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TOUHY EBERSOLE AND HESS' TOWARD HEALTHY AGING 11TH EDITION TEST BANK | LATEST UPDATE 2023 COMPLETE GUIDE
TOUHY EBERSOLE AND HESS' TOWARD HEALTHY AGING 11TH EDITION TEST BANK | LATEST UPDATE 2023 COMPLETE GUIDE
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Chapter 01: Aging, Health, and Wellness in a Global Communityo o o o o o o o o
Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
o o o o o o o o o
MULTIPLE CHOICE o
1. When asked by new parents what the life expectancy is for their African American newborn,
o o o o o o o o o o o o o o
the nurse replies that, “2015 statistics indicate that your son:
o o o o o o o o o o
a. will have a life expectancy of approximately 65 years.”
o o o o o o o o
b. can realistically expect to live into his late 80s.”
o o o o o o o o
c. has a good chance of celebrating his 75th birthday.”
o o o o o o o o
d. is likely to live into his late 90s.”
o o o o o o o
ANS: C o
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity
o o o o o o o o o o o o o o o
between life expectancies for black and white Americans has narrowed significantly
o o o o o o o o o o o
between 1999 and 2015, with the death rate for blacks (African Americans) dropping by
o o o o o o o o o o o o o o
25% (Office of Minority Health, 2017). Of the options above, C is the only response that fits
o o o o o o o o o o o o o o o o o
into those parameters. The other options are not supported by reliable research.
o o o o o o o o o o o o
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. The
o o o o o o o o o o o o o o o
nurse considers which of the following?
o o o o o o
a. Most super-centenarians are functionally independent or require minimal
o o o o o o o
assistance with activities N
o ofUdRaiSlyIlNivGinTgB
. o o o
b. The majority of super-centenarians have cognitive impairment.
o o o o o o
c. The number of super-centenarians is expected to decrease in coming years as a
o o o o o o o o o o o o
result of heart disease and stroke.
o o o o o o
d. It is theorized that super-centenarians survived as long as they have due to genetic
o o o o o o o o o o o o o
mutations that made them less susceptible to common diseases.
o o o o o o o o o
ANS: A o
Research supports that most super-centenarians are functionally and cognitively intact,
o o o o o o o o o
requiring minimal assistance with ADLs. The number of super-centenarians is expected to
o o o o o o o o o o o o
increase in coming years as the number of older adults increases. Although centenarians still
o o o o o o o o o o o o o o
carry genetic markers within their chromosomes for any number of health problems, for as
o o o o o o o o o o o o o o
yet unknown reasons, these are not “activated” until much later, if at all, when compared
o o o o o o o o o o o o o o o
with other persons.
o o o
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
3. One reason why many “baby boomers” have multiple chronic conditions such as heart
o o o o o o o o o o o o
disease, diabetes, and arthritis is that:
o o o o o o
a. they have less access to medication and other treatment regimens.
o o o o o o o o o
b. there was a lack of importance placed on healthy living as they were growing up.
o o o o o o o o o o o o o o
c. they did not have access to immunizations against communicable disease when
o o o o o o o o o o
they were children.
o o o
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, d. they grew up in an era of rampant poverty and malnutrition.
o o o o o o o o o o
ANS: B o
The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access
o o o o o o o o o o o o
to medication and treatment regimens than other cohorts. They have had the benefit of the
o o o o o o o o o o o o o o o
development of immunizations against communicable diseases. They grew up in an era of
o o o o o o o o o o o o o
prosperity post-WWII. However, there was a lack of importance placed on what we now
o o o o o o o o o o o o o o
consider healthy living when they were younger. Smoking, for example, was not condoned,
o o o o o o o o o o o o o
but was considered a symbol of status. Candy in the shape of cigarettes was popular, and
o o o o o o o o o o o o o o o o
there was much secondhand smoke.
o o o o o
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
4. A nurse is planning an education program on wellness in a local senior citizen center. The
o o o o o o o o o o o o o o o
nurse plans to provide education on the importance of immunizations, annual physical
o o o o o o o o o o o o
examinations, screening for diabetes, and vision and hearing screening. It is important for
o o o o o o o o o o o o o
the nurse to understand which of the following?
o o o o o o o o
a. Less than 50% of older adults (ages 65 and older) utilize available preventive
o o o o o o o o o o o o
services.o
b. Preventive strategies are more widely used in the 50-64 age-group than in the 65
o o o o o o o o o o o o o
and over age-group.
o o o
c. The research on health promotion strategies in older adults demonstrates that they
o o o o o o o o o o o
have low efficacy.
o o o
d. There is an abundance of research specific to health promotion and aging.
o o o o o o o o o o o
ANS: A o
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are
o o o o o o o o o o o o o o
available to them. However, only 25% of those between the ages of 50 and 64 do so. There
o o o o o o o o o o o o o o o o o o
is a paucity of research specific to health promotion and aging; however, the research that
o o o o o o o o o o o o o o o
exists demonstrates that health promotion strategies are highly effective.
o o o o o o o o o
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
5. A nurse is caring for an 85-year-old male client with diabetes in a community setting. The
o o o o o o o o o o o o o o o
nurse promotes functional wellness by which of the following activities?
o o o o o o o o o o
a. Encouraging the client to maintain current levels of physical activity o o o o o o o o o
b. Assisting the client to receive all the recommended preventive screenings that are
o o o o o o o o o o o
appropriate for his age-group
o o o o
c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
o o o o o o o o o o o o o o o
distanceso
d. Encouraging the client to attend his weekly chess games o o o o o o o o
o ANS: A o
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, Maintaining existing levels of physical activity is consistent with functional wellness.
