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TestBankforHumanDevelopmentALifeSpanView6thEditionbyKail Chapter 13—Making It in Midlife: The Biopsychosocial Challenges of Middle Adulthood MULTIPLE CHOICE Fifty-year-old Esmeralda has been a heavy smoker since her youth In addition, she lives in a sunny climate and always has a deep tan You would expect that she has than most other people her age a more gray hair c more wrinkles b a larger middleaged bulge d less hair ANS: C DIF: OBJ: 13.1 REF: 13.1 Easy MSC: Application The metabolic slowdown common to individuals in their early 30s and mid-50s will lead to in many males a gray hair c wrinkles b a middle-aged bulge ANS: B d DIF: Easy OBJ: 13.1 hair loss REF: 13.1 MSC: Factual Osteoporosis is best thought of as involving a loss of bone a brittleness c hormones b porousness d mass ANS: D DIF: Moderate OBJ: 13.1 KEY: Key Term REF: 13.1 MSC: Factual As Dr Benton is looking at an X-ray of bones in your leg, his comment, _, would indicate that you may have osteoporosis a “I see less mass than normal” b “I see excessive encapsulation” c “I see a significant increase in density” d “I see very little plaque” ANS: A DIF: Moderate OBJ: 13.1 REF: 13.1 KEY: Key Term MSC: Application Who is at the greatest risk of currently experiencing osteoporosis? a Martha, who is a 20-year-old female b George, who is a 30-year-old male c Mary, who is a 60-year-old female d Abe, who is a 70-year-old male ANS: C OBJ: 13.1 DIF: Moderate KEY: Key Term REF: 13.1 MSC: Application _ is the leading cause of broken bones in older women a Osteoarthritis c Osteoporosis b Rheumatoid arthritis d Car accidents DIF: ANS: C OBJ: 13.1 Moderate KEY: Key Term REF: 13.1 MSC: Factual Forty-five-year-old Marilyn, who is very concerned about osteoporosis, seeks medical advice from her physician Which advice would her physician be least likely to give? a “Let’s try increasing your alcohol consumption.” b “Let’s try increasing your estrogen level.” c “Let’s try increasing your exercise rate.” d “Let’s try increasing your calcium consumption.” ANS: A DIF: Easy OBJ: 13.1 REF: 13.1 KEY: Key Term MSC: Application The rate of osteoporosis is directly affected by the metabolism rate of vitamin aA c C b B d D ANS: D DIF: Moderate OBJ: 13.1 REF: 13.1 KEY: Key Term MSC: Factual Connie is a knowledgeable individual so when her physician tells her that she will be put on a biophosphonate, Connie realizes that she most likely has a menopause c cancer b high blood pressure d osteoporosis ANS: D OBJ: 13.1 DIF: Difficult KEY: Key Term REF: 13.1 MSC: Application 10 Which is best characterized as a “wear-and-tear” disease? a Osteoporosis c Rheumatoid arthritis b Osteoarthritis d Menopause ANS: B DIF: Difficult OBJ: 13.1 REF: 13.1 KEY: Key Term MSC: Conceptual 11 Sixty-year-old Wendell is being examined by his physician Wendell’s symptoms include joint pain that has gradually increased When his doctor says, “Your pain is due to the damage to your cartilage caused by severe use over your lifetime,” you should correctly conclude that Wendell will be diagnosed with a the climacteric c osteoporosis b rheumatoid arthritis d osteoarthritis ANS: D OBJ: 13.1 DIF: Moderate KEY: Key Term REF: 13.1 MSC: Application 12 Misha often experiences severe swelling and joint pain in her fingers and wrists each morning This pattern of symptoms is most likely due to a rheumatoid arthritis c the climacteric b osteoarthritis d osteoporosis ANS: A DIF: Difficult OBJ: 13.1 REF: 13.1 KEY: Key Term MSC: Application 13 Rheumatoid arthritis _ osteoarthritis a is another name for c always precedes b impacts different joints than d is a noninflammatory version of ANS: B DIF: Moderate OBJ: 13.1 KEY: Key Term REF: 13.1 MSC: Conceptual 14 One difference between osteoarthritis and rheumatoid arthritis is that a osteoarthritis is not painful b osteoarthritis typically occurs in