Chapter 13: Young and Middle Adults
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MULTIPLE CHOICE
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1. A nursing attendant is caring for a young adult. Which goal is priority?
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a. Maintain peer relationships. ra ra
b. Maintain family relationships. ra ra
c. Maintain parenteral relationships. ra ra
d. Maintain recreational relationships. ra ra
ACCURATE ANSWER:-B ra
Family is important during young adulthood. Challenges may include the demands of working
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and raising families. Peer is more important in the adolescent years. Young adults are much fr
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eer from parental control. While recreation is important, the family and work are the prioritie
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s in young adults.
ra ra ra
DIF:Apply (application) ra
OBJ:Identify major life events of young and middle adults and the childbearing family. T
ra ra ra ra ra ra ra ra ra ra ra ra ar
OPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
2. The nursing attendant is caring for a hospitalized youngadult male who works as a dishwasher a
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t a local restaurant. He states that he would like t
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o get a better job but has no education. How can the nursing attendant best assist this hos
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pital client psychosocially? ra ra
a. By providing information and referrals
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b. By focusing on the hospital client ’s medical diagnoses
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c. By telling the hospital client that he needs to go back to school
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d. By expecting the hospital client to be flexible in decision making
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ACCURATE ANSWER:-A ra
Support from the nursing attendant , access to information, and appropriate referrals provide
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opportunities for achievement of a hospital client ’s potential. Health is not merely the absen
a ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ce of disease (focusing on medical diagnoses) but involves wellness in all human dimensions.
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Telling a hospital client what to do (go back to school) is inappropriate. Each person (not the
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nursing attendant ) needs to make these decisions based on individual factors. Insecure perso
a ra ra ra ra ra ra ra ra ra ra ra ar ra
ns tend to be more rigid in making decisions.
ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss cognitive and psychosocial changes occurring during the adult years. TO PIC:-
ra ra ra ra ra ra ra ra ra ra
Implementation
MSC: Health Promotion and Maintenanc e ra ra ra ra
3. Which goal is priority when the nursing attendant is caring for a middle-aged adult?
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a. Maintain immediate family relationships. ra ra ra
b. Maintain future generation relationships. ra ra ra
c. Maintain personal career relationships. ra ra ra
d. Maintain work relationships. ra ra
ACCURATE ANSWER:-B ra
Many middle- ra
, aged adults find particular joy in helping their children and other young people become prod
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uctive and responsible adults. While immediate family is important, this goal is priority in y
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oung adults, not as important in middleaged adults. During this period, personal and career achie
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vements have often already been ex perienced; therefore, these goals are not priority.
ra ra ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Identify the major life events of young and middle adults and the childbearing family. T
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
OPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
4. A nursing attendant is teaching young adults about health risks. Which statement from
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a young adult indicates a correct understanding of the teaching?
ar ra ra ra ra ra ra ra ra
a. ―It’s probably safe for me to start smoking. At my age, there’s not enough time for ca
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ncer to develop.‖ ra ra
b. ―My mother had appendicitis, so this increases my chance for developing a ppendicitis.‖
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c. ―Controlling the amount of stress in my life may decrease the risk of illness.‖ ra ra ra ra ra ra ra ra ar ra ra ra ra
d. ―I don’t do drugs. I do drink coffee, but caffeine is not a drug.‖
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ACCURATE ANSWER:-C ra
Lifestyle habits that activate the stress response increase the risk of illness; so, controlling this
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
will decrease risk. Smoking is a welldocumented risk factor for pulmonary, cardiac, and vascular
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
disease as well as cancer in smok ra ra ra ra ra ra
ers and in individuals who receive secondhand smoke. The presence of certain chronic illness
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es (not acute illnesses—
ra ra ra
appendicitis) in the family increases the family member’s risk of developing a disease. Caffein
ra ra ra ra ra ra ra ra ra ra ra ra ra
e is a naturally occurring legal stimulant that is readily available. Caffeine stimulates catechol
ra ra ra ra ra ra ra ra ra ra ra ra ra
amine release, which, in turn, stimulates the central nervous system; it also increases gastric a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
cid secretion, heart rate, and basal metabolic rate.
ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Explain health concerns of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
5. A nursing attendant is choosing an appropriate topic for a youngadult health fair. Which topic s
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hould the nursing attendant include? a. Retirement
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b. Menopause
c. Climacteric factors ra
d. Unplanned pregnancies ra
ACCURATE ANSWER:-D ra
Unplanned pregnancies are a continued source of stress that can result in adverse health out
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
co mes for the mother (young adult), infant, and family. Retirement is an issue for middle-
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aged, not young adults. The onset of menopause and the climacteric affect the sexual health of th
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
e middle-aged adult, not the young adult.
ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain health concerns of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
6. A nursing attendant is assessing the risk of intimate partner violence (IPV) for hospital client
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s. Which population should the nursing attendant focus on most for IVP?
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a. White males ra
b. Pregnant females ra
, c. Middle-aged adults ra
d. Nonsubstance abusers ra
ACCURATE ANSWER:-B ra
The greatest risk of violence occurs during the reproductive years. A pregnant woman has a 3
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
5.6% greater risk of being a victim of IPV than a nonpregnant woman. White males, middl e-
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
aged adults, and nonsubstance abusers are not as high risk as pregnant women.
ra ra ra ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain health concerns of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
7. A hospital client states that she is pregnant and concerned because she does not know what to
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
expect, and she wants her partner to play an active part in the birthing process. Which infor
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
mation should the nursing attendant share with the hospital client ?
ra ra ra ra ra ra ra ra ra ra
a. Lamaze classes can prepare pregnant women and their partners for what is coming.
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b. The frequency of sexual intercourse is key to helping the husband feel valued.
ra ra ra ra ra ra ra ra ra ra ra ra
c. After the birth, the stress of pregnancy will disappear and will be replaced by relief.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
d. After the baby is born, the wife should accept the extra responsibilities of
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motherhood.
ACCURATE ANSWER:-A ra
Childbirth education classes (like Lamaze) can prepare pregnant women, their partners, and
ra ra ra ra ra ra ra ra ra ra ra ra
other support persons to participate in the birthing process. The psychodynamic aspect of se
ra ra ra ra ra ra ra ra ra ra ra ra ra
xual activity is as important as the type or frequency of sexual intercourse to young adults; ho
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
wever, this does not relate to the issue the hospital client reports (lack of knowledge and part
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
icipation). The stress that many women experience after childbirth has a significant impact on
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
the health of postpartum women. Ideally partners should share all responsibilities; however, t
ra ra ra ra ra ra ra ra ra ra ra ra
his does not relate to the hospital client ’s concerns.
ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Describe developmental tasks of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
8. Which information from the nursing attendant indicates a correct understanding of emergin
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g adulthood?
ar
a. It is a type of young adulthood.
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b. It is a type of extended adolescence.
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c. It is a type of independent exploration.
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d. It is a type of marriage and parenthood.
ra ra ra ra ra ra ra
ACCURATE ANSWER:-C ra
This newly identified stage of development from age 18 to 25 (emerging adulthood) has been de
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
scribed as neither an extended adolescence, as it is much freer from parental control and is mu
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ch more a period of independent exploration, nor young adulthood, as most young people in t
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
heir twenties have not made the transitions historically associated with adult status, especial
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ly marriage and parenthood.
ra ra ra
DIF:Understand (comprehension) ra
OBJ:Discuss development theories of young and middle adults. ra ra ra ra ra ra ra
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
ra ra ra ra ra
MULTIPLE CHOICE
ra
1. A nursing attendant is caring for a young adult. Which goal is priority?
ra ra ra ra ra ra ra ra ra ra ra ra
a. Maintain peer relationships. ra ra
b. Maintain family relationships. ra ra
c. Maintain parenteral relationships. ra ra
d. Maintain recreational relationships. ra ra
ACCURATE ANSWER:-B ra
Family is important during young adulthood. Challenges may include the demands of working
ra ra ra ra ra ra ra ra ra ra ra ra ar
and raising families. Peer is more important in the adolescent years. Young adults are much fr
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
eer from parental control. While recreation is important, the family and work are the prioritie
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s in young adults.
