,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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MULTIPLE CHOICE j
1. When asked by new parents what the life expectancy is for their African American newbor n, the
j j j j j j j j j j j j j j j j
j nurse replies that, ―2010 statistics indicate that your son:
j j j j j j j j
a. will have a life expectancy of approximately 65 years.
j j j j j j j j
‖
b. can realistically expect to live into his late 80s.‖
j j j j j j j j
c. has a good chance of celebrating his 75th birthday.‖
j j j j j j j j
d. is likely to live into his late 90s.‖
j j j j j j j
ANS: C j
In 2010, men in the United States at age 60 can expect to live another 22 years. The life ex pectancy
j j j j j j j j j j j j j j j j j j j j
of African American men is about 4.7 years less than white men. Of the options ab ove, C is the only
j j j j j j j j j j j j j j j j j j j j j
response that fits into those parameters. The other options are not support ed by reliable research.
j j j j j j j j j j j j j j j j
DIF: Cognitive Level: Understanding j j
REF: p. 3 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
2. A nurse is planning care for a group of super-
j j j j j j j j j
centenarians in an assisted living facility. The nurse considers which of the following? j j j j j j j j j j j j
a. Most super-centenarians are functionally independent or require minimal assistance
j j j j j j j j
with activities of daily living
j j j j j
b. The majority of super-centenarians have cognitive impairment
j j j j j j
c. The number of super-centenarians is expected to decrease in coming years as a result
j j j j j j j j j j j j j
of heart disease and stroke
j j j j j
d. It is theorized that super- j j j j
centenarians survived as long as they have due to genetic mutations j j j j j j j j j j
that made them less susceptible to common diseases
j j j j j j j j
ANS: A j
Research supports that most super- j j j j
centenarians are functionally and cognitively intact, requiring minimal assistance with ADL j j j j j j j j j j
s. The number of super-
j j j j
centenarians is expected to increase in coming years as the number of older adults increases. The j j j j j j j j j j j j j j j
reason why individuals survived as long as they have is not known.
j j j j j j j j j j j j
DIF: Cognitive Level: Remembering j j
REF: p. 4 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart diseas e,
j j j j j j j j j j j j j j
j diabetes, and arthritis is that: j j j j
a. they have less access to medication and other treatment regimens.
j j j j j j j j j
b. there was a lack of importance placed on healthy living as they were growing u p.
j j j j j j j j j j j j j j j
c. they did not have access to immunizations against communicable disease when they
j j j j j j j j j j j
were children. j j
d. they grew up in an era of rampant poverty and malnutrition.
j j j j j j j j j j
, ANS: B j
The baby boomers, individuals born between 1946 and 1964, post-
j j j j j j j j j
WWII, have better access to medication and treatment regimens than other cohorts. They ha ve had
j j j j j j j j j j j j j j j
the benefit of the development of immunizations against communicable diseases. Th ey grew up in
j j j j j j j j j j j j j j j
an era of prosperity post-
j j j j j
WWII. However, there was a lack of importance placed on what we now consider healthy li ving
j j j j j j j j j j j j j j j j
when they were younger. Smoking, for example, was not condoned, but was considere d a
j j j j j j j j j j j j j j j
symbol of status. Candy in the shape of cigarettes was popular, and there was much sec ondhand
j j j j j j j j j j j j j j j j j
smoke.
j
DIF: Cognitive Level: Remembering j j
REF: p. 6 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
j j j j j j j j j j j j j j j j
j plans to provide education on the importance of immunizations, annual physical exa minations,
j j j j j j j j j j j j
j screening for diabetes, and vision and hearing screening. It is important for the nurse to
j j j j j j j j j j j j j j
j understand which of the following? j j j j
a. Approximately 40% of older adults (ages 65 and older) utilize available preventiv e j j j j j j j j j j j j
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 and j j j j j j j j j j j j j j j
over age groupj j j
c. The research on health promotion strategies in older adults demonstrates that they have
j j j j j j j j j j j j
low efficacy j j
d. There is an abundance of research specific to health promotion and aging j j j j j j j j j j j
ANS: A j
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that ar e j j j j j j j j j j j j j j
available to them. However, only 24% of those between the ages of 40 and 64 do so. The re is a
j j j j j j j j j j j j j j j j j j j j j
paucity of research specific to health promotion and aging; however, the research tha t exists
j j j j j j j j j j j j j j j
demonstrates that health promotion strategies are highly effective.
j j j j j j j j
DIF: Cognitive Level: Understanding j j
REF: p. 7 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
5. A nurse is caring for an 85-year-
j j j j j j
old male client with diabetes in a community setting. The nurse promotes functional we llness by
j j j j j j j j j j j j j j j
which of the following activities?
j j j j j
a. Encouraging the client maintains current levels of physical activity j j j j j j j j
b. Assisting the client to receive all the recommended preventive screenings that are j j j j j j j j j j j
appropriate for his age group
j j j j j
c. Teaching the patient how to use a rolling walker so that he can ambulate for long er j j j j j j j j j j j j j j j j
distances
d. Encouraging the client to attend his weekly chess games j j j j j j j j
ANS: A j
Maintaining existing levels of physical activity is consistent with functional wellness. Teach ing j j j j j j j j j j j j
the client how to use a rolling walker enables the client to remain active at the highest l evel possible,
j j j j j j j j j j j j j j j j j j j j
which is an example of promoting functional wellness. Receiving recommend ed screening is an
j j j j j j j j j j j j j j
example of promoting biological wellness. The use of a rolling walker sh ould be based on
j j j j j j j j j j j j j j j j
assessment of physical ability. Encouraging the client to attend weekly ch
j j j j j j j j j j j
, ess games is an example of promoting social wellness.
