TEST BANK
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
g g g g g
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
g g g g g g g g g g g
Edition
g
MULTIPLE CHOICE g
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
g g g g g g g g g g g g g g g
man’s wellness?
g g
a. Wellness can only be achieved with aggressive medical interventions. g g g g g g g g
b. Wellness is not a real option for this client because he is terminally ill.
g g g g g g g g g g g g g
c. Wellness is defined as the absence of disease. g g g g g g g
d. Nursing interventions can help empower a client to achieve a higher level of
g g g g g g g g g g g g
wellness. g
ANS: D g
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
g g g g g g g g g g g g g g g
can foster wellness in his or her clients. Wellness is defined by the individual and is
g g g g g g g g g g g g g g g g
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
g g g g g g g g g g g g g g g g
belief that every person has an optimal level of health independent of his or her situation or
g g g g g g g g g g g g g g g g g
functional level. Even in the presence of chronic illness or while dying, a movement toward
g g g g g g g g g g g g g g g
wellness is possible if emphasis of care is placed on the promotion of well-being in a
g g g g g g g g g g g g g g g g
supportive environment.
g g
PTS: 1 DIF: Apply g REF: p. 7 g g TOP: Nursing Process: Diagnosis
g g g
MSC: Health Promotion and Maintenance
g g g g g
2. In differentiating between health and wellness in health care, which of the following
g g g g g g g g g g g g
gstatements is true? g g
a. Health is a broad term encompassing attitudes and behaviors.
g g g g g g g g
b. The concept of illness prevention was never considered by previous generations.
g g g g g g g g g g
c. Wellness and self-actualization develop through learning and growth. g g g g g g g
d. Wellness is impossible when one’s health is compromised. g g g g g g g
ANS: A g
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
g g g g g g g g g g g g
wellness, which involves one’s whole being. The concept of illness prevention was never
g g g g g g g g g g g g g
considered by previous generations; throughout history, basic self-care requirements have
g g g g g g g g g g
been recognized. Wellness and self-actualization develop through learning and growth—as
g g g g g g g g g g
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
g g g g g g g g g g g g g g g
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
g g g g g g g g g g g g g
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
g g g g g g g g g g g g g g g
PTS: 1 DIF: Understand REF: p. 7
g g g TOP: Nursing Process: Evaluation
g g g
MSC: Health Promotion and Maintenance
g g g g g
3. Which racial or ethnic group has the highest life expectancy in the United States?
g g g g g g g g g g g g g
a. Native Americans g
b. African Americans g
c. Hispanic Americans g
d. Asian and Pacific Island Americans g g g g
, Chapter 02: Cross-Cultural Caring and Aging
g g g g g
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
g g g g g g g g g g g
Edition
g
MULTIPLE CHOICE g
1. Which of the following is a true statement about differing health belief systems?
g g g g g g g g g g g g
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by g g g g g g g g g g
biomedical principles.
g g
b. In most cultures, older adults are likely to treat themselves using traditional
g g g g g g g g g g g
methods before turning to biomedical professionals.
g g g g g g
c. Ayurvedic medicine is another name for traditional Chinese medicine. g g g g g g g g
d. The belief that health depends on maintaining a balance among opposite qualities
g g g g g g g g g g g
is characteristic of a magicoreligious belief system.
g g g g g g g
ANS: B g
Older adults in most cultures usually have had experience with traditional methods that have
g g g g g g g g g g g g g
worked as well as expected. After these treatments fail, older adults turn to the formal health
g g g g g g g g g g g g g g g g
care system. Even in the United States, it is common for older adults to pray for cures or
g g g g g g g g g g g g g g g g g g
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
g g g g g g g g g g g g g g g
naturalistic health belief system practiced in India and in some neighboring countries. This
g g g g g g g g g g g g g
belief is characteristic of a holistic or naturalistic approach.
g g g g g g g g g
PTS: 1 DIF: Understand
g g REF: p. 16-17 g g
TOP: Nursing Process: Assessmentg g g MSC: Health Promotion and Maintenance g g g g
2. Which of the following considU
eratiS
onsNis m
g
Tost likO
ely to be true when working with an
g g g
N R I G B.C M g g g g g g g
interpreter?
