Ebersole and Hess’ Toward Healthy Aging 10th Edition Touhy Test Bank
cf cf cf cf cf cf cf cf cf cf
Chapter 01: Aging, Health, and Wellness in a Global Community Touhy
cf cf cf cf cf cf cf cf cf cf
: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
cf cf cf cf cf cf cf cf
MULTIPLE CHOICE cf
1. When asked by new parents what the life expectancy is for their African American newborn, th
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e nurse replies that, ―2015 statistics indicate that your son:
cf cf cf cf cf cf cf cf cf
a. will have a life expectancy of approximately 65 years.‖ cf cf cf cf cf cf cf cf
b. can realistically expect to live into his late 80s.‖
cf cf cf cf cf cf cf cf
c. has a good chance of celebrating his 75th birthday.‖
cf cf cf cf cf cf cf cf
d. is likely to live into his late 90s.‖ cf cf cf cf cf cf cf
ANS: C c f
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity betwe
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
en life expectancies for black and white Americans has narrowed significantly between 1999
cf cf cf cf cf cf cf cf cf cf cf cf cf
and 2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Min
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ority Health, 2017). Of the options above, C is the only response that fits into those parameters.
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
The other options are not supported by reliable research.
cf cf cf cf cf cf cf cf cf
DIF: Cognitive Level: Understanding TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
2. A nurse is planning care for a group of super-
cf cf cf cf cf cf cf cf cf
centenarians in an assisted living facility. The nurse considers which of the following?
cf cf cf cf cf cf cf cf cf cf cf cf
a. Most super- cf
centenarians are functionally independent or require minimal assistance wi cf cf cf cf cf cf cf cf
th activities N
ofUdRaiSlyIlN
ivGinTgB
. cf cf
b. The majority of super-centenarians have cognitive impairment.
cf cf cf cf cf cf
c. The number of super- cf cf cf
centenarians is expected to decrease in coming years as a result of heart disease a cf cf cf cf cf cf cf cf cf cf cf cf cf cf
nd stroke. cf
d. It is theorized that super- cf cf cf cf
centenarians survived as long as they have due to genetic mutations that made them cf cf cf cf cf cf cf cf cf cf cf cf cf cf
less susceptible to common diseases. cf cf cf cf
ANS: A c f
Research supports that most super- cf cf cf cf
centenarians are functionally and cognitively intact, requiring minimal assistance with ADLs.
cf cf cf cf cf cf cf cf cf cf c
The number of super-
f cf cf cf
centenarians is expected to increase in coming years as the number of older adults increases. A
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
lthough centenarians still carry genetic markers within their chromosomes for any number of
cf cf cf cf cf cf cf cf cf cf cf cf cf
health problems, for as yet unknown reasons, these are not ―activated‖ until much later, if at al
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
l, when compared with other persons.
cf cf cf cf cf
DIF: Cognitive Level: Remembering TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
PRIMEXAM.COM
,3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart di
cf cf cf cf cf cf cf cf cf cf cf cf cf
sease, diabetes, and arthritis is that:
cf cf cf cf cf
a. they have less access to medication and other treatment regimens.
cf cf cf cf cf cf cf cf cf
b. there was a lack of importance placed on healthy living as they were growing up.
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
c. they did not have access to immunizations against communicable disease when th
cf cf cf cf cf cf cf cf cf cf cf
ey were children.
cf cf
PRIMEXAM.COM
, d. they grew up in an era of rampant poverty and malnutrition.
cf cf cf cf cf cf cf cf cf cf
ANS: B c f
The baby boomers, individuals born between 1946 and 1964, post-
cf cf cf cf cf cf cf cf cf
WWII, have better access to medication and treatment regimens than other cohorts. They have
cf cf cf cf cf cf cf cf cf cf cf cf cf
had the benefit of the development of immunizations against communicable diseases. They g
cf cf cf cf cf cf cf cf cf cf cf cf cf
rew up in an era of prosperity post-
cf cf cf cf cf cf cf
WWII. However, there was a lack of importance placed on what we now consider healthy livi
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ng when they were younger. Smoking, for example, was not condoned, but was considered a s
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ymbol of status. Candy in the shape of cigarettes was popular, and there was much secondhan
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
d smoke.
cf
DIF: Cognitive Level: Remembering TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
4. A nurse is planning an education program on wellness in a local senior citizen center. The nu
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
rse plans to provide education on the importance of immunizations, annual physical exami
cf cf cf cf cf cf cf cf cf cf cf cf
nations, screening for diabetes, and vision and hearing screening. It is important for the nurs
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e to understand which of the following?
cf cf cf cf cf cf
a. Less than 50% of older adults (ages 65 and older) utilize available preventive s
cf cf cf cf cf cf cf cf cf cf cf cf cf
ervices.
