TESTBANK
b
Med C File © 2022
b b b b
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
b b b b b b b b
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
b b b b b b b b b b
CHOICE
b
1. When asked bynew parents what the life expectancy is for their African American newborn, the
b b b b b b b b b b b b b b b
bnurse replies that, “2010 statistics indicate that your son:
b b b b b b b b
a. will have a life expectancy of approximately65 years.”
b b b b b b b b
b. can realistically expect to live into his late 80s.”
b b b b b b b b
c. has a good chance of celebrating his 75th birthday.”
b b b b b b b b
d. is likelyto live into his late 90s.”
b b b b b b b
ANS: C b
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy
b b b b b b b b b b b b b b b b b b b
of African American men is about 4.7 years less than white men. Of the options above, C is the only
b b b b b b b b b b b b b b b b b b b b
response that fits into those parameters. The other options are not supported by reliable research.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.3 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse
b b b b b b b b b b b b b b b b
b considers which of the following? b b b b
a. Most super-centenarians are functionally independent orrequire minimal
b b b b b b b
assistance with activities of daily living
b b b b b b
b. The majorityof super-centenarians have cognitive impairment
b b b b b b
c. The number of super-centenarians is expected to decrease in coming years as a
b b b b b b b b b b b b
result of heart disease and stroke
b b b b b b
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
b b b b b b b b b b b b b
mutations that made them less susceptible to common diseases
b b b b b b b b b
ANS: A b
Research supports that most super-centenarians are functionally and cognitively intact,
b b b b b b b b b
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
b b b b b b b b b b b b
increase in coming years as the number of older adults increases. The reason whyindividuals
b b b b b b b b b b b b b b b
survived as long as they have is not known.
b b b b b b b b b
DIF: Cognitive Level: Remembering REF: p.4 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
b b b b b b b b b b b b b
bdiabetes, and arthritis is that: b b b b
a. theyhave less access to medication and other treatment regimens.
b b b b b b b b b
b. there was a lack of importance placed on healthy living as they were growing up.
b b b b b b b b b b b b b b
c. theydid not have access to immunizations against communicable disease when
b b b b b b b b b b
they were children.
b b b
d. they grew up in an era of rampant poverty and malnutrition.
b b b b b b b b b b
, ANS: B b
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
b b b b b b b b b b b b b
medication and treatment regimens than other cohorts. They have had the benefit of the
b b b b b b b b b b b b b b
development of immunizations against communicable diseases. They grew up in an era of
b b b b b b b b b b b b b
prosperity post-WWII. However, there was a lack of importance placed on what we now consider
b b b b b b b b b b b b b b b
healthy living when they were younger. Smoking, for example, was not condoned, but was
b b b b b b b b b b b b b b
considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
b b b b b b b b b b b b b b b b b
secondhand smoke.
b b
DIF: Cognitive Level: Remembering REF: p.6 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
b b b b b b b b b b b b b b b b
plans to provide education on the importance of immunizations, annual physical examinations,
b b b b b b b b b b b b
screening for diabetes, and vision and hearing screening. It is important for the nurse to
b b b b b b b b b b b b b b b
understand which of the following?
b b b b b
a. Approximately40% of older adults (ages 65 and older) utilize available preventive b b b b b b b b b b b
servicesb
b. Preventive strategies are more widelyused in the 40-64 age group than in the 65 and b b b b b b b b b b b b b b b
over age group
b b b
c. Theresearch on health promotion strategies in older adults demonstrates that they
b b b b b b b b b b b
have low efficacy
b b b
d. There is an abundance of research specific to health promotion and aging
b b b b b b b b b b b
ANS: A b
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are b b b b b b b b b b b b b
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
b b b b b b b b b b b b b b b b b b b b
paucity of research specific to health promotion and aging; however, the research that exists
b b b b b b b b b b b b b b
demonstrates that health promotion strategies are highly effective.
b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.7 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse
b b b b b b b b b b b b b b b b
promotes functional wellness by which of the following activities?
b b b b b b b b b
a. Encouraging the client maintains current levels of physical activity b b b b b b b b
b. Assistingthe client to receive all the recommended preventive screenings that are b b b b b b b b b b b
appropriate for his age group
b b b b b
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer b b b b b b b b b b b b b b b
distancesb
d. Encouragingthe client to attend his weeklychess games b b b b b b b b
ANS: A b
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
b b b b b b b b b b b
the client how to use a rolling walker enables the client to remain active at the highest level
b b b b b b b b b b b b b b b b b b
possible, which is an example of promoting functional wellness. Receiving recommended
b b b b b b b b b b b
screening is an example of promoting biological wellness. The use of a rolling walker should be
b b b b b b b b b b b b b b b b
based on assessment of physical ability. Encouraging the client to attend weekly chess games is an
b b b b b b b b b b b b b b b b
example of promoting social wellness.
b b b b b
, DIF: Cognitive Level: Applying REF: p.10 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
b b b b b b b b b b b b b b b b
bincludes which of the following characteristics?
