Chapter 12: Middle Adulthood

Which factor may contribute to a healthy retirement? a. Having enjoyable leisure activities b. Having enough money c. Living in a warm, sunny climate d. Living with people of the same age

a. Having enjoyable leisure activities

The leading cause of death in the middle years is: a. Heart disease b. Pulmonary disease c. Diabetes d. Brain tumor

a. Heart disease

The major role change during the middle years is: a. Older children move back home b. Grown children leave home c. Loss of self-identity d. Unmet procreation needs

b. Grown children leave home

Forty-year-old Lisa tells you she used to take a dress size 8 and now she is a size 10. She also tells you she has not changed her exercise patterns or increased her food intake. What explanation would you offer to her? a. One's metabolic rate normally decreases during this stage of development, and this results in fat retention and weight gain. b. It is not unusual to have a redistribution of your weight at this time. c. Continued exercise often can cause increased muscle mass and change clothing size. d. Decreased physical exercise will slow metabolism and cause weight gain.

b. It is not unusual to have a redistribution of your weight at this time.

A slight increase in blood pressure associated with middle age is due to: a. Increased respiratory efforts b. Loss of elasticity in the heart muscle c. Increased cardiac muscle recovery d. Decline in diaphragmatic performance

b. Loss of elasticity in the heart muscle

Melissa, on her 37th birthday, questions what is causing the wrinkles on her skin. She should be told that this occurs because of: a. Loss of fluid in tissues b. Loss of elasticity in the skin c. Increased collagen deposit in the skin d. Hypopigmentation

b. Loss of elasticity in the skin

Pattern of hair growth is generally influenced by: a. Culture b. Race c. Endocrine glands d. Apocrine glands

b. Race

What is true of the relationship between middle-age adults and their aging parents? a. Bonds tend to weaken. b. The aging parents become dependent on their middle-age children. c. Bonds tend to strengthen. d. Aging parents move far physically and emotionally from grown children

b. The aging parents become dependent on their middle-age children.

Self-absorption when seen in middle age is most commonly due to: a. Depression b. Unresolved generativity c. Social isolation d. Financial isolation

b. Unresolved generativity

The major difference in physiological changes between men and women during the middle years is that: a. Men lose their ability to procreate b. Women lose their ability to procreate c. Most men maintain their earlier body weight d. Most women lose more fat cells than do men

b. Women lose their ability to procreate

Menopause begins usually between: a. 30 and 40 years b. 35 and 45 years c. 45 and 55 years d. 25 and 35 years

c. 45 and 55 years

Which of the following goals is not generally associated with middle adulthood? a. Adjusting to new family roles b. Establishing new family roles c. Accelerated motor activity d. Enjoying economic stability

c. Accelerated motor activity

The middle-aged period is often depicted as a time of: a. Peak physical attractiveness b. Lack of control over one's life c. An unhappy home life d. Peak health

c. An unhappy home life

A decrease in peripheral vision as one ages is due to: a. Thinning of the lens b. Loss of peripheral circulation c. Thickening and increased opacity of the lens d. Increased muscle tone

c. Thickening and increased opacity of the lens

A 55-year-old woman discusses her changing family life with you. She has two adult children, one attends school in another state far from home and the other is married and is living 1,000 miles away. She complains that she hardly ever gets to see them anymore. Which would be the most therapeutic response? a. "It is common to feel this way during menopause." b. "It is interesting that both your children have chosen to live far away." c. "You need to get over this and start living for yourself." d. "What interests and plans do you now have for yourself?"

d. "What interests and plans do you now have for yourself?"

John, aged 42, has been complaining of difficulty voiding. The most common cause of voiding difficulty in this age group is: a. Decreased testosterone b. Atrophy of the gonads c. Urinary tract infection d. Enlarged prostate

d. Enlarged prostate

In middle age, the bones become more porous because of: a. Loss of bone cells b. Increased bone mass c. Increased calcification d. Loss of minerals

d. Loss of minerals

The grandparenting role has changed today in that today's grandparents: a. Usually do not get involved in child care b. Are generally isolated from their grandchildren c. Are generally older in appearance d. May have a more youthful appearance

d. May have a more youthful appearance

Physiological changes in middle age commonly: a. Occur at the same time for all b. Come on rapidly c. Cause a high incidence of depression d. Occur at different times for different people

d. Occur at different times for different people

Forty-two-year-old Beverly Styles has a history of periodontal disease. You would instruct her that to prevent flare-up of periodontal disease, she should: a. Increase her intake of sucrose b. Increase her intake of calcium c. Keep the oral mucosa dry d. Perform proper dental care

d. Perform proper dental care

Bob is 49 years old and troubled by his age and some of the related changes that he notices. His physician explained that he is experiencing the climacteric. He described the climacteric as referring to: a. The loss of reproductive ability b. Any abrupt change in the body c. The cessation of menstruation d. The male change of life

d. The male change of life

Brooke is caring for her elderly mother since her father's death. In order to promote a healthy relationship, you advise Brooke to: a. Decrease physical contact b. Reduce physical stimuli c. Continuously orient her to time and place d. Use caregiver relief

d. Use caregiver relief

The most common type of medical problem seen in middle age is: a. Urinary tract infection b. Incompetent bowel c. Cataract formation d. Wear and tear on bone

d. Wear and tear on bone