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Test Bank Senior Health Nies: Community/Public Health Nursing, 7th Edition

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1. Which is the most useful way to discuss aging? a. By divisions—young-old, middle-old, old-old, and elite-old b. Chronological age c. Functional age d. Number of chronic comorbidities ANS: C Functional age refers to functioning and the ability to perform activities of daily living, such ...

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Community Public Health Nursing 7th Edition Nies Test Bank


Test Bank Senior Health Nies: Community/Public Health Nursing, 7th
Edition Chapter 19


MULTIPLE
CHOICE

1. Which is the most useful way to discuss aging?
a. By divisions—young-old, middle-old, old-old, and elite-old
b. Chronological age
c. Functional age
d. Number of chronic comorbidities
ANS: C
Functional age refers to functioning and the ability to perform activities of daily
living, such as bathing and grooming, and instrumental activities of daily living,
such as cooking and shopping. This definition of aging is a better measure of
age than chronological age. After all, most older adults are more concerned with
their functional ability than their chronological age. Assisting older adults to
remain independent and functional is a major focus of nursing care.

DIF: Cognitive Level: Remember (Knowledge)

2. Which is an example of a nonstochastic theory of aging?
a. Cross-link theory
b. Error theory
c. Free radical theory
d. Immunologic theory
NURSINGTB.COM
e. Somatic mutation
theory
f. Wear and tear theory

ANS: D
All the theories except one are stochastic theories, that is, theories that are based
on the assumption that events occur randomly and accumulate over time, which
results in aging. The only nonstochastic theory, which views aging as
predetermined, is the immunologic theory.

DIF: Cognitive Level: Remember (Knowledge)

3. A woman said, “I’ve never been retired before. I didn’t plan it but it’s OK. I’m
still doing what I used to do otherwise; I go to church, make quilts for charity,
and babysit my grandkids. Do you think I should be trying to find another job for
a few years?” Which would be the most appropriate response by the nurse?
a. “For lots of people, retirement, even if unplanned, is much like life
has always been.”
b. “It’s okay to slow down at your age; why look for problems?”
c. “You really need to get out of your house more and be more active,
even if you don’t get paid at the position.”
NURSINGTB.COM

, Community Public Health Nursing 7th Edition Nies Test Bank


d. “Without a job, you really don’t have an identity. Have you
been to the unemployment office?”
ANS: A




NURSINGTB.COM

, Community Public Health Nursing 7th Edition Nies Test Bank


The continuity theory of aging suggests that a person continues through life in a
similar fashion as in previous years. Because the woman stated she is doing
what she has previously done, and has not suggested any particular problems
other than concern that what she is doing is acceptable behavior, she should be
supported. The statement that best supports her decision states that retirement
life is much like life has always been. The other statements do not support her
current satisfaction with her activities in her life.

DIF: Cognitive Level: Apply (Application)

4. A man stated, “I used to work out at the exercise room at work, but now that
I’m retired I sit and watch TV. My wife keeps nagging me to do something.
What do you think I should be doing at my age?” Which would be the most
appropriate response by the nurse?
a. “I think you should try to please your wife. What is it she wants you to do?”
b. “It’s okay to slow down at your age; why look for problems?”
c. “You should try to exercise just as you did before. Is there a
YMCA or club nearby?”
d. “You’ve worked all your life; you have a right to rest now.”
ANS: C
The activity theory posits that activity is necessary to maintain life
satisfaction. Physical activity is beneficial for the health of people of all ages,
including older adults. Therefore, because the man has previously been
physically active, he should continue to be physically active to maintain
satisfaction with his life.

DIF: Cognitive Level: Apply (Application)

5. In the supermarket checkout, a young woman complained to her friend, “Old
people think we taxpayers N should
R I GpayB.C M U
for them to bS ursing hOome. Seems
e inNa nT
like a waste of money.” Which would be the most appropriate response by the
nurse?
a. “Did you know more than 90% of all the elderly live in their own
homes while fewer than 5% live in care facilities?”
b. “Those old people built our society; we owe it to them to support them now.”
c. “Would it be better to put each person to sleep when they reach a
certain age such as 80 years?”
d. “You know, you’ll get old someday too. Won’t you want someone to
take care of you when you can’t anymore?”
ANS: A
In 2013, 93% of the Medicare population aged 65 years and older resided in
traditional community settings. Three percent resided in community housing
with at least one service available, and approximately 4% resided in long-term-
care facilities. The other responses do not support a therapeutic response by the
nurse in this situation.

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