Test bank for
Touhy
:Ebersole and
Hess’ Towards
Healthy Aging
9th edition.
Chapter 01: Health and Wellness in an Aging Society
W W W W W W W W
Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
W W W W W W W W
MULTIPLE CHOICE
1. When asked by new parents what the life expectancy is for their African American newbor
n, 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 ex
pectancy of African American men is about 4.7 years less than white men. Of the options ab
ove, C is the only response that fits into those parameters. The other options are not support
ed by reliable research.
DIF: Cognitive Level: Understanding
REF: p. 3 TOP: Integrated Process: Teachin
g/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 ADL
s. 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: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
3. One reason why many —baby boomers‖ have multiple chronic conditions such as heart diseas
e, 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 u
p.
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.
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 ha
ve had the benefit of the development of immunizations against communicable diseases. Th
ey grew up in an era of prosperity post-
WWII. However, there was a lack of importance placed on what we now consider healthy li
ving when they were younger. Smoking, for example, was not condoned, but was considere
d a symbol of status. Candy in the shape of cigarettes was popular, and there was much sec
ondhand smoke.
DIF: Cognitive Level: Remembering
REF: p. 6 TOP: Integrated Process: Teachin
g/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 exa
minations, 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 preventiv
e
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 ar
e available to them. However, only 24% of those between the ages of 40 and 64 do so. The
re is a paucity of research specific to health promotion and aging; however, the research tha
t exists demonstrates that health promotion strategies are highly effective.
DIF: Cognitive Level: Understanding
REF: p. 7 TOP: Integrated Process: Teachin
g/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 we
llness 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 long
er
distances
d. Encouraging the client to attend his weekly chess games
ANS: A
Maintaining existing levels of physical activity is consistent with functional wellness. Teach
ing the client how to use a rolling walker enables the client to remain active at the highest l
evel possible, which is an example of promoting functional wellness. Receiving recommend
ed screening is an example of promoting biological wellness. The use of a rolling walker sh
ould be based on assessment of physical ability. Encouraging the client to attend weekly ch
ess games is an example of promoting social wellness.
DIF: Cognitive Level: Applying
REF: p. 10 TOP: Integrated Process: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. Based on the census reports of 2010, the typical profile of a centenarian in the United Stat
es includes which of the following characteristics?
a. A Caucasian woman who lives in an urban area of a Southern state
b. An African American woman who lives in a rural area of a Southern sta
te
c. A Hispanic man who lives in an urban area of a Midwestern state
d. A Caucasian man who lives in a rural area of a Midwestern state
, ANS: A
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), wo
men (82.8%), and living in urban areas of the Southern states.
DIF: Cognitive Level: Applying
REF: p. 5 TOP: Integrated Process: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. Primary prevention strategies for older adults include which of the following? (Select all th
at apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetic
s
ANS: A, B
Primary prevention refers to strategies that are used to prevent an illness before it occurs an
d maintaining wellness across the continuum of care. Immunizations and smoking cessation
are examples of primary prevention. Secondary prevention is the early detection of a diseas
e or a health problem that has already developed. Prostate screening is an example of secon
dary prevention. Tertiary prevention addresses the needs of individuals who already have th
eir wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples
of tertiary prevention.
DIF: Cognitive Level: Applying REF: pp. 8–
9 TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Management of Care
2. A nurse organizes a health fair for older adults. The nurse‘s goal is to focus on the six prior
ity areas identified by the National Prevention Council. Which of the following activities sh
ould the nurse include? (Select all that apply.)
a. Smoking cessation
b. Depression screening
c. Recognizing elder abuse
d. Cholesterol screening
e. Fitness training
ANS: A, B, C
The six priority areas of the National Prevention Council include tobacco-
free living, preventing drug abuse and excessive alcohol use, healthy eating, injury-
and violence-free living, reproductive and sexual health, and mental and emotional well-
being. Smoking cessation, depression screening, and recognizing elder abuse all directly add
ress these areas. While cholesterol screening and fitness training are important for older adu
lts, they do not address these six priority areas.
DIF: Cognitive Level: Analyzing
REF: p. 8 TOP: Integrated Process: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
Touhy
:Ebersole and
Hess’ Towards
Healthy Aging
9th edition.