g
a. An interpreter is never needed if the nurse speaks the same language as the patient.
g g g g g g g g g g g g g g
b. When working with interpreters, the nurse can use technical terms or metaphors.
g g g g g g g g g g g
c. A patient’s young granddaughter who speaks fluent English would make the best
g g g g g g g g g g g
interpreter because she is familiar with and loves the patient.
g g g g g g g g g g
d. The nurse should face the patient rather than the interpreter.
g g g g g g g g g
ANS: D g
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
g g g g g g g g g g g g g g g g g
converse with the patient, not with a third party about the patient. Many reasons may prevent
g g g g g g g g g g g g g g g g
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
g g g g g g g g g g g g g g g
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
g g g g g g g g g g g g g g
to a grandparent or child.
g g g g g
PTS: 1 DIF: Understand
g g g g g g REF: p. 18-19 g g g
TOP: Nursing Process: Implementation
g g g g g MSC: Safe, Effective Care Environment g g g g
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
g g g g g g g g g g g g g g g g g
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
g g g g g g g g g g g g g g g g
his health?
g g
a. Have the health care provider speak to him. g g g g g g g
b. Use principles of the holistic health system.
g g g g g g
c. Ask about his perceptions and treatment ideas.
g g g g g g
, d. Consult with a practitioner of Chinese medicine. g g g g g g
ANS: C g
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
g g g g g g g g g g g g g
explain your perception of the problem, acknowledge the differences and similarities,
g g g g g g g g g g g
recommend treatment, and negotiate agreement), the nurse gathers information from the
g g g g g g g g g g g
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
g g g g g g g g g g g g g g
assessment, the nurse determines what the patient believes about caregiving, decision making,
g g g g g g g g g g g g
treatment, and other pertinent health-related information. Speaking with the health care
g g g g g g g g g g g
provider is premature until the assessment is complete. Unless he accepts the beliefs,
g g g g g g g g g g g g g
principles of the holistic health system can be potentially unsuitable and insulting for this
g g g g g g g g g g g g g g
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
g g g g g g g g g g g g g
can also be unsuitable and insulting for this patient.
g g g g g g g g g
PTS: 1 g DIF: Apply
g REF: p. 18 g g
TOP: Nursing Process: Implementation
g g g MSC: Health Promotion and Maintenance g g g g
4. Which action should the nurse take when addressing older adults?
g g g g g g g g g
a. Speak in an exaggerated pitch. g g g g
b. Use a lower quality of speech.
g g g g g
c. Use endearing terms such as “honey.”
g g g g g
d. Speak clearly. g
ANS: D g
Some health professionals demonstrate ageism, in part because providers tend to see many
g g g g g g g g g g g g
frail, older persons and fewer of those who are healthy and active. Providers should not
g g g g g g g g g g g g g g g
assume that all older adults are hearing or mentally impaired. The most appropriate action
g g g g g g g g g g g g g
when addressing an older aduNltUwRoS
g g ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism g g g g g g g
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
g g g g g g g g g g g g g g g
speech.
PTS: 1 g DIF: Apply
g REF: p. 15 g g
TOP: Nursing Process: Assessment
g g g MSC: Health Promotion and Maintenance g g g g
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
g g g g g g g g g g g g g g
notes that she becomes tense during the instructions about elimination. Which intervention
g g g g g g g g g g g g
should the nurse implement?
g g g g
a. Move on to the discussion about medication. g g g g g g
b. Ask the older woman how she feels about this topic.
g g g g g g g g g
c. Instruct the interpreter to repeat the instructions. g g g g g g
d. Have the older woman repeat the instructions for clarity.
g g g g g g g g
ANS: B g
When working with an interpreter, the nurse closely watches the older adult for nonverbal
g g g g g g g g g g g g g
communication and emotion regarding a specific topic and therefore validates the assessment
g g g g g g g g g g g g
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
g g g g g g g g g g g g g g
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
g g g g g g g g g g g g g
and the older adult is uncomfortable discussing elimination, then important instructions can be
g g g g g g g g g g g g g
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
g g g g g g g g g g g g g g
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
g g g g g g g g g g g g g
ignores her needs.
