Gero Gerontological
Nursing & Healthy Aging
5th Edition Touhy | Study
Guide & Exam Review
|Guaranteed success|
,A man is terminally ill with end-stage prostate cancer. ANS: D
Which is the best statement about this mans wellness?
a.Wellness is possible in the management of his medical Nursing interventions can help empower a client to achieve a higher level of
care. wellness; a nurse can foster wellness at all levels of the needs hierarchy.
b.Wellness is unfortunately not a real option for this Wellness is possible even if the client assists in the management of his medical
client. care; an individual must work hard to achieve wellness, similar to a job.
Wellness is unfortunately not a real option for this client; however, all persons,
c.Wellness is the same thing as faith healing, and if the regardless of age or life-health situations, can be helped to achieve a higher
client would be more receptive, then he could be back level of wellness. Wellness is the same thing as faith healing, and if the client
at work in a few weeks. would be more receptive, then he could be back at work in a few weeks;
biomedical approaches and other treatments and techniques are used to
d.Nursing interventions can help empower a client to achieve realistic improvements in wellness.
achieve a higher level of wellness. TOUHY 4TH ED TESTBANK
In differentiating between health and wellness in health ANS: A
care, which of the following statements is true?
a.Health is a broad term encompassing attitudes and Health is a broad term that encompasses attitudes and behaviors; holistically,
behaviors. health includes wellness, which involves ones whole being.
b.The concept of illness prevention was never The concept of illness prevention was never considered by previous
considered by previous generations. generations; throughout history, basic self-care requirements have been
recognized. Wellness and self-actualization develop through learning and
c.Wellness and self-actualization develop through growthas basic needs are met, higher-level needs can be satisfied in turn, with
learning and growth. ever-deepening richness to life. Wellness is impossible when ones health is
compromised even with chronic illness, with multiple disabilities, or in dying,
d.Wellness is impossible when ones health is movement toward a higher level of wellness is possible.
compromised. TOUHY 4TH ED TESTBANK
Which cultural group is predicted to have the fastest ANS: C
growing older adult population in the United States
between the years 2010 and 2050? As shown in Figure 1-1, the Hispanic older adult population is projected to be
the most rapidly increasing population segment between 2010 and 2050.
a.Native Americans
The older adult populations of all other races, combined, do not rise as rapidly
b.African Americans as the Hispanic older adult population between the years 2010 and 2050. The
African-American older adult population is expected to have the second-
c.Hispanic Americans fastest rise between 2010 and 2050. The non-Hispanic white older adult
population is projected to decrease between 2010 and 2050.
d.Asian/Pacific Island Americans TOUHY 4TH ED TESTBANK
,Historical influences that have shaped the lives of the ANS: D
majority of the middle-old population in the United
States today include which of the following? Those who are middle-old in 2005 were in their teens and 20s during World
War II; in particular, the men were likely to have fought in it.
a.Influenza epidemic of 1918
A person who survived the influenza epidemic would be at least 87 years old in
b.Immigration from communist Europe 2005 and therefore would be considered old-old or a centenarian. Those who
are middle-old in 2005 were born between 1920 and 1930, before communism
c.Child rearing in the Depression swept Europe. Most of those who are middle-old in 2005 had not reached
childbearing age by the end of the Depression.
d.World War II TOUHY 4TH ED TESTBANK
The nurse prepares for the arrival of older adults ANS: B
evacuated from a hurricane to a shelter for short-term
care. Which of the following is the priority nursing The nurse prepares for short-term care by prioritizing the needs of the older
intervention? adults, and this intervention helps maintain the therapeutic plan, thereby
a.Demonstrate that the staff is prepared to meet their addressing the need for physiological integrity. Furthermore, the nurse
needs. maintains continuity of care by preparing a medication schedule to prevent
missed doses of medication. Providing safety and security from the storm is
b.Use individual medical records to develop a Maslows second most basic need.
medication plan.
