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