adolescence c there is more swelling of the joints in rheumatoid arthritis d women are more likely to be affected by rheumatoid arthritis ANS: C DIF: Moderate OBJ: 13.1 KEY: Key Term REF: 13.1 MSC: Conceptual 15 Which statement concerning rheumatoid arthritis is true? a Individuals with rheumatoid arthritis need to avoid aspirin b Rheumatoid arthritis is inherited c Symptoms of rheumatoid arthritis come and go d Rheumatoid arthritis affects large joints (e.g., hips) but not small joints (e.g., fingers) ANS: C DIF: Moderate OBJ: 13.1 KEY: Key Term REF: 13.1 MSC: Factual 16 The defining element of “the climacteric” involves the loss of a the natural ability to produce children b cancer-fighting agents c emotional stability d blood flow through the circulatory system ANS: A OBJ: 13.1 DIF: Moderate KEY: Key Term REF: 13.1 MSC: Factual 17 While at a checkup, 40-year-old Betty listens as her physician, Dr White, describes Betty’s current health Which of Dr White’s statements would suggest that Betty is experiencing the climacteric? a “Do genetic disorders run in your family?” b “I hope that you have all the children you want.” c “The loss of memory will be slow but significant.” d “Some of your blood cells have begun to alter their shape.” ANS: B OBJ: 13.1 DIF: Moderate KEY: Key Term REF: 13.1 MSC: Application 18 Forty-five-year-old Claire stopped menstruating some time ago She is disappointed because she really wanted to have more children What would a competent physician tell her? d grandparenting behavior differs during each interaction with the grandchild ANS: A DIF: Moderate OBJ: 13.4 REF: 13.4 MSC: Conceptual 144 Which group is most likely to perceive grandparenthood as a central role? a African Americans c Latino Americans b European Americans d Native Americans ANS: C OBJ: 13.4 DIF: Moderate REF: 13.4 MSC: Conceptual 145 Ben and Sky are Hopi grandparents who want their grandchild to live with them fora while so that they can be sure the grandchild learns the Hopi way Ben and Sky exemplify the style of grandparenting a indulgence c dispenser of family wisdom b cultural conservator d reinvolvement with personal past ANS: B DIF: Moderate OBJ: 13.4 REF: 13.4 MSC: Application 146 Which statement concerning how grandparent-grandchild relationships have changed over the past few decades is accurate? a The incidence of grandparents as “surrogate parents” is decreasing b More grandparents now live lives independent from their grandchildren c Most modern grandparents now desire to rear their grandchildren d Most grandparents today live in closer proximity to their grandchildren ANS: B DIF: OBJ: 13.4 Moderate REF: 13.4 MSC: Factual 147 Which statement concerning custodial care of grandchildren by grandparents is true? a Almost 20 million U.S grandparents have grandchildren living with them b In the U.S., grandparents automatically are granted legal guardianship of their grandchildren c Rates of behavioral problems in children raised by grandparents is high d The most common reason fora grandparent raising a grandchild involves the death of both parents ANS: C OBJ: 13.4 DIF: Moderate REF: 13.4 MSC: Factual TRUE/FALSE Most people gain weight between ages 30 and 50 ANS: T REF: 13.1 OBJ: 13.1 Use of calcium supplements may delay the onset of osteoporosis after menopause ANS: T REF: 13.1 OBJ: 13.1 Osteoarthritis involves a loss of bone mass and the honeycombing of bone material ANS: F REF: 13.1 OBJ: 13.1 Rheumatoid arthritis develops quickly but can be cured with nonsteroidal anti-inflammatory drugs ANS: F REF: 13.1 OBJ: 13.1 Headaches and rapid heart rate are common physical symptoms of menopause ANS: T REF: 13.1 OBJ: 13.1 After menopause, vaginal walls and the vagina both increase in size ANS: F REF: 13.1 OBJ: 13.1 The most common form of HRT involves low doses of estrogen and testosterone ANS: F REF: 13.1 OBJ: 13.1 During midlife, the prostate