In emergency conditions, the nurse provides basic care relating to safety,
c.Help older adults display family photographs and security, and physical well-being. Maintaining a sense of belonging is important
memorabilia. but not in emergency conditions. A state of emergency is not the time to
develop self-esteem; meeting safety, security, and physical needs are more
d.Help older adults teach one another a new skill in the important.
shelter. TOUHY 4TH ED TESTBANK
According to researchers, which characteristic will most ANS: A
centenarians share in the future?
Researchers expect women to make up the majority of centenarians in the
a.Female future.
b.Demented Gerontologists expect dementia to be common among older adults, but they
are not predicting most centenarians will have dementia. Malnutrition is
c.Malnourished common among older adults, but researchers have not predicted that most
centenarians will be malnourished. Decreased mobility is common among
d.Wheelchair bound older adults, but researchers have not predicted that most centenarians will be
confined to a wheelchair.
TOUHY 4TH ED TESTBANK
Which statement describes aging in developing ANS: C
countries?
Currently, developing countries already contain two thirds of the worlds older
a.Aged dependence is likely to improve from 1:4 to 1:2. adult population.
b.The biggest problem for older adults will be the lack Aged dependence is likely to deteriorate from 1:4 to 1:2. The biggest problem
of food. of the worlds oldest adults is most likely to be a lack of regular income. Life
expectancy is increasing, but fertility is decreasing worldwide.
c.Most older adults are likely to reside in these TOUHY 4TH ED TESTBANK
countries.
d.Similar to fertility, life expectancy is increasing,
although at a different rate.
, An older woman tells the nurse that she has ANS: D
experienced increasing fatigue and shortness of breath
over the last 2 days. Which goal is the nurses priority? Investigating the complaint is the nurses priority; fatigue and shortness of
breath can indicate cardiac disease, especially in women. Women with cardiac
a.Promote safety to prevent injury. disease often exhibit atypical symptoms, and because it tends to be treated
less aggressively in women, the nurse must be careful not to miss indicators of
b.Complete nutritional assessment. potential cardiac disease. In addition, in investigating the older womans chief
complaint, the nurse investigates all possible causes.
c.Balance exercise and rest periods.
Promoting safety and preventing injury are reasonable goals to include for this
d.Explore the womans complaints. adult but are not as important as investigating the chief complaint; breathing
and circulation are two of the three most important physical needs. Completing
the nutritional assessment for this adult is reasonable because the symptoms
can be related to nutritional deficiencies; however, this assessment should be a
part of the examination of the chief complaint. Balancing rest and exercise is a
reasonable approach to a complaint of fatigue and shortness of breath if the
adult is deconditioned; however, the nurse must investigate the chief complaint
to determine whether deconditioning is a factor.
increasing, but fertility is decreasing worldwide.
TOUHY 4TH ED TESTBANK
The nurse develops a community program to promote ANS: C
exercise for older adults. Which should the nurse
include in the exercise program? Because the path to wellness includes progression, as well as regression, the
nurse shares information to help participants anticipate these events. The nurse
a.Reinforce the ease of exercising every day. encourages participants by telling them to expect periods of regression; he or
she emphasizes that progress made up to a point is not lost and explains how
b.Use exercise to relax any dietary restrictions. to approach resumption in progress toward wellness with exercise.
c.Describe ways to resume exercise after lapses. The nurse tells the participants that achieving wellness takes work and regular
effort. Rather than offering false hope, the nurse shares practical advice about
d.Participate because exercise achieves wellness. how to incorporate exercise into everyday life. The nurse avoids suggesting
that adults can look forward to relaxing dietary or medical restrictions by using
a single method; it is unethical to offer false hope, the plan can be ineffective,
and the plan can have adverse effects. The nurse avoids instructing adults to
rely on one method of achieving wellness; wellness is achieved by balancing
emotional, spiritual, social, cultural, and physical processes.
