Test Bank - Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition

Chapter 01: Health and Wellness in an Aging Society
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Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
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MULTIPLEthCHOICE

1. WhenthaskedthbythnewthparentsthwhatththethlifethexpectancythisthforththeirthAfricanthAmericanthnewbor
n,ththethnursethrepliesththat,th“2010thstatisticsthindicateththatthyourthson:
a. willthhavethathlifethexpectancythofthapproximatelyth65thyears.
”
b. canthrealisticallythexpectthtothlivethintothhisthlateth80s.”
c. hasthathgoodthchancethofthcelebratingthhisth75ththbirthday.”
d. isthlikelythtothlivethintothhisthlateth90s.”
ANS:t h C
Inth2010,thmenthinththethUnitedthStatesthatthageth60thcanthexpectthtothlivethanotherth22thyears.thThethlifethex
pectancythofthAfricanthAmericanthmenthisthaboutth4.7thyearsthlessththanthwhitethmen.thOfththethoptionsthab
ove,thCthisththethonlythresponseththatthfitsthintoththosethparameters.thThethotherthoptionstharethnotthsuppor
tedthbythreliablethresearch.

DIF: CognitivethLevel:thUnderstanding
REF:t h p.th3thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

2. Athnursethisthplanningthcarethforthathgroupthofthsuper-
centenariansthinthanthassistedthlivingthfacility.thThethnursethconsidersthwhichthofththethfollowing?
a. Mostthsuper-centenarianstharethfunctionallythindependentthorthrequirethminimal
assistancethwiththactivitiesthofthdailythliving
b. Thethmajoritythofthsuper-centenariansthhavethcognitivethimpairment
c. Thethnumberthofthsuper-centenariansthisthexpectedthtothdecreasethinthcomingthyearsthastha
resultthofthheartthdiseasethandthstroke
d. Itthisththeorizedththatthsuper-
centenariansthsurvivedthasthlongthasththeythhavethduethtothgenetic
mutationsththatthmadeththemthlessthsusceptiblethtothcommonthdiseases
ANS:t h A
Researchthsupportsththatthmostthsuper-
centenarianstharethfunctionallythandthcognitivelythintact,threquiringthminimalthassistancethwiththADL
s.thThethnumberthofthsuper-
centenariansthisthexpectedthtothincreasethinthcomingthyearsthasththethnumberthoftholderthadultsthincreases.
thThethreasonthwhythindividualsthsurvivedthasthlongthasththeythhavethisthnotthknown.




DIF: CognitivethLevel:thRemembering
REF:t h p.th4thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

3. Onethreasonthwhythmanyth“babythboomers”thhavethmultiplethchronicthconditionsthsuchthasthheartthdisea
se,thdiabetes,thandtharthritisthisththat:
a. theythhavethlessthaccessthtothmedicationthandthotherthtreatmentthregimens.
b. therethwasthathlackthofthimportancethplacedthonthhealthythlivingthasththeythwerethgrowingthu
p.
c. theythdidthnotthhavethaccessthtothimmunizationsthagainstthcommunicablethdiseasethwhen
theythwerethchildren.

, d. theythgrewthupthinthantherathofthrampantthpovertythandthmalnutrition.
ANS:t h B
Thethbabythboomers,thindividualsthbornthbetweenth1946thandth1964,thpost-
WWII,thhavethbetterthaccessthtothmedicationthandthtreatmentthregimensththanthotherthcohorts.thTheythh
avethhadththethbenefitthofththethdevelopmentthofthimmunizationsthagainstthcommunicablethdiseases.thT
heythgrewthupthinthantherathofthprosperitythpost-
WWII.thHowever,ththerethwasthathlackthofthimportancethplacedthonthwhatthwethnowthconsiderthhealthythl
ivingthwhenththeythwerethyounger.thSmoking,thforthexample,thwasthnotthcondoned,thbutthwasthconsider
edthathsymbolthofthstatus.thCandythinththethshapethofthcigarettesthwasthpopular,thandththerethwasthmuchthse
condhandthsmoke.

