TESTBANK
b
Med C File © 2022
b b b b
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
b b b b b b b b
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
b b b b b b b b b b
CHOICE
b
1. When asked bynew parents what the life expectancy is for their African American newborn, the
b b b b b b b b b b b b b b b
bnurse replies that, “2010 statistics indicate that your son:
b b b b b b b b
a. will have a life expectancy of approximately65 years.”
b b b b b b b b
b. can realistically expect to live into his late 80s.”
b b b b b b b b
c. has a good chance of celebrating his 75th birthday.”
b b b b b b b b
d. is likelyto live into his late 90s.”
b b b b b b b
ANS: C b
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy
b b b b b b b b b b b b b b b b b b b
of African American men is about 4.7 years less than white men. Of the options above, C is the only
b b b b b b b b b b b b b b b b b b b b
response that fits into those parameters. The other options are not supported by reliable research.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.3 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse
b b b b b b b b b b b b b b b b
b considers which of the following? b b b b
a. Most super-centenarians are functionally independent orrequire minimal
b b b b b b b
assistance with activities of daily living
b b b b b b
b. The majorityof super-centenarians have cognitive impairment
b b b b b b
c. The number of super-centenarians is expected to decrease in coming years as a
b b b b b b b b b b b b
result of heart disease and stroke
b b b b b b
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
b b b b b b b b b b b b b
mutations that made them less susceptible to common diseases
b b b b b b b b b
ANS: A b
Research supports that most super-centenarians are functionally and cognitively intact,
b b b b b b b b b
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
b b b b b b b b b b b b
increase in coming years as the number of older adults increases. The reason whyindividuals
b b b b b b b b b b b b b b b
survived as long as they have is not known.
b b b b b b b b b
DIF: Cognitive Level: Remembering REF: p.4 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
b b b b b b b b b b b b b
bdiabetes, and arthritis is that: b b b b
a. theyhave less access to medication and other treatment regimens.
b b b b b b b b b
b. there was a lack of importance placed on healthy living as they were growing up.
b b b b b b b b b b b b b b
c. theydid not have access to immunizations against communicable disease when
b b b b b b b b b b
they were children.
b b b
d. they grew up in an era of rampant poverty and malnutrition.
b b b b b b b b b b
, ANS: B b
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
b b b b b b b b b b b b b
medication and treatment regimens than other cohorts. They have had the benefit of the
b b b b b b b b b b b b b b
development of immunizations against communicable diseases. They grew up in an era of
b b b b b b b b b b b b b
prosperity post-WWII. However, there was a lack of importance placed on what we now consider
b b b b b b b b b b b b b b b
healthy living when they were younger. Smoking, for example, was not condoned, but was
b b b b b b b b b b b b b b
considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
b b b b b b b b b b b b b b b b b
secondhand smoke.
b b
DIF: Cognitive Level: Remembering REF: p.6 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
b b b b b b b b b b b b b b b b
plans to provide education on the importance of immunizations, annual physical examinations,
b b b b b b b b b b b b
screening for diabetes, and vision and hearing screening. It is important for the nurse to
b b b b b b b b b b b b b b b
understand which of the following?
b b b b b
a. Approximately40% of older adults (ages 65 and older) utilize available preventive b b b b b b b b b b b
servicesb
b. Preventive strategies are more widelyused in the 40-64 age group than in the 65 and b b b b b b b b b b b b b b b
over age group
b b b
c. Theresearch on health promotion strategies in older adults demonstrates that they
b b b b b b b b b b b
have low efficacy
b b b
d. There is an abundance of research specific to health promotion and aging
b b b b b b b b b b b
ANS: A b
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are b b b b b b b b b b b b b
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
b b b b b b b b b b b b b b b b b b b b
paucity of research specific to health promotion and aging; however, the research that exists
b b b b b b b b b b b b b b
demonstrates that health promotion strategies are highly effective.
b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.7 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse
b b b b b b b b b b b b b b b b
promotes functional wellness by which of the following activities?
b b b b b b b b b
a. Encouraging the client maintains current levels of physical activity b b b b b b b b
b. Assistingthe client to receive all the recommended preventive screenings that are b b b b b b b b b b b
appropriate for his age group
b b b b b
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer b b b b b b b b b b b b b b b
distancesb
d. Encouragingthe client to attend his weeklychess games b b b b b b b b
ANS: A b
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
b b b b b b b b b b b
the client how to use a rolling walker enables the client to remain active at the highest level
b b b b b b b b b b b b b b b b b b
possible, which is an example of promoting functional wellness. Receiving recommended
b b b b b b b b b b b
screening is an example of promoting biological wellness. The use of a rolling walker should be
b b b b b b b b b b b b b b b b
based on assessment of physical ability. Encouraging the client to attend weekly chess games is an
b b b b b b b b b b b b b b b b
example of promoting social wellness.
b b b b b
, DIF: Cognitive Level: Applying REF: p. 10 gb gb gb gb
TOP: Integrated Process: Teaching/Learning
gb g b gb gb
MSC: Client Needs: Health Promotion and Maintenance
g b gb gb gb gb gb
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
includes which of the following characteristics?
gb gb gb gb gb gb
a. A Caucasian woman who lives in an urban area of a Southern state
gb gb gb gb gb gb gb gb gb gb gb gb
b. An African American woman who lives in a rural area of a Southern state
gb gb gb gb gb gb gb gb gb gb gb gb gb
c. A Hispanic man who lives in an urban area of a Midwestern state
gb gb gb gb gb gb gb gb gb gb gb gb
d. A Caucasian man who lives in a rural area of a Midwestern state
gb gb gb gb gb gb gb gb gb gb gb gb
ANS: A gb
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
gb gb gb gb gb gb gb gb gb gb gb gb
(82.8%), and living in urban areas of the Southern states.
gb gb gb gb gb gb gb gb gb gb
DIF: Cognitive Level: Applying REF: p. 5 gb gb gb gb
TOP: Integrated Process: Teaching/Learning
gb g b gb gb
MSC: Client Needs: Health Promotion and Maintenance
g b gb gb gb gb gb
MULTIPLE RESPONSE gb
1. Primary prevention strategies for older adults include which of the following? (Select all that
gb gb gb gb gb gb gb gb gb gb gb gb gb
apply.)
gb
a. An annual influenza immunization clinic
gb gb gb gb
b. A smoking cessation program
gb gb gb
c. A prostate screening program
gb gb gb
d. A cardiac rehabilitation program
gb gb gb
e. A meal planning education program for type 2 diabetics
gb gb gb gb gb gb gb gb
ANS: A, B gb gb
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
gb gb gb gb gb gb gb gb gb gb gb gb
examples of primary prevention. Secondary prevention is the early detection of a disease or a
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
health problem that has already developed. Prostate screening is an example of secondary
gb gb gb gb gb gb gb gb gb gb gb gb gb
prevention. Tertiary prevention addresses the needs of individuals who already have their
gb gb gb gb gb gb gb gb gb gb gb gb
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
gb gb gb gb gb gb gb gb gb gb gb gb
tertiary prevention.
gb gb
DIF: Cognitive Level: Applying REF: pp. 8–9 gb gb gb gb
TOP: Integrated Process: Teaching/Learning
gb g b gb gb
MSC: Client Needs: Management of Care
g b gb gb gb gb
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
areas identified by the National Prevention Council. Which of the following activities should
gb gb gb gb gb gb gb gb gb gb gb gb gb
the nurse include? (Select all that apply.)
gb gb gb gb gb gb gb
a. Smoking cessation gb
b. Depression screening gb
c. Recognizing elder abuse gb gb
d. Cholesterol screening gb
e. Fitness training gb
b
Med C File © 2022
b b b b
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
b b b b b b b b
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
b b b b b b b b b b
CHOICE
b
1. When asked bynew parents what the life expectancy is for their African American newborn, the
b b b b b b b b b b b b b b b
bnurse replies that, “2010 statistics indicate that your son:
b b b b b b b b
a. will have a life expectancy of approximately65 years.”
b b b b b b b b
b. can realistically expect to live into his late 80s.”
b b b b b b b b
c. has a good chance of celebrating his 75th birthday.”
b b b b b b b b
d. is likelyto live into his late 90s.”
b b b b b b b
ANS: C b
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy
b b b b b b b b b b b b b b b b b b b
of African American men is about 4.7 years less than white men. Of the options above, C is the only
b b b b b b b b b b b b b b b b b b b b
response that fits into those parameters. The other options are not supported by reliable research.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.3 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse
b b b b b b b b b b b b b b b b
b considers which of the following? b b b b
a. Most super-centenarians are functionally independent orrequire minimal
b b b b b b b
assistance with activities of daily living
b b b b b b
b. The majorityof super-centenarians have cognitive impairment
b b b b b b
c. The number of super-centenarians is expected to decrease in coming years as a
b b b b b b b b b b b b
result of heart disease and stroke
b b b b b b
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
b b b b b b b b b b b b b
mutations that made them less susceptible to common diseases
b b b b b b b b b
ANS: A b
Research supports that most super-centenarians are functionally and cognitively intact,
b b b b b b b b b
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
b b b b b b b b b b b b
increase in coming years as the number of older adults increases. The reason whyindividuals
b b b b b b b b b b b b b b b
survived as long as they have is not known.
b b b b b b b b b
DIF: Cognitive Level: Remembering REF: p.4 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
b b b b b b b b b b b b b
bdiabetes, and arthritis is that: b b b b
a. theyhave less access to medication and other treatment regimens.
b b b b b b b b b
b. there was a lack of importance placed on healthy living as they were growing up.
b b b b b b b b b b b b b b
c. theydid not have access to immunizations against communicable disease when
b b b b b b b b b b
they were children.
b b b
d. they grew up in an era of rampant poverty and malnutrition.
b b b b b b b b b b
, ANS: B b
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
b b b b b b b b b b b b b
medication and treatment regimens than other cohorts. They have had the benefit of the
b b b b b b b b b b b b b b
development of immunizations against communicable diseases. They grew up in an era of
b b b b b b b b b b b b b
prosperity post-WWII. However, there was a lack of importance placed on what we now consider
b b b b b b b b b b b b b b b
healthy living when they were younger. Smoking, for example, was not condoned, but was
b b b b b b b b b b b b b b
considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
b b b b b b b b b b b b b b b b b
secondhand smoke.
b b
DIF: Cognitive Level: Remembering REF: p.6 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
b b b b b b b b b b b b b b b b
plans to provide education on the importance of immunizations, annual physical examinations,
b b b b b b b b b b b b
screening for diabetes, and vision and hearing screening. It is important for the nurse to
b b b b b b b b b b b b b b b
understand which of the following?
b b b b b
a. Approximately40% of older adults (ages 65 and older) utilize available preventive b b b b b b b b b b b
servicesb
b. Preventive strategies are more widelyused in the 40-64 age group than in the 65 and b b b b b b b b b b b b b b b
over age group
b b b
c. Theresearch on health promotion strategies in older adults demonstrates that they
b b b b b b b b b b b
have low efficacy
b b b
d. There is an abundance of research specific to health promotion and aging
b b b b b b b b b b b
ANS: A b
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are b b b b b b b b b b b b b
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
b b b b b b b b b b b b b b b b b b b b
paucity of research specific to health promotion and aging; however, the research that exists
b b b b b b b b b b b b b b
demonstrates that health promotion strategies are highly effective.
b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.7 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse
b b b b b b b b b b b b b b b b
promotes functional wellness by which of the following activities?
b b b b b b b b b
a. Encouraging the client maintains current levels of physical activity b b b b b b b b
b. Assistingthe client to receive all the recommended preventive screenings that are b b b b b b b b b b b
appropriate for his age group
b b b b b
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer b b b b b b b b b b b b b b b
distancesb
d. Encouragingthe client to attend his weeklychess games b b b b b b b b
ANS: A b
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
b b b b b b b b b b b
the client how to use a rolling walker enables the client to remain active at the highest level
b b b b b b b b b b b b b b b b b b
possible, which is an example of promoting functional wellness. Receiving recommended
b b b b b b b b b b b
screening is an example of promoting biological wellness. The use of a rolling walker should be
b b b b b b b b b b b b b b b b
based on assessment of physical ability. Encouraging the client to attend weekly chess games is an
b b b b b b b b b b b b b b b b
example of promoting social wellness.
b b b b b
, DIF: Cognitive Level: Applying REF: p. 10 gb gb gb gb
TOP: Integrated Process: Teaching/Learning
gb g b gb gb
MSC: Client Needs: Health Promotion and Maintenance
g b gb gb gb gb gb
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
includes which of the following characteristics?
gb gb gb gb gb gb
a. A Caucasian woman who lives in an urban area of a Southern state
gb gb gb gb gb gb gb gb gb gb gb gb
b. An African American woman who lives in a rural area of a Southern state
gb gb gb gb gb gb gb gb gb gb gb gb gb
c. A Hispanic man who lives in an urban area of a Midwestern state
gb gb gb gb gb gb gb gb gb gb gb gb
d. A Caucasian man who lives in a rural area of a Midwestern state
gb gb gb gb gb gb gb gb gb gb gb gb
ANS: A gb
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
gb gb gb gb gb gb gb gb gb gb gb gb
(82.8%), and living in urban areas of the Southern states.
gb gb gb gb gb gb gb gb gb gb
DIF: Cognitive Level: Applying REF: p. 5 gb gb gb gb
TOP: Integrated Process: Teaching/Learning
gb g b gb gb
MSC: Client Needs: Health Promotion and Maintenance
g b gb gb gb gb gb
MULTIPLE RESPONSE gb
1. Primary prevention strategies for older adults include which of the following? (Select all that
gb gb gb gb gb gb gb gb gb gb gb gb gb
apply.)
gb
a. An annual influenza immunization clinic
gb gb gb gb
b. A smoking cessation program
gb gb gb
c. A prostate screening program
gb gb gb
d. A cardiac rehabilitation program
gb gb gb
e. A meal planning education program for type 2 diabetics
gb gb gb gb gb gb gb gb
ANS: A, B gb gb
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
gb gb gb gb gb gb gb gb gb gb gb gb
examples of primary prevention. Secondary prevention is the early detection of a disease or a
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
health problem that has already developed. Prostate screening is an example of secondary
gb gb gb gb gb gb gb gb gb gb gb gb gb
prevention. Tertiary prevention addresses the needs of individuals who already have their
gb gb gb gb gb gb gb gb gb gb gb gb
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
gb gb gb gb gb gb gb gb gb gb gb gb
tertiary prevention.
gb gb
DIF: Cognitive Level: Applying REF: pp. 8–9 gb gb gb gb
TOP: Integrated Process: Teaching/Learning
gb g b gb gb
MSC: Client Needs: Management of Care
g b gb gb gb gb
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb gb
areas identified by the National Prevention Council. Which of the following activities should
gb gb gb gb gb gb gb gb gb gb gb gb gb
the nurse include? (Select all that apply.)
gb gb gb gb gb gb gb
a. Smoking cessation gb
b. Depression screening gb
c. Recognizing elder abuse gb gb
d. Cholesterol screening gb
e. Fitness training gb