ra ra ra
DIF:Apply (application) ra
OBJ:Identify major life events of young and middle adults and the childbearing family. T
ra ra ra ra ra ra ra ra ra ra ra ra ar
OPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
2. The nursing attendant is caring for a hospitalized youngadult male who works as a dishwasher a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
t a local restaurant. He states that he would like t
ra ra ra ra ra ra ra ra ra ra
o get a better job but has no education. How can the nursing attendant best assist this hos
ra ra ra ra ra ra ra ar ra ra ra ra ra ra ra ra ra
pital client psychosocially? ra ra
a. By providing information and referrals
ra ra ra ra
b. By focusing on the hospital client ’s medical diagnoses
ra ra ra ra ra ra ra ra
c. By telling the hospital client that he needs to go back to school
ra ra ra ra ra ra ra ra ra ra ra ra
d. By expecting the hospital client to be flexible in decision making
ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-A ra
Support from the nursing attendant , access to information, and appropriate referrals provide
ra ra ra ra ra ra ra ra ra ra ra ra r
opportunities for achievement of a hospital client ’s potential. Health is not merely the absen
a ra ra ra ra ra ra ra ra ra ra ra ra ra ra
ce of disease (focusing on medical diagnoses) but involves wellness in all human dimensions.
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
Telling a hospital client what to do (go back to school) is inappropriate. Each person (not the
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra r
nursing attendant ) needs to make these decisions based on individual factors. Insecure perso
a ra ra ra ra ra ra ra ra ra ra ra ar ra
ns tend to be more rigid in making decisions.
ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Discuss cognitive and psychosocial changes occurring during the adult years. TO PIC:-
ra ra ra ra ra ra ra ra ra ra
Implementation
MSC: Health Promotion and Maintenanc e ra ra ra ra
3. Which goal is priority when the nursing attendant is caring for a middle-aged adult?
ra ra ra ra ra ra ra ra ra ra ra ra ra
a. Maintain immediate family relationships. ra ra ra
b. Maintain future generation relationships. ra ra ra
c. Maintain personal career relationships. ra ra ra
d. Maintain work relationships. ra ra
ACCURATE ANSWER:-B ra
Many middle- ra
, aged adults find particular joy in helping their children and other young people become prod
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
uctive and responsible adults. While immediate family is important, this goal is priority in y
ra ra ra ra ra ra ra ra ra ra ra ar ra ra
oung adults, not as important in middleaged adults. During this period, personal and career achie
ra ra ra ra ra ra ra ra ra ra ra ar ra ra
vements have often already been ex perienced; therefore, these goals are not priority.
ra ra ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Identify the major life events of young and middle adults and the childbearing family. T
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
OPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
4. A nursing attendant is teaching young adults about health risks. Which statement from
ra ra ra ra ra ra ra ra ra ra ra ra ra
a young adult indicates a correct understanding of the teaching?
ar ra ra ra ra ra ra ra ra
a. ―It’s probably safe for me to start smoking. At my age, there’s not enough time for ca
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ar
ncer to develop.‖ ra ra
b. ―My mother had appendicitis, so this increases my chance for developing a ppendicitis.‖
ar ra ra ra ra ra ra ra ra ra ar
c. ―Controlling the amount of stress in my life may decrease the risk of illness.‖ ra ra ra ra ra ra ra ra ar ra ra ra ra
d. ―I don’t do drugs. I do drink coffee, but caffeine is not a drug.‖
ra ra ra ra ra ra ra ra ra ra ra ra ra
ACCURATE ANSWER:-C ra
Lifestyle habits that activate the stress response increase the risk of illness; so, controlling this
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
will decrease risk. Smoking is a welldocumented risk factor for pulmonary, cardiac, and vascular
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
disease as well as cancer in smok ra ra ra ra ra ra
ers and in individuals who receive secondhand smoke. The presence of certain chronic illness
ra ra ra ra ra ra ra ra ra ra ra ra ra
es (not acute illnesses—
ra ra ra
appendicitis) in the family increases the family member’s risk of developing a disease. Caffein
ra ra ra ra ra ra ra ra ra ra ra ra ra
e is a naturally occurring legal stimulant that is readily available. Caffeine stimulates catechol
ra ra ra ra ra ra ra ra ra ra ra ra ra
amine release, which, in turn, stimulates the central nervous system; it also increases gastric a
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
cid secretion, heart rate, and basal metabolic rate.
ra ra ra ra ra ra ra
DIF:Analyze (analysis) ra
OBJ:Explain health concerns of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
5. A nursing attendant is choosing an appropriate topic for a youngadult health fair. Which topic s
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
hould the nursing attendant include? a. Retirement
ra ra ra ra
b. Menopause
c. Climacteric factors ra
d. Unplanned pregnancies ra
ACCURATE ANSWER:-D ra
Unplanned pregnancies are a continued source of stress that can result in adverse health out
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
co mes for the mother (young adult), infant, and family. Retirement is an issue for middle-
ra ra ra ra ra ra ra ra ra ra ra ra ra
aged, not young adults. The onset of menopause and the climacteric affect the sexual health of th
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra ra
e middle-aged adult, not the young adult.
ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain health concerns of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Planning MSC: Health Promotion and Maintenance ra ra ra ra
6. A nursing attendant is assessing the risk of intimate partner violence (IPV) for hospital client
ra ra ra ra ra ra ra ra ra ra ra ra ra ra
s. Which population should the nursing attendant focus on most for IVP?
ra ra ra ra ra ra ra ra ra ra ra
a. White males ra
b. Pregnant females ra
, c. Middle-aged adults ra
d. Nonsubstance abusers ra
ACCURATE ANSWER:-B ra
The greatest risk of violence occurs during the reproductive years. A pregnant woman has a 3
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
5.6% greater risk of being a victim of IPV than a nonpregnant woman. White males, middl e-
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
aged adults, and nonsubstance abusers are not as high risk as pregnant women.
ra ra ra ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Explain health concerns of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Assessment MSC: Health Promotion and Maintenance ra ra ra ra ra
7. A hospital client states that she is pregnant and concerned because she does not know what to
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
expect, and she wants her partner to play an active part in the birthing process. Which infor
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
mation should the nursing attendant share with the hospital client ?
ra ra ra ra ra ra ra ra ra ra
a. Lamaze classes can prepare pregnant women and their partners for what is coming.
ra ra ra ra ra ra ra ra ra ra ra ra
b. The frequency of sexual intercourse is key to helping the husband feel valued.
ra ra ra ra ra ra ra ra ra ra ra ra
c. After the birth, the stress of pregnancy will disappear and will be replaced by relief.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
d. After the baby is born, the wife should accept the extra responsibilities of
ra ra ra ra ra ra ra ra ra ra ra ra ar
motherhood.
ACCURATE ANSWER:-A ra
Childbirth education classes (like Lamaze) can prepare pregnant women, their partners, and
ra ra ra ra ra ra ra ra ra ra ra ra
other support persons to participate in the birthing process. The psychodynamic aspect of se
ra ra ra ra ra ra ra ra ra ra ra ra ra
xual activity is as important as the type or frequency of sexual intercourse to young adults; ho
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
wever, this does not relate to the issue the hospital client reports (lack of knowledge and part
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra
icipation). The stress that many women experience after childbirth has a significant impact on
ra ra ra ra ra ra ra ra ra ra ra ra ar ra
the health of postpartum women. Ideally partners should share all responsibilities; however, t
ra ra ra ra ra ra ra ra ra ra ra ra
his does not relate to the hospital client ’s concerns.
ra ra ra ra ra ra ra ra ra
DIF:Apply (application) ra
OBJ:Describe developmental tasks of the young adult, the childbearing family, and the middle adult.
ra ra ra ra ra ra ra ra ra ra ra ra ra ar
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
8. Which information from the nursing attendant indicates a correct understanding of emergin
ra ra ra ra ra ra ra ra ra ra ra
g adulthood?
ar
a. It is a type of young adulthood.
ra ra ra ra ra ra
b. It is a type of extended adolescence.
ra ra ra ra ra ra
c. It is a type of independent exploration.
ra ra ra ra ra ra
d. It is a type of marriage and parenthood.
ra ra ra ra ra ra ra
ACCURATE ANSWER:-C ra
This newly identified stage of development from age 18 to 25 (emerging adulthood) has been de
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
scribed as neither an extended adolescence, as it is much freer from parental control and is mu
ra ra ra ra ra ra ra ra ra ra ra ra ra ra ra ar
ch more a period of independent exploration, nor young adulthood, as most young people in t
ra ra ra ra ra ra ra ra ra ra ra ra ra ar ra
heir twenties have not made the transitions historically associated with adult status, especial
ra ra ra ra ra ra ra ra ra ra ra ra
ly marriage and parenthood.
ra ra ra
DIF:Understand (comprehension) ra
OBJ:Discuss development theories of young and middle adults. ra ra ra ra ra ra ra
TOPIC:-Teaching/Learning MSC: Health Promotion and Maintenance ra ra ra ra
