Gero GERONTOLOGICAL NURSING & HEALTHY
AGING 5TH EDITION TOUHY
1. Which option refers to the
highest level of human functioning
according to Maslow?
a.Biological and physical integrity
b.Safety and security
c.Self-esteem
d.Self-actualization
ANS: D
According to Maslow, persons whose basic physical needs are
met, who feel safe and secure, and who possess self-esteem
and self-efficacy can achieve self-actualization, reaching out
beyond themselves to make their lives meaningful.
Biological and physical integrity is the lowest level in Maslows
hierarchy, below safety and security. Safety and security are
the second-lowest level, below self-esteem. Self-esteem is the
second-highest level, below self-actualization.
TOUHY 4TH ED TESTBANK
2. A man is terminally ill with
end-stage prostate cancer.
Which is the best statement
about this mans wellness?
a.Wellness is possible in the
management of his medical
care.
b.Wellness is unfortunately
not a real option for this
client.
c.Wellness is the same thing as
faith healing, and if the client
would be more receptive, then
he could be back at work in a
,few weeks.
d.Nursing interventions can
help empower a client to
ANS: D
Nursing interventions can help empower a client to achieve
a higher level of wellness; a nurse can foster wellness at all
levels of the needs hierarchy.
Wellness is possible even if the client assists in the management
of his medical care; an individual must work hard to
achieve wellness, similar to a job. Wellness is unfortunately
not a real option for this client; however, all persons, regardless
of age or life-health situations, can be helped to achieve
a higher level of wellness. Wellness is the same thing as faith
healing, and if the client would be more receptive, then he
could be back at work in a few weeks; biomedical approaches
and other treatments and techniques are used to achieve
realistic improvements in wellness.
TOUHY 4TH ED TESTBANK
achieve a higher level of wellness.
3. 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
ones health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors;
,holistically, health includes wellness, which involves ones
whole being.
The concept of illness prevention was never considered by
previous generations; throughout history, basic self-care
requirements
have been recognized. Wellness and self-actualization
develop through learning and growthas basic needs
are met, higher-level needs can be satisfied in turn, with
ever-deepening richness to life. Wellness is impossible when
ones health is compromised even with chronic illness, with
multiple disabilities, or in dying, movement toward a higher
level of wellness is possible.
TOUHY 4TH ED TESTBANK
4. Which cultural group is predicted
to have the fastest
growing older adult population
in the United States between
the years 2010 and
2050?
a.Native Americans
b.African Americans
ANS: C
As shown in Figure 1-1, the Hispanic older adult population
is projected to be the most rapidly increasing population
segment between 2010 and 2050.
The older adult populations of all other races, combined, do
not rise as rapidly as the Hispanic older adult population between
the years 2010 and 2050. The African-American older
adult population is expected to have the second-fastest rise
between 2010 and 2050. The non-Hispanic white older adult
c.Hispanic Americans
d.Asian/Pacific Island Americans
population is projected to decrease between 2010 and 2050.
TOUHY 4TH ED TESTBANK
5. Historical influences that have
, shaped the lives of the majority
of the middle-old population
in the United States today
include which of the following?
a.Influenza epidemic of 1918
b.Immigration from communist
Europe
c.Child rearing in the Depression
d.World War II
ANS: D
Those who are middle-old in 2005 were in their teens and 20s
during World War II; in particular, the men were likely to have
fought in it.
A person who survived the influenza epidemic would be at
least 87 years old in 2005 and therefore would be considered
old-old or a centenarian. Those who are middle-old in
2005 were born between 1920 and 1930, before communism
swept Europe. Most of those who are middle-old in 2005 had
not reached childbearing age by the end of the Depression.
TOUHY 4TH ED TESTBANK
6. The nurse prepares for the arrival
of older adults evacuated
from a hurricane to a shelter
for short-term care. Which
of the following is the priority
nursing intervention?
a.Demonstrate that the staff is
prepared to meet their needs.
b.Use individual medical
records to develop a medica-
ANS: B
The nurse prepares for short-term care by prioritizing the
needs of the older adults, and this intervention helps maintain
the therapeutic plan, thereby addressing the need for
physiological
AGING 5TH EDITION TOUHY
1. Which option refers to the
highest level of human functioning
according to Maslow?
a.Biological and physical integrity
b.Safety and security
c.Self-esteem
d.Self-actualization
ANS: D
According to Maslow, persons whose basic physical needs are
met, who feel safe and secure, and who possess self-esteem
and self-efficacy can achieve self-actualization, reaching out
beyond themselves to make their lives meaningful.
Biological and physical integrity is the lowest level in Maslows
hierarchy, below safety and security. Safety and security are
the second-lowest level, below self-esteem. Self-esteem is the
second-highest level, below self-actualization.
TOUHY 4TH ED TESTBANK
2. A man is terminally ill with
end-stage prostate cancer.
Which is the best statement
about this mans wellness?
a.Wellness is possible in the
management of his medical
care.
b.Wellness is unfortunately
not a real option for this
client.
c.Wellness is the same thing as
faith healing, and if the client
would be more receptive, then
he could be back at work in a
,few weeks.
d.Nursing interventions can
help empower a client to
ANS: D
Nursing interventions can help empower a client to achieve
a higher level of wellness; a nurse can foster wellness at all
levels of the needs hierarchy.
Wellness is possible even if the client assists in the management
of his medical care; an individual must work hard to
achieve wellness, similar to a job. Wellness is unfortunately
not a real option for this client; however, all persons, regardless
of age or life-health situations, can be helped to achieve
a higher level of wellness. Wellness is the same thing as faith
healing, and if the client would be more receptive, then he
could be back at work in a few weeks; biomedical approaches
and other treatments and techniques are used to achieve
realistic improvements in wellness.
TOUHY 4TH ED TESTBANK
achieve a higher level of wellness.
3. 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
ones health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors;
,holistically, health includes wellness, which involves ones
whole being.
The concept of illness prevention was never considered by
previous generations; throughout history, basic self-care
requirements
have been recognized. Wellness and self-actualization
develop through learning and growthas basic needs
are met, higher-level needs can be satisfied in turn, with
ever-deepening richness to life. Wellness is impossible when
ones health is compromised even with chronic illness, with
multiple disabilities, or in dying, movement toward a higher
level of wellness is possible.
TOUHY 4TH ED TESTBANK
4. Which cultural group is predicted
to have the fastest
growing older adult population
in the United States between
the years 2010 and
2050?
a.Native Americans
b.African Americans
ANS: C
As shown in Figure 1-1, the Hispanic older adult population
is projected to be the most rapidly increasing population
segment between 2010 and 2050.
The older adult populations of all other races, combined, do
not rise as rapidly as the Hispanic older adult population between
the years 2010 and 2050. The African-American older
adult population is expected to have the second-fastest rise
between 2010 and 2050. The non-Hispanic white older adult
c.Hispanic Americans
d.Asian/Pacific Island Americans
population is projected to decrease between 2010 and 2050.
TOUHY 4TH ED TESTBANK
5. Historical influences that have
, shaped the lives of the majority
of the middle-old population
in the United States today
include which of the following?
a.Influenza epidemic of 1918
b.Immigration from communist
Europe
c.Child rearing in the Depression
d.World War II
ANS: D
Those who are middle-old in 2005 were in their teens and 20s
during World War II; in particular, the men were likely to have
fought in it.
A person who survived the influenza epidemic would be at
least 87 years old in 2005 and therefore would be considered
old-old or a centenarian. Those who are middle-old in
2005 were born between 1920 and 1930, before communism
swept Europe. Most of those who are middle-old in 2005 had
not reached childbearing age by the end of the Depression.
TOUHY 4TH ED TESTBANK
6. The nurse prepares for the arrival
of older adults evacuated
from a hurricane to a shelter
for short-term care. Which
of the following is the priority
nursing intervention?
a.Demonstrate that the staff is
prepared to meet their needs.
b.Use individual medical
records to develop a medica-
ANS: B
The nurse prepares for short-term care by prioritizing the
needs of the older adults, and this intervention helps maintain
the therapeutic plan, thereby addressing the need for
physiological
