10TH EDITION\ALL CHAPTERS COVERED WITH QUESTIONS AND
ANSWERS LATEST VERSION [CHAPTER 1-36] GRADE A QUARANTEED
,TABLE OF CONTENTS
CHAPTER 01: AGING, HEALTH, AND WELLNESS IN A GLOBAL COMMUNITY............................................ 3
CHAPTER 02: GERONTOLOGICAL NURSING: PAST, PRESENT, AND FUTURE ............................................ 9
CHAPTER 03: THEORIES AND PROCESSES OF AGING .............................................................................. 15
CHAPTER 04: CROSS-CULTURAL CARING AND AGING ............................................................................ 22
CHAPTER 05: COGNITION AND LEARNING.............................................................................................. 28
CHAPTER 06: COMMUNICATING WITH OLDER ADULTS ......................................................................... 32
CHAPTER 07: HEALTH ASSESSMENT ....................................................................................................... 37
CHAPTER 08: LABORATORY DIAGNOSTICS AND GERIATRICS ................................................................. 43
CHAPTER 09: GEROPHARMACOLOGY ..................................................................................................... 49
CHAPTER 10: THE USE OF DIETARY SUPPLEMENTS: FOCUS ON HERBAL PRODUCTS ............................. 57
CHAPTER 11: VISION ............................................................................................................................... 63
CHAPTER 12: HEARING............................................................................................................................ 69
CHAPTER 13: SKIN CARE.......................................................................................................................... 73
CHAPTER 14: NUTRITION ........................................................................................................................ 79
CHAPTER 15: HYDRATION AND ORAL CARE............................................................................................ 85
CHAPTER 16: ELIMINATION .................................................................................................................... 91
CHAPTER 17: SLEEP ................................................................................................................................. 96
CHAPTER 18: PHYSICAL ACTIVITY AND EXERCISE ................................................................................. 102
CHAPTER 19: FALLS AND FALL RISK REDUCTION .................................................................................. 106
CHAPTER 20: SAFETY AND SECURITY .................................................................................................... 112
CHAPTER 21: LIVING WELL WITH CHRONIC ILLNESS ............................................................................ 117
CHAPTER 22: CARDIOVASCULAR AND CEREBROVASCULAR HEALTH AND WELLNESS ......................... 121
CHAPTER 23: NEURODEGENERATIVE DISORDERS ................................................................................ 127
CHAPTER 24: ENDOCRINE AND IMMUNE DISORDERS.......................................................................... 133
CHAPTER 25: RESPIRATORY HEALTH AND ILLNESS ............................................................................... 139
CHAPTER 26: COMMON MUSCULOSKELETAL CONCERNS .................................................................... 144
CHAPTER 27: PAIN AND COMFORT....................................................................................................... 150
CHAPTER 28: MENTAL HEALTH ............................................................................................................. 158
CHAPTER 29: CARE OF INDIVIDUALS WITH NEUROCOGNITIVE DISORDERS ........................................ 166
CHAPTER 30: ECONOMICS AND HEALTH CARE IN LATER LIFE .............................................................. 172
, CHAPTER 31: COMMON LEGAL AND ETHICAL ISSUES .......................................................................... 177
CHAPTER 32: LONG-TERM CARE ........................................................................................................... 183
CHAPTER 33: INTIMACY AND SEXUALITY .............................................................................................. 189
CHAPTER 34: RELATIONSHIPS, ROLES, AND TRANSITIONS ................................................................... 195
CHAPTER 35: LOSS, DEATH, AND PALLIATIVE CARE .............................................................................. 201
CHAPTER 36: SELF-ACTUALIZATION, SPIRITUALITY, AND TRANSCENDENCE ........................................ 208
CHAPTER 01: AGING, HEALTH, AND WELLNESS IN A GLOBAL COMMUNITY
MULTIPLE CHOICE
1. 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:
A. WILL HAVE A LIFE EXPECTANCY OF APPROXIMATELY 65 YEARS.”
B. CAN REALISTICALLY EXPECT TO LIVE INTO HIS LATE 80S.”
C. HAS A GOOD CHANCE OF CELEBRATING HIS 75TH BIRTHDAY.”
D. IS LIKELY TO LIVE INTO HIS LATE 90S.”
ANSWER: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: CLIENT NEEDS: HEALTH PROMOTION AND MAINTENANCE
2. A NURSE IS PLANNING CARE FOR A GROUP OF SUPER-CENTENARIANS IN AN ASSISTED LIVING
FACILITY. THE NURSE CONSIDERS WHICH OF THE FOLLOWING?
A. MOST SUPER-CENTENARIANS ARE FUNCTIONALLY INDEPENDENT OR REQUIRE MINIMAL
ASSISTANCE WITH ACTIVITIES OF DAILY LIVING.
B. THE MAJORITY OF SUPER-CENTENARIANS HAVE COGNITIVE IMPAIRMENT.
, C. THE NUMBER OF SUPER-CENTENARIANS IS EXPECTED TO DECREASE IN COMING YEARS AS A
RESULT OF HEART DISEASE AND STROKE.
D. IT IS THEORIZED THAT SUPER-CENTENARIANS SURVIVED AS LONG AS THEY HAVE DUE TO
GENETIC MUTATIONS THAT MADE THEM LESS SUSCEPTIBLE TO COMMON DISEASES.
ANSWER: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: CLIENT NEEDS: HEALTH PROMOTION AND MAINTENANCE
3. ONE REASON WHY MANY “BABY BOOMERS” HAVE MULTIPLE CHRONIC CONDITIONS SUCH AS
HEART DISEASE, DIABETES, AND ARTHRITIS IS THAT:
A. THEY HAVE LESS ACCESS TO MEDICATION AND OTHER TREATMENT REGIMENS.
B. THERE WAS A LACK OF IMPORTANCE PLACED ON HEALTHY LIVING AS THEY WERE GROWING UP.
C. THEY DID NOT HAVE ACCESS TO IMMUNIZATIONS AGAINST COMMUNICABLE DISEASE WHEN
THEY WERE CHILDREN.
D. THEY GREW UP IN AN ERA OF RAMPANT POVERTY AND MALNUTRITION.
ANSWER: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: CLIENT NEEDS: HEALTH PROMOTION AND MAINTENANCE