Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            reased nail thickness and decreased nail growth. 
 
 
Content 
 
~ 12 ~ 
 
 
 Decreased perspiration. 
 Dry, and scaly skin. 
 Hair loss. 
Nursing Interventions: 
 Promote the use of sun block and tell patient to avoid overexposure to sun. 
 Balanced nutrition. 
 Adequate fluid intake. 
 Avoid the use of soaps that dry skin and use a lotion after baths. 
 Protect high-risk areas such as elbows and heels with padding. 
 Help older adult maintain personal appearance. 
 Test water temperature. 
 Encourage closed-toed shoes and regular check for injuries. 
II. Neurological System: 
 Slowed neuronal transmission due to neuronal atrophy in the brain. 
 Changes in sleep cycle: takes longer to fall asleep, total time spent 
sleeping is less than their younger years, awakenings throughout the 
night, and increase in frequency of daytime naps 
 Slowed reflexes. 
 Slight tremors and difficulty with fine motor movement. 
 Disturbance of balance. 
 Decreased dopamine (and binding sites), norepinephrine  
 
Content 
 
~ 13 ~ 
 Decrease nerve ending in fingertips, palms of hands and lower 
extremities. 
 Increased susceptibility to hypothermia and hyperthermia. 
 Short term memory decline possible. 
 Long term memory usually maintained. 
 
 
 
Figure (2). Available at www.hgh-pro.com 
Nursing Interventions: 
 Help older adult maintain an active body and mind. 
 Encourage older adults to participate in cognitive activities. 
 Give older adult more time to respond to questions & 
environmental 
dangers. 
 When teaching new procedures, etc. give them more time and repeated 
exposure to learn the new procedures. 
 Provide quiet environment to promote sleep. 
 
 
 
Content 
 
~ 14 ~ 
III. Musculoskeletal System: 
Muscles 
 Sarcopenia (↓ muscle mass & Muscle strength) occurs with age.   
 Sarcopenia is associated with increased fatigue & risk of falling.  
Bone/Tendons/Ligaments 
 Gradual loss of bone mass (bone resorption > bone formation) starting 
around age 30s. 
 Decreased water content in cartilage 
 Decreased water in the cartilage of the intervertebral discs results in a ↓ 
in compressibility and flexibility.  This may be one reason for loss of 
height. 
 There is also some decrease in water content of tendons & ligaments 
contributing to ↓ mobility. 
 
Figure (3). Available at www.hgh-pro.com 
Nursing Interventions: 
 Encourage older adult to exercise regularly such as walking. Moving all 
muscles: to increase flexibility, strength, tone, resistance, and balance 
 Supplements: Calcium & Vit D. 
 Talk to caregiver about diet, exercise, vitamins and supplements to help keep 
bones healthy and strong. 
 In regards to a person’s home, consider modifying the living environment to 
minimize the risk of falls and other safety hazards. Remove potential 
dangers such as throw rugs and extension cords. Add grab bars in the 
bathroom and make sure railings along stairs are secure. 
 Proper foot care & footwear. 
 
Content 
 
~ 15 ~ 

            Quiz: