,Chapterj01:jHealthjandjWellnessjinjanjAgingjSociety
Touhy:jEbersolej&jHess'jTowardjHealthyjAging,j9thjEdition
MULTIPLEjCHOICE
1. WhenjaskedjbyjnewjparentsjwhatjthejlifejexpectancyjisjforjtheirjAfricanjAmericanjnewborn,jthe
jnursejrepliesjthat,j“2010jstatisticsjindicatejthatjyourjson:
a. willjhavejajlifejexpectancyjofjapproximatelyj65jyears.”
b. canjrealisticallyjexpectjtojlivejintojhisjlatej80s.”
c. hasjajgoodjchancejofjcelebratingjhisj75thjbirthday.”
d. isjlikelyjtojlivejintojhisjlatej90s.”
ANS:j C
Inj2010,jmenjinjthejUnitedjStatesjatjagej60jcanjexpectjtojlivejanotherj22jyears.jThejlifejexpectan
cyjofjAfricanjAmericanjmenjisjaboutj4.7jyearsjlessjthanjwhitejmen.jOfjthejoptionsjabove,jCjisjth
ejonlyjresponsejthatjfitsjintojthosejparameters.jThejotherjoptionsjarejnotjsupportedjbyjreliablejre
search.
DIF: CognitivejLevel:jUnderstanding
REF:j p.j3jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
2. Ajnursejisjplanningjcarejforjajgroupjofjsuper-
centenariansjinjanjassistedjlivingjfacility.jThejnursejconsidersjwhichjofjthejfollowing?
a. Mostjsuper-centenariansjarejfunctionallyjindependentjorjrequirejminimal
assistancejwithjactivitiesjofjdailyjliving
b. Thejmajorityjofjsuper-centenariansjhavejcognitivejimpairment
c. Thejnumberjofjsuper-centenariansjisjexpectedjtojdecreasejinjcomingjyearsjasja
resultjofjheartjdiseasejandjstroke
d. Itjisjtheorizedjthatjsuper-centenariansjsurvivedjasjlongjasjtheyjhavejduejtojgenetic
mutationsjthatjmadejthemjlessjsusceptiblejtojcommonjdiseases
ANS:j A
Researchjsupportsjthatjmostjsuper-
centenariansjarejfunctionallyjandjcognitivelyjintact,jrequiringjminimaljassistancejwithjADLs.jTh
ejnumberjofjsuper-
centenariansjisjexpectedjtojincreasejinjcomingjyearsjasjthejnumberjofjolderjadultsjincreases.jThejre
asonjwhyjindividualsjsurvivedjasjlongjasjtheyjhavejisjnotjknown.
DIF: CognitivejLevel:jRemembering
REF:j p.j4jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
3. Onejreasonjwhyjmanyj“babyjboomers”jhavejmultiplejchronicjconditionsjsuchjasjheartjdisease,jdi
abetes,jandjarthritisjisjthat:
a. theyjhavejlessjaccessjtojmedicationjandjotherjtreatmentjregimens.
b. therejwasjajlackjofjimportancejplacedjonjhealthyjlivingjasjtheyjwerejgrowingjup.
c. theyjdidjnotjhavejaccessjtojimmunizationsjagainstjcommunicablejdiseasejwhen
theyjwerejchildren.
d. theyjgrewjupjinjanjerajofjrampantjpovertyjandjmalnutrition.
, ANS:j B
Thejbabyjboomers,jindividualsjbornjbetweenj1946jandj1964,jpost-
WWII,jhavejbetterjaccessjtojmedicationjandjtreatmentjregimensjthanjotherjcohorts.jTheyjhavejha
djthejbenefitjofjthejdevelopmentjofjimmunizationsjagainstjcommunicablejdiseases.jTheyjgrewju
pjinjanjerajofjprosperityjpost-
WWII.jHowever,jtherejwasjajlackjofjimportancejplacedjonjwhatjwejnowjconsiderjhealthyjlivingj
whenjtheyjwerejyounger.jSmoking,jforjexample,jwasjnotjcondoned,jbutjwasjconsideredjajsymbol
jofjstatus.jCandyjinjthejshapejofjcigarettesjwasjpopular,jandjtherejwasjmuchjsecondhandjsmoke.