b. Preventive strategies are more widely used in the 50-64 age- cf cf cf cf cf cf cf cf cf
group than in the 65 and over age-group. cf cf cf cf cf cf cf
c. The research on health promotion strategies in older adults demonstrates that they h
cf cf cf cf cf cf cf cf cf cf cf cf
ave low efficacy. cf cf
d. There is an abundance of research specific to health promotion and aging.
cf cf cf cf cf cf cf cf cf cf cf
ANS: A c f c f
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are availa
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ble to them. However, only 25% of those between the ages of 50 and 64 do so. There is a pauci
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ty of research specific to health promotion and aging; however, the research that exists demo
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
nstrates that health promotion strategies are highly effective.
cf cf cf cf cf cf cf
DIF: Cognitive Level: Understanding TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
5. A nurse is caring for an 85-year-
cf cf cf cf cf cf
old male client with diabetes in a community setting. The nurse promotes functional wellnes
cf cf cf cf cf cf cf cf cf cf cf cf cf
s by which of the following activities?
cf cf cf cf cf cf
a. Encouraging the client to maintain current levels of physical activity cf cf cf cf cf cf cf cf cf
b. Assisting the client to receive all the recommended preventive screenings that are a cf cf cf cf cf cf cf cf cf cf cf cf
ppropriate for his age-group cf cf cf
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer dicf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
stances
d. Encouraging the client to attend his weekly chess games cf cf cf cf cf cf cf cf cf
ANS: A c f
PRIMEXAM.COM
, Maintaining existing levels of physical activity is consistent with functional wellness. Teac
cf cf cf cf cf cf cf cf cf cf cf
hing the client how to use a rolling walker enables the client to remain active at the highest l
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
evel possible, which is an example of promoting functional wellness. Receiving recommen
cf cf cf cf cf cf cf cf cf cf cf
ded screening is an example of promoting biological wellness. The use of a rolling walker sh
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ould be based on assessment of physical ability. Encouraging the client to attend weekly ches
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
s games is an example of promoting social wellness.
cf cf cf cf cf cf cf cf
DIF: Cognitive Level: Applying TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
6. Based on the census reports of 2015, the typical profile of a centenarian includes which of th
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e following characteristics?
cf cf
a. An American woman with no signs of dementia
cf cf cf cf cf cf cf
b. A Japanese woman with chronic inflammation
cf cf cf cf cf
c. A Chinese man with an immune disorder
cf cf cf cf cf cf
d. An American man who is a lifelong vegetarian
cf cf cf cf cf cf cf
ANS: A c f
Based on the 2015 U.S. Census data, while the United States has highest number of centenaria
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ns, Japan has over double the number relative to the population as a whole. The relatively low
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
number of centenarians (and super- cf cf cf cf
centenarians) with dementia of some kind may be explained by the presence of some type of g
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
enetic neuroprotective factors. While most people have normal age-
cf cf cf cf cf cf cf cf
related declines in immune functioning and increases in a state of chronic inflammation, this d
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
oes not appear to be the case for this group of long lived people.
cf cf cf cf cf cf cf cf cf cf cf cf cf
DIF:
Cognitive Level: A p pNl yUi nRgSINGTB T.O
CPO: M Integrated Process: Teaching/Learning cf cf f
c cf cf cf
MSC: Client Needs: Health Promotion and Maintenance
c f cf cf cf cf cf
MULTIPLE RESPONSE cf
1. Primary prevention strategies for older adults include which of the following? (Select all th
cf cf cf cf cf cf cf cf cf cf cf cf cf
at apply.)
cf
a. An annual influenza immunization cliniccf cf cf cf
b. A smoking cessation program cf cf cf
c. A prostate screening program cf cf cf
d. A cardiac rehabilitation program
cf cf cf
e. A meal planning education program for type 2 diabetics
cf cf cf cf cf cf cf cf
ANS: A, B c f cf
Primary prevention refers to strategies that are used to prevent an illness before it occurs and m
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
aintaining wellness across the continuum of care. Immunizations and smoking cessation are e
cf cf cf cf cf cf cf cf cf cf cf cf
xamples of primary prevention. Secondary prevention is the early detection of a disease or a he
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
alth problem that has already developed. Prostate screening is an example of secondary preve
cf cf cf cf cf cf cf cf cf cf cf cf cf
ntion. Tertiary prevention addresses the needs of individuals who already have their wellness
cf cf cf cf cf cf cf cf cf cf cf cf cf
challenged. Cardiac rehabilitation and meal planning for diabetics are examples of tertiary pre
cf cf cf cf cf cf cf cf cf cf cf cf
vention.
