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Test Bank for Human Development A Life Span
View 6th Edition by Kail
Chapter 13—Making It in Midlife: The Biopsychosocial Challenges of Middle Adulthood

MULTIPLE CHOICE

1. 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

2. 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

3. 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

4. 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

5. 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


6. _____ 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

7. 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

8. The rate of osteoporosis is directly affected by the metabolism rate of vitamin
a.

A.

c.

C.

b.

B.

d.

D.

ANS: D

DIF: Moderate

OBJ: 13.1


REF: 13.1

KEY: Key Term

MSC: Factual

9. 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?


a.

“Sorry, your childbearing days are now behind you.”

b.

“Just stop taking hormones and you could get
pregnant again.”


c.

“It may be possible for you to have more children via
in vitro fertilization.”

d.

“If you do HRT, you have a good chance of getting
pregnant.”

ANS: C

DIF:

OBJ: 13.1

Difficult

REF: 13.1

MSC: Application

19. As women reach the climacteric, their menstruation cycles

a.

continue regularly for the remainder of their lives.

b.


become irregular and gradually stop altogether.

c.

become more and more irregular, but they
never completely stop.


d.

stop all at once.

ANS: B

DIF: Moderate

OBJ: 13.1

KEY: Key Term

REF: 13.1
MSC: Factual

20. How are menopause and the climacteric related?

a.

Menopause typically ends right before the climacteric.


b.

The climacteric typically ends right before
menopause.

c.

Menopause occurs during the climacteric.

d.

Menopause and the climacteric are unrelated.

ANS: C
OBJ: 13.1

DIF: Easy
KEY: Key Term

REF: 13.1
MSC: Conceptual

21. Shelly is a 46-year-old woman whose menstrual cycle has changed and is now
more irregular and infrequent. Which term best describes Shelly’s condition?


23. The text notes that in _____, “menopausal syndrome” is thought to be the
result of women with too much time on their hands.
a.


Japan

c.

Nigeria

b.

Iraq

d.

Chile

ANS: A

DIF: Easy

OBJ: 13.1

REF: 13.1

MSC: Factual

24. For Beth, menopause just ended. Which change should she expect?

a.

Enlarged vaginal walls


b.

Enlarged external genitalia

c.

Reduced vaginal lubrication

d.

Reduced possibility of painful intercourse

ANS: C

DIF: Moderate

REF: 13.1


OBJ: 13.1

MSC: Application

25. The primary reason that elderly women show a decline in sexual activity
involves

a.

a normal physiological lack of interest.


b.

failure to achieve orgasm.

c.

the lack of a willing 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
conceived through
a.

an egg from a
surrogate mother.


c.

artificial
insemination.

b.

hormone
replacement

d.

in vitro fertilization.


therapy.

ANS: D

DIF: Moderate

OBJ: 13.1

REF: 13.1

KEY: Key Term

MSC: Factual


27. Declining levels of estrogen typically do not increase the risk of

a.

osteoporosis.

c.

weight loss.

b.

memory loss.

d.

cardiovascular
disease.

ANS: C
OBJ: 13.1

DIF: Moderate

REF: 13.1

MSC: Factual

28. Albine’s physician has just informed her that she will need to begin
hormone replacement therapy. In addition to estrogen, what hormone

should Albine expect to be replaced?


a.

Dopamine

c.

Serotonin

b.

Testosterone

d.

Progesterone

ANS: D

DIF: Moderate

OBJ: 13.1

REF: 13.1

KEY: Key Term

MSC: Application


29. Results from the Women’s Health Initiative study begun in 1991 revealed
that the risk for _____ decreased in those taking estrogen plus progestin.
a.

hip fractures

c.

breast cancer

b.

blood clots

d.

heart attack

ANS: A

DIF: Difficult

OBJ: 13.1

REF: 13.1

MSC: Factual

30. Yasmin is told that she will be taking selective estrogen receptor

modulators (SERMs). What medical condition is most likely being treated?
a.

High blood

c.

Breast cancer


pressure

b.

Menopause

ANS: B

d.

DIF: Moderate

OBJ: 13.1

Rheumatoid
arthritis

REF: 13.1

MSC: Application


31. Which appears to best explain the reason that Asian-American women report
the fewest menopausal symptoms?

a.

They have genetically higher levels of estrogen

b.

Their small stature creates less pressure on bones and
joints

c.

They use alternative medications

d.

They are the most likely to use HRT

ANS: C
OBJ: 13.1

DIF: Difficult
MSC: Conceptual

REF: 13.1



32. Tom has always wanted to be a father but has not yet found an acceptable
partner. He is now 35 years old, healthy, and beginning to be concerned about
how much longer he will remain fertile. When he asks his doctor about this,
his doctor tells him that he will probably be capable of fathering a child
a.

until he is about 45
years old.

c.

until he is about
85 years old.

b.

until he is about 65
years old.

d.

for the rest of his
life.

