TESTBANK
n
Med C File © 2022
n n n n
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
n n n n n n n n
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
n n n n n n n n n n
CHOICE
n
1. When asked bynew parents what the life expectancy is for their African American newborn, the
n n n n n n n n n n n n n n n
nnurse replies that, “2010 statistics indicate that your son:
n n n n n n n n
a. will have a life expectancy of approximately65 years.”
n n n n n n n n
b. can realistically expect to live into his late 80s.”
n n n n n n n n
c. has a good chance of celebrating his 75th birthday.”
n n n n n n n n
d. is likelyto live into his late 90s.”
n n n n n n n
ANS: C n
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy
n n n n n n n n n n n n n n n n n n n
of African American men is about 4.7 years less than white men. Of the options above, C is the only
n n n n n n n n n n n n n n n n n n n n
response that fits into those parameters. The other options are not supported by reliable research.
n n n n n n n n n n n n n n n
DIF: Cognitive Level: Understanding REF: p.3 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion and Maintenance
n n n n n n
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse
n n n n n n n n n n n n n n n n
n considers which of the following? n n n n
a. Most super-centenarians are functionally independent orrequire minimal
n n n n n n n
assistance with activities of daily living
n n n n n n
b. The majorityof super-centenarians have cognitive impairment
n n n n n n
c. The number of super-centenarians is expected to decrease in coming years as a
n n n n n n n n n n n n
result of heart disease and stroke
n n n n n n
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
n n n n n n n n n n n n n
mutations that made them less susceptible to common diseases
n n n n n n n n n
ANS: A n
Research supports that most super-centenarians are functionally and cognitively intact,
n n n n n n n n n
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
n n n n n n n n n n n n
increase in coming years as the number of older adults increases. The reason whyindividuals
n n n n n n n n n n n n n n n
survived as long as they have is not known.
n n n n n n n n n
DIF: Cognitive Level: Remembering REF: p.4 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
n n n n n n n n n n n n n
ndiabetes, and arthritis is that: n n n n
a. theyhave less access to medication and other treatment regimens.
n n n n n n n n n
b. there was a lack of importance placed on healthy living as they were growing up.
n n n n n n n n n n n n n n
c. theydid not have access to immunizations against communicable disease when
n n n n n n n n n n
they were children.
n n n
d. they grew up in an era of rampant poverty and malnutrition.
n n n n n n n n n n
, ANS: B n
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
n n n n n n n n n n n n n
medication and treatment regimens than other cohorts. They have had the benefit of the
n n n n n n n n n n n n n n
development of immunizations against communicable diseases. They grew up in an era of
n n n n n n n n n n n n n
prosperity post-WWII. However, there was a lack of importance placed on what we now consider
n n n n n n n n n n n n n n n
healthy living when they were younger. Smoking, for example, was not condoned, but was
n n n n n n n n n n n n n n
considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
n n n n n n n n n n n n n n n n n
secondhand smoke.
n n
DIF: Cognitive Level: Remembering REF: p.6 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
n n n n n n n n n n n n n n n n
plans to provide education on the importance of immunizations, annual physical examinations,
n n n n n n n n n n n n
screening for diabetes, and vision and hearing screening. It is important for the nurse to
n n n n n n n n n n n n n n n
understand which of the following?
n n n n n
a. Approximately40% of older adults (ages 65 and older) utilize available preventive n n n n n n n n n n n
servicesn
b. Preventive strategies are more widelyused in the 40-64 age group than in the 65 and n n n n n n n n n n n n n n n
over age group
n n n
c. Theresearch on health promotion strategies in older adults demonstrates that they
n n n n n n n n n n n
have low efficacy
n n n
d. There is an abundance of research specific to health promotion and aging
n n n n n n n n n n n
ANS: A n
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are n n n n n n n n n n n n n
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
n n n n n n n n n n n n n n n n n n n n
paucity of research specific to health promotion and aging; however, the research that exists
n n n n n n n n n n n n n n
demonstrates that health promotion strategies are highly effective.
n n n n n n n n
DIF: Cognitive Level: Understanding REF: p.7 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse
n n n n n n n n n n n n n n n n
promotes functional wellness by which of the following activities?
n n n n n n n n n
a. Encouraging the client maintains current levels of physical activity n n n n n n n n
b. Assistingthe client to receive all the recommended preventive screenings that are n n n n n n n n n n n
appropriate for his age group
n n n n n
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer n n n n n n n n n n n n n n n
distancesn
d. Encouragingthe client to attend his weeklychess games n n n n n n n n
ANS: A n
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
n n n n n n n n n n n
the client how to use a rolling walker enables the client to remain active at the highest level
n n n n n n n n n n n n n n n n n n
possible, which is an example of promoting functional wellness. Receiving recommended
n n n n n n n n n n n
screening is an example of promoting biological wellness. The use of a rolling walker should be
n n n n n n n n n n n n n n n n
based on assessment of physical ability. Encouraging the client to attend weekly chess games is an
n n n n n n n n n n n n n n n n
example of promoting social wellness.
