test bank ebersole and hess toward healthy aging 9thedition touhy

,Chapter 01: Health and Wellness in an Aging Society
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Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
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MULTIPLEjCHOICE

1. WhenjaskedjbyjnewjparentsjwhatjthejlifejexpectancyjisjforjtheirjAfricanjAmericanjnewborn,jthejn
ursejrepliesjthat,j“2010jstatisticsjindicatejthatjyourjson:
a. willjhavejajlifejexpectancyjofjapproximatelyj65j years.”
b. canjrealisticallyjexpectjtojlivejintojhisjlatej80s.”
c. hasjajgoodjchancejofjcelebratingjhisj75thjbirthday.”
d. isjlikelyjtojlivejintojhisjlatej90s.”
ANS:j C
Inj2010,jmenjinjthejUnitedjStatesjatjagej60jcanjexpectjtojlivejanotherj22jyears.jThejlifejexpectancyj
ofjAfricanjAmericanjmenjisjaboutj4.7jyearsjlessjthanjwhitejmen.jOfjthejoptionsjabove,jCjisjthejonl
yjresponsejthatjfitsjintojthosejparameters.jThejotherjoptionsjarejnotjsupportedjbyjreliablejresearch
.

DIF: CognitivejLevel:jUnderstanding
REF:j p.j3jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance

2. Ajnursejisjplanningjcarejforjajgroupjofjsuper-
centenariansjinjanjassistedjlivingjfacility.jThejnursejconsidersjwhichjofjthejfollowing?
a. Mostjsuper-centenariansjarejfunctionallyjindependentjorjrequirejminimal
assistancejwithjactivitiesjofjdailyjliving
b. Thejmajorityjofjsuper-centenariansjhavejcognitivejimpairment
c. Thejnumberjofjsuper-centenariansjisjexpectedjtojdecreasejinjcomingjyearsjasja
resultjofjheartjdiseasejandjstroke
d. Itjisjtheorizedjthatjsuper-centenariansjsurvivedjasjlongjasjtheyjhavejduejtojgenetic
mutationsjthatjmadejthemjlessjsusceptiblejtojcommonjdiseases
ANS:j A
Researchjsupportsjthatjmostjsuper-
centenariansjarejfunctionallyjandjcognitivelyjintact,jrequiringjminimaljassistancejwithjADLs.jThej
numberjofjsuper-
centenariansjisjexpectedjtojincreasejinjcomingjyearsjasjthejnumberjofjolderjadultsjincreases.jThejrea
sonjwhyjindividualsjsurvivedjasjlongjasjtheyjhavejisjnotjknown.

DIF: CognitivejLevel:jRemembering
REF:j p.j4jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance

3. Onejreasonjwhyjmanyj“babyjboomers”jhavejmultiplejchronicjconditionsjsuchjasjheartjdisease,jdiab
etes,jandjarthritisjisjthat:
a. theyjhavejlessjaccessjtojmedicationjandjotherjtreatmentjregimens.
b. therejwasjajlackjofjimportancejplacedjonjhealthyjlivingjasjtheyjwerejgrowingjup.
c. theyjdidjnotjhavejaccessjtojimmunizationsjagainstjcommunicablejdiseasejwhen
theyjwerejchildren.
d. theyjgrewjupjinjanjerajofjrampantjpovertyjandjmalnutrition.

, ANS:j B
Thejbabyjboomers,jindividualsjbornjbetweenj1946jandj1964,jpost-
WWII,jhavejbetterjaccessjtojmedicationjandjtreatmentjregimensjthanjotherjcohorts.jTheyjhavejhadj
thejbenefitjofjthejdevelopmentjofjimmunizationsjagainstjcommunicablejdiseases.jTheyjgrewjupjinj
anjerajofjprosperityjpost-
WWII.jHowever,jtherejwasjajlackjofjimportancejplacedjonjwhatjwejnowjconsiderjhealthyjlivingjw
henjtheyjwerejyounger.jSmoking,jforjexample,jwasjnotjcondoned,jbutjwasjconsideredjajsymboljofj
status.jCandyjinjthejshapejofjcigarettesjwasjpopular,jandjtherejwasjmuchjsecondhandjsmoke.

DIF: CognitivejLevel:jRemembering
REF:j p.j6jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance

4. Ajnursejisjplanningjanjeducationjprogramjonjwellnessjinjajlocaljseniorjcitizenjcenter.jThejnursejpl
ansjtojprovidejeducationjonjthejimportancejofjimmunizations,jannualjphysicaljexaminations,jscr
eeningjforjdiabetes,jandjvisionjandjhearingjscreening.jItjisjimportantjforjthejnursejtojunderstandjw
hichjofjthejfollowing?
a. Approximatelyj40%jofjolderjadultsj(agesj65jandjolder)jutilizejavailablejpreventive
services
b. Preventivejstrategiesjarejmorejwidelyjusedjinjthej40-64jagejgroupjthanjinjthej65
andjoverjagejgroup
c. Thejresearchjonjhealthjpromotionjstrategiesjinjolderjadultsjdemonstratesjthatjthey
havejlowjefficacy
d. Therejisjanjabundancejofjresearchjspecificjtojhealthjpromotionjandjaging
ANS:j A
Approximatelyj40%jofjindividuals,jagesj65jandjolder,jutilizejthejpreventivejservicesjthatjarejavail
ablejtojthem.jHowever,jonlyj24%jofjthosejbetweenjthejagesjofj40jandj64jdojso.jTherejisjajpaucityjof
jresearchjspecificjtojhealthjpromotionjandjaging;jhowever,jthejresearchjthatjexistsjdemonstratesjth

atjhealthjpromotionjstrategiesjarejhighlyjeffective.

