A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes during the climacteric signify which of the following?
a. A characteristic of young adulthood
b. The increased reproductive ability of the older adult
c. A time of significant change in cognitive performance in middle age
d. A decline of reproductive capacity caused by a decrease in sexual hormones
D
Climacteric is a term used to describe the decline of reproductive capacity and accompanying changes brought about by the decrease in sexual hormones. This affects men and women differently. Men begin to experience decreased fertility, but they are able to continue to father children. Menopause, when a woman stops ovulating and menstruating, occurs only when 12 months have passed since the last menstrual flow. Climacteric is a characteristic of middle adulthood usually referring to those years between 40 and 65 . Changes in the cognitive function of middle-age adults are few except during illness or trauma.
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