Test Bank For Ebersole & Hess’ Toward Healthy Aging, 9th
Chapterr01:rHealthrandrWellnessrinranrAgingrSociety
Touhy:rEbersoler&rHess'rTowardrHealthyrAging,r9thrEdition
MULTIPLErCHOICE
1. WhenraskedrbyrnewrparentsrwhatrtherliferexpectancyrisrforrtheirrAfricanrAmericanrnewborn,rt
hernurserrepliesrthat,r“2010rstatisticsrindicaterthatryourrson:
a. willrhaverarliferexpectancyrofrapproximatelyr65r years.”
b. canrrealisticallyrexpectrtorliverintorhisrlater80s.”
c. hasrargoodrchancerofrcelebratingrhisr75thrbirthday.”
d. isrlikelyrtorliverintorhisrlater90s.”
ANS:r C
Inr2010,rmenrinrtherUnitedrStatesratrager60rcanrexpectrtorliveranotherr22ryears.rTherliferexpect
ancyrofrAfricanrAmericanrmenrisraboutr4.7ryearsrlessrthanrwhitermen.rOfrtheroptionsrabove,rCri
srtheronlyrresponserthatrfitsrintorthoserparameters.rTherotherroptionsrarernotrsupportedrbyrrelia
blerresearch.
DIF: CognitiverLevel:rUnderstanding
REF:r p.r3rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
2. Arnurserisrplanningrcarerforrargrouprofrsuper-
centenariansrinranrassistedrlivingrfacility.rThernurserconsidersrwhichrofrtherfollowing?
a. Mostrsuper-centenariansrarerfunctionallyrindependentrorrrequirerminimal
assistancerwithractivitiesrofrdailyrliving
b. Thermajorityrofrsuper-centenariansrhavercognitiverimpairment
c. Thernumberrofrsuper-centenariansrisrexpectedrtordecreaserinrcomingryearsrasra
resultrofrheartrdiseaserandrstroke
d. Itrisrtheorizedrthatrsuper-centenariansrsurvivedrasrlongrasrtheyrhaverduertorgenetic
mutationsrthatrmaderthemrlessrsusceptiblertorcommonrdiseases
ANS:r A
Researchrsupportsrthatrmostrsuper-
centenariansrarerfunctionallyrandrcognitivelyrintact,rrequiringrminimalrassistancerwithrADLs.r
Thernumberrofrsuper-
centenariansrisrexpectedrtorincreaserinrcomingryearsrasrthernumberrofrolderradultsrincreases.rTh
erreasonrwhyrindividualsrsurvivedrasrlongrasrtheyrhaverisrnotrknown.
DIF: CognitiverLevel:rRemembering
REF:r p.r4rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
3. Onerreasonrwhyrmanyr“babyrboomers”rhavermultiplerchronicrconditionsrsuchrasrheartrdisease,r
diabetes,randrarthritisrisrthat:
a. theyrhaverlessraccessrtormedicationrandrotherrtreatmentrregimens.
b. thererwasrarlackrofrimportancerplacedronrhealthyrlivingrasrtheyrwerergrowingrup.
c. theyrdidrnotrhaveraccessrtorimmunizationsragainstrcommunicablerdiseaserwhen
theyrwererchildren.
d. theyrgrewruprinranrerarofrrampantrpovertyrandrmalnutrition.
, ANS:r B
Therbabyrboomers,rindividualsrbornrbetweenr1946randr1964,rpost-
WWII,rhaverbetterraccessrtormedicationrandrtreatmentrregimensrthanrotherrcohorts.rTheyrhaver
hadrtherbenefitrofrtherdevelopmentrofrimmunizationsragainstrcommunicablerdiseases.rTheyrgre
wruprinranrerarofrprosperityrpost-
WWII.rHowever,rthererwasrarlackrofrimportancerplacedronrwhatrwernowrconsiderrhealthyrlivin
grwhenrtheyrwereryounger.rSmoking,rforrexample,rwasrnotrcondoned,rbutrwasrconsideredrarsy
mbolrofrstatus.rCandyrinrthershaperofrcigarettesrwasrpopular,randrthererwasrmuchrsecondhandrs
moke.