g g g
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
g g g g g
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
g g g g g g g g g g g
Edition
g
MULTIPLE CHOICE g
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
g g g g g g g g g g g g g g g
man’s wellness?
g g
a. Wellness can only be achieved with aggressive medical interventions. g g g g g g g g
b. Wellness is not a real option for this client because he is terminally ill.
g g g g g g g g g g g g g
c. Wellness is defined as the absence of disease. g g g g g g g
d. Nursing interventions can help empower a client to achieve a higher level of
g g g g g g g g g g g g
wellness. g
ANS: D g
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
g g g g g g g g g g g g g g g
can foster wellness in his or her clients. Wellness is defined by the individual and is
g g g g g g g g g g g g g g g g
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
g g g g g g g g g g g g g g g g
belief that every person has an optimal level of health independent of his or her situation or
g g g g g g g g g g g g g g g g g
functional level. Even in the presence of chronic illness or while dying, a movement toward
g g g g g g g g g g g g g g g
wellness is possible if emphasis of care is placed on the promotion of well-being in a
g g g g g g g g g g g g g g g g
supportive environment.
g g
PTS: 1 DIF: Apply g REF: p. 7 g g TOP: Nursing Process: Diagnosis
g g g
MSC: Health Promotion and Maintenance
g g g g g
2. In differentiating between health and wellness in health care, which of the following
g g g g g g g g g g g g
gstatements is true? g g
a. Health is a broad term encompassing attitudes and behaviors.
g g g g g g g g
b. The concept of illness prevention was never considered by previous generations.
g g g g g g g g g g
c. Wellness and self-actualization develop through learning and growth. g g g g g g g
d. Wellness is impossible when one’s health is compromised. g g g g g g g
ANS: A g
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
g g g g g g g g g g g g
wellness, which involves one’s whole being. The concept of illness prevention was never
g g g g g g g g g g g g g
considered by previous generations; throughout history, basic self-care requirements have
g g g g g g g g g g
been recognized. Wellness and self-actualization develop through learning and growth—as
g g g g g g g g g g
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
g g g g g g g g g g g g g g g
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
g g g g g g g g g g g g g
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
g g g g g g g g g g g g g g g
PTS: 1 DIF: Understand REF: p. 7
g g g TOP: Nursing Process: Evaluation
g g g
MSC: Health Promotion and Maintenance
g g g g g
3. Which racial or ethnic group has the highest life expectancy in the United States?
g g g g g g g g g g g g g
a. Native Americans g
b. African Americans g
c. Hispanic Americans g
d. Asian and Pacific Island Americans g g g g
, Chapter 02: Cross-Cultural Caring and Aging
g g g g g
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
g g g g g g g g g g g
Edition
g
MULTIPLE CHOICE g
1. Which of the following is a true statement about differing health belief systems?
g g g g g g g g g g g g
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by g g g g g g g g g g
biomedical principles.
g g
b. In most cultures, older adults are likely to treat themselves using traditional
g g g g g g g g g g g
methods before turning to biomedical professionals.
g g g g g g
c. Ayurvedic medicine is another name for traditional Chinese medicine. g g g g g g g g
d. The belief that health depends on maintaining a balance among opposite qualities
g g g g g g g g g g g
is characteristic of a magicoreligious belief system.
g g g g g g g
ANS: B g
Older adults in most cultures usually have had experience with traditional methods that have
g g g g g g g g g g g g g
worked as well as expected. After these treatments fail, older adults turn to the formal health
g g g g g g g g g g g g g g g g
care system. Even in the United States, it is common for older adults to pray for cures or
g g g g g g g g g g g g g g g g g g
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
g g g g g g g g g g g g g g g
naturalistic health belief system practiced in India and in some neighboring countries. This
g g g g g g g g g g g g g
belief is characteristic of a holistic or naturalistic approach.
g g g g g g g g g
PTS: 1 DIF: Understand
g g REF: p. 16-17 g g
TOP: Nursing Process: Assessmentg g g MSC: Health Promotion and Maintenance g g g g
2. Which of the following considU
eratiS
onsNis m
g
Tost likO
ely to be true when working with an
g g g
N R I G B.C M g g g g g g g
interpreter?
