Deck 13: Late Adulthood

Question 1

Tooth loss in the geriatric patient is considered:

A) A natural process
B) To result from bone loss
C) To result from decreased elasticity in the muscles
D) A result of poor dental hygiene

Answer 1

A result of poor dental hygiene

Question 2

The phase of planning in retirement of the elderly person is termed:

A) Near
B) Remote
C) Honeymoon
D) Disenchanted

Answer 2

Near

Question 3

Depression seen in the older adult is most commonly caused by:

A) Multiple losses
B) Physiological acceptance
C) Knowledge deficit
D) Increasing confusion

Answer 3

Multiple losses

Question 4

Eighty-four-year-old Mary Brown,a patient in the long-term care unit,complains frequently of being cold.This response is probably due to (the):

A) Fragility of the skin
B) An increase in the number of sweat glands
C) Loss of elasticity in connective tissue
D) Loss of adipose tissue

Question 5

Young-old describes a period from ages:

A) 75 to 90
B) 85 to 95
C) 60 to 70
D) 65 to 74

Question 6

Elder abuse is generally seen:

A) In individuals at lower economic strata
B) Only in one specific ethnic group
C) Across all social boundaries
D) Only in disadvantaged persons

Question 7

Eighty-year-old Sarah James complains of pain and stiffness in the joints.This may be due to a(n):

A) Loss of elasticity in the tendons and ligaments
B) Decreased muscle strength and tone
C) Activity
D) Daily exercise regimen

Question 8

Senescence refers to the:

A) Normal signs of aging
B) Decrease in energy
C) Loss of pubic hair
D) Decrease in vaginal secretions

Question 9

The most important predictor of one's life expectancy is:

A) Tissue resiliency
B) Physiological coping
C) One's own biological parent
D) Posture and gait

Question 10

Helplessness and despair are often characteristic of people who:

A) Lack a sense of integrity
B) Are unable to disengage
C) Have impaired blood flow to the brain
D) Choose social isolation

Question 11

A change in height during the older years is due to a:

A) Loss of fat
B) Fusing of the vertebrae
C) Closing of the epiphysis
D) Loss of muscle tone

Question 12

Which of the following is a biological theory of aging?

A) Disengagement
B) Continuity
C) Activity
D) Wear and tear

Question 13

Seventy-year-old Edna MacBay's daughter complains that her mother has had difficulty remembering visits from her other children.You can tell her this is commonly a result of:

A) Aging
B) Disease
C) Environment
D) Reaction time

Question 14

In beginning nutritional education in an elderly patient,of least importance to the nurse is:

A) Educational level
B) Economic factors
C) Cultural and ethnic practice
D) Color and texture of the food

Question 15

The majority of old people:

A) Live in social isolation
B) Are institutionalized in nursing homes
C) Live in a family setting
D) Live with their spouse

Question 16

Life review in which older people engage serves to:

A) Give meaning to their life
B) Decrease their self-worth
C) Allow focus on the extension of life
D) Make wrong behavior right

Question 17

The incidence of choking in older people increases because of:

A) Decreased peristalsis
B) Decreased gag reflex
C) Decreased stomach capacity
D) Decrease in gastric secretion

Question 18

The older person generally:

A) Needs more sleep than a younger adult
B) Needs more rest periods than a younger adult
C) Needs as much sleep as a newborn
D) Does not negotiate

Question 19

Hearing-related changes in elderly patients are initially due to a loss of:

A) Low-frequency tones
B) High-frequency tones
C) External vibration
D) Internal decoding

Question 20

A high potential for impaired safety is a concern in older patients because of:

A) Changes in sensory perception
B) Atrophy of between 5% and 10% of the neurons
C) Decrease in brain weight
D) Impaired feedback in the brain

Question 21

Which of the following is not true about sexuality in late adulthood?

A) Interest in sex diminishes in late adulthood.
B) Sexual expression may take on different forms.
C) Menopause may affect sexual desire.
D) Medications may adversely affect one's sexual performance.

Question 22

The psychosocial adjustment to aging can be minimized by:

A) One's relationship with one's family
B) One's self-esteem
C) Completion of developmental tasks
D) One's adjustment to physical aging
E) All of the above

Question 23

In the older adult,gross motor skills decline because of:

A) Organ neuroses
B) Stiffening of the joints
C) Organic brain reaction
D) Dementia

Question 24

Ego integrity can be determined by which of the following?

A) Feelings of desperation
B) Social isolation
C) Doubt
D) Positive life review

Question 25

Which of the following is not a reason for divorce after age 65?

A) Debilitating illness
B) Disability
C) Euphoric feelings
D) Marital problems

Question 26

Approximately 12.4% of people in the United States are age 65 and older.

Question 27

The nurse teaches the new graduate that when providing activities for the older adult,she should consider:

A) New activities to stimulate learning
B) Resistant exercises
C) Group activities
D) Activities that consider earlier interests

Question 28

The theory of aging that suggests the adjustment to aging depends upon the person's ability to maintain his or her life patterns well into aging is:

A) Disengagement theory
B) Clockwork theory
C) Free-radical theory
D) Activity theory

Question 29

The nurse correctly recognizes that there are many life adjustments for the older adult,including (a): (Select all that apply.)

A) Decline in intellect
B) Decrease in energy
C) Decrease in income
D) Major physical impairments
E) Slowed reaction time

Question 30

The negative stereotyping of older people is called:

A) Delusion
B) Psychoneurosis
C) Free association
D) Ageism

Question 31

Married couples may have a shift in roles at different periods throughout their life cycle.One such time is during:

A) Retirement
B) Pregnancy
C) Abuse
D) Aggression

Question 32

To attain ego integrity as described by Erikson,the older person must have:

A) Willpower
B) No emotional problems
C) Successfully resolved the other stages
D) Strong opposing views