TEST BANK
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Med C File © 2022
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,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
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Chapter 01: Health and Wellness in an Aging Society MULTIPLE
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CHOICE
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1. When asked by new parents what the life expectancy is for their African American newborn, the
m m m m m m m m m m m m m m m
mnurse replies that, “2010 statistics indicate that your son:
m m m m m m m m
a. will have a life expectancy of approximately 65 years.”
m m m m m m m m
b. can realistically expect to live into his late 80s.”
m m m m m m m m
c. has a good chance of celebrating his 75th birthday.”
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d. is likely to live into his late 90s.”
m m m m m m m
ANS: C m
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
m m m m m m m m m m m m m m m m m m
expectancy of African American men is about 4.7 years less than white men. Of the options above,
m m m m m m m m m m m m m m m m m
C is the only response that fits into those parameters. The other options are not supported by
m m m m m m m m m m m m m m m m m
reliable research.
m m
DIF: Cognitive Level: Understanding REF: p. 3 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
m m m m m m m m m m m m m m m
mnurse considers which of the following?
m m m m m
a. Most super-centenarians are functionally independent or require minimal
m m m m m m m
assistance with activities of daily living
m m m m m m
b. The majority of super-centenarians have cognitive impairment
m m m m m m
c. The number of super-centenarians is expected to decrease in coming years as a
m m m m m m m m m m m m
result of heart disease and stroke
m m m m m m
d. It is theorized that super-centenarians survived as long as they have due to genetic
m m m m m m m m m m m m m
mutations that made them less susceptible to common diseases
m m m m m m m m m
ANS: A m
Research supports that most super-centenarians are functionally and cognitively intact,
m m m m m m m m m
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
m m m m m m m m m m m m
increase in coming years as the number of older adults increases. The reason why individuals
m m m m m m m m m m m m m m m
survived as long as they have is not known.
m m m m m m m m m
DIF: Cognitive Level: Remembering REF: p. 4 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
m m m m m m m m m m m m m
mdiabetes, and arthritis is that: m m m m
a. they have less access to medication and other treatment regimens.
m m m m m m m m m
b. there was a lack of importance placed on healthy living as they were growing up.
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c. they did not have access to immunizations against communicable disease when
m m m m m m m m m m
they were children.
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d. they grew up in an era of rampant poverty and malnutrition.
m m m m m m m m m m
, ANS: B m
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
m m m m m m m m m m m m m
medication and treatment regimens than other cohorts. They have had the benefit of the
m m m m m m m m m m m m m m
development of immunizations against communicable diseases. They grew up in an era of
m m m m m m m m m m m m m
prosperity post-WWII. However, there was a lack of importance placed on what we now
m m m m m m m m m m m m m m
consider healthy living when they were younger. Smoking, for example, was not condoned, but
m m m m m m m m m m m m m m
was considered a symbol of status. Candy in the shape of cigarettes was popular, and there was
m m m m m m m m m m m m m m m m m
much secondhand smoke.
m m m
DIF: Cognitive Level: Remembering REF: p. 6 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
m m m m m m m m m m m m m m m m
plans to provide education on the importance of immunizations, annual physical examinations,
m m m m m m m m m m m m
screening for diabetes, and vision and hearing screening. It is important for the nurse to
m m m m m m m m m m m m m m m
understand which of the following?
m m m m m
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive m m m m m m m m m m m
services m
b. Preventive strategies are more widely used in the 40-64 age group than in the 65
m m m m m m m m m m m m m m
and over age group
m m m m
c. The research on health promotion strategies in older adults demonstrates that they
m m m m m m m m m m m
have low efficacy
m m m
d. There is an abundance of research specific to health promotion and aging
m m m m m m m m m m m
ANS: A m
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are
m m m m m m m m m m m m m
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
m m m m m m m m m m m m m m m m m m m m
paucity of research specific to health promotion and aging; however, the research that exists
m m m m m m m m m m m m m m
demonstrates that health promotion strategies are highly effective.
m m m m m m m m
DIF: Cognitive Level: Understanding REF: p. 7 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
m m m m m m m m m m m m m m m
mnurse promotes functional wellness by which of the following activities?
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a. Encouraging the client maintains current levels of physical activity m m m m m m m m
b. Assisting the client to receive all the recommended preventive screenings that are
m m m m m m m m m m m
appropriate for his age group
m m m m m
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
m m m m m m m m m m m m m m m
distances m
d. Encouraging the client to attend his weekly chess games m m m m m m m m
ANS: A m
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
m m m m m m m m m m m
the client how to use a rolling walker enables the client to remain active at the highest level
m m m m m m m m m m m m m m m m m m
possible, which is an example of promoting functional wellness. Receiving recommended
m m m m m m m m m m m
screening is an example of promoting biological wellness. The use of a rolling walker should be
m m m m m m m m m m m m m m m m
based on assessment of physical ability. Encouraging the client to attend weekly chess games is
m m m m m m m m m m m m m m m
an example of promoting social wellness.
m m m m m m
, DIF: Cognitive Level: Applying REF: p. 10 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
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mincludes which of the following characteristics?
