Ebersole and Hess’ Toward Healthy Aging 10th Edition Touhy Test Bank .pdf

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,Chapter01:Aging,Health,andWellness ina GlobalCommunityTouhy: b b h




Ebersole & Hess’ Toward Healthy Aging, 10thEdition
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MULTIPLECHOICE

1. Whenasked bynewparentswhatthelifeexpectancyis fortheir AfricanAmericannewborn, the
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nursereplies that, “2015 statistics indicate that yourson:
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a. willhavealifeexpectancyofapproximately65 years.” h




b. canrealisticallyexpect to liveinto hislate80s.” h h h h




c. has a good chanceofcelebrating his75thbirthday.”
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d. islikelytoliveintohislate90s.”
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ANS: hb




hC overalllifeexpectancyatbirthintheUnitedStatesin2015was78.8.Thedisparitybetween life
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expectanciesforblackandwhiteAmericanshasnarrowedsignificantlybetween1999and 2015,
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withthe death rate forblacks (African Americans) dropping by 25%(Officeof Minority Health,
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2017).Oftheoptionsabove, C istheonlyresponsethat fits intothose parameters. The other
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optionsarenot supported byreliable research.
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DIF: CognitiveLevel:Understanding TOP: Integrated Process:Teaching/Learning h h b




MSC: ClientNeeds: Health Promotion and Maintenance
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2. Anurseisplanning care foragroupofsuper-centenarians inanassisted livingfacility. The nurse b h h h h




considers which of the following?
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a. Mostsuper-centenarians arefunctionallyindependentorrequireminimal b




assistancewithactivitiesN
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ivGinTgB
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b. Themajorityofsuper-centenarianshavecognitiveimpairment.
c. Thenumberofsuper-centenariansisexpectedtodecreaseincomingyears as a h h b b




result of heart disease andstroke.
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d. It istheorizedthatsuper-centenarianssurvivedaslong astheyhave duetogenetic
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mutationsthat madethemless susceptible to common diseases.
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ANS: hb




A
Research
h supports thatmost super-centenarians are functionally andcognitively intact, requiring
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minimalassistancewithADLs.Thenumberofsuper-centenarians isexpectedto
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increaseincomingyearsasthenumberofolderadultsincreases.Althoughcentenariansstill
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carrygeneticmarkerswithintheirchromosomesforanynumberofhealthproblems,forasyet
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unknownreasons,thesearenot“activated”untilmuchlater,ifatall,whencomparedwithother
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persons.
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DIF: CognitiveLevel:Remembering TOP: Integrated Process:Teaching/Learning h h b h




MSC: ClientNeeds: Health Promotion and Maintenance
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3. Onereasonwhymany“babyboomers”havemultiplechronicconditions such asheart h h b h




disease, diabetes, and arthritis is that:
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a. theyhavelessaccesstomedicationandothertreatment regimens. h h




b. therewasalackofimportanceplacedonhealthylivingastheyweregrowingup. h h h h h




c. theydid nothaveaccess toimmunizationsagainstcommunicablediseasewhen
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theywerechildren.
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, d. theygrewupinanera oframpant povertyand malnutrition. h h h h b h h




ANS: hb




B
Thebabyboomers,
h individualsbornbetween1946and 1964,post-WWII,havebetteraccess to h h b h h h




medication andtreatmentregimens thanothercohorts. Theyhavehad thebenefit ofthe
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development ofimmunizations against communicable diseases. They grew upinan eraof
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prosperitypost-WWII.However,therewasalackofimportanceplacedonwhatwenow consider
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healthyliving whentheywereyounger. Smoking,forexample, wasnot condoned, but was
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consideredasymbolofstatus.Candyintheshapeofcigaretteswaspopular,andtherewas much
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secondhandsmoke.
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DIF: CognitiveLevel:Remembering TOP: Integrated Process:Teaching/Learning h h b




MSC: ClientNeeds: Health Promotion and Maintenance
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4. Anurseisplanningan educationprogram onwellness in alocalseniorcitizencenter.Thenurse
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plans toprovide education on theimportance of immunizations, annual physical
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examinations, screening fordiabetes, and vision andhearing screening. It isimportantforthe
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nurseto understand whichof the following?
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a. Less than50%ofolderadults(ages65andolder)utilizeavailablepreventive
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services.
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b. Preventivestrategiesare morewidelyused inthe50-64age-groupthaninthe65 and h h h h h h




overage-group.
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c. Theresearchonhealthpromotionstrategiesinolderadultsdemonstratesthatthey h




havelowefficacy.
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d. Thereisanabundanceofresearchspecificto health promotion andaging.
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ANS: hb