DIF: Cognitive Level: Applying cf cf TOP: Integrated Process: Teaching/Learning cf cf
PRIMEXAM.COM
cf cf cf cf cf cf cf cf cf cf
Chapter 01: Aging, Health, and Wellness in a Global Community Touhy
cf cf cf cf cf cf cf cf cf cf
: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
cf cf cf cf cf cf cf cf
MULTIPLE CHOICE cf
1. When asked by new parents what the life expectancy is for their African American newborn, th
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e nurse replies that, ―2015 statistics indicate that your son:
cf cf cf cf cf cf cf cf cf
a. will have a life expectancy of approximately 65 years.‖ cf cf cf cf cf cf cf cf
b. can realistically expect to live into his late 80s.‖
cf cf cf cf cf cf cf cf
c. has a good chance of celebrating his 75th birthday.‖
cf cf cf cf cf cf cf cf
d. is likely to live into his late 90s.‖ cf cf cf cf cf cf cf
ANS: C c f
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity betwe
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
en life expectancies for black and white Americans has narrowed significantly between 1999
cf cf cf cf cf cf cf cf cf cf cf cf cf
and 2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Min
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ority Health, 2017). Of the options above, C is the only response that fits into those parameters.
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
The other options are not supported by reliable research.
cf cf cf cf cf cf cf cf cf
DIF: Cognitive Level: Understanding TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
2. A nurse is planning care for a group of super-
cf cf cf cf cf cf cf cf cf
centenarians in an assisted living facility. The nurse considers which of the following?
cf cf cf cf cf cf cf cf cf cf cf cf
a. Most super- cf
centenarians are functionally independent or require minimal assistance wi cf cf cf cf cf cf cf cf
th activities N
ofUdRaiSlyIlN
ivGinTgB
. cf cf
b. The majority of super-centenarians have cognitive impairment.
cf cf cf cf cf cf
c. The number of super- cf cf cf
centenarians is expected to decrease in coming years as a result of heart disease a cf cf cf cf cf cf cf cf cf cf cf cf cf cf
nd stroke. cf
d. It is theorized that super- cf cf cf cf
centenarians survived as long as they have due to genetic mutations that made them cf cf cf cf cf cf cf cf cf cf cf cf cf cf
less susceptible to common diseases. cf cf cf cf
ANS: A c f
Research supports that most super- cf cf cf cf
centenarians are functionally and cognitively intact, requiring minimal assistance with ADLs.
cf cf cf cf cf cf cf cf cf cf c
The number of super-
f cf cf cf
centenarians is expected to increase in coming years as the number of older adults increases. A
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
lthough centenarians still carry genetic markers within their chromosomes for any number of
cf cf cf cf cf cf cf cf cf cf cf cf cf
health problems, for as yet unknown reasons, these are not ―activated‖ until much later, if at al
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
l, when compared with other persons.
cf cf cf cf cf
DIF: Cognitive Level: Remembering TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
PRIMEXAM.COM
,3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart di
cf cf cf cf cf cf cf cf cf cf cf cf cf
sease, diabetes, and arthritis is that:
cf cf cf cf cf
a. they have less access to medication and other treatment regimens.
cf cf cf cf cf cf cf cf cf
b. there was a lack of importance placed on healthy living as they were growing up.
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
c. they did not have access to immunizations against communicable disease when th
cf cf cf cf cf cf cf cf cf cf cf
ey were children.
cf cf
PRIMEXAM.COM
, d. they grew up in an era of rampant poverty and malnutrition.
cf cf cf cf cf cf cf cf cf cf
ANS: B c f
The baby boomers, individuals born between 1946 and 1964, post-
cf cf cf cf cf cf cf cf cf
WWII, have better access to medication and treatment regimens than other cohorts. They have
cf cf cf cf cf cf cf cf cf cf cf cf cf
had the benefit of the development of immunizations against communicable diseases. They g
cf cf cf cf cf cf cf cf cf cf cf cf cf
rew up in an era of prosperity post-
cf cf cf cf cf cf cf
WWII. However, there was a lack of importance placed on what we now consider healthy livi
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ng when they were younger. Smoking, for example, was not condoned, but was considered a s
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ymbol of status. Candy in the shape of cigarettes was popular, and there was much secondhan
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
d smoke.
cf
DIF: Cognitive Level: Remembering TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
4. A nurse is planning an education program on wellness in a local senior citizen center. The nu
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
rse plans to provide education on the importance of immunizations, annual physical exami
cf cf cf cf cf cf cf cf cf cf cf cf
nations, screening for diabetes, and vision and hearing screening. It is important for the nurs
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e to understand which of the following?
cf cf cf cf cf cf
a. Less than 50% of older adults (ages 65 and older) utilize available preventive s
cf cf cf cf cf cf cf cf cf cf cf cf cf
ervices.
