Ebersole and Hess' Toward Healthy Aging 10th Edition by Touhy Test Bank

Ebersole and Hess’ Toward Healthy Aging, 10th Edition
Touhy Test Bank

Chapter 01: Aging, Health, and Wellness in a Global Community
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Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
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MULTIPLEzCHOICE

1. WhenzaskedzbyznewzparentszwhatzthezlifezexpectancyziszforztheirzAfricanzAmericanznewborn,zth
eznursezreplieszthat,z“2015zstatisticszindicatezthatzyourzson:
a. willzhavezazlifezexpectancyzofzapproximatelyz65zyears.”
b. canzrealisticallyzexpectztozlivezintozhiszlatez80s.”
c. haszazgoodzchancezofzcelebratingzhisz75thzbirthday.”
d. iszlikelyztozlivezintozhiszlatez90s.”
ANS:z C
ThezoverallzlifezexpectancyzatzbirthzinzthezUnitedzStateszinz2015zwasz78.8.zThezdisparityzbetwe
enzlifezexpectancieszforzblackzandzwhitezAmericanszhasznarrowedzsignificantlyzbetweenz1999z
andz2015,zwithzthezdeathzratezforzblacksz(AfricanzAmericans)zdroppingzbyz25%z(OfficezofzMin
orityzHealth,z2017).zOfzthezoptionszabove,zCziszthezonlyzresponsezthatzfitszintozthosezparameters.
zThezotherzoptionszareznotzsupportedzbyz reliablezresearch.




DIF: CognitivezLevel:zUnderstanding TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

2. Aznurseziszplanningzcarezforzazgroupzofzsuper-
centenarianszinzanzassistedzlivingzfacility.zTheznursezconsiderszwhichzofzthezfollowing?
a. Mostzsuper-
centenarianszarezfunctionallyzindependentzorzrequirezminimalzassistancezw
ithzactivitieszN
ofUdRaiSlyIlNivGinTgB
.
b. Thezmajorityzofzsuper-centenarianszhavezcognitivezimpairment.
c. Theznumberzofzsuper-
centenariansziszexpectedztozdecreasezinzcomingzyearszaszazresultzofzheartzdiseaseza
ndzstroke.
d. Itzisztheorizedzthatzsuper-
centenarianszsurvivedzaszlongzasztheyzhavezdueztozgeneticzmutationszthatzmadezthemz
lesszsusceptibleztozcommonzdiseases.
ANS:z A
Researchzsupportszthatzmostzsuper-
centenarianszarezfunctionallyzandzcognitivelyzintact,zrequiringzminimalzassistancezwithzADLs.
zTheznumberzofzsuper-

centenariansziszexpectedztozincreasezinzcomingzyearszasztheznumberzofzolderzadultszincreases.zA
lthoughzcentenarianszstillzcarryzgeneticzmarkerszwithinztheirzchromosomeszforzanyznumberzofz
healthzproblems,zforzaszyetzunknownzreasons,zthesezareznotz“activated”zuntilzmuchzlater,zifzatzal
l,zwhenzcomparedzwithzotherzpersons.

DIF: CognitivezLevel:zRemembering TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

PRIMEXAM.COM

,3. Onezreasonzwhyzmanyz“babyzboomers”zhavezmultiplezchroniczconditionszsuchzaszheartzdi
sease,zdiabetes,zandzarthritisziszthat:
a. theyzhavezlesszaccessztozmedicationzandzotherztreatmentzregimens.
b. therezwaszazlackzofzimportancezplacedzonzhealthyzlivingzasztheyzwerezgrowingzup.
c. theyzdidznotzhavezaccessztozimmunizationszagainstzcommunicablezdiseasezwhenzt
heyzwerezchildren.
d. theyzgrewzupzinzanzerazofzrampantzpovertyzandzmalnutrition.
ANS:z B
Thezbabyzboomers,zindividualszbornzbetweenz1946zandz1964,zpost-
WWII,zhavezbetterzaccessztozmedicationzandztreatmentzregimenszthanzotherzcohorts.zTheyzhave
zhadzthezbenefitzofzthezdevelopmentzofzimmunizationszagainstzcommunicablezdiseases.zTheyz g

rewzupzinzanzerazofzprosperityzpost-
WWII.zHowever,ztherezwaszazlackzofzimportancezplacedzonzwhatzweznowzconsiderzhealthyzlivi
ngzwhenztheyzwerezyounger.zSmoking,zforzexample,zwasznotzcondoned,zbutzwaszconsideredzazs
ymbolzofzstatus.zCandyzinzthezshapezofzcigaretteszwaszpopular,zandztherezwaszmuchzsecondhan
dzsmoke.

