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:
            
▪ Decreased 
blood 
flow to the kidney. 
▪ Prostates 
enlargement in  
▪ Most elderly men. 
▪ -Incontinence may be 
common. 
▪ High risk to kidney 
diseases. 
▪ Problems of urinary 
retention. 
8-Reproductive 
system. 
 
-Males 
 
 
 
-Females 
 
 
 
- Testes 
become 
smaller and less firm. 
▪ Decreased size of 
penis. 
▪ Hormonal depletion 
leads to decrease of 
viable 
spermatozoa 
and sexual energy. 
▪ Prostates 
enlargement. 
 
▪ Decline 
of 
sexual 
performance related 
to decline in both 
frequency 
and 
duration of erection. 
 
 
 
▪ -Slower 
sexual 
response. 
▪ Dryness and itching 
ﺩﺍﻟﻴﺎ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﺑﻮﺑﻜﺮ ﺍﻟﻌﺮﻳﺎﻥ
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
2023/2024
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18 
 
9- Vital signs. 
 
 
 
Pulse 
Temperature 
 
 
 
Blood pressure. 
▪ Thickness 
of 
the 
vaginal wall. 
▪ Less elasticity and 
narrowing in size. 
▪ Decreased in vaginal 
secretion. 
▪ Reduction in cervix 
and uterus size. 
▪  
▪  
▪  
▪ Show wide variation. 
▪ Decreased 
production of body 
heat 
related 
to 
decreased 
in 
the 
metabolic rate. 
 
▪ Show increased. 
of the vagina 
▪ Virginities 
are 
a 
common complaint in 
older females. 
 
 
 
▪ Lowering of body 
temperature. 
\
ﺩﺍﻟﻴﺎ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﺑﻮﺑﻜﺮ ﺍﻟﻌﺮﻳﺎﻥ
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
2023/2024
2023/2024
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19 
- B- Social changes of aging: 
           Number of social changes, may associated with loss occur with 
increasing of age. 
  
1)- Loss of dependants: 
          Families are increasingly mobile. Children leave home to another 
city, the distance between elderly personas and their sons increase, this 
lead to loss of continued contact with friends. 
 
2)   Occupational and economic loss: 
At the age of 60 or 65 the elderly persons have a significant loss of 
occupation, these results from the occupation and economic security witch it 
give. Economic and occupational loss brings with them a considerable 
domination in personal and social status. 
 
3)   Health loss: 
     The elderly persons are undoubtedly at greater risk of both acute and 
chronic illness episodes, normal changes associated with loss of youthful 
attractiveness and appearance. 
 
4)  Mobility and independence: 
     The elderly persons may have difficulty not only in relation to 
personal movement such as sitting down, standing up and walking ,but 
also in relation to the use of private and public transportation. 
 
 
5)   Loss of friend ships and spouse: 
   The circle of friends diminished by age, the social isolation and 
loneliness of many old persons is a tragic consequence of an increasing 
ﺩﺍﻟﻴﺎ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﺑﻮﺑﻜﺮ ﺍﻟﻌﺮﻳﺎﻥ
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
2023/2024
2023/2024
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20 
withdrawal from society and of rejection by it, also it is a traumatic and 
depressing effect on the surviving pa

            Quiz: