nn nn
Touhy
nn
:Ebersole and n
n
Hess’Towards n
Healthy Aging
nn nn
9th edition.
nn nn
,Chapter 01: Health and Wellness in an Aging Society
W W W W W W W W
Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
W W W W W W W W
MULTIPLE n n CHOICE
1. When nnasked nnby nnnew nnparents nnwhat nnthe nnlife nnexpectancy nnis nnfor nntheir nnAfrican
nnAmerican nnnewbor nnn, nnthe nnnurse nnreplies nnthat, nn―2010 nnstatistics nnindicate nnthat nnyour
nnson:
a. will n n have n n a n n life n n expectancy nn of n n approximately
nn 65 n n years.
‖
b. can n n realistically nn expect n n to n n live n n into n n his n n late
n n 80s.‖
c. has n n a n n good n n chance n n of n n celebrating nn his n n 75th
n n birthday.‖
d. is n n likely nnto n n live n n into n n his n n late n n 90s.‖
ANS: n n C
In nn2010, nnmen nnin nnthe nnUnited nnStates nnat nnage nn60 nncan nnexpect nnto nnlive nnanother nn22
n n years. nnThe nnlife nnex n n pectancy nnof nnAfrican nnAmerican nnmen nnis nnabout nn4.7 nnyears nnless
nnthan nnwhite nnmen. nnOf nnthe nnoptions nnab nnove, nnC nnis nnthe nnonly nnresponse nnthat nnfits nninto
nnthose nnparameters. nnThe nnother nnoptions nnare nnnot nnsupport n n ed nnby nnreliable nnresearch.
DIF: Cognitive n n Level: n n Understanding
REF: n n p. nn3 nnTOP: n n Integrated nnProcess:
nnTeachin nng/Learning
MSC: n n Client n n Needs: n n Health n n Promotion n n and n n Maintenance
2. A n n nurse nn is n n planning n n care n n for nn a n n group n n of n n super-
centenarians n n in n n an n n assisted n n living nn facility. n n The n n nurse n n considers n n which n n of n n the
n n following?
a. Most nnsuper-centenarians nnare nnfunctionally nnindependent nnor nnrequire nnminimal
nnassistance nnwith nnactivities nnof nndaily nnliving
b. The nn majority nn of n n super-centenarians n n have n n cognitive n n impairment
c. The nnnumber nnof nnsuper-centenarians nnis nnexpected nnto nndecrease nnin nncoming
nnyears nnas nna nnresult nnof nnheart nndisease nnand nnstroke
d. It n n is n n theorized n n that n n super-
centenarians nnsurvived nnas nnlong nnas nnthey nnhave nndue nnto nngenetic
nnmutations nnthat nnmade nnthem nnless nnsusceptible nnto nncommon
nndiseases
ANS: n n A
Research n n supports n n that n n most n n super-
centenarians n n are n n functionally n n and n n cognitively n n intact, n n requiring n n minimal n n assistance
n n with n n ADL
s. n n The n n number n n of n n super-
centenarians nnis nnexpected nnto nnincrease nnin nncoming nnyears nnas nnthe nnnumber nnof nnolder nnadults
nnincreases. nnThe nnreason nnwhy nnindividuals nnsurvived nnas nnlong nnas nnthey nnhave nnis nnnot
nnknown.
DIF: Cognitive n n Level: n n Remembering
REF: n n p. nn4 nnTOP: n n Integrated nnProcess:
nnTeachin nng/Learning
MSC: n n Client n n Needs: n n Health n n Promotion n n and n n Maintenance
3. One nnreason nnwhy nnmany nn―baby nnboomers‖ nnhave nnmultiple nnchronic nnconditions nnsuch nnas
, heart nndiseas nne, nndiabetes, nnand nnarthritis nnis nnthat:
nn
a. they nnhave n n less n n access n n to n n medication n n and n n other n n treatment n n regimens.
b. there nnwas nna nnlack nnof nnimportance nnplaced nnon nnhealthy nnliving nnas nnthey nnwere
nngrowing nnu n n p.
c. they nndid nnnot nnhave nnaccess nnto nnimmunizations nnagainst nncommunicable nndisease
nnwhen nnthey nnwere nnchildren.
d. they nn grew n n up n n in n n an n n era n n of n n rampant n n poverty n n and n n malnutrition.
