middle adulthood

Question 1

middle adulthood

Answer 1

36-64

Question 2

time of dynamic change

Answer 2

physiological decline begins, but relatively healthy
early lifestyle choices begin to yield cost or benefit
stage of economic productivity and family responsibility for growing children and aging parents

Question 3

sandwich generation

Answer 3

stage of major economic productivity and family responsibility for growing children and aging parents

Question 4

physiologic changes - starts at 45

Answer 4

hair and skin, weight, presbyopia (near vision), menopause and climacteric

Question 5

onset of chronic conditions

Answer 5

cancer and heart disease

Question 6

generativity vs stagnation

Answer 6

primary task of middle age is generativity or establishing or guiding the next generation

Question 7

generativity

Answer 7

sense of productivity and creativity by reaching goals
encompasses desire to care for others

Question 8

stagnation

Answer 8

occurs when a person becomes self-absorbed, fails to care for others

Question 9

self perception-self concept pattern

Answer 9

time of critical review

Question 10

midlife crisis

Answer 10

non-acceptable results

Question 11

recognize in midlife crisis

Answer 11

physical agility is declining
inevitability of one’s own death
mistakes made in the past
less time to make changes

result is acceptance

Question 12

middle adult challenges

Answer 12

divorce of offspring
young adults moving back home
raising grandchildren

Question 13

life events with potential disruptive effects

Answer 13

two or more job families
divorce
caring for aging parents
death of spouse
unintended pregnancies

Question 14

leading causes of death

Answer 14

cancer, unintentional injuries, heart disease

Question 15

malignant neoplasms

Answer 15

second leading cause of death

Question 16

heart disease

Answer 16

leading cause of death over age 44

Question 17

causes of death

Answer 17

many diseases preventable through earlier healthier lifestyle and routine primary care

Question 18

chronic conditions

Answer 18

heart disease
arthritis
back and spine impairments
COPD
diabetes mellitus
mental health conditions
dental disease

Question 19

sexuality-reproductive changes

Answer 19

pregnancy = many are waiting until later in life to have children, high rate of unintended pregnancies

STIs are hidden risk group

Question 20

factors influencing sexuality

Answer 20

job stress, diminished health of one or both partners, effects of some prescription medications

Question 21

health concerns: obesity

Answer 21

leading causes of death

Question 22

leading causes of death with obesity

Answer 22

diabetes, CVD, HTN

Question 23

health promotion: weight management

Answer 23

calorie reduction
increase physical activity
normalize weight
reduce risk for chronic disease

Question 24

calorie reduction

Answer 24

low cholesterol, low saturated diet
low sodium diet

Question 25

health promotion exercise benefits

Answer 25

prevent and manage chronic illness significant increase in life expectancy and quality of life

Question 26

recommendations

Answer 26

30 mins, 5 or more days a week = 150 mins continuous, rhythmic exercise = walking, jogging, swimming and bicycling

Question 27

health concern: oral health

Answer 27

gingivitis, periodontitis, teach dental hygiene and dental exams

Question 28

health promotion: sleep

Answer 28

less time in deep sleep compared to young adults less sleep overall compared to young adults insomnia common

Question 29

healthful guidelines

Answer 29

keep regular sleep schedule quality sleep many need occasional napping

Question 30

barriers to change

Answer 30

lack of materials lack of social support lack of motivation lack of knowledge insufficient skills to change habits undefined goals

Question 31

middle adults and nursing practice

Answer 31

through identification of risk factors, health promotion, and other nursing interventions, nurses help middle adults improve their quality of life nursing practices focus on the personal habits and lifestyles of middle aged adults to improve their biological, spiritual, and psychosocial development