o o o o o o o o o o
Teaching the client how to use a rolling walker enables the client to remain active at the
o o o o o o o o o o o o o o o o o
highest level possible, which is an example of promoting functional wellness. Receiving
o o o o o o o o o o o o
recommended screening is an example of promoting biological wellness. The use of a
o o o o o o o o o o o o o
rolling walker should be based on assessment of physical ability. Encouraging the client to
o o o o o o o o o o o o o o
attend weekly chess games is an example of promoting social wellness.
o o o o o o o o o o o
DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
6. Based on the census reports of 2015, the typical profile of a centenarian includes which of
o o o o o o o o o o o o o o o
the following characteristics?
o o o
a. An American woman with no signs of dementia
o o o o o o o
b. A Japanese woman with chronic inflammation
o o o o o
c. A Chinese man with an immune disorder
o o o o o o
d. An American man who is a lifelong vegetarian
o o o o o o o
ANS: A o
Based on the 2015 U.S. Census data, while the United States has highest number of
o o o o o o o o o o o o o o
centenarians, Japan has over double the number relative to the population as a whole. The
o o o o o o o o o o o o o o o
relatively low number of centenarians (and super-centenarians) with dementia of some kind
o o o o o o o o o o o o
may be explained by the presence of some type of genetic neuroprotective factors. While
o o o o o o o o o o o o o o
most people have normal age-related declines in immune functioning and increases in a
o o o o o o o o o o o o o
state of chronic inflammation, this does not appear to be the case for this group of long lived
o o o o o o o o o o o o o o o o o o
people.
o
DIF: Cognitive Level: Ap pNl yUi nRgSINGTB T.O
C PO: M Integrated Process: Teaching/Learning
o o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
MULTIPLE RESPONSE o
1. Primary prevention strategies for older adults include which of the following? (Select all
o o o o o o o o o o o o
that apply.)
o o
a. An annual influenza immunization clinic
o o o o
b. A smoking cessation program
o o o
c. A prostate screening program
o o o
d. A cardiac rehabilitation program
o o o
e. A meal planning education program for type 2 diabetics
o o o o o o o o
ANS: A, B o o
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
o o o o o o o o o o o o o o o
maintaining wellness across the continuum of care. Immunizations and smoking cessation
o o o o o o o o o o o
are examples of primary prevention. Secondary prevention is the early detection of a disease
o o o o o o o o o o o o o o
or a health problem that has already developed. Prostate screening is an example of
o o o o o o o o o o o o o o
secondary prevention. Tertiary prevention addresses the needs of individuals who already
o o o o o o o o o o o
have their wellness challenged. Cardiac rehabilitation and meal planning for diabetics are
o o o o o o o o o o o o
examples of tertiary prevention.
o o o o
DIF: Cognitive Level: Applying o o TOP: Integrated Process: Teaching/Learning o o
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, MSC: Client Needs: Management of Care
o o o o o
2. A nurse organizes a symposium for health care professionals in the field of geriatrics.
o o o o o o o o o o o o o
Which of the following topics align with Healthy People 2020s emerging issues relevant to
o o o o o o o o o o o o o o
healthy aging? (Select all that apply.)
o o o o o o
a. Fair pay and compensation standards for informal caregivers
o o o o o o o
b. Longevity and genetics o o
c. Emerging chronic conditions among baby boomers o o o o o
d. Minimum competency levels for health care professionals o o o o o o
e. Health disparities in LGBT older adults o o o o o
ANS: A, C, D, E o o o o
Issues outlined in Healthy People 2020: Emerging issues in the health of older adults
o o o o o o o o o o o o o
oinclude person-centered care planning that includes caregivers; quality measures of care and
o o o o o o o o o o o
omonitoring of health conditions; fair pay and compensation standards for formal and
o o o o o o o o o o o
oinformal caregivers; minimum levels of geriatric training for health professionals; and
o o o o o o o o o o
oenhanced data on certain subpopulations of older adults, including aging LGBT populations.
o o o o o o o o o o o
oLongevity and genetics is an important subject to study but is not listed as an emerging issue
o o o o o o o o o o o o o o o o
oto focus on for Healthy People 2020.
o o o o o o
DIF: Cognitive Level: Analyzing TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
3. Baby boomers born before 1960 were subject to which of the following health challenges
o o o o o o o o o o o o o
during their childhood? (Select all that apply.)
o o o o o o o
a. Measles
b. Scarlet fever o
c. Rubella
d. Smallpox
e. HIV/AIDS
ANS: A, B, C o o o
Most boomers born in 1950s contracted at least several of the “childhood diseases” of
o o o o o o o o o o o o o
measles, mumps, rubella, and chicken pox. Scarlet fever was also common. Smallpox was a
o o o o o o o o o o o o o o
concern for the centenarians, not this generation. HIV/AIDS had not been identified in the
o o o o o o o o o o o o o o
early years of 1915-1945.
o o o o
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning o o o o
MSC: Client Needs: Health Promotion and Maintenance
o o o o o o o
4. A nursing student is preparing a presentation on the wellness-based model for healthy aging.
o o o o o o o o o o o o o
Which of the following concepts should the student include in the presentation? (Select all
o o o o o o o o o o o o o o
that apply.)
o o
a. Healthy aging is defined by the absence of physical illness alone.
o o o o o o o o o o
b. Healthy aging is individually defined and can change over time.
o o o o o o o o o
c. There are many strategies to promote healthy aging that are believed to be helpful
o o o o o o o o o o o o o
but do not have empirical evidence to support them.
o o o o o o o o o
d. Healthy aging cannot be achieved by only focusing on later life. It is a lifelong
o o o o o o o o o o o o o o
process.o
e. According to this model, an individual with a chronic disease would not be
o o o o o o o o o o o o
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