g
a. An interpreter is never needed if the nurse speaks the same language as the patient.
g g g g g g g g g g g g g g
b. When working with interpreters, the nurse can use technical terms or metaphors.
g g g g g g g g g g g
c. A patient’s young granddaughter who speaks fluent English would make the best
g g g g g g g g g g g
interpreter because she is familiar with and loves the patient.
g g g g g g g g g g
d. The nurse should face the patient rather than the interpreter.
g g g g g g g g g
ANS: D g
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
g g g g g g g g g g g g g g g g g
converse with the patient, not with a third party about the patient. Many reasons may prevent
g g g g g g g g g g g g g g g g
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
g g g g g g g g g g g g g g g
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
g g g g g g g g g g g g g g
to a grandparent or child.
g g g g g
PTS: 1 DIF: Understand
g g g g g g REF: p. 18-19 g g g
TOP: Nursing Process: Implementation
g g g g g MSC: Safe, Effective Care Environment g g g g
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
g g g g g g g g g g g g g g g g g
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
g g g g g g g g g g g g g g g g
his health?
g g
a. Have the health care provider speak to him. g g g g g g g
b. Use principles of the holistic health system.
g g g g g g
c. Ask about his perceptions and treatment ideas.
g g g g g g
, d. Consult with a practitioner of Chinese medicine. g g g g g g
ANS: C g
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
g g g g g g g g g g g g g
explain your perception of the problem, acknowledge the differences and similarities,
g g g g g g g g g g g
recommend treatment, and negotiate agreement), the nurse gathers information from the
g g g g g g g g g g g
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
g g g g g g g g g g g g g g
assessment, the nurse determines what the patient believes about caregiving, decision making,
g g g g g g g g g g g g
treatment, and other pertinent health-related information. Speaking with the health care
g g g g g g g g g g g
provider is premature until the assessment is complete. Unless he accepts the beliefs,
g g g g g g g g g g g g g
principles of the holistic health system can be potentially unsuitable and insulting for this
g g g g g g g g g g g g g g
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
g g g g g g g g g g g g g
can also be unsuitable and insulting for this patient.
g g g g g g g g g
PTS: 1 g DIF: Apply
g REF: p. 18 g g
TOP: Nursing Process: Implementation
g g g MSC: Health Promotion and Maintenance g g g g
4. Which action should the nurse take when addressing older adults?
g g g g g g g g g
a. Speak in an exaggerated pitch. g g g g
b. Use a lower quality of speech.
g g g g g
c. Use endearing terms such as “honey.”
g g g g g
d. Speak clearly. g
ANS: D g
Some health professionals demonstrate ageism, in part because providers tend to see many
g g g g g g g g g g g g
frail, older persons and fewer of those who are healthy and active. Providers should not
g g g g g g g g g g g g g g g
assume that all older adults are hearing or mentally impaired. The most appropriate action
g g g g g g g g g g g g g
when addressing an older aduNltUwRoS
g g ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism g g g g g g g
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
g g g g g g g g g g g g g g g
speech.
PTS: 1 g DIF: Apply
g REF: p. 15 g g
TOP: Nursing Process: Assessment
g g g MSC: Health Promotion and Maintenance g g g g
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
g g g g g g g g g g g g g g
notes that she becomes tense during the instructions about elimination. Which intervention
g g g g g g g g g g g g
should the nurse implement?
g g g g
a. Move on to the discussion about medication. g g g g g g
b. Ask the older woman how she feels about this topic.
g g g g g g g g g
c. Instruct the interpreter to repeat the instructions. g g g g g g
d. Have the older woman repeat the instructions for clarity.
g g g g g g g g
ANS: B g
When working with an interpreter, the nurse closely watches the older adult for nonverbal
g g g g g g g g g g g g g
communication and emotion regarding a specific topic and therefore validates the assessment
g g g g g g g g g g g g
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
g g g g g g g g g g g g g g
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
g g g g g g g g g g g g g
and the older adult is uncomfortable discussing elimination, then important instructions can be
g g g g g g g g g g g g g
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
g g g g g g g g g g g g g g
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
g g g g g g g g g g g g g
ignores her needs.
g g g
