m m m m m m m m m
Chapter 01: Aging, Health, and Wellness in a Global Communi
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ty Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Editio
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MULTIPLEmCHOICE
1. WhenmaskedmbymnewmparentsmwhatmthemlifemexpectancymismformtheirmAfricanmAmericanmnewbo
rn,mthemnursemrepliesmthat,m“2015mstatisticsmindicatemthatmyourmson:
a. willmhavemamlifemexpectancymofmapproximatelym65m years.”
b. canmrealisticallymexpectmtomlivemintomhismlatem80s.”
c. hasmamgoodmchancemofmcelebratingmhism75thmbirthday.”
d. ismlikelymtomlivemintomhismlatem90s.”
ANS:m C
ThemoverallmlifemexpectancymatmbirthminmthemUnitedmStatesminm2015mwasm78.8.mThemdisparitym
betweenmlifemexpectanciesmformblackmandmwhitemAmericansmhasmnarrowedmsignificantlymbetw
eenm1999mandm2015,mwithmthemdeathmratemformblacksm(AfricanmAmericans)mdroppingmbym25%m
(OfficemofmMinoritymHealth,m2017).mOfmthemoptionsmabove,mCmismthemonlymresponsemthatmfitsmin
tomthosemparameters.mThemothermoptionsmaremnotmsupportedmbymreliablemresearch.
DIF: CognitivemLevel:mUnderstanding TOP:
IntegratedmProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealthmPromotionman
dmMaintenance
2. Amnursemismplanningmcaremformamgroupmofmsuper-
centenariansminmanmassistedmlivingmfacility.mThemnursemconsidersmwhichmofmthemfollowing?
a. Mostmsuper-
centenariansmaremfunctionallymindependentmormrequiremminimalmassistancem
withmactivitiesmN
ofUdRaS
ilyIlN
ivGinTgB
.
b. Themmajoritymofmsuper-centenariansmhavemcognitivemimpairment.
c. Themnumbermofmsuper-
centenariansmismexpectedmtomdecreaseminmcomingmyearsmasmamresultmofmheartmdise
asemandmstroke.
d. Itmismtheorizedmthatmsuper-
centenariansmsurvivedmasmlongmasmtheymhavemduemtomgeneticmmutationsmthatmmademt
hemmlessmsusceptiblemtomcommonmdiseases.
ANS:m A
Researchmsupportsmthatmmostmsuper-
centenariansmaremfunctionallymandmcognitivelymintact,mrequiringmminimalmassistancemwithmA
DLs.mThemnumbermofmsuper-
centenariansmismexpectedmtomincreaseminmcomingmyearsmasmthemnumbermofmoldermadultsmincreas
es.mAlthoughmcentenariansmstillmcarrymgeneticmmarkersmwithinmtheirmchromosomesmformanymnu
mbermofmhealthmproblems,mformasmyetmunknownmreasons,mthesemaremnotm“activated”muntilmmuc
hmlater,mifmatmall,mwhenmcomparedmwithmothermpersons.
DIF: CognitivemLevel:mRemembering TOP:
IntegratedmProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealthmPromotionman
dmMaintenance
3. Onemreasonmwhymmanym“babymboomers”mhavemmultiplemchronicmconditionsmsuchmasmhe
artmdisease,mdiabetes,mandmarthritismismthat:
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,a. theymhavemlessmaccessmtommedicationmandmothermtreatmentmregimens.
b. theremwasmamlackmofmimportancemplacedmonmhealthymlivingmasmtheymweremgrowingmup.
c. theymdidmnotmhavemaccessmtomimmunizationsmagainstmcommunicablemdiseasemwh
enmtheymweremchildren.
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, d. theymgrewmupminmanmeramofmrampantmpovertymandmmalnutrition.
ANS:m B
Thembabymboomers,mindividualsmbornmbetweenm1946mandm1964,mpost-
WWII,mhavembettermaccessmtommedicationmandmtreatmentmregimensmthanmothermcohorts.mTheym
havemhadmthembenefitmofmthemdevelopmentmofmimmunizationsmagainstmcommunicablemdisease
s.mTheymgrewmupminmanmeramofmprosperitympost-
WWII.mHowever,mtheremwasmamlackmofmimportancemplacedmonmwhatmwemnowmconsidermhealth
ymlivingmwhenmtheymweremyounger.mSmoking,mformexample,mwasmnotmcondoned,mbutmwasmcons
ideredmamsymbolmofmstatus.mCandyminmthemshapemofmcigarettesmwasmpopular,mandmtheremwasmm
uchmsecondhandmsmoke.
DIF: CognitivemLevel:mRemembering TOP:
IntegratedmProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealthmPromotionman
dmMaintenance
4. Amnursemismplanningmanmeducationmprogrammonmwellnessminmamlocalmseniormcitizenmcenter.m
Themnursemplansmtomprovidemeducationmonmthemimportancemofmimmunizations,mannualmphysi
calmexaminations,mscreeningmformdiabetes,mandmvisionmandmhearingmscreening.mItmismimport
antmformthemnursemtomunderstandmwhichmofmthemfollowing?
a. Lessmthanm50%mofmoldermadultsm(agesm65mandmolder)mutilizemavailablempreventi
vemservices.
b. Preventivemstrategiesmaremmoremwidelymusedminmthem50-64mage-
groupmthanminmthem65mandmovermage-group.
c. Themresearchmonmhealthmpromotionmstrategiesminmoldermadultsmdemonstratesmthatmth
eymhavemlowmefficacy.
d. Theremismanmabundancemofmresearchmspecificmtomhealthmpromotionmandmaging.
