,PART 1 Foundations for Clinical Judgment to Promote
Healthy Aging
1 Gerontological Nursing Across the Continuum of Care
2 Aging, Health, and Wellness in a Global Community
3 Theories of Aging
4 Providing Cross-Cultural Care
5 Economics and Health Care in Late Life
6 Promoting Excellence in Long-Term Care
PART 2 Foundations for Taking Action
7 Therapeutic Communication With Older Adults
8 Cognitive Health and Learning
9 Recognizing and Analyzing Cues to Maximize Outcomes
10 Using Laboratory Data in Clinical Judgment
11 Safe Medication Use
PART 3 Clinical Judgment to Promote Wellness and
Function
12 Visual Health
13 Auditory Health
14 Healthy Skin
15 Nutritional Health
16 Hydration and Oral Health
17 Elimination
18 Sleep
19 Activity and Exercise
20 Falls and Fall Risk Reduction
21 Safe and Secure Environments
PART 4 Clinical Judgment to Promote Wellness for Persons
With Chronic Illnesses
22 Living Well With Chronic Illness
23 Vascular Disorders
,24 Respiratory Disorders
25 Neurocognitive Disorders
26 Care of Individuals With Neurocognitive Disorders
27 Endocrine and Immune Disorders
28 Common Musculoskeletal Disorders
29 Pain and Comfort
30 Mental Health
PART 5 Clinical Judgment to Promote Healthy
Aging With Older Adults and Families
31 Ethics, Decision Making, and Mistreatment
32 Relationships, Roles, and Life Transitions
33 Intimacy and Sexual Health
34 Loss, Death, and Palliative Care
35 Spiritual Health, Meaning, and Self-Actualization
, Chapter 01: Aging, Health, and Wellness in a Global CommunityTouhy:
Ebersole & Hess’ Toward Healthy Aging, 10th Edition
MULTIPLE CHOICE
1. When asked by new parents what the life expectancy is for their African American newborn,the nurse
replies that, “2015 statistics indicate that your son:
a. will have a life expectancy of approximately 65 years.”
b. can realistically expect to live into his late 80s.”
c. has a good chance of celebrating his 75th birthday.”
d. is likely to live into his late 90s.”
ANS: C
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity between life
expectancies for black and white Americans has narrowed significantly between 1999 and 2015, with the
death rate for blacks (African Americans) dropping by 25% (Office of Minority Health, 2017). Of the
options above, C is the only response that fitsinto those parameters. The other options are not supported
by reliable research.
DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/LearningMSC:
Client Needs: Health Promotion and Maintenance
2. A nurse is planning care for a group of super-centenarians in an assisted living facility. Thenurse
considers which of the following?
a. Most super-centenarians are functionally independent or require minimalassistance
with activities N
ofUdRaS
ilyIlN
ivGinTgB
.
b. The majority of super-centenarians have cognitive impairment.
c. The number of super-centenarians is expected to decrease in coming years as aresult of
heart disease and stroke.
d. It is theorized that super-centenarians survived as long as they have due to geneticmutations
that made them less susceptible to common diseases.
ANS: A
Research supports that most super-centenarians are functionally and cognitively intact, requiring minimal
assistance with ADLs. The number of super-centenarians is expected to increase in coming years as the
number of older adults increases. Although centenarians stillcarry genetic markers within their
chromosomes for any number of health problems, for as yet unknown reasons, these are not “activated”
until much later, if at all, when compared with other persons.
DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/LearningMSC:
Client Needs: Health Promotion and Maintenance
3. One reason why many “baby boomers” have multiple chronic conditions such as heartdisease,
diabetes, and arthritis is that:
a. they have less access to medication and other treatment regimens.
b. there was a lack of importance placed on healthy living as they were growing up.
c. they did not have access to immunizations against communicable disease whenthey were
children.