TEST BANK FOR Gerontological Nursing & Healthy Aging, 5th Edition BY
Touhy & Jett: Ebersole and Hess’
Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
Edition
MULTIPLE CHOICE
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.
ANS: 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 well-being 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 learn- ing and growth.
d. Wellness is impossible when one‘s
health is compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically,
health includes wellness, which in- volves 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
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: 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 iinfluences ithat ihave ishaped ithe ilives iof i the
imajority iof ithe iin-between i cohort i in ithe iUnited iStates itoday iinclude
iwhich iof ithe ifollowing?
a. Influenza iepidemic i of i1918
b. World iWar iI
c. Child irearing iin ithe iDepression
d. World iWar iII
ANS: D
Those iwho iare iin ithe iin-between icohort iin i2016 iwere iborn ibetween i1915
iand i1945. iThe imen iwere ilikely ito ihave ifought iin iWorld iWar iII. iThe ilast
iof ithe iHolocaust isurvivors iare iin ithis igroup. iA iperson iwho isurvived ithe
iinfluenza iepidemic i would ibe iat ileast i98 i years iold iin i2016 iand itherefore
iwould ibe iconsidered iold-old ior ia i centenarian. i Most i of ithose i who i are i of
i the i in-between i cohort i had i not i reached i childbearing i age i by ithe i end i of
i the i Depression. i Individuals iin ithe iin-between icohort iwould inot ihave ibeen
iold ienough ito ifight iin iWorld iWar iII.
PTS: 1 DIF: Understand REF: p. i5
TOP: Nursing i Process: iAssessment MSC: Safe, iEffective iCare iEnvironment
5. According ito iresearchers, iwhich icharacteristic ido imost icentenarians
ishare?
a. Female
b. Hispanic
c. Living iin irural iareas
d. Located iin ithe iMidwestern istates
ANS: A
Based ion ithe iU.S. icensus i report iof i2010, icentenarians iwere
ioverwhelmingly iwhite, i female, iand iliving i in ithe iurban iareas iof ithe
iSouthern istates.
PTS: 1 DIF: Remember REF: p. i5
TOP: Nursing i Process: iAssessment MSC: Safe, iEffective iCare iEnvironment
6. Which inursing iintervention iis i a iholistic iapproach ito ian iolder iadult?
a. Performs iglucose itesting iduring ithe
iweekly iworship iservice
b. Wheels iambulatory iadults ito
iexercise iwhen i runningilate
c. Assigns ifemale inurses ito iolder
i women iwho i are i Islamic
d. Allows iolder iadults iin ia inursing
ihome ito ieat i mealsialone
ANS: C
The inurse iuses ia iholistic iapproach ito ithe icare iof ian iolder ifemale iadult
, iwho iis i Islamic ibecause ithe iwoman iand iher ifamily iare imore ilikely ito ibe
iwilling iparticipants iin ia itherapeutic iregimen ithat irespects i a itenet iof itheir
iculture. i Inter- irupting ian iolder i adult‘s iworship iwith iglucose itesting ican ibe
iinterpreted ias ia ilack i of irespect ifor ispiritual ineeds. iThe inurse ican iprovide
ifor i and irespect ithe iphysical iand ispiritual iaspects iof ithe iolder iadult‘s ilife
iby itesting ifor iglucose ibefore ithe iservice i begins. i In itransporting i ambulatory
iadults ito ithe i exercise iprogram iin iwheelchairs ito isave itime, i the inurse
i disregards i the i need ifor i self-esteem iand i exercise, iboth iimportant iaspects i of
iphysical i well-being. iAmbulatory iadults ican iwalk iwith iassistance, i if ineeded,
i to iexercise iprograms i and ican ibenefit ifrom ithe iadditional iactivity iand
iindependence. iThe inurse ican ibe itempted ito iallow i an iolder iadult ito ieat
imeals ialone iin ihis ior iher iroom iif i this iwill imotivate ithe iperson ito ieat ior
iif ithe iolder i adult ihas idysphasia iand iis iembarrassed. i However, ialthough
ifocusing ion iphysical ineeds, ithe inurse iignores ipsychosocial iand iother
iaspects iof ihealth iand iwell-being.
