NUR208: Middle and Older Adulthood
A 68-year-old client with a new ileostomy remarks to the nurse, It will be difficult for my wife to care for a helpless old man. Which conflict according to Erikson does this comment exhibit?
Integrity versus despair
An older adult says, I regret so many of the choices I've made during my life. According to Erikson's psychosocial stages of development, which developmental conflict has the client failed to accomplish?
Ego integrity versus despair
A middle-aged man says that he is taking up a strenuous exercise program to increase his testosterone level and his libido. The best response to this information would be:
"Excessive exercise may actually decrease your testosterone level."
Middle adulthood is considered the period of development after young adulthood but before retirement and is categorized as age 40 to _____ years.
60
According to Kohlberg's theory of moral development, which statement about conventional reasoning is true?
A person wants to fulfill family expectations
A client who retired a year ago says, I don't have any hobbies or interests
Ask the client to identify past achievements
A 70-year-old man with a history of depression has few interests since retirement. He says, I feel useless and unneeded. Based on Erikson's psychosocial stages of development, which outcome is occurring?
Despair
An older retired client tells the nurse about the great life he has lived and the activities that he enjoys at the senior center. According to Erikson's psychosocial stages of development, which developmental conflict has the client resolved?
Integrity versus despair
According to Erikson, which need would nurses focus care on for the middle-aged adult?
Productive
According to Erikson's psychosocial stages of development, which activity would the nurse encourage for a 75-year-old adult?
Reflecting on past achievements with a sense of satisfaction
When a 65-year-old woman comes to the health clinic with postmenopausal symptoms, the health-care worker will encourage a high dietary intake of:
calcium
When discussing the basic needs for the older adult, the health-care worker uses the term ___________ to indicate effective interactions.
competence
The health-care worker is taking the health history of an older adult with the assistance of the patient's daughter, who is the caregiver. The assessment that would suggest that the patient may be abused is the:
daughter has little knowledge of the patient's medical condition
According to Erikson, the primary task of middle adulthood is contributing positively to family and community, also known as _________________. Failure to achieve this task may result in stagnation
generativity
A 70-year-old woman has been newly diagnosed with cancer. She says that if the treatment is not successful, she has had a productive life and will have no regrets. This is:
indication of a satisfactory and fulfilling life
When teaching an older adult, the health-care worker promotes learning by providing
information that relates to the person's actual experiences
The term climacteric refers to a time in life in which:
men have a decrease in libido
A 55-year-old man has recently purchased a sports car, had a hair transplant, and taken up skydiving as a hobby. The term for this behavior as an attempt to challenge the inevitability of the future is known as:
midlife crisis
When access to health care is blocked, the major negative impact is that
preventative health-care measures are neglecte
A provision of the controversial Health Care Affordability Act of 2010 was to:
provide wider health-care coverage