DIF: CognitivejLevel:jRemembering
REF:j p.j6jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
4. Ajnursejisjplanningjanjeducationjprogramjonjwellnessjinjajlocaljseniorjcitizenjcenter.jThejnursej
plansjtojprovidejeducationjonjthejimportancejofjimmunizations,jannualjphysicaljexaminations,j
screeningjforjdiabetes,jandjvisionjandjhearingjscreening.jItjisjimportantjforjthejnursejtojundersta
ndjwhichjofjthejfollowing?
a. Approximatelyj40%jofjolderjadultsj(agesj65jandjolder)jutilizejavailablejpreventive
services
b. Preventivejstrategiesjarejmorejwidelyjusedjinjthej40-64jagejgroupjthanjinjthej65
andjoverjagejgroup
c. Thejresearchjonjhealthjpromotionjstrategiesjinjolderjadultsjdemonstratesjthatjthey
havejlowjefficacy
d. Therejisjanjabundancejofjresearchjspecificjtojhealthjpromotionjandjaging
ANS:j A
Approximatelyj40%jofjindividuals,jagesj65jandjolder,jutilizejthejpreventivejservicesjthatjarejava
ilablejtojthem.jHowever,jonlyj24%jofjthosejbetweenjthejagesjofj40jandj64jdojso.jTherejisjajpaucit
yjofjresearchjspecificjtojhealthjpromotionjandjaging;jhowever,jthejresearchjthatjexistsjdemonstra
tesjthatjhealthjpromotionjstrategiesjarejhighlyjeffective.
DIF: CognitivejLevel:jUnderstanding
REF:j p.j7jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
5. Ajnursejisjcaringjforjanj85-year-
oldjmalejclientjwithjdiabetesjinjajcommunityjsetting.jThejnursejpromotesjfunctionaljwellnes
sjbyjwhichjofjthejfollowingjactivities?
a. Encouragingjthejclientjmaintainsjcurrentjlevelsjofjphysicaljactivity
b. Assistingjthejclientjtojreceivejalljthejrecommendedjpreventivejscreeningsjthatjare
appropriatejforjhisjagejgroup
c. Teachingjthejpatientjhowjtojusejajrollingjwalkerjsojthatjhejcanjambulatejforjlonger
distances
d. Encouragingjthejclientjtojattendjhisjweeklyjchessjgames
ANS:j A
Maintainingjexistingjlevelsjofjphysicaljactivityjisjconsistentjwithjfunctionaljwellness.jTeaching
jthejclientjhowjtojusejajrollingjwalkerjenablesjthejclientjtojremainjactivejatjthejhighestjleveljposs
ible,jwhichjisjanjexamplejofjpromotingjfunctionaljwellness.jReceivingjrecommendedjscreening
jisjanjexamplejofjpromotingjbiologicaljwellness.jThejusejofjajrollingjwalkerjshouldjbejbasedjonja
ssessmentjofjphysicaljability.jEncouragingjthejclientjtojattendjweeklyjchessjgamesjisjanjexampl
ejofjpromotingjsocialjwellness.
, DIF: CognitivejLevel:jApplying
REF:j p.j10jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
6. Basedjonjthejcensusjreportsjofj2010,jthejtypicaljprofilejofjajcentenarianjinjthejUnitedjStatesjinc
ludesjwhichjofjthejfollowingjcharacteristics?
a. AjCaucasianjwomanjwhojlivesjinjanjurbanjareajofjajSouthernjstate
b. AnjAfricanjAmericanjwomanjwhojlivesjinjajruraljareajofjajSouthernjstate
c. AjHispanicjmanjwhojlivesjinjanjurbanjareajofjajMidwesternjstate
d. AjCaucasianjmanjwhojlivesjinjajruraljareajofjajMidwesternjstate
ANS:j A
Basedjonjthej2010jU.S.jCensusjdata,jcentenariansjwerejoverwhelminglyjwhitej(82.5%),jwomenj
(82.8%),jandjlivingjinjurbanjareasjofjthejSouthernjstates.
