As adults become older, their sleep patterns change. Older adults ...

[WWatsford]

As adults become older, their sleep patterns change. Older adults tend to
 
  a. Sleep later in the morning
  b. Go to bed earlier
  c. Wake earlier in the morning
  d. Take several naps during the day

Question 2

Teresa Martinez, 78 years old, reports that she is having difficulty hearing her TV and needs to turn the volume up. She has been having crackling sounds in her ears. When the physician examines her ears, both are impacted with cerumen.
 
  Why is the incidence of cerumen impaction increased for older adults?
  a. Increased keratin in cerumen
  b. Increased production of cerumen
  c. Older adults are less likely to be in the habit of using cotton-tipped applicators to clean out their ears
  d. Decreased bathing because of skin dryness, so ears do not get cleaned as often

[jesse.fleming]

Answer to Question 1

C
The best response is C. As people get older, they often awake earliersometimes at 4:00 or 5:00 a.m.even though they do not need to rise that early. Often older people try to stay up later in the evening, thinking that this will allow them to sleep later in the morning, but that often does not happen. Many need a daytime nap, but some try to avoid that, hoping to sleep better at night. Too-frequent daytime naps can disrupt nighttime sleep patterns.

Answer to Question 2

A
The increased keratin in the cerumen makes it drier and increases the likelihood of it impacting in the ear canal. There is no documentation of an increased cerumen production with aging (response B). Older adults frequently use cotton-tipped applicators. This practice is not advisable because there is a tendency to push impacted cerumen deeper into the ear canal (response C). Bathing and washing the external canal do not affect the production of cerumen or prevent the development of cerumen impaction (response D).

[WWatsford]

Thank you

[jesse.fleming]

No problemo