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

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

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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
rx rx rx rx rx


Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
rx rx rx rx rx rx rx rx rx rx rx r


Edition
x




MULTIPLE CHOICE rx




1. A man is terminally ill with end-
rx rx rx rx rx rx


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. rx rx rx rx rx rx rx rx


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. rx rx rx rx rx rx rx


d. Nursing interventions can help empower a client to achieve a higher level of
rx rx rx rx rx rx rx rx rx rx rx rx r


wellness. x




ANS: D r x


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 functio
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nal level. Even in the presence of chronic illness or while dying, a movement toward wellne
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ss 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 r x DIF: Apply REF: p. 7 r x rx


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
r x rx rx rx r x rx rx rx


e

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


statements is true?
rx rx rx


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. rx rx rx rx rx rx rx


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




ANS: A r x


Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
rx rx rx rx rx rx rx rx rx rx rx rx


wellness, which involves one’s whole being. The concept of illness prevention was never c
rx rx rx rx rx rx rx rx rx rx rx rx rx rx


onsidered by previous generations; throughout history, basic self-
rx rx rx rx rx rx rx


care requirements have been recognized. Wellness and self-
rx rx rx rx rx rx rx


actualization develop through learning and growth— rx rx rx rx rx


as basic needs are met, higher level needs can be satisfied in turn, with ever-
rx rx rx rx rx rx rx rx rx rx rx rx rx rx


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
rx rx rx rx rx rx rx rx rx rx rx rx rx rx


vel of wellness is possible.
rx rx rx rx




PTS: 1 r x DIF: Understand REF: p. 7 r x rx


TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
r x rx rx rx r x rx rx rx


e

3. Which racial or ethnic group has the highest life expectancy in the United States?
rx rx rx rx rx rx rx rx rx rx rx rx rx


a. Native Americans rx


b. African Americans rx


c. Hispanic Americans rx


d. Asian and Pacific Island Americans rx rx rx rx



NURSINGTB.COM

, Ebersole and r x r x Hess' Gerontological rxrx rxrx Nursing and Healthy Aging rxrx rxrx rxrx r x 5th Edition rxrx


Touh
r x




Chapter 02: Cross-Cultural Caring and Aging
rx rx rx rx rx


Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Editio
rx rx rx rx rx rx rx rx rx rx rx rx


n


MULTIPLE CHOICE rx




1. Which of the following is a true statement about differing health belief systems?
rx rx rx rx rx rx rx rx rx rx rx rx


a. Personalistic or magicoreligious beliefs have been superseded in Western minds by rx rx rx rx rx rx rx rx rx rx rx


biomedical principles. rx


b. In most cultures, older adults are likely to treat themselves using traditional
rx rx rx rx rx rx rx rx rx rx rx rx


methods before turning to biomedical professionals. rx rx rx rx rx


c. Ayurvedic medicine is another name for traditional Chinese medicine. rx rx rx rx rx rx rx rx


d. The belief that health depends on maintaining a balance among opposite qualities
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is characteristic of a magicoreligious belief system.
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ANS: B r x


Older adults in most cultures usually have had experience with traditional methods that have w
rx rx rx rx rx rx rx rx rx rx rx rx rx rx


orked as well as expected. After these treatments fail, older adults turn to the formal health car
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx


e system. Even in the United States, it is common for older adults to pray for cures or wond
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er what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic he
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alth belief system practiced in India and in some neighboring countries. This belief is charac
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teristic of a holistic or naturalistic approach.
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PTS: r x r x 1 DIF: Understand REF: p. 16-17 rxrx rx


TOP: r x Nursing Process: Assessment rx rx MSC: Health Promotion and Maintenance
r x rx rx rx




2. Which of the following consideUratiS
onsNis m
rx
Tost likO
ely to be true when working with an
rx rx rx
N R I G B.C M rx rx rx rx rx rx rx


interpreter?
rx


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 best
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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.
rx rx rx rx rx rx rx rx rx




ANS: D r x


The nurse should face the patient rather than the interpreter is a true statement; the intent is t
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o converse with the patient, not with a third party about the patient. Many reasons may prev
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx


ent the patient from speaking directly to a nurse. Technical terms and metaphors may be diff
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx


icult or impossible to translate. Cultural restrictions may prevent some topics from being spok
rx rx rx rx rx rx rx rx rx rx rx rx rx


en of to a grandparent or child.
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PTS: r x r x 1 DIF: Understand r x r x r x r x REF: p. 18-19 rxrx rx


TOP: r x Nursing Process: Implementation rx rx r x r x MSC: Safe, Effective Care Environment
r x rx rx rx




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and r
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx


efuses to remain in the bed. Which intervention should the nurse use to promote and maintain
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx


his health? rx


a. Have the health care provider speak to him. rx rx rx rx rx rx rx


b. Use principles of the holistic health system.
rx rx rx rx rx rx


c. Ask about his perceptions and treatment ideas.
rx rx rx rx rx rx




NURSINGTB.COM

, Ebersole and r x r x Hess' Gerontological rxrx rxrx Nursing and Healthy Aging rxrx rxrx rxrx r x 5th Edition rxrx


