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TEST BANK FOR EBERSOLE AND HESS TOWARD HEALTHY AGING 10TH EDITION TOUHY Actual Exam Questions With Reviewed 100% Correct Detailed Answers Guaranteed Pass!!Current Update (Verified Pass)

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TEST BANK FOR EBERSOLE AND HESS TOWARD HEALTHY AGING 10TH EDITION TOUHY Actual Exam Questions With Reviewed 100% Correct Detailed Answers Guaranteed Pass!!Current Update (Verified Pass) 1. The nurse is aware inflamm-aging most likely explains why the older population is at risk for autoimmune disorder. What common strategy has been found to have deleterious effects on immunity? a. Judicious use of herbal supplements b. Regular exercise c. Annual influenza vaccination d. Use of supplemental antioxidants ANS: D Slowing or reducing cellular damage may have the potential to promote healthy aging. Levels of naturally occurring antioxidants can be increased through regular exercise and diet. Because we have realized the deleterious effects of supplemental antioxidents, the gerontological nurse can use this knowledge to encourage persons to abandon long-held habits and beliefs and replace these with the healthiest diets. The conscientious nurse can take an active role in promoting specific preventive strategies such as the use of immunizations (especially influenza and pneumococcal) and the avoidance of exposure to others with infections. DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 2. The family member of a patient asks if vitamin C will prevent aging. In formulating an appropriate response, the nurse considers the: a. free radical theory. b. autoimmune theory. c. wear-and-tear theory. d. continuity theory. ANS: A The free radical theory posits that aging is a result of random damage from free radicals. Research is ongoing on the ability of substances with antioxidant effects to counter the actions of free radicals. For many years it was thought that consumption of supplemental antioxidants, such as vitamin C, could delay or minimize the effects of aging. However, it is now known that the intake of supplemental antioxidants can be deleterious to one’s health. The autoimmune theory posits that the cells of the immune system become progressively more diversified with age and lose self-regulatory ability. The use of vitamin C is not associated with this theory. The wear-and-tear theory posits that cellular errors are the result of wearing out over time due to constant use. The continuity theory is a sociological theory that deals with the tendency of individuals to develop and maintain consistent patterns of behavior throughout their lives. DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 3. The nurse implements the concepts of the activity theory of aging when instructing the older client with osteoarthritis to: a. continue her daily walking routine. b. curtail further increases in physical activity. c. document preferred end-of-life interventions. d. avoid exposing herself to crowds. ANS: A The activity theory states that successful aging equals active aging, which is related to the person’s need to maintain a productive life for it to be a happy life. Curtailing increases in physical activity is diametrically opposite to continuing a daily walking routine and contrary to the tenets of the activity theory. End-of-life decisions and avoiding exposure to crowds are not related to the activity theory since they do not directly affect the productiveness of a client’s life. DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 4. A community health nurse provides an annual flu prevention workshop at a local senior center. The activities include a lecture on preventing infections, which includes hand washing and limiting exposure to individuals who are ill, as well as an influenza immunization clinic. The nurse is basing her activities on what component of aging? a. Wear and tear b. Oxidative stress c. Inflamm-aging d. Free radical aging ANS: C Of significant importance in the clinical setting is inflamm-aging and indications of the increased susceptibility to infections, autoimmune disorders, and cancers with aging. Observing for early signs and symptoms of infections in older adults is a contribution nurses can make to facilitate a return to wellness. With an understanding of the changes in immunity, the conscientious nurse can take an active role in promoting specific preventive strategies such as the use of immunizations (especially influenza and pneumococcal) and the avoidance of exposure to others with infections. Wear and tear, oxidative stress, and free radical are incorrect because none of these components of aging deal with prevention of infection. DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance

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TEST BANK FOR EBERSOLE AND HESS
TOWARD HEALTHY AGING 10TH EDITION
TOUHY Actual Exam Questions With
Reviewed 100% Correct Detailed Answers
Guaranteed Pass!!Current Update
(Verified Pass)

Promoting Health & Managing Health Issues
For Old Adults

,Chapter 01: Aging, Health, and Wellness in a Global Community
Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Edition


MULTIPLE RESPONSE

1. Primary prevention strategies for older adults include which of the following? (Select all
that apply.)
a. An annual influenza immunization clinic
b. A smoking cessation program
c. A prostate screening program
d. A cardiac rehabilitation program
e. A meal planning education program for type 2 diabetics
ANS: A, B
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
maintaining wellness across the continuum of care. Immunizations and smoking cessation
are examples of primary prevention. Secondary prevention is the early detection of a disease
or a health problem that has already developed. Prostate screening is an example of
secondary prevention. Tertiary prevention addresses the needs of individuals who already
have their wellness challenged. Cardiac rehabilitation and meal planning for diabetics are
examples of tertiary prevention.

DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning



2. A nurse organizes a symposium for health care professionals in the field of geriatrics.
Which of the following topics align with Healthy People 2020s emerging issues relevant to
healthy aging? (Select all that apply.)
a. Fair pay and compensation standards for informal caregivers
b. Longevity and genetics
c. Emerging chronic conditions among baby boomers
d. Minimum competency levels for health care professionals
e. Health disparities in LGBT older adults
ANS: A, C, D, E
Issues outlined in Healthy People 2020: Emerging issues in the health of older adults
include person-centered care planning that includes caregivers; quality measures of care and
monitoring of health conditions; fair pay and compensation standards for formal and
informal caregivers; minimum levels of geriatric training for health professionals; and
enhanced data on certain subpopulations of older adults, including aging LGBT populations.
Longevity and genetics is an important subject to study but is not listed as an emerging issue
to focus on for Healthy People 2020.

DIF: Cognitive Level: Analyzing TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance

3. Baby boomers born before 1960 were subject to which of the following health challenges
during their childhood? (Select all that apply.)
a. Measles
b. Scarlet fever
c. Rubella
d. Smallpox
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, e. HIV/AIDS
ANS: A, B, C
Most boomers born in 1950s contracted at least several of the “childhood diseases” of
measles, mumps, rubella, and chicken pox. Scarlet fever was also common. Smallpox was a
concern for the centenarians, not this generation. HIV/AIDS had not been identified in the
early years of 1915-1945.

DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance

4. A nursing student is preparing a presentation on the wellness-based model for healthy aging.
Which of the following concepts should the student include in the presentation? (Select all
that apply.)
a. Healthy aging is defined by the absence of physical illness alone.
b. Healthy aging is individually defined and can change over time.
c. There are many strategies to promote healthy aging that are believed to be helpful
but do not have empirical evidence to support them.
d. Healthy aging cannot be achieved by only focusing on later life. It is a lifelong
process.
e. According to this model, an individual with a chronic disease would not be




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, considered healthy.
ANS: B, C, D
Healthy aging is a lifelong process that begins with birth and ends with death. The concept
of healthy aging from a wellness perspective is uniquely defined by each individual and can
change over time. There are challenges to implementing evidence-based practices on
healthy aging because there is a paucity of research on this area. Therefore, there are many
strategies that have been used and determined to be effective but do not have research
evidence supporting them. The subcomponents with the wellness model are functional
independence, self-care management of illness, personal growth, positive outlook, and
social contribution and activities that promote one’s health.

DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance




MULTIPLE CHOICE

1. When asked by new parents what the life expectancy is for their African American newborn,
the nurse replies that, “2015 statistics indicate that your son:
a. will have a life expectancy of approximately 65 years.”
b. can realistically expect to live into his late 80s.”
c. has a good chance of celebrating his 75th birthday.”
d. is likely to live into his late 90s.”
ANS: C
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity
between life expectancies for black and white Americans has narrowed significantly
between 1999 and 2015, with the death rate for blacks (African Americans) dropping by
25% (Office of Minority Health, 2017). Of the options above, C is the only response that fits
into those parameters. The other options are not supported by reliable research.

DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance

2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
nurse considers which of the following?
a. Most super-centenarians are functionally independent or require minimal
assistance with activities N
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.
b. The majority of super-centenarians have cognitive impairment.
c. The number of super-centenarians is expected to decrease in coming years as a
result of heart disease and stroke.
d. It is theorized that super-centenarians survived as long as they have due to genetic
mutations that made them less susceptible to common diseases.
ANS: A
Research supports that most super-centenarians are functionally and cognitively intact,
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
increase in coming years as the number of older adults increases. Although centenarians still

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