GALEN : NU-131 - Nursing and Healthcare I EXAM 4 - FALL 2026
Student Name: Date:
Score________/ 50 Term: Fall 2026
1. Which loss is identified as the greatest fear for many older adults in the review material?
A. Loss of wisdom teeth
B. Loss of pubertal growth
C. Loss of adolescent peer approval
D. Loss of independence
✓ Correct Answer: D. Loss of independence
Rationale: The notes specifically state that older adults fear loss of independence more than other losses.
2. Which intervention is listed for menopausal symptoms in the source material?
A. Exercise and use of lubrication
B. Complete avoidance of physical activity
C. Mandatory bed rest
D. No treatment options are discussed
✓ Correct Answer: A. Exercise and use of lubrication
Rationale: The middle-adulthood review lists hormone therapy, exercise, and lubricant use among
interventions.
3. Which cognitive ability is associated with formal operational thought in adolescence?
A. Relying only on concrete objects
B. Loss of problem-solving ability
C. Thinking logically in hypothetical and abstract terms
D. Inability to organize thoughts
✓ Correct Answer: C. Thinking logically in hypothetical and abstract terms
Rationale: The review states that formal operations allow hypothetical, abstract, logical, and scientific
reasoning.
4. Which additional finding is listed as a sign of impending death?
A. Increasing blood pressure and tachycardia
B. Decreasing blood pressure and slowing pulse
C. Improved bowel and bladder control
D. Marked increase in appetite
✓ Correct Answer: B. Decreasing blood pressure and slowing pulse
Rationale: The source lists decreased blood pressure, slowing pulse, lower consciousness,
hypothermia, and weakening bowel/bladder control.
5. Which physical change is described in early adulthood?
A. Gradual decline in lung elasticity
B. Complete loss of near vision in all adults
C. Progressive increase in basal metabolic rate
D. Rapid increase in lung elasticity
✓ Correct Answer: A. Gradual decline in lung elasticity
Rationale: The review describes a gradual decline in lung elasticity during early adulthood.
Page 1
, 6. A terminally ill client has a life expectancy of fewer than 6 months and desires comfort-focused
care. Which service is described in the review?
A. Adolescent preventive care
B. Hospice care
C. Scoliosis screening
D. Occupational health only
✓ Correct Answer: B. Hospice care
Rationale: The source states that hospice is for terminally ill clients with fewer than 6 months to live
and emphasizes comfort rather than curative treatment.
7. Which statement reflects continuity-developmental theory?
A. Personality and coping patterns tend to remain consistent with aging
B. Social activity always stops after age 65
C. Older adults must abandon previous coping styles
D. Cognitive decline is always sudden and reversible
✓ Correct Answer: A. Personality and coping patterns tend to remain
consistent with aging
Rationale: The review states that continuity-developmental theory views personality and coping
patterns as remaining unchanged with aging.
8. An older adult says, "I can accept the choices I made and feel at peace with my life." Which
Erikson outcome does this reflect?
A. Isolation
B. Stagnation
C. Ego integrity
D. Role confusion
✓ Correct Answer: C. Ego integrity
Rationale: The source describes ego integrity as accepting past choices and approaching death with a
sense of calm.
9. A nurse is teaching an 11-year-old about puberty. Which change marks the end of puberty and
the beginning of adolescence in girls according to the review material?
A. Development of presbyopia
B. Onset of menses (menarche)
C. Loss of muscle tone
D. Appearance of wisdom teeth
✓ Correct Answer: B. Onset of menses (menarche)
Rationale: The review states that puberty ends and adolescence begins with the onset of menses, or
menarche, in girls.
10. Which Erikson task is associated with middle adulthood?
A. Intimacy versus isolation
B. Identity versus role confusion
C. Generativity versus stagnation
D. Ego integrity versus despair
✓ Correct Answer: C. Generativity versus stagnation
Rationale: The review identifies generativity versus stagnation as the psychosocial conflict of middle
adulthood.
Page 2
Student Name: Date:
Score________/ 50 Term: Fall 2026
1. Which loss is identified as the greatest fear for many older adults in the review material?
A. Loss of wisdom teeth
B. Loss of pubertal growth
C. Loss of adolescent peer approval
D. Loss of independence
✓ Correct Answer: D. Loss of independence
Rationale: The notes specifically state that older adults fear loss of independence more than other losses.
2. Which intervention is listed for menopausal symptoms in the source material?
A. Exercise and use of lubrication
B. Complete avoidance of physical activity
C. Mandatory bed rest
D. No treatment options are discussed
✓ Correct Answer: A. Exercise and use of lubrication
Rationale: The middle-adulthood review lists hormone therapy, exercise, and lubricant use among
interventions.
3. Which cognitive ability is associated with formal operational thought in adolescence?
A. Relying only on concrete objects
B. Loss of problem-solving ability
C. Thinking logically in hypothetical and abstract terms
D. Inability to organize thoughts
✓ Correct Answer: C. Thinking logically in hypothetical and abstract terms
Rationale: The review states that formal operations allow hypothetical, abstract, logical, and scientific
reasoning.
4. Which additional finding is listed as a sign of impending death?
A. Increasing blood pressure and tachycardia
B. Decreasing blood pressure and slowing pulse
C. Improved bowel and bladder control
D. Marked increase in appetite
✓ Correct Answer: B. Decreasing blood pressure and slowing pulse
Rationale: The source lists decreased blood pressure, slowing pulse, lower consciousness,
hypothermia, and weakening bowel/bladder control.
5. Which physical change is described in early adulthood?
A. Gradual decline in lung elasticity
B. Complete loss of near vision in all adults
C. Progressive increase in basal metabolic rate
D. Rapid increase in lung elasticity
✓ Correct Answer: A. Gradual decline in lung elasticity
Rationale: The review describes a gradual decline in lung elasticity during early adulthood.
Page 1
, 6. A terminally ill client has a life expectancy of fewer than 6 months and desires comfort-focused
care. Which service is described in the review?
A. Adolescent preventive care
B. Hospice care
C. Scoliosis screening
D. Occupational health only
✓ Correct Answer: B. Hospice care
Rationale: The source states that hospice is for terminally ill clients with fewer than 6 months to live
and emphasizes comfort rather than curative treatment.
7. Which statement reflects continuity-developmental theory?
A. Personality and coping patterns tend to remain consistent with aging
B. Social activity always stops after age 65
C. Older adults must abandon previous coping styles
D. Cognitive decline is always sudden and reversible
✓ Correct Answer: A. Personality and coping patterns tend to remain
consistent with aging
Rationale: The review states that continuity-developmental theory views personality and coping
patterns as remaining unchanged with aging.
8. An older adult says, "I can accept the choices I made and feel at peace with my life." Which
Erikson outcome does this reflect?
A. Isolation
B. Stagnation
C. Ego integrity
D. Role confusion
✓ Correct Answer: C. Ego integrity
Rationale: The source describes ego integrity as accepting past choices and approaching death with a
sense of calm.
9. A nurse is teaching an 11-year-old about puberty. Which change marks the end of puberty and
the beginning of adolescence in girls according to the review material?
A. Development of presbyopia
B. Onset of menses (menarche)
C. Loss of muscle tone
D. Appearance of wisdom teeth
✓ Correct Answer: B. Onset of menses (menarche)
Rationale: The review states that puberty ends and adolescence begins with the onset of menses, or
menarche, in girls.
10. Which Erikson task is associated with middle adulthood?
A. Intimacy versus isolation
B. Identity versus role confusion
C. Generativity versus stagnation
D. Ego integrity versus despair
✓ Correct Answer: C. Generativity versus stagnation
Rationale: The review identifies generativity versus stagnation as the psychosocial conflict of middle
adulthood.
Page 2
