Gerontological Nursing –
Touhy TB 1–4 | Study
Guide, Practice Questions
& Exam Review
|Guaranteed success|
,In differentiating between health and wellness in health ANS: A
care, which of the following statements is true?
Health is a broad term that encompasses attitudes and behaviors; holistically,
a. Health is a broad term encompassing attitudes and health includes wellness, which involves one's whole being. The concept of
behaviors. illness prevention was never considered by previous generations; throughout
b. The concept of illness prevention was never history, basic self-care requirements have been recognized. Wellness and self-
considered by previous generations. actualization develop through learning and growth—as basic needs are met,
c. Wellness and self-actualization develop through higher level needs can be satisfied in turn, with ever-deepening richness to life.
learning and growth. Wellness is possible when one's health is compromised—even with chronic
d. Wellness is impossible when one's health is illness, with multiple disabilities, or in dying, movement toward a higher level of
compromised. wellness is possible.
Which racial or ethnic group has the highest life ANS: C
expectancy in the United States?
a. Native Americans As shown in Figure 1.4, Hispanic men and women have the highest life
b. African Americans expectancy of all. In 2011, for those of Hispanic origin of any race, the overall
c. Hispanic Americans life expectancy at 65 years of age was 20.7 more years in 2011 (19.1 years for
d. Asian and Pacific Island Americans men and 21.8 years for women).
Historical influences that have shaped the lives of the ANS: D
majority of the in-between cohort in the United States
today include which of the following? 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. The last of the
a. Influenza epidemic of 1918 Holocaust survivors are in this group. A person who survived the influenza
b. World War I epidemic would be at least 98 years old in 2016 and therefore would be
c. Child rearing in the Depression considered old-old or a centenarian. Most of those who are of the in-between
d. World War II cohort had not reached childbearing age by the end of the Depression.
Individuals in the in-between cohort would not have been old enough to fight
in World War II.
According to researchers, which characteristic do most ANS: A
centenarians share?
Based on the U.S. census report of 2010, centenarians were overwhelmingly
a. Female white, female, and living in the urban areas of the Southern states.
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
, Which nursing intervention is a holistic approach to an ANS: C
older adult?
The nurse uses a holistic approach to the care of an older female adult who is
a. Performs glucose testing during the weekly worship Islamic because the woman and her family are more likely to be willing
service participants in a therapeutic regimen that respects a tenet of their culture.
b. Wheels ambulatory adults to exercise when running Interrupting an older adult's worship with glucose testing can be interpreted as
late a lack of respect for spiritual needs. The nurse can provide for and respect the
c. Assigns female nurses to older women who are physical and spiritual aspects of the older adult's life by testing for glucose
Islamic before the service begins. In transporting ambulatory adults to the exercise
d. Allows older adults in a nursing home to eat meals program in wheelchairs to save time, the nurse disregards the need for self-
alone esteem and exercise, both important aspects of physical well-being.
Ambulatory adults can walk with assistance, if needed, to exercise programs
and can benefit from the additional activity and independence. The nurse can
be tempted to allow an older adult to eat meals alone in his or her room if this
will motivate the person to eat or if the older adult has dysphasia and is
embarrassed. However, although focusing on physical needs, the nurse ignores
psychosocial and other aspects of health and well-being.
An older man who resides in a nursing home has a total ANS: D
cholesterol level of 245 mg/dL. Which nursing
intervention is most likely to assist this man in achieving The nurse collaborates with the older adult to choose suitable foods, which is
his highest level of wellness? likely to be an effective nursing intervention to help an older adult with
hyperlipidemia achieve optimal health and well-being; it gives him some
a. Instruct him about increasing dietary fiber. control over the regimen and thus engages him in the process of lowering
b. Ask the health care provider for a low-fat diet. serum cholesterol. Informing the older man about dietary fiber offers no
c. Schedule a consultation for him with the dietitian. control to him because he is not part of the decision. Nursing interventions
d. Review a menu with him to choose suitable foods. developed with the older adult's collaboration are most likely to help the older
adult achieve health and wellness. Collaborating with the health care provider
for a low-fat diet is a reasonable approach to help this man with hyperlipidemia
to achieve health and wellness. However, he is more likely to have motivation
and enthusiasm for a therapeutic regimen over which he has had some control.
Scheduling a consultation with a dietitian is a reasonable approach to an older
adult with hyperlipidemia and is a part of a multifaceted approach to
optimizing his health. However, the older adult is more likely to engage in a
regimen over which he has input.
Which approach requires the nurse to integrate and ANS: A
balance all aspects of an individual's life into the plan of
care? 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
a. Holistic nursing psychosocial, spiritual, cultural, and physical processes. Healthy People 2020,
b. Healthy People 2020 an updated document from 2000 that outlines the goals for achieving health in
c. Maslow's hierarchy of human needs this country, is a mandate for health care professionals to follow with 467
d. Orem's self-care requirements objectives in 28 focus areas. Maslow's hierarchy of human needs provides a
basis for understanding individuals in context and for ranking nursing
assessments, diagnoses, goals, and interventions in order of importance.
Dorothea Orem's self-care requirements lists human needs, including the need
for air, fluids, nutrition, hygiene, elimination, activity, comfort, relief from
suffering, and skin integrity. The nurse helps individuals meet these needs to
achieve optimal health and wellness.