DIF: CognitiverLevel:rRemembering
REF:r p.r6rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
4. Arnurserisrplanningranreducationrprogramronrwellnessrinrarlocalrseniorrcitizenrcenter.rThernur
serplansrtorprovidereducationronrtherimportancerofrimmunizations,rannualrphysicalrexaminati
ons,rscreeningrforrdiabetes,randrvisionrandrhearingrscreening.rItrisrimportantrforrthernursertoru
nderstandrwhichrofrtherfollowing?
a. Approximatelyr40%rofrolderradultsr(agesr65randrolder)rutilizeravailablerpreventive
services
b. Preventiverstrategiesrarermorerwidelyrusedrinrther40-64ragergrouprthanrinrther65
androverragergroup
c. Therresearchronrhealthrpromotionrstrategiesrinrolderradultsrdemonstratesrthatrthey
haverlowrefficacy
d. Thererisranrabundancerofrresearchrspecificrtorhealthrpromotionrandraging
ANS:r A
Approximatelyr40%rofrindividuals,ragesr65randrolder,rutilizertherpreventiverservicesrthatrarera
vailablertorthem.rHowever,ronlyr24%rofrthoserbetweenrtheragesrofr40randr64rdorso.rThererisrar
paucityrofrresearchrspecificrtorhealthrpromotionrandraging;rhowever,rtherresearchrthatrexistsrde
monstratesrthatrhealthrpromotionrstrategiesrarerhighlyreffective.
DIF: CognitiverLevel:rUnderstanding
REF:r p.r7rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
5. Arnurserisrcaringrforranr85-year-
oldrmalerclientrwithrdiabetesrinrarcommunityrsetting.rThernurserpromotesrfunctionalrwelln
essrbyrwhichrofrtherfollowingractivities?
a. Encouragingrtherclientrmaintainsrcurrentrlevelsrofrphysicalractivity
b. Assistingrtherclientrtorreceiverallrtherrecommendedrpreventiverscreeningsrthatrare
appropriaterforrhisragergroup
c. Teachingrtherpatientrhowrtoruserarrollingrwalkerrsorthatrhercanrambulaterforrlonger
distances
d. Encouragingrtherclientrtorattendrhisrweeklyrchessrgames
ANS:r A
Maintainingrexistingrlevelsrofrphysicalractivityrisrconsistentrwithrfunctionalrwellness.rTeachin
grtherclientrhowrtoruserarrollingrwalkerrenablesrtherclientrtorremainractiveratrtherhighestrlevelrp
ossible,rwhichrisranrexamplerofrpromotingrfunctionalrwellness.rReceivingrrecommendedrscree
ningrisranrexamplerofrpromotingrbiologicalrwellness.rTheruserofrarrollingrwalkerrshouldrberbase
dronrassessmentrofrphysicalrability.rEncouragingrtherclientrtorattendrweeklyrchessrgamesrisranr
examplerofrpromotingrsocialrwellness.
, DIF: CognitiverLevel:rApplying
REF:r p.r10rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
6. Basedronrthercensusrreportsrofr2010,rthertypicalrprofilerofrarcentenarianrinrtherUnitedrStatesri
ncludesrwhichrofrtherfollowingrcharacteristics?
a. ArCaucasianrwomanrwhorlivesrinranrurbanrarearofrarSouthernrstate
b. AnrAfricanrAmericanrwomanrwhorlivesrinrarruralrarearofrarSouthernrstate
c. ArHispanicrmanrwhorlivesrinranrurbanrarearofrarMidwesternrstate
d. ArCaucasianrmanrwhorlivesrinrarruralrarearofrarMidwesternrstate
ANS:r A
Basedronrther2010rU.S.rCensusrdata,rcentenariansrwereroverwhelminglyrwhiter(82.5%),rwome
nr(82.8%),randrlivingrinrurbanrareasrofrtherSouthernrstates.