j j j j j j j j
W W W W W W W W
Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
W W W W W W W W
MULTIPLE CHOICE j
1. When asked by new parents what the life expectancy is for their African American newbor n, the
j j j j j j j j j j j j j j j j
j nurse replies that, ―2010 statistics indicate that your son:
j j j j j j j j
a. will have a life expectancy of approximately 65 years.
j j j j j j j j
‖
b. can realistically expect to live into his late 80s.‖
j j j j j j j j
c. has a good chance of celebrating his 75th birthday.‖
j j j j j j j j
d. is likely to live into his late 90s.‖
j j j j j j j
ANS: C j
In 2010, men in the United States at age 60 can expect to live another 22 years. The life ex pectancy
j j j j j j j j j j j j j j j j j j j j
of African American men is about 4.7 years less than white men. Of the options ab ove, C is the only
j j j j j j j j j j j j j j j j j j j j j
response that fits into those parameters. The other options are not support ed by reliable research.
j j j j j j j j j j j j j j j j
DIF: Cognitive Level: Understanding j j
REF: p. 3 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
2. A nurse is planning care for a group of super-
j j j j j j j j j
centenarians in an assisted living facility. The nurse considers which of the following? j j j j j j j j j j j j
a. Most super-centenarians are functionally independent or require minimal assistance
j j j j j j j j
with activities of daily living
j j j j j
b. The majority of super-centenarians have cognitive impairment
j j j j j j
c. The number of super-centenarians is expected to decrease in coming years as a result
j j j j j j j j j j j j j
of heart disease and stroke
j j j j j
d. It is theorized that super- j j j j
centenarians survived as long as they have due to genetic mutations j j j j j j j j j j
that made them less susceptible to common diseases
j j j j j j j j
ANS: A j
Research supports that most super- j j j j
centenarians are functionally and cognitively intact, requiring minimal assistance with ADL j j j j j j j j j j
s. The number of super-
j j j j
centenarians is expected to increase in coming years as the number of older adults increases. The j j j j j j j j j j j j j j j
reason why individuals survived as long as they have is not known.
j j j j j j j j j j j j
DIF: Cognitive Level: Remembering j j
REF: p. 4 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart diseas e,
j j j j j j j j j j j j j j
j diabetes, and arthritis is that: j j j j
a. they have less access to medication and other treatment regimens.
j j j j j j j j j
b. there was a lack of importance placed on healthy living as they were growing u p.
j j j j j j j j j j j j j j j
c. they did not have access to immunizations against communicable disease when they
j j j j j j j j j j j
were children. j j
d. they grew up in an era of rampant poverty and malnutrition.
j j j j j j j j j j
, ANS: B j
The baby boomers, individuals born between 1946 and 1964, post-
j j j j j j j j j
WWII, have better access to medication and treatment regimens than other cohorts. They ha ve had
j j j j j j j j j j j j j j j
the benefit of the development of immunizations against communicable diseases. Th ey grew up in
j j j j j j j j j j j j j j j
an era of prosperity post-
j j j j j
WWII. However, there was a lack of importance placed on what we now consider healthy li ving
j j j j j j j j j j j j j j j j
when they were younger. Smoking, for example, was not condoned, but was considere d a
j j j j j j j j j j j j j j j
symbol of status. Candy in the shape of cigarettes was popular, and there was much sec ondhand
j j j j j j j j j j j j j j j j j
smoke.
j
DIF: Cognitive Level: Remembering j j
REF: p. 6 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
j j j j j j j j j j j j j j j j
j plans to provide education on the importance of immunizations, annual physical exa minations,
j j j j j j j j j j j j
j screening for diabetes, and vision and hearing screening. It is important for the nurse to
j j j j j j j j j j j j j j
j understand which of the following? j j j j
a. Approximately 40% of older adults (ages 65 and older) utilize available preventiv e j j j j j j j j j j j j
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 and j j j j j j j j j j j j j j j
over age groupj j j
c. The research on health promotion strategies in older adults demonstrates that they have
j j j j j j j j j j j j
low efficacy j j
d. There is an abundance of research specific to health promotion and aging j j j j j j j j j j j
ANS: A j
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that ar e j j j j j j j j j j j j j j
available to them. However, only 24% of those between the ages of 40 and 64 do so. The re is a
j j j j j j j j j j j j j j j j j j j j j
paucity of research specific to health promotion and aging; however, the research tha t exists
j j j j j j j j j j j j j j j
demonstrates that health promotion strategies are highly effective.
j j j j j j j j
DIF: Cognitive Level: Understanding j j
REF: p. 7 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
j j j j j j
5. A nurse is caring for an 85-year-
j j j j j j
old male client with diabetes in a community setting. The nurse promotes functional we llness by
j j j j j j j j j j j j j j j
which of the following activities?
j j j j j
a. Encouraging the client maintains current levels of physical activity j j j j j j j j
b. Assisting the client to receive all the recommended preventive screenings that are j j j j j j j j j j j
appropriate for his age group
j j j j j
c. Teaching the patient how to use a rolling walker so that he can ambulate for long er j j j j j j j j j j j j j j j j
distances
d. Encouraging the client to attend his weekly chess games j j j j j j j j
ANS: A j
Maintaining existing levels of physical activity is consistent with functional wellness. Teach ing j j j j j j j j j j j j
the client how to use a rolling walker enables the client to remain active at the highest l evel possible,
j j j j j j j j j j j j j j j j j j j j
which is an example of promoting functional wellness. Receiving recommend ed screening is an
j j j j j j j j j j j j j j
example of promoting biological wellness. The use of a rolling walker sh ould be based on
j j j j j j j j j j j j j j j j
assessment of physical ability. Encouraging the client to attend weekly ch
j j j j j j j j j j j
, ess games is an example of promoting social wellness.
j j j j j j j j
