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Exam (elaborations)

Gerontological Nursing & Healthy Aging (Touhy, 4th Ed.): Comprehensive Exam Review 2025

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This exam review document for Gerontological Nursing & Healthy Aging (Touhy, 4th Edition) provides questions and detailed answers focused on holistic care for the older adult population. It covers foundational concepts such as Maslow's Hierarchy of Needs (emphasizing self-actualization) and the distinction between Health and Wellness even with chronic illness or in dying. The material addresses the demographics of aging populations in the U.S., projecting the Hispanic older adult population to be the most rapidly increasing segment. Clinical application questions cover Nursing Interventions to promote wellness and the assessment of health risks, such as patient assessment data that contribute to the risk of hypothermia (e.g., CVA, diabetes history)

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Uploaded on
October 27, 2025
Number of pages
381
Written in
2025/2026
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Gerontological Nursing & Healthy Aging Touhy Exam
Newest 2025 Actual Exam Complete Questions and
Correct Detailed Answers Already Graded A+



Which option refers to the highest level of human functioning according to Maslow?

a.Biological and physical integrity



b. Safety and security



c. Self-esteem




d. Self-actualization - CORRECT ANSWER >>>ANS: D


According to Maslow, persons whose basic physical needs are met, who feel safe and secure,
and who possess self-esteem and self-efficacy can achieve self-actualization, reaching out
beyond themselves to make their lives meaningful.



Biological and physical integrity is the lowest level in Maslows hierarchy, below safety and
security. Safety and security are the second-lowest level, below self-esteem. Self-esteem is the
second-highest level, below self-actualization.

TOUHY 4TH ED TESTBANK



A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
mans wellness?

a. Wellness is possible in the management of his medical care.



1|Page

,b. Wellness is unfortunately not a real option for this client.



c. Wellness is the same thing as faith healing, and if the client would be more receptive, then he
could be back at work in a few weeks.



d. Nursing interventions can help empower a client to achieve a higher level of wellness. -
CORRECT ANSWER >>>ANS: D


Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness at all levels of the needs hierarchy.



Wellness is possible even if the client assists in the management of his medical care; an
individual must work hard to achieve wellness, similar to a job. Wellness is unfortunately not a
real option for this client; however, all persons, regardless of age or life-health situations, can be
helped to achieve a higher level of wellness. Wellness is the same thing as faith healing, and if
the client would be more receptive, then he could be back at work in a few weeks; biomedical
approaches and other treatments and techniques are used to achieve realistic improvements in
wellness.

TOUHY 4TH ED TESTBANK



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 behaviors.



b. The concept of illness prevention was never considered by previous generations.



c. Wellness and self-actualization develop through learning and growth.




2|Page

,d. Wellness is impossible when ones health is compromised. - CORRECT ANSWER >>>ANS:
A



Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves ones whole being.



The concept of illness prevention was never considered by previous generations; throughout
history, basic self-care requirements have been recognized. Wellness and self-actualization
develop through learning and growthas basic needs are met, higher-level needs can be satisfied
in turn, with ever-deepening richness to life. Wellness is impossible when ones health is
compromised even with chronic illness, with multiple disabilities, or in dying, movement toward
a higher level of wellness is possible.

TOUHY 4TH ED TESTBANK



Which cultural group is predicted to have the fastest growing older adult population in the
United States between the years 2010 and 2050?



a. Native Americans



b. African Americans



c. Hispanic Americans




d. Asian/Pacific Island Americans - CORRECT ANSWER >>>ANS: C


As shown in Figure 1-1, the Hispanic older adult population is projected to be the most rapidly
increasing population segment between 2010 and 2050.




3|Page

, The older adult populations of all other races, combined, do not rise as rapidly as the Hispanic
older adult population between the years 2010 and 2050. The African-American older adult
population is expected to have the second-fastest rise between 2010 and 2050. The
nonHispanic white older adult population is projected to decrease between 2010 and 2050.
TOUHY 4TH ED TESTBANK



Historical influences that have shaped the lives of the majority of the middle-old population in
the United States today include which of the following?



a. Influenza epidemic of 1918



b. Immigration from communist Europe



c. Child rearing in the Depression




d. World War II - CORRECT ANSWER >>>ANS: D


Those who are middle-old in 2005 were in their teens and 20s during World War II; in particular,
the men were likely to have fought in it.



A person who survived the influenza epidemic would be at least 87 years old in 2005 and
therefore would be considered old-old or a centenarian. Those who are middle-old in 2005
were born between 1920 and 1930, before communism swept Europe. Most of those who are
middle-old in 2005 had not reached childbearing age by the end of the Depression. TOUHY
4TH ED TESTBANK



The nurse prepares for the arrival of older adults evacuated from a hurricane 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.



4|Page

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