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