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