TB
TEST BANK - Ebersole and Hess'
Ac
Gerontological Nursing & Healthy Aging 5th
er
Edition by Theris A. Touhy, Kathleen F. Jett
VERIFIED CORRECT ANSWERS WITH
RATIONALES| CHAPTER 1-28
Page | 1
, TB
Chapter 01: Introduction to Healthy Aging
Ac
MULTIPLE CHOICE
er
1. A man is terminally ill with end stage prostate cancer. Which is the best statement about this man‘s
wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level of wellness.
CORRECT ANSWER> D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can foster
wellness in his or her clients. Wellness is defined by the individual and is multidimensional. It is not just the
absence of disease. A wellness perspective is based on the belief that every person has an optimal level of
health independent of his or her situation or functional level. Even in the presence of chronic illness or while
dying, a movement toward wellness is possible if emphasis of care is placed on the promotion of wellbeing in
a supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis MSC: Health Promotion and
Maintenance
2. In differentiating between health and wellness in health care, which of the following statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self actualization develop through learning and growth.
d. Wellness is impossible when one‘s health is compromised.
CORRECT ANSWER> A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes wellness, which
involves one‘s whole being. The concept of illness prevention was never considered by previous generations;
through out history, basic self care requirements have been recognized. Wellness and self actualization develop
through learning and growth—as basic needs are met, higher level needs can be satisfied in turn, with ever
deepening rich ness to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
with multiple dis abilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation MSC: Health Promotion and
Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
Page | 2
, TB
b. African Americans
Ac
c. Hispanic Americans
er
d. Asian and Pacific Island Americans
CORRECT ANSWER> C
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy of all. In 2011, for those of
His panic origin of any race, the overall life expectancy at 65 years of age was 20.7 more years in 2011 (19.1
years for men and 21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical influences that have shaped the lives of the majority of the in between cohort in the United States
today include which of the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
CORRECT ANSWER> D
Those who are in the in between cohort in 2016 were born between 1915 and 1945. The men were likely to
have fought in World War II. The last of the Holocaust survivors are in this group. A person who survived the
influenza epidemic would be at least 98 years old in 2016 and therefore would be considered old-old or a
centenarian. Most of those who are of the in between cohort had not reached childbearing age by the end of the
Depression. Individuals in the in between cohort would not have been old enough to fight in World War II.
PTS: 1 DIF: Understand REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
5. According to researchers, which characteristic do most centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
CORRECT ANSWER> A
Based on the U.S. census report of 2010, centenarians were overwhelmingly white, female, and living in the
urban areas of the Southern states.
Page | 3
, TB
PTS: 1 DIF: Remember REF: p. 5
Ac
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
er
6. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the weekly worship service
b. Wheels ambulatory adults to exercise when running late
c. Assigns female nurses to older women who are Islamic
d. Allows older adults in a nursing home to eat meals alone
CORRECT ANSWER> C
The nurse uses a holistic approach to the care of an older female adult who is Islamic because the woman and
her family are more likely to be willing participants in a therapeutic regimen that respects a tenet of their
culture. Interrupting an older adult‘s worship with glucose testing can be interpreted as a lack of respect for
spiritual needs. The nurse can provide for and respect the physical and spiritual aspects of the older adult‘s life
by testing for glucose before the service begins. In transporting ambulatory adults to the exercise program in
wheelchairs to save time, the nurse disregards the need for self esteem and exercise, both important aspects of
physical wellbeing. Ambulatory adults can walk with assistance, if needed, to exercise programs and can
benefit from the additional activity and independence. The nurse can be tempted to allow an older adult to eat
meals alone in his or her room if this will motivate the person to eat or if the older adult has dysphasia and is
embarrassed. However, although focusing on physical needs, the nurse ignores psychosocial and other aspects
of health and wellbeing.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation MSC: Health Promotion and
Maintenance
7. An older man who resides in a nursing home has a total cholesterol level of 245 mg/dL. Which nursing
intervention is most likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suitable foods.
CORRECT ANSWER> D
The nurse collaborates with the older adult to choose suitable foods, which is likely to be an effective nursing
intervention to help an older adult with hyperlipidemia achieve optimal health and wellbeing; it gives him
some control over the regimen and thus engages him in the process of lowering serum cholesterol. Informing
the older man about dietary fiber offers no control to him because he is not part of the decision. Nursing
interventions developed with the older adult‘s collaboration are most likely to help the older adult achieve
health and wellness. Collaborating with the health care provider for a low-fat diet is a reasonable approach to
help this man with hyperlipidemia to achieve health and wellness. However, he is more likely to have
motivation and enthusiasm for a therapeutic regimen over which he has had some control. Scheduling a
Page | 4
TEST BANK - Ebersole and Hess'
Ac
Gerontological Nursing & Healthy Aging 5th
er
Edition by Theris A. Touhy, Kathleen F. Jett
VERIFIED CORRECT ANSWERS WITH
RATIONALES| CHAPTER 1-28
Page | 1
, TB
Chapter 01: Introduction to Healthy Aging
Ac
MULTIPLE CHOICE
er
1. A man is terminally ill with end stage prostate cancer. Which is the best statement about this man‘s
wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level of wellness.
