Test Bank for Ebersole and Hess’ Gerontological Nursing & Healthy Aging in Canada (3RD) By Veronique Boscart, Lynn McCleary & Linda Sheiban Taucar Complete Guide

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Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
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Veronique Boscart
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3RD Edition
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TESTBANK f+

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editi
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on


MULTIPLE CHOICE +f




1. A man is terminally ill with end-
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stage prostate cancer. Which is the best statement about this man’s wellness?
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a. Wellness can only be achieved with aggressive medical interventions. +f +f +f +f +f +f +f +f


b. Wellness is not a real option for this client because he is terminally ill.
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c. Wellness is defined as the absence of disease. +f +f +f +f +f +f +f


d. Nursing interventions can help empower a client to achieve a higher level o
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f wellness. +f




ANS: D +f


Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
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can foster wellness in his or her clients. Wellness is defined by the individual and is multidi
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mensional. It is not just the absence of disease. A wellness perspective is based on the belief
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that every person has an optimal level of health independent of his or her situation or functi
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onal level. Even in the presence of chronic illness or while dying, a movement toward welln
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ess is possible if emphasis of care is placed on the promotion of well-
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being in a supportive environment.
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PTS: + f 1 DIF: Apply REF: p. 7 + f +f


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
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e
2. In differentiating between health and wellness in health care, which of the followin
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g statements is true?
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a. Health is a broad term encompassing attitudes and behaviors.
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b. The concept of illness prevention was never considered by previous generations.
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c. Wellness and self-actualization develop through learning and growth. +f +f +f +f +f +f +f


d. Wellness is impossible when one’s health is compromised. +f +f +f +f +f +f +f




ANS: A +f


Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
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wellness, which involves one’s whole being. The concept of illness prevention was never c
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onsidered by previous generations; throughout history, basic self-
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care requirements have been recognized. Wellness and self-
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actualization develop through learning and growth— +f +f +f +f +f


as basic needs are met, higher level needs can be satisfied in turn, with ever-
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deepening richness to life. Wellness is possible when one’s health is compromised—
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even with chronic illness, with multiple disabilities, or in dying, movement toward a higher le
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vel of wellness is possible.
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PTS: + f 1 DIF: Understand REF: p. 7 + f +f


TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
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e

3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans +f


b. African Americans +f


c. Hispanic Americans +f


d. Asian and Pacific Island Americans +f +f +f +f

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
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Edition
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MULTIPLE CHOICE +f




1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligious beliefs have been superseded in Western minds b +f +f +f +f +f +f +f +f +f +f


y biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using traditiona
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l methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. +f +f +f +f +f +f +f +f


d. The belief that health depends on maintaining a balance among opposite qualitie
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s is characteristic of a magicoreligious belief system.
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ANS: B +f


Older adults in most cultures usually have had experience with traditional methods that hav
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e worked as well as expected. After these treatments fail, older adults turn to the formal hea
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lth care system. Even in the United States, it is common for older adults to pray for cures
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or wonder what they did to incur an illness as punishment. The Ayurvedic system is a nat
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uralistic health belief system practiced in India and in some neighboring countries. This be
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lief is characteristic of a holistic or naturalistic approach.
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PTS: 1 DIF: Understand
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TOP: Nursing Process: Assessment
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2. Which of the following consideUratiS
onsNis m
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Tost likO
el y to be true when working with an
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N R I G B.C M +f +f +f +f +f +f +f


interpreter?
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a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient’s young granddaughter who speaks fluent English would make the bes
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t interpreter because she is familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: D +f


The nurse should face the patient rather than the interpreter is a true statement; the intent is
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to converse with the patient, not with a third party about the patient. Many reasons may pre
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vent the patient from speaking directly to a nurse. Technical terms and metaphors may be di
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fficult or impossible to translate. Cultural restrictions may prevent some topics from being sp
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oken of to a grandparent or child.
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PTS: 1 DIF: Understand
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TOP: Nursing Process: Implementation
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and r
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efuses to remain in the bed. Which intervention should the nurse use to promote and maintain
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his health?
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a. Have the health care provider speak to him. +f +f +f +f +f +f +f


b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, d. Consult with a practitioner of Chinese medicine. +f +f +f +f +f +f




ANS: C +f


Using the LEARN model (listen with sympathy to the patient’s perception of the problem, e
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xplain your perception of the problem, acknowledge the differences and similarities, recom
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mend treatment, and negotiate agreement), the nurse gathers information from the patient ab
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out cultural beliefs concerning health care and avoids stereotyping the patient. In the assessm
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ent, the nurse determines what the patient believes about caregiving, decision making, treatm
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ent, and other pertinent health-
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related information. Speaking with the health care provider is premature until the assessment
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is complete. Unless he accepts the beliefs, principles of the holistic health system can be po
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tentially unsuitable and insulting for this patient. Unless he accepts the treatments, consultin
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g with a practitioner of Chinese medicine can also be unsuitable and insulting for this patien
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t.

PTS: 1 DIF: Apply
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TOP: Nursing Process: Implementation
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4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. +f +f +f +f


b. Use a lower quality of speech. +f +f +f +f +f


c. Use endearing terms such as “honey.”
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d. Speak clearly. +f




ANS: D +f


Some health professionals demonstrate ageism, in part because providers tend to see many fra
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il, older persons and fewer of those who are healthy and active. Providers should not assum
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e that all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
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dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism
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in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.

PTS: 1 DIF: Apply
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TOP: Nursing Process: Assessment
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter an
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d notes that she becomes tense during the instructions about elimination. Which intervent
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ion should the nurse implement?
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a. Move on to the discussion about medication. +f +f +f +f +f +f


b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. +f +f +f +f +f +f


d. Have the older woman repeat the instructions for clarity.
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ANS: B +f


When working with an interpreter, the nurse closely watches the older adult for nonverbal c
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ommunication and emotion regarding a specific topic and therefore validates the assessment
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about the older adult’s tension before proceeding. Because the nurse notices her tension, the
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nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
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and the older adult is uncomfortable discussing elimination, then important instructions can b
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e missed, leading to adverse effects for the older adult. Repeating the instructions can aggra
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vate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
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ignores her needs. +f +f