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WorksheetsAdult Health & Development — Young and Middle Adulthood
Total questions: 30
Worksheet time: 15mins
A nurse teaching a wellness class for young adults should emphasize which main goal of preventive care?
Reducing risk factors for chronic disease through lifestyle modification
Managing existing chronic illness
Planning end-of-life care
Focusing only on reproductive concerns
The nurse developing a health program for middle-aged adults should prioritize:
Early detection and management of chronic diseases
Avoiding all physiologic aging
Crisis-only care
Hospice preparation
A 48-year-old caring for her mother and college-aged children is best described as part of:
The Sandwich Generation
The Empty-Nest Generation
Generation X
The Boomers
Which physiologic change is typical of middle adulthood?
Metabolism slows, promoting weight gain
Peak bone mass occurs
Vision and hearing improve
Muscle mass increases rapidly
A 32-year-old construction worker’s biggest occupational risk is:
Environmental hazards and physically demanding labor
Low sleep needs
Minimal injury risk
Stable stress levels
Which statement shows correct understanding of self-care importance?
"Regular self-care helps me manage stress."
"Only exercise matters for health."
"I practice self-care when sick."
"Work comes before self-care."
Which population is at highest risk for violent death?
Young adult males
Middle-aged women
Older adults
Adolescents only
A 40-year-old recovering from substance abuse is in which care model?
Restorative and continuing care
Acute care
Preventive care
Palliative care
A 55-year-old with weight gain and fatigue likely experiences:
Reduced basal metabolic rate and decreased muscle mass
Accelerated metabolism
Growth-hormone excess
Increased lean tissue
The most used psychoactive drug in U.S. adults is:
Alcohol
Nicotine
Cannabis
Caffeine
Which medication interaction is emphasized in alcohol teaching?
Alcohol-interactive prescription drugs
Vitamins
Antacids
Herbal supplements only
A nurse educating about binge drinking should state:
It significantly raises health risk in any pattern of heavy intake
It prevents tolerance
It improves lipid levels
It is safe with meals
Illicit drug categories include all except:
Alcohol
Cocaine
Methamphetamine
Heroin
Which trend has surpassed motor-vehicle deaths in the U.S.?
Prescription-drug overdoses
Infectious disease mortality
Falls
Suicide
What factor fueled the opioid crisis?
Over-prescription and misleading marketing of pain meds
Strict regulation
Limited availability
Decline in chronic pain prevalence
In substance-use assessment, data from an intoxicated client are:
Unreliable until sober
Equally valid
Preferable
Legally binding
The AUDIT questionnaire screens for:
Hazardous and harmful drinking patterns
Only alcohol dependence
Illicit drug use
Depression
A 50-year-old patient says, “I drink but I’m not an alcoholic.” The nurse’s best response is to:
Use a structured screening tool like AUDIT-C
Challenge denial
Ignore statement
Document verbatim only
“Substance” refers to:
Non-medical agents used to alter mood or behavior
Any prescribed medication
Only illegal drugs
Supplements and caffeine
“Dependence” means:
Physiologic reliance on a substance
Occasional social use
Psychological attraction only
Isolated experimentation
Tolerance is best described as:
Requiring increasing amounts for same effect
Complete abstinence
First-time intoxication
Severe withdrawal
Withdrawal occurs when:
Substance cessation causes physiologic effects
Drug is increased
Substance becomes less potent
Dose spacing shortens
Which physiological change most affects self-concept in middle adulthood?
Graying hair and skin wrinkling
Faster metabolism
Growth-spurts
Improved hearing
Weight typically declines after age 50 due to:
Reduced intake and loss of lean muscle
Increased appetite
Enhanced BMR
High growth-hormone levels
An appropriate community-health strategy for sandwich-generation caregivers includes:
Support groups and respite-care referrals
Caloric restriction only
Limiting social interaction
Workload doubling
A nurse using telehealth to reach rural middle-aged adults should evaluate:
How technology access affects health-care equity
Only connection speed
Privacy laws
Nutrition habits
SGM (sexual and gender minority) adults have higher rates of:
Alcohol and illicit-drug use due to stigma stress
Improved provider experiences
Decreased bias
Fewer chronic conditions
A nurse educating peers on implicit bias toward SGM patients should emphasize:
Awareness and cultural-competence training reduce disparities
Bias is unavoidable
It has no health impact
It improves satisfaction
The nurse identifies which leading cause of acute care visits in young adults?
Accidents, substance abuse, and environmental exposures
Dementia
Diabetes complications
Stroke
In planning preventive screening per USPSTF for middle adults, the nurse includes:
Mammography, colon cancer, and cardiovascular screening
Only STI testing
Annual head CT
No screenings until age 65
