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,Chapter 01: Aging, Health, and Wellness in a Global Community Touhy
x x x x x x x x x x
: Ebersole & Hess’ Toward Healthy Aging, 11th Edition
x x x x x x x x
MULTIPLE CHOICE x
1. When asked by new parents what the life expectancy is for their African American newborn, th
x x x x x x x x x x x x x x x
e nurse replies that, ―2015 statistics indicate that your son:
x x x x x x x x x
a. will have a life expectancy of approximately 65 years.‖
x x x x x x x x
b. can realistically expect to live into his late 80s.‖
x x x x x x x x
c. has a good chance of celebrating his 75th birthday.‖
x x x x x x x x
d. is likely to live into his late 90s.‖
x x x x x x x
ANS: C x
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity betwee
x x x x x x x x x x x x x x x x
n life expectancies for black and white Americans has narrowed significantly between 1999 an
x x x x x x x x x x x x x
d 2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minorit
x x x x x x x x x x x x x x x
y Health, 2017). Of the options above, C is the only response that fits into those parameters. The
x x x x x x x x x x x x x x x x x
other options are not supported by reliable research.
x x x x x x x x
DIF: Cognitive Level: Understanding TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
2. A nurse is planning care for a group of super-
x x x x x x x x x
centenarians in an assisted living facility. The nurse considers which of the following?
x x x x x x x x x x x x
a. Most super- x
centenarians are functionally independent or require minimal assistance wi x x x x x x x x
th activities N
ofUdRaiSlyIlNivGinTgB
x . x
b. The majority of super-centenarians have cognitive impairment.
x x x x x x
c. The number of super- x x x
centenarians is expected to decrease in coming years as a result of heart disease a x x x x x x x x x x x x x x
nd stroke. x
d. It is theorized that super-
x x x x
centenarians survived as long as they have due to genetic mutations that made them l x x x x x x x x x x x x x x
ess susceptible to common diseases.
x x x x
ANS: A x
Research supports that most super- x x x x
centenarians are functionally and cognitively intact, requiring minimal assistance with ADLs.
x x x x x x x x x x x
The number of super-
x x x
centenarians is expected to increase in coming years as the number of older adults increases. Al
x x x x x x x x x x x x x x x
though centenarians still carry genetic markers within their chromosomes for any number of he
x x x x x x x x x x x x x
alth problems, for as yet unknown reasons, these are not ―activated‖ until much later, if at all, w
x x x x x x x x x x x x x x x x x
hen compared with other persons.
x x x x
DIF: Cognitive Level: Remembering TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart di
x x x x x x x x x x x x x
sease, diabetes, and arthritis is that:
x x x x x
a. they have less access to medication and other treatment regimens.
x x x x x x x x x
b. there was a lack of importance placed on healthy living as they were growing up.
x x x x x x x x x x x x x x
c. they did not have access to immunizations against communicable disease when th
x x x x x x x x x x x
PRIMEXAM.COM
,ey were children.
x x
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, d. they grew up in an era of rampant poverty and malnutrition.
x x x x x x x x x x
ANS: B x
The baby boomers, individuals born between 1946 and 1964, post-
x x x x x x x x x
WWII, have better access to medication and treatment regimens than other cohorts. They have
x x x x x x x x x x x x x x
had the benefit of the development of immunizations against communicable diseases. They gre
x x x x x x x x x x x x
w up in an era of prosperity post-
x x x x x x x
WWII. However, there was a lack of importance placed on what we now consider healthy livin
x x x x x x x x x x x x x x x
g when they were younger. Smoking, for example, was not condoned, but was considered a sy
x x x x x x x x x x x x x x x
mbol of status. Candy in the shape of cigarettes was popular, and there was much secondhand s
x x x x x x x x x x x x x x x x
moke.
DIF: Cognitive Level: Remembering TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
4. A nurse is planning an education program on wellness in a local senior citizen center. The nu
x x x x x x x x x x x x x x x x
rse plans to provide education on the importance of immunizations, annual physical examin
x x x x x x x x x x x x
ations, screening for diabetes, and vision and hearing screening. It is important for the nurse
x x x x x x x x x x x x x x x
to understand which of the following?
x x x x x
a. Less than 50% of older adults (ages 65 and older) utilize available preventive se
x x x x x x x x x x x x x
rvices.
b. Preventive strategies are more widely used in the 50-64 age- x x x x x x x x x
group than in the 65 and over age-group. x x x x x x x
c. The research on health promotion strategies in older adults demonstrates that they h
x x x x x x x x x x x x
ave low efficacy. x x
d. There is an abundance of research specific to health promotion and aging.
x x x x x x x x x x x
ANS: A xx
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are availab
x x x x x x x x x x x x x x x
le to them. However, only 25% of those between the ages of 50 and 64 do so. There is a paucity
x x x x x x x x x x x x x x x x x x x x x
of research specific to health promotion and aging; however, the research that exists demonstr
x x x x x x x x x x x x x
ates that health promotion strategies are highly effective.
x x x x x x x
DIF: Cognitive Level: Understanding TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
5. A nurse is caring for an 85-year-
x x x x x x
old male client with diabetes in a community setting. The nurse promotes functional wellnes
x x x x x x x x x x x x x
s by which of the following activities?