DIF: CognitivejLevel:jUnderstanding
REF:j p.j7jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance

5. Ajnursejisjcaringjforjanj85-year-
oldjmalejclientjwithjdiabetesjinjajcommunityjsetting.jThejnursejpromotesjfunctionaljwellnessj
byjwhichjofjthejfollowingjactivities?
a. Encouragingjthejclientjmaintainsjcurrentjlevelsjofjphysicaljactivity
b. Assistingjthejclientjtojreceivejalljthejrecommendedjpreventivejscreeningsjthatjare
appropriatejforjhisjagejgroup
c. Teachingjthejpatientjhowjtojusejajrollingjwalkerjsojthatjhejcanjambulatejforjlonger
distances
d. Encouragingjthejclientjtojattendjhisjweeklyjchessjgames
ANS:j A
Maintainingjexistingjlevelsjofjphysicaljactivityjisjconsistentjwithjfunctionaljwellness.jTeachingjt
hejclientjhowjtojusejajrollingjwalkerjenablesjthejclientjtojremainjactivejatjthejhighestjleveljpossible
,jwhichjisjanjexamplejofjpromotingjfunctionaljwellness.jReceivingjrecommendedjscreeningjisjanj
examplejofjpromotingjbiologicaljwellness.jThejusejofjajrollingjwalkerjshouldjbejbasedjonjassessm
entjofjphysicaljability.jEncouragingjthejclientjtojattendjweeklyjchessjgamesjisjanjexamplejofjpro
motingjsocialjwellness.

, DIF: CognitivejLevel:jApplying
REF:j p.j10jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance

6. Basedjonjthejcensusjreportsjofj2010,jthejtypicaljprofilejofjajcentenarianjinjthejUnitedjStatesjinclu
desjwhichjofjthejfollowingjcharacteristics?
a. AjCaucasianjwomanjwhojlivesjinjanjurbanjareajofjajSouthernjstate
b. AnjAfricanjAmericanjwomanjwhojlivesjinjajruraljareajofjajSouthernjstate
c. AjHispanicjmanjwhojlivesjinjanjurbanjareajofjajMidwesternjstate
d. AjCaucasianjmanjwhojlivesjinjajruraljareajofjajMidwesternjstate
ANS:j A
Basedjonjthej2010jU.S.jCensusjdata,jcentenariansjwerejoverwhelminglyjwhitej(82.5%),jwomenj(
82.8%),jandjlivingjinjurbanjareasjofjthejSouthernjstates.

DIF: CognitivejLevel:jApplying
REF:j p.j5jTOP:j IntegratedjProcess:jTeaching/L
earning
MSC:j ClientjNeeds:jHealthjPromotionjandjMaintenance


MULTIPLEjRESPONSE

1. Primaryjpreventionjstrategiesjforjolderjadultsjincludejwhichjofjthejfollowing?j(Selectjalljthatjappl
y.)
a. Anjannualjinfluenzajimmunizationjclinic
b. Ajsmokingjcessationjprogram
c. Ajprostatejscreeningjprogram
d. Ajcardiacjrehabilitationjprogram
e. Ajmealjplanningjeducationjprogramjforjtypej2jdiabetics
ANS:j A,jB
Primaryjpreventionjrefersjtojstrategiesjthatjarejusedjtojpreventjanjillnessjbeforejitjoccursjandjmaintai
ningjwellnessjacrossjthejcontinuumjofjcare.jImmunizationsjandjsmokingjcessationjarejexamplesjofj
primaryjprevention.jSecondaryjpreventionjisjthejearlyjdetectionjofjajdiseasejorjajhealthjproblemjthat
jhasjalreadyjdeveloped.jProstatejscreeningjisjanjexamplejofjsecondaryjprevention.jTertiaryjpreventi

onjaddressesjthejneedsjofjindividualsjwhojalreadyjhavejtheirjwellnessjchallenged.jCardiacjrehabilit
ationjandjmealjplanningjforjdiabeticsjarejexamplesjofjtertiaryjprevention.

DIF: CognitivejLevel:jApplying REF:j pp.j8–
9jTOP:j IntegratedjProcess:jTeaching/Learning
MSC:j ClientjNeeds:jManagementjofjCare

2. Ajnursejorganizesjajhealthjfairjforjolderjadults.jThejnurse’sjgoaljisjtojfocusjonjthejsixjpriorityjareasji
dentifiedjbyjthejNationaljPreventionjCouncil.jWhichjofjthejfollowingjactivitiesjshouldjthejnurseji
nclude?j(Selectjalljthatjapply.)
a. Smokingjcessation
b. Depressionjscreening
c. Recognizingjelderjabuse
d. Cholesteroljscreening
e. Fitnessjtraining