TOUHY EBERSOLE AND HESS' TOWARD HEALTHY AGING
11TH EDITION TEST BANK ||ISBN NO-10,X||ISBN NO-
12,978-3||LATEST UPDATE||COMPLETE GUIDE A+
Chapter 01: Aging, Health, and Wellness in a Global Community
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Touhy: Ebersole & Hess’ Toward Healthy Aging, 10th Edition
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MULTIPLE CHOICE n;
1. When asked by new parents what the life expectancy is for their African American newborn,
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the nurse replies that, ―2015 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 n ;
The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity
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between life expectancies for black and white Americans has narrowed significantly
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between 1999 and 2015, with the death rate for blacks (African Americans) dropping by
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25% (Office of Minority Health, 2017). Of the options above, C is the only response that fits
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into those parameters. The other options are not supported by reliable research.
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DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning n; n; n; n;
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. The
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nurse considers which of the following?
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a. Most super-centenarians are functionally independent or require minimal
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assistance with activities N
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. n; n; n;
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 n ;
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. Although centenarians still
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carry genetic markers within their chromosomes for any number of health problems, for as
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yet unknown reasons, these are not ―activated‖ until much later, if at all, when compared
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with other persons.
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DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning n; n; n; n;
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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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.
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, d. they grew up in an era of rampant poverty and malnutrition.
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ANS: B n ;
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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there was much secondhand smoke.
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DIF: Cognitive Level: Remembering TOP: Integrated Process: Teaching/Learning n; n; n; n;
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
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for the nurse to understand which of the following?
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a. Less than 50% of older adults (ages 65 and older) utilize available preventive
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services. n;
b. Preventive strategies are more widely used in the 50-64 age-group than in the 65 n; n; n; n; n; n; n; n; n; n; n; n; n;
and over age-group.
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c. The research on health promotion strategies in older adults demonstrates that they
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have low efficacy.
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d. There is an abundance of research specific to health promotion and aging.
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ANS: A n ;
Less than 50% of individuals, ages 65 and older, utilize the preventive services that are
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available to them. However, only 25% of those between the ages of 50 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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exists demonstrates that health promotion strategies are highly effective.
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DIF: Cognitive Level: Understanding TOP: Integrated Process: Teaching/Learning n; n; n; n;
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. The
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nurse promotes functional wellness by which of the following activities?
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a. Encouraging the client to maintain current levels of physical activity n; n; n; n; n; n; n; n; n;
b. Assisting the client to receive all the recommended preventive screenings that are
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appropriate for his age-group
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c. Teaching the patient how to use a rolling walker so that he can ambulate for longer
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distances n;
d. Encouraging the client to attend his weekly chess games n; n; n; n; n; n; n; n;
n; ANS: A n ;
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, Maintaining existing levels of physical activity is consistent with functional wellness.
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Teaching the client how to use a rolling walker enables the client to remain active at the
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highest level possible, which is an example of promoting functional wellness. Receiving
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recommended screening is an example of promoting biological wellness. The use of a
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rolling walker should be based on assessment of physical ability. Encouraging the client to
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attend weekly chess games is an example of promoting social wellness.
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DIF: Cognitive Level: Applying TOP: Integrated Process: Teaching/Learning n; n; n; n;
MSC: Client Needs: Health Promotion and Maintenance
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6. Based on the census reports of 2015, the typical profile of a centenarian includes which of
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the following characteristics?
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a. An American woman with no signs of dementia
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b. A Japanese woman with chronic inflammation
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c. A Chinese man with an immune disorder
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d. An American man who is a lifelong vegetarian
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ANS: A n ;
Based on the 2015 U.S. Census data, while the United States has highest number of
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centenarians, Japan has over double the number relative to the population as a whole. The
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relatively low number of centenarians (and super-centenarians) with dementia of some
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kind may be explained by the presence of some type of genetic neuroprotective factors.
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While most people have normal age-related declines in immune functioning and increases
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in a state of chronic inflammation, this does not appear to be the case for this group of long
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lived people.
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DIF: Cognitive Level: Ap pNl yUi nRgSINGTB T.OC PO: M Integrated Process: n; n; ;
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Teaching/LearningMSC: Client Needs: Health Promotion and Maintenance
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MULTIPLE RESPONSE n;
1. Primary prevention strategies for older adults include which of the following? (Select all
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that apply.)
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a. An annual influenza immunization clinic
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b. A smoking cessation program
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c. A prostate screening program
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d. A cardiac rehabilitation program
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e. A meal planning education program for type 2 diabetics
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ANS: A, B n ; n;
Primary prevention refers to strategies that are used to prevent an illness before it occurs and
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maintaining wellness across the continuum of care. Immunizations and smoking cessation
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are examples of primary prevention. Secondary prevention is the early detection of a disease
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or a health problem that has already developed. Prostate screening is an example of
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secondary prevention. Tertiary prevention addresses the needs of individuals who already
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have their wellness challenged. Cardiac rehabilitation and meal planning for diabetics are
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examples of tertiary prevention.
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DIF: Cognitive Level: Applying n; n; TOP: Integrated Process: Teaching/Learning n; n;
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