Deck 12: The Middle-Aged Adult

Question 1

Physical changes during middle adulthood are relatively gradual.

Answer 1

True

Question 2

Menopause refers to which one of the following descriptions?

A) An irregular pattern of menstruation with diminished pre-menstrual symptoms
B) Gynecological changes associated with increased amounts of circulating estrogen
C) The age at which women cease to bear children
D) The cessation of menses after one year of amenorrhea

Answer 2

The cessation of menses after one year of amenorrhea

Question 3

When assessing for occupational exposure to carcinogens, it is important to consider the family members of the worker even though they are not physically present in the work environment.

Answer 3

True

Question 4

Which of the following characteristics is an indicator for bone density testing in women?

A) Age over 30
B) Family history of osteoporosis
C) Obesity
D) Surgical sterilization with hormone replacement therapy

Question 5

At what age is it recommended for men to begin screening for prostate cancer?

A) 20
B) 30
C) 40
D) 50

Question 6

Although individuals vary in the amount of sleep they require, the recommended number of hours of sleep for the middle-aged adult is which of the following?

A) 5 to 6 hours
B) 6 to 8 hours
C) 7 to 9 hours
D) 8 to 9 hours

Question 7

Which of the following would be an appropriate recommendation for exercise in creating a health-promotion plan for a 42-year-old male?

A) Exercise twice per week for 60 minutes of aerobic exercises.
B) Exercise three to four times per week for 30 minutes of brisk walking.
C) Exercise four to five times per week for 20 minutes of weight lifting.
D) Exercise five times per week for 15 minutes of jogging.

Question 8

A new trend affecting men and women in the middle adult years is:

A) career stability and consistency.
B) completion of childbearing before age 40.
C) grandparents raising grandchildren.
D) pressure for risk-taking by peer group.

Question 9

According to the U.S. Preventive Services Task Force, at what age should a woman begin having yearly mammograms?

A) 35
B) 40
C) 45
D) 50

Question 10

Which of the following groups of women have been identified as being at high risk for endometrial cancer?

A) Postmenopausal Caucasian women, over 50, obese, and with a history of abnormal bleeding
B) Postmenopausal Hispanic women, over 40, obese, and with a history of large babies over 9 pounds
C) Premenopausal African American women, under age 40, with a history of hypertension
D) Premenopausal Native American women, over 50, thin, and with a history of multiple miscarriages

Question 11

According to the 2010 Census, what percentage of the Unites States population is considered to be middle-aged?

A) 8%
B) 12%
C) 15%
D) 26%

Question 12

The climacteric, or change of life, for men occurs at a much more rapid rate than for their female counterparts.

Question 13

In adults of any age, regular tetanus-diphtheria-toxoid immunization boosters should be obtained at a recommended interval of:

A) 2 years.
B) 5 years.
C) 10 years.
D) 12 years.

Question 14

In counseling middle-aged adults, an adult learning principle that should be kept in mind is that adults are motivated to learn when:

A) at least 1 week is allowed between learning a skill and practicing the skill.
B) dependence on others to problem-solve is facilitated.
C) information can be stored and retrieved for future use.
D) information is congruent with life experiences.

Question 15

A nutrition assessment for a 55-year-old male revealed a diet with a high percentage (40%) of calories from fat. What changes would be important to include in dietary counseling to promote health in this middle-aged adult?

A) Decrease calories from fat to less than 15%.
B) Decrease calories from fat to less than 25%.
C) Decrease calories from fat to less than 30%.
D) Decrease calories from fat to less than 35%.

Question 16

Middle-aged adults experience the most sweeping changes in which one of the following domains?

A) Biological
B) Psychological
C) Sociological
D) Spiritual

Question 17

Which of the following age ranges is generally accepted as being middle age for adults?

A) 30 to 45
B) 35 to 55
C) 40 to 65
D) 45 to 55

Question 18

Hormone replacement therapy is recommended for all women during and after menopause.

Question 19

Annual influenza immunization is recommended for all middle-aged adults.

Question 20

A nutrition assessment for a 51-year-old female revealed a diet low in fiber at 10 grams per day. What changes would be important to include in dietary counseling to promote health in this middle-aged adult?

A) Increase dietary fiber to 15 gm.
B) Increase dietary fiber to 20 gm.
C) Increase dietary fiber to 40 gm.
D) Increase dietary fiber to 25 gm.

Question 21

Adults with a history of upper body (head and neck) radiation in childhood should be screened for thyroid cancer.

Question 22

Women can discontinue monthly self-breast exams after the age of 50 or after the completion of menopause.

Question 25

The specificity of a screening test refers to the ability of the test to correctly give a positive result when the person has the condition.

Question 29

If a screening test has low sensitivity, persons with the disease will be missed by the screening procedure.

Question 31

The U.S. Preventive Services Task Force has suggested that blood cholesterol screening for women begin at age 45, 10 years after that recommended for men at age 35.