DIF: CognitivezLevel:zRemembering TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

4. Aznurseziszplanningzanzeducationzprogramzonzwellnesszinzazlocalzseniorzcitizenzcenter.zThezn
ursezplansztozprovidezeducationzonzthezimportancezofzimmunizations,zannualzphysicalzexami
nations,zscreeningzforzdiabetes,zandzvisionzandzhearingzscreening.zItziszimportantzforztheznurs
eztozunderstandzwhichzofzthezfollowing?
a. Lesszthanz50%zofzolderzadultsz(agesz65zandzolder)zutilizezavailablezpreventivezs
ervices.
b. Preventivezstrategieszarezmorezwidelyzusedzinzthez50-64zage-
groupzthanzinzthez65zandzoverzage-group.
c. Thezresearchzonzhealthzpromotionzstrategieszinzolderzadultszdemonstrateszthatztheyzh
avezlowzefficacy.
d. Thereziszanzabundancezofzresearchzspecificztozhealthzpromotionzandzaging.
ANS:z A
Lesszthanz50%zofzindividuals,zagesz65zandzolder,zutilizezthezpreventivezserviceszthatzarezavaila
bleztozthem.zHowever,zonlyz25%zofzthosezbetweenzthezageszofz50zandz64zdozso.zThereziszazpauci
tyzofzresearchzspecificztozhealthzpromotionzandzaging;zhowever,zthezresearchzthatzexistszdemo
nstrateszthatzhealthzpromotionzstrategieszarezhighlyzeffective.

DIF: CognitivezLevel:zUnderstanding TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

5. Aznurseziszcaringzforzanz85-year-
oldzmalezclientzwithzdiabeteszinzazcommunityzsetting.zTheznursezpromoteszfunctionalzwellne
sszbyzwhichzofzthezfollowingzactivities?
a. Encouragingzthezclientztozmaintainzcurrentzlevelszofzphysicalzactivity
b. Assistingzthezclientztozreceivezallzthezrecommendedzpreventivezscreeningszthatzareza
ppropriatezforzhiszage-group
c. Teachingzthezpatientzhowztozusezazrollingzwalkerzsozthatzhezcanzambulatezforzlongerzdi
stances
d. Encouragingzthezclientztozattendzhiszweeklyzchesszgamesz
ANS:z A
PRIMEXAM.COM

, Maintainingzexistingzlevelszofzphysicalzactivityziszconsistentzwithzfunctionalzwellness.zTeac
hingzthezclientzhowztozusezazrollingzwalkerzenableszthezclientztozremainzactivezatzthezhighestzle
velzpossible,zwhichziszanzexamplezofzpromotingzfunctionalzwellness.zReceivingzrecommende
dzscreeningziszanzexamplezofzpromotingzbiologicalzwellness.zThezusezofzazrollingzwalkerzshou
ldzbezbasedzonzassessmentzofzphysicalzability.zEncouragingzthezclientztozattendzweeklyzchessz
gamesziszanzexamplezofzpromotingzsocialzwellness.

DIF: CognitivezLevel:zApplying TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

6. Basedzonzthezcensuszreportszofz2015,ztheztypicalzprofilezofzazcentenarianzincludeszwhichzofzth
ezfollowingzcharacteristics?
a. AnzAmericanzwomanzwithznozsignszofzdementia
b. AzJapanesezwomanzwithzchroniczinflammation
c. AzChinesezmanzwithzanzimmunezdisorder
d. AnzAmericanzmanzwhoziszazlifelongzvegetarian
ANS:z A
Basedzonzthez2015zU.S.zCensuszdata,zwhilezthezUnitedzStateszhaszhighestznumberzofzcentenaria
ns,zJapanzhaszoverzdoubleztheznumberzrelativeztozthezpopulationzaszazwhole.zThezrelativelyzlowz
numberzofzcentenariansz(andzsuper-
centenarians)zwithzdementiazofzsomezkindzmayzbezexplainedzbyzthezpresencezofzsomeztypezofzg
eneticzneuroprotectivezfactors.zWhilezmostzpeoplezhaveznormalzage-
relatedzdeclineszinzimmunezfunctioningzandzincreaseszinzazstatezofzchroniczinflammation,zthiszd
oesznotzappearztozbezthezcasezforzthiszgroupzofzlongzlivedzpeople.