DIF: CognitivethLevel:thRemembering
REF:t h p.th6thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

4. Athnursethisthplanningthantheducationthprogramthonthwellnessthinthathlocalthseniorthcitizenthcenter.thThet
nursethplansthtothprovidetheducationthonththethimportancethofthimmunizations,thannualthphysicalthexa
h

minations,thscreeningthforthdiabetes,thandthvisionthandthhearingthscreening.thItthisthimportantthforththeth
nursethtothunderstandthwhichthofththethfollowing?
a. Approximatelyth40%thoftholderthadultsth(agesth65thandtholder)thutilizethavailablethpreventiv
e
services
b. Preventivethstrategiestharethmorethwidelythusedthinththeth40-64thagethgroupththanthinththeth65
andthoverthagethgroup
c. Thethresearchthonthhealththpromotionthstrategiesthintholderthadultsthdemonstratesththatththey
havethlowthefficacy
d. Therethisthanthabundancethofthresearchthspecificthtothhealththpromotionthandthaging
ANS:t h A
Approximatelyth40%thofthindividuals,thagesth65thandtholder,thutilizeththethpreventivethservicesththattha
rethavailablethtoththem.thHowever,thonlyth24%thofththosethbetweenththethagesthofth40thandth64thdothso.thTh
erethisthathpaucitythofthresearchthspecificthtothhealththpromotionthandthaging;thhowever,ththethresearchthth
atthexiststhdemonstratesththatthhealththpromotionthstrategiestharethhighlytheffective.

DIF: CognitivethLevel:thUnderstanding
REF:t h p.th7thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

5. Athnursethisthcaringthforthanth85-year-
oldthmalethclientthwiththdiabetesthinthathcommunitythsetting.thThethnursethpromotesthfunctionalthwe
llnessthbythwhichthofththethfollowingthactivities?
a. Encouragingththethclientthmaintainsthcurrentthlevelsthofthphysicalthactivity
b. Assistingththethclientthtothreceivethallththethrecommendedthpreventivethscreeningsththatthare
appropriatethforthhisthagethgroup
c. Teachingththethpatientthhowthtothusethathrollingthwalkerthsoththatthhethcanthambulatethforthlong
er
distances
d. Encouragingththethclientthtothattendthhisthweeklythchessthgames

ANS:t h A
Maintainingthexistingthlevelsthofthphysicalthactivitythisthconsistentthwiththfunctionalthwellness.thTeach
ingththethclientthhowthtothusethathrollingthwalkerthenablesththethclientthtothremainthactivethatththethhighestthl
evelthpossible,thwhichthisthanthexamplethofthpromotingthfunctionalthwellness.thReceivingthrecommend

, edthscreeningthisthanthexamplethofthpromotingthbiologicalthwellness.thThethusethofthathrollingthwalkerthsh
ouldthbethbasedthonthassessmentthofthphysicalthability.thEncouragingththethclientthtothattendthweeklythch
essthgamesthisthanthexamplethofthpromotingthsocialthwellness.
DIF: CognitivethLevel:thApplying
REF:t h p.th10thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

6. Basedthonththethcensusthreportsthofth2010,ththethtypicalthprofilethofthathcentenarianthinththethUnitedthStat
esthincludesthwhichthofththethfollowingthcharacteristics?
a. AthCaucasianthwomanthwhothlivesthinthanthurbanthareathofthathSouthernthstate
b. AnthAfricanthAmericanthwomanthwhothlivesthinthathruralthareathofthathSouthernthsta
te
c. AthHispanicthmanthwhothlivesthinthanthurbanthareathofthathMidwesternthstate
d. AthCaucasianthmanthwhothlivesthinthathruralthareathofthathMidwesternthstate
ANS:t h A
Basedthonththeth2010thU.S.thCensusthdata,thcentenariansthwerethoverwhelminglythwhiteth(82.5%),thwo
menth(82.8%),thandthlivingthinthurbanthareasthofththethSouthernthstates.

DIF: CognitivethLevel:thApplying
REF:t h p.th5thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance


MULTIPLEthRESPONSE

1. Primarythpreventionthstrategiesthfortholderthadultsthincludethwhichthofththethfollowing?th(Selectthallthth
atthapply.)
a. Anthannualthinfluenzathimmunizationthclinic
b. Athsmokingthcessationthprogram
c. Athprostatethscreeningthprogram
d. Athcardiacthrehabilitationthprogram
e. Athmealthplanningtheducationthprogramthforthtypeth2thdiabetic
s
ANS:t h A,thB
Primarythpreventionthrefersthtothstrategiesththattharethusedthtothpreventthanthillnessthbeforethitthoccursthan
dthmaintainingthwellnessthacrossththethcontinuumthofthcare.thImmunizationsthandthsmokingthcessationth
arethexamplesthofthprimarythprevention.thSecondarythpreventionthisththethearlythdetectionthofthathdiseas
ethorthathhealththproblemththatthhasthalreadythdeveloped.thProstatethscreeningthisthanthexamplethofthsecon
darythprevention.thTertiarythpreventionthaddressesththethneedsthofthindividualsthwhothalreadythhavethth
eirthwellnessthchallenged.thCardiacthrehabilitationthandthmealthplanningthforthdiabeticstharethexamples
thofthtertiarythprevention.




