,Chapter 01: Health and Wellness in an Aging Society
ws ws ws ws ws ws ws ws
Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
ws ws ws ws ws ws ws ws
MULTIPLE CHOICE ws
1. When asked by new parents what the life expectancy is for their African American newborn, th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e nurse replies that, “2010 statistics indicate that your son:
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a. will have a life expectancy of approximately 65 years.” ws ws ws ws ws ws ws ws
b. can realistically expect to live into his late 80s.”
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c. has a good chance of celebrating his 75th birthday.”
ws ws ws ws ws ws ws ws
d. is likely to live into his late 90s.”
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ANS: C w s
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectan
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
cy of African American men is about 4.7 years less than white men. Of the options above, C is the
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
only response that fits into those parameters. The other options are not supported by reliable res
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
earch.
DIF: Cognitive Level: Understanding ws ws
REF: p. 3 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
2. A nurse is planning care for a group of super-
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centenarians in an assisted living facility. The nurse considers which of the following? ws ws ws ws ws ws ws ws ws ws ws ws
a. Most super-centenarians are functionally independent or require minimal
ws ws ws ws ws ws ws
assistance with activities of daily living ws ws ws ws ws
b. The majority of super-centenarians have cognitive impairment
ws ws ws ws ws ws
c. The number of super-centenarians is expected to decrease in coming years as a
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result of heart disease and stroke ws ws ws ws ws
d. It is theorized that super-centenarians survived as long as they have due to genetic
ws ws ws ws ws ws ws ws ws ws ws ws ws
mutations that made them less susceptible to common diseases ws ws ws ws ws ws ws ws
ANS: A w s
Research supports that most super- ws ws ws ws
centenarians are functionally and cognitively intact, requiring minimal assistance with ADLs. T ws ws ws ws ws ws ws ws ws ws ws
he number of super-
ws ws ws
centenarians is expected to increase in coming years as the number of older adults increases. The ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
reason why individuals survived as long as they have is not known.
ws ws ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Remembering ws ws
REF: p. 4 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease, di
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
abetes, and arthritis is that: ws ws ws ws
a. they have less access to medication and other treatment regimens.
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b. there was a lack of importance placed on healthy living as they were growing up.
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c. they did not have access to immunizations against communicable disease when
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they were children. ws ws
d. they grew up in an era of rampant poverty and malnutrition. ws ws ws ws ws ws ws ws ws ws
, ANS: B w s
The baby boomers, individuals born between 1946 and 1964, post-
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WWII, have better access to medication and treatment regimens than other cohorts. They have h
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ad the benefit of the development of immunizations against communicable diseases. They grew
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up in an era of prosperity post-
ws ws ws ws ws ws
WWII. However, there was a lack of importance placed on what we now consider healthy living
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
when they were younger. Smoking, for example, was not condoned, but was considered a symb
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ol of status. Candy in the shape of cigarettes was popular, and there was much secondhand smok
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e.
DIF: Cognitive Level: Remembering ws ws
REF: p. 6 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurs
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e plans to provide education on the importance of immunizations, annual physical examination
ws ws ws ws ws ws ws ws ws ws ws ws
s, screening for diabetes, and vision and hearing screening. It is important for the nurse to under
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
stand which of the following? ws ws ws ws
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive ws ws ws ws ws ws ws ws ws ws ws
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 ws ws ws ws ws ws ws ws ws ws ws ws ws ws
and over age group ws ws ws
c. The research on health promotion strategies in older adults demonstrates that they
ws ws ws ws ws ws ws ws ws ws ws
have low efficacy ws ws
d. There is an abundance of research specific to health promotion and aging
ws ws ws ws ws ws ws ws ws ws ws
ANS: A w s
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are av ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ailable to them. However, only 24% of those between the ages of 40 and 64 do so. There is a pau
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
city of research specific to health promotion and aging; however, the research that exists demons
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
trates that health promotion strategies are highly effective.
ws ws ws ws ws ws ws
DIF: Cognitive Level: Understanding ws ws
REF: p. 7 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
5. A nurse is caring for an 85-year-
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old male client with diabetes in a community setting. The nurse promotes functional wellnes
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s by which of the following activities?
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a. Encouraging the client maintains current levels of physical activity ws ws ws ws ws ws ws ws
b. Assisting the client to receive all the recommended preventive screenings that are ws ws ws ws ws ws ws ws ws ws ws
appropriate for his age group ws ws ws ws
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
distances
d. Encouraging the client to attend his weekly chess games ws ws ws ws ws ws ws ws
ANS: A w s
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
ws ws ws ws ws ws ws ws ws ws ws ws
the client how to use a rolling walker enables the client to remain active at the highest level possi
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ble, which is an example of promoting functional wellness. Receiving recommended screening i
ws ws ws ws ws ws ws ws ws ws ws ws
s an example of promoting biological wellness. The use of a rolling walker should be based on as
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
sessment of physical ability. Encouraging the client to attend weekly chess games is an example
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of promoting social wellness.
ws ws ws
, DIF: Cognitive Level: Applying ws ws
REF: p. 10 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States inc
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ludes which of the following characteristics?