DIF:
Cognitivez Level:z Ap pNl yUi nRgSINGTB T.O
C PO: M zIntegratedz Process:z Teaching/Learningz
MSC:z ClientzNeeds:zHealthzPromotionzandzMaintenance

MULTIPLEzRESPONSE

1. Primaryzpreventionzstrategieszforzolderzadultszincludezwhichzofzthezfollowing?z(Selectzallzth
atzapply.)
a. Anzannualzinfluenzazimmunizationzclinic
b. Azsmokingzcessationzprogram
c. Azprostatezscreeningzprogram
d. Azcardiaczrehabilitationzprogram
e. Azmealzplanningzeducationzprogramzforztypez2zdiabetics
ANS:z A,zB
Primaryzpreventionzrefersztozstrategieszthatzarezusedztozpreventzanzillnesszbeforezitzoccurszandzm
aintainingzwellnesszacrosszthezcontinuumzofzcare.zImmunizationszandzsmokingzcessationzareze
xampleszofzprimaryzprevention.zSecondaryzpreventionziszthezearlyzdetectionzofzazdiseasezorzazhe
althzproblemzthatzhaszalreadyzdeveloped.zProstatezscreeningziszanzexamplezofzsecondaryzpreve
ntion.zTertiaryzpreventionzaddresseszthezneedszofzindividualszwhozalreadyzhaveztheirzwellnessz
challenged.zCardiaczrehabilitationzandzmealzplanningzforzdiabeticszarezexampleszofztertiaryzpre
vention.

DIF: CognitivezLevel:zApplying TOP: IntegratedzProcess:zTeaching/Learning



PRIMEXAM.COM

, MSC:z ClientzNeeds:zManagementzofzCare

2. Aznursezorganizeszazsymposiumzforzhealthzcarezprofessionalszinzthezfieldzofzgeriatrics.zWhichz
ofzthezfollowingztopicszalignzwithzHealthyzPeoplez2020szemergingzissueszrelevantztozhealthyza
ging?z(Selectzallzthatzapply.)
a. Fairzpayzandzcompensationzstandardszforzinformalzcaregivers
b. Longevityzandzgenetics
c. Emergingzchroniczconditionszamongzbabyzboomers
d. Minimumzcompetencyzlevelszforzhealthzcarezprofessionals
e. HealthzdisparitieszinzLGBTzolderzadults
ANS:z A,zC,zD,zE
IssueszoutlinedzinzHealthyzPeoplez2020:zEmergingzissueszinzthezhealthzofzolderzadultszincludezp
erson-
centeredzcarezplanningzthatzincludeszcaregivers;zqualityzmeasureszofzcarezandzmonitoringzofzhe
althzconditions;zfairzpayzandzcompensationzstandardszforzformalzandzinformalzcaregivers;zmini
mumzlevelszofzgeriatricztrainingzforzhealthzprofessionals;zandzenhancedzdatazonzcertainzsubpop
ulationszofzolderzadults,zincludingzagingzLGBTzpopulations.zLongevityzandzgeneticsziszanzimpo
rtantzsubjectztozstudyzbutzisznotzlistedzaszanzemergingzissueztozfocuszonzforzHealthyzPeoplez2020.

DIF: CognitivezLevel:zAnalyzing TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

3. Babyzboomerszbornzbeforez1960zwerezsubjectztozwhichzofzthezfollowingzhealthzchallengeszd
uringztheirzchildhood?z(Selectzallzthatzapply.)
a. Measles
b. Scarletzfever
c. Rubella
d. Smallpox
e. HIV/AIDS
ANS:z A,zB,zC
Mostzboomerszbornzinz1950szcontractedzatzleastzseveralzofzthez“childhoodzdiseases”zofzmeasles
,zmumps,zrubella,zandzchickenzpox.zScarletzfeverzwaszalsozcommon.zSmallpoxzwaszazconcernzfo
rzthezcentenarians,znotzthiszgeneration.zHIV/AIDSzhadznotzbeenzidentifiedzinzthezearlyzyearszofz
1915-1945.

DIF: CognitivezLevel:zRemembering TOP:
IntegratedzProcess:zTeaching/LearningzMSC:z ClientzNeeds:zHealthzPromotionzandz
Maintenance

4. Aznursingzstudentziszpreparingzazpresentationzonzthezwellness-
basedzmodelzforzhealthyzaging.zWhichzofzthezfollowingzconceptszshouldzthezstudentzincludezinzt
hezpresentation?z(Selectzallzthatzapply.)
a. Healthyzagingziszdefinedzbyzthezabsencezofzphysicalzillnesszalone.
b. Healthyzagingziszindividuallyzdefinedzandzcanzchangezoverztime.
c. Therezarezmanyzstrategiesztozpromotezhealthyzagingzthatzarezbelievedztozbezhelpfulzb
utzdoznotzhavezempiricalzevidenceztozsupportzthem.
d. Healthyzagingzcannotzbezachievedzbyzonlyzfocusingzonzlaterzlife.zItziszazlifelongzpr
ocess.
e. Accordingztozthiszmodel,zanzindividualzwithzazchroniczdiseasezwouldznotzbe



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