DIF: CognitiverLevel:rApplying
REF:r p.r5rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
MULTIPLErRESPONSE
1. Primaryrpreventionrstrategiesrforrolderradultsrincluderwhichrofrtherfollowing?r(Selectrallrthatr
apply.)
a. Anrannualrinfluenzarimmunizationrclinic
b. Arsmokingrcessationrprogram
c. Arprostaterscreeningrprogram
d. Arcardiacrrehabilitationrprogram
e. Armealrplanningreducationrprogramrforrtyper2rdiabetics
ANS:r A,rB
Primaryrpreventionrrefersrtorstrategiesrthatrarerusedrtorpreventranrillnessrbeforeritroccursrandrm
aintainingrwellnessracrossrthercontinuumrofrcare.rImmunizationsrandrsmokingrcessationrarerex
amplesrofrprimaryrprevention.rSecondaryrpreventionrisrtherearlyrdetectionrofrardiseaserorrarhea
lthrproblemrthatrhasralreadyrdeveloped.rProstaterscreeningrisranrexamplerofrsecondaryrpreventi
on.rTertiaryrpreventionraddressesrtherneedsrofrindividualsrwhoralreadyrhavertheirrwellnessrchal
lenged.rCardiacrrehabilitationrandrmealrplanningrforrdiabeticsrarerexamplesrofrtertiaryrpreventi
on.
DIF: CognitiverLevel:rApplying REF:r pp.r8–
9rTOP:r IntegratedrProcess:rTeaching/Learning
MSC:r ClientrNeeds:rManagementrofrCare
2. Arnurserorganizesrarhealthrfairrforrolderradults.rThernurse’srgoalrisrtorfocusronrthersixrpriorityra
reasridentifiedrbyrtherNationalrPreventionrCouncil.rWhichrofrtherfollowingractivitiesrshouldrth
ernurserinclude?r(Selectrallrthatrapply.)
a. Smokingrcessation
b. Depressionrscreening
c. Recognizingrelderrabuse
d. Cholesterolrscreening
e. Fitnessrtraining
, ANS:r A,rB,rC
ThersixrpriorityrareasrofrtherNationalrPreventionrCouncilrincludertobacco-
freerliving,rpreventingrdrugrabuserandrexcessiveralcoholruse,rhealthyreating,rinjury-
randrviolence-freerliving,rreproductiverandrsexualrhealth,randrmentalrandremotionalrwell-
being.rSmokingrcessation,rdepressionrscreening,randrrecognizingrelderrabuserallrdirectlyraddres
srtheserareas.rWhilercholesterolrscreeningrandrfitnessrtrainingrarerimportantrforrolderradults,rth
eyrdornotraddressrthesersixrpriorityrareas.
DIF: CognitiverLevel:rAnalyzing
REF:r p.r8rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
3. Ther“in-
between”rgenerationr(individualsrbornrbetweenr1915randr1945)rwerersubjectrtorwhichrofrtherfol
lowingrhealthrchallengesrduringrtheirrchildhood?r(Selectrallrthatrapply.)
a. Polio
b. Lackrofrfluoriderinrtherwaterrcausingrteethrtorbersoftrandrcavityrprone
c. “PigeonrChest,”rarmalformationrofrtherribrcagerduertorarlackrofrvitaminrD
d. Smallpox
e. HIV/AIDS
ANS:r A,rB,rC
Poliorwasrarmajorrfearrofrthisrgroup;rtherpoliorvaccinerwasrnotravailablerinrtherUnitedrStatesr
untilr1955.rInrmanyrareasrwaterrwasrnotrfluoridated.r“PigeonrChest”rwasrcommon.rSmallpoxr
wasrarconcernrforrthercentenarians,rnotrthisrgeneration.rHIV/AIDSrhadrnotrbeenridentifiedrinrt
herearlyryearsrofr1915-1945.