Touh
r x




d. Consult rxrx with a rxrx r x practitioner r x of r x Chinese rxrx medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s perceptio
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n of t he problem, explain your perception of the problem, acknowledge
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r the difference s and similarities, recommend treatment, and negotiate ag
x r x r x r x r x r x r x r x r x r x


reement), the nurse gat hers information from the patient about cultural b
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eliefs concerning health care an d avoids stereotyping the patient. In the
r x r x r x r x rx r x r x r x r x r x r x r


x assessment, the nurse determines what t he patient believes about caregivin r x r x r x r x r x rx r x r x r x r x


g, decision making, treatment, and other pertin ent health-
r x r x r x r x r x r x rx r x


related information. Speaking with the health care provider is premature
r x r x r x r x r x r x r x r x r x r x


until th e assessment is complete. Unless he accepts the beliefs, principl
r x r x r x r x r x r x r x r x r x r x r x


es of the holist ic health system can be potentially unsuitable and insult
r x r x r x rx r x r x r x r x r x r x r x r x


ing for this patient. Un less he accepts the treatments, consulting with
r x r x r x r x rx r x r x r x r x r x r x r x


a practitioner of Chinese medicin e can also be unsuitable and insulting
r x r x r x r x rx r x r x r x r x r x r x r


x for this patient. r x r x




PTS: 1 DIF: Apply REF: p. 18 r x r x


TOP: Nursing rxrx Process: Implementation r x r x MSC: Health rxrx Promotion rxr x and r x r x Maintenance

4. Which action should the nurse take when r x rxrx rxrx r x rxrx rxrx rxrx addressing older rxrx rxrx adults?
a. Speak in an exaggerated pitch. r x r x rxrx rxrx


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


c. Use endearing terms such as “honey.” r x r x rxrx rxrx rxrx


d. Speak clearly. r x




ANS: D
Some health professionals demonstrate ageism, in part because providers te
r x r x r x r x r x r x r x r x r x


nd to see many frail, older persons and fewer of those who are he
r x r x r x r x r x r x r x r x r x r x r x r x r x


althy and active. Providers should not assume that all older adults are
r x r x rx r x r x r x r x r x r x r x r x r


xhearing or mentally im paired. The most appropriate action r x r x r x rx r x r x r x r x


when addressing an older aduN
UltSwRN
r x Id beGto Bs p.eOaCk c Ml earl y.
oulT r x r x r x
rx
rx
rx rx
rx rx xr rx r x rx rx rx rx rx

Examples of unintenti r x r x

o nal ageism in language are an exaggerated pitch, a demeaning emotion
rx r x r x r x r x r x r x r x r x r x r x

al tone, and a lower quality of
r x rx r x r x r x r x


speech.

PTS: 1 DIF: Apply REF: p. 15 r x r x


TOP: Nursing rxrx Process: Assessment MSC: r x r x Health Promotion rxr x rxrx and r x r x Maintenance

5. The nurse prepares an older woman, who is Polish, for discharge thr
r x r x r x r x r x r x r x r x r x r x r x


ough an interpreter and notes that she becomes tense during the instru
r x rx r x r x r x r x r x r x r x r x r x


ctions about eli mination. Which intervention should the nurse implement
r x r x rx r x r x r x r x r x r x


?
a. Move on to the discussion about medication. r x rxrx rxrx rxrx rxrx rxrx


b. Ask the older woman how she feels about this topic.
r x rxrx rxrx rxrx r x rxrx rxrx rxrx rxrx


c. Instruct the interpreter to repeat the instructions. rxrx r x rxrx r x rxrx rxrx


d. Have the older woman repeat the instructions for clarity. r x rxrx rxrx rxrx rxrx rxrx rxrx r x




ANS: B
When working with an interpreter, the nurse closely watches the older
rx r x r x r x r x r x r x r x r x r x r x r x r x r x r xrx r x r x r x r x r x r x


adult fo r nonverbal communication and emotion regarding a specific topic
r x r x rx r x r x r x r x r x r x r x r x


r and therefore validates the assessment about the older adult’s tension be
x r x rx r x r x r x r x r x r x r x r x


fore proceeding. Beca use the nurse notices her tension, the nurse tempor
r x r x rx r x r x r x r x r x r x r x r x


arily suspends the preparation to validate her assessment. If the nurse pro
r x r x r x rx r x r x r x r x r x r x r x


ceeds and the older adult is unco mfortable discussing elimination, then i
r x r x r x r x r x r x rx r x r x r x r x





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Connected book
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Theris A. Touhy, Kathleen Freudenberger Jett, Priscilla Ebersole Ebersole and Hess\' Gerontological Nursing
Publisher: 2013 ISBN: 9780323096065 Edition: Unknown

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