Touhy TB 1–4 | Study
Guide, Practice Questions
& Exam Review
|Guaranteed success|
,In differentiating between health and wellness in health ANS: A
care, which of the following statements is true?
Health is a broad term that encompasses attitudes and behaviors; holistically,
a. Health is a broad term encompassing attitudes and health includes wellness, which involves one's whole being. The concept of
behaviors. illness prevention was never considered by previous generations; throughout
b. The concept of illness prevention was never history, basic self-care requirements have been recognized. Wellness and self-
considered by previous generations. actualization develop through learning and growth—as basic needs are met,
c. Wellness and self-actualization develop through higher level needs can be satisfied in turn, with ever-deepening richness to life.
learning and growth. Wellness is possible when one's health is compromised—even with chronic
d. Wellness is impossible when one's health is illness, with multiple disabilities, or in dying, movement toward a higher level of
compromised. wellness is possible.
Which racial or ethnic group has the highest life ANS: C
expectancy in the United States?
a. Native Americans As shown in Figure 1.4, Hispanic men and women have the highest life
b. African Americans expectancy of all. In 2011, for those of Hispanic origin of any race, the overall
c. Hispanic Americans life expectancy at 65 years of age was 20.7 more years in 2011 (19.1 years for
d. Asian and Pacific Island Americans men and 21.8 years for women).
Historical influences that have shaped the lives of the ANS: D
majority of the in-between cohort in the United States
today include which of the following? 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. The last of the
a. Influenza epidemic of 1918 Holocaust survivors are in this group. A person who survived the influenza
b. World War I epidemic would be at least 98 years old in 2016 and therefore would be
c. Child rearing in the Depression considered old-old or a centenarian. Most of those who are of the in-between
d. World War II cohort had not reached childbearing age by the end of the Depression.
Individuals in the in-between cohort would not have been old enough to fight
in World War II.
According to researchers, which characteristic do most ANS: A
centenarians share?
Based on the U.S. census report of 2010, centenarians were overwhelmingly
a. Female white, female, and living in the urban areas of the Southern states.
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
, Which nursing intervention is a holistic approach to an ANS: C
older adult?
The nurse uses a holistic approach to the care of an older female adult who is
a. Performs glucose testing during the weekly worship Islamic because the woman and her family are more likely to be willing
service participants in a therapeutic regimen that respects a tenet of their culture.
b. Wheels ambulatory adults to exercise when running Interrupting an older adult's worship with glucose testing can be interpreted as
late a lack of respect for spiritual needs. The nurse can provide for and respect the
c. Assigns female nurses to older women who are physical and spiritual aspects of the older adult's life by testing for glucose
Islamic before the service begins. In transporting ambulatory adults to the exercise
d. Allows older adults in a nursing home to eat meals program in wheelchairs to save time, the nurse disregards the need for self-
alone esteem and exercise, both important aspects of physical well-being.
Ambulatory adults can walk with assistance, if needed, to exercise programs
and can benefit from the additional activity and independence. The nurse can
be tempted to allow an older adult to eat meals alone in his or her room if this
will motivate the person to eat or if the older adult has dysphasia and is
embarrassed. However, although focusing on physical needs, the nurse ignores
psychosocial and other aspects of health and well-being.
An older man who resides in a nursing home has a total ANS: D
cholesterol level of 245 mg/dL. Which nursing
intervention is most likely to assist this man in achieving The nurse collaborates with the older adult to choose suitable foods, which is
his highest level of wellness? likely to be an effective nursing intervention to help an older adult with
hyperlipidemia achieve optimal health and well-being; it gives him some
a. Instruct him about increasing dietary fiber. control over the regimen and thus engages him in the process of lowering
b. Ask the health care provider for a low-fat diet. serum cholesterol. Informing the older man about dietary fiber offers no
c. Schedule a consultation for him with the dietitian. control to him because he is not part of the decision. Nursing interventions
d. Review a menu with him to choose suitable foods. developed with the older adult's collaboration are most likely to help the older
adult achieve health and wellness. Collaborating with the health care provider
for a low-fat diet is a reasonable approach to help this man with hyperlipidemia
to achieve health and wellness. However, he is more likely to have motivation
and enthusiasm for a therapeutic regimen over which he has had some control.
Scheduling a consultation with a dietitian is a reasonable approach to an older
adult with hyperlipidemia and is a part of a multifaceted approach to
optimizing his health. However, the older adult is more likely to engage in a
regimen over which he has input.
Which approach requires the nurse to integrate and ANS: A
balance all aspects of an individual's life into the plan of
care? 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
a. Holistic nursing psychosocial, spiritual, cultural, and physical processes. Healthy People 2020,
b. Healthy People 2020 an updated document from 2000 that outlines the goals for achieving health in
c. Maslow's hierarchy of human needs this country, is a mandate for health care professionals to follow with 467
d. Orem's self-care requirements objectives in 28 focus areas. Maslow's hierarchy of human needs provides a
basis for understanding individuals in context and for ranking nursing
assessments, diagnoses, goals, and interventions in order of importance.
Dorothea Orem's self-care requirements lists human needs, including the need
for air, fluids, nutrition, hygiene, elimination, activity, comfort, relief from
suffering, and skin integrity. The nurse helps individuals meet these needs to
achieve optimal health and wellness.