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a. A Caucasian woman who lives in an urban area of a Southern state
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b. An African American woman who lives in a rural area of a Southern state
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c. A Hispanic man who lives in an urban area of a Midwestern state
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d. A Caucasian man who lives in a rural area of a Midwestern state
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ANS: A w s
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women (
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82.8%), and living in urban areas of the Southern states.
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DIF: Cognitive Level: Applying ws ws
REF: p. 5 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
MULTIPLE RESPONSE ws
1. Primary prevention strategies for older adults include which of the following? (Select all that ap
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ply.)
a. An annual influenza immunization clinic
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b. A smoking cessation programws ws ws
c. A prostate screening program
ws ws ws
d. A cardiac rehabilitation program
ws ws ws
e. A meal planning education program for type 2 diabetics
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ANS: A, B w s ws
Primary prevention refers to strategies that are used to prevent an illness before it occurs and mai
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ntaining wellness across the continuum of care. Immunizations and smoking cessation are examp
ws ws ws ws ws ws ws ws ws ws ws ws
les of primary prevention. Secondary prevention is the early detection of a disease or a health pr
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
oblem that has already developed. Prostate screening is an example of secondary prevention. Te
ws ws ws ws ws ws ws ws ws ws ws ws ws
rtiary prevention addresses the needs of individuals who already have their wellness challenged.
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Cardiac rehabilitation and meal planning for diabetics are examples of tertiary prevention.
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DIF: Cognitive Level: Applying REF: pp. 8– ws ws w s ws
9 TOP: Integrated Process: Teaching/Learning
ws w s ws ws
MSC: Client Needs: Management of Care
w s ws ws ws ws
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority are
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as identified by the National Prevention Council. Which of the following activities should the n
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
urse include? (Select all that apply.)
ws ws ws ws ws
a. Smoking cessation ws
b. Depression screening ws
c. Recognizing elder abuse ws ws
d. Cholesterol screening ws
e. Fitness training ws
ws ws ws ws ws ws ws ws
Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
ws ws ws ws ws ws ws ws
MULTIPLE CHOICE ws
1. When asked by new parents what the life expectancy is for their African American newborn, th
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e nurse replies that, “2010 statistics indicate that your son:
ws ws ws ws ws ws ws ws ws
a. will have a life expectancy of approximately 65 years.” ws ws ws ws ws ws ws ws
b. can realistically expect to live into his late 80s.”
ws ws ws ws ws ws ws ws
c. has a good chance of celebrating his 75th birthday.”
ws ws ws ws ws ws ws ws
d. is likely to live into his late 90s.”
ws ws ws ws ws ws ws
ANS: C w s
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectan
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
cy of African American men is about 4.7 years less than white men. Of the options above, C is the
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
only response that fits into those parameters. The other options are not supported by reliable res
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
earch.
DIF: Cognitive Level: Understanding ws ws
REF: p. 3 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
2. A nurse is planning care for a group of super-
ws ws ws ws ws ws ws ws ws
centenarians in an assisted living facility. The nurse considers which of the following? ws ws ws ws ws ws ws ws ws ws ws ws
a. Most super-centenarians are functionally independent or require minimal
ws ws ws ws ws ws ws
assistance with activities of daily living ws ws ws ws ws
b. The majority of super-centenarians have cognitive impairment
ws ws ws ws ws ws
c. The number of super-centenarians is expected to decrease in coming years as a
ws ws ws ws ws ws ws ws ws ws ws ws
result of heart disease and stroke ws ws ws ws ws
d. It is theorized that super-centenarians survived as long as they have due to genetic
ws ws ws ws ws ws ws ws ws ws ws ws ws
mutations that made them less susceptible to common diseases ws ws ws ws ws ws ws ws
ANS: A w s
Research supports that most super- ws ws ws ws
centenarians are functionally and cognitively intact, requiring minimal assistance with ADLs. T ws ws ws ws ws ws ws ws ws ws ws
he number of super-
ws ws ws
centenarians is expected to increase in coming years as the number of older adults increases. The ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
reason why individuals survived as long as they have is not known.
ws ws ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Remembering ws ws
REF: p. 4 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease, di
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
abetes, and arthritis is that: ws ws ws ws
a. they have less access to medication and other treatment regimens.
ws ws ws ws ws ws ws ws ws
b. there was a lack of importance placed on healthy living as they were growing up.
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
c. they did not have access to immunizations against communicable disease when
ws ws ws ws ws ws ws ws ws ws
they were children. ws ws
d. they grew up in an era of rampant poverty and malnutrition. ws ws ws ws ws ws ws ws ws ws
, ANS: B w s
The baby boomers, individuals born between 1946 and 1964, post-
ws ws ws ws ws ws ws ws ws
WWII, have better access to medication and treatment regimens than other cohorts. They have h
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ad the benefit of the development of immunizations against communicable diseases. They grew
ws ws ws ws ws ws ws ws ws ws ws ws ws
up in an era of prosperity post-
ws ws ws ws ws ws
WWII. However, there was a lack of importance placed on what we now consider healthy living
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
when they were younger. Smoking, for example, was not condoned, but was considered a symb
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ol of status. Candy in the shape of cigarettes was popular, and there was much secondhand smok
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e.