TOUHY 4TH ED TESTBANK
Nursing & Healthy Aging
5th Edition Touhy | Study
Guide & Exam Review
|Guaranteed success|
,A man is terminally ill with end-stage prostate cancer. ANS: D
Which is the best statement about this mans wellness?
a.Wellness is possible in the management of his medical Nursing interventions can help empower a client to achieve a higher level of
care. wellness; a nurse can foster wellness at all levels of the needs hierarchy.
b.Wellness is unfortunately not a real option for this Wellness is possible even if the client assists in the management of his medical
client. care; an individual must work hard to achieve wellness, similar to a job.
Wellness is unfortunately not a real option for this client; however, all persons,
c.Wellness is the same thing as faith healing, and if the regardless of age or life-health situations, can be helped to achieve a higher
client would be more receptive, then he could be back level of wellness. Wellness is the same thing as faith healing, and if the client
at work in a few weeks. would be more receptive, then he could be back at work in a few weeks;
biomedical approaches and other treatments and techniques are used to
d.Nursing interventions can help empower a client to achieve realistic improvements in wellness.
achieve a higher level of wellness. TOUHY 4TH ED TESTBANK
In differentiating between health and wellness in health ANS: A
care, which of the following statements is true?
a.Health is a broad term encompassing attitudes and Health is a broad term that encompasses attitudes and behaviors; holistically,
behaviors. health includes wellness, which involves ones whole being.
b.The concept of illness prevention was never The concept of illness prevention was never considered by previous
considered by previous generations. generations; throughout history, basic self-care requirements have been
recognized. Wellness and self-actualization develop through learning and
c.Wellness and self-actualization develop through growthas basic needs are met, higher-level needs can be satisfied in turn, with
learning and growth. ever-deepening richness to life. Wellness is impossible when ones health is
compromised even with chronic illness, with multiple disabilities, or in dying,
d.Wellness is impossible when ones health is movement toward a higher level of wellness is possible.
compromised. TOUHY 4TH ED TESTBANK
Which cultural group is predicted to have the fastest ANS: C
growing older adult population in the United States
between the years 2010 and 2050? As shown in Figure 1-1, the Hispanic older adult population is projected to be
the most rapidly increasing population segment between 2010 and 2050.
a.Native Americans
The older adult populations of all other races, combined, do not rise as rapidly
b.African Americans as the Hispanic older adult population between the years 2010 and 2050. The
African-American older adult population is expected to have the second-
c.Hispanic Americans fastest rise between 2010 and 2050. The non-Hispanic white older adult
population is projected to decrease between 2010 and 2050.
d.Asian/Pacific Island Americans TOUHY 4TH ED TESTBANK
,Historical influences that have shaped the lives of the ANS: D
majority of the middle-old population in the United
States today include which of the following? Those who are middle-old in 2005 were in their teens and 20s during World
War II; in particular, the men were likely to have fought in it.
a.Influenza epidemic of 1918
A person who survived the influenza epidemic would be at least 87 years old in
b.Immigration from communist Europe 2005 and therefore would be considered old-old or a centenarian. Those who
are middle-old in 2005 were born between 1920 and 1930, before communism
c.Child rearing in the Depression swept Europe. Most of those who are middle-old in 2005 had not reached
childbearing age by the end of the Depression.
d.World War II TOUHY 4TH ED TESTBANK
The nurse prepares for the arrival of older adults ANS: B
evacuated from a hurricane to a shelter for short-term
care. Which of the following is the priority nursing The nurse prepares for short-term care by prioritizing the needs of the older
intervention? adults, and this intervention helps maintain the therapeutic plan, thereby
a.Demonstrate that the staff is prepared to meet their addressing the need for physiological integrity. Furthermore, the nurse
needs. maintains continuity of care by preparing a medication schedule to prevent
missed doses of medication. Providing safety and security from the storm is
b.Use individual medical records to develop a Maslows second most basic need.
medication plan.