PTS: 1 DIF: Understand REF: p. i7 TOP: Nursing iProcess:
iEvaluationiMSC: Health iPromotion iand iMaintenance
Touhy & Jett: Ebersole and Hess’
Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
Edition
MULTIPLE CHOICE
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.
ANS: 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 well-being 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 learn- ing and growth.
d. Wellness is impossible when one‘s
health is compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically,
health includes wellness, which in- volves 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
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: 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 iinfluences ithat ihave ishaped ithe ilives iof i the
imajority iof ithe iin-between i cohort i in ithe iUnited iStates itoday iinclude
iwhich iof ithe ifollowing?
a. Influenza iepidemic i of i1918
b. World iWar iI
c. Child irearing iin ithe iDepression
d. World iWar iII
ANS: D
Those iwho iare iin ithe iin-between icohort iin i2016 iwere iborn ibetween i1915
iand i1945. iThe imen iwere ilikely ito ihave ifought iin iWorld iWar iII. iThe ilast
iof ithe iHolocaust isurvivors iare iin ithis igroup. iA iperson iwho isurvived ithe
iinfluenza iepidemic i would ibe iat ileast i98 i years iold iin i2016 iand itherefore
iwould ibe iconsidered iold-old ior ia i centenarian. i Most i of ithose i who i are i of
i the i in-between i cohort i had i not i reached i childbearing i age i by ithe i end i of
i the i Depression. i Individuals iin ithe iin-between icohort iwould inot ihave ibeen
iold ienough ito ifight iin iWorld iWar iII.
PTS: 1 DIF: Understand REF: p. i5
TOP: Nursing i Process: iAssessment MSC: Safe, iEffective iCare iEnvironment
5. According ito iresearchers, iwhich icharacteristic ido imost icentenarians
ishare?
a. Female
b. Hispanic
c. Living iin irural iareas
d. Located iin ithe iMidwestern istates
ANS: A
Based ion ithe iU.S. icensus i report iof i2010, icentenarians iwere
ioverwhelmingly iwhite, i female, iand iliving i in ithe iurban iareas iof ithe
iSouthern istates.
PTS: 1 DIF: Remember REF: p. i5
TOP: Nursing i Process: iAssessment MSC: Safe, iEffective iCare iEnvironment
6. Which inursing iintervention iis i a iholistic iapproach ito ian iolder iadult?
a. Performs iglucose itesting iduring ithe
iweekly iworship iservice
b. Wheels iambulatory iadults ito
iexercise iwhen i runningilate
c. Assigns ifemale inurses ito iolder
i women iwho i are i Islamic
d. Allows iolder iadults iin ia inursing
ihome ito ieat i mealsialone
ANS: C
The inurse iuses ia iholistic iapproach ito ithe icare iof ian iolder ifemale iadult
, iwho iis i Islamic ibecause ithe iwoman iand iher ifamily iare imore ilikely ito ibe
iwilling iparticipants iin ia itherapeutic iregimen ithat irespects i a itenet iof itheir
iculture. i Inter- irupting ian iolder i adult‘s iworship iwith iglucose itesting ican ibe
iinterpreted ias ia ilack i of irespect ifor ispiritual ineeds. iThe inurse ican iprovide
ifor i and irespect ithe iphysical iand ispiritual iaspects iof ithe iolder iadult‘s ilife
iby itesting ifor iglucose ibefore ithe iservice i begins. i In itransporting i ambulatory
iadults ito ithe i exercise iprogram iin iwheelchairs ito isave itime, i the inurse
i disregards i the i need ifor i self-esteem iand i exercise, iboth iimportant iaspects i of
iphysical i well-being. iAmbulatory iadults ican iwalk iwith iassistance, i if ineeded,
i to iexercise iprograms i and ican ibenefit ifrom ithe iadditional iactivity iand
iindependence. iThe inurse ican ibe itempted ito iallow i an iolder iadult ito ieat
imeals ialone iin ihis ior iher iroom iif i this iwill imotivate ithe iperson ito ieat ior
iif ithe iolder i adult ihas idysphasia iand iis iembarrassed. i However, ialthough
ifocusing ion iphysical ineeds, ithe inurse iignores ipsychosocial iand iother
iaspects iof ihealth iand iwell-being.
PTS: 1 DIF: Understand REF: p. i7 TOP: Nursing iProcess:
iEvaluationiMSC: Health iPromotion iand iMaintenance