b. Preventive strategies are more widely used in the 50-64 age- cf cf cf cf cf cf cf cf cf
group than in the 65 and over age-group. cf cf cf cf cf cf cf
c. The research on health promotion strategies in older adults demonstrates that they h
cf cf cf cf cf cf cf cf cf cf cf cf
ave low efficacy. cf cf
d. There is an abundance of research specific to health promotion and aging.
cf cf cf cf cf cf cf cf cf cf cf
ANS: A c f c f
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are availa
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ble to them. However, only 25% of those between the ages of 50 and 64 do so. There is a pauci
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ty of research specific to health promotion and aging; however, the research that exists demo
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
nstrates that health promotion strategies are highly effective.
cf cf cf cf cf cf cf
DIF: Cognitive Level: Understanding TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
5. A nurse is caring for an 85-year-
cf cf cf cf cf cf
old male client with diabetes in a community setting. The nurse promotes functional wellnes
cf cf cf cf cf cf cf cf cf cf cf cf cf
s by which of the following activities?
cf cf cf cf cf cf
a. Encouraging the client to maintain current levels of physical activity cf cf cf cf cf cf cf cf cf
b. Assisting the client to receive all the recommended preventive screenings that are a cf cf cf cf cf cf cf cf cf cf cf cf
ppropriate for his age-group cf cf cf
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer dicf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
stances
d. Encouraging the client to attend his weekly chess games cf cf cf cf cf cf cf cf cf
ANS: A c f
PRIMEXAM.COM
, Maintaining existing levels of physical activity is consistent with functional wellness. Teac
cf cf cf cf cf cf cf cf cf cf cf
hing the client how to use a rolling walker enables the client to remain active at the highest l
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
evel possible, which is an example of promoting functional wellness. Receiving recommen
cf cf cf cf cf cf cf cf cf cf cf
ded screening is an example of promoting biological wellness. The use of a rolling walker sh
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ould be based on assessment of physical ability. Encouraging the client to attend weekly ches
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
s games is an example of promoting social wellness.
cf cf cf cf cf cf cf cf
DIF: Cognitive Level: Applying TOP: cf cf
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and cf cf cf c f cf cf cf cf cf
Maintenance
6. Based on the census reports of 2015, the typical profile of a centenarian includes which of th
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
e following characteristics?
cf cf
a. An American woman with no signs of dementia
cf cf cf cf cf cf cf
b. A Japanese woman with chronic inflammation
cf cf cf cf cf
c. A Chinese man with an immune disorder
cf cf cf cf cf cf
d. An American man who is a lifelong vegetarian
cf cf cf cf cf cf cf
ANS: A c f
Based on the 2015 U.S. Census data, while the United States has highest number of centenaria
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
ns, Japan has over double the number relative to the population as a whole. The relatively low
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
number of centenarians (and super- cf cf cf cf
centenarians) with dementia of some kind may be explained by the presence of some type of g
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
enetic neuroprotective factors. While most people have normal age-
cf cf cf cf cf cf cf cf
related declines in immune functioning and increases in a state of chronic inflammation, this d
cf cf cf cf cf cf cf cf cf cf cf cf cf cf
oes not appear to be the case for this group of long lived people.
cf cf cf cf cf cf cf cf cf cf cf cf cf
DIF:
Cognitive Level: A p pNl yUi nRgSINGTB T.O
CPO: M Integrated Process: Teaching/Learning cf cf f
c cf cf cf
MSC: Client Needs: Health Promotion and Maintenance
c f cf cf cf cf cf
MULTIPLE RESPONSE cf
1. Primary prevention strategies for older adults include which of the following? (Select all th
cf cf cf cf cf cf cf cf cf cf cf cf cf
at apply.)
cf
a. An annual influenza immunization cliniccf cf cf cf
b. A smoking cessation program cf cf cf
c. A prostate screening program cf cf cf
d. A cardiac rehabilitation program
cf cf cf
e. A meal planning education program for type 2 diabetics
cf cf cf cf cf cf cf cf
ANS: A, B c f cf
Primary prevention refers to strategies that are used to prevent an illness before it occurs and m
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
aintaining wellness across the continuum of care. Immunizations and smoking cessation are e
cf cf cf cf cf cf cf cf cf cf cf cf
xamples of primary prevention. Secondary prevention is the early detection of a disease or a he
cf cf cf cf cf cf cf cf cf cf cf cf cf cf cf
alth problem that has already developed. Prostate screening is an example of secondary preve
cf cf cf cf cf cf cf cf cf cf cf cf cf
ntion. Tertiary prevention addresses the needs of individuals who already have their wellness
cf cf cf cf cf cf cf cf cf cf cf cf cf
challenged. Cardiac rehabilitation and meal planning for diabetics are examples of tertiary pre
cf cf cf cf cf cf cf cf cf cf cf cf
vention.
DIF: Cognitive Level: Applying cf cf TOP: Integrated Process: Teaching/Learning cf cf
PRIMEXAM.COM