In emergency conditions, the nurse provides basic care relating to safety,
c.Help older adults display family photographs and security, and physical well-being. Maintaining a sense of belonging is important
memorabilia. but not in emergency conditions. A state of emergency is not the time to
develop self-esteem; meeting safety, security, and physical needs are more
d.Help older adults teach one another a new skill in the important.
shelter. TOUHY 4TH ED TESTBANK
According to researchers, which characteristic will most ANS: A
centenarians share in the future?
Researchers expect women to make up the majority of centenarians in the
a.Female future.
b.Demented Gerontologists expect dementia to be common among older adults, but they
are not predicting most centenarians will have dementia. Malnutrition is
c.Malnourished common among older adults, but researchers have not predicted that most
centenarians will be malnourished. Decreased mobility is common among
d.Wheelchair bound older adults, but researchers have not predicted that most centenarians will be
confined to a wheelchair.
TOUHY 4TH ED TESTBANK
Which statement describes aging in developing ANS: C
countries?
Currently, developing countries already contain two thirds of the worlds older
a.Aged dependence is likely to improve from 1:4 to 1:2. adult population.
b.The biggest problem for older adults will be the lack Aged dependence is likely to deteriorate from 1:4 to 1:2. The biggest problem
of food. of the worlds oldest adults is most likely to be a lack of regular income. Life
expectancy is increasing, but fertility is decreasing worldwide.
c.Most older adults are likely to reside in these TOUHY 4TH ED TESTBANK
countries.
d.Similar to fertility, life expectancy is increasing,
although at a different rate.
, An older woman tells the nurse that she has ANS: D
experienced increasing fatigue and shortness of breath
over the last 2 days. Which goal is the nurses priority? Investigating the complaint is the nurses priority; fatigue and shortness of
breath can indicate cardiac disease, especially in women. Women with cardiac
a.Promote safety to prevent injury. disease often exhibit atypical symptoms, and because it tends to be treated
less aggressively in women, the nurse must be careful not to miss indicators of
b.Complete nutritional assessment. potential cardiac disease. In addition, in investigating the older womans chief
complaint, the nurse investigates all possible causes.
c.Balance exercise and rest periods.
Promoting safety and preventing injury are reasonable goals to include for this
d.Explore the womans complaints. adult but are not as important as investigating the chief complaint; breathing
and circulation are two of the three most important physical needs. Completing
the nutritional assessment for this adult is reasonable because the symptoms
can be related to nutritional deficiencies; however, this assessment should be a
part of the examination of the chief complaint. Balancing rest and exercise is a
reasonable approach to a complaint of fatigue and shortness of breath if the
adult is deconditioned; however, the nurse must investigate the chief complaint
to determine whether deconditioning is a factor.
increasing, but fertility is decreasing worldwide.
TOUHY 4TH ED TESTBANK
The nurse develops a community program to promote ANS: C
exercise for older adults. Which should the nurse
include in the exercise program? Because the path to wellness includes progression, as well as regression, the
nurse shares information to help participants anticipate these events. The nurse
a.Reinforce the ease of exercising every day. encourages participants by telling them to expect periods of regression; he or
she emphasizes that progress made up to a point is not lost and explains how
b.Use exercise to relax any dietary restrictions. to approach resumption in progress toward wellness with exercise.
c.Describe ways to resume exercise after lapses. The nurse tells the participants that achieving wellness takes work and regular
effort. Rather than offering false hope, the nurse shares practical advice about
d.Participate because exercise achieves wellness. how to incorporate exercise into everyday life. The nurse avoids suggesting
that adults can look forward to relaxing dietary or medical restrictions by using
a single method; it is unethical to offer false hope, the plan can be ineffective,
and the plan can have adverse effects. The nurse avoids instructing adults to
rely on one method of achieving wellness; wellness is achieved by balancing
emotional, spiritual, social, cultural, and physical processes.
TOUHY 4TH ED TESTBANK
