Test Bank For Toward Healthy Aging Human Needs and Nursing Response, 11th Edition by Theris A. Touhy DNP CNS DPNAP, Kathleen F Jett PhD GNP-BC DPNAP Chapter 1-35

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,Ebersole and Hess’ Toward Healthy Aging 11th Edition Touhy Test Bank
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Chapter 01: Aging, Health, and Wellness in a Global Community To
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uhy: Ebersole & Hess’ Toward Healthy Aging, 11th Edition
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MULTIPLE CHOICE +s




1. When asked by new parents what the life expectancy is for their African American newbor
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n, the nurse replies that, “2015 statistics indicate that your son:
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a. will have a life expectancy of approximately 65 years.”
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b. can realistically expect to live into his late 80s.”
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c. has a good chance of celebrating his 75th birthday.”
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d. is likely to live into his late 90s.”
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ANS: C + s


The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity b
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etween life expectancies for black and white Americans has narrowed significantly betwee
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n 1999 and 2015, with the death rate for blacks (African Americans) dropping by 25% (O
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ffice of Minority Health, 2017). Of the options above, C is the only response that fits into t
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hose parameters. The other options are not supported by reliable research.
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DIF: Cognitive Level: Understanding TOP: +s +s


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an +s +s +s + s +s +s +s +s


d Maintenance
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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?
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a. Most super- +s


centenarians are functionally independent or require minimal assistance +s +s +s +s +s +s +s +s


with activities NofUdRaiSlyIlN
ivGinTgB
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b. The majority of super-centenarians have cognitive impairment.
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c. The number of super- +s +s +s


centenarians is expected to decrease in coming years as a result of heart dise
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ase and stroke. +s +s


d. It is theorized that super-
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centenarians survived as long as they have due to genetic mutations that made th
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em less susceptible to common diseases.
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ANS: A + s


Research supports that most super- +s +s +s +s


centenarians are functionally and cognitively intact, requiring minimal assistance with AD
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Ls. The number of super-
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centenarians is expected to increase in coming years as the number of older adults increase
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s. Although centenarians still carry genetic markers within their chromosomes for any nu
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mber of health problems, for as yet unknown reasons, these are not “activated” until muc
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h later, if at all, when compared with other persons.
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DIF: Cognitive Level: Remembering TOP: +s +s


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an +s +s +s + s +s +s +s +s


d Maintenance
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,3. One reason why many “baby boomers” have multiple chronic conditions such as hea
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rt disease, diabetes, and arthritis is that:
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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 whe
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n they were children.
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, d. they grew up in an era of rampant poverty and malnutrition.
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ANS: B + 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
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have had the benefit of the development of immunizations against communicable diseases
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. They grew up in an era of prosperity post-
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WWII. However, there was a lack of importance placed on what we now consider healthy
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living when they were younger. Smoking, for example, was not condoned, but was consi
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dered a symbol of status. Candy in the shape of cigarettes was popular, and there was mu
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ch secondhand smoke.
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DIF: Cognitive Level: Remembering TOP: +s +s


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an +s +s +s + s +s +s +s +s


d Maintenance
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4. A nurse is planning an education program on wellness in a local senior citizen center. T
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he nurse plans to provide education on the importance of immunizations, annual physic
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al examinations, screening for diabetes, and vision and hearing screening. It is importan
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t for the nurse to understand which of the following?
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a. Less than 50% of older adults (ages 65 and older) utilize available preventi
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ve services. +s


b. Preventive strategies are more widely used in the 50-64 age- +s +s +s +s +s +s +s +s +s


group than in the 65 and over age-group. +s +s +s +s +s +s +s


c. The research on health promotion strategies in older adults demonstrates that the
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y have low efficacy.
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d. There is an abundance of research specific to health promotion and aging.
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ANS: A +s+s


Less than 50% of individuals, ages 65 and older, utilize the preventive services that are a
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vailable to them. However, only 25% of those between the ages of 50 and 64 do so. There
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is a paucity of research specific to health promotion and aging; however, the research th
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at exists demonstrates that health promotion strategies are highly effective.
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DIF: Cognitive Level: Understanding TOP: +s +s


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an +s +s +s + s +s +s +s +s


d Maintenance
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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 wel
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lness by which of the following activities?
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a. Encouraging the client to maintain current levels of physical activity +s +s +s +s +s +s +s +s +s


b. Assisting the client to receive all the recommended preventive screenings that ar
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e appropriate for his age-group
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c. Teaching the patient how to use a rolling walker so that he can ambulate for long
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er distances +s


d. Encouraging the client to attend his weekly chess game +s +s +s +s +s +s +s +s




s ANS: A
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