CORRECT ANSWER> D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can foster
wellness in his or her clients. Wellness is defined by the individual and is multidimensional. It is not just the
absence of disease. A wellness perspective is based on the belief that every person has an optimal level of
health independent of his or her situation or functional level. Even in the presence of chronic illness or while
dying, a movement toward wellness is possible if emphasis of care is placed on the promotion of wellbeing in
a supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis MSC: Health Promotion and
Maintenance
2. In differentiating between health and wellness in health care, which of the following statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self actualization develop through learning and growth.
d. Wellness is impossible when one‘s health is compromised.
CORRECT ANSWER> A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes wellness, which
involves one‘s whole being. The concept of illness prevention was never considered by previous generations;
through out history, basic self care requirements have been recognized. Wellness and self actualization develop
through learning and growth—as basic needs are met, higher level needs can be satisfied in turn, with ever
deepening rich ness to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
with multiple dis abilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation MSC: Health Promotion and
Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
Page | 2
, TB
b. African Americans
Ac
c. Hispanic Americans
er
d. Asian and Pacific Island Americans
CORRECT ANSWER> C
As shown in Figure 1.4, Hispanic men and women have the highest life expectancy of all. In 2011, for those of
His panic origin of any race, the overall life expectancy at 65 years of age was 20.7 more years in 2011 (19.1
years for men and 21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical influences that have shaped the lives of the majority of the in between cohort in the United States
today include which of the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
CORRECT ANSWER> D
Those who are in the in between cohort in 2016 were born between 1915 and 1945. The men were likely to
have fought in World War II. The last of the Holocaust survivors are in this group. A person who survived the
influenza epidemic would be at least 98 years old in 2016 and therefore would be considered old-old or a
centenarian. Most of those who are of the in between cohort had not reached childbearing age by the end of the
Depression. Individuals in the in between cohort would not have been old enough to fight in World War II.
PTS: 1 DIF: Understand REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
5. According to researchers, which characteristic do most centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
CORRECT ANSWER> A
Based on the U.S. census report of 2010, centenarians were overwhelmingly white, female, and living in the
urban areas of the Southern states.
Page | 3
, TB
PTS: 1 DIF: Remember REF: p. 5
Ac
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
er
6. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the weekly worship service
b. Wheels ambulatory adults to exercise when running late
c. Assigns female nurses to older women who are Islamic
d. Allows older adults in a nursing home to eat meals alone
CORRECT ANSWER> C
The nurse uses a holistic approach to the care of an older female adult who is Islamic because the woman and
her family are more likely to be willing participants in a therapeutic regimen that respects a tenet of their
culture. Interrupting an older adult‘s worship with glucose testing can be interpreted as a lack of respect for
spiritual needs. The nurse can provide for and respect the physical and spiritual aspects of the older adult‘s life
by testing for glucose before the service begins. In transporting ambulatory adults to the exercise program in
wheelchairs to save time, the nurse disregards the need for self esteem and exercise, both important aspects of
physical wellbeing. Ambulatory adults can walk with assistance, if needed, to exercise programs and can
benefit from the additional activity and independence. The nurse can be tempted to allow an older adult to eat
meals alone in his or her room if this will motivate the person to eat or if the older adult has dysphasia and is
embarrassed. However, although focusing on physical needs, the nurse ignores psychosocial and other aspects
of health and wellbeing.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation MSC: Health Promotion and
Maintenance
7. An older man who resides in a nursing home has a total cholesterol level of 245 mg/dL. Which nursing
intervention is most likely to assist this man in achieving his highest level of wellness?
a. Instruct him about increasing dietary fiber.
b. Ask the health care provider for a low fat diet.
c. Schedule a consultation for him with the dietitian.
d. Review a menu with him to choose suitable foods.
CORRECT ANSWER> D
The nurse collaborates with the older adult to choose suitable foods, which is likely to be an effective nursing
intervention to help an older adult with hyperlipidemia achieve optimal health and wellbeing; it gives him
some control over the regimen and thus engages him in the process of lowering serum cholesterol. Informing
the older man about dietary fiber offers no control to him because he is not part of the decision. Nursing
interventions developed with the older adult‘s collaboration are most likely to help the older adult achieve
health and wellness. Collaborating with the health care provider for a low-fat diet is a reasonable approach to
help this man with hyperlipidemia to achieve health and wellness. However, he is more likely to have
motivation and enthusiasm for a therapeutic regimen over which he has had some control. Scheduling a
Page | 4