DIF: CognitiverLevel:rRemembering
REF:r p.r5rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
4. ArnursingrstudentrisrpreparingrarpresentationronrtherWellness-
BasedrModelrforrHealthyrAging.rWhichrofrtherfollowingrconceptsrshouldrtherstudentrincluderin
rtherpresentation?r(Selectrallr thatrapply.)
a. Healthyragingrisrdefinedrbyrtherabsencerofrphysicalrillnessralone
b. Healthyragingrisrindividuallyrdefinedrandrcanrchangeroverrtime
c. Thererarermanyrstrategiesrtorpromoterhealthyragingrthatrarerbelievedrtorberhelpful
butrdornotrhaverempiricalrevidencertorsupportrthem
d. Healthyragingrcannotrberachievedrbyronlyrfocusingronrlaterrlife.rItrisrarlifelong
process
e. Accordingrtorthisrmodel,ranrindividualrwithrarchronicrdiseaserwouldrnotrbe
consideredrhealthy
ANS:r B,rC,rD
Healthyragingrisrarlifelongrprocessrthatrbeginsrwithrbirthrandrendsrwithrdeath.rTherconceptrofr
healthyragingrfromrarwellnessrperspectiverisruniquelyrdefinedrbyreachrindividualrandrcanrcha
ngeroverrtime.rThererarerchallengesrtorimplementingrevidence-
basedrpracticesronrhealthyragingrbecauserthererisrarpaucityrofrresearchronrthisrarea.rTherefore,
rthererarermanyrstrategiesrthatrhaverbeenrusedrandrdeterminedrtorbereffectiverbutrdornotrhaverr
esearchrevidencersupportingrthem.rThersubcomponentsrwithrtherwellnessrmodelrarerfunctiona
lrindependence,rself-
carermanagementrofrillness,rpersonalrgrowth,rpositiveroutlook,randrsocialrcontributionrandract
ivitiesrthatrpromoterone’srhealth.
Chapterr01:rHealthrandrWellnessrinranrAgingrSociety
Touhy:rEbersoler&rHess'rTowardrHealthyrAging,r9thrEdition
MULTIPLErCHOICE
1. WhenraskedrbyrnewrparentsrwhatrtherliferexpectancyrisrforrtheirrAfricanrAmericanrnewborn,rt
hernurserrepliesrthat,r“2010rstatisticsrindicaterthatryourrson:
a. willrhaverarliferexpectancyrofrapproximatelyr65r years.”
b. canrrealisticallyrexpectrtorliverintorhisrlater80s.”
c. hasrargoodrchancerofrcelebratingrhisr75thrbirthday.”
d. isrlikelyrtorliverintorhisrlater90s.”
ANS:r C
Inr2010,rmenrinrtherUnitedrStatesratrager60rcanrexpectrtorliveranotherr22ryears.rTherliferexpect
ancyrofrAfricanrAmericanrmenrisraboutr4.7ryearsrlessrthanrwhitermen.rOfrtheroptionsrabove,rCri
srtheronlyrresponserthatrfitsrintorthoserparameters.rTherotherroptionsrarernotrsupportedrbyrrelia
blerresearch.
DIF: CognitiverLevel:rUnderstanding
REF:r p.r3rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
2. Arnurserisrplanningrcarerforrargrouprofrsuper-
centenariansrinranrassistedrlivingrfacility.rThernurserconsidersrwhichrofrtherfollowing?
a. Mostrsuper-centenariansrarerfunctionallyrindependentrorrrequirerminimal
assistancerwithractivitiesrofrdailyrliving
b. Thermajorityrofrsuper-centenariansrhavercognitiverimpairment
c. Thernumberrofrsuper-centenariansrisrexpectedrtordecreaserinrcomingryearsrasra
resultrofrheartrdiseaserandrstroke
d. Itrisrtheorizedrthatrsuper-centenariansrsurvivedrasrlongrasrtheyrhaverduertorgenetic
mutationsrthatrmaderthemrlessrsusceptiblertorcommonrdiseases
ANS:r A
Researchrsupportsrthatrmostrsuper-
centenariansrarerfunctionallyrandrcognitivelyrintact,rrequiringrminimalrassistancerwithrADLs.r
Thernumberrofrsuper-
centenariansrisrexpectedrtorincreaserinrcomingryearsrasrthernumberrofrolderradultsrincreases.rTh
erreasonrwhyrindividualsrsurvivedrasrlongrasrtheyrhaverisrnotrknown.
