ch23: middle adult (35-65 yrs)

Question 1

erikson’s psychosocial dev for middle adult

Answer 1

generativity vs stagnation
- productivity/care vs lack of accomplishment

Question 2

piaget’s cognitive dev for middle adult

Answer 2

formal operational

Question 3

exercise requirements

Answer 3

30min/day 3-5 days/wk

Question 4

rec total cholesterol level

Answer 4

<200 mg/dL

Question 5

recommended alcohol amounts for men and women

Answer 5

men: <2 drinks/day
women: <1 drink/day

Question 6

what two complications are common in middle adult

Answer 6

constipation and stress incontinence

Question 7

what type of exercise pattern in recommended for middle adult and describe examples

Answer 7

continuous and rhythmic
- walking, jogging, swimming, cycling

Question 8

what makes the middle adult sleep cycle different

Answer 8

spend less time in deep sleep, therefore need occasional nap throughout the day

Question 9

what is schaie’s factors

Answer 9

efforts to maintain cognitive function
- involvement, absent chronic disease, satisfaction, family/spouse intellectual

Question 10

what are some visual problems that middle adults can have

Answer 10

presbyopia: farsightedness
glaucoma
dec visual sensitivity
cataracts
diabetic retinopathy
macular degeneration

Question 11

presbycusis

Answer 11

loss of hearing

Question 12

what are the 3 parts of midlife crisis

Answer 12

reassessment, turmoil, change

Question 13

what did the framingham study show

Answer 13

worry, conflict, anger, and ambitiousness can negatively affect BP

Question 14

role of the nurse with middle adult health

Answer 14

assess: indiv, baseline health, hazards, workplace safety
screen
education

Question 15

leading causes of middle adult death

Answer 15

heart disease and cancer

Question 16

middle adults can lose ____inches of height

Answer 16

1-4 inches of height

Question 17

life expectancy for male and female

Answer 17

M = 75.2
F = 80.4

Question 18

ethnic groups at higher risk for cancer, heart disease, diabetes, HIV

Answer 18

black and latino/hispanic

Question 19

mammogram and pap smears
- screening sched
- screening methods

Answer 19

mammogram: q2yrs, start at 50-74
pap: from 21-65

methods: digital/3d mammography, MRI, pap smear

Question 20

lipid profile and vital signs
- how often should the middle adult get this done

Answer 20

q1-5yrs

Question 21

colonoscopy
- screening sched

Answer 21

q10yrs start at 50+

Question 22

kyphosis

Answer 22

angulation of posterior spine

Question 23

osteoarthritis

Answer 23

degenerative joint disease

Question 24

osteopenia

Answer 24

subnormal bone mineralization

Question 25

osteoporosis

Answer 25

abnormal loss of bone density

Question 26

constipation

Answer 26

dec stool frequency

Question 27

menopause
- what is it, when does it start
- s/s leading up to it
- patho
- tx

Answer 27

cessation of menses, 12 months after last period

s/s leading up to it: change in cycle, hot flashes

patho: drop in estrogen = more bone resoprtion than formation = osteoporosis

tx: hormone replacement therapy, healthy diet, layer clothing, exercise, yoga

Question 28

andropause
- what is it
- s/s
- tx

Answer 28

male menopause; lower levels of testosterone with aging (50+) –> fatigue, sexual probs, depression

s/s: low energy, dec motivation, insomnia, dec libido, infertility

tx: diet change, exercise, antidepressants, testosterone replacement (risk prostate growth)