Touhy & Jett Gerontological
Nursing and Healthy Aging 5th
Edition: Test Bank Questions with
Answers and Rationales [Latest
2023]/GRADED A+
1. A man is terminally ill with end-stage prostate cancer. Which is
the best statement about this man's wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher
level of wellness.
ANS: D — Nursing interventions can help empower a client to achieve a
higher level of wellness; a nurse can foster wellness in his or her clients.
Wellness is defined by the individual and is multidimensional. Even in the
presence of chronic illness or while dying, a movement toward wellness
is possible.
2. In differentiating between health and wellness in health care,
which of the following statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous
generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one's health is compromised.
ANS: A — Health is a broad term that encompasses attitudes and
behaviors; holistically, health includes wellness, which involves one's
whole being.
3. Which racial or ethnic group has the highest life expectancy in the
United States?
a. Native Americans
,b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: C — Hispanic men and women have the highest life expectancy of
all. In 2011, for those of Hispanic origin, the overall life expectancy at 65
years of age was 20.7 more years.
4. Historical influences that have shaped the lives of the majority of
the in-between cohort in the United States today include which of
the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
ANS: D — Those who are in the in-between cohort in 2016 were born
between 1915 and 1945. The men were likely to have fought in World
War II.
5. According to researchers, which characteristic do most
centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
ANS: A — Based on the U.S. census report of 2010, centenarians were
overwhelmingly white, female, and living in the urban areas of the
Southern states.
6. Which nursing intervention is a holistic approach to an older
adult?
a. Performs glucose testing during the weekly worship service
b. Wheels ambulatory adults to exercise when running late
c. Assigns female nurses to older women who are Islamic
d. Allows older adults in a nursing home to eat meals alone
ANS: C — The nurse uses a holistic approach to the care of an older
female adult who is Islamic because the woman and her family are more
likely to be willing participants in a therapeutic regimen that respects a
tenet of their culture.
,7. An older man who resides in a nursing home has a total
cholesterol level of 245 mg/dL. Which nursing intervention is most
likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low-fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suitable foods.
ANS: D — The nurse collaborates with the older adult to choose suitable
foods, which gives him some control over the regimen and thus engages
him in the process of lowering serum cholesterol.
8. Which approach requires the nurse to integrate and balance all
aspects of an individual's life into the plan of care?
a. Holistic nursing
b. Healthy People 2020
c. Maslow's hierarchy of human needs
d. Orem's self-care requirements
ANS: A — Holistic nursing integrates all aspects of an individual's life
into the plan of care by balancing an individual's internal and external
environment with psychosocial, spiritual, cultural, and physical processes.
9. The nurse plans activities for older women born between 1920
and 1930 and who reside in an assisted-living facility. Which is the
best intervention for the nurse to implement?
a. Have them bake cookies twice a week.
b. Conduct interviews for specific interests.
c. Arrange dog and cat visits from volunteers.
d. Take them to the library for guest speakers.
ANS: B — The nurse conducts individual interviews with the women to
determine their interests and to avoid generalizing; as people live longer,
they become more and more unique.
10. Which of the following issues in the care of older adults are
identified in Healthy People 2020?
a. Delineating nursing staffing levels in long term care
b. Eradicating pressure ulcers in all care settings
c. Identifying minimum levels of training for people who care for older
adults
, d. Instituting mandatory training in identification of elder abuse for all
caregivers of older adults
ANS: C — Identifying minimum training levels for people who care for
older adults is one of the issues identified in Healthy People 2020.
11. An older man asks a nurse: "How do you define aging? Do I
meet the criteria of a senior citizen?" The nurse understands that
one can define aging in many different manners. If the nurse
chooses to define aging as "social aging," the nurse would consider
which of the following aspects?
a. The man retired from his job as a police officer.
b. The man takes six different medications multiple times over the course
of the day.
c. The man walks with a rolling walker.
d. The man celebrated his 65th birthday last week.
ANS: A — Social aging refers to the roles and relationships of an
individual, such as retirement from a job.
12. Which statement regarding ageism is true?
a. Ageism is most prevalent in Eastern cultures.
b. Ageism refers to the physical changes that accompany aging.
c. Ageism is a form of discrimination against older adults.
d. Ageism is a term used to describe the study of aging.
ANS: C — Ageism is a form of discrimination or prejudice against
individuals based on their age, often targeting older adults.
13. An older adult is newly diagnosed with hypertension. The nurse
provides education about lifestyle modifications. Which statement
by the patient indicates a need for further teaching?
a. "I will need to take my blood pressure medication every day."
b. "I should avoid adding salt to my food at the table."
c. "I can stop taking my medication once my blood pressure is normal."
d. "I will try to walk for 30 minutes most days of the week."
ANS: C — Hypertension is a chronic condition that requires ongoing
management. Stopping medication once blood pressure is normal can
lead to a rebound in blood pressure and potential complications.