A than50%ofindividuals,ages65andolder,utilizethepreventiveservicesthatare
Less
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availabletothem. However,only25%ofthosebetweentheagesof50 and 64 doso.Thereisa
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paucityofresearchspecifictohealthpromotionandaging;however,theresearchthatexists
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demonstrates that health promotion strategies arehighly effective.
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DIF: CognitiveLevel:Understanding TOP: Integrated Process:Teaching/Learning h h b




MSC: ClientNeeds: Health Promotion and Maintenance
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5. Anurseis caring foran85-year-old maleclient withdiabetesinacommunitysetting.The nurse
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promotes functional wellness by which of thefollowing activities?
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a. Encouraging theclient to maintaincurrent levelsofphysicalactivity b h h b




b. Assistingtheclienttoreceiveall therecommended preventivescreeningsthatare b b h




appropriateforhis age-group
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c. Teachingthepatient howtousearollingwalkersothat hecanambulateforlonger h h h




distances
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d. Encouragingtheclient to attend hisweeklychessgames b b b




b ANS: A hb h

, Maintainingexistinglevelsofphysicalactivityisconsistentwithfunctionalwellness.Teaching the
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client howtousearollingwalkerenablestheclient toremainactiveatthehighestlevel possible,
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whichis an example of promotingfunctional wellness. Receiving recommended screeningisan
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exampleofpromotingbiologicalwellness.Theuseofarollingwalkershouldbe
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basedonassessmentofphysicalability. Encouragingtheclient to attendweekly chess games is an
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example of promotingsocial wellness.
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DIF: CognitiveLevel:Applying TOP: Integrated Process:Teaching/Learning h h b




MSC: ClientNeeds: Health Promotion and Maintenance
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6. Based onthecensus reportsof2015,thetypicalprofileofacentenarian includes whichofthe
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followingcharacteristics?
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a. AnAmerican womanwith no signsofdementia
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b. AJapanesewomanwithchronic inflammation h




c. AChinesemanwithan immunedisorder h




d. AnAmericanmanwhoisalifelongvegetarian h h




ANS: hb




A onthe2015U.S.Censusdata,whiletheUnitedStateshashighestnumberof centenarians,
Based
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Japanhasoverdoublethenumberrelativetothepopulationas awhole.The relativelylow number
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ofcentenarians (and super-centenarians) withdementia ofsome kind maybeexplainedbythe
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presenceofsometypeofgeneticneuroprotectivefactors.Whilemost peoplehavenormal age-
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related declines in immunefunctioning andincreases in astate of chronicinflammation,
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thisdoesnotappeartobethecase forthis groupoflonglivedpeople.
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DIF: Cognitive Level:AppNlyUinRgSI NGTB T. OCPO: MIntegratedProcess:Teaching/Learning
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MSC: Client Needs: Health Promotionand Maintenance
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MULTIPLERESPONSE

1. Primarypreventionstrategies forolder adultsincludewhichofthe following?(Selectall that h h h h




apply.)
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a. Anannualinfluenza immunizationclinic h




b. Asmokingcessationprogram
c. Aprostatescreeningprogram
d. Acardiacrehabilitationprogram h




e. Amealplanningeducationprogramfortype 2 diabetics h h




ANS: hb




hA, B
Primarypreventionreferstostrategiesthatareusedtoprevent
b anillness beforeitoccurs and h b h b




maintainingwellnessacrossthecontinuumofcare.Immunizationsandsmokingcessationare
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examplesofprimaryprevention. Secondaryprevention istheearlydetection ofadiseaseor a health
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problem thathas already developed.Prostatescreening isan exampleof secondary prevention.
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Tertiary prevention addresses the needs ofindividualswho already havetheir wellness
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challenged. Cardiac rehabilitation and meal planning fordiabetics areexamples of tertiary
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prevention.
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DIF: CognitiveLevel: Applying h TOP: IntegratedProcess:Teaching/Learning h