1
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Chapter 01: Introduction to Healthy Aging
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best
statement about thisman’s wellness?
a. Wellness can only be achieved with
aggressive medicalinterventions.
b. Wellness is not a real option for this
client because he is terminally ill.
c. Wellness is defined as the absence of
disease.
d. Nursing interventions can help
empower a client toachieve a higher
level of wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness; a nurse can foster wellness in his or her clients. Wellness is defined by
the individual and is multidimensional. It is not just the absence of disease. A
wellness perspective is based on the belief that every person has an optimal level
of health independent of his or her situation or functional level. Even in the
presence of chronic illness or while dying, a movement toward wellness is possible
if emphasis of care is placed on the promotion of well-being in a supportive
environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
Diagnosis MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements
is true?
a. Health is a broad term
encompassing attitudes and
behaviors.
b. The concept of illness prevention was
never consideredby previous
generations.
c. Wellness and self-actualization
develop through learn- ing and growth.
d. Wellness is impossible when one’s
health is compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically,
2
, lOMoARcPSD|226 440 17
health includes wellness, which in- volves one’s whole being. The concept of
illness prevention was never considered by previous generations; through- out
history, basic self-care requirements have been recognized. Wellness and self-
actualization develop through learning and growth—as basic needs are met, higher
level needs can be satisfied in turn, with ever-deepening rich- ness to life. Wellness
is possible when one’s health is compromised—even with chronic illness, with
multiple dis- abilities, or in dying, movement toward a higher level of wellness is
possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: C
As shown in Figure 1.4, Hispanic men and women have the highest life
expectancy of all. In 2011, for those of His- panic origin of any race, the overall
life expectancy at 65 years of age was 20.7 more years in 2011 (19.1 years for men
and 21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical influences that have shaped the lives of the majority of the in-between
cohort in the United States today include which of the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
ANS: D
Those who are in the in-between cohort in 2016 were born between 1915 and
1945. The men were likely to have fought in World War II. The last of the Holocaust
survivors are in this group. A person who survived the influenza epidemic would be at
least 98 years old in 2016 and therefore would be considered old-old or a
centenarian. Most of those who are of the in-between cohort had not reached
childbearing age by the end of the Depression. Individuals in the in-between
cohort would not have been old enough to fight in World War II.
PTS: 1 DIF: Understand REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
3
, lOMoARcPSD|226 440 17
Chapter 01: Introduction to Healthy Aging
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best
statement about thisman’s wellness?
a. Wellness can only be achieved with
aggressive medicalinterventions.
b. Wellness is not a real option for this
client because he is terminally ill.
c. Wellness is defined as the absence of
disease.
d. Nursing interventions can help
empower a client toachieve a higher
level of wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness; a nurse can foster wellness in his or her clients. Wellness is defined by
the individual and is multidimensional. It is not just the absence of disease. A
wellness perspective is based on the belief that every person has an optimal level
of health independent of his or her situation or functional level. Even in the
presence of chronic illness or while dying, a movement toward wellness is possible
if emphasis of care is placed on the promotion of well-being in a supportive
environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
Diagnosis MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements
is true?
a. Health is a broad term
encompassing attitudes and
behaviors.
b. The concept of illness prevention was
never consideredby previous
generations.
c. Wellness and self-actualization
develop through learn- ing and growth.
d. Wellness is impossible when one’s
health is compro- mised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically,
2
, lOMoARcPSD|226 440 17
health includes wellness, which in- volves one’s whole being. The concept of
illness prevention was never considered by previous generations; through- out
history, basic self-care requirements have been recognized. Wellness and self-
actualization develop through learning and growth—as basic needs are met, higher
level needs can be satisfied in turn, with ever-deepening rich- ness to life. Wellness
is possible when one’s health is compromised—even with chronic illness, with
multiple dis- abilities, or in dying, movement toward a higher level of wellness is
possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
ANS: C
As shown in Figure 1.4, Hispanic men and women have the highest life
expectancy of all. In 2011, for those of His- panic origin of any race, the overall
life expectancy at 65 years of age was 20.7 more years in 2011 (19.1 years for men
and 21.8 years for women).
PTS: 1 DIF: Understand REF: p. 6
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
4. Historical influences that have shaped the lives of the majority of the in-between
cohort in the United States today include which of the following?
a. Influenza epidemic of 1918
b. World War I
c. Child rearing in the Depression
d. World War II
ANS: D
Those who are in the in-between cohort in 2016 were born between 1915 and
1945. The men were likely to have fought in World War II. The last of the Holocaust
survivors are in this group. A person who survived the influenza epidemic would be at
least 98 years old in 2016 and therefore would be considered old-old or a
centenarian. Most of those who are of the in-between cohort had not reached
childbearing age by the end of the Depression. Individuals in the in-between
cohort would not have been old enough to fight in World War II.
PTS: 1 DIF: Understand REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
3
