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:
            etion. 
▪ 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. 
\
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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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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 
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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 partner, is an inevitable experience 
among the elderly. 
  
6)  Loss of life: 
 
           All individual know they will die, the elderly are aware that it is 
likely to occur sooner or later. 
 
C- Psychological changes of aging: 
Psychological changes are those which primarily affect the way in which 
the individual reacts and influences his immediate environment. 
 
1)  Dependence: 
Many changes experience by the elderly result in an increasing 
dependency on others in society, age associated dependence is a gradual 
and variable phenomena, dependence increase throughout the aging 
process and reaches a peak when the individual approaches death. 
 
2)  Trust: 
Two major changes in relation to trust occur either they have a trust 
in all they meet, or they have a natural reservation and distrust in relation 
to those they meet for the first time. This because of their perceived 
relative social disadvantage and lack of power, eld

            Quiz: