,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 2nd
Canadian Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. What is the best statement about
this man’s wellness?
a. Wellness is possible, even if the patient uses medication to assist in management
of his medical care.
b. Wellness is unfortunately not a real option for the patient.
c. Wellness is the same thing as faith healing, and if the patient were more receptive,
he could be back at work in a few weeks.
d. Nursing interventions can help empower a patient to achieve a higher level of
wellness.
ANS: D
Feedback
A Incorrect. An individual must work hard to achieve wellness, just as in a job.
B Incorrect. All persons, regardless of age or life–health situation, can be helped to
achieve a higher level of wellness.
C Incorrect. Biomedical approaches and other treatments and techniques are used
to achieve realistic improvements in wellness.
D Correct. A nurse can foster wellness at all levels of the needs hierarchy.
DIF: Application REF: 8 OBJ: 2
TOP: NCLEX: Health Promotion and Maintenance
2. 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 behaviours.
b. The concept of wellness was rarely or never considered by previous generations.
c. Wellness and self-actualization develop through learning and compromise.
d. It is impossible to have wellness when one’s health is compromised.
ANS: A
Feedback
A Correct. Holistically, health includes wellness, which involves one’s whole
being.
B Incorrect. Throughout history, basic self-care requirements have been
recognized.
C Incorrect. As basic needs are met, higher level needs can be satisfied in turn,
with ever-deepening richness to life.
D Incorrect. Even with chronic illness, with multiple disabilities, or in dying,
movement toward higher wellness is possible.
DIF: Comprehension REF: 4 OBJ: 2
, TOP: NCLEX: Health Promotion and Maintenance
3. Which province or territory is predicted to have the fastest growing older-person
population in Canada between the years 2006 and 2031?
a. Ontario
b. British Columbia
c. Yukon
d. Newfoundland
ANS: C
Feedback
A Incorrect. As shown in Figure 1-1 in your text, the older-person population of
Ontario does not rise as rapidly as the older-person population of Yukon
between 2006 and 2031.
B Incorrect. As shown in Figure 1-1 in your text, the older-person population of
British Columbia does not rise as rapidly as the older-person population of
Yukon between 2006 and 2031.
C Correct. As shown in Figure 1-1 in your text, the older-person population of
Yukon rises faster than any of the other provinces and territories between 2006
and 2031.
D Incorrect. As shown in Figure 1-1 in your text, the older-person population of
Newfoundland does not rise as rapidly as the older-person population of Yukon
between 2006 and 2031.
DIF: Knowledge REF: 3 (Figure 1-1) OBJ: 3
TOP: NCLEX: Health Promotion and Maintenance
4. Historical influences that have shaped the lives of the majority of the middle-old in
Canada today include which of the following?
a. Influenza epidemic of 1918
b. Immigration from Communist Europe
c. Child-rearing during the Depression
d. World War II
ANS: D
Feedback
A Incorrect. A person who survived the influenza epidemic would be at least 93
years old in 2011 and therefore be considered old-old, or centenarian.
B Incorrect. Those who are middle-old in 2011 were born between 1920 and 1930,
before Communism swept Europe.
C Incorrect. Most of those who are middle-old in 2011 had not reached
childbearing age by the end of the Depression.
D Correct. Those who are middle-old in 2011 were in their teens and twenties
during the war; in particular, the men were very likely to have fought in it.
DIF: Comprehension REF: 2 OBJ: 3
TOP: NCLEX: Health Promotion and Maintenance
, 5. A nurse prepares for the arrival of older persons evacuated from a forest fire in northern
Manitoba 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 medication plan.
c. Help older persons to display family photos and memorabilia.
d. Help older persons to teach one another a new skill in the shelter.
ANS: B
Feedback
A Incorrect. Providing safety and security from the fire is evident and implied, as
the older persons have been evacuated from danger. The priority nursing
intervention is caring for any health concerns; e.g., medication or treatments that
were left behind.
B Correct. The nurse prepares for short-term care by prioritizing the needs of the
older persons, and this intervention helps to maintain the therapeutic plan,
thereby addressing the need for physiological integrity. Furthermore, the nurse
maintains continuity of care by preparing a medication schedule to prevent
missed doses of medication.
C Incorrect. In emergency conditions, the nurse provides basic care relating to
safety, security, and physical well-being. Maintaining a sense of belonging is
important, but not in emergency conditions.
D Incorrect. A state of emergency is not the time to develop self-esteem because
meeting safety, security, and physical needs is more important.
DIF: Analysis REF: 6-7 OBJ: 4
TOP: NCLEX: Safe and Effective Care Environment
6. According to researchers, which characteristic will most centenarians share in the future?
a. Being female
b. Having dementia
c. Being malnourished
d. Being wheelchair-bound
ANS: A
Feedback
A Correct. Researchers expect women to comprise the majority of centenarians in
the future.
B Incorrect. Gerontologists expect dementia to be common among older persons,
but they are not predicting most centenarians will have dementia.
C Incorrect. Malnutrition is common among older persons, but researchers have
not predicted that most centenarians will be malnourished.
D Incorrect. Decreased mobility is common among older persons, but researchers
have not predicted that most centenarians will be confined to a wheelchair.
