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