TEST BANK For Touhy & Jett, Ebersole and Hess’
Gerontological Nursing & Healthy Aging 6th Edition
Which option refers to the highest level of human functioning according to Maslow?
a.Biological and physical integrity
b.Safety and security
c.Self-esteem
d.Self-actualizationANS: D
According to Maslow, persons whose basic physical needs are met, who feel safe and
secure, and who possess self-esteem and self-efficacy can achieve self-actualization,
reaching out beyond themselves to make their lives meaningful.
Biological and physical integrity is the lowest level in Maslows hierarchy, below
safety and security. Safety and security are the second-lowest level, below self-
esteem. Self-esteem is the second-highest level, below self-actualization.
TOUHY 4TH ED TESTBANK
A man is terminally ill with end-stage prostate cancer. Which is the best statement
about this mans wellness?
a.Wellness is possible in the management of his medical care.
b.Wellness is unfortunately not a real option for this client.
c.Wellness is the same thing as faith healing, and if the client would be more
receptive, then he could be back at work in a few weeks.
d.Nursing interventions can help empower a client to achieve a higher level of
wellness.ANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness; a nurse can foster wellness at all levels of the needs hierarchy.
Wellness is possible even if the client assists in the management of his medical care;
an individual must work hard to achieve wellness, similar to a job. Wellness is
unfortunately not a real option for this client; however, all persons, regardless of age
or life-health situations, can be helped to achieve a higher level of wellness. Wellness
is the same thing as faith healing, and if the client would be more receptive, then he
could be back at work in a few weeks; biomedical approaches and other treatments
and techniques are used to achieve realistic improvements in wellness.
TOUHY 4TH ED TESTBANK
,In differentiating between health and wellness in health care, which of the following
statements is true?
a.Health is a broad term encompassing attitudes and behaviors.
b.The concept of illness prevention was never considered by previous generations.
c.Wellness and self-actualization develop through learning and growth.
d.Wellness is impossible when ones health is compromised.ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
includes wellness, which involves ones whole being.
The concept of illness prevention was never considered by previous generations;
throughout history, basic self-care requirements have been recognized. Wellness
and self-actualization develop through learning and growthas basic needs are met,
higher-level needs can be satisfied in turn, with ever-deepening richness to life.
Wellness is impossible when ones health is compromised even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is
possible.
TOUHY 4TH ED TESTBANK
Which cultural group is predicted to have the fastest growing older adult population
in the United States between the years 2010 and 2050?
a.Native Americans
b.African Americans
c.Hispanic Americans
d.Asian/Pacific Island AmericansANS: C
As shown in Figure 1-1, the Hispanic older adult population is projected to be the
most rapidly increasing population segment between 2010 and 2050.
The older adult populations of all other races, combined, do not rise as rapidly as the
Hispanic older adult population between the years 2010 and 2050. The African-
American older adult population is expected to have the second-fastest rise between
2010 and 2050. The non-Hispanic white older adult population is projected to
decrease between 2010 and 2050.
TOUHY 4TH ED TESTBANK
Historical influences that have shaped the lives of the majority of the middle-old
population in the United States today include which of the following?
a.Influenza epidemic of 1918
,b.Immigration from communist Europe
c.Child rearing in the Depression
d.World War IIANS: D
Those who are middle-old in 2005 were in their teens and 20s during World War II;
in particular, the men were likely to have fought in it.
A person who survived the influenza epidemic would be at least 87 years old in 2005
and therefore would be considered old-old or a centenarian. Those who are middle-
old in 2005 were born between 1920 and 1930, before communism swept Europe.
Most of those who are middle-old in 2005 had not reached childbearing age by the
end of the Depression.
TOUHY 4TH ED TESTBANK
The nurse prepares for the arrival of older adults evacuated from a hurricane to a
shelter for short-term care. Which of the following is the priority nursing
intervention?
a.Demonstrate that the staff is prepared to meet their needs.
b.Use individual medical records to develop a medication plan.
c.Help older adults display family photographs and memorabilia.
d.Help older adults teach one another a new skill in the shelter.ANS: B
The nurse prepares for short-term care by prioritizing the needs of the older adults,
and this intervention helps maintain the therapeutic plan, thereby addressing the
need for physiological integrity. Furthermore, the nurse maintains continuity of care
by preparing a medication schedule to prevent missed doses of medication.