Nursing and Healthy Aging 5th
Edition: Test Bank Questions with
Answers and Rationales [Latest
2023]/GRADED A+
1. A man is terminally ill with end-stage prostate cancer. Which is
the best statement about this man's wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher
level of wellness.
ANS: D — Nursing interventions can help empower a client to achieve a
higher level of wellness; a nurse can foster wellness in his or her clients.
Wellness is defined by the individual and is multidimensional. Even in the
presence of chronic illness or while dying, a movement toward wellness
is possible.
2. In differentiating between health and wellness in health care,
which of the following statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous
generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one's health is compromised.
ANS: A — Health is a broad term that encompasses attitudes and
behaviors; holistically, health includes wellness, which involves one's
whole being.
3. Which racial or ethnic group has the highest life expectancy in the
United States?
a. Native Americans
,b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: C — Hispanic men and women have the highest life expectancy of
all. In 2011, for those of Hispanic origin, the overall life expectancy at 65
years of age was 20.7 more years.
4. Historical influences that have shaped the lives of the majority of
the in-between cohort in the United States today include which of
the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
ANS: D — Those who are in the in-between cohort in 2016 were born
between 1915 and 1945. The men were likely to have fought in World
War II.
5. According to researchers, which characteristic do most
centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
ANS: A — Based on the U.S. census report of 2010, centenarians were
overwhelmingly white, female, and living in the urban areas of the
Southern states.
6. Which nursing intervention is a holistic approach to an older
adult?
a. Performs glucose testing during the weekly worship service
b. Wheels ambulatory adults to exercise when running late
c. Assigns female nurses to older women who are Islamic
d. Allows older adults in a nursing home to eat meals alone
ANS: C — The nurse uses a holistic approach to the care of an older
female adult who is Islamic because the woman and her family are more
likely to be willing participants in a therapeutic regimen that respects a
tenet of their culture.
,7. An older man who resides in a nursing home has a total
cholesterol level of 245 mg/dL. Which nursing intervention is most
likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low-fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suitable foods.
ANS: D — The nurse collaborates with the older adult to choose suitable
foods, which gives him some control over the regimen and thus engages
him in the process of lowering serum cholesterol.
8. Which approach requires the nurse to integrate and balance all
aspects of an individual's life into the plan of care?
a. Holistic nursing
b. Healthy People 2020
c. Maslow's hierarchy of human needs
d. Orem's self-care requirements
ANS: A — Holistic nursing integrates all aspects of an individual's life
into the plan of care by balancing an individual's internal and external
environment with psychosocial, spiritual, cultural, and physical processes.
9. The nurse plans activities for older women born between 1920
and 1930 and who reside in an assisted-living facility. Which is the
best intervention for the nurse to implement?
a. Have them bake cookies twice a week.
b. Conduct interviews for specific interests.
c. Arrange dog and cat visits from volunteers.
d. Take them to the library for guest speakers.
ANS: B — The nurse conducts individual interviews with the women to
determine their interests and to avoid generalizing; as people live longer,
they become more and more unique.
10. Which of the following issues in the care of older adults are
identified in Healthy People 2020?
a. Delineating nursing staffing levels in long term care
b. Eradicating pressure ulcers in all care settings
c. Identifying minimum levels of training for people who care for older
adults
, d. Instituting mandatory training in identification of elder abuse for all
caregivers of older adults
ANS: C — Identifying minimum training levels for people who care for
older adults is one of the issues identified in Healthy People 2020.
11. An older man asks a nurse: "How do you define aging? Do I
meet the criteria of a senior citizen?" The nurse understands that
one can define aging in many different manners. If the nurse
chooses to define aging as "social aging," the nurse would consider
which of the following aspects?
a. The man retired from his job as a police officer.
b. The man takes six different medications multiple times over the course
of the day.
c. The man walks with a rolling walker.
d. The man celebrated his 65th birthday last week.
ANS: A — Social aging refers to the roles and relationships of an
individual, such as retirement from a job.
12. Which statement regarding ageism is true?
a. Ageism is most prevalent in Eastern cultures.
b. Ageism refers to the physical changes that accompany aging.
c. Ageism is a form of discrimination against older adults.
d. Ageism is a term used to describe the study of aging.
ANS: C — Ageism is a form of discrimination or prejudice against
individuals based on their age, often targeting older adults.
13. An older adult is newly diagnosed with hypertension. The nurse
provides education about lifestyle modifications. Which statement
by the patient indicates a need for further teaching?
a. "I will need to take my blood pressure medication every day."
b. "I should avoid adding salt to my food at the table."
c. "I can stop taking my medication once my blood pressure is normal."
d. "I will try to walk for 30 minutes most days of the week."
ANS: C — Hypertension is a chronic condition that requires ongoing
management. Stopping medication once blood pressure is normal can
lead to a rebound in blood pressure and potential complications.
