ATI LPN
Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
Chapter 24 : Middle and Older Adulthood Questions
Question 1 of 5
A nursing student caring for older adults in a skilled nursing facility is completing an assignment identifying physical changes that are part of normal aging. What changes will the student include in this assignment? Select all that apply.
Correct Answer: A,B,F
Rationale: Physical changes occurring with aging include redistribution of fatty tissue, drier skin with wrinkles, and diminished visual and hearing acuity. Cardiac output decreases, muscle mass decreases (sarcopenia), and hormone production decreases, causing menopause or andropause.
Question 2 of 5
A nurse researcher interviews adults to validate Erikson's theory that middle-aged adults who do not achieve their developmental tasks may be in the stage of stagnation. Which patient statement will the nurse correlate to this theory?
Correct Answer: B
Rationale: According to Erikson, middle adulthood involves generativity versus stagnation. The tasks include guiding the next generation and adjusting to aging parents. A statement indicating excessive concern about personal health, such as spending all time at the doctor, reflects stagnation, where the individual becomes self-absorbed rather than generative.
Question 3 of 5
A nurse providing health services for a community setting for people age 55 years and older considers health problems for these residents. Which of the following problems is most appropriate for many middle-aged adults?
Correct Answer: D
Rationale: Many middle-aged adults help care for aging parents, leading to caregiver role strain due to 24-hour care responsibilities over extended periods. Nutritional issues are more common in childhood or older adulthood, while mental health problems and abuse can occur across age groups but are less specific to middle-aged adults.
Question 4 of 5
The charge nurse in a long-term care facility discusses ageism with new nurse employees. Nurses are asked to intervene if they observe which of these examples demonstrating ageism?
Correct Answer: C
Rationale: Ageism involves stereotyping older adults based on characteristics not universal to their age group. Stating that older adults should not pursue romantic relationships after age 70 is an example of ageism, as it dismisses their capacity for relationships. The other options promote positive self-image, resilience, or acknowledge emotional needs.
Question 5 of 5
A nurse is caring for older adults in a senior adult day services (ADS) center. Which findings require follow up with the health care provider?
Correct Answer: B
Rationale: A bluish tint to the nail beds may indicate hypoxemia, which requires follow-up with a health care provider. Skin pigmentation from sun exposure, using a walker for a hip fracture, and bruising due to fragile blood vessels are common in aging and typically do not require immediate follow-up unless severe or accompanied by other symptoms.