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Nurs 3500 Exam 5 Questions With Complete Solutions
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Nurs 3500 Exam 5 Questions With Complete Solutions
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Nurs 3500 Exam 5 Questions WithComplete Solutions
Physical and Cognitive Development in Middle Adulthood
Correct Answers 40-65 age range
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Distinguishing Features of Middle Age Correct Answers -
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Social Construct
- Time of gains and losses - gain - money, more financially
secure; loss - muscles, height, physical changes, people start to
die, empty nest
- Can be defined chronologically, contextually or biologically
- Made up
- Think of the mid life crisis (15% of people do have mid life
crisis)
- Eastern culture so not have middle life
Middle Life Development Study in the US Correct Answers -
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Middle life in the US
- 7189 adults aged 25-75
- Experience of middle age varies with:
- Health - better health in middle age
- Gender - woman do better in late adulthood, men do better in
middle age, women are not satisfied with their appearance
during this period
- Race/ Ethnicity
- SES - rich people always do better
- Culture - menopause in eastern cultures is thought of positively
- Personality - do better if you like to do things, extroverts do
better
,- Marital and parental status - do better if you are married and
encourage each other, parents do better
- Employment - if you are employed do better because there is
more to do
Distinguishing features of Middle Age Correct Answers - Most
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people are in good physical, cognitive and emotional condition -
wide variation
- Heavy responsibilities and multiple roles -> competence (more
responsibilities at work)
- Time for taking stock and making decisions about remaining
years
- Sandwich generation - taking care of kids and parents,
evaluating life
Physical Changes Correct Answers - Phsyiological changes due
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to aging and heredity - behavior and lifestyle affect timing and
extent
- Most compensate well for gradual minor declines in sensory
and psychomotor abilities
- Presbyopia, myopia, presbycusis - can't focus on near objects
anymore, near sidedness, hearing loss (people don't get hearing
aids because they don't want to think they are getting older)
- Less sensitivity to touch, taste and smell
- Loss of endurance
- Slowing of basal metabolism - exercise and monitor diet
- Decreased bone density and vital capacity - especially old
white women who have gone through menopause, strength
training helps more than calcium
- Behavior affects how well you age - diet, exercise, drinking,
smoking,
,- Drug use has increased in this age group
Physical Appearance Correct Answers - Sagging skin
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- Thinning hair - men
- Gray hair - loose all melanin so hair turns gray, darker your
hair the earlier you get gray hair
- Loss of height - becuase you are loosing articular cartilage
- Weight gain - because metabolism slows
Physical Changes Correct Answers - Menopause - 51ish - stop
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having periods for a year; attitude depends on signs and
symptoms (some have horrible night sweats, hot flashes),
personal characteristics, past experiences, and culture. Have a
worse time going through mentally if you are a mother, if you
don't care is it easier to go through
- Many middle aged men experience decline in fertility and
frequency of orgasm
- Sexual activity decreases slightly and gradually - quality may
improve
Menopause Signs and Symptoms Correct Answers - Hot
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flashes/ night sweats - cause of sleep disturbance
- Vaginal dryness - no bodily fluid secreted
- Sleep disturbances
- Mood disturbances - more likely to have thse if they had this
during PMS
Physical Changes Correct Answers - Among women, sexual
hh hh
dysfunction decreases with age
- Among men, sexual dysfunction increases with age
, - ED (erictile dysfunction) - worse and more common if you
smoke, have hypertension and if you are on meds for anxiety
and depression
- May be related to health, lifestyle, and emotional well-being
Physical Changes cont. Correct Answers Double standard of
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aging
- Women feel less desirable as they lose their youthful
appearance
- For both men and women anxiety about getting older is
heightened in a society that places premium on youth
Health Correct Answers - Most middle-aged people are healthy
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with no functional limitations
- Diet, exercise, smoking, alcohol use affect present and future
health
- Preventive care - every preventative test
3 most common health issues people deal with
- HTN - hypertensive
- Arthritis - osteo, wearing down of articular cartilage
- AIDS - HIV, 55 and up fastest growing
Leading causes of death:
- Cancer
- Heart disease
- Hepatic disease
- Stroke/ CVA
- DM - type 2 diabetes caused by poor diet and no exercise
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