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QUIZ 20 CARE OF AN ADULT UNITEK VN QUESTIONS AND ANSWERS
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What are Erickson's stages of psychosocial development? (8) - Correct Answers - Infancy, toddler, preschool, school age, adolescence, young adulthood, middle adulthood, late adulthood Young adulthood - Correct Answers -(20-44 yr old) TASK: Intimacy vs. isolation; seek companionship/love with another person OR become isolated from others Middle adulthood - Correct Answers -(45-66 yr old) TASK: Generativity vs. stagnation; are productive, performing meaningful work/raising family OR become stagnant/inactive Late adulthood - Correct Answers -(65+ yr old) TASK: Ego integrity vs. despair; make sense of their life, life is meaningful/whole OR despairing because goals never reached/questions never answered Autoimmunity theory - Correct Answers -theory that the body is less able to tolerate/recognize "self"; immune system creates antibodies against itself (increased lymphocytes); reduced size/function of thymus and bone marrow (reduced immune function) can lead to infection/cancer Genetic theory - Correct Answers -idea that life expectancy is a hereditary trait; believed that several genes affect aging process (still under research) Age related change in musculoskeletal system - Correct Answers -bones more porous, tendons/ligaments less elastic, increased joint stiffness, less going motion, less going mobility/agility/endurance, thin vertebral disks NI: maintain mobility, encourage exercise (passive, active), avoid fatigue Disengagement stage of parenthood - Correct Answers -period of family life when children grown and leave home (parenting role change-need emotional/financial support) Senescence stage - Correct Answers -last life cycle stage that requires individual to cope with change; keep family contact (women outlive spouse), live independently, grandparenting
developmental tasks of early adulthood (SATA) - Correct Answers --financial/social independence -maximize self worth/identity -meaningful social relationships -assume responsibilities and independent decision making -balance personal and societal needs/expectations -accept self/others -distinguish physical attraction from love and permanent commitment -marriage, career, children Physical characteristics of early adulthood - Correct Answers -OPTIMAL function level; most body functions fully developed, muscular strength/energy/ endurance are at peak; senses are the sharpest (visual=20 yr but declines 40) When is height established? - Correct Answers -FEMALE: 16-17 yr MALE: 18-20 yr STABLE: between 30 and 45 but declines later due to disk settle Intimacy vs Isolation - Correct Answers -INTIMACY: develop deepest hopes/concerns in connection with another person; accept closeness; "virtue of love;" share lives; resolve demand of intimacy, distance, or competition MARK OF ADULT ISOLATION: distance from intimate relationships, failure in task; leads to isolation and self-absorption Rest and sleep of early adulthood - Correct Answers -function well with 7-9 hr; no scheduled daytime rest but maintain adequate rest during day to increase productivity; ESSENTIAL for pregnant women for health of her/baby What is the leading cause of disability/death of early adults? - Correct Answers - ACCIDENTS- work, vehicle, sports; violence Physical characteristics of middle adulthood - Correct Answers -bone mass decrease, slight height change (compress of spinal vertebrae), decrease in muscle fiber/mass, redistribution of body shape/contour; decrease in basal metabolism; basic neurologic function=high level still, vision/hearing/skin change When is calcium lost? - Correct Answers -FEMALE: after menopause MALE: more gradual rate, lower risk for osteoporosis presbyopia - Correct Answers -vision defect in advancing age that involves accommodation/ recession loss of near point caused by loss of crystalline lens elasticity) presbycusis - Correct Answers -normal/progressive age related hearing loss, auditory threshold/pitch loss
hearing: presbycusis, degeneration within ear structures, wax buildup NI: speak slow/clear, face individual, don't shout, control background noise, hearing aids Ego Integrity vs. Despair - Correct Answers -EGO INTEGRITY: evaluate one's life/accomplishments and find satisfaction/meaning in life; reminiscing (validation) DESPAIR: failure, dissatisfied with accomplishments, feeling of restlessness, sense of panic, "time running out" Age related changes to respiratory system - Correct Answers -rib cage: thorax calcification, muscle weakness, diminished efficiency, max breathing capacity reduced, more susceptible to infection, easily fatigued NI: allow for rest periods, encourage cough/deep breathe *lungs: alveoli thin/small (decrease gas exchange), decrease cough reflex/ciliary action/max breathing capacity NI: adequate exercise/nutrition, discourage smoking, obtain streptococcal pneumonia vaccine Age related changes to cardiovascular system - Correct Answers -fewer blood cells produced, decreased elasticity/narrow of blood vessels; increase BP, thick/rigid valves, decrease cardiac output NI: encourage regular/paced exercise with adequate rest period, low fat/sodium diet, obtain regular physical exam Safety tips for older adults (SATA) - Correct Answers --minimize clutter in walkways -remove scatter rubs -use handrails -grab bars in shower/bathroom -night light use -get up slowly from lying flat -cautious when light to dark room -use dispensing aids to reduce self medicating error risk -wear properly fitting shoes/clothing -allow enough time; don't rush/hurry Nutrition in the older adult - Correct Answers -need diet high in quality, low in quantity; less active=less caloric needs; important to have basic nutrition met, nutritional assessments required What diets are recommended for the older adult? - Correct Answers -low saturated fat/carbohydrates but high in fiber Treats to adequate diet of older adult - Correct Answers -poor oral health, appetite loss, food intolerance, constipation