b b b b b
a. A Caucasian woman who lives in an urban area of a Southern state
b b b b b b b b b b b b
b. An African American woman who lives in a rural area of a Southern state
b b b b b b b b b b b b b
c. A Hispanic man who lives in an urban area of a Midwestern state
b b b b b b b b b b b b
d. A Caucasian man who lives in a rural area of a Midwestern state
b b b b b b b b b b b b
ANS: A b
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
b b b b b b b b b b b b
(82.8%), and living in urban areas of the Southern states.
b b b b b b b b b b
DIF: Cognitive Level: Applying REF: p.5 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
MULTIPLE RESPONSE
b
1. Primary prevention strategies for older adults include which of the following? (Select all that
b b b b b b b b b b b b b
bapply.)
a. An annual influenza immunization clinic
b b b b
b. A smoking cessation program
b b b
c. A prostate screening program
b b b
d. A cardiac rehabilitation program
b b b
e. A meal planning education program for type 2 diabetics
b b b b b b b b
ANS: A, B
b b
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
b b b b b b b b b b b b b b b
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
b b b b b b b b b b b b
examples of primary prevention. Secondary prevention is the early detection of a disease or a health
b b b b b b b b b b b b b b b b
problem that has already developed. Prostate screening is an example of secondary prevention.
b b b b b b b b b b b b b
Tertiary prevention addresses the needs of individuals who already have their wellness
b b b b b b b b b b b b
challenged. Cardiac rehabilitation and meal planning for diabetics are examples of tertiary
b b b b b b b b b b b b
prevention.
b
DIF: Cognitive Level: Applying REF: pp.8–9 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Management of Care
b b b b b
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority areas
b b b b b b b b b b b b b b b b b b b
bidentified by the National Prevention Council. Which of the following activities should the nurse
b b b b b b b b b b b b b
binclude? (Select all that apply.)
b b b b
a. Smoking cessation b
b. Depression screening b
c. Recognizing elder abuse b b
d. Cholesterol screening b
e. Fitness training b
b
Med C File © 2022
b b b b
,Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
b b b b b b b b
Chapter 01: Health and Wellness in an Aging Society MULTIPLE
b b b b b b b b b b
CHOICE
b
1. When asked bynew parents what the life expectancy is for their African American newborn, the
b b b b b b b b b b b b b b b
bnurse replies that, “2010 statistics indicate that your son:
b b b b b b b b
a. will have a life expectancy of approximately65 years.”
b b b b b b b b
b. can realistically expect to live into his late 80s.”
b b b b b b b b
c. has a good chance of celebrating his 75th birthday.”
b b b b b b b b
d. is likelyto live into his late 90s.”
b b b b b b b
ANS: C b
In 2010, men in the United States at age 60 can expect to live another 22 years. The life expectancy
b b b b b b b b b b b b b b b b b b b
of African American men is about 4.7 years less than white men. Of the options above, C is the only
b b b b b b b b b b b b b b b b b b b b
response that fits into those parameters. The other options are not supported by reliable research.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.3 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The nurse
b b b b b b b b b b b b b b b b
b considers which of the following? b b b b
a. Most super-centenarians are functionally independent orrequire minimal
b b b b b b b
assistance with activities of daily living
b b b b b b
b. The majorityof super-centenarians have cognitive impairment
b b b b b b
c. The number of super-centenarians is expected to decrease in coming years as a
b b b b b b b b b b b b
result of heart disease and stroke
b b b b b b
d. It is theorized that super-centenarians survived as long as theyhave due to genetic
b b b b b b b b b b b b b
mutations that made them less susceptible to common diseases
b b b b b b b b b
ANS: A b
Research supports that most super-centenarians are functionally and cognitively intact,
b b b b b b b b b
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
b b b b b b b b b b b b
increase in coming years as the number of older adults increases. The reason whyindividuals
b b b b b b b b b b b b b b b
survived as long as they have is not known.
b b b b b b b b b
DIF: Cognitive Level: Remembering REF: p.4 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
3. One reason why many “baby boomers” have multiple chronic conditions such as heart disease,
b b b b b b b b b b b b b
bdiabetes, and arthritis is that: b b b b
a. theyhave less access to medication and other treatment regimens.
b b b b b b b b b
b. there was a lack of importance placed on healthy living as they were growing up.
b b b b b b b b b b b b b b
c. theydid not have access to immunizations against communicable disease when
b b b b b b b b b b
they were children.
b b b
d. they grew up in an era of rampant poverty and malnutrition.
b b b b b b b b b b
, ANS: B b
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to
b b b b b b b b b b b b b
medication and treatment regimens than other cohorts. They have had the benefit of the
b b b b b b b b b b b b b b
development of immunizations against communicable diseases. They grew up in an era of
b b b b b b b b b b b b b
prosperity post-WWII. However, there was a lack of importance placed on what we now consider
b b b b b b b b b b b b b b b
healthy living when they were younger. Smoking, for example, was not condoned, but was
b b b b b b b b b b b b b b
considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much
b b b b b b b b b b b b b b b b b
secondhand smoke.
