EBERSOLE AND HESS' TOWARD HEALTHY
AGING 10TH EDITION TOUHY TEST BANK
Chapter 01: Aging, Health, and Wellness in a Global Community Touhy: Ebersole &
Hess’ Toward Healthy Aging, 10th Edition
MULTIPLE CHOICE
,• When asked by new parents what the life expectancy is for their African American
newborn, the nurse replies that, “2015 statistics indicate that your son:
• will have a life expectancy of approximately 65 years.”
• can realistically expect to live into his late 80s.”
• has a good chance of celebrating his 75th birthday.”
• is likely to live into his late 90s.”
ANS: C
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity between
life expectancies for black and white Americans has narrowed significantly between 1999 and
2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minority
Health, 2017). 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 TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• A nurse is planning care for a group of super-centenarians in an assisted living facility.
The nurse considers which of the following?
• Most super-centenarians are functionally independent or require minimal assistance with
activities No fUdRaiSlyIlNivGinTgB
.
• The majority of super-centenarians have cognitive impairment.
• The number of super-centenarians is expected to decrease in coming years as a result of
heart disease and stroke.
• 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. Although centenarians still carry genetic
markers within their chromosomes for any number of health problems, for as yet unknown
reasons, these are not “activated” until much later, if at all, when compared with other persons.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• One reason why many “baby boomers” have multiple chronic conditions such as heart
disease, diabetes, and arthritis is that:
• they have less access to medication and other treatment regimens.
• there was a lack of importance placed on healthy living as they were growing up.
• they did not have access to immunizations against communicable disease when they were
children.
• 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 TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• 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?
• Less than 50% of older adults (ages 65 and older) utilize available preventive services.
• Preventive strategies are more widely used in the 50-64 age-group than in the 65 and over
age-group.
• The research on health promotion strategies in older adults demonstrates that they have
low efficacy.
• There is an abundance of research specific to health promotion and aging.
ANS: A
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are available
to them. However, only 25% of those between the ages of 50 and 64 do so. There is a paucity of
research specific to health promotion and aging; however, the research that exists demonstrates
that health promotion strategies are highly effective.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• A nurse is caring for an 85-year-old male patient with diabetes in a community setting.
The nurse promotes functional wellness by which of the following activities?
• Encouraging the patient to maintain current levels of physical activity
• Assisting the patient to receive all the recommended preventive screenings that are
appropriate for his age-group
• Teaching the patient how to use a rolling walker so that he can ambulate for longer
distances
• Encouraging the patient to attend his weekly chess games ANS: A
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
the patient how to use a rolling walker enables the patient 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 patient to attend weekly chess games is
an example of promoting social wellness.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: patient
Needs: Health Promotion and Maintenance
• Based on the census reports of 2015, the typical profile of a centenarian includes which of
the following characteristics?
• An American woman with no signs of dementia
• A Japanese woman with chronic inflammation
• A Chinese man with an immune disorder
• An American man who is a lifelong vegetarian
ANS: A
Based on the 2015 U.S. Census data, while the United States has highest number of centenarians,
Japan has over double the number relative to the population as a whole. The relatively low
number of centenarians (and super-centenarians) with dementia of some kind may be explained
by the presence of some type of genetic neuroprotective factors. While most people have normal
age-related declines in immune functioning and increases in a state of chronic inflammation, this
does not appear to be the case for this group of long lived people.
DIF: Cognitive Level: Ap pNl yUinRgS I NG T B T. O
C PO: M Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
• Primary prevention strategies for older adults include which of the following? (Select all
that apply.)
• An annual influenza immunization clinic
• A smoking cessation program
• A prostate screening program
• A cardiac rehabilitation program
• 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 TOP: Integrated Process: Teaching/Learning
AGING 10TH EDITION TOUHY TEST BANK
Chapter 01: Aging, Health, and Wellness in a Global Community Touhy: Ebersole &
Hess’ Toward Healthy Aging, 10th Edition
MULTIPLE CHOICE
,• When asked by new parents what the life expectancy is for their African American
newborn, the nurse replies that, “2015 statistics indicate that your son:
• will have a life expectancy of approximately 65 years.”
• can realistically expect to live into his late 80s.”
• has a good chance of celebrating his 75th birthday.”
• is likely to live into his late 90s.”
ANS: C
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity between
life expectancies for black and white Americans has narrowed significantly between 1999 and
2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minority
Health, 2017). 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 TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• A nurse is planning care for a group of super-centenarians in an assisted living facility.
The nurse considers which of the following?
• Most super-centenarians are functionally independent or require minimal assistance with
activities No fUdRaiSlyIlNivGinTgB
.
• The majority of super-centenarians have cognitive impairment.
• The number of super-centenarians is expected to decrease in coming years as a result of
heart disease and stroke.
• 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. Although centenarians still carry genetic
markers within their chromosomes for any number of health problems, for as yet unknown
reasons, these are not “activated” until much later, if at all, when compared with other persons.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• One reason why many “baby boomers” have multiple chronic conditions such as heart
disease, diabetes, and arthritis is that:
• they have less access to medication and other treatment regimens.
• there was a lack of importance placed on healthy living as they were growing up.
• they did not have access to immunizations against communicable disease when they were
children.
• 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 TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• 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?
• Less than 50% of older adults (ages 65 and older) utilize available preventive services.
• Preventive strategies are more widely used in the 50-64 age-group than in the 65 and over
age-group.
• The research on health promotion strategies in older adults demonstrates that they have
low efficacy.
• There is an abundance of research specific to health promotion and aging.
ANS: A
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are available
to them. However, only 25% of those between the ages of 50 and 64 do so. There is a paucity of
research specific to health promotion and aging; however, the research that exists demonstrates
that health promotion strategies are highly effective.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
• A nurse is caring for an 85-year-old male patient with diabetes in a community setting.
The nurse promotes functional wellness by which of the following activities?
• Encouraging the patient to maintain current levels of physical activity
• Assisting the patient to receive all the recommended preventive screenings that are
appropriate for his age-group
• Teaching the patient how to use a rolling walker so that he can ambulate for longer
distances
• Encouraging the patient to attend his weekly chess games ANS: A
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
the patient how to use a rolling walker enables the patient 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 patient to attend weekly chess games is
an example of promoting social wellness.
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: patient
Needs: Health Promotion and Maintenance
• Based on the census reports of 2015, the typical profile of a centenarian includes which of
the following characteristics?
• An American woman with no signs of dementia
• A Japanese woman with chronic inflammation
• A Chinese man with an immune disorder
• An American man who is a lifelong vegetarian
ANS: A
Based on the 2015 U.S. Census data, while the United States has highest number of centenarians,
Japan has over double the number relative to the population as a whole. The relatively low
number of centenarians (and super-centenarians) with dementia of some kind may be explained
by the presence of some type of genetic neuroprotective factors. While most people have normal
age-related declines in immune functioning and increases in a state of chronic inflammation, this
does not appear to be the case for this group of long lived people.
DIF: Cognitive Level: Ap pNl yUinRgS I NG T B T. O
C PO: M Integrated Process: Teaching/Learning MSC:
patient Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
• Primary prevention strategies for older adults include which of the following? (Select all
that apply.)
• An annual influenza immunization clinic
• A smoking cessation program
• A prostate screening program
• A cardiac rehabilitation program
• 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 TOP: Integrated Process: Teaching/Learning
