Ebersole & Hess' Toward Healthy Aging: Human Needs and Nursing
Response
by Theris A. Touhy, Kathleen F Jett
11th Edition
FULL TEST BANK!!!
,Touhy: Ebersole & Hess' Toward Healthy Aging, 11th Edition
Chapter 01: Health and Wellness in an Aging Society
MULTIPLE CHOICE
1. When asked by new parents what the life expectancy is for their African American newborn,
the nurse replies that, “2010 statistics indicate that your son:
a. will have a life expectancy of approximately 65 years.”
b. can realistically expect to live into his late 80s.”
c. has a good chance of celebrating his 75th birthday.”
d. is likely to live into his late 90s.”
ANS: C
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
expectancy of African American men is about 4.7 years less than white men. Of the options
above, C is the only response that fits into those parameters. The other options are not
supported by reliable research.
DIF: Cognitive Level: Understanding REF: p. 3
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
nurse considers which of the following?
a. Most super-centenarians are functionally independent or require minimal
assistance with activities of daily living
b. The majority of super-centenarians have cognitive impairment
c. The number of super-centenarians is expected to decrease in coming years as a
result of heart disease and stroke
d. It is theorized that super-centenarians survived as long as they have due to genetic
mutations that made them less susceptible to common diseases
ANS: A
Research supports that most super-centenarians are functionally and cognitively intact,
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
increase in coming years as the number of older adults increases. The reason why individuals
survived as long as they have is not known.
DIF: Cognitive Level: Remembering REF: p. 4
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens.
b. there was a lack of importance placed on healthy living as they were growing up.
c. they did not have access to immunizations against communicable disease when
they were children.
d. they grew up in an era of rampant poverty and malnutrition.
, ANS: B
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access
to medication and treatment regimens than other cohorts. They have had the benefit of the
development of immunizations against communicable diseases. They grew up in an era of
prosperity post-WWII. However, there was a lack of importance placed on what we now
consider healthy living when they were younger. Smoking, for example, was not condoned,
but was considered a symbol of status. Candy in the shape of cigarettes was popular, and there
was much secondhand smoke.
DIF: Cognitive Level: Remembering REF: p. 6
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
4. A nurse is planning an education program on wellness in a local senior citizen center. The
nurse plans to provide education on the importance of immunizations, annual physical
examinations, screening for diabetes, and vision and hearing screening. It is important for the
nurse to understand which of the following?
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65
and over age group
c. The research on health promotion strategies in older adults demonstrates that they
have low efficacy
d. There is an abundance of research specific to health promotion and aging
ANS: A
In een40%
Approximately oudofvissersdorp
individuals, aan
agesde 65 Noordzee woonde
and older, utilize theeen meisje services that are
preventive
genaamd
available to Lotte. Ze
them. However, onlywas
24% dolofop schelpen
those between enthe
verzamelde
ages of 40 andelke64 do so. There is
dag
a paucity of nieuwe
research exemplaren
specific to healthoppromotion
het strand.andOp eenhowever,
aging; mistige ochtend
the research that exists
vond ze een schelp die anders was dan alle
demonstrates that health promotion strategies are highly effective. andere: hij gloeide
zachtjes blauw op. Toen ze hem tegen haar oor hield, hoorde
ze nietLevel:
DIF: Cognitive de zee, maar een zachte
Understanding REF: p.stem
7 die fluisterde: “Breng me
naar huis.” Lotte volgde het geluid de hele dag. Ze liep over
TOP: Integrated Process: Teaching/Learning
duinen,
MSC: Client Needs:door
Healthweilanden en langs
Promotion and smalle paadjes tot ze bij een
Maintenance
verborgen grot kwam. Binnenin stond een oud altaar met
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
honderden schelpen. Ze legde de gloeiende schelp ertussen
nurse promotes functional wellness by which of the following activities?
en plotseling
a. Encouraging the clientbegon de grot
maintains te stralen.