b b
DIF: Cognitive Level: Remembering REF: p.6 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
b b b b b b b b b b b b b b b b
plans to provide education on the importance of immunizations, annual physical examinations,
b b b b b b b b b b b b
screening for diabetes, and vision and hearing screening. It is important for the nurse to
b b b b b b b b b b b b b b b
understand which of the following?
b b b b b
a. Approximately40% of older adults (ages 65 and older) utilize available preventive b b b b b b b b b b b
servicesb
b. Preventive strategies are more widelyused in the 40-64 age group than in the 65 and b b b b b b b b b b b b b b b
over age group
b b b
c. Theresearch on health promotion strategies in older adults demonstrates that they
b b b b b b b b b b b
have low efficacy
b b b
d. There is an abundance of research specific to health promotion and aging
b b b b b b b b b b b
ANS: A b
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are b b b b b b b b b b b b b
available to them. However, only 24% of those between the ages of 40 and 64 do so. There is a
b b b b b b b b b b b b b b b b b b b b
paucity of research specific to health promotion and aging; however, the research that exists
b b b b b b b b b b b b b b
demonstrates that health promotion strategies are highly effective.
b b b b b b b b
DIF: Cognitive Level: Understanding REF: p.7 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The nurse
b b b b b b b b b b b b b b b b
promotes functional wellness by which of the following activities?
b b b b b b b b b
a. Encouraging the client maintains current levels of physical activity b b b b b b b b
b. Assistingthe client to receive all the recommended preventive screenings that are b b b b b b b b b b b
appropriate for his age group
b b b b b
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer b b b b b b b b b b b b b b b
distancesb
d. Encouragingthe client to attend his weeklychess games b b b b b b b b
ANS: A b
Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
b b b b b b b b b b b
the client how to use a rolling walker enables the client to remain active at the highest level
b b b b b b b b b b b b b b b b b b
possible, which is an example of promoting functional wellness. Receiving recommended
b b b b b b b b b b b
screening is an example of promoting biological wellness. The use of a rolling walker should be
b b b b b b b b b b b b b b b b
based on assessment of physical ability. Encouraging the client to attend weekly chess games is an
b b b b b b b b b b b b b b b b
example of promoting social wellness.
b b b b b
, DIF: Cognitive Level: Applying REF: p.10 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
6. Based on the census reports of 2010, the typical profile of a centenarian in the United States
b b b b b b b b b b b b b b b b
bincludes which of the following characteristics?
b b b b b
a. A Caucasian woman who lives in an urban area of a Southern state
b b b b b b b b b b b b
b. An African American woman who lives in a rural area of a Southern state
b b b b b b b b b b b b b
c. A Hispanic man who lives in an urban area of a Midwestern state
b b b b b b b b b b b b
d. A Caucasian man who lives in a rural area of a Midwestern state
b b b b b b b b b b b b
ANS: A b
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white (82.5%), women
b b b b b b b b b b b b
(82.8%), and living in urban areas of the Southern states.
b b b b b b b b b b
DIF: Cognitive Level: Applying REF: p.5 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Health Promotion andMaintenance
b b b b b b
MULTIPLE RESPONSE
b
1. Primary prevention strategies for older adults include which of the following? (Select all that
b b b b b b b b b b b b b
bapply.)
a. An annual influenza immunization clinic
b b b b
b. A smoking cessation program
b b b
c. A prostate screening program
b b b
d. A cardiac rehabilitation program
b b b
e. A meal planning education program for type 2 diabetics
b b b b b b b b
ANS: A, B
b b
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
b b b b b b b b b b b b b b b
maintaining wellness across the continuum of care. Immunizations and smoking cessation are
b b b b b b b b b b b b
examples of primary prevention. Secondary prevention is the early detection of a disease or a health
b b b b b b b b b b b b b b b b
problem that has already developed. Prostate screening is an example of secondary prevention.
b b b b b b b b b b b b b
Tertiary prevention addresses the needs of individuals who already have their wellness
b b b b b b b b b b b b
challenged. Cardiac rehabilitation and meal planning for diabetics are examples of tertiary
b b b b b b b b b b b b
prevention.
b
DIF: Cognitive Level: Applying REF: pp.8–9 b b b b
TOP: Integrated Process: Teaching/Learning
b b b b
MSC: Client Needs: Management of Care
b b b b b
2. A nurse organizes a health fair for older adults. The nurse’s goal is to focus on the six priority areas
b b b b b b b b b b b b b b b b b b b
bidentified by the National Prevention Council. Which of the following activities should the nurse
b b b b b b b b b b b b b
binclude? (Select all that apply.)
b b b b
a. Smoking cessation b
b. Depression screening b
c. Recognizing elder abuse b b
d. Cholesterol screening b
e. Fitness training b