DIF: CognitivethLevel:thApplying REF:t h pp.th8–
9thTOP:t h IntegratedthProcess:thTeaching/Learning
MSC:t h ClientthNeeds:thManagementthofthCare

2. Athnursethorganizesthathhealththfairthfortholderthadults.thThethnurse’sthgoalthisthtothfocusthonththethsixthprior
itythareasthidentifiedthbyththethNationalthPreventionthCouncil.thWhichthofththethfollowingthactivitiesths
houldththethnursethinclude?th(Selectthallththatthapply.)
a. Smokingthcessation
b. Depressionthscreening
c. Recognizingthelderthabuse

, d. Cholesterolthscreening
e. Fitnessthtraining
ANS:t h A,thB,thC
ThethsixthprioritythareasthofththethNationalthPreventionthCouncilthincludethtobacco-
freethliving,thpreventingthdrugthabusethandthexcessivethalcoholthuse,thhealthytheating,thinjury-
thandthviolence-freethliving,threproductivethandthsexualthhealth,thandthmentalthandthemotionalthwell-

being.thSmokingthcessation,thdepressionthscreening,thandthrecognizingthelderthabusethallthdirectlythadd
ressththesethareas.thWhilethcholesterolthscreeningthandthfitnessthtrainingtharethimportantthfortholderthadu
lts,ththeythdothnotthaddressththesethsixthprioritythareas.

DIF: CognitivethLevel:thAnalyzing
REF:t h p.th8thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

3. Theth“in-
between”thgenerationth(individualsthbornthbetweenth1915thandth1945)thwerethsubjectthtothwhichthofththet
hfollowingthhealththchallengesthduringththeirthchildhood? th(Selectthallththatthapply.)

a. Polio
b. Lackthofthfluoridethinththethwaterthcausingthteeththtothbethsoftthandthcavitythprone
c. “PigeonthChest,”thathmalformationthofththethribthcagethduethtothathlackthofthvitaminth
D
d. Smallpox
e. HIV/AIDS
ANS:t h A,thB,thC
Poliothwasthathmajorthfearthofththisthgroup;ththethpoliothvaccinethwasthnotthavailablethinththethUnitedthSta
testhuntilth1955.thInthmanythareasthwaterthwasthnotthfluoridated.th“PigeonthChest”thwasthcommon.thSm
allpoxthwasthathconcernthforththethcentenarians,thnotththisthgeneration.thHIV/AIDSthhadthnotthbeenthide
ntifiedthinththethearlythyearsthofth1915-1945.

DIF: CognitivethLevel:thRemembering
REF:t h p.th5thTOP:t h IntegratedthProcess:thTeachi
ng/Learning
MSC:t h ClientthNeeds:thHealththPromotionthandthMaintenance

4. AthnursingthstudentthisthpreparingthathpresentationthonththethWellness-
BasedthModelthforthHealthythAging.thWhichthofththethfollowingthconceptsthshouldththethstudentthinclud
ethinththethpresentation?th(Selectthallt h thatthapply.)
a. Healthythagingthisthdefinedthbyththethabsencethofthphysicalthillnessthalone
b. Healthythagingthisthindividuallythdefinedthandthcanthchangethoverthtime
c. Theretharethmanythstrategiesthtothpromotethhealthythagingththattharethbelievedthtothbethhelpf
ul
butthdothnotthhavethempiricalthevidencethtothsupportththem
d. Healthythagingthcannotthbethachievedthbythonlythfocusingthonthlaterthlife.thItthisthathlifelong
process
e. Accordingthtoththisthmodel,thanthindividualthwiththathchronicthdiseasethwouldthnotthbe
consideredthhealthy
ANS:t h B,thC,thD
Healthythagingthisthathlifelongthprocessththatthbeginsthwiththbirththandthendsthwiththdeath.thThethconceptth
ofthhealthythagingthfromthathwellnessthperspectivethisthuniquelythdefinedthbytheachthindividualthandthca
nthchangethoverthtime.thTheretharethchallengesthtothimplementingthevidence-
basedthpracticesthonthhealthythagingthbecauseththerethisthathpaucitythofthresearchthonththistharea.thTheref
ore,ththeretharethmanythstrategiesththatthhavethbeenthusedthandthdeterminedthtothbetheffectivethbutthdothn