Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1-28.

Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
Chapter 1-28.

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
zv zv zv zv zv zv zv zv zv zv zv z


Edition
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MULTIPLE CHOICE zv




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.
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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. zv zv zv zv zv zv zv


d. Nursing interventions can help empower a client to achieve a higher level o
zv zv zv zv zv zv zv zv zv zv zv zv


f wellness. zv




ANS: D z v


Nursing interventions can help empower a client to achieve a higher level of wellness; a nurs
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e can foster wellness in his or her clients. Wellness is defined by the individual and is mult
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idimensional. It is not just the absence of disease. A wellness perspective is based on the be
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lief that every person has an optimal level of health independent of his or her situation or f
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unctional level. Even in the presence of chronic illness or while dying, a movement toward
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vwellness 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: 1 z v DIF: Apply REF: p. 7 z v zv


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
z v zv zv zv z v zv zv zv


e

2. In differentiating between healU
zv th anSd wNellnTess in hOealth care, which of the followin
zv zv
N R I G B.C M zv zv zv zv zv


g statements is true?
zv zv zv


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.
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d. Wellness is impossible when one’s health is compromised. zv zv zv zv zv zv zv




ANS: A z v


Health is a broad term that encompasses attitudes and behaviors; holistically, health include
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s wellness, which involves one’s whole being. The concept of illness prevention was never
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considered 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— zv zv zv zv zv


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
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level of wellness is possible.
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PTS: 1 z v DIF: Understand REF: p. 7 z v zv


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 zv


b. African Americans zv


c. Hispanic Americans zv


d. Asian and Pacific Island Americans zv zv zv zv



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, Ebersole and z v z v Hess' zvzv Gerontological zvzv Nursing zvzv and zvzv Healthy zvzv Aging z v 5th zvzv Editio
n Touh
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Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Editio
zv zv zv zv zv zv zv zv zv zv zv zv


n


MULTIPLE CHOICE zv




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 zv zv zv zv zv zv zv zv zv zv


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. zv zv zv zv zv zv zv zv


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 z v


Older adults in most cultures usually have had experience with traditional methods that have
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worked as well as expected. After these treatments fail, older adults turn to the formal health
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care system. Even in the United States, it is common for older adults to pray for cures or w
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onder what they did to incur an illness as punishment. The Ayurvedic system is a naturalist
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ic health belief system practiced in India and in some neighboring countries. This belief is
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characteristic of a holistic or naturalistic approach. zv zv zv zv zv zv




PTS: z v z v 1 DIF: Understand REF: p. 16-17 zvzv zv


TOP: z v Nursing Process: Assessment zv zv MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
onsNis m
Tost likO
zv ely to be true when working with a
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N R I G B.C M zv zv zv zv zv zv zv


n 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 z v


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 pr
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event the patient from speaking directly to a nurse. Technical terms and metaphors may be
zv zv zv zv zv zv zv zv zv zv zv zv zv zv zv


difficult or impossible to translate. Cultural restrictions may prevent some topics from being
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spoken of to a grandparent or child.zv zv zv zv zv zv




PTS: z v z v 1 DIF: Understand z v z v z v z v REF: p. 18-19 zvzv zv


TOP: z v Nursing Process: Implementation zv zv z v z v MSC: Safe, Effective Care Environment
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
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refuses to remain in the bed. Which intervention should the nurse use to promote and maintai
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n his health?
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a. Have the health care provider speak to him.zv zv zv zv zv zv zv


b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, Ebersole and z v z v Hess' zvzv Gerontological zvzv Nursing zvzv and zvzv Healthy zvzv Aging z v 5th zvzv Editio
n Touh
z v




d. Consult zvzv with zvzv a z v practitioner z v of z v Chinese zvzv medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s percept
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ion of t he problem, explain your perception of the problem, acknowle
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dge the difference s and similarities, recommend treatment, and negotiate
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z agreement), the nurse gat hers information from the patient about cultu
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ral beliefs concerning health care an d avoids stereotyping the patient. In
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z vthe assessment, the nurse determines what t he patient believes about c
z v z v z v z v z v z v zv z v z v z v z v


aregiving, decision making, treatment, and other pertin ent health-
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related information. Speaking with the health care provider is premature
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v until th e assessment is complete. Unless he accepts the beliefs, princ
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iples of the holist ic health system can be potentially unsuitable and i
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nsulting for this patient. Un less he accepts the treatments, consulting
z v z v z v z v zv z v z v z v z v z v z v


with a practitioner of Chinese medicin e can also be unsuitable and i
z v z v z v z v z v zv z v z v z v z v z v z v


nsulting for this patient. z v z v z v




PTS: 1 DIF: Apply REF: p. 18 z v z v


TOP: Nursing zvzv Process: Implementation z v z v MSC: Health zvzv Promotion z v z v and z v z v Maintenance

4. Which action should the nurse take whenz v zvzv zvzv z v zvzv zvzv zvzv addressing zvzv older zvzv adults?
a. Speak in an exaggerated pitch. z v z v zvzv zvzv


b. Use a lower quality of speech. zvzv zvzv zvzv zvzv zvzv


c. Use endearing terms such as “honey.” z v z v zvzv zvzv zvzv


d. Speak clearly. z v




ANS: D
Some health professionals demonstrate ageism, in part because providers t
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end to see many frail, older persons and fewer of those who are
z v z v z v z v z v z v z v z v z v z v z v z v z v


healthy and active. Providers should not assume that all older adults
z v z v zv z v z v z v z v z v z v z v z v


are hearing or mentally im paired. The most appropriate action
z v z v z v z v zv z v z v z v z v


when addressing an older aduN
z v
UltSwRNoulTId beGto Bs p.O
e aCk c Ml e a rl y. z v z v z v
zv
zv
zv zv
zv zv zv zv z v zv zv zv zv zv

Examples of unintenti z v z v

o nal ageism in language are an exaggerated pitch, a demeaning emotio
zv z v z v z v z v z v z v z v z v z v z v

nal tone, and a lower quality of
z v zv z v z v z v z v


speech.

PTS: 1 DIF: Apply REF: p. 15 z v z v


TOP: Nursing zvzv Process: Assessment MSC: z v z v Health Promotion zv z v zv zv and z v z v Maintenance

5. The nurse prepares an older woman, who is Polish, for discharge t
z v z v z v z v z v z v z v z v z v z v z v


hrough an interpreter and notes that she becomes tense during the in
z v zv z v z v z v z v z v z v z v z v z v


structions about eli mination. Which intervention should the nurse imple
z v z v zv z v z v z v z v z v z v


ment?
a. Move on to the discussion about medication. z v zvzv zvzv zvzv zvzv zvzv


b. Ask the older woman how she feels about this topic.
z v zvzv zvzv zvzv z v zvzv zvzv zvzv zvzv


c. Instruct the interpreter to repeat the instructions. zvzv z v zvzv z v zvzv zvzv


d. Have the older woman repeat the instructions for clarity.
z v zvzv zvzv zvzv zvzv zvzv zvzv z v




ANS: B
When working with an interpreter, the nurse closely watches the older
z v z v z v z v z v z v z v z v z v z v z v z v z v z v z v z v z v z v z v z v z


adult fo r nonverbal communication and emotion regarding a specific t
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opic and therefore validates the assessment about the older adult’s tension
z v z v zv z v z v z v z v z v z v z v


z before proceeding. Beca use the nurse notices her tension, the nurse
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temporarily suspends the preparation to validate her assessment. If the nu
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rse proceeds and the older adult is unco mfortable discussing elimination,
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