DIF: CognitiverLevel:rRemembering
REF:r p.r4rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
3. Onerreasonrwhyrmanyr“babyrboomers”rhavermultiplerchronicrconditionsrsuchrasrheartrdisease,r
diabetes,randrarthritisrisrthat:
a. theyrhaverlessraccessrtormedicationrandrotherrtreatmentrregimens.
b. thererwasrarlackrofrimportancerplacedronrhealthyrlivingrasrtheyrwerergrowingrup.
c. theyrdidrnotrhaveraccessrtorimmunizationsragainstrcommunicablerdiseaserwhen
theyrwererchildren.
d. theyrgrewruprinranrerarofrrampantrpovertyrandrmalnutrition.
, ANS:r B
Therbabyrboomers,rindividualsrbornrbetweenr1946randr1964,rpost-
WWII,rhaverbetterraccessrtormedicationrandrtreatmentrregimensrthanrotherrcohorts.rTheyrhaver
hadrtherbenefitrofrtherdevelopmentrofrimmunizationsragainstrcommunicablerdiseases.rTheyrgre
wruprinranrerarofrprosperityrpost-
WWII.rHowever,rthererwasrarlackrofrimportancerplacedronrwhatrwernowrconsiderrhealthyrlivin
grwhenrtheyrwereryounger.rSmoking,rforrexample,rwasrnotrcondoned,rbutrwasrconsideredrarsy
mbolrofrstatus.rCandyrinrthershaperofrcigarettesrwasrpopular,randrthererwasrmuchrsecondhandrs
moke.
DIF: CognitiverLevel:rRemembering
REF:r p.r6rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
4. Arnurserisrplanningranreducationrprogramronrwellnessrinrarlocalrseniorrcitizenrcenter.rThernur
serplansrtorprovidereducationronrtherimportancerofrimmunizations,rannualrphysicalrexaminati
ons,rscreeningrforrdiabetes,randrvisionrandrhearingrscreening.rItrisrimportantrforrthernursertoru
nderstandrwhichrofrtherfollowing?
a. Approximatelyr40%rofrolderradultsr(agesr65randrolder)rutilizeravailablerpreventive
services
b. Preventiverstrategiesrarermorerwidelyrusedrinrther40-64ragergrouprthanrinrther65
androverragergroup
c. Therresearchronrhealthrpromotionrstrategiesrinrolderradultsrdemonstratesrthatrthey
haverlowrefficacy
d. Thererisranrabundancerofrresearchrspecificrtorhealthrpromotionrandraging
ANS:r A
Approximatelyr40%rofrindividuals,ragesr65randrolder,rutilizertherpreventiverservicesrthatrarera
vailablertorthem.rHowever,ronlyr24%rofrthoserbetweenrtheragesrofr40randr64rdorso.rThererisrar
paucityrofrresearchrspecificrtorhealthrpromotionrandraging;rhowever,rtherresearchrthatrexistsrde
monstratesrthatrhealthrpromotionrstrategiesrarerhighlyreffective.
