been lived in vain.
c. identity is related to career and work only.
d. honest acceptance of the life that has passed.
d
,According to the U.S. Census Bureau, the fastest-growing group within the older
population is:
a. 65 to 70.
b. 70 to 75.
c. 75 to 80.
d. 85 and older.
d
The nurse is explaining services provided in assisted living to a couple
considering a move to long-term housing for older adults. The nurse explains that
assisted living includes:
a. 24-hour protective oversight.
b. medications administered by staff personnel.
c. client responsibility for preparation of own medications.
d. expectation that clients are independent in all care areas.
a
According to the National Resource Center on Nutrition, Physical Activity and
Aging, it is estimated that between __________ of older residents living in long-
term care facilities are malnourished.
a. 10% and 15%
b. 20% and 25%
c. 35% and 50%
d. 55% and 70%
c
The most widely accepted form of exercise among older adults is reported to be:
a. swimming.
b. running.
c. strength-training.
d. walking.
d
An effective method for older adults to feel engaged in the community is through:
a. volunteering.
b. downsizing.
c. retirement.
d. gardening.
a
The nurse counsels the older adult about the benefits of regular physical activity.
What are the educational points to use when promoting strength training? (select
all that apply)
a. Strength training can improve balance.
b. Strength training can increase the risk of falls.
c. Strength training can strengthen bones.
d. Strength training can reduce the incidence of acute illnesses.
e. Strength training reduces blood glucose levels
ace
What are the two main types of dementia in older adults? (select two that apply)
a. Multiinfarct dementia
, b. Parkinson-related dementia
c. Alzheimer's disease
d. Lewy body dementia
e. Huntington disease
ac
According to the Centers for Disease Control, what are the leading causes of
death in the older population? (select two that apply)
a. Diabetes
b. Heart disease
c. Cancer
d. Stroke
e. Alzheimer's disease
bc
Independent seniors may experience which of the following barriers to obtaining
adequate nutritional intake? (select all that apply)
a. Transportation issues
b. Income
c. Socialization
d. Social support resources
e. Cultural food preferences
abd
The nurse, presenting a nutrition class to high school students, emphasizes that
the leading cause of death associated with diet is:
a. anemia.
b. infection.
c. cirrhosis of the liver.
d. coronary heart disease.
d
The client asks the nurse, "Should I take a nutrient supplement?" The nurse
explains that nutrient supplementation is indicated in situations such as:
a. folic acid prior to pregnancy.
b. vitamin A during the first trimester of pregnancy.
c. vitamin E during anticoagulation therapy.
d. calcium in iron-deficiency anemia.
a
Which statement requires further teaching related to food safety practices?
a. Always drink pasteurized juices.
b. Wash fresh fruits and vegetables thoroughly.
c. When shopping, buy perishable foods last and take them straight home.
d. Cooked meat, poultry, and eggs may be left out at room temperature for up to 3
hours.
d
Who has priority for being served?
a. Non-breastfeeding postpartum women with any nutritional risk
b. Individuals at nutritional risk only because they are homeless
c. Children (up to age 5) at nutritional risk from serious medical problems