gland of males can enlarge and block the urinary track ANS: T REF: 13.1 OBJ: 13.1 Culture appears to play no role in how people perceive stress ANS: T REF: 13.1 OBJ: 13.1 10 Stress can trigger negative conditions like angina and arrhythmia ANS: T REF: 13.1 OBJ: 13.1 11 Individuals with Type B personalities tend to be angry and aggressive ANS: F REF: 13.1 OBJ: 13.1 12 In order to be engaging in aerobic exercise, a person’s pulse rate must be above 100 percent of his or her maximum heart rate ANS: F REF: 13.1 OBJ: 13.1 13 Avoidant thinking involves rationalizing or reframing a problem to minimize its seriousness ANS: T REF: 13.2 OBJ: 13.2 14 The mechanics of intelligence are most closely associated with sociocultural forces ANS: F REF: 13.2 OBJ: 13.2 15 Experts are always faster and use more rules than novices ANS: F REF: 13.2 OBJ: 13.2 16 Encapsulation allows an aging person to compensate for declines in underlying abilities ANS: T REF: 13.2 OBJ: 13.2 17 An individual high in extraversion will go out of his or her way to avoid interacting with others ANS: F REF: 13.3 OBJ: 13.3 18 Costa and McCrae argue that personality traits undergo significant changes between young and old adulthood ANS: F REF: 13.3 OBJ: 13.3 19 Erikson viewed the key crisis of midlife as one of stagnation versus generativity ANS: T REF: 13.3 OBJ: 13.3 20 There is significant research support for the idea of a “midlife crisis.” ANS: F REF: 13.3 OBJ: 13.3 21 Kinkeepers help keep family members in touch ANS: T REF: 13.4 OBJ: 13.4 22 Women are more likely than men to move back with their parents after college ANS: F REF: 13.4 OBJ: 13.4 23 Someone high in filial obligation feels responsible for the care of his or her parents ANS: T REF: 13.4 OBJ: 13.4 24 Caring fora parent typically coincides with women’s peak employment years ANS: T REF: 13.4 OBJ: 13.4 25 Fictive adults functionally serve as surrogate grandparents ANS: T REF: 13.4 OBJ: 13.4 COMPLETION _ is a disease characterized by severe loss of bone mass ANS: Osteoporosis REF: 13.1 OBJ: 13.1 _ arthritis results in severe joint inflammation and has symptoms that come and go in repeating patterns ANS: Rheumatoid REF: 13.1 OBJ: 13.1 The process during which middle-aged women pass from reproductive to nonreproductive years, which includes menopause, is called _ ANS: climacteric REF: 13.1 OBJ: 13.1 The process of giving women low doses of estrogen and progestin is referred to as _ therapy ANS: hormone replacement REF: 13.1 OBJ: 13.1 Any deliberate attempt to deal with some form of stress is referred to as _ ANS: coping REF: 13.1 OBJ: 13.1 Individuals with Type _ behavior pattern tend to be nonhostile and very patient ANS: B REF: 13.1 OBJ: 13.1 _ exercise requires maintaining a pulse rate between 60 and 90 percent of your maximum heart rate ANS: Aerobic REF: 13.1 OBJ: 13.1 The process of _ allows an aging expert to compensate for declines in the process of thinking ANS: encapsulation REF: 13.2 OBJ: 13.2 People who score high on the five-factor dimension of _ tend to be hostile, self-conscious, and vulnerable ANS: neuroticism REF: 13.3 OBJ: 13.3 10 An individual who is very willing to work with others and who is viewed as very caring would score high on the five-factor dimension of _ ANS: agreeableness REF: 13.3 OBJ: 13.3 11 Erikson used the term _ to describe the middle-aged focus on helping others in an effort to ensure continuation of society by guiding the next generation ANS: generativity REF: 13.3 OBJ: 13.3 12 A key factor in allowing middle-aged individuals to successfully handle midlife changes is called ego _ ANS: resilience REF: 13.3 OBJ: 13.3 13 Many middle-aged women take on the role of family _ in which they assist in getting everyone together for family gatherings and generally help family members keep in touch ANS: kinkeeper REF: 13.4 OBJ: 13.4 14 Middle-aged adults simultaneously caring for children and