n n n n n
, DIF: Cognitive Level: Applying REF: p.10 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
n n n n n n n n n n n n n n n n
nincludes which of the following characteristics?
n n n n n
a. A Caucasian woman who lives in an urban area of a Southern state
n n n n n n n n n n n n
b. An African American woman who lives in a rural area of a Southern state
n n n n n n n n n n n n n
c. A Hispanic man who lives in an urban area of a Midwestern state
n n n n n n n n n n n n
d. A Caucasian man who lives in a rural area of a Midwestern state
n n n n n n n n n n n n
ANS: A n
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
n n n n n n n n n n n n
(82.8%), and living in urban areas of the Southern states.
n n n n n n n n n n
DIF: Cognitive Level: Applying REF: p.5 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
MULTIPLE RESPONSE
n
1. Primary prevention strategies for older adults include which of the following? (Select all that
n n n n n n n n n n n n n
napply.)
a. An annual influenza immunization clinic
n n n n
b. A smoking cessation program
n n n
c. A prostate screening program
n n n
d. A cardiac rehabilitation program
n n n
e. A meal planning education program for type 2 diabetics
n n n n n n n n
ANS: A, B
n n
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
n n n n n n n n n n n n n n n
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
n n n n n n n n n n n n
examples of primary prevention. Secondary prevention is the early detection of a disease or a health
n n n n n n n n n n n n n n n n
problem that has already developed. Prostate screening is an example of secondary prevention.
n n n n n n n n n n n n n
Tertiary prevention addresses the needs of individuals who already have their wellness
n n n n n n n n n n n n
challenged. Cardiac rehabilitation and meal planning for diabetics are examples of tertiary
n n n n n n n n n n n n
prevention.
n
DIF: Cognitive Level: Applying REF: pp.8–9 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Management of Care
n n n n n
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority areas
n n n n n n n n n n n n n n n n n n n
nidentified by the National Prevention Council. Which of the following activities should the nurse
n n n n n n n n n n n n n
ninclude? (Select all that apply.)
n n n n
a. Smoking cessation n
b. Depression screening n
c. Recognizing elder abuse n n
d. Cholesterol screening n
e. Fitness training n
n
Med C File © 2022
n n n n
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
n n n n n n n n
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
n n n n n n n n n n
CHOICE
n
1. When asked bynew parents what the life expectancy is for their African American newborn, the
n n n n n n n n n n n n n n n
nnurse replies that, “2010 statistics indicate that your son:
n n n n n n n n
a. will have a life expectancy of approximately65 years.”
n n n n n n n n
b. can realistically expect to live into his late 80s.”
n n n n n n n n
c. has a good chance of celebrating his 75th birthday.”
n n n n n n n n
d. is likelyto live into his late 90s.”
n n n n n n n
ANS: C n
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy
n n n n n n n n n n n n n n n n n n n
of African American men is about 4.7 years less than white men. Of the options above, C is the only
n n n n n n n n n n n n n n n n n n n n
response that fits into those parameters. The other options are not supported by reliable research.
n n n n n n n n n n n n n n n
DIF: Cognitive Level: Understanding REF: p.3 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion and Maintenance
n n n n n n
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse
n n n n n n n n n n n n n n n n
n considers which of the following? n n n n
a. Most super-centenarians are functionally independent orrequire minimal
n n n n n n n
assistance with activities of daily living
n n n n n n
b. The majorityof super-centenarians have cognitive impairment
n n n n n n
c. The number of super-centenarians is expected to decrease in coming years as a
n n n n n n n n n n n n
result of heart disease and stroke
n n n n n n
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
n n n n n n n n n n n n n
mutations that made them less susceptible to common diseases
n n n n n n n n n
ANS: A n
Research supports that most super-centenarians are functionally and cognitively intact,
n n n n n n n n n
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
n n n n n n n n n n n n
increase in coming years as the number of older adults increases. The reason whyindividuals
n n n n n n n n n n n n n n n
survived as long as they have is not known.
n n n n n n n n n
DIF: Cognitive Level: Remembering REF: p.4 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
n n n n n n n n n n n n n
ndiabetes, and arthritis is that: n n n n
a. theyhave less access to medication and other treatment regimens.
n n n n n n n n n
b. there was a lack of importance placed on healthy living as they were growing up.
n n n n n n n n n n n n n n
c. theydid not have access to immunizations against communicable disease when
n n n n n n n n n n
they were children.
n n n
d. they grew up in an era of rampant poverty and malnutrition.