current levels ofUit het licht
physical verscheen
activity
eenthe
b. Assisting zeemeermin die zei:
client to receive “Dank
all the je. Deze schelp
recommended wasscreenings
preventive mijn stem. that are
Nu ben
appropriate forikhisweer vrij.” Als dank gaf ze Lotte een kleine parel die
age group
altijd
c. Teaching thewarm
patientbleef.
how Vanaf
to use adie dag walker
rolling vond Lotte
so thatnooit meer
he can een for longer
ambulate
gewone schelp zonder glimlach. Ze wist dat de zee haar vriend
distances
was enthe
d. Encouraging datclient
sommige wonderen
to attend his weekly alleen
chessverschijnen
games aan wie echt
luistert. Het dorp vertelde haar verhaal nog jaren door.
ANS: A
Maintaining existing levels of physical activity is consistent with functional wellness.
Teaching the client how to use a rolling walker enables the client to remain active at the
highest level possible, which is an example of promoting functional wellness. Receiving
recommended screening is an example of promoting biological wellness. The use of a rolling
walker should be based on assessment of physical ability. Encouraging the client to attend
weekly chess games is an example of promoting social wellness.
, DIF: Cognitive Level: Applying REF: p. 10
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
includes which of the following characteristics?
a. A Caucasian woman who lives in an urban area of a Southern state
b. An African American woman who lives in a rural area of a Southern state
c. A Hispanic man who lives in an urban area of a Midwestern state
d. A Caucasian man who lives in a rural area of a Midwestern state
ANS: A
Based liten
on theby2010
vid U.S.
en frusen
Censussjö bodde
data, en gammal
centenarians wereman som het Erik.
overwhelmingly white (82.5%),
women (82.8%), and living in urban areas of the Southern states. när veden
Han hade en gammal vedspis som alltid brann, även
tog slut. Varje kväll satt han där och berättade historier för sin
DIF: katt, Måne.
Cognitive EnApplying
Level: vinternatt hördeREF:han p.ett5 knackande på dörren.
Utanför stod
TOP: Integrated en Teaching/Learning
Process: liten flicka med röda kinder och frusna fingrar.
Hon sa att hon hade
MSC: Client Needs: Health gått vilse.
Promotion Erik bjöd in henne, gav henne
and Maintenance
varm choklad och lät henne sova i sin egen säng. Nästa
morgon var flickan borta, men på bordet låg en liten snöflinga
MULTIPLE RESPONSE
av glas som aldrig smälte. Erik hängde den i fönstret. Varje
1. Primarygång solen sken
prevention genom
strategies den skapades
for older regnbågar
adults include which oföver hela
the following? (Select all that
apply.)rummet. Folk i byn började kalla hans hus för “regnbågshuset”.
a. AnÅren
annualgick, och Erik
influenza blev äldre,clinic
immunization men snöflingan lyste alltid. En
dag kom en vuxen kvinna till dörren. Det var flickan från den
b. A smoking cessation program
c. A prostate screening
vinternatten. Honprogram
hade blivit läkare och ville tacka honom. Erik
d. A cardiac rehabilitation program
log och sa: “Du var aldrig vilse. D
e. A meal planning education program for type 2 diabetics
ANS: A, B
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
examples of primary prevention. Secondary prevention is the early detection of a disease or a
health problem that has already developed. Prostate screening is an example of secondary
prevention. Tertiary prevention addresses the needs of individuals who already have their
wellness challenged. Cardiac rehabilitation and meal planning for diabetics are examples of
tertiary prevention.
DIF: Cognitive Level: Applying REF: pp. 8–9
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Management of Care
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
areas identified by the National Prevention Council. Which of the following activities should
the nurse include? (Select all that apply.)
a. Smoking cessation
b. Depression screening
c. Recognizing elder abuse
d. Cholesterol screening
e. Fitness training