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Worksheets

Middle-Aged and Older Adults

Total questions: 20

Worksheet time: 11mins

Name
Class
Date
1.

Which is the leading cause of death for middle-aged adults (ages 45–64)?

a)

Stroke

b)

Heart Disease

c)

Cancer

d)

COPD

2.

Which group has the highest risk of osteoporosis?

a)

African American men

b)

Postmenopausal Asian women

c)

Middle-aged men on low-fat diets

d)

Young women who exercise regularly

3.

Which are risk factors for alcohol-related complications in middle-aged adults? (SATA)

a)

Daily intake of 1 drink for women

b)

Chronic alcohol use with tolerance

c)

Moderate alcohol intake in men (≤2 drinks/day)

d)

Increased risk of motor vehicle accidents

e)

Liver disease and pancreatitis

4.

A middle-aged client reports stress incontinence. The nurse recognizes which client is at highest risk for this condition?

a)

A 56-year-old woman with multiple vaginal births and little exercise

b)

A 45-year-old woman who drinks two cups of coffee daily

c)

A 50-year-old man with a history of kidney stones

d)

A 62-year-old man with poorly-controlled hypertension

5.

A middle-aged man reports erectile dysfunction. Which condition should the nurse assess for as a possible underlying cause?

a)

Low sodium intake

b)

Vitamin B12 deficiency

c)

Increased calcium intake

d)

Cardiovascular disease

6.

Which statement reflects generativity in a middle-aged adult?

a)

“I feel like my life has no purpose.”

b)

“I want to mentor young professionals at my workplace.”

c)

“I wish I had pursued a different career.”

d)

“I’m afraid of dying soon.”

7.

A nurse is assessing a middle-aged adult with suspected peptic ulcer disease (PUD). Which clinical finding would the nurse expect?

a)

Constipation and abdominal distension

b)

Bright red blood in the stool

c)

Epigastric pain described as gnawing or burning

d)

Right lower quadrant abdominal pain

8.

A middle-aged client reports frequent constipation. Which nursing intervention is best?

a)

Encourage increased dietary fiber

b)

Recommend long-term use of laxatives

c)

Advise reducing physical activity

d)

Suggest avoiding water intake in the evening

9.

A nurse is educating a community group about dietary recommendations for middle-aged adults. Which guideline is correct?

a)

Women after menopause require 18 mg/day of iron

b)

Men require about 2300 kcal/day after age 50

c)

Caloric intake increases after age 50

d)

Fiber intake should be limited

10.

A nurse is providing teaching on sleep hygiene to a middle-aged client with insomnia. Which statement by the client indicates a need for further teaching?

a)

“I’ll avoid exercise right before bedtime.”

b)

“I will maintain a regular sleep-wake cycle.”

c)

“I’ll drink coffee in the evening to help me relax.”

d)

“I’ll try cognitive-behavioral therapy.”

11.

Which finding in an older adult indicates a need for further nutritional assessment?

a)

BMI of 23

b)

Serum albumin of 2.8 g/dL

c)

Daily intake of leafy green vegetables

d)

Participation in Meals-on-Wheels

12.

An older adult taking warfarin is at risk for decreased drug effectiveness if they consume excessive amounts of which foods?

a)

Citrus fruits

b)

Whole Grains

c)

Green Leafy Vegetables

d)

High-Sodium Foods

13.

The nurse is teaching an older adult about dietary needs. Which of the following nutrients promotes wound healing? (SATA)

a)

Vitamin C

b)

Zinc

c)

Vitamin D

d)

Protein

e)

Calcium

14.

Which exercise recommendation should the nurse include for a postmenopausal older woman at risk for osteoporosis?

a)

Walking

b)

Swimming

c)

Cycling

d)

Yoga

15.

Which conditions are normal age-related changes and not pathological?

a)

Presbyopia

b)

Dementia

c)

Presbycusis

d)

Cataracts

e)

Decreased skin elasticity

16.

Which statement reflects Erikson’s developmental stage of ego integrity vs. despair?

a)

“I need to establish my independence from my parents.”

b)

“I worry I’ll never have a family.”

c)

"I don’t know what I want to do with my career.”

d)

“I feel like my life was meaningless.”

17.

Which vaccines should be recommended for an older adult age 65 or older? (SATA)

a)

Tetanus booster every 5 years

b)

Tuberculosis vaccine

c)

COVID-19

d)

Influenza annually

e)

Pneumococcal one-time dose

18.

Which intervention is most appropriate to help an older adult with urinary incontinence?

a)

Increase caffeine intake

b)

Create a voiding schedule

c)

Restrict fluids after breakfast

d)

Insert an indwelling catheter

19.

Which finding requires immediate nursing intervention for an older adult?

a)

Older adult reports mild constipation

b)

Reports blurred vision at night

c)

Hearing loss

d)

Weight gain of 2 lbs in 24 hours

20.

An older adult client reports adding large amounts of salt to their food because “it doesn’t taste like it used to.” Which nursing intervention is the priority?

a)

Encourage the client to use sugar substitutes instead of salt.

b)

Educate the client on risks of excessive sodium intake, such as hypertension.

c)

Recommend increasing portion sizes to enhance satiety.

d)

Suggest the client limit dental visits to once every 2 years.