Ebersole & Hess’ Toward Healthy Aging 10th Edition By Touhy – Test Bank

Ebersole & Hess’ Toward Healthy Aging 10th Edition By Touhy – Test Bank

Chapter 01: Aging, Health, and Wellness in a Global Community

Touhy: Ebersole & Hess Toward Healthy Aging, 10th Edition

TOWARD HEALTHY AGING

TESTBANK

MULTIPLE CHOICE

1. When asked by new parents what the life expectancy is for their African American newbom, the nurse oeplies that, 2015 statistics indicate that your som

a. will have a life expectancy of approximately 65 years.”

b. can realistically expect to live into his late 50%”

c. has a good chance of celebrating his 75th birthday.”

4 is likely to live into his late 901″

ANS C

The overall life expectancy at birth in the United States in 2015 was 78.8. The disparity between lide expectancies for black and white Americans has narrowed ugnificantly between 1999 and 2015, with the death rate for blacks (African Americans) dropping by 25% (Office of Minority Health, 2017). Of the options above, Cis the only response that fits into those parameters. The other options are not supported by reliabile research

DIF: Cognitive Level: Understanding

TOP: lategrated Process: Teaching Learning

MSC: Client Needs Health Promotion and Maintenance

2. A mrse is planning care for a group of super-centenarians in an assisted living facility. The mrse considers which of the following?

a. Most super-centenarians are functionally independent or sequire minimal asustance with activities of daily living

b. The majority of super-centenarians have cognitive impairment

. The number of super-centenarians is expected to decrease in coming years as a remit of beart disease and stroke

4 It is theorized that super-centenarians survived as long as they have due to genetic mutations that made them less susceptibile 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 berofolder adults increases. Although centenarians still carry genetic markers within their chromosomes for any number of health problems for as yet unknown reasons, these are not activemoch later, if at all, when compared with other persons

DIF: Cogative Level Remembering

TOP Integrated Process: Teaching Leaning

MSC: Client Needs Health Promotion and Maintenance

3. One reason why many baby boomers have multiple chronic conditions such as brie

disease, 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 when they were children

4 they grew up in an era of rampant poverty and malnutrition

ANS: B

The baby boomers, individuals born between 1946 and 1964, post-WWII, have better access to medication and treatment regimens than other coberts. They have had the benefit of the development of immunizations against communicable diseases. They grew up in an era of prosperity post-WWII However, there was a lack of importanor placed on what we now consider healthy living when they were younger. Smoking, for example, was not condoned but was considered a symbol of status. Candy in the shape of cigarettes was popular, and there was much secondhand smoke.

DIF: Cognitive Level: Remembering

TOP Integrated Process: Teaching Learning

MSC: Chest Needs Health Promotion and Maintenance

4. A nurse is planning an education program on wellness in a local senior citizen center. The surse gilans to provide education on the importance of immunizations, annual physical examinations, scorening for diabetes, and vision and hearing screening. It is important for the nurse to understand which of the following?

a. Less than 50% of older adults (ages 65 and older) utilize available greventive services.

b. Preventive strategies are more widely used in the 50-64 age-group than in the 65 and over age group

c. The research on health promotion strategies in older adults demonstrates that they have low efficacy

4 There is an abundance of research specific to health promotion and aging

ANS A

Less than 50% of individuals, ages 65 and older, unlize the preventive services that are available to them. However, only 25% of those between the ages of 50 and 64 do so. There is a paucity of research specific to health promotion and aging, however, the research that exists demonstrates that health promotion strategies are highly effective

DIF: Cognitive Level: Understanding

TOP negrated Process: Teaching Leaming

MSC: Client Needs: Health Promotion and Maintenance

5. A surse is caning for an 85-year-old male client with diabetes in a community setting. The

surse geomotes functional wellness by which of the following actres a. Encouraging the chest to maintain current levels of physical activity

b. Assisting the client to receive all the recommended preventive screenings that are appropriate for his age group

c. Teaching the patient how to use a solling walker so that he can ambulate for longer destances

4. Encouraging the client to attend his weekly chess games

ANS: A

Maintaining existing levels of physical activity is consistent with functional wellness. Teaching the client how to use a rolling walker enables the client to remain active at the highest level possible, which is an example of promoting functional wellness Receiving recommended screening is an example of promoting biological wellness. The use of a rolling walker should be based on assessment of physical ability. Encouraging the client to attend weekly chess games is an example of promoting social wellness.

DIF: Cognitive Level Applying

TOP Integrated Process: Teaching Leaming

MSC: Client Needs: Health Promotion and Maintenance

6. Based on the crasus reports of 2015, the typical profile of a centenarian includes which of

the following characteristics? a. An American woman with no signs of dementia

A Japanese woman with chronic inflammation

A Chinese man with an order

4. An American man who is a lifelong vegetarian

ANS: A

Based on the 2015 US Census data, while the United States has highest number of centenarians, Japan has over double the number relative to the population as a whole. The orlatively low number of centenarians (and super-centenarians) with dementia of some kind may be explained by the gorsence of some type of genetic neuroprotective factors. While most people have normal age-related declines in immune functioning and increases in a stane of chronic inflammation, this does not appear to be the case for this group of long lived people

DIF: Cognitive Level

Integrated Process: Teaching Leaning

MSC: Client Needs Health Promobon and Maintenance

MULTIPLE RESPONSE

1. Primary prevention strategies for older adults include which of the following? (Select all that app)

a. An annual influenza immuniration clinic

A smoking cessation program

A prostate screening program

4. A cardiac rehabilitation program

e. A meal planning education program for type 2 diabetics

ANS: A, B

Primary prevention refers to strategies that are used to prevent an illness before it occurs and maintaining wellness across the continuum of car Immunizations and smoking cessation we examples of primary prevention. Secondary gorvention in the early detection of a disease or a health problem that has already developed Prostate screening is an example of secondary prevention. Tertiary prevention addresses the needs of individuals who already have their wellness challenged Cardiac rehabilitation and meal planning for diabetics are examples of tertiary prevention

DIF: Cognitive Level: Applying

TOP Integrated Process: Teaching Learning