TEST BANK
bb
Med C File © 2022
bb bb bb bb
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
bb bb bb bb bb bb bb bb
Chapter 01: Health and Wellness in an Aging Society
bb bb bb bb bb bb bb bb bb
MULTIPLE CHOICE
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1. When asked bynew parents what the life expectancy is for their African American newborn, the
bb bb b bb bb bb bb bb bb bb bb bb bb bb bb
bb nurse replies that, “2010 statistics indicate that your son:
bb bb bb bb bb bb bb bb
a. will have a life expectancy of approximately 65 years.”
bb bb bb bb bb bb bb bb
b. can realistically expect to live into his late 80s.”
bb bb bb bb bb bb bb bb
c. has a good chance of celebrating his 75th birthday.”
bb bb bb bb bb bb bb bb
d. is likelyto live into his late 90s.”
bb b bb bb bb bb bb
ANS: C b b
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
expectancy of African American men is about 4.7 years less than white men. Of the options
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
above, C is the only response that fits into those parameters. The other options are not supported
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
by reliable research.
bb bb bb
DIF: Cognitive Level: Understanding REF: p. 3 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse considers which of the following?
bb bb bb bb bb bb
a. Most super-centenarians are functionally independent or require minimal
bb bb bb bb bb bb bb
assistance with activities of daily living
bb bb bb bb bb bb
b. The majorityof super-centenarians have cognitive impairment
bb b bb bb bb bb
c. The number of super-centenarians is expected to decrease in coming years as a
bb bb bb bb bb bb bb bb bb bb bb bb
result of heart disease and stroke
bb bb bb bb bb bb
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
bb bb bb bb bb bb bb bb bb b bb bb bb
mutations that made them less susceptible to common diseases
bb bb bb bb bb bb bb bb bb
ANS: A b b
Research supports that most super-centenarians are functionally and cognitively intact,
bb bb bb bb bb bb bb bb bb
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
bb bb bb bb bb bb bb bb bb bb bb bb
increase in coming years as the number of older adults increases. The reason whyindividuals
bb bb bb bb bb bb bb bb bb bb bb bb bb bb b
survived as long as they have is not known.
bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering REF: p. 4 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
bb bb bb bb bb bb bb bb bb bb bb bb bb
bb diabetes, and arthritis is that: bb bb bb bb
a. theyhave less access to medication and other treatment regimens.
b bb bb bb bb bb bb bb bb
b. there was a lack of importance placed on healthy living as they were growing up.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
c. theydid not have access to immunizations against communicable disease when
b bb bb bb bb bb bb bb bb bb
they were children.
bb bb bb
d. they grew up in an era of rampant poverty and malnutrition.
bb bb bb bb bb bb bb bb bb bb
, ANS: B b b
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
bb bb bb bb bb bb bb bb bb bb bb bb bb
medication and treatment regimens than other cohorts. They have had the benefit of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
development of immunizations against communicable diseases. They grew up in an era of
bb bb bb bb bb bb bb bb bb bb bb bb bb
prosperity post-WWII. However, there was a lack of importance placed on what we now
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
consider healthy living when they were younger. Smoking, for example, was not condoned,
bb bb bb bb bb bb bb bb bb bb bb bb bb
but was considered a symbol of status. Candy in the shape of cigarettes was popular, and there
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
was much secondhand smoke.
bb bb bb bb
DIF: Cognitive Level: Remembering REF: p. 6 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
4. A nurse is planning an education program on wellness in a local senior citizen center. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse plans to provide education on the importance of immunizations, annual physical
bb bb bb bb bb bb bb bb bb bb bb bb
examinations, screening for diabetes, and vision and hearing screening. It is important for the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse to understand which of the following?