parents are referred to as being in the _ generation ANS: sandwich REF: 13.4 OBJ: 13.4 15 Adult children who feel a strong sense of responsibility to care for aging parents are said to have a sense of _obligation ANS: filial REF: 13.4 OBJ: 13.4 ESSAY Joint-related disorders represent a major challenge during middle age Describe three examples of joint problems—osteoporosis, osteoarthritis, and rheumatoid arthritis—focusing on issues of impact and treatment ANS: Answer not provided OBJ: 13.1 Aphrodite is going through menopause and is considering hormone replacement therapy What symptoms should she expect to experience during menopause? What would you advise her to concerning HRT? Use research presented in your text to explain why you would give her this advice ANS: Answer not provided OBJ: 13.1 Describe how coping and appraisals are involved in the stress and coping paradigm ANS: Answer not provided OBJ: 13.1 Describe the relationship between stress, physical health, and the Type A behavior pattern ANS: Answer not provided OBJ: 13.1 Compare and contrast practical intelligence with other types of intelligence (i.e fluid, crystallized) ANS: Answer not provided OBJ: 13.2 How does the thinking process of a novice differ from that of an expert? What role might encapsulation play in differentiating the groups? ANS: Answer not provided OBJ: 13.2 Use the research presented in your text to explain how nontraditional-aged college students are different from traditional 18- to 22-year-old college students when it comes to learning ANS: Answer not provided OBJ: 13.2 Jim wonders if his wife Ann (age 25) will have the same personality when she gets to be middle-aged Use research provided in your text to describe which aspects of Ann’s personality are most and least likely to change ANS: Answer not provided OBJ: 13.3 Use the five-factor model to describe what you believe would be an ideal grandparent Be sure to explain your description ANS: Answer not provided OBJ: 13.3 10 Describe the role of grandparenting in at least three different cultures ANS: Answer not provided OBJ: 13.4 11 What constitutes aerobic exercise, and what benefits does it provide during middle age? ANS: Aerobic exercise is requires the maintenance of a pulse rate between 60 and 90 percent of a person’s maximum heart rate The maximum heart rate is calculated by subtracting one’s age from 220 Physical benefits of aerobic exercise include improving blood pressure, strength, endurance, flexibility, and coordination Psychological benefits of aerobic exercise include lower levels of stress, better mood, and better cognitive functioning OBJ: 13.1 12 Describe generativity, kinkeepers, the sandwich generation, and filial obligation Then discuss the common theme that runs through each ANS: Erikson suggested that during middle age, some individuals exhibit generativity by helping others in order to ensure the continuation of society by guiding the next generation A kinkeeper gathers family members together for celebrations and helps them keep in touch Members of the sandwich generation are caught in the middle of caring for both their children and their parents A filial obligation is an adult child’s sense of responsibility to care fora parent in need The common theme is one of care for the good of others OBJ: 13.4 ... has a Type A behavior pattern and Stallone has a Type B behavior pattern Which statement is true? a Stallone has a greater risk of suffering from cardiovascular disease b Stallone likely has a. .. or appropriate partner d pain associated with vaginal changes ANS: C DIF: Moderate OBJ: 13.1 REF: 13.1 KEY: Key Term MSC: Factual 26 In 2008, a 70-year-old woman gave birth to a baby that was... ends up affecting the individual both psychologically and physically would be an example of an application of the a encapsulation pattern c stress and coping paradigm b Type A behavior pattern