Adult Health, Wellness, and
Healthcare Systems 2026
Exam All Answers and
Illustrations Given
What would you say to someone who told you that people are EITHER
healthy or well? Please describe at least three factors that contribute to
wellness, good or bad.. - ANSWER ✔✔health and wellness are not
the same thing. A person can have a chronic illness but still practice
wellness behaviors that improve quality of life. Wellness involves actively
,caring for physical and mental health. Three factors that contribute to
wellness are physical behaviors like exercise and diet, stress
management, and social interaction/support. Exercise and healthy
eating help lower blood sugar, cholesterol, and inflammation, while
chronic stress contributes to "weathering," which increases disease risk.
Describe at least two chronic diseases associated with hypertension -
why does hypertension lead to chronic disease? - ANSWER ✔✔Two
chronic diseases associated with hypertension are heart disease and
stroke. Hypertension is called the "silent killer" because it often has few
symptoms while slowly damaging blood vessels and organs. Over time,
high blood pressure strains the heart and arteries, increasing risk for
heart attacks, strokes, kidney failure, and eye problems.
What are the three leading causes of death of older adults -
ANSWER ✔✔The three leading causes of death in older adults are
heart disease, cancer, and chronic lower respiratory disease (CLRD).
What would you say to someone who told you that men have more
chronic conditions than women? - ANSWER ✔✔women actually
report more chronic conditions overall than men, especially arthritis and
osteoporosis. Men are more likely to die earlier from severe illnesses like
,heart disease, while women live longer and often experience more long-
term chronic illnesses and disability.
How do we resolve the finding that whites are diagnosed with cancer
more than African Americans, yet African Americans are more likely to
die of cancer than whites? - ANSWER ✔✔Whites are diagnosed with
cancer more often partly because of higher smoking rates, alcohol use,
and sun exposure. However, African Americans are more likely to die
from cancer because of poorer healthcare access, discrimination,
environmental disadvantages, lower-quality medical care, and less
representation in research studies.
Why is dis-aggregation of data by race and age important to research on
older adulthood? - ANSWER ✔✔Dis-aggregation is important
because broad racial categories hide differences between subgroups.
For example, health outcomes may differ between Puerto Ricans and
Cubans even though both may be categorized as Latinx. Breaking data
apart allows researchers to identify which groups are most at risk and
create better interventions.
Why do health disparities persist? - ANSWER ✔✔Health disparities
persist because of unequal healthcare access, poverty, discrimination,
environmental stressors, and chronic stress or "weathering." These
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, disadvantages accumulate across the lifespan and negatively affect
health outcomes in older adulthood.
Using the NIA framework for health disparities, please describe one
chronic disease through the lens of the four levels of analysis:
Environmental, sociocultural, behavioral, and biological. - ANSWER
✔✔neighborhoods can increase stress and reduce opportunities for
healthy living.
* **Sociocultural:** Discrimination and chronic stress contribute to higher
blood pressure.
* **Behavioral:** Poor diet, smoking, alcohol use, and inactivity increase
hypertension risk.
* **Biological:** Genetics, inflammation, and blood vessel damage
contribute to disease progression.
The NIA framework shows how these factors interact to affect health
outcomes.
Why are heart attacks so common and deadly for older adults? -
ANSWER ✔✔Heart attacks are common because plaque builds up in
arteries over time, causing coronary artery disease. Older adults are
also more likely to have hypertension, diabetes, obesity, inactivity, and