TOUHY EBERSOLE AND HESS' TOWARD HEALTHY AGING 11TH EDITION TEST BANK | LATEST UPDATE 2025 COMPLETE GUIDE

Chapter 01: Aging, Health, and Wellness in a Global Community Tou
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,hy: Ebersole & Hess’ Toward Healthy Aging, 11th Edition
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MULTIPLE CHOICE xs




1. When asked by new parents what the life expectancy is for their African American newborn
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, the nurse replies that, ―2015 statistics indicate that your son:
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a. will have a life expectancy of approximately 65 years.‖
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b. can realistically expect to live into his late 80s.‖
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c. has a good chance of celebrating his 75th birthday.‖
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d. is likely to live into his late 90s.‖
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ANS: C x s


The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity be
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tween life expectancies for black and white Americans has narrowed significantly between
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1999 and 2015, with the death rate for blacks (African Americans) dropping by 25% (Offi
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ce of Minority Health, 2017). Of the options above, C is the only response that fits into tho
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se parameters. The other options are not supported by reliable research.
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DIF: Cognitive Level: Understanding TOP: xs xs


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an xs xs xs x s xs xs xs xs


d Maintenance
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2. A nurse is planning care for a group of super-
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centenarians in an assisted living facility. The nurse considers which of the following?
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a. Most super- xs


centenarians are functionally independent or require minimal assistance xs xs xs xs xs xs xs xs


with activities NofUdRaiSlyIlN
ivGinTgB
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b. The majority of super-centenarians have cognitive impairment.
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c. The number of super- xs xs xs


centenarians is expected to decrease in coming years as a result of heart disea xs xs xs xs xs xs xs xs xs xs xs xs xs


se and stroke. xs xs


d. It is theorized that super-
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centenarians survived as long as they have due to genetic mutations that made th xs xs xs xs xs xs xs xs xs xs xs xs xs


em less susceptible to common diseases.
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ANS: A x s


Research supports that most super- xs xs xs xs


centenarians are functionally and cognitively intact, requiring minimal assistance with AD
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Ls. The number of super-
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centenarians is expected to increase in coming years as the number of older adults increase
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s. Although centenarians still carry genetic markers within their chromosomes for any num
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ber of health problems, for as yet unknown reasons, these are not ―activated‖ until much la
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ter, if at all, when compared with other persons.
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DIF: Cognitive Level: Remembering TOP: xs xs


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an xs xs xs x s xs xs xs xs


d Maintenance
xs




3. One reason why many ―baby boomers‖ have multiple chronic conditions such as hear
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t disease, diabetes, and arthritis is that:
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a. they have less access to medication and other treatment regimens.
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b. there was a lack of importance placed on healthy living as they were growing up.
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c. they did not have access to immunizations against communicable disease whe
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n they were children.xs xs xs

, d. they grew up in an era of rampant poverty and malnutrition.
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ANS: B x s


The baby boomers, individuals born between 1946 and 1964, post-
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WWII, have better access to medication and treatment regimens than other cohorts. They h
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ave had the benefit of the development of immunizations against communicable diseases.
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They grew up in an era of prosperity post-
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WWII. However, there was a lack of importance placed on what we now consider healthy
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living when they were younger. Smoking, for example, was not condoned, but was consid
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ered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
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secondhand smoke.
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DIF: Cognitive Level: Remembering TOP: xs xs


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an xs xs xs x s xs xs xs xs


d Maintenance
xs




4. A nurse is planning an education program on wellness in a local senior citizen center. Th
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e nurse plans to provide education on the importance of immunizations, annual physical
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examinations, screening for diabetes, and vision and hearing screening. It is important f
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or the nurse to understand which of the following?
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a. Less than 50% of older adults (ages 65 and older) utilize available preventiv
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e services. xs


b. Preventive strategies are more widely used in the 50-64 age- xs xs xs xs xs xs xs xs xs


group than in the 65 and over age-group. xs xs xs xs xs xs xs


c. The research on health promotion strategies in older adults demonstrates that the
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y have low efficacy. xs xs xs


d. There is an abundance of research specific to health promotion and aging.
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ANS: A xsxs


Less than 50% of individuals, ages 65 and older, utilize the preventive services that are av
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ailable to them. However, only 25% of those between the ages of 50 and 64 do so. There i
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s a paucity of research specific to health promotion and aging; however, the research that
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exists demonstrates that health promotion strategies are highly effective.
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DIF: Cognitive Level: Understanding TOP: xs xs


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an xs xs xs x s xs xs xs xs


d Maintenance
xs




5. A nurse is caring for an 85-year-
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old male client with diabetes in a community setting. The nurse promotes functional well
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ness by which of the following activities?
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a. Encouraging the client to maintain current levels of physical activity xs xs xs xs xs xs xs xs xs


b. Assisting the client to receive all the recommended preventive screenings that ar
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e appropriate for his age-group
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c. Teaching the patient how to use a rolling walker so that he can ambulate for longe
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r distances xs


d. Encouraging the client to attend his weekly chess games xs xs xs xs xs xs xs xs




xs ANS: A x s




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, Maintaining existing levels of physical activity is consistent with functional wellness. Te
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aching the client how to use a rolling walker enables the client to remain active at the hi
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ghest level possible, which is an example of promoting functional wellness. Receiving re
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commended screening is an example of promoting biological wellness. The use of a rolli
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ng walker should be based on assessment of physical ability. Encouraging the client to att
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end weekly chess games is an example of promoting social wellness.
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DIF: Cognitive Level: Applying TOP: xs xs


Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion an xs xs xs x s xs xs xs xs


d Maintenance
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6. Based on the census reports of 2015, the typical profile of a centenarian includes which o
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f the following characteristics?
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a. An American woman with no signs of dementia
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b. A Japanese woman with chronic inflammation
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c. A Chinese man with an immune disorder
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d. An American man who is a lifelong vegetarian
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ANS: A x s


Based on the 2015 U.S. Census data, while the United States has highest number of cente
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narians, Japan has over double the number relative to the population as a whole. The relati
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vely low number of centenarians (and super-
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centenarians) with dementia of some kind may be explained by the presence of some type
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of genetic neuroprotective factors. While most people have normal age-
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related declines in immune functioning and increases in a state of chronic inflammation, th
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is does not appear to be the case for this group of long lived people.
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DIF:
Cognitive Level: A p pNl yUi nRgSINGTB T.O
CPO: M Integrated Process: Teaching/Learning
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MSC: Client Needs: Health Promotion and Maintenance
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MULTIPLE RESPONSE xs




1. Primary prevention strategies for older adults include which of the following? (Select al
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l that apply.)
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a. An annual influenza immunization clinic
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b. A smoking cessation program xs xs xs


c. A prostate screening programxs xs xs


d. A cardiac rehabilitation program
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e. A meal planning education program for type 2 diabetics
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ANS: A, B x s xs


Primary prevention refers to strategies that are used to prevent an illness before it occurs an
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d maintaining wellness across the continuum of care. Immunizations and smoking cessatio
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n are examples of primary prevention. Secondary prevention is the early detection of a dise
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ase or a health problem that has already developed. Prostate screening is an example of se
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condary prevention. Tertiary prevention addresses the needs of individuals who already ha
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ve their wellness challenged. Cardiac rehabilitation and meal planning for diabetics are exa
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mples of tertiary prevention. xs xs xs




DIF: Cognitive Level: Applying xs xs TOP: Integrated Process: Teaching/Learning xs xs




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