bb bb bb bb bb bb bb
a. Approximately40% of older adults (ages 65 and older) utilize available preventive b bb bb bb bb bb bb bb bb bb bb
servicesbb
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 bb bb bb bb bb bb bb bb bb bb bb bb bb bb
and over age group
bb bb bb bb
c. The research on health promotion strategies in older adults demonstrates that they
bb bb bb bb bb bb bb bb bb bb bb
have low efficacy
bb bb bb
d. There is an abundance of research specific to health promotion and aging
bb bb bb bb bb bb bb bb bb bb bb
ANS: A b b
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are bb bb bb bb bb bb bb bb bb bb bb bb bb
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
paucity of research specific to health promotion and aging; however, the research that exists
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
demonstrates that health promotion strategies are highly effective.
bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Understanding REF: p. 7 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
bb nurse promotes functional wellness by which of the following activities?
bb bb bb bb bb bb bb bb bb
a. Encouraging the client maintains current levels of physical activity bb bb bb bb bb bb bb bb
b. Assisting the client to receive all the recommended preventive screenings that are
bb bb bb bb bb bb bb bb bb bb bb
appropriate for his age group
bb bb bb bb bb
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
distancesbb
d. Encouraging the client to attend his weekly chess games bb bb bb bb bb bb bb bb
ANS: A b b
Maintaining existing levels of physical activity is consistent with functional wellness.
bb bb bb bb bb bb bb bb bb bb
Teaching the client how to use a rolling walker enables the client to remain active at the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
highest level possible, which is an example of promoting functional wellness. Receiving
bb bb bb bb bb bb bb bb bb bb bb bb
recommended screening is an example of promoting biological wellness. The use of a rolling
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
walker should be based on assessment of physical ability. Encouraging the client to attend
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
weekly chess games is an example of promoting social wellness.
bb bb bb bb bb bb bb bb bb bb
, DIF: Cognitive Level: Applying REF: p. 10 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
includes which of the following characteristics?
bb bb bb bb bb bb
a. A Caucasian woman who lives in an urban area of a Southern state
bb bb bb bb bb bb bb bb bb bb bb bb
b. An African American woman who lives in a rural area of a Southern state
bb bb bb bb bb bb bb bb bb bb bb bb bb
c. A Hispanic man who lives in an urban area of a Midwestern state
bb bb bb bb bb bb bb bb bb bb bb bb
d. A Caucasian man who lives in a rural area of a Midwestern state
bb bb bb bb bb bb bb bb bb bb bb bb
ANS: A b b
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
bb bb bb bb bb bb bb bb bb bb bb bb
(82.8%), and living in urban areas of the Southern states.
bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Applying REF: p. 5 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
MULTIPLE RESPONSE bb
1. Primary prevention strategies for older adults include which of the following? (Select all that
bb bb bb bb bb bb bb bb bb bb bb bb bb
apply.)
bb
a. An annual influenza immunization clinic
bb bb bb bb
b. A smoking cessation program
bb bb bb
c. A prostate screening program
bb bb bb
d. A cardiac rehabilitation program
bb bb bb
e. A meal planning education program for type 2 diabetics
bb bb bb bb bb bb bb bb
ANS: A, B bb bb
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
bb bb bb bb bb bb bb bb bb bb bb bb
examples of primary prevention. Secondary prevention is the early detection of a disease or a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
health problem that has already developed. Prostate screening is an example of secondary
bb bb bb bb bb bb bb bb bb bb bb bb bb
prevention. Tertiary prevention addresses the needs of individuals who already have their
bb bb bb bb bb bb bb bb bb bb bb bb
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
bb bb bb bb bb bb bb bb bb bb bb bb
tertiary prevention.
bb bb
DIF: Cognitive Level: Applying REF: pp. 8–9 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Management of Care
b b bb bb bb bb
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
areas identified by the National Prevention Council. Which of the following activities should
bb bb bb bb bb bb bb bb bb bb bb bb bb
the nurse include? (Select all that apply.)