ANS:m A
Lessmthanm50%mofmindividuals,magesm65mandmolder,mutilizemthempreventivemservicesmthatmarem
availablemtomthem.mHowever,monlym25%mofmthosembetweenmthemagesmofm50mandm64mdomso.mTh
eremismampaucitymofmresearchmspecificmtomhealthmpromotionmandmaging;mhowever,mthemresearc
hmthatmexistsmdemonstratesmthatmhealthmpromotionmstrategiesmaremhighlymeffective.
DIF: CognitivemLevel:mUnderstanding TOP:
IntegratedmProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealthmPromotionman
dmMaintenance
5. Amnursemismcaringmformanm85-year-
oldmmalemclientmwithmdiabetesminmamcommunitymsetting.mThemnursempromotesmfunctionalmwe
llnessmbymwhichmofmthemfollowingmactivities?
a. Encouragingmthemclientmtommaintainmcurrentmlevelsmofmphysicalmactivity
b. Assistingmthemclientmtomreceivemallmthemrecommendedmpreventivemscreeningsmthatma
remappropriatemformhismage-group
c. Teachingmthempatientmhowmtomusemamrollingmwalkermsomthatmhemcanmambulatemformlon
germdistances
d. Encouragingmthemclientmtomattendmhismweeklymchessmgam
esmANS:m A
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, Maintainingmexistingmlevelsmofmphysicalmactivitymismconsistentmwithmfunctionalmwellness.mT
eachingmthemclientmhowmtomusemamrollingmwalkermenablesmthemclientmtomremainmactivematmthem
highestmlevelmpossible,mwhichmismanmexamplemofmpromotingmfunctionalmwellness.mReceivin
gmrecommendedmscreeningmismanmexamplemofmpromotingmbiologicalmwellness.mThemusemofma
mrollingmwalkermshouldmbembasedmonmassessmentmofmphysicalmability.mEncouragingmthemclien
tmtomattendmweeklymchessmgamesmismanmexamplemofmpromotingmsocialmwellness.
DIF: CognitivemLevel:mApplying TOP:
IntegratedmProcess:mTeaching/LearningmMSC:m ClientmNeeds:mHealthmPromotionman
dmMaintenance
6. Basedmonmthemcensusmreportsmofm2015,mthemtypicalmprofilemofmamcentenarianmincludesmwhich
mofm
themfollowingmcharacteristics?
a. AnmAmericanmwomanmwithmnomsignsmofmdementia
b. AmJapanesemwomanmwithmchronicminflammation
c. AmChinesemmanmwithmanmimmunemdisorder
d. AnmAmericanmmanmwhomismamlifelongmvegetarian
ANS:m A
Basedmonmthem2015mU.S.mCensusmdata,mwhilemthemUnitedmStatesmhasmhighestmnumbermofmcent
enarians,mJapanmhasmovermdoublemthemnumbermrelativemtomthempopulationmasmamwhole.mThemrel
ativelymlowmnumbermofmcentenariansm(andmsuper-
centenarians)mwithmdementiamofmsomemkindmmaymbemexplainedmbymthempresencemofmsomemtype
mofmgeneticmneuroprotectivemfactors.mWhilemmostmpeoplemhavemnormalmage-
relatedmdeclinesminmimmunemfunctioningmandmincreasesminmamstatemofmchronicminflammation,mt
hismdoesmnotmappearmtombemthemcasemformthismgroupmofmlongmlivedmpeople.
DIF:
Cognitivem Level:m A pmpNlmyUimnRgSINGTmB T. O
CPO: MmIntegratedmProcess:mTeaching/Learning
m MSC:m ClientmNeeds:mHealthmPromotionmandmMaintenance
MULTIPLEmRESPONSE
1. Primarympreventionmstrategiesmformoldermadultsmincludemwhichmofmthemfollowing?m(Selectm
allmthatmapply.)
a. Anmannualminfluenzamimmunizationmclinic
b. Amsmokingmcessationmprogram
c. Amprostatemscreeningmprogram
d. Amcardiacmrehabilitationmprogram
e. Ammealmplanningmeducationmprogrammformtypem2mdiabetics
ANS:m A,mB
Primarympreventionmrefersmtomstrategiesmthatmaremusedmtompreventmanmillnessmbeforemitmoccursm
andmmaintainingmwellnessmacrossmthemcontinuummofmcare.mImmunizationsmandmsmokingmcessa
tionmaremexamplesmofmprimarymprevention.mSecondarympreventionmismthemearlymdetectionmofmam
diseasemormamhealthmproblemmthatmhasmalreadymdeveloped.mProstatemscreeningmismanmexamplem
ofmsecondarymprevention.mTertiarympreventionmaddressesmthemneedsmofmindividualsmwhomalrea
dymhavemtheirmwellnessmchallenged.mCardiacmrehabilitationmandmmealmplanningmformdiabeticsm
aremexamplesmofmtertiarymprevention.
DIF: CognitivemLevel:mApplying TOP: IntegratedmProcess:mTeaching/Learning
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