TOWARD HEALTHY AGING 10TH EDITION
TOUHY Actual Exam Questions With
Reviewed 100% Correct Detailed Answers
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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