Touhy Ebersole and Hess’ Towards Healthy
Aging 9th Edition
wiseprof
,Chapter 01: Health and Wellness in an Aging
Society
Touhy: Ebersole & Hess' Toward Healthy Aging,
9th Edition
MULTIPLE CHOICE
1. When asked by new parents what the life expectancy is for their African American
newborn, the nurse replies that, “2010 statistics indicate that your son:
a. will have a life expectancy of approximately 65 years.”
b. can realistically expect to live into his late 80s.”
c. has a good chance of celebrating his 75th birthday.”
d. is likely to live into his late 90s.”
ANS: C
In 2010, men in the United States at age 60 can expect to live another 22 years.
The life expectancy of African American men is about 4.7 years less than white
men. Of the options above, C is the only response that fits into those
parameters. The other options are not supported by reliable research.
DIF: Cognitive Level: Understanding
REF: p. 3 TOP: Integrated Process:
Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. A nurse is planning care for a group of super-centenarians in an assisted living
facility. The nurse considers which of the following?
a. Most super-centenarians are functionally independent or
require minimal assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
c. The number of super-centenarians is expected to decrease in coming
years as a result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they
have due to genetic mutations that made them less susceptible
to common diseases
ANS: A
Research supports that most super-centenarians are functionally and
cognitively intact, requiring minimal assistance with ADLs. The number of super-
centenarians is expected to increase in coming years as the number of older
adults increases. The reason why individuals survived as long as they have is not
known.
DIF: Cognitive Level: Remembering
REF: p. 4 TOP: Integrated Process:
Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
,3. One reason why many “baby boomers” have multiple chronic conditions
such as heart disease, diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens.
b. there was a lack of importance placed on healthy living as they were growing up.
c. they did not have access to immunizations against communicable
disease when they were children.
d. they grew up in an era of rampant poverty and malnutrition.
wiseprof
, ANS: B
The baby boomers, individuals born between 1946 and 1964, post-WWII, have
better access to medication and treatment regimens than other cohorts. They
have had the benefit of the development of immunizations against
communicable diseases. They grew up in an era of prosperity post-WWII.
However, there was a lack of importance placed on what we now consider
healthy living when they were younger. Smoking, for example, was not
condoned, but was considered a symbol of status. Candy in the shape of
cigarettes was popular, and there was much secondhand smoke.
DIF: Cognitive Level: Remembering
REF: p. 6 TOP: Integrated Process:
Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
4. A nurse is planning an education program on wellness in a local senior citizen
center. The nurse plans to provide education on the importance of
immunizations, annual physical examinations, screening for diabetes, and
vision and hearing screening. It is important for the nurse to understand which
of the following?
a. Approximately 40% of older adults (ages 65 and older) utilize available
preventive services
b. Preventive strategies are more widely used in the 40-64 age group
than in the 65 and over age group
c. The research on health promotion strategies in older adults
demonstrates that they have low efficacy
d. There is an abundance of research specific to health promotion and aging
ANS: A
Approximately 40% of individuals, ages 65 and older, utilize the preventive
services that are available to them. However, only 24% of those between the
ages of 40 and 64 do so. There is a paucity of research specific to health
promotion and aging; however, the research that exists demonstrates that
health promotion strategies are highly effective.
DIF: Cognitive Level: Understanding
REF: p. 7 TOP: Integrated Process:
Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. A nurse is caring for an 85-year-old male client with diabetes in a community
setting. The nurse promotes functional wellness by which of the following
activities?
a. Encouraging the client maintains current levels of physical activity
b. Assisting the client to receive all the recommended preventive
screenings that are appropriate for his age group
c. Teaching the patient how to use a rolling walker so that he can
ambulate for longer distances