DIF: Cognitive Level: Remembering ws ws
REF: p. 6 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurs
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
e plans to provide education on the importance of immunizations, annual physical examination
ws ws ws ws ws ws ws ws ws ws ws ws
s, screening for diabetes, and vision and hearing screening. It is important for the nurse to under
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
stand which of the following? ws ws ws ws
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive ws ws ws ws ws ws ws ws ws ws ws
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 ws ws ws ws ws ws ws ws ws ws ws ws ws ws
and over age group ws ws ws
c. The research on health promotion strategies in older adults demonstrates that they
ws ws ws ws ws ws ws ws ws ws ws
have low efficacy ws ws
d. There is an abundance of research specific to health promotion and aging
ws ws ws ws ws ws ws ws ws ws ws
ANS: A w s
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are av ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ailable to them. However, only 24% of those between the ages of 40 and 64 do so. There is a pau
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
city of research specific to health promotion and aging; however, the research that exists demons
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
trates that health promotion strategies are highly effective.
ws ws ws ws ws ws ws
DIF: Cognitive Level: Understanding ws ws
REF: p. 7 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
5. A nurse is caring for an 85-year-
ws ws ws ws ws ws
old male client with diabetes in a community setting. The nurse promotes functional wellnes
ws ws ws ws ws ws ws ws ws ws ws ws ws
s by which of the following activities?
ws ws ws ws ws ws
a. Encouraging the client maintains current levels of physical activity ws ws ws ws ws ws ws ws
b. Assisting the client to receive all the recommended preventive screenings that are ws ws ws ws ws ws ws ws ws ws ws
appropriate for his age group ws ws ws ws
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
distances
d. Encouraging the client to attend his weekly chess games ws ws ws ws ws ws ws ws
ANS: A w s
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
ws ws ws ws ws ws ws ws ws ws ws ws
the client how to use a rolling walker enables the client to remain active at the highest level possi
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ble, which is an example of promoting functional wellness. Receiving recommended screening i
ws ws ws ws ws ws ws ws ws ws ws ws
s an example of promoting biological wellness. The use of a rolling walker should be based on as
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
sessment of physical ability. Encouraging the client to attend weekly chess games is an example
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
of promoting social wellness.
ws ws ws
, DIF: Cognitive Level: Applying ws ws
REF: p. 10 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States inc
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ludes which of the following characteristics?
ws ws ws ws ws
a. A Caucasian woman who lives in an urban area of a Southern state
ws ws ws ws ws ws ws ws ws ws ws ws
b. An African American woman who lives in a rural area of a Southern state
ws ws ws ws ws ws ws ws ws ws ws ws ws
c. A Hispanic man who lives in an urban area of a Midwestern state
ws ws ws ws ws ws ws ws ws ws ws ws
d. A Caucasian man who lives in a rural area of a Midwestern state
ws ws ws ws ws ws ws ws ws ws ws ws
ANS: A w s
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women (
ws ws ws ws ws ws ws ws ws ws ws ws ws
82.8%), and living in urban areas of the Southern states.
ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Applying ws ws
REF: p. 5 TOP: Integrated Process: Teaching w s ws ws w s ws ws
/Learning
MSC: Client Needs: Health Promotion and Maintenance
w s ws ws ws ws ws
MULTIPLE RESPONSE ws
1. Primary prevention strategies for older adults include which of the following? (Select all that ap
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ply.)
a. An annual influenza immunization clinic
ws ws ws ws
b. A smoking cessation programws ws ws
c. A prostate screening program
ws ws ws
d. A cardiac rehabilitation program
ws ws ws
e. A meal planning education program for type 2 diabetics
ws ws ws ws ws ws ws ws
ANS: A, B w s ws
Primary prevention refers to strategies that are used to prevent an illness before it occurs and mai
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
ntaining wellness across the continuum of care. Immunizations and smoking cessation are examp
ws ws ws ws ws ws ws ws ws ws ws ws
les of primary prevention. Secondary prevention is the early detection of a disease or a health pr
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
oblem that has already developed. Prostate screening is an example of secondary prevention. Te
ws ws ws ws ws ws ws ws ws ws ws ws ws
rtiary prevention addresses the needs of individuals who already have their wellness challenged.
ws ws ws ws ws ws ws ws ws ws ws ws
Cardiac rehabilitation and meal planning for diabetics are examples of tertiary prevention.
ws ws ws ws ws ws ws ws ws ws ws ws
DIF: Cognitive Level: Applying REF: pp. 8– ws ws w s ws
9 TOP: Integrated Process: Teaching/Learning
ws w s ws ws
MSC: Client Needs: Management of Care
w s ws ws ws ws
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority are
ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws ws
as identified by the National Prevention Council. Which of the following activities should the n
ws ws ws ws ws ws ws ws ws ws ws ws ws ws
urse include? (Select all that apply.)
ws ws ws ws ws
a. Smoking cessation ws
b. Depression screening ws
c. Recognizing elder abuse ws ws
d. Cholesterol screening ws
e. Fitness training ws