DIF: CognitivejLevel:jApplying
REF:j p.j5jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
MULTIPLEjRESPONSE
1. Primaryjpreventionjstrategiesjforjolderjadultsjincludejwhichjofjthejfollowing?j(Selectjalljthatjap
ply.)
a. Anjannualjinfluenzajimmunizationjclinic
b. Ajsmokingjcessationjprogram
c. Ajprostatejscreeningjprogram
d. Ajcardiacjrehabilitationjprogram
e. Ajmealjplanningjeducationjprogramjforjtypej2jdiabetics
ANS:j A,jB
Primaryjpreventionjrefersjtojstrategiesjthatjarejusedjtojpreventjanjillnessjbeforejitjoccursjandjmaint
ainingjwellnessjacrossjthejcontinuumjofjcare.jImmunizationsjandjsmokingjcessationjarejexamplesj
ofjprimaryjprevention.jSecondaryjpreventionjisjthejearlyjdetectionjofjajdiseasejorjajhealthjproblem
jthatjhasjalreadyjdeveloped.jProstatejscreeningjisjanjexamplejofjsecondaryjprevention.jTertiaryjpr
eventionjaddressesjthejneedsjofjindividualsjwhojalreadyjhavejtheirjwellnessjchallenged.jCardiacjr
ehabilitationjandjmealjplanningjforjdiabeticsjarejexamplesjofjtertiaryjprevention.
DIF: CognitivejLevel:jApplying REF:j pp.j8–
9jTOP:j IntegratedjProcess:jTeaching/Learning
MSC:j ClientjNeeds:jManagementjofjCare
2. Ajnursejorganizesjajhealthjfairjforjolderjadults.jThejnurse’sjgoaljisjtojfocusjonjthejsixjpriorityjare
asjidentifiedjbyjthejNationaljPreventionjCouncil.jWhichjofjthejfollowingjactivitiesjshouldjthejnu
rsejinclude?j(Selectjalljthatjapply.)
a. Smokingjcessation
b. Depressionjscreening
c. Recognizingjelderjabuse
d. Cholesteroljscreening
e. Fitnessjtraining
Touhy:jEbersolej&jHess'jTowardjHealthyjAging,j9thjEdition
MULTIPLEjCHOICE
1. WhenjaskedjbyjnewjparentsjwhatjthejlifejexpectancyjisjforjtheirjAfricanjAmericanjnewborn,jthe
jnursejrepliesjthat,j“2010jstatisticsjindicatejthatjyourjson:
a. willjhavejajlifejexpectancyjofjapproximatelyj65jyears.”
b. canjrealisticallyjexpectjtojlivejintojhisjlatej80s.”
c. hasjajgoodjchancejofjcelebratingjhisj75thjbirthday.”
d. isjlikelyjtojlivejintojhisjlatej90s.”
ANS:j C
Inj2010,jmenjinjthejUnitedjStatesjatjagej60jcanjexpectjtojlivejanotherj22jyears.jThejlifejexpectan
cyjofjAfricanjAmericanjmenjisjaboutj4.7jyearsjlessjthanjwhitejmen.jOfjthejoptionsjabove,jCjisjth
ejonlyjresponsejthatjfitsjintojthosejparameters.jThejotherjoptionsjarejnotjsupportedjbyjreliablejre
search.
DIF: CognitivejLevel:jUnderstanding
REF:j p.j3jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
2. Ajnursejisjplanningjcarejforjajgroupjofjsuper-
centenariansjinjanjassistedjlivingjfacility.jThejnursejconsidersjwhichjofjthejfollowing?
a. Mostjsuper-centenariansjarejfunctionallyjindependentjorjrequirejminimal
assistancejwithjactivitiesjofjdailyjliving
b. Thejmajorityjofjsuper-centenariansjhavejcognitivejimpairment
c. Thejnumberjofjsuper-centenariansjisjexpectedjtojdecreasejinjcomingjyearsjasja
resultjofjheartjdiseasejandjstroke
d. Itjisjtheorizedjthatjsuper-centenariansjsurvivedjasjlongjasjtheyjhavejduejtojgenetic
mutationsjthatjmadejthemjlessjsusceptiblejtojcommonjdiseases
ANS:j A
Researchjsupportsjthatjmostjsuper-
centenariansjarejfunctionallyjandjcognitivelyjintact,jrequiringjminimaljassistancejwithjADLs.jTh
ejnumberjofjsuper-
centenariansjisjexpectedjtojincreasejinjcomingjyearsjasjthejnumberjofjolderjadultsjincreases.jThejre
asonjwhyjindividualsjsurvivedjasjlongjasjtheyjhavejisjnotjknown.