Chapter 01: Health and Wellness in an Aging Society
W W W W W W W W
Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
W W W W W W W W
MULTIPLE CHOICE
1. When asked by new parents what the life expectancy is for their African American newbor
n, 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 ex
pectancy of African American men is about 4.7 years less than white men. Of the options ab
ove, C is the only response that fits into those parameters. The other options are not support
ed by reliable research.
DIF: Cognitive Level: Understanding
REF: p. 3 TOP: Integrated Process: Teachin
g/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 ADL
s. 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: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
3. One reason why many —baby boomers‖ have multiple chronic conditions such as heart diseas
e, 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 u
p.
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.
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 ha
ve had the benefit of the development of immunizations against communicable diseases. Th
ey grew up in an era of prosperity post-
WWII. However, there was a lack of importance placed on what we now consider healthy li
ving when they were younger. Smoking, for example, was not condoned, but was considere
d a symbol of status. Candy in the shape of cigarettes was popular, and there was much sec
ondhand smoke.
DIF: Cognitive Level: Remembering
REF: p. 6 TOP: Integrated Process: Teachin
g/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 exa
minations, 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 preventiv
e
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 ar
e available to them. However, only 24% of those between the ages of 40 and 64 do so. The
re is a paucity of research specific to health promotion and aging; however, the research tha
t exists demonstrates that health promotion strategies are highly effective.
DIF: Cognitive Level: Understanding
REF: p. 7 TOP: Integrated Process: Teachin
g/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 we
llness 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 long
er
distances
d. Encouraging the client to attend his weekly chess games
ANS: A
Maintaining existing levels of physical activity is consistent with functional wellness. Teach
ing the client how to use a rolling walker enables the client to remain active at the highest l
evel possible, which is an example of promoting functional wellness. Receiving recommend
ed screening is an example of promoting biological wellness. The use of a rolling walker sh
ould be based on assessment of physical ability. Encouraging the client to attend weekly ch
ess games is an example of promoting social wellness.
DIF: Cognitive Level: Applying
REF: p. 10 TOP: Integrated Process: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. Based on the census reports of 2010, the typical profile of a centenarian in the United Stat
es includes which of the following characteristics?
a. A Caucasian woman who lives in an urban area of a Southern state
b. An African American woman who lives in a rural area of a Southern sta
te
c. A Hispanic man who lives in an urban area of a Midwestern state
d. A Caucasian man who lives in a rural area of a Midwestern state
, ANS: A
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), wo
men (82.8%), and living in urban areas of the Southern states.
DIF: Cognitive Level: Applying
REF: p. 5 TOP: Integrated Process: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. Primary prevention strategies for older adults include which of the following? (Select all th
at apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetic
s
ANS: A, B
Primary prevention refers to strategies that are used to prevent an illness before it occurs an
d maintaining wellness across the continuum of care. Immunizations and smoking cessation
are examples of primary prevention. Secondary prevention is the early detection of a diseas
e or a health problem that has already developed. Prostate screening is an example of secon
dary prevention. Tertiary prevention addresses the needs of individuals who already have th
eir wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples
of tertiary prevention.
DIF: Cognitive Level: Applying REF: pp. 8–
9 TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Management of Care
2. A nurse organizes a health fair for older adults. The nurse‘s goal is to focus on the six prior
ity areas identified by the National Prevention Council. Which of the following activities sh
ould the nurse include? (Select all that apply.)
a. Smoking cessation
b. Depression screening
c. Recognizing elder abuse
d. Cholesterol screening
e. Fitness training
ANS: A, B, C
The six priority areas of the National Prevention Council include tobacco-
free living, preventing drug abuse and excessive alcohol use, healthy eating, injury-
and violence-free living, reproductive and sexual health, and mental and emotional well-
being. Smoking cessation, depression screening, and recognizing elder abuse all directly add
ress these areas. While cholesterol screening and fitness training are important for older adu
lts, they do not address these six priority areas.
DIF: Cognitive Level: Analyzing
REF: p. 8 TOP: Integrated Process: Teachin
g/Learning
MSC: Client Needs: Health Promotion and Maintenance