DIF: CognitiverLevel:rUnderstanding
REF:r p.r7rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
5. Arnurserisrcaringrforranr85-year-
oldrmalerclientrwithrdiabetesrinrarcommunityrsetting.rThernurserpromotesrfunctionalrwelln
essrbyrwhichrofrtherfollowingractivities?
a. Encouragingrtherclientrmaintainsrcurrentrlevelsrofrphysicalractivity
b. Assistingrtherclientrtorreceiverallrtherrecommendedrpreventiverscreeningsrthatrare
appropriaterforrhisragergroup
c. Teachingrtherpatientrhowrtoruserarrollingrwalkerrsorthatrhercanrambulaterforrlonger
distances
d. Encouragingrtherclientrtorattendrhisrweeklyrchessrgames
ANS:r A
Maintainingrexistingrlevelsrofrphysicalractivityrisrconsistentrwithrfunctionalrwellness.rTeachin
grtherclientrhowrtoruserarrollingrwalkerrenablesrtherclientrtorremainractiveratrtherhighestrlevelrp
ossible,rwhichrisranrexamplerofrpromotingrfunctionalrwellness.rReceivingrrecommendedrscree
ningrisranrexamplerofrpromotingrbiologicalrwellness.rTheruserofrarrollingrwalkerrshouldrberbase
dronrassessmentrofrphysicalrability.rEncouragingrtherclientrtorattendrweeklyrchessrgamesrisranr
examplerofrpromotingrsocialrwellness.
, DIF: CognitiverLevel:rApplying
REF:r p.r10rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
6. Basedronrthercensusrreportsrofr2010,rthertypicalrprofilerofrarcentenarianrinrtherUnitedrStatesri
ncludesrwhichrofrtherfollowingrcharacteristics?
a. ArCaucasianrwomanrwhorlivesrinranrurbanrarearofrarSouthernrstate
b. AnrAfricanrAmericanrwomanrwhorlivesrinrarruralrarearofrarSouthernrstate
c. ArHispanicrmanrwhorlivesrinranrurbanrarearofrarMidwesternrstate
d. ArCaucasianrmanrwhorlivesrinrarruralrarearofrarMidwesternrstate
ANS:r A
Basedronrther2010rU.S.rCensusrdata,rcentenariansrwereroverwhelminglyrwhiter(82.5%),rwome
nr(82.8%),randrlivingrinrurbanrareasrofrtherSouthernrstates.
DIF: CognitiverLevel:rApplying
REF:r p.r5rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
MULTIPLErRESPONSE
1. Primaryrpreventionrstrategiesrforrolderradultsrincluderwhichrofrtherfollowing?r(Selectrallrthatr
apply.)
a. Anrannualrinfluenzarimmunizationrclinic
b. Arsmokingrcessationrprogram
c. Arprostaterscreeningrprogram
d. Arcardiacrrehabilitationrprogram
e. Armealrplanningreducationrprogramrforrtyper2rdiabetics
ANS:r A,rB
Primaryrpreventionrrefersrtorstrategiesrthatrarerusedrtorpreventranrillnessrbeforeritroccursrandrm
aintainingrwellnessracrossrthercontinuumrofrcare.rImmunizationsrandrsmokingrcessationrarerex
amplesrofrprimaryrprevention.rSecondaryrpreventionrisrtherearlyrdetectionrofrardiseaserorrarhea
lthrproblemrthatrhasralreadyrdeveloped.rProstaterscreeningrisranrexamplerofrsecondaryrpreventi
on.rTertiaryrpreventionraddressesrtherneedsrofrindividualsrwhoralreadyrhavertheirrwellnessrchal
lenged.rCardiacrrehabilitationrandrmealrplanningrforrdiabeticsrarerexamplesrofrtertiaryrpreventi
on.
DIF: CognitiverLevel:rApplying REF:r pp.r8–
9rTOP:r IntegratedrProcess:rTeaching/Learning
MSC:r ClientrNeeds:rManagementrofrCare
2. Arnurserorganizesrarhealthrfairrforrolderradults.rThernurse’srgoalrisrtorfocusronrthersixrpriorityra
reasridentifiedrbyrtherNationalrPreventionrCouncil.rWhichrofrtherfollowingractivitiesrshouldrth
ernurserinclude?r(Selectrallrthatrapply.)