DIF: CognitivejLevel:jRemembering
REF:j p.j4jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
3. Onejreasonjwhyjmanyj“babyjboomers”jhavejmultiplejchronicjconditionsjsuchjasjheartjdisease,jdi
abetes,jandjarthritisjisjthat:
a. theyjhavejlessjaccessjtojmedicationjandjotherjtreatmentjregimens.
b. therejwasjajlackjofjimportancejplacedjonjhealthyjlivingjasjtheyjwerejgrowingjup.
c. theyjdidjnotjhavejaccessjtojimmunizationsjagainstjcommunicablejdiseasejwhen
theyjwerejchildren.
d. theyjgrewjupjinjanjerajofjrampantjpovertyjandjmalnutrition.
, ANS:j B
Thejbabyjboomers,jindividualsjbornjbetweenj1946jandj1964,jpost-
WWII,jhavejbetterjaccessjtojmedicationjandjtreatmentjregimensjthanjotherjcohorts.jTheyjhavejha
djthejbenefitjofjthejdevelopmentjofjimmunizationsjagainstjcommunicablejdiseases.jTheyjgrewju
pjinjanjerajofjprosperityjpost-
WWII.jHowever,jtherejwasjajlackjofjimportancejplacedjonjwhatjwejnowjconsiderjhealthyjlivingj
whenjtheyjwerejyounger.jSmoking,jforjexample,jwasjnotjcondoned,jbutjwasjconsideredjajsymbol
jofjstatus.jCandyjinjthejshapejofjcigarettesjwasjpopular,jandjtherejwasjmuchjsecondhandjsmoke.
DIF: CognitivejLevel:jRemembering
REF:j p.j6jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
4. Ajnursejisjplanningjanjeducationjprogramjonjwellnessjinjajlocaljseniorjcitizenjcenter.jThejnursej
plansjtojprovidejeducationjonjthejimportancejofjimmunizations,jannualjphysicaljexaminations,j
screeningjforjdiabetes,jandjvisionjandjhearingjscreening.jItjisjimportantjforjthejnursejtojundersta
ndjwhichjofjthejfollowing?
a. Approximatelyj40%jofjolderjadultsj(agesj65jandjolder)jutilizejavailablejpreventive
services
b. Preventivejstrategiesjarejmorejwidelyjusedjinjthej40-64jagejgroupjthanjinjthej65
andjoverjagejgroup
c. Thejresearchjonjhealthjpromotionjstrategiesjinjolderjadultsjdemonstratesjthatjthey
havejlowjefficacy
d. Therejisjanjabundancejofjresearchjspecificjtojhealthjpromotionjandjaging
ANS:j A
Approximatelyj40%jofjindividuals,jagesj65jandjolder,jutilizejthejpreventivejservicesjthatjarejava
ilablejtojthem.jHowever,jonlyj24%jofjthosejbetweenjthejagesjofj40jandj64jdojso.jTherejisjajpaucit
yjofjresearchjspecificjtojhealthjpromotionjandjaging;jhowever,jthejresearchjthatjexistsjdemonstra
tesjthatjhealthjpromotionjstrategiesjarejhighlyjeffective.
