,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best
statement about this man‘s wellness?
a. Wellness can only be achieved with
aggressive medical interventions.
b. Wellness is not a real option for this
client because he is terminally ill.
c. Wellness is defined as the absence of
disease.
d. Nursing interventions can help empower a
client to achieve a higher level of wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a
nurse can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on
the belief that every person has an optimal level of health independent of his or her
situation or functional level. Even in the presence of chronic illness or while dying, a
movement toward wellness is possible if emphasis of care is placed on the promotion of
well-being in a supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
Diagnosis MSC: 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 behaviors.
b. The concept of illness prevention was
never considered by previous generations.
c. Wellness and self-actualization develop
through learn- ing and growth.
d. Wellness is impossible when one‘s health is
compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
includes wellness, which in- volves one‘s whole being. The concept of illness prevention
was never considered by previous generations; through- out history, basic self-care
requirements have been recognized. Wellness and self-actualization develop through
learning and growth—as basic needs are met, higher level needs can be satisfied in turn,
with ever-deepening rich- ness to life. Wellness is possible when one‘s health is
compromised—even with chronic illness, with multiple dis- abilities, or in dying,
movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: C
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy of all.
In 2011, for those of His- panic origin of any race, the overall life expectancy at 65 years
,of age was 20.7 more years in 2011 (19.1 years for men and 21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
, TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical influences that have shaped the lives of the majority of the in-
between cohort in the United States today include which of the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
ANS: D
Those who are in the in-between cohort in 2016 were born between 1915 and 1945. The
men were likely to have fought in World War II. The last of the Holocaust survivors are in
this group. A person who survived the influenza epidemic would be at least 98 years old in
2016 and therefore would be considered old-old or a centenarian. Most of those who are
of the in-between cohort had not reached childbearing age by the end of the Depression.
Individuals in the in-between cohort would not have been old enough to fight in World
War II.
PTS: 1 DIF: Understand REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
5. According to researchers, which characteristic do most centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
ANS: A
Based on the U.S. census report of 2010, centenarians were overwhelmingly white,
female, and living in the urban areas of the Southern states.
PTS: 1 DIF: Remember REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
6. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the weekly
worship service
b. Wheels ambulatory adults to exercise
when running late
c. Assigns female nurses to older women who
are Islamic
d. Allows older adults in a nursing home to
eat meals alone
ANS: C
The nurse uses a holistic approach to the care of an older female adult who is Islamic
because the woman and her family are more likely to be willing participants in a
therapeutic regimen that respects a tenet of their culture. Inter- rupting an older adult‘s
worship with glucose testing can be interpreted as a lack of respect for spiritual needs. The
nurse can provide for and respect the physical and spiritual aspects of the older adult‘s life
by testing for glucose before the service begins. In transporting ambulatory adults to the
exercise program in wheelchairs to save time, the nurse disregards the need for self-
esteem and exercise, both important aspects of physical well-being. Ambulatory adults can
walk with assistance, if needed, to exercise programs and can benefit from the additional
activity and independence. The nurse can be tempted to allow an older adult to eat meals
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best
statement about this man‘s wellness?
a. Wellness can only be achieved with
aggressive medical interventions.
b. Wellness is not a real option for this
client because he is terminally ill.
c. Wellness is defined as the absence of
disease.
d. Nursing interventions can help empower a
client to achieve a higher level of wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a
nurse can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on
the belief that every person has an optimal level of health independent of his or her
situation or functional level. Even in the presence of chronic illness or while dying, a
movement toward wellness is possible if emphasis of care is placed on the promotion of
well-being in a supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
Diagnosis MSC: 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 behaviors.
b. The concept of illness prevention was
never considered by previous generations.
c. Wellness and self-actualization develop
through learn- ing and growth.
d. Wellness is impossible when one‘s health is
compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
includes wellness, which in- volves one‘s whole being. The concept of illness prevention
was never considered by previous generations; through- out history, basic self-care
requirements have been recognized. Wellness and self-actualization develop through
learning and growth—as basic needs are met, higher level needs can be satisfied in turn,
with ever-deepening rich- ness to life. Wellness is possible when one‘s health is
compromised—even with chronic illness, with multiple dis- abilities, or in dying,
movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: C
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy of all.
In 2011, for those of His- panic origin of any race, the overall life expectancy at 65 years
,of age was 20.7 more years in 2011 (19.1 years for men and 21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
, TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical influences that have shaped the lives of the majority of the in-
between cohort in the United States today include which of the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
ANS: D
Those who are in the in-between cohort in 2016 were born between 1915 and 1945. The
men were likely to have fought in World War II. The last of the Holocaust survivors are in
this group. A person who survived the influenza epidemic would be at least 98 years old in
2016 and therefore would be considered old-old or a centenarian. Most of those who are
of the in-between cohort had not reached childbearing age by the end of the Depression.
Individuals in the in-between cohort would not have been old enough to fight in World
War II.
PTS: 1 DIF: Understand REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
5. According to researchers, which characteristic do most centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
ANS: A
Based on the U.S. census report of 2010, centenarians were overwhelmingly white,
female, and living in the urban areas of the Southern states.
PTS: 1 DIF: Remember REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
6. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the weekly
worship service
b. Wheels ambulatory adults to exercise
when running late
c. Assigns female nurses to older women who
are Islamic
d. Allows older adults in a nursing home to
eat meals alone
ANS: C
The nurse uses a holistic approach to the care of an older female adult who is Islamic
because the woman and her family are more likely to be willing participants in a
therapeutic regimen that respects a tenet of their culture. Inter- rupting an older adult‘s
worship with glucose testing can be interpreted as a lack of respect for spiritual needs. The
nurse can provide for and respect the physical and spiritual aspects of the older adult‘s life
by testing for glucose before the service begins. In transporting ambulatory adults to the
exercise program in wheelchairs to save time, the nurse disregards the need for self-
esteem and exercise, both important aspects of physical well-being. Ambulatory adults can
walk with assistance, if needed, to exercise programs and can benefit from the additional
activity and independence. The nurse can be tempted to allow an older adult to eat meals
