TestBankEbersoleandHess’GerontologicalNursing&Healthy
b
Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
e
28.
,Chapter01:IntroductiontoHealthyAging
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
e m m m m m
MULTIPLECHOICE
1. Amani sterminallyillwithend-stageprostatecancer.Whichi st hebeststatementaboutt
m e m m e m e m m m
hisman’s wellness?
e e
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. m m
b. Wellnessisnot ar ealoption forthisclientbecauseheisterminallyill. m m e m m
c. Wellnessisdefinedast heabsenceofdisease. m m m e
d. Nursinginterventionscanhelpempoweraclientt oachieveahigherlevelof m m e
wellness. e
ANS: D e
Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelofwellness;anursecan m m e
fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandismultidimensional.
e e
eItisnotjusttheabsenceofdisease.Awellnessperspectiveisbasedonthebeliefthateverypersonhas
m m m e
eanoptimallevelofhealthindependentofhisorhersituationorfunctionallevel.Eveninthe
e e
presenceofchronicillnessorwhiledying,amovementtowardwellnessispossibleifemphasisof
e e m
ecareisplacedonthepromotionofwell-beinginasupportiveenvironment. m
PTS: 1 DIF: Apply REF: p.7 e TOP:NursingProcess:Diagnosis m
MSC:HealthPromotionand Maintenance
e e e m
2. Indifferentiatingbetweenhe alU
t h anSd wNe llnTe ss in hOe alth care,whichofthefollowing
N R I G B.C M e
e statementsistrue?
a. Healthisabroadtermencompassingattitudesandbehaviors.
m m
b. Theconceptofillnesspreventionwasneverconsideredbypreviousgenerations.
m m
c. Wellnessand self-actualization developthroughlearningandgrowth.
m m m m
d. Wellnessisi mpossiblewhenone’shealthiscompromised. m e m m
ANS: A e
Healthisa broadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
m e e
wellness,whichinvolvesone’swholebeing.Theconceptofillness preventionwasnever
e e m e
consideredbypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen
e e
recognized.Wellnessandself-actualizationdevelopthrough learningandgrowth—asbasic
e e m
needsaremet,higherlevel needscanbesatisfiedinturn,withever-deepening richnesstolife.
e m m
Wellnessispossiblewhenone’shealthiscompromised—evenwith chronicillness,withmultiple e m m
disabilities,orindying,movementtowardahigherlevelofwellnessispossible.
e m m m
PTS: 1 DIF: Understand REF: p.7 e TOP:NursingProcess:Evaluation m
MSC:HealthPromotionand Maintenance
e e e m
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? m m m m m
a. NativeAmericans
b. AfricanAmericans m
c. HispanicAmericans
d. AsianandPacificIslandAmericans e
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
Chapter02:Cross-CulturalCaringandAging m
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5thEdition
e e
MULTIPLECHOICE
1. Whichofthefollowingisa truestatementaboutdifferinghealthbeliefsystems? m m m
a. Personalisticormagicoreligiousbeliefshavebeensupersededi nWesternmindsby m m m e
biomedicalprinciples.
e
b. Inmostcultures,olderadultsarel ikelytotreatthemselvesusingt raditional
m m m e m e
methodsbeforeturningtobiomedicalprofessionals.
e
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine.
d. The belieft hathealth dependsonmaintaining abalanceamongoppositequalities is
m m e m m m m m m m
characteristicofamagicoreligiousbeliefsystem.
e
ANS: B e
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked m m
easwellasexpected.Afterthesetreatmentsfail,olderadultsturnt otheformalhealthcaresystem. m e m
EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydidto
e e
incuranillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem
e e e
practicedinIndiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor
e m m m e
naturalisticapproach.
e
PTS: 1 DIF: Understand REF: p.16-17 e
TOP: NursingProcess:Assessment e e MSC: HealthPromotionand Maintenance e e me
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan m m m
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageasthepatient. m m
b. Whenworkingwithi nterpreters,thenursecanuset echnicaltermsormetaphors. m e m m e
c. Apatient’syounggranddaughterwhospeaksfluentEnglishwouldmakethebest m m m
interpreterbecausesheisfamiliarwithandlovesthepatient.
e
d. Thenurseshouldfacethepatientratherthantheinterpreter.
ANS: D e
The nurseshould face the patient rather than the interpreter is a true statement; the intent is to converse
e e e e e e e e e e e e e e e e e e
with the patient, not with a third party about the patient. Many reasons may prevent the patient from
e e e e e e e e e e e e e e e e e e
speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
e e e e e e e e e e e e e e e
translate.Culturalrestrictionsmaypreventsometopicsfrombeingspokenoftoa grandparentorchild.
e e e e e e e e e e e e e e
PTS: e e 1 DIF: Understand e e e e e REF: p.18-19 e e e
TOP: e e e NursingProcess: Implementation e e e e MSC: Safe,EffectiveCareEnvironment
e e e e e e e
3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto e e m
e remaininthebed.Whichinterventionshouldthenurseusetopromoteandmaintainhishealth?
m m m m
a. Havet hehealthcareproviderspeaktohim. m e m
b. Useprinciplesoft heholistichealthsystem. m e m
c. Askabouthisperceptionsandtreatmentideas. m m
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
d. Consultwith apractitionerofChinesemedicine. m m
ANS: C e
UsingtheLEARNmodel(listenwithsympathytothepatient’sperceptionoftheproblem,explain e
yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities,recommend
e e
treatment,andnegotiateagreement),thenursegathersinformationfromthepatientaboutcultural
e e e e m
beliefsconcerninghealthcareandavoidsstereotypingthepatient.Intheassessment,thenurse
e m m m m m m
determineswhatt hepatientbelievesaboutcaregiving,decisionmaking,treatment,andother
e m e m e
pertinenthealth-relatedinformation.Speakingwiththehealthcareproviderisprematureuntilthe
e e
assessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealthsystemcan
e e e e
bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthetreatments,consulting
e e e
withapractitionerofChinesemedicinecan alsobeunsuitableandinsultingforthis patient.
e e m
PTS: 1 DIF: Apply REF: p.18 e
TOP: NursingProcess: Implementation e e MSC: HealthPromotionandMaintenance
e e e
4. Whichaction shouldthenursetakewhenaddressingolderadults? m m m
a. Speaki nan exaggeratedpitch. m e m m
b. Useal owerqualityofspeech.
m e
c. Useendearingt ermssuchas“honey.” m e
d. Speakclearly. m
ANS: D e
Somehealthprofessionalsdemonstrateageism,inpartbecauseproviderstendtoseemanyfrail,
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshould not
e m
assumethatallolderadultsarehearing ormentallyimpaired.Themostappropriateactionwhen m e
eaddressing anolderaduNltUwRoS ulIdNbeGtT
oBsp.eaCkOcM
learly. Examplesofunintentionalageismin
m n e m
languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech.
e e e
PTS: 1 DIF: Apply REF: p.15 e
TOP: NursingProcess:Assessment e e MSC: HealthPromotionand Maintenance
e e me
5. Thenurseprepares an olderwoman, whoisPolish, fordischargethroughaninterpreterand notes e e e e e
thatshebecomestenseduringtheinstructionsaboutelimination. Whichinterventionshouