Test Bank for Ebersole & Hess' Toward Healthy Aging 9th Edition by Touhy – Complete Chapter Questions & Answers

,Chapter 01: Health and Wellness in an Aging Society
x x x x x x x x

Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
x x x x x x x x




MULTIPLExCHOICE

1. WhenxaskedxbyxnewxparentsxwhatxthexlifexexpectancyxisxforxtheirxAfricanxAmericanxnewborn,xt
hexnursexrepliesxthat,x“2010xstatisticsxindicatexthatxyourxson:
a. willxhavexaxlifexexpectancyxofxapproximatelyx65x years.”
b. canxrealisticallyxexpectxtoxlivexintoxhisxlatex80s.”
c. hasxaxgoodxchancexofxcelebratingxhisx75thxbirthday.”
d. isxlikelyxtoxlivexintoxhisxlatex90s.”
ANS:x C
Inx2010,xmenxinxthexUnitedxStatesxatxagex60xcanxexpectxtoxlivexanotherx22xyears.xThexlifexexpect
ancyxofxAfricanxAmericanxmenxisxaboutx4.7xyearsxlessxthanxwhitexmen.xOfxthexoptionsxabove,xCx
isxthexonlyxresponsexthatxfitsxintoxthosexparameters.xThexotherxoptionsxarexnotxsupportedxbyxrelia
blexresearch.

DIF: CognitivexLevel:xUnderstanding
REF:x p.x3xTOP:x IntegratedxProcess:xTeaching/
Learning
MSC:x ClientxNeeds:xHealthxPromotionxandxMaintenance

2. Axnursexisxplanningxcarexforxaxgroupxofxsuper-
centenariansxinxanxassistedxlivingxfacility.xThexnursexconsidersxwhichxofxthexfollowing?
a. Mostxsuper-centenariansxarexfunctionallyxindependentxorxrequirexminimal
assistancexwithxactivitiesxofxdailyxliving
b. Thexmajorityxofxsuper-centenariansxhavexcognitiveximpairment
c. Thexnumberxofxsuper-centenariansxisxexpectedxtoxdecreasexinxcomingxyearsxasxa
resultxofxheartxdiseasexandxstroke
d. Itxisxtheorizedxthatxsuper-centenariansxsurvivedxasxlongxasxtheyxhavexduextoxgenetic
mutationsxthatxmadexthemxlessxsusceptiblextoxcommonxdiseases
ANS:x A
Researchxsupportsxthatxmostxsuper-
centenariansxarexfunctionallyxandxcognitivelyxintact,xrequiringxminimalxassistancexwithxADLs.xT
hexnumberxofxsuper-
centenariansxisxexpectedxtoxincreasexinxcomingxyearsxasxthexnumberxofxolderxadultsxincreases.xThex
reasonxwhyxindividualsxsurvivedxasxlongxasxtheyxhavexisxnotxknown.

DIF: CognitivexLevel:xRemembering
REF:x p.x4xTOP:x IntegratedxProcess:xTeaching/
Learning
MSC:x ClientxNeeds:xHealthxPromotionxandxMaintenance

3. Onexreasonxwhyxmanyx“babyxboomers”xhavexmultiplexchronicxconditionsxsuchxasxheartxdisease,xd
iabetes,xandxarthritisxisxthat:
a. theyxhavexlessxaccessxtoxmedicationxandxotherxtreatmentxregimens.
b. therexwasxaxlackxofximportancexplacedxonxhealthyxlivingxasxtheyxwerexgrowingxup.
c. theyxdidxnotxhavexaccessxtoximmunizationsxagainstxcommunicablexdiseasexwhen
theyxwerexchildren.
d. theyxgrewxupxinxanxeraxofxrampantxpovertyxandxmalnutrition.

, ANS:x B
Thexbabyxboomers,xindividualsxbornxbetweenx1946xandx1964,xpost-
WWII,xhavexbetterxaccessxtoxmedicationxandxtreatmentxregimensxthanxotherxcohorts.xTheyxhavex
hadxthexbenefitxofxthexdevelopmentxofximmunizationsxagainstxcommunicablexdiseases.xTheyxgre
wxupxinxanxeraxofxprosperityxpost-
WWII.xHowever,xtherexwasxaxlackxofximportancexplacedxonxwhatxwexnowxconsiderxhealthyxlivin
gxwhenxtheyxwerexyounger.xSmoking,xforxexample,xwasxnotxcondoned,xbutxwasxconsideredxaxsy
mbolxofxstatus.xCandyxinxthexshapexofxcigarettesxwasxpopular,xandxtherexwasxmuchxsecondhandxs
moke.

DIF: CognitivexLevel:xRemembering
REF:x p.x6xTOP:x IntegratedxProcess:xTeaching/
Learning
MSC:x ClientxNeeds:xHealthxPromotionxandxMaintenance

4. Axnursexisxplanningxanxeducationxprogramxonxwellnessxinxaxlocalxseniorxcitizenxcenter.xThexnurs
explansxtoxprovidexeducationxonxtheximportancexofximmunizations,xannualxphysicalxexaminatio
ns,xscreeningxforxdiabetes,xandxvisionxandxhearingxscreening.xItxisximportantxforxthexnursextoxund
erstandxwhichxofxthexfollowing?
a. Approximatelyx40%xofxolderxadultsx(agesx65xandxolder)xutilizexavailablexpreventive
services
b. Preventivexstrategiesxarexmorexwidelyxusedxinxthex40-64xagexgroupxthanxinxthex65
andxoverxagexgroup
c. Thexresearchxonxhealthxpromotionxstrategiesxinxolderxadultsxdemonstratesxthatxthey
havexlowxefficacy
d. Therexisxanxabundancexofxresearchxspecificxtoxhealthxpromotionxandxaging
ANS:x A
Approximatelyx40%xofxindividuals,xagesx65xandxolder,xutilizexthexpreventivexservicesxthatxarexa
vailablextoxthem.xHowever,xonlyx24%xofxthosexbetweenxthexagesxofx40xandx64xdoxso.xTherexisxaxp
aucityxofxresearchxspecificxtoxhealthxpromotionxandxaging;xhowever,xthexresearchxthatxexistsxdem
onstratesxthatxhealthxpromotionxstrategiesxarexhighlyxeffective.