, ANS: n n B
The n n baby n n boomers, n n individuals n n born n n between n n 1946 n n and n n 1964, n n post-
WWII, nnhave nnbetter nnaccess nnto nnmedication nnand nntreatment nnregimens nnthan nnother nncohorts.
nnThey nnha nnve nnhad nnthe nnbenefit nnof nnthe nndevelopment nnof nnimmunizations nnagainst
nncommunicable nndiseases. nnTh nney nngrew nnup nnin nnan nnera nnof nnprosperity nnpost-
WWII. nnHowever, nnthere nnwas nna nnlack nnof nnimportance nnplaced nnon nnwhat nnwe nnnow
nnconsider nnhealthy nnli nnving nnwhen n n they nnwere n n younger. n n Smoking, n n for n n example, n n was
n n not n n condoned, n n but nnwas n n considere nnd nna nnsymbol nnof nnstatus. nnCandy nnin nnthe nnshape nnof
nncigarettes nnwas nnpopular, nnand nnthere nnwas nnmuch nnsec nnondhand nnsmoke.
DIF: Cognitive n n Level: n n Remembering
REF: n n p. nn6 nnTOP: n n Integrated nnProcess:
nnTeachin nng/Learning
MSC: n n Client n n Needs: n n Health n n Promotion n n and n n Maintenance
4. A nnnurse nnis nnplanning nnan nneducation nnprogram nnon nnwellness nnin nna nnlocal nnsenior nncitizen
nncenter. nnThe nnnurse nnplans nnto nnprovide nneducation nnon nnthe nnimportance nnof
nnimmunizations, nnannual nnphysical nnexa nnminations, nnscreening nnfor nndiabetes, nnand nnvision
nnand nnhearing nnscreening. nnIt nnis nnimportant nnfor nnthe nnnurse nnto nnunderstand nnwhich nnof nnthe
nnfollowing?
a. Approximately nn40% nnof nnolder nnadults nn(ages nn65 nnand nnolder) nnutilize nnavailable
nnpreventiv n n e
services
b. Preventive nnstrategies nnare nnmore nnwidely nnused nnin nnthe nn40-64 nnage nngroup nnthan
nnin nnthe nn65 nnand nnover nnage nngroup
c. The nnresearch nnon nnhealth nnpromotion nnstrategies nnin nnolder nnadults nndemonstrates
nnthat nnthey nnhave nnlow nnefficacy
d. There nn is n n an n n abundance n n of n n research n n specific n n to n n health n n promotion n n and
n n aging
ANS: n n A
Approximately nn40% nnof nnindividuals, nnages nn65 nnand n n older, nnutilize nnthe nnpreventive
nnservices nnthat nnar n n e nnavailable nnto nnthem. n n However, nnonly nn24% nnof nnthose nnbetween
nnthe nnages nnof nn40 n n and nn64 nndo nnso. n n The n n re n n is n n a n n paucity nnof n n research n n specific n n to
n n health n n promotion n n and n n aging; nn however, nn the n n research n n tha nnt nnexists nndemonstrates
nnthat nnhealth nnpromotion nnstrategies nnare nnhighly nneffective.
DIF: Cognitive n n Level: n n Understanding
REF: n n p. nn7 nnTOP: n n Integrated nnProcess:
nnTeachin nng/Learning
MSC: n n Client n n Needs: n n Health n n Promotion n n and n n Maintenance
5. A n n nurse n n is n n caring n n for n n an n n 85-year-
old nnmale nnclient nnwith nndiabetes nnin nna nncommunity nnsetting. nnThe nnnurse nnpromotes
nnfunctional nnwe nnllness nnby nnwhich nnof nnthe nnfollowing nnactivities?
a. Encouraging nn the n n client n n maintains n n current n n levels n n of n n physical n n activity
b. Assisting nnthe nnclient nnto nnreceive nnall nnthe nnrecommended nnpreventive nnscreenings
nnthat nnare nnappropriate nnfor nnhis nnage nngroup
c. Teaching nnthe nnpatient nnhow nnto nnuse nna nnrolling nnwalker nnso nnthat nnhe nncan
nnambulate nnfor nnlong n n er
distances
d. Encouraging nn the n n client n n to n n attend n n his n n weekly nn chess n n games
ANS: n n A
Maintaining nnexisting nnlevels nnof nnphysical nnactivity nnis nnconsistent nnwith nnfunctional
nnwellness. nnTeach nning nnthe nnclient nnhow nnto nnuse nna nnrolling nnwalker nnenables nnthe nnclient nnto
nnremain nnactive nnat nnthe nnhighest nnl nnevel nnpossible, nnwhich nnis nnan nnexample nnof nnpromoting