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a. A Caucasian woman who lives in an urban area of a Southern state
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b. An African American woman who lives in a rural area of a Southern state
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c. A Hispanic man who lives in an urban area of a Midwestern state
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d. A Caucasian man who lives in a rural area of a Midwestern state
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ANS: A m
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
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(82.8%), and living in urban areas of the Southern states.
m m m m m m m m m m
DIF: Cognitive Level: Applying REF: p. 5 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
MULTIPLE RESPONSEm
1. Primary prevention strategies for older adults include which of the following? (Select all that
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mapply.)
a. An annual influenza immunization clinic
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b. A smoking cessation program
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c. A prostate screening program
m m m
d. A cardiac rehabilitation program
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e. A meal planning education program for type 2 diabetics
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ANS: A, B m m
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
m m m m m m m m m m m m m m m
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
m m m m m m m m m m m m
examples of primary prevention. Secondary prevention is the early detection of a disease or a
m m m m m m m m m m m m m m m
health problem that has already developed. Prostate screening is an example of secondary
m m m m m m m m m m m m m
prevention. Tertiary prevention addresses the needs of individuals who already have their
m m m m m m m m m m m m
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
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tertiary prevention.
m m
DIF: Cognitive Level: Applying REF: pp. 8–9 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Management of Care
m m m m m
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
m m m m m m m m m m m m m m m m m m
mareas identified by the National Prevention Council. Which of the following activities should
m m m m m m m m m m m m
mthe nurse include? (Select all that apply.)
m m m m m m
a. Smoking cessation m
b. Depression screening m
c. Recognizing elder abuse m m
d. Cholesterol screening m
e. Fitness training m
m
Med C File © 2022
m m m m
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
m m m m m m m m
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
m m m m m m m m m m
CHOICE
m
1. When asked by new parents what the life expectancy is for their African American newborn, the
m m m m m m m m m m m m m m m
mnurse replies that, “2010 statistics indicate that your son:
m m m m m m m m
a. will have a life expectancy of approximately 65 years.”
m m m m m m m m
b. can realistically expect to live into his late 80s.”
m m m m m m m m
c. has a good chance of celebrating his 75th birthday.”
m m m m m m m m
d. is likely to live into his late 90s.”
m m m m m m m
ANS: C m
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
m m m m m m m m m m m m m m m m m m
expectancy of African American men is about 4.7 years less than white men. Of the options above,
m m m m m m m m m m m m m m m m m
C is the only response that fits into those parameters. The other options are not supported by
m m m m m m m m m m m m m m m m m
reliable research.
m m
DIF: Cognitive Level: Understanding REF: p. 3 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
m m m m m m m m m m m m m m m
mnurse considers which of the following?
m m m m m
a. Most super-centenarians are functionally independent or require minimal
m m m m m m m
assistance with activities of daily living
m m m m m m
b. The majority of super-centenarians have cognitive impairment
m m m m m m
c. The number of super-centenarians is expected to decrease in coming years as a
m m m m m m m m m m m m
result of heart disease and stroke
m m m m m m
d. It is theorized that super-centenarians survived as long as they have due to genetic
m m m m m m m m m m m m m
mutations that made them less susceptible to common diseases
m m m m m m m m m
ANS: A m
Research supports that most super-centenarians are functionally and cognitively intact,
m m m m m m m m m
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
m m m m m m m m m m m m
increase in coming years as the number of older adults increases. The reason why individuals
m m m m m m m m m m m m m m m
survived as long as they have is not known.
m m m m m m m m m
DIF: Cognitive Level: Remembering REF: p. 4 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
m m m m m m m m m m m m m
mdiabetes, and arthritis is that: m m m m
a. they have less access to medication and other treatment regimens.
m m m m m m m m m
b. there was a lack of importance placed on healthy living as they were growing up.
m m m m m m m m m m m m m m
c. they did not have access to immunizations against communicable disease when
m m m m m m m m m m
they were children.
m m m
d. they grew up in an era of rampant poverty and malnutrition.