DIF: CognitivexLevel:xUnderstanding
REF:x p.x7xTOP:x IntegratedxProcess:xTeaching/
Learning
MSC:x ClientxNeeds:xHealthxPromotionxandxMaintenance

5. Axnursexisxcaringxforxanx85-year-
oldxmalexclientxwithxdiabetesxinxaxcommunityxsetting.xThexnursexpromotesxfunctionalxwellne
ssxbyxwhichxofxthexfollowingxactivities?
a. Encouragingxthexclientxmaintainsxcurrentxlevelsxofxphysicalxactivity
b. Assistingxthexclientxtoxreceivexallxthexrecommendedxpreventivexscreeningsxthatxare
appropriatexforxhisxagexgroup
c. Teachingxthexpatientxhowxtoxusexaxrollingxwalkerxsoxthatxhexcanxambulatexforxlonger
distances
d. Encouragingxthexclientxtoxattendxhisxweeklyxchessxgames
ANS:x A
Maintainingxexistingxlevelsxofxphysicalxactivityxisxconsistentxwithxfunctionalxwellness.xTeachin
gxthexclientxhowxtoxusexaxrollingxwalkerxenablesxthexclientxtoxremainxactivexatxthexhighestxlevelxp
ossible,xwhichxisxanxexamplexofxpromotingxfunctionalxwellness.xReceivingxrecommendedxscree
ningxisxanxexamplexofxpromotingxbiologicalxwellness.xThexusexofxaxrollingxwalkerxshouldxbexbas
edxonxassessmentxofxphysicalxability.xEncouragingxthexclientxtoxattendxweeklyxchessxgamesxisxa
nxexamplexofxpromotingxsocialxwellness.

, DIF: CognitivexLevel:xApplying
REF:x p.x10xTOP:x IntegratedxProcess:xTeaching/
Learning
MSC:x ClientxNeeds:xHealthxPromotionxandxMaintenance

6. Basedxonxthexcensusxreportsxofx2010,xthextypicalxprofilexofxaxcentenarianxinxthexUnitedxStatesxi
ncludesxwhichxofxthexfollowingxcharacteristics?
a. AxCaucasianxwomanxwhoxlivesxinxanxurbanxareaxofxaxSouthernxstate
b. AnxAfricanxAmericanxwomanxwhoxlivesxinxaxruralxareaxofxaxSouthernxstate
c. AxHispanicxmanxwhoxlivesxinxanxurbanxareaxofxaxMidwesternxstate
d. AxCaucasianxmanxwhoxlivesxinxaxruralxareaxofxaxMidwesternxstate
ANS:x A
Basedxonxthex2010xU.S.xCensusxdata,xcentenariansxwerexoverwhelminglyxwhitex(82.5%),xwome
nx(82.8%),xandxlivingxinxurbanxareasxofxthexSouthernxstates.

DIF: CognitivexLevel:xApplying
REF:x p.x5xTOP:x IntegratedxProcess:xTeaching/
Learning
MSC:x ClientxNeeds:xHealthxPromotionxandxMaintenance


MULTIPLExRESPONSE

1. Primaryxpreventionxstrategiesxforxolderxadultsxincludexwhichxofxthexfollowing?x(Selectxallxthatxa
pply.)
a. Anxannualxinfluenzaximmunizationxclinic
b. Axsmokingxcessationxprogram
c. Axprostatexscreeningxprogram
d. Axcardiacxrehabilitationxprogram
e. Axmealxplanningxeducationxprogramxforxtypex2xdiabetics
ANS:x A,xB
Primaryxpreventionxrefersxtoxstrategiesxthatxarexusedxtoxpreventxanxillnessxbeforexitxoccursxandxmai
ntainingxwellnessxacrossxthexcontinuumxofxcare.xImmunizationsxandxsmokingxcessationxarexexamp
lesxofxprimaryxprevention.xSecondaryxpreventionxisxthexearlyxdetectionxofxaxdiseasexorxaxhealthxpro
blemxthatxhasxalreadyxdeveloped.xProstatexscreeningxisxanxexamplexofxsecondaryxprevention.xTert
iaryxpreventionxaddressesxthexneedsxofxindividualsxwhoxalreadyxhavextheirxwellnessxchallenged.xC
ardiacxrehabilitationxandxmealxplanningxforxdiabeticsxarexexamplesxofxtertiaryxprevention.

DIF: CognitivexLevel:xApplying REF:x pp.x8–
9xTOP:x IntegratedxProcess:xTeaching/Learning
MSC:x ClientxNeeds:xManagementxofxCare

2. Axnursexorganizesxaxhealthxfairxforxolderxadults.xThexnurse’sxgoalxisxtoxfocusxonxthexsixxpriorityxa
reasxidentifiedxbyxthexNationalxPreventionxCouncil.xWhichxofxthexfollowingxactivitiesxshouldxth
exnursexinclude?x(Selectxallxthatxapply.)
a. Smokingxcessation
b. Depressionxscreening
c. Recognizingxelderxabuse
d. Cholesterolxscreening
e. Fitnessxtraining