DIF: Knowledge REF: 2 OBJ: 3
TOP: NCLEX: Health Promotion and Maintenance
7. Which statement describes aging in developing countries?
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 2nd
Canadian Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. What is the best statement about
this man’s wellness?
a. Wellness is possible, even if the patient uses medication to assist in management
of his medical care.
b. Wellness is unfortunately not a real option for the patient.
c. Wellness is the same thing as faith healing, and if the patient were more receptive,
he could be back at work in a few weeks.
d. Nursing interventions can help empower a patient to achieve a higher level of
wellness.
ANS: D
Feedback
A Incorrect. An individual must work hard to achieve wellness, just as in a job.
B Incorrect. All persons, regardless of age or life–health situation, can be helped to
achieve a higher level of wellness.
C Incorrect. Biomedical approaches and other treatments and techniques are used
to achieve realistic improvements in wellness.
D Correct. A nurse can foster wellness at all levels of the needs hierarchy.
DIF: Application REF: 8 OBJ: 2
TOP: NCLEX: Health Promotion and Maintenance
2. 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 behaviours.
b. The concept of wellness was rarely or never considered by previous generations.
c. Wellness and self-actualization develop through learning and compromise.
d. It is impossible to have wellness when one’s health is compromised.
ANS: A
Feedback
A Correct. Holistically, health includes wellness, which involves one’s whole
being.
B Incorrect. Throughout history, basic self-care requirements have been
recognized.
C Incorrect. As basic needs are met, higher level needs can be satisfied in turn,
with ever-deepening richness to life.
D Incorrect. Even with chronic illness, with multiple disabilities, or in dying,
movement toward higher wellness is possible.
DIF: Comprehension REF: 4 OBJ: 2
, TOP: NCLEX: Health Promotion and Maintenance
3. Which province or territory is predicted to have the fastest growing older-person
population in Canada between the years 2006 and 2031?
a. Ontario
b. British Columbia
c. Yukon
d. Newfoundland
ANS: C
Feedback
A Incorrect. As shown in Figure 1-1 in your text, the older-person population of
Ontario does not rise as rapidly as the older-person population of Yukon
between 2006 and 2031.
B Incorrect. As shown in Figure 1-1 in your text, the older-person population of
British Columbia does not rise as rapidly as the older-person population of
Yukon between 2006 and 2031.
C Correct. As shown in Figure 1-1 in your text, the older-person population of
Yukon rises faster than any of the other provinces and territories between 2006
and 2031.
D Incorrect. As shown in Figure 1-1 in your text, the older-person population of
Newfoundland does not rise as rapidly as the older-person population of Yukon
between 2006 and 2031.
DIF: Knowledge REF: 3 (Figure 1-1) OBJ: 3
TOP: NCLEX: Health Promotion and Maintenance
4. Historical influences that have shaped the lives of the majority of the middle-old in
Canada today include which of the following?
a. Influenza epidemic of 1918
b. Immigration from Communist Europe
c. Child-rearing during the Depression
d. World War II
ANS: D
Feedback
A Incorrect. A person who survived the influenza epidemic would be at least 93
years old in 2011 and therefore be considered old-old, or centenarian.
B Incorrect. Those who are middle-old in 2011 were born between 1920 and 1930,
before Communism swept Europe.
C Incorrect. Most of those who are middle-old in 2011 had not reached
childbearing age by the end of the Depression.
D Correct. Those who are middle-old in 2011 were in their teens and twenties
during the war; in particular, the men were very likely to have fought in it.
DIF: Comprehension REF: 2 OBJ: 3
TOP: NCLEX: Health Promotion and Maintenance
, 5. A nurse prepares for the arrival of older persons evacuated from a forest fire in northern
Manitoba 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 medication plan.
c. Help older persons to display family photos and memorabilia.
d. Help older persons to teach one another a new skill in the shelter.
ANS: B
Feedback
A Incorrect. Providing safety and security from the fire is evident and implied, as
the older persons have been evacuated from danger. The priority nursing
intervention is caring for any health concerns; e.g., medication or treatments that
were left behind.
B Correct. The nurse prepares for short-term care by prioritizing the needs of the
older persons, and this intervention helps to maintain the therapeutic plan,
thereby addressing the need for physiological integrity. Furthermore, the nurse
maintains continuity of care by preparing a medication schedule to prevent
missed doses of medication.
C Incorrect. In emergency conditions, the nurse provides basic care relating to
safety, security, and physical well-being. Maintaining a sense of belonging is
important, but not in emergency conditions.
D Incorrect. A state of emergency is not the time to develop self-esteem because
meeting safety, security, and physical needs is more important.
DIF: Analysis REF: 6-7 OBJ: 4
TOP: NCLEX: Safe and Effective Care Environment
6. According to researchers, which characteristic will most centenarians share in the future?
a. Being female
b. Having dementia
c. Being malnourished
d. Being wheelchair-bound
ANS: A
Feedback
A Correct. Researchers expect women to comprise the majority of centenarians in
the future.
B Incorrect. Gerontologists expect dementia to be common among older persons,
but they are not predicting most centenarians will have dementia.
C Incorrect. Malnutrition is common among older persons, but researchers have
not predicted that most centenarians will be malnourished.
D Incorrect. Decreased mobility is common among older persons, but researchers
have not predicted that most centenarians will be confined to a wheelchair.
DIF: Knowledge REF: 2 OBJ: 3
TOP: NCLEX: Health Promotion and Maintenance
7. Which statement describes aging in developing countries?