Providing safety and security from the storm is Maslows second most basic need.
In emergency conditions, the nurse provides basic care relating to safety, security,
and physical well-being. Maintaining a sense of belonging is important but not in
emergency conditions. A state of emergency is not the time to develop self-esteem;
meeting safety, security, and physical needs are more important.
TOUHY 4TH ED TESTBANK
According to researchers, which characteristic will most centenarians share in the
future?
a.Female
b.Demented
, c.Malnourished
d.Wheelchair boundANS: A
Researchers expect women to make up the majority of centenarians in the future.
Gerontologists expect dementia to be common among older adults, but they are not
predicting most centenarians will have dementia. Malnutrition is common among
older adults, but researchers have not predicted that most centenarians will be
malnourished. Decreased mobility is common among older adults, but researchers
have not predicted that most centenarians will be confined to a wheelchair.
TOUHY 4TH ED TESTBANK
Which statement describes aging in developing countries?
a.Aged dependence is likely to improve from 1:4 to 1:2.
b.The biggest problem for older adults will be the lack of food.
c.Most older adults are likely to reside in these countries.
d.Similar to fertility, life expectancy is increasing, although at a different rate.ANS: C
Currently, developing countries already contain two thirds of the worlds older adult
population.
Aged dependence is likely to deteriorate from 1:4 to 1:2. The biggest problem of the
worlds oldest adults is most likely to be a lack of regular income. Life expectancy is
increasing, but fertility is decreasing worldwide.
TOUHY 4TH ED TESTBANK
An older woman tells the nurse that she has experienced increasing fatigue and
shortness of breath over the last 2 days. Which goal is the nurses priority?
a.Promote safety to prevent injury.
b.Complete nutritional assessment.
c.Balance exercise and rest periods.
d.Explore the womans complaints.ANS: D
Investigating the complaint is the nurses priority; fatigue and shortness of breath can
indicate cardiac disease, especially in women. Women with cardiac disease often
exhibit atypical symptoms, and because it tends to be treated less aggressively in
women, the nurse must be careful not to miss indicators of potential cardiac disease.
Gerontological Nursing & Healthy Aging 6th Edition
Which option refers to the highest level of human functioning according to Maslow?
a.Biological and physical integrity
b.Safety and security
c.Self-esteem
d.Self-actualizationANS: D
According to Maslow, persons whose basic physical needs are met, who feel safe and
secure, and who possess self-esteem and self-efficacy can achieve self-actualization,
reaching out beyond themselves to make their lives meaningful.
Biological and physical integrity is the lowest level in Maslows hierarchy, below
safety and security. Safety and security are the second-lowest level, below self-
esteem. Self-esteem is the second-highest level, below self-actualization.
TOUHY 4TH ED TESTBANK
A man is terminally ill with end-stage prostate cancer. Which is the best statement
about this mans wellness?
a.Wellness is possible in the management of his medical care.
b.Wellness is unfortunately not a real option for this client.
c.Wellness is the same thing as faith healing, and if the client would be more
receptive, then he could be back at work in a few weeks.
d.Nursing interventions can help empower a client to achieve a higher level of
wellness.ANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness; a nurse can foster wellness at all levels of the needs hierarchy.
Wellness is possible even if the client assists in the management of his medical care;
an individual must work hard to achieve wellness, similar to a job. Wellness is
unfortunately not a real option for this client; however, all persons, regardless of age
or life-health situations, can be helped to achieve a higher level of wellness. Wellness
is the same thing as faith healing, and if the client would be more receptive, then he
could be back at work in a few weeks; biomedical approaches and other treatments
and techniques are used to achieve realistic improvements in wellness.
TOUHY 4TH ED TESTBANK
,In differentiating between health and wellness in health care, which of the following
statements is true?
a.Health is a broad term encompassing attitudes and behaviors.
b.The concept of illness prevention was never considered by previous generations.
c.Wellness and self-actualization develop through learning and growth.
d.Wellness is impossible when ones health is compromised.ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
includes wellness, which involves ones whole being.
The concept of illness prevention was never considered by previous generations;
throughout history, basic self-care requirements have been recognized. Wellness
and self-actualization develop through learning and growthas basic needs are met,
higher-level needs can be satisfied in turn, with ever-deepening richness to life.