ANS: D

DIF: Moderate

OBJ: 13.1


REF: 13.1

MSC: Application

33. Some males experience an age-related decline in ____ resulting in
menopause-like symptoms.
a.

testosterone

c.

estrogen

b.

dopamine

d.

progestin

ANS: A
OBJ: 13.1

DIF: Easy
MSC: Factual

REF: 13.1



34. As a typical middle-aged male, Rasheed will most likely experience

a.

a brief increase in
sperm production.

c.

a prostate gland
that becomes
enlarged.

b.

a shorter resolution
phase.

d.

more perceived
demand to
ejaculate.

ANS: C

DIF:

OBJ: 13.1


Moderate

REF: 13.1

MSC: Application

35. The loss of an available partner in older age
a.

is a factor in the decrease in sexual intercourse for
both men and women.

b.

is a factor in the decrease in sexual intercourse for
men but not for women.

c.

is a factor in the decrease in sexual intercourse for
women but not for men.


d.

is not a factor in the decrease in sexual intercourse for
men or women.

ANS: A


DIF: Easy

OBJ: 13.1

REF: 13.1

MSC: Factual

36. Who is likely to experience the most job-related stress?

a.

Tina, who has complete control over her job

b.

Lena, who has moderate control over her job

c.

Katrina, who has some control over her job

d.

Deena, who has no control over her job

ANS: D
OBJ: 13.1


DIF: Easy

REF: 13.1

MSC: Application

37. For which occupation would you expect the least stress-related
health problems?


a.

Social worker

c.

Truck driver

b.

CEO of a computer
company

d.

Waiter

ANS: B

DIF: Difficult


OBJ: 13.1

REF: 13.1

MSC: Application

38. Compared to the average middle-aged man, the average middle-aged
woman tends to
a.

rate stressful experiences less negatively and
to report more stress in family areas.

b.

rate stressful experiences more negatively and to
report more stress in family areas.

c.

rate stressful experiences less negatively and
to report more stress in financial areas.

d.

rate stressful experiences more negatively and to
report more stress in financial areas.



ANS: B

DIF: Difficult

OBJ: 13.1

REF: 13.1

MSC: Factual

39. The stress and coping paradigm focuses on the interactive
relationship between
a.

person and
environment.

c.

hormones and
neurotransmitters.

b.

mind and body.

d.

family and work.


ANS: A

DIF: Moderate

OBJ: 13.1

REF: 13.1

KEY: Key Term

MSC: Factual

40. Analyzing how a person thinks about her job and how that job situation 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.


d.

generativity versus
stagnation
paradigm.


ANS: C

DIF: Difficult

OBJ: 13.1

REF: 13.1

MSC: Conceptual

41. Joy reads a note on her desk that says, “Joy, come to my office immediately.
Signed, The Boss.” Joy immediately interprets this message as a threat to her
job and her livelihood and is not sure she can deal with it. Joy’s
interpretation of this note exemplifies
a.

coping.

c.

stagnation.

b.


an appraisal.

d.

filial obligation.

ANS: B

DIF: Moderate

OBJ: 13.1

REF: 13.1

MSC: Application

42. Coping is defined as

a.

any attempt to deal with stress.

b.

any attempt to deal with stress that is repeated on at
least two occasions.

c.


any rational attempt to deal with stress.


d.

any successful attempt to deal with stress.

ANS: A

DIF: Easy

OBJ: 13.1

REF: 13.1

KEY: Key Term

MSC: Factual

43. Heather is experiencing a great deal of stress. She has tried relaxation
training, thinking about life events in a different way, and even talking to
her friends. All of these strategies are best classified as attempts at
a.

repression.

c.

stagnation.


b.

coping.

d.

appraisal.

ANS: B

DIF: Easy

OBJ: 13.1

REF: 13.1

KEY: Key Term

MSC: Application

44. Stress has been shown to decrease
a.

angina.

c.

risk for irritable
bowel syndrome.



b.

cholesterol levels.

ANS: D

d.

DIF: Moderate

OBJ: 13.1

estrogen levels.

REF: 13.1

MSC: Factual

45. Type A is to Type B as
a.

set is to subset.

c.

intense is to calm.

b.


hassle is to
appraisal.

d.

introversion is to
extroversion.

ANS: C

DIF: Difficult

OBJ: 13.1

REF: 13.1

KEY: Key Term

MSC: Conceptual

46. Tabitha often gets frustrated. She honks her horn and yells at other
drivers and will throw her racket if she gets beat playing tennis. Tabitha
would probably be best described as
a.

Type A.

c.

Type B.



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