TEST BANK Ebersole and Hess’ Toward Healthy Aging 11th
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h Edition Touhy,jett h
Chapter 01: Health and Wellness in an Aging Society
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Touhy: Ebersole & Hess' Toward Healthy Aging, 11th Edition
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MULTIPLE CHOICE h
1. When asked by new parents what the life expectancy is for their African American
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hnewborn,the 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 h
In 2010, men in the United States at age 60 can expect to live another 22 years. The life
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hexpectancy of African American men is about 4.7 years less than white men. Of the
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hoptionsabove, C is the only response that fits into those parameters. The other options are
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hnot supported by reliable research.
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DIF: Cognitive Level: Understanding h h REF: p. h
h3TOP: Integrated Process: Teaching/Learning
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MSC: Client Needs: Health Promotion and Maintenance
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2. A nurse is planning care for a group of super-centenarians in an assisted living facility.
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hThenurse considers which of the following?
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a. Most super-centenarians are functionally independent or require minimal
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TEST BANK Ebersole and Hess’ Toward Healthy Aging 11th
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Edition Touhy,jett h h
, assistance with activities of daily living h h h h h
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
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result of heart disease and stroke
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d. It is theorized that super-centenarians survived as long as they have due to genetic
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mutations that made them less susceptible to common diseases
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ANS: A h
Research supports that most super-centenarians are functionally and cognitively intact,
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requiring minimal assistance with ADLs. The number of super-centenarians is expected to
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increase in coming years as the number of older adults increases. The reason why
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individualssurvived as long as they have is not known.
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DIF: Cognitive Level: Remembering h h REF: p. h
4TOP: Integrated Process: Teaching/Learning
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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
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h disease,diabetes, and arthritis is that:
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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 up.
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c. they did not have access to immunizations against communicable disease when
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they were children. h h
d. they grew up in an era of rampant poverty and malnutrition.
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TEST BANK Ebersole and Hess’ Toward Healthy Aging 11th
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Edition Touhy,jett h h
, ANS: B h
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access
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to medication and treatment regimens than other cohorts. They have had the benefit of the
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development of immunizations against communicable diseases. They grew up in an era of
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prosperity post-WWII. However, there was a lack of importance placed on what we now
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consider healthy living when they were younger. Smoking, for example, was not condoned,
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but was considered a symbol of status. Candy in the shape of cigarettes was popular, and
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therewas much secondhand smoke.
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DIF: Cognitive Level: Remembering h h REF: p. h
6TOP: Integrated Process: Teaching/Learning
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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
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nurse plans to provide education on the importance of immunizations, annual physical
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examinations, screening for diabetes, and vision and hearing screening. It is important for
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thenurse to understand which of the following?
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a. Approximately 40% of older adults (ages 65 and older) utilize available preventive h h h h h h h h h h h
services
b. Preventive strategies are more widely used in the 40-64 age group than in the 65 h h h h h h h h h h h h h h
and over age group h h h
c. The research on health promotion strategies in older adults demonstrates that they
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have low efficacy h h
d. There is an abundance of research specific to health promotion and aging
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ANS: A h
Approximately 40% of individuals, ages 65 and older, utilize the preventive services that are
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available to them. However, only 24% of those between the ages of 40 and 64 do so. There
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is a paucity of research specific to health promotion and aging; however, the research that
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existsdemonstrates that health promotion strategies are highly effective.
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DIF: Cognitive Level: Understanding h h REF: p. h
7TOP: Integrated Process: Teaching/Learning
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TEST BANK Ebersole and Hess’ Toward Healthy Aging 11th
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Edition Touhy,jett h h
, MSC: Client Needs: Health Promotion and Maintenance
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5. A nurse is caring for an 85-year-old male client with diabetes in a community setting.
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hThenurse promotes functional wellness by which of the following activities?
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a. Encouraging the client maintains current levels of physical activity h h h h h h h h
b. Assisting the client to receive all the recommended preventive screenings that are
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appropriate for his age group h h h h
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
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distances
d. Encouraging the client to attend his weekly chess games h h h h h h h h
ANS: A h
Maintaining existing levels of physical activity is consistent with functional wellness.
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hTeaching the client how to use a rolling walker enables the client to remain active at the
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hhighest level possible, which is an example of promoting functional wellness. Receiving
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hrecommended screening is an example of promoting biological wellness. The use of a
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hrollingwalker should be based on assessment of physical ability. Encouraging the client to
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hattend weekly chess games is an example of promoting social wellness.
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DIF: Cognitive Level: Applying h h REF: p. h
h10TOP: Integrated Process: Teaching/Learning
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MSC: Client Needs: Health Promotion and Maintenance
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6. Based on the census reports of 2010, the typical profile of a centenarian in the United
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hStatesincludes which of the following characteristics?
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a. A Caucasian woman who lives in an urban area of a Southern state
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b. An African American woman who lives in a rural area of a Southern state
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c. A Hispanic man who lives in an urban area of a Midwestern state
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d. A Caucasian man who lives in a rural area of a Midwestern state
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ANS: A h
Based on the 2010 U.S. Census data, centenarians were overwhelmingly white
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h(82.5%),women (82.8%), and living in urban areas of the Southern states.
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TEST BANK Ebersole and Hess’ Toward Healthy Aging 11th
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Edition Touhy,jett h h