Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy
Aging, 5th Edition
Chapter 01: Introduction to Healthy Aging
MULTIPLE CHOICE
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. It is not just the absence of disease. A
wellness perspective is based on the belief that every person has an optimal level
of health independent of his or her situation or functional level. Even in the
presence of chronic illness or while dying, a movement toward wellness is possible
if emphasis of care is placed on the promotion of well-being in a supportive
environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
Diagnosis MSC: Health Promotion and Maintenance
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 learn- ing and growth.
d. Wellness is impossible when one‘s
health is compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically,
health includes wellness, which in- volves one‘s whole being. The concept of
illness prevention was never considered by previous generations; through- out
history, basic self-care requirements have been recognized. Wellness and self-
actualization develop through learning and growth—as basic needs are met, higher
level needs can be satisfied in turn, with ever-deepening rich- ness to life. Wellness
is possible when one‘s health is compromised—even with chronic illness, with
multiple dis- abilities, or in dying, movement toward a higher level of wellness is
possible.
,PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
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
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy
of all. In 2011, for those of His- panic origin of any race, the overall life
expectancy at 65 years of age was 20.7 more years in 2011 (19.1 years for men and
21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
,TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical hinfluences hthat hhave hshaped hthe hlives hof hthe
hmajority hof hthe hin-between h cohort h in hthe hUnited hStates htoday hinclude
hwhich hof hthe hfollowing?
a. Influenza hepidemic hof h1918
b. World hWar hI
c. Child hrearing hin hthe hDepression
d. World hWar hII
ANS: D
Those hwho hare hin hthe hin-between hcohort hin h2016 hwere hborn hbetween h1915
hand h1945. hThe hmen hwere hlikely hto hhave hfought hin hWorld hWar hII. hThe hlast
hof hthe hHolocaust hsurvivors hare hin hthis hgroup. hA hperson hwho hsurvived hthe
hinfluenza hepidemic h would hbe hat hleast h98 h years hold hin h2016 hand htherefore
hwould hbe hconsidered hold-old hor ha h centenarian. h Most h of hthose h who h are h of
h the hin-between h cohort h had h not h reached h childbearing h age h by hthe h end h of h the
h Depression. h Individuals hin hthe hin-between hcohort hwould hnot hhave hbeen hold
henough hto hfight hin hWorld hWar hII.
PTS: 1 DIF: Understand REF: p. h5
TOP: Nursing h Process: hAssessment MSC: Safe, hEffective hCare hEnvironment
5. According hto hresearchers, hwhich hcharacteristic hdo hmost hcentenarians
hshare?
a. Female
b. Hispanic
c. Living hin hrural hareas
d. Located hin hthe hMidwestern hstates
ANS: A
Based hon hthe hU.S. hcensus h report hof h2010, hcentenarians hwere hoverwhelmingly
hwhite, h female, hand h living h in hthe hurban hareas hof hthe hSouthern hstates.
PTS: 1 DIF: Remember REF: p. h5
TOP: Nursing h Process: hAssessment MSC: Safe, hEffective hCare hEnvironment
6. Which hnursing hintervention his h a hholistic happroach hto han holder hadult?
a. Performs hglucose htesting hduring hthe
hweekly hworshiphservice
b. Wheels hambulatory hadults hto
hexercise hwhen h runninghlate
c. Assigns hfemale hnurses hto holder
h women hwho h are h Islamic
d. Allows holder hadults hin ha hnursing
hhome hto heat h mealshalone
ANS: C
The hnurse huses ha hholistic happroach hto hthe hcare hof han holder hfemale hadult
hwho his h Islamic hbecause hthe hwoman hand hher hfamily hare hmore hlikely hto hbe
, hwilling hparticipants hin ha htherapeutic hregimen hthat hrespects h a htenet hof h their
hculture. h Inter- hrupting han holder h adult‘s hworship hwith hglucose htesting hcan hbe
hinterpreted has ha hlack h of hrespect hfor hspiritual h needs. hThe hnurse hcan hprovide
hfor h and hrespect hthe hphysical hand hspiritual haspects hof hthe holder hadult‘s hlife
hby htesting hfor hglucose hbefore hthe hservice h begins. h In h transporting h ambulatory
hadults hto hthe h exercise hprogram hin hwheelchairs h to hsave htime, hthe hnurse
h disregards h the h need hfor h self-esteem hand h exercise, hboth himportant haspects h of
hphysical h well-being. hAmbulatory hadults hcan hwalk hwith hassistance, h if hneeded,
h to hexercise hprograms h and hcan hbenefit hfrom hthe hadditional hactivity hand
hindependence. hThe hnurse hcan hbe htempted hto hallow h an holder hadult hto heat
hmeals halone hin hhis hor hher hroom hif h this hwill hmotivate hthe hperson hto heat hor
hif hthe holder h adult hhas hdysphasia hand his hembarrassed. h However, halthough
hfocusing hon hphysical hneeds, hthe hnurse hignores hpsychosocial hand hother
haspects hof hhealth hand hwell-being.
PTS: 1 DIF: Understand REF: p. h7 TOP: Nursing hProcess:
hEvaluationhMSC: Health hPromotion hand hMaintenance
Aging, 5th Edition
Chapter 01: Introduction to Healthy Aging
MULTIPLE CHOICE
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. It is not just the absence of disease. A
wellness perspective is based on the belief that every person has an optimal level
of health independent of his or her situation or functional level. Even in the
presence of chronic illness or while dying, a movement toward wellness is possible
if emphasis of care is placed on the promotion of well-being in a supportive
environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
Diagnosis MSC: Health Promotion and Maintenance
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 learn- ing and growth.
d. Wellness is impossible when one‘s
health is compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically,
health includes wellness, which in- volves one‘s whole being. The concept of
illness prevention was never considered by previous generations; through- out
history, basic self-care requirements have been recognized. Wellness and self-
actualization develop through learning and growth—as basic needs are met, higher
level needs can be satisfied in turn, with ever-deepening rich- ness to life. Wellness
is possible when one‘s health is compromised—even with chronic illness, with
multiple dis- abilities, or in dying, movement toward a higher level of wellness is
possible.
,PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
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
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy
of all. In 2011, for those of His- panic origin of any race, the overall life
expectancy at 65 years of age was 20.7 more years in 2011 (19.1 years for men and
21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
,TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical hinfluences hthat hhave hshaped hthe hlives hof hthe
hmajority hof hthe hin-between h cohort h in hthe hUnited hStates htoday hinclude
hwhich hof hthe hfollowing?
a. Influenza hepidemic hof h1918
b. World hWar hI
c. Child hrearing hin hthe hDepression
d. World hWar hII
ANS: D
Those hwho hare hin hthe hin-between hcohort hin h2016 hwere hborn hbetween h1915
hand h1945. hThe hmen hwere hlikely hto hhave hfought hin hWorld hWar hII. hThe hlast
hof hthe hHolocaust hsurvivors hare hin hthis hgroup. hA hperson hwho hsurvived hthe
hinfluenza hepidemic h would hbe hat hleast h98 h years hold hin h2016 hand htherefore
hwould hbe hconsidered hold-old hor ha h centenarian. h Most h of hthose h who h are h of
h the hin-between h cohort h had h not h reached h childbearing h age h by hthe h end h of h the
h Depression. h Individuals hin hthe hin-between hcohort hwould hnot hhave hbeen hold
henough hto hfight hin hWorld hWar hII.
PTS: 1 DIF: Understand REF: p. h5
TOP: Nursing h Process: hAssessment MSC: Safe, hEffective hCare hEnvironment
5. According hto hresearchers, hwhich hcharacteristic hdo hmost hcentenarians
hshare?
a. Female
b. Hispanic
c. Living hin hrural hareas
d. Located hin hthe hMidwestern hstates
ANS: A
Based hon hthe hU.S. hcensus h report hof h2010, hcentenarians hwere hoverwhelmingly
hwhite, h female, hand h living h in hthe hurban hareas hof hthe hSouthern hstates.
PTS: 1 DIF: Remember REF: p. h5
TOP: Nursing h Process: hAssessment MSC: Safe, hEffective hCare hEnvironment
6. Which hnursing hintervention his h a hholistic happroach hto han holder hadult?
a. Performs hglucose htesting hduring hthe
hweekly hworshiphservice
b. Wheels hambulatory hadults hto
hexercise hwhen h runninghlate
c. Assigns hfemale hnurses hto holder
h women hwho h are h Islamic
d. Allows holder hadults hin ha hnursing
hhome hto heat h mealshalone
ANS: C
The hnurse huses ha hholistic happroach hto hthe hcare hof han holder hfemale hadult
hwho his h Islamic hbecause hthe hwoman hand hher hfamily hare hmore hlikely hto hbe
, hwilling hparticipants hin ha htherapeutic hregimen hthat hrespects h a htenet hof h their
hculture. h Inter- hrupting han holder h adult‘s hworship hwith hglucose htesting hcan hbe
hinterpreted has ha hlack h of hrespect hfor hspiritual h needs. hThe hnurse hcan hprovide
hfor h and hrespect hthe hphysical hand hspiritual haspects hof hthe holder hadult‘s hlife
hby htesting hfor hglucose hbefore hthe hservice h begins. h In h transporting h ambulatory
hadults hto hthe h exercise hprogram hin hwheelchairs h to hsave htime, hthe hnurse
h disregards h the h need hfor h self-esteem hand h exercise, hboth himportant haspects h of
hphysical h well-being. hAmbulatory hadults hcan hwalk hwith hassistance, h if hneeded,
h to hexercise hprograms h and hcan hbenefit hfrom hthe hadditional hactivity hand
hindependence. hThe hnurse hcan hbe htempted hto hallow h an holder hadult hto heat
hmeals halone hin hhis hor hher hroom hif h this hwill hmotivate hthe hperson hto heat hor
hif hthe holder h adult hhas hdysphasia hand his hembarrassed. h However, halthough
hfocusing hon hphysical hneeds, hthe hnurse hignores hpsychosocial hand hother
haspects hof hhealth hand hwell-being.
PTS: 1 DIF: Understand REF: p. h7 TOP: Nursing hProcess:
hEvaluationhMSC: Health hPromotion hand hMaintenance