m m m m m m m m m m
, ANS: B m
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
m m m m m m m m m m m m m
medication and treatment regimens than other cohorts. They have had the benefit of the
m m m m m m m m m m m m m m
development of immunizations against communicable diseases. They grew up in an era of
m m m m m m m m m m m m m
prosperity post-WWII. However, there was a lack of importance placed on what we now
m m m m m m m m m m m m m m
consider healthy living when they were younger. Smoking, for example, was not condoned, but
m m m m m m m m m m m m m m
was considered a symbol of status. Candy in the shape of cigarettes was popular, and there was
m m m m m m m m m m m m m m m m m
much secondhand smoke.
m m m
DIF: Cognitive Level: Remembering REF: p. 6 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
m m m m m m m m m m m m m m m m
plans to provide education on the importance of immunizations, annual physical examinations,
m m m m m m m m m m m m
screening for diabetes, and vision and hearing screening. It is important for the nurse to
m m m m m m m m m m m m m m m
understand which of the following?
m m m m m
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive m m m m m m m m m m m
services m
b. Preventive strategies are more widely used in the 40-64 age group than in the 65
m m m m m m m m m m m m m m
and over age group
m m m m
c. The research on health promotion strategies in older adults demonstrates that they
m m m m m m m m m m m
have low efficacy
m m m
d. There is an abundance of research specific to health promotion and aging
m m m m m m m m m m m
ANS: A m
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are
m m m m m m m m m m m m m
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
m m m m m m m m m m m m m m m m m m m m
paucity of research specific to health promotion and aging; however, the research that exists
m m m m m m m m m m m m m m
demonstrates that health promotion strategies are highly effective.
m m m m m m m m
DIF: Cognitive Level: Understanding REF: p. 7 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
m m m m m m m m m m m m m m m
mnurse promotes functional wellness by which of the following activities?
m m m m m m m m m
a. Encouraging the client maintains current levels of physical activity m m m m m m m m
b. Assisting the client to receive all the recommended preventive screenings that are
m m m m m m m m m m m
appropriate for his age group
m m m m m
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
m m m m m m m m m m m m m m m
distances m
d. Encouraging the client to attend his weekly chess games m m m m m m m m
ANS: A m
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
m m m m m m m m m m m
the client how to use a rolling walker enables the client to remain active at the highest level
m m m m m m m m m m m m m m m m m m
possible, which is an example of promoting functional wellness. Receiving recommended
m m m m m m m m m m m
screening is an example of promoting biological wellness. The use of a rolling walker should be
m m m m m m m m m m m m m m m m
based on assessment of physical ability. Encouraging the client to attend weekly chess games is
m m m m m m m m m m m m m m m
an example of promoting social wellness.
m m m m m m
, DIF: Cognitive Level: Applying REF: p. 10 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
m m m m m m m m m m m m m m m m
mincludes which of the following characteristics?
m m m m m
a. A Caucasian woman who lives in an urban area of a Southern state
m m m m m m m m m m m m
b. An African American woman who lives in a rural area of a Southern state
m m m m m m m m m m m m m
c. A Hispanic man who lives in an urban area of a Midwestern state
m m m m m m m m m m m m
d. A Caucasian man who lives in a rural area of a Midwestern state
m m m m m m m m m m m m
ANS: A m
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
m m m m m m m m m m m m
(82.8%), and living in urban areas of the Southern states.
m m m m m m m m m m
DIF: Cognitive Level: Applying REF: p. 5 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Health Promotion and Maintenance
m m m m m m
MULTIPLE RESPONSEm
1. Primary prevention strategies for older adults include which of the following? (Select all that
m m m m m m m m m m m m m
mapply.)
a. An annual influenza immunization clinic
m m m m
b. A smoking cessation program
m m m
c. A prostate screening program
m m m
d. A cardiac rehabilitation program
m m m
e. A meal planning education program for type 2 diabetics
m m m m m m m m
ANS: A, B m m
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
m m m m m m m m m m m m m m m
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
m m m m m m m m m m m m
examples of primary prevention. Secondary prevention is the early detection of a disease or a
m m m m m m m m m m m m m m m
health problem that has already developed. Prostate screening is an example of secondary
m m m m m m m m m m m m m
prevention. Tertiary prevention addresses the needs of individuals who already have their
m m m m m m m m m m m m
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
m m m m m m m m m m m m
tertiary prevention.
m m
DIF: Cognitive Level: Applying REF: pp. 8–9 m m m m
TOP: Integrated Process: Teaching/Learning
m m m m
MSC: Client Needs: Management of Care
m m m m m
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
m m m m m m m m m m m m m m m m m m
mareas identified by the National Prevention Council. Which of the following activities should
m m m m m m m m m m m m
mthe nurse include? (Select all that apply.)
m m m m m m
a. Smoking cessation m
b. Depression screening m
c. Recognizing elder abuse m m
d. Cholesterol screening m
e. Fitness training m