a. Smokingrcessation
b. Depressionrscreening
c. Recognizingrelderrabuse
d. Cholesterolrscreening
e. Fitnessrtraining
, ANS:r A,rB,rC
ThersixrpriorityrareasrofrtherNationalrPreventionrCouncilrincludertobacco-
freerliving,rpreventingrdrugrabuserandrexcessiveralcoholruse,rhealthyreating,rinjury-
randrviolence-freerliving,rreproductiverandrsexualrhealth,randrmentalrandremotionalrwell-
being.rSmokingrcessation,rdepressionrscreening,randrrecognizingrelderrabuserallrdirectlyraddres
srtheserareas.rWhilercholesterolrscreeningrandrfitnessrtrainingrarerimportantrforrolderradults,rth
eyrdornotraddressrthesersixrpriorityrareas.
DIF: CognitiverLevel:rAnalyzing
REF:r p.r8rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
3. Ther“in-
between”rgenerationr(individualsrbornrbetweenr1915randr1945)rwerersubjectrtorwhichrofrtherfol
lowingrhealthrchallengesrduringrtheirrchildhood?r(Selectrallrthatrapply.)
a. Polio
b. Lackrofrfluoriderinrtherwaterrcausingrteethrtorbersoftrandrcavityrprone
c. “PigeonrChest,”rarmalformationrofrtherribrcagerduertorarlackrofrvitaminrD
d. Smallpox
e. HIV/AIDS
ANS:r A,rB,rC
Poliorwasrarmajorrfearrofrthisrgroup;rtherpoliorvaccinerwasrnotravailablerinrtherUnitedrStatesr
untilr1955.rInrmanyrareasrwaterrwasrnotrfluoridated.r“PigeonrChest”rwasrcommon.rSmallpoxr
wasrarconcernrforrthercentenarians,rnotrthisrgeneration.rHIV/AIDSrhadrnotrbeenridentifiedrinrt
herearlyryearsrofr1915-1945.
DIF: CognitiverLevel:rRemembering
REF:r p.r5rTOP:r IntegratedrProcess:rTeaching/
Learning
MSC:r ClientrNeeds:rHealthrPromotionrandrMaintenance
4. ArnursingrstudentrisrpreparingrarpresentationronrtherWellness-
BasedrModelrforrHealthyrAging.rWhichrofrtherfollowingrconceptsrshouldrtherstudentrincluderin
rtherpresentation?r(Selectrallr thatrapply.)
a. Healthyragingrisrdefinedrbyrtherabsencerofrphysicalrillnessralone
b. Healthyragingrisrindividuallyrdefinedrandrcanrchangeroverrtime
c. Thererarermanyrstrategiesrtorpromoterhealthyragingrthatrarerbelievedrtorberhelpful
butrdornotrhaverempiricalrevidencertorsupportrthem
d. Healthyragingrcannotrberachievedrbyronlyrfocusingronrlaterrlife.rItrisrarlifelong
process
e. Accordingrtorthisrmodel,ranrindividualrwithrarchronicrdiseaserwouldrnotrbe
consideredrhealthy
ANS:r B,rC,rD
Healthyragingrisrarlifelongrprocessrthatrbeginsrwithrbirthrandrendsrwithrdeath.rTherconceptrofr
healthyragingrfromrarwellnessrperspectiverisruniquelyrdefinedrbyreachrindividualrandrcanrcha
ngeroverrtime.rThererarerchallengesrtorimplementingrevidence-
basedrpracticesronrhealthyragingrbecauserthererisrarpaucityrofrresearchronrthisrarea.rTherefore,
rthererarermanyrstrategiesrthatrhaverbeenrusedrandrdeterminedrtorbereffectiverbutrdornotrhaverr
esearchrevidencersupportingrthem.rThersubcomponentsrwithrtherwellnessrmodelrarerfunctiona
lrindependence,rself-
carermanagementrofrillness,rpersonalrgrowth,rpositiveroutlook,randrsocialrcontributionrandract
ivitiesrthatrpromoterone’srhealth.
