TEST BANK
Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
By Theris A. Touhy and Kathleen F Jett
, lOMoARcPSD|226 440 17
TABLE CONTENT
Section 1: Foundations of Healthy Aging
Chapter 1. Introduction to Healthy Aging
Chapter 2. Cross-Cultural Caring and Aging
Chapter 3. Biological Theories of Aging and Age-Related Physical Changes
Chapter 4. Psychosocial, Spiritual, and Cognitive Aspects of Aging
Section 2: Foundations of Gerontological Nursing
Chapter 5. Gerontological Nursing and Promotion of Healthy Aging
Chapter 6. Gerontological Nursing Across the Continuum of Care
Chapter 7. Economic and Legal Issues
Section 3: Fundamentals of Caring
Chapter 8. Assessment and Documentation for Optimal Care
Chapter 9. Safe Medication Use
Chapter 10. Nutrition
Chapter 11. Hydration and Oral Care
Chapter 12. Elimination
Chapter 13. Rest, Sleep, and Activity
Chapter 14. Promoting Healthy Skin
Chapter 15. Falls and Fall Risk Reduction
Chapter 16. Promoting Safety
Section 4: Promoting Health in Chronic Illness
Chapter 17. Living With Chronic Illness
Chapter 18. Pain and Comfort
Chapter 19. Diseases Affecting Vision and Hearing
Chapter 20. Metabolic Disorders
Chapter 21. Bone and Joint Problems
Chapter 22. Cardiovascular and Respiratory Disorders
Chapter 23. Neurological Disorders
Chapter 24. Mental Health
Section 5: Caring for Elders and Their Caregivers
Chapter 25. Care of Individuals With Neurocognitive Disorders
Chapter 26. Relationships, Roles, and Transitions
Chapter 27. Caregiving
Chapter 28. Loss, Death, and Palliative Care
, lOMoARcPSD|226 440 17
Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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,
, 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
, lOMoARcPSD|226 440 17
5. According to researchers, which characteristic do most centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
ANS: A
Based on the U.S. census report of 2010, centenarians were overwhelmingly white,
female, and living in the urbanareas of the Southern states.
PTS: 1 DIF: Remember REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
6. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the
weekly worshipservice
b. Wheels ambulatory adults to
exercise when runninglate
c. Assigns female nurses to older women
who are Islamic
d. Allows older adults in a nursing
home to eat mealsalone
ANS: C
The nurse uses a holistic approach to the care of an older female adult who is Islamic
because the woman and her family are more likely to be willing participants in a
therapeutic regimen that respects a tenet of their culture. Inter- rupting an older adult’s
worship with glucose testing can be interpreted as a lack of respect for spiritual needs.
The nurse can provide for and respect the physical and spiritual aspects of the older
adult’s life by testing for glucose before the service begins. In transporting ambulatory
adults to the exercise program in wheelchairs to save time, thenurse disregards the
need for self-esteem and exercise, both important aspects of physical well-being.
Ambulatory adults can walk with assistance, if needed, to exercise programs and can
benefit from the additional activity and independence. The nurse can be tempted to
allow an older adult to eat meals alone in his or her room if this will motivate the
person to eat or if the older adult has dysphasia and is embarrassed. However, although
focusing on physical needs, the nurse ignores psychosocial and other aspects of health
and well-being.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
7. An older man who resides in a nursing home has a total cholesterol level of 245
mg/dL. Whichnursing intervention is most likely to assist this man in achieving his
highest level of wellness?
Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
By Theris A. Touhy and Kathleen F Jett
, lOMoARcPSD|226 440 17
TABLE CONTENT
Section 1: Foundations of Healthy Aging
Chapter 1. Introduction to Healthy Aging
Chapter 2. Cross-Cultural Caring and Aging
Chapter 3. Biological Theories of Aging and Age-Related Physical Changes
Chapter 4. Psychosocial, Spiritual, and Cognitive Aspects of Aging
Section 2: Foundations of Gerontological Nursing
Chapter 5. Gerontological Nursing and Promotion of Healthy Aging
Chapter 6. Gerontological Nursing Across the Continuum of Care
Chapter 7. Economic and Legal Issues
Section 3: Fundamentals of Caring
Chapter 8. Assessment and Documentation for Optimal Care
Chapter 9. Safe Medication Use
Chapter 10. Nutrition
Chapter 11. Hydration and Oral Care
Chapter 12. Elimination
Chapter 13. Rest, Sleep, and Activity
Chapter 14. Promoting Healthy Skin
Chapter 15. Falls and Fall Risk Reduction
Chapter 16. Promoting Safety
Section 4: Promoting Health in Chronic Illness
Chapter 17. Living With Chronic Illness
Chapter 18. Pain and Comfort
Chapter 19. Diseases Affecting Vision and Hearing
Chapter 20. Metabolic Disorders
Chapter 21. Bone and Joint Problems
Chapter 22. Cardiovascular and Respiratory Disorders
Chapter 23. Neurological Disorders
Chapter 24. Mental Health
Section 5: Caring for Elders and Their Caregivers
Chapter 25. Care of Individuals With Neurocognitive Disorders
Chapter 26. Relationships, Roles, and Transitions
Chapter 27. Caregiving
Chapter 28. Loss, Death, and Palliative Care
, lOMoARcPSD|226 440 17
Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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,
, 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
, lOMoARcPSD|226 440 17
5. According to researchers, which characteristic do most centenarians share?
a. Female
b. Hispanic
c. Living in rural areas
d. Located in the Midwestern states
ANS: A
Based on the U.S. census report of 2010, centenarians were overwhelmingly white,
female, and living in the urbanareas of the Southern states.
PTS: 1 DIF: Remember REF: p. 5
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
6. Which nursing intervention is a holistic approach to an older adult?
a. Performs glucose testing during the
weekly worshipservice
b. Wheels ambulatory adults to
exercise when runninglate
c. Assigns female nurses to older women
who are Islamic
d. Allows older adults in a nursing
home to eat mealsalone
ANS: C
The nurse uses a holistic approach to the care of an older female adult who is Islamic
because the woman and her family are more likely to be willing participants in a
therapeutic regimen that respects a tenet of their culture. Inter- rupting an older adult’s
worship with glucose testing can be interpreted as a lack of respect for spiritual needs.
The nurse can provide for and respect the physical and spiritual aspects of the older
adult’s life by testing for glucose before the service begins. In transporting ambulatory
adults to the exercise program in wheelchairs to save time, thenurse disregards the
need for self-esteem and exercise, both important aspects of physical well-being.
Ambulatory adults can walk with assistance, if needed, to exercise programs and can
benefit from the additional activity and independence. The nurse can be tempted to
allow an older adult to eat meals alone in his or her room if this will motivate the
person to eat or if the older adult has dysphasia and is embarrassed. However, although
focusing on physical needs, the nurse ignores psychosocial and other aspects of health
and well-being.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
Evaluation MSC: Health Promotion and Maintenance
7. An older man who resides in a nursing home has a total cholesterol level of 245
mg/dL. Whichnursing intervention is most likely to assist this man in achieving his
highest level of wellness?
