Chapter 10 Development: Older Adults


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Chapter 10  Development: Older Adults



Complete Chapter Questions And Answers

Sample Questions


Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Which of the following is the most common major challenge for older adults?
Dealing with the needs of their children

Chronic health problems leading to the loss of independence 3)
Loss of the ability to reminisce about the past
The decline of intellectual abilities

ANS: 2
Older adults have many losses to deal with, including the development of chronic health concerns and loss of independence. During the older adult years, children often provide care for their aging parents. Loss of short-term memory is more common than recollection of events involving long-term memory. Older adults have vivid memories of past events. Intellectual abilities do not become impaired with age; short-term memory and reaction time decline.

PTS: 1 DIF: Moderate REF: p.205
KEY: Nursing process: N/A | Client need: PHSI/PSI | Cognitive level: Comprehension

____ 2. Which of the following would be the most important health assessment focus for older adulthood?
Cancer screening with the annual health examinations

Seeking information about consistent use of seat belts 3)
Screening for eating disorders
A bone scan (DEXA test) for osteoporosis

ANS: 1
Chronic diseases, including cancer, are major health problems for older adults. In fact, cancer is the second leading cause of deaths for older adults. Older adults should also have an annual physical exam; they should receive cancer screening at that time. Habits for seat belt use should have already been established; although it may be important to

Treas Fundamentals ITB10-2 Instructor’s Test Bank

reinforce seat belt use, the most important assessment is cancer screening. Eating disorders are more common in adolescence and young adulthood. Although loss of bone density is fairly common in older adults and can be pathological, it does not assume the status as cancer with regard to mortality for older adults.

PTS: 1 DIF: Difficult REF: pp. 211-212
KEY: Nursing process: Assessment | Client need: HPM | Cognitive level: Comprehension

____ 3. 1) Infants 2)

Young adults 3)
Middle adults 4)

Older adults

ANS: 4
Half of all hospitalized patients are older adults.

PTS: 1 DIF: Easy REF: p. 202
KEY: Nursing process: N/A | Client need: HPM | Cognitive level: Recall

____ 4. Which of the following reflects an understanding of the characteristics of older adults?
Fewer than 5% of all older adults live in nursing homes.

Average life expectancy at birth has declined slightly over the past 10 years.
In general, males tend to live longer than do females.
Black men have the lowest life expectancy, but the gap decreases as a person ages.

ANS: 1
Only 3.3% of people 65 and over live in nursing homes; this rises to 15% for those over 85 years. In the United States, life expectancy at birth has risen dramatically in the past century: In 1900, average life expectancy was 49.2 years; in 2005, average life expectancy was 77.8 years. At age 65, white women led life expectancy with 20 years, followed closely by black women at 18.7 and white men at 17.2 years, whereas black

To which age group do most hospitalized patients belong?

Treas Fundamentals ITB10-3 Instructor’s Test Bank

men at age 65 had the lowest life expectancy at 15.2. The disparity in death rates for people of different races is less for older adults than younger ones.

PTS: 1 DIF: Moderate REF: p. 206
KEY: Nursing process: N/A | Client need: HPM | Cognitive level: Comprehension

____ 5 A 75-year-old white female patient says, “I’ve heard that women live to an older age than men do. My husband and I are the same age, so I am afraid I will have to spend some years without him. That really worries me.” Which response is based on correct information?

“That is a realistic concern, as women do have a longer life expectancy than men. But many things can happen to change that.”
“You need not worry, because both you and your husband are white. That statistic is true only for black men and women.”
“It is true that women have a longer life expectancy at birth. However, life expectancy measured at age 65 is almost the same for both sexes. You are both well past 65.”
“That is true only in certain geographical areas, such as those with a high population of newly retired persons.”

ANS: 3
For infants born in 2005, the average total life expectancy for females is 80.4 years.
Life expectancy measured at age 65 was nearly the same for men and women in 1900; however, women had a lead of about 3 years over men in 2005, narrowing the gap as men age. So the longer men live, the longer they will live. The statistics are true for white people as well as black people. The answer saying, “That is a realistic concern . . .” is only partially true. Women do have a longer life expectancy at birth, but that tends to almost disappear after men reach age 65, and it continues to lessen as they continue to age. In-migration and out-migration have nothing to do with gender differences in life expectancy, although they do affect the population distribution within a state, for example.

PTS: 1 DIF: Difficult REF: p. 202
KEY: Nursing process: Implementation | Client need: HPM | Cognitive level: Application

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