bb bb bb bb bb bb bb
a. Smoking cessation bb
b. Depression screening bb
c. Recognizing elder abuse bb bb
d. Cholesterol screening bb
e. Fitness training bb
bb
Med C File © 2022
bb bb bb bb
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
bb bb bb bb bb bb bb bb
Chapter 01: Health and Wellness in an Aging Society
bb bb bb bb bb bb bb bb bb
MULTIPLE CHOICE
bb bb
1. When asked bynew parents what the life expectancy is for their African American newborn, the
bb bb b bb bb bb bb bb bb bb bb bb bb bb bb
bb nurse replies that, “2010 statistics indicate that your son:
bb bb bb bb bb bb bb bb
a. will have a life expectancy of approximately 65 years.”
bb bb bb bb bb bb bb bb
b. can realistically expect to live into his late 80s.”
bb bb bb bb bb bb bb bb
c. has a good chance of celebrating his 75th birthday.”
bb bb bb bb bb bb bb bb
d. is likelyto live into his late 90s.”
bb b bb bb bb bb bb
ANS: C b b
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
expectancy of African American men is about 4.7 years less than white men. Of the options
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
above, C is the only response that fits into those parameters. The other options are not supported
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
by reliable research.
bb bb bb
DIF: Cognitive Level: Understanding REF: p. 3 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse considers which of the following?
bb bb bb bb bb bb
a. Most super-centenarians are functionally independent or require minimal
bb bb bb bb bb bb bb
assistance with activities of daily living
bb bb bb bb bb bb
b. The majorityof super-centenarians have cognitive impairment
bb b bb bb bb bb
c. The number of super-centenarians is expected to decrease in coming years as a
bb bb bb bb bb bb bb bb bb bb bb bb
result of heart disease and stroke
bb bb bb bb bb bb
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
bb bb bb bb bb bb bb bb bb b bb bb bb
mutations that made them less susceptible to common diseases
bb bb bb bb bb bb bb bb bb
ANS: A b b
Research supports that most super-centenarians are functionally and cognitively intact,
bb bb bb bb bb bb bb bb bb
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
bb bb bb bb bb bb bb bb bb bb bb bb
increase in coming years as the number of older adults increases. The reason whyindividuals
bb bb bb bb bb bb bb bb bb bb bb bb bb bb b
survived as long as they have is not known.
bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Remembering REF: p. 4 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
bb bb bb bb bb bb bb bb bb bb bb bb bb
bb diabetes, and arthritis is that: bb bb bb bb
a. theyhave less access to medication and other treatment regimens.
b bb bb bb bb bb bb bb bb
b. there was a lack of importance placed on healthy living as they were growing up.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
c. theydid not have access to immunizations against communicable disease when
b bb bb bb bb bb bb bb bb bb
they were children.
bb bb bb
d. they grew up in an era of rampant poverty and malnutrition.
bb bb bb bb bb bb bb bb bb bb
, ANS: B b b
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
bb bb bb bb bb bb bb bb bb bb bb bb bb
medication and treatment regimens than other cohorts. They have had the benefit of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
development of immunizations against communicable diseases. They grew up in an era of
bb bb bb bb bb bb bb bb bb bb bb bb bb
prosperity post-WWII. However, there was a lack of importance placed on what we now
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
consider healthy living when they were younger. Smoking, for example, was not condoned,
bb bb bb bb bb bb bb bb bb bb bb bb bb
but was considered a symbol of status. Candy in the shape of cigarettes was popular, and there
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
was much secondhand smoke.
bb bb bb bb
DIF: Cognitive Level: Remembering REF: p. 6 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
4. A nurse is planning an education program on wellness in a local senior citizen center. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse plans to provide education on the importance of immunizations, annual physical
bb bb bb bb bb bb bb bb bb bb bb bb
examinations, screening for diabetes, and vision and hearing screening. It is important for the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurse to understand which of the following?
bb bb bb bb bb bb bb
a. Approximately40% of older adults (ages 65 and older) utilize available preventive b bb bb bb bb bb bb bb bb bb bb
servicesbb
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 bb bb bb bb bb bb bb bb bb bb bb bb bb bb
and over age group
bb bb bb bb
c. The research on health promotion strategies in older adults demonstrates that they
bb bb bb bb bb bb bb bb bb bb bb
have low efficacy
bb bb bb
d. There is an abundance of research specific to health promotion and aging
bb bb bb bb bb bb bb bb bb bb bb
ANS: A b b
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are bb bb bb bb bb bb bb bb bb bb bb bb bb
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
paucity of research specific to health promotion and aging; however, the research that exists
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
demonstrates that health promotion strategies are highly effective.
bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Understanding REF: p. 7 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
bb nurse promotes functional wellness by which of the following activities?
bb bb bb bb bb bb bb bb bb
a. Encouraging the client maintains current levels of physical activity bb bb bb bb bb bb bb bb
b. Assisting the client to receive all the recommended preventive screenings that are
bb bb bb bb bb bb bb bb bb bb bb
appropriate for his age group
bb bb bb bb bb
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
distancesbb
d. Encouraging the client to attend his weekly chess games bb bb bb bb bb bb bb bb
ANS: A b b
Maintaining existing levels of physical activity is consistent with functional wellness.
bb bb bb bb bb bb bb bb bb bb
Teaching the client how to use a rolling walker enables the client to remain active at the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
highest level possible, which is an example of promoting functional wellness. Receiving
bb bb bb bb bb bb bb bb bb bb bb bb
recommended screening is an example of promoting biological wellness. The use of a rolling
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
walker should be based on assessment of physical ability. Encouraging the client to attend
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
weekly chess games is an example of promoting social wellness.
bb bb bb bb bb bb bb bb bb bb
, DIF: Cognitive Level: Applying REF: p. 10 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
includes which of the following characteristics?
bb bb bb bb bb bb
a. A Caucasian woman who lives in an urban area of a Southern state
bb bb bb bb bb bb bb bb bb bb bb bb
b. An African American woman who lives in a rural area of a Southern state
bb bb bb bb bb bb bb bb bb bb bb bb bb
c. A Hispanic man who lives in an urban area of a Midwestern state
bb bb bb bb bb bb bb bb bb bb bb bb
d. A Caucasian man who lives in a rural area of a Midwestern state
bb bb bb bb bb bb bb bb bb bb bb bb
ANS: A b b
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
bb bb bb bb bb bb bb bb bb bb bb bb
(82.8%), and living in urban areas of the Southern states.
bb bb bb bb bb bb bb bb bb bb
DIF: Cognitive Level: Applying REF: p. 5 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Health Promotion and Maintenance
b b bb bb bb bb bb
MULTIPLE RESPONSE bb
1. Primary prevention strategies for older adults include which of the following? (Select all that
bb bb bb bb bb bb bb bb bb bb bb bb bb
apply.)
bb
a. An annual influenza immunization clinic
bb bb bb bb
b. A smoking cessation program
bb bb bb
c. A prostate screening program
bb bb bb
d. A cardiac rehabilitation program
bb bb bb
e. A meal planning education program for type 2 diabetics
bb bb bb bb bb bb bb bb
ANS: A, B bb bb
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
bb bb bb bb bb bb bb bb bb bb bb bb
examples of primary prevention. Secondary prevention is the early detection of a disease or a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
health problem that has already developed. Prostate screening is an example of secondary
bb bb bb bb bb bb bb bb bb bb bb bb bb
prevention. Tertiary prevention addresses the needs of individuals who already have their
bb bb bb bb bb bb bb bb bb bb bb bb
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
bb bb bb bb bb bb bb bb bb bb bb bb
tertiary prevention.
bb bb
DIF: Cognitive Level: Applying REF: pp. 8–9 bb bb bb bb
TOP: Integrated Process: Teaching/Learning
bb b b bb bb
MSC: Client Needs: Management of Care
b b bb bb bb bb
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
areas identified by the National Prevention Council. Which of the following activities should
bb bb bb bb bb bb bb bb bb bb bb bb bb
the nurse include? (Select all that apply.)
bb bb bb bb bb bb bb
a. Smoking cessation bb
b. Depression screening bb
c. Recognizing elder abuse bb bb
d. Cholesterol screening bb
e. Fitness training bb