n n n n n n n n n n
, ANS: B n
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
n n n n n n n n n n n n n
medication and treatment regimens than other cohorts. They have had the benefit of the
n n n n n n n n n n n n n n
development of immunizations against communicable diseases. They grew up in an era of
n n n n n n n n n n n n n
prosperity post-WWII. However, there was a lack of importance placed on what we now consider
n n n n n n n n n n n n n n n
healthy living when they were younger. Smoking, for example, was not condoned, but was
n n n n n n n n n n n n n n
considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
n n n n n n n n n n n n n n n n n
secondhand smoke.
n n
DIF: Cognitive Level: Remembering REF: p.6 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
n n n n n n n n n n n n n n n n
plans to provide education on the importance of immunizations, annual physical examinations,
n n n n n n n n n n n n
screening for diabetes, and vision and hearing screening. It is important for the nurse to
n n n n n n n n n n n n n n n
understand which of the following?
n n n n n
a. Approximately40% of older adults (ages 65 and older) utilize available preventive n n n n n n n n n n n
servicesn
b. Preventive strategies are more widelyused in the 40-64 age group than in the 65 and n n n n n n n n n n n n n n n
over age group
n n n
c. Theresearch on health promotion strategies in older adults demonstrates that they
n n n n n n n n n n n
have low efficacy
n n n
d. There is an abundance of research specific to health promotion and aging
n n n n n n n n n n n
ANS: A n
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are n n n n n n n n n n n n n
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
n n n n n n n n n n n n n n n n n n n n
paucity of research specific to health promotion and aging; however, the research that exists
n n n n n n n n n n n n n n
demonstrates that health promotion strategies are highly effective.
n n n n n n n n
DIF: Cognitive Level: Understanding REF: p.7 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse
n n n n n n n n n n n n n n n n
promotes functional wellness by which of the following activities?
n n n n n n n n n
a. Encouraging the client maintains current levels of physical activity n n n n n n n n
b. Assistingthe client to receive all the recommended preventive screenings that are n n n n n n n n n n n
appropriate for his age group
n n n n n
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer n n n n n n n n n n n n n n n
distancesn
d. Encouragingthe client to attend his weeklychess games n n n n n n n n
ANS: A n
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
n n n n n n n n n n n
the client how to use a rolling walker enables the client to remain active at the highest level
n n n n n n n n n n n n n n n n n n
possible, which is an example of promoting functional wellness. Receiving recommended
n n n n n n n n n n n
screening is an example of promoting biological wellness. The use of a rolling walker should be
n n n n n n n n n n n n n n n n
based on assessment of physical ability. Encouraging the client to attend weekly chess games is an
n n n n n n n n n n n n n n n n
example of promoting social wellness.
n n n n n
, DIF: Cognitive Level: Applying REF: p.10 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
n n n n n n n n n n n n n n n n
nincludes which of the following characteristics?
n n n n n
a. A Caucasian woman who lives in an urban area of a Southern state
n n n n n n n n n n n n
b. An African American woman who lives in a rural area of a Southern state
n n n n n n n n n n n n n
c. A Hispanic man who lives in an urban area of a Midwestern state
n n n n n n n n n n n n
d. A Caucasian man who lives in a rural area of a Midwestern state
n n n n n n n n n n n n
ANS: A n
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
n n n n n n n n n n n n
(82.8%), and living in urban areas of the Southern states.
n n n n n n n n n n
DIF: Cognitive Level: Applying REF: p.5 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Health Promotion andMaintenance
n n n n n n
MULTIPLE RESPONSE
n
1. Primary prevention strategies for older adults include which of the following? (Select all that
n n n n n n n n n n n n n
napply.)
a. An annual influenza immunization clinic
n n n n
b. A smoking cessation program
n n n
c. A prostate screening program
n n n
d. A cardiac rehabilitation program
n n n
e. A meal planning education program for type 2 diabetics
n n n n n n n n
ANS: A, B
n n
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
n n n n n n n n n n n n n n n
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
n n n n n n n n n n n n
examples of primary prevention. Secondary prevention is the early detection of a disease or a health
n n n n n n n n n n n n n n n n
problem that has already developed. Prostate screening is an example of secondary prevention.
n n n n n n n n n n n n n
Tertiary prevention addresses the needs of individuals who already have their wellness
n n n n n n n n n n n n
challenged. Cardiac rehabilitation and meal planning for diabetics are examples of tertiary
n n n n n n n n n n n n
prevention.
n
DIF: Cognitive Level: Applying REF: pp.8–9 n n n n
TOP: Integrated Process: Teaching/Learning
n n n n
MSC: Client Needs: Management of Care
n n n n n
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority areas
n n n n n n n n n n n n n n n n n n n
nidentified by the National Prevention Council. Which of the following activities should the nurse
n n n n n n n n n n n n n
ninclude? (Select all that apply.)
n n n n
a. Smoking cessation n
b. Depression screening n
c. Recognizing elder abuse n n
d. Cholesterol screening n
e. Fitness training n
