EbersoleandHess’TowardHealthyAging10thEdition
b b b b b b b
Touhy Test Bank
b b b
,Chapter 01: Aging, Health, and Wellness in a Global Community Touhy:
b b b b b b b b b b
Ebersole & Hess’ Toward Healthy Aging, 10th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. When asked by new parents what the life expectancy is fortheir African American newborn, the
b b b b b b b b b b b b b b b
nurse replies that, “2015 statistics indicate that your son:
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 likelyto live into his late 90s.”
b b b b b b b
ANS: C b
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity between
b b b b b b b b b b b b b b b b
life expectancies for black and white Americans has narrowed significantly between 1999 and
b b b b b b b b b b b b b
2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minority
b b b b b b b b b b b b b b b
Health, 2017). Ofthe options above, C is the only response that fits into those parameters. The
b b b b b b b b b b b b b b b b b
other options are not supported by reliable research.
b b b b b b b b
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
2. A nurse is planning care for a group ofsuper-centenarians in an assisted living facility. The nurse
b b b b b b b b b b b b b b b b
considers which of the following?
b b b b b
a. Most super-centenarians are functionally independent orrequire minimalb b b b b b b
assistance with activities N
b o fUdRaiSlyIlN
ivGinTgB
. b b b
b. Themajorityof 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 theyhave dueto 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 ofolder adults increases. Although centenarians still
b b b b b b b b b b b b b b
carry genetic markers within their chromosomes for any number of health problems, for as yet
b b b b b b b b b b b b b b b
unknown reasons, these are not “activated” until much later, if at all, when compared with other
b b b b b b b b b b b b b b b b
persons.
b
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
3. Onereason whymany “baby boomers” have multiple chronic conditions such as heart
b b b b b b b b b b b b
disease, diabetes, and arthritis is that:
b b b b b b
a. theyhave 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 theywere growing up.
b b b b b b b b b b b b b b
c. theydid 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 to
b b b b b b b b b b b b b
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
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, but
b b b b b b b b b b b b b b
was considered a symbol of status. Candy in the shape of cigarettes was popular, and there was
b b b b b b b b b b b b b b b b b
much secondhand smoke.
b b b
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
b b b b b b b b b b b b b b b b
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. Less than 50% of older adults (ages 65 and older) utilize available preventive
b b b b b b b b b b b b
services.
b
b. Preventive strategies are more widely used in the 50-64 age-group than in the 65 and b b b b b b b b b b b b b b
over age-group.
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
Less than 50% 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 b
available to them. However, only 25% ofthose between the ages of 50 and 64 do so. There is a
b b b b b b b b b b b b b b b b b b b b
paucity of research specific to health promotion and aging; however, the research that exists
b b b b b b b b b b b b b b
demonstrates that health promotion strategies are highly effective.
b b b b b b b b
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b 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 nurse
b b b b b b b b b b b b b b b b
promotes functional wellness by which of the following activities?
b b b b b b b b b
a. Encouraging the client to maintain current levels ofphysical activity b 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
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
b ANS: A b
, Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
b b b b b b b b b b b
the client how to use a rolling walker enables the client to remain active at the highest level
b b b b b b b b b b b b b b b b b b
possible, which is an example of promoting functional wellness. Receiving recommended
b b b b b b b b b b b
screening is an example of promoting biological wellness. The use of a rolling walker should be
b b b b b b b b b b b b b b b b
based on assessment ofphysical ability. Encouraging the client to attend weekly chess games is
b b b b b b b b b b b b b b b
an example of promoting social wellness.
b b b b b b
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
6. Based on the census reports of 2015, the typical profile of a centenarian includes which of the
b b b b b b b b b b b b b b b b
following characteristics?
b b
a. An American woman with no signs ofdementia
b b b b b b b
b. A Japanese woman with chronic inflammation
b b b b b
c. A Chinese man with an immune disorder
b b b b b b
d. An American man who is a lifelong vegetarian
b b b b b b b
ANS: A b
Based on the 2015 U.S. Census data, while the United States has highest number of
b b b b b b b b b b b b b b
centenarians, Japan has over double the number relative to the population as a whole. The
b b b b b b b b b b b b b b b
relatively low number of centenarians (and super-centenarians) with dementia of some kind
b b b b b b b b b b b b
may be explained by the presence of some type of genetic neuroprotective factors. While most
b b b b b b b b b b b b b b b
people have normal age-related declines in immune functioning and increases in a stateof
b b b b b b b b b b b b b b
chronic inflammation, this does not appear to be the case for this group of long lived people.
b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: A p pNl yUinRgSI NGTB T. O
C PO: M Integrated Process: Teaching/Learning b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b 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. Asmoking cessation program
b b b
c. Aprostate screening program
b b b
d. Acardiac 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
Primaryprevention 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 b b TOP: IntegratedProcess: Teaching/Learning b b
b b b b b b b
Touhy Test Bank
b b b
,Chapter 01: Aging, Health, and Wellness in a Global Community Touhy:
b b b b b b b b b b
Ebersole & Hess’ Toward Healthy Aging, 10th Edition
b b b b b b b b
MULTIPLE CHOICE b
1. When asked by new parents what the life expectancy is fortheir African American newborn, the
b b b b b b b b b b b b b b b
nurse replies that, “2015 statistics indicate that your son:
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 likelyto live into his late 90s.”
b b b b b b b
ANS: C b
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity between
b b b b b b b b b b b b b b b b
life expectancies for black and white Americans has narrowed significantly between 1999 and
b b b b b b b b b b b b b
2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minority
b b b b b b b b b b b b b b b
Health, 2017). Ofthe options above, C is the only response that fits into those parameters. The
b b b b b b b b b b b b b b b b b
other options are not supported by reliable research.
b b b b b b b b
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
2. A nurse is planning care for a group ofsuper-centenarians in an assisted living facility. The nurse
b b b b b b b b b b b b b b b b
considers which of the following?
b b b b b
a. Most super-centenarians are functionally independent orrequire minimalb b b b b b b
assistance with activities N
b o fUdRaiSlyIlN
ivGinTgB
. b b b
b. Themajorityof 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 theyhave dueto 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 ofolder adults increases. Although centenarians still
b b b b b b b b b b b b b b
carry genetic markers within their chromosomes for any number of health problems, for as yet
b b b b b b b b b b b b b b b
unknown reasons, these are not “activated” until much later, if at all, when compared with other
b b b b b b b b b b b b b b b b
persons.
b
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
3. Onereason whymany “baby boomers” have multiple chronic conditions such as heart
b b b b b b b b b b b b
disease, diabetes, and arthritis is that:
b b b b b b
a. theyhave 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 theywere growing up.
b b b b b b b b b b b b b b
c. theydid 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 to
b b b b b b b b b b b b b
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
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, but
b b b b b b b b b b b b b b
was considered a symbol of status. Candy in the shape of cigarettes was popular, and there was
b b b b b b b b b b b b b b b b b
much secondhand smoke.
b b b
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
b b b b b b b b b b b b b b b b
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. Less than 50% of older adults (ages 65 and older) utilize available preventive
b b b b b b b b b b b b
services.
b
b. Preventive strategies are more widely used in the 50-64 age-group than in the 65 and b b b b b b b b b b b b b b
over age-group.
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
Less than 50% 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 b
available to them. However, only 25% ofthose between the ages of 50 and 64 do so. There is a
b b b b b b b b b b b b b b b b b b b b
paucity of research specific to health promotion and aging; however, the research that exists
b b b b b b b b b b b b b b
demonstrates that health promotion strategies are highly effective.
b b b b b b b b
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b 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 nurse
b b b b b b b b b b b b b b b b
promotes functional wellness by which of the following activities?
b b b b b b b b b
a. Encouraging the client to maintain current levels ofphysical activity b 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
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
b ANS: A b
, Maintaining existing levels of physical activity is consistent with functional wellness. Teaching
b b b b b b b b b b b
the client how to use a rolling walker enables the client to remain active at the highest level
b b b b b b b b b b b b b b b b b b
possible, which is an example of promoting functional wellness. Receiving recommended
b b b b b b b b b b b
screening is an example of promoting biological wellness. The use of a rolling walker should be
b b b b b b b b b b b b b b b b
based on assessment ofphysical ability. Encouraging the client to attend weekly chess games is
b b b b b b b b b b b b b b b
an example of promoting social wellness.
b b b b b b
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning b b b b
MSC: Client Needs: Health Promotion and Maintenance
b b b b b b b
6. Based on the census reports of 2015, the typical profile of a centenarian includes which of the
b b b b b b b b b b b b b b b b
following characteristics?
b b
a. An American woman with no signs ofdementia
b b b b b b b
b. A Japanese woman with chronic inflammation
b b b b b
c. A Chinese man with an immune disorder
b b b b b b
d. An American man who is a lifelong vegetarian
b b b b b b b
ANS: A b
Based on the 2015 U.S. Census data, while the United States has highest number of
b b b b b b b b b b b b b b
centenarians, Japan has over double the number relative to the population as a whole. The
b b b b b b b b b b b b b b b
relatively low number of centenarians (and super-centenarians) with dementia of some kind
b b b b b b b b b b b b
may be explained by the presence of some type of genetic neuroprotective factors. While most
b b b b b b b b b b b b b b b
people have normal age-related declines in immune functioning and increases in a stateof
b b b b b b b b b b b b b b
chronic inflammation, this does not appear to be the case for this group of long lived people.
b b b b b b b b b b b b b b b b b
DIF: Cognitive Level: A p pNl yUinRgSI NGTB T. O
C PO: M Integrated Process: Teaching/Learning b b b b b
MSC: Client Needs: Health Promotion and Maintenance
b 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. Asmoking cessation program
b b b
c. Aprostate screening program
b b b
d. Acardiac 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
Primaryprevention 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 b b TOP: IntegratedProcess: Teaching/Learning b b
