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Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition
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MULTIPLE CHOICE j
1. When asked by new parents what the life expectancy is for their African American newbor n, the
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j nurse replies that, ―2010 statistics indicate that your son:
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a. will have a life expectancy of approximately 65 years.
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‖
b. can realistically expect to live into his late 80s.‖
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c. has a good chance of celebrating his 75th birthday.‖
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d. is likely to live into his late 90s.‖
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ANS: C j
In 2010, men in the United States at age 60 can expect to live another 22 years. The life ex pectancy
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of African American men is about 4.7 years less than white men. Of the options ab ove, C is the only
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response that fits into those parameters. The other options are not support ed by reliable research.
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DIF: Cognitive Level: Understanding j j
REF: p. 3 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
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2. A nurse is planning care for a group of super-
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centenarians in an assisted living facility. The nurse considers which of the following? j j j j j j j j j j j j
a. Most super-centenarians are functionally independent or require minimal assistance
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with activities of daily living
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b. The majority of super-centenarians have cognitive impairment
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c. The number of super-centenarians is expected to decrease in coming years as a result
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of heart disease and stroke
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d. It is theorized that super- j j j j
centenarians survived as long as they have due to genetic mutations j j j j j j j j j j
that made them less susceptible to common diseases
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ANS: A j
Research supports that most super- j j j j
centenarians are functionally and cognitively intact, requiring minimal assistance with ADL j j j j j j j j j j
s. The number of super-
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centenarians is expected to increase in coming years as the number of older adults increases. The j j j j j j j j j j j j j j j
reason why individuals survived as long as they have is not known.
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DIF: Cognitive Level: Remembering j j
REF: p. 4 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
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3. One reason why many ―baby boomers‖ have multiple chronic conditions such as heart diseas e,
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j diabetes, and arthritis is that: j j j j
a. they have less access to medication and other treatment regimens.
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b. there was a lack of importance placed on healthy living as they were growing u p.
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c. they did not have access to immunizations against communicable disease when they
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were children. j j
d. they grew up in an era of rampant poverty and malnutrition.
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, ANS: B j
The baby boomers, individuals born between 1946 and 1964, post-
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WWII, have better access to medication and treatment regimens than other cohorts. They ha ve had
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the benefit of the development of immunizations against communicable diseases. Th ey grew up in
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an era of prosperity post-
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WWII. However, there was a lack of importance placed on what we now consider healthy li ving
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when they were younger. Smoking, for example, was not condoned, but was considere d a
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symbol of status. Candy in the shape of cigarettes was popular, and there was much sec ondhand
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smoke.
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DIF: Cognitive Level: Remembering j j
REF: p. 6 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
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4. A nurse is planning an education program on wellness in a local senior citizen center. The nurse
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j plans to provide education on the importance of immunizations, annual physical exa minations,
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j screening for diabetes, and vision and hearing screening. It is important for the nurse to
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j understand which of the following? j j j j
a. Approximately 40% of older adults (ages 65 and older) utilize available preventiv e j j j j j j j j j j j j
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 and j j j j j j j j j j j j j j j
over age groupj j j
c. The research on health promotion strategies in older adults demonstrates that they have
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low efficacy j j
d. There is an abundance of research specific to health promotion and aging j j j j j j j j j j j
ANS: A j
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that ar e j j j j j j j j j j j j j j
available to them. However, only 24% of those between the ages of 40 and 64 do so. The re is a
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paucity of research specific to health promotion and aging; however, the research tha t exists
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demonstrates that health promotion strategies are highly effective.
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DIF: Cognitive Level: Understanding j j
REF: p. 7 TOP: Integrated Process: Teachin j j j j j j
g/Learning
j
MSC: Client Needs: Health Promotion and Maintenance
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5. A nurse is caring for an 85-year-
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old male client with diabetes in a community setting. The nurse promotes functional we llness by
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which of the following activities?
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a. Encouraging the client maintains current levels of physical activity j j j j j j j j
b. Assisting the client to receive all the recommended preventive screenings that are j j j j j j j j j j j
appropriate for his age group
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c. Teaching the patient how to use a rolling walker so that he can ambulate for long er j j j j j j j j j j j j j j j j
distances
d. Encouraging the client to attend his weekly chess games j j j j j j j j
ANS: A j
Maintaining existing levels of physical activity is consistent with functional wellness. Teach ing j j j j j j j j j j j j
the client how to use a rolling walker enables the client to remain active at the highest l evel possible,
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which is an example of promoting functional wellness. Receiving recommend ed screening is an
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example of promoting biological wellness. The use of a rolling walker sh ould be based on
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assessment of physical ability. Encouraging the client to attend weekly ch
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, ess games is an example of promoting social wellness.
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