Med C File © 2022
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
Chapter 01: Health and Wellness in an Aging Society
MULTIPLE CHOICE
1. When asked by new parents what the life expectancy is for their African American newborn,
the nurse replies that, “2010 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.”
ANS: C
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
expectancy of African American men is about 4.7 years less than white men. 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 REF: p. 3
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
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. The reason why individuals
survived as long as they have is not known.
DIF: Cognitive Level: Remembering REF: p. 4
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.
, 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 REF: p. 6
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
4. 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?
a. Approximately 40% of older adults (ages 65 and older) utilize available preventive
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65
and over age group
c. The research on health promotion strategies in older adults demonstrates that they
have low efficacy
d. There is an abundance of research specific to health promotion and aging
ANS: A
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are
available to them. However, only 24% of those between the ages of 40 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 REF: p. 7
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
nurse promotes functional wellness by which of the following activities?
a. Encouraging the client maintains current levels of physical activity
b. Assisting the client to receive all the recommended preventive screenings that are
appropriate for his age group
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
distances
d. Encouraging the client to attend his weekly chess games
ANS: A
Maintaining existing levels of physical activity is consistent with functional wellness.
Teaching the client how to use a rolling walker enables the client 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 client to attend
weekly chess games is an example of promoting social wellness.
, DIF: Cognitive Level: Applying REF: p. 10
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
includes which of the following characteristics?
a. A Caucasian woman who lives in an urban area of a Southern state
b. An African American woman who lives in a rural area of a Southern state
c. A Hispanic man who lives in an urban area of a Midwestern state
d. A Caucasian man who lives in a rural area of a Midwestern state
ANS: A
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%),
women (82.8%), and living in urban areas of the Southern states.
DIF: Cognitive Level: Applying REF: p. 5
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
MULTIPLE RESPONSE
1. Primary prevention strategies for older adults include which of the following? (Select all that
apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. 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 REF: pp. 8–9
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Management of Care
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority
areas identified by the National Prevention Council. Which of the following activities should
the nurse include? (Select all that apply.)
a. Smoking cessation
b. Depression screening
c. Recognizing elder abuse
d. Cholesterol screening
e. Fitness training
, ANS: A, B, C
The qsix qpriority qareas qof qthe qNational qPrevention qCouncil qinclude qtobacco-free
qliving, qpreventing qdrug qabuse qand qexcessive qalcohol quse, qhealthy qeating, qinjury-
qand qviolence-free q living, qreproductive qand qsexual qhealth, qand qmental qand qemotional
qwell-being. qSmoking qcessation, qdepression qscreening, qand qrecognizing qelder qabuse qall
qdirectly qaddress qthese qareas. q While qcholesterol qscreening qand q fitness qtraining qare
qimportant qfor qolder qadults, qthey qdo qnot qaddress qthese qsix qpriority qareas.
DIF: Cognitive qLevel: qAnalyzing REF: qp.
q8 qTOP: q Integrated qProcess: qTeaching/Learning
MSC: q Client qNeeds: qHealth qPromotion qand qMaintenance
3. The q“in-between” qgeneration q(individuals qborn qbetween q1915 qand q1945) qwere
qsubject qto qwhich qof qthe qfollowing qhealth qchallenges qduring qtheir qchildhood?
q(Select qall qthat qapply.)
a. Polio
b. Lack qof qfluoride qin qthe qwater qcausing qteeth qto qbe qsoft qand qcavity qprone
c. “Pigeon qChest,” qa qmalformation qof qthe qrib qcage qdue qto qa qlack qof qvitamin qD
d. Smallpox
e. HIV/AIDS
ANS: q A, qB, qC
Polio qwas qa qmajor qfear qof qthis qgroup; qthe qpolio qvaccine qwas qnot qavailable qin
qthe qUnited qStates quntil q1955. qIn qmany qareas qwater qwas qnot qfluoridated. q“Pigeon
qChest” qwas qcommon. qSmallpox qwas qa qconcern qfor qthe qcentenarians, qnot qthis
qgeneration. qHIV/AIDS qhad qnot qbeen qidentified qin qthe qearly q years qof q1915-1945.
DIF: Cognitive qLevel: qRemembering REF: qp.
q5 qTOP: q Integrated qProcess: qTeaching/Learning
MSC: q Client qNeeds: qHealth qPromotion qand qMaintenance
4. A qnursing qstudent qis qpreparing qa qpresentation qon qthe qWellness-Based qModel qfor
qHealthy qAging. qWhich qof qthe qfollowing qconcepts qshould qthe qstudent qinclude qin
qthe qpresentation? q (Select qall qthat qapply.)
a. Healthy qaging qis qdefined q by qthe qabsence qof qphysical qillness qalone
b. Healthy qaging qis qindividually qdefined qand qcan qchange qover qtime
c. There qare qmany qstrategies qto qpromote qhealthy qaging qthat qare qbelieved qto
qbe q helpful qbut qdo qnot qhave qempirical qevidence qto qsupport qthem
d. Healthy qaging qcannot qbe qachieved qby qonly qfocusing qon qlater qlife. qIt
qis qa qlifelong qprocess
e. According qto qthis qmodel, qan qindividual qwith qa qchronic qdisease
qwould qnot qbe qconsidered qhealthy
ANS: q B, qC, qD
Healthy qaging qis qa qlifelong qprocess qthat qbegins qwith qbirth qand qends qwith qdeath.
qThe qconcept qof qhealthy qaging qfrom qa qwellness qperspective qis quniquely qdefined
qby qeach qindividual qand qcan qchange qover qtime. qThere qare qchallenges qto
qimplementing qevidence-based qpractices qon qhealthy qaging qbecause qthere qis qa
qpaucity qof qresearch qon qthis q area. qTherefore, qthere qare qmany qstrategies qthat qhave
qbeen qused qand qdetermined qto qbe qeffective qbut qdo qnot qhave qresearch qevidence
qsupporting qthem. qThe qsubcomponents qwith qthe qwellness qmodel qare qfunctional
qindependence, qself-care qmanagement qof q illness, qpersonal qgrowth, qpositive qoutlook,
qand qsocial qcontribution qand qactivities qthat qpromote qone’s qhealth.
,DIF: Cognitive qLevel: qApplying REF: qp.
q7 qTOP: q Integrated qProcess: qTeaching/Learning
MSC: q Client qNeeds: qHealth qPromotion qand qMaintenance
, Chapter q02: qGerontological qNursing: qPast, qPresent, qand
qFuture qTouhy: qEbersole q& qHess' qToward qHealthy
qAging, q9th qEdition
MULTIPLE qCHOICE
1. Serious qand qwell-controlled qresearch qstudies qon qaging qhave qbeen qavailable:
a. only qin qthe qpast q60 q years.
b. since qthe qturn qof qthe q20th qcentury.
c. following qthe qGreat qDepression.
d. since qthe qyear q2000.
ANS: q A
Only qin qthe qpast q60 qyears qhave qserious qand qcarefully qcontrolled qresearch qstudies
qflourished. qBefore qthat, qanecdotal qevidence qwas qused qto qillustrate qissues qassumed
qto qbe quniversal, qmaking qall qthe qremaining qoptions qincorrect.
DIF: Cognitive qLevel: qRemembering REF: qp.
q19 qTOP: q Integrated qProcess: qTeaching/Learning
MSC: q Client qNeeds: qHealth qPromotion qand qMaintenance
2. The qson qof qa qnursing qhome qresident qasks qa qnurse: q“What qis qthe qsignificance qof
qbeing qcertified qin qgerontology? qI qsee qthat qyou qare, qbut qnot qall qof qthe q nurses
qare.” qThe qbest qresponse qby qthe qnurse q is qwhich qof qthe qfollowing?
a. “National qcertification qas qa qgerontological qnurse qis qa qway qto
qdemonstrate qspecial qknowledge qin qcaring qfor qolder qadults”
b. “National qcertification qin qgerontology qis qrequired qfor qall qnurses qwho
qhave qworked qin qthis qsetting qfor q2 qor qmore qyears”
c. “National qcertification qis qonly qavailable qto qnurses qwho qhave qa
qBaccalaureate qdegree qin qnursing”
d. “Only qadvanced qpractice qnurses, qlike qnurse qpractitioners, qare
qcertified qin qgerontology”
ANS: q A
National qcertification qis qa qway qto qdemonstrate qspecial qexpertise qin qcaring qfor qolder
qadults. qIt qis qnot qrequired qfor qpractice qin qany qsetting qacross qthe qcontinuum qof qcare,
qand qit q is qnot qexclusive qto qnurses qwith qBaccalaureate qdegrees. qThere qis qboth qa
qgeneralist qand qa qspecialist qgerontological qnursing qcertification. qThe qgeneralist
qfunctions qin qa qvariety qof qsettings qproviding qcare qto qolder qadults qand qtheir
qfamilies. qThe qspecialist qhas qadvanced qgerontological qeducation qat qa qMasters qlevel.
DIF: Cognitive qLevel: qAnalyzing REF: qpp. q20–
21 qTOP: q Integrated qProcess: qCommunication qand
qDocumentation qMSC: q Client qNeeds: qManagement qof
qCare
3. The qmajor qgoal qof qthe qNICHE q(Nurses qImproving qCare qfor qHealth qSystem
qElders) qprogram qincludes qwhich qof qthe qfollowing?
a. Improve qoutcomes qfor qhospitalized qolder qadults
b. Increase qthe qnumber qof qolder qadults qcared qfor qin qhospitals
c. Increase qthe qnumber qof qiatrogenic qcomplications qthat qoccur qin
qhospitalized qolder qadults