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