DIF: CognitivejLevel:jUnderstanding
REF:j p.j7jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
5. Ajnursejisjcaringjforjanj85-year-
oldjmalejclientjwithjdiabetesjinjajcommunityjsetting.jThejnursejpromotesjfunctionaljwellnes
sjbyjwhichjofjthejfollowingjactivities?
a. Encouragingjthejclientjmaintainsjcurrentjlevelsjofjphysicaljactivity
b. Assistingjthejclientjtojreceivejalljthejrecommendedjpreventivejscreeningsjthatjare
appropriatejforjhisjagejgroup
c. Teachingjthejpatientjhowjtojusejajrollingjwalkerjsojthatjhejcanjambulatejforjlonger
distances
d. Encouragingjthejclientjtojattendjhisjweeklyjchessjgames
ANS:j A
Maintainingjexistingjlevelsjofjphysicaljactivityjisjconsistentjwithjfunctionaljwellness.jTeaching
jthejclientjhowjtojusejajrollingjwalkerjenablesjthejclientjtojremainjactivejatjthejhighestjleveljposs
ible,jwhichjisjanjexamplejofjpromotingjfunctionaljwellness.jReceivingjrecommendedjscreening
jisjanjexamplejofjpromotingjbiologicaljwellness.jThejusejofjajrollingjwalkerjshouldjbejbasedjonja
ssessmentjofjphysicaljability.jEncouragingjthejclientjtojattendjweeklyjchessjgamesjisjanjexampl
ejofjpromotingjsocialjwellness.
, DIF: CognitivejLevel:jApplying
REF:j p.j10jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
6. Basedjonjthejcensusjreportsjofj2010,jthejtypicaljprofilejofjajcentenarianjinjthejUnitedjStatesjinc
ludesjwhichjofjthejfollowingjcharacteristics?
a. AjCaucasianjwomanjwhojlivesjinjanjurbanjareajofjajSouthernjstate
b. AnjAfricanjAmericanjwomanjwhojlivesjinjajruraljareajofjajSouthernjstate
c. AjHispanicjmanjwhojlivesjinjanjurbanjareajofjajMidwesternjstate
d. AjCaucasianjmanjwhojlivesjinjajruraljareajofjajMidwesternjstate
ANS:j A
Basedjonjthej2010jU.S.jCensusjdata,jcentenariansjwerejoverwhelminglyjwhitej(82.5%),jwomenj
(82.8%),jandjlivingjinjurbanjareasjofjthejSouthernjstates.
DIF: CognitivejLevel:jApplying
REF:j p.j5jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance
MULTIPLEjRESPONSE
1. Primaryjpreventionjstrategiesjforjolderjadultsjincludejwhichjofjthejfollowing?j(Selectjalljthatjap
ply.)
a. Anjannualjinfluenzajimmunizationjclinic
b. Ajsmokingjcessationjprogram
c. Ajprostatejscreeningjprogram
d. Ajcardiacjrehabilitationjprogram
e. Ajmealjplanningjeducationjprogramjforjtypej2jdiabetics
ANS:j A,jB
Primaryjpreventionjrefersjtojstrategiesjthatjarejusedjtojpreventjanjillnessjbeforejitjoccursjandjmaint
ainingjwellnessjacrossjthejcontinuumjofjcare.jImmunizationsjandjsmokingjcessationjarejexamplesj
ofjprimaryjprevention.jSecondaryjpreventionjisjthejearlyjdetectionjofjajdiseasejorjajhealthjproblem
jthatjhasjalreadyjdeveloped.jProstatejscreeningjisjanjexamplejofjsecondaryjprevention.jTertiaryjpr
eventionjaddressesjthejneedsjofjindividualsjwhojalreadyjhavejtheirjwellnessjchallenged.jCardiacjr
ehabilitationjandjmealjplanningjforjdiabeticsjarejexamplesjofjtertiaryjprevention.
DIF: CognitivejLevel:jApplying REF:j pp.j8–
9jTOP:j IntegratedjProcess:jTeaching/Learning
MSC:j ClientjNeeds:jManagementjofjCare
2. Ajnursejorganizesjajhealthjfairjforjolderjadults.jThejnurse’sjgoaljisjtojfocusjonjthejsixjpriorityjare
asjidentifiedjbyjthejNationaljPreventionjCouncil.jWhichjofjthejfollowingjactivitiesjshouldjthejnu
rsejinclude?j(Selectjalljthatjapply.)
a. Smokingjcessation
b. Depressionjscreening
c. Recognizingjelderjabuse
d. Cholesteroljscreening
e. Fitnessjtraining