Wellness is impossible when ones health is compromised even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is
possible.
TOUHY 4TH ED TESTBANK
Which cultural group is predicted to have the fastest growing older adult population
in the United States between the years 2010 and 2050?
a.Native Americans
b.African Americans
c.Hispanic Americans
d.Asian/Pacific Island AmericansANS: C
As shown in Figure 1-1, the Hispanic older adult population is projected to be the
most rapidly increasing population segment between 2010 and 2050.
The older adult populations of all other races, combined, do not rise as rapidly as the
Hispanic older adult population between the years 2010 and 2050. The African-
American older adult population is expected to have the second-fastest rise between
2010 and 2050. The non-Hispanic white older adult population is projected to
decrease between 2010 and 2050.
TOUHY 4TH ED TESTBANK
Historical influences that have shaped the lives of the majority of the middle-old
population in the United States today include which of the following?
a.Influenza epidemic of 1918
,b.Immigration from communist Europe
c.Child rearing in the Depression
d.World War IIANS: D
Those who are middle-old in 2005 were in their teens and 20s during World War II;
in particular, the men were likely to have fought in it.
A person who survived the influenza epidemic would be at least 87 years old in 2005
and therefore would be considered old-old or a centenarian. Those who are middle-
old in 2005 were born between 1920 and 1930, before communism swept Europe.
Most of those who are middle-old in 2005 had not reached childbearing age by the
end of the Depression.
TOUHY 4TH ED TESTBANK
The nurse prepares for the arrival of older adults evacuated from a hurricane to a
shelter for short-term care. Which of the following is the priority nursing
intervention?
a.Demonstrate that the staff is prepared to meet their needs.
b.Use individual medical records to develop a medication plan.
c.Help older adults display family photographs and memorabilia.
d.Help older adults teach one another a new skill in the shelter.ANS: B
The nurse prepares for short-term care by prioritizing the needs of the older adults,
and this intervention helps maintain the therapeutic plan, thereby addressing the
need for physiological integrity. Furthermore, the nurse maintains continuity of care
by preparing a medication schedule to prevent missed doses of medication.
Providing safety and security from the storm is Maslows second most basic need.
In emergency conditions, the nurse provides basic care relating to safety, security,
and physical well-being. Maintaining a sense of belonging is important but not in
emergency conditions. A state of emergency is not the time to develop self-esteem;
meeting safety, security, and physical needs are more important.
TOUHY 4TH ED TESTBANK
According to researchers, which characteristic will most centenarians share in the
future?
a.Female
b.Demented
, c.Malnourished
d.Wheelchair boundANS: A
Researchers expect women to make up the majority of centenarians in the future.
Gerontologists expect dementia to be common among older adults, but they are not
predicting most centenarians will have dementia. Malnutrition is common among
older adults, but researchers have not predicted that most centenarians will be
malnourished. Decreased mobility is common among older adults, but researchers
have not predicted that most centenarians will be confined to a wheelchair.
TOUHY 4TH ED TESTBANK
Which statement describes aging in developing countries?
a.Aged dependence is likely to improve from 1:4 to 1:2.
b.The biggest problem for older adults will be the lack of food.
c.Most older adults are likely to reside in these countries.
d.Similar to fertility, life expectancy is increasing, although at a different rate.ANS: C
Currently, developing countries already contain two thirds of the worlds older adult
population.
Aged dependence is likely to deteriorate from 1:4 to 1:2. The biggest problem of the
worlds oldest adults is most likely to be a lack of regular income. Life expectancy is
increasing, but fertility is decreasing worldwide.
TOUHY 4TH ED TESTBANK
An older woman tells the nurse that she has experienced increasing fatigue and
shortness of breath over the last 2 days. Which goal is the nurses priority?
a.Promote safety to prevent injury.
b.Complete nutritional assessment.
c.Balance exercise and rest periods.
d.Explore the womans complaints.ANS: D
Investigating the complaint is the nurses priority; fatigue and shortness of breath can
indicate cardiac disease, especially in women. Women with cardiac disease often
exhibit atypical symptoms, and because it tends to be treated less aggressively in
women, the nurse must be careful not to miss indicators of potential cardiac disease.