x x x x x x
a. Encouraging the client to maintain current levels of physical activity x x x x x x x x x
b. Assisting the client to receive all the recommended preventive screenings that are a
x x x x x x x x x x x x
ppropriate for his age-group x x x
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer dis
x x x x x x x x x x x x x x x x
tances
d. Encouraging the client to attend his weekly chess games x x x x x x x x x
ANS: A x
PRIMEXAM.COM
,Chapter 01: Aging, Health, and Wellness in a Global Community Touhy
x x x x x x x x x x
: Ebersole & Hess’ Toward Healthy Aging, 11th Edition
x x x x x x x x
MULTIPLE CHOICE x
1. When asked by new parents what the life expectancy is for their African American newborn, th
x x x x x x x x x x x x x x x
e nurse replies that, ―2015 statistics indicate that your son:
x x x x x x x x x
a. will have a life expectancy of approximately 65 years.‖
x x x x x x x x
b. can realistically expect to live into his late 80s.‖
x x x x x x x x
c. has a good chance of celebrating his 75th birthday.‖
x x x x x x x x
d. is likely to live into his late 90s.‖
x x x x x x x
ANS: C x
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity betwee
x x x x x x x x x x x x x x x x
n life expectancies for black and white Americans has narrowed significantly between 1999 an
x x x x x x x x x x x x x
d 2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minorit
x x x x x x x x x x x x x x x
y Health, 2017). Of the options above, C is the only response that fits into those parameters. The
x x x x x x x x x x x x x x x x x
other options are not supported by reliable research.
x x x x x x x x
DIF: Cognitive Level: Understanding TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
2. A nurse is planning care for a group of super-
x x x x x x x x x
centenarians in an assisted living facility. The nurse considers which of the following?
x x x x x x x x x x x x
a. Most super- x
centenarians are functionally independent or require minimal assistance wi x x x x x x x x
th activities N
ofUdRaiSlyIlNivGinTgB
x . x
b. The majority of super-centenarians have cognitive impairment.
x x x x x x
c. The number of super- x x x
centenarians is expected to decrease in coming years as a result of heart disease a x x x x x x x x x x x x x x
nd stroke. x
d. It is theorized that super-
x x x x
centenarians survived as long as they have due to genetic mutations that made them l x x x x x x x x x x x x x x
ess susceptible to common diseases.
x x x x
ANS: A x
Research supports that most super- x x x x
centenarians are functionally and cognitively intact, requiring minimal assistance with ADLs.
x x x x x x x x x x x
The number of super-
x x x
centenarians is expected to increase in coming years as the number of older adults increases. Al
x x x x x x x x x x x x x x x
though centenarians still carry genetic markers within their chromosomes for any number of he
x x x x x x x x x x x x x
alth problems, for as yet unknown reasons, these are not ―activated‖ until much later, if at all, w
x x x x x x x x x x x x x x x x x
hen compared with other persons.
x x x x
DIF: Cognitive Level: Remembering TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart di
x x x x x x x x x x x x x
sease, diabetes, and arthritis is that:
x x x x x
a. they have less access to medication and other treatment regimens.
x x x x x x x x x
b. there was a lack of importance placed on healthy living as they were growing up.
x x x x x x x x x x x x x x
c. they did not have access to immunizations against communicable disease when th
x x x x x x x x x x x
PRIMEXAM.COM
,ey were children.
x x
PRIMEXAM.COM
, d. they grew up in an era of rampant poverty and malnutrition.
x x x x x x x x x x
ANS: B x
The baby boomers, individuals born between 1946 and 1964, post-
x x x x x x x x x
WWII, have better access to medication and treatment regimens than other cohorts. They have
x x x x x x x x x x x x x x
had the benefit of the development of immunizations against communicable diseases. They gre
x x x x x x x x x x x x
w up in an era of prosperity post-
x x x x x x x
WWII. However, there was a lack of importance placed on what we now consider healthy livin
x x x x x x x x x x x x x x x
g when they were younger. Smoking, for example, was not condoned, but was considered a sy
x x x x x x x x x x x x x x x
mbol of status. Candy in the shape of cigarettes was popular, and there was much secondhand s
x x x x x x x x x x x x x x x x
moke.
DIF: Cognitive Level: Remembering TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
4. A nurse is planning an education program on wellness in a local senior citizen center. The nu
x x x x x x x x x x x x x x x x
rse plans to provide education on the importance of immunizations, annual physical examin
x x x x x x x x x x x x
ations, screening for diabetes, and vision and hearing screening. It is important for the nurse
x x x x x x x x x x x x x x x
to understand which of the following?
x x x x x
a. Less than 50% of older adults (ages 65 and older) utilize available preventive se
x x x x x x x x x x x x x
rvices.
b. Preventive strategies are more widely used in the 50-64 age- x x x x x x x x x
group than in the 65 and over age-group. x x x x x x x
c. The research on health promotion strategies in older adults demonstrates that they h
x x x x x x x x x x x x
ave low efficacy. x x
d. There is an abundance of research specific to health promotion and aging.
x x x x x x x x x x x
ANS: A xx
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are availab
x x x x x x x x x x x x x x x
le to them. However, only 25% of those between the ages of 50 and 64 do so. There is a paucity
x x x x x x x x x x x x x x x x x x x x x
of research specific to health promotion and aging; however, the research that exists demonstr
x x x x x x x x x x x x x
ates that health promotion strategies are highly effective.
x x x x x x x
DIF: Cognitive Level: Understanding TOP: x x
Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and x x x x x x x x x
Maintenance
5. A nurse is caring for an 85-year-
x x x x x x
old male client with diabetes in a community setting. The nurse promotes functional wellnes
x x x x x x x x x x x x x
s by which of the following activities?
x x x x x x
a. Encouraging the client to maintain current levels of physical activity x x x x x x x x x
b. Assisting the client to receive all the recommended preventive screenings that are a
x x x x x x x x x x x x
ppropriate for his age-group x x x
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer dis
x x x x x x x x x x x x x x x x
tances
d. Encouraging the client to attend his weekly chess games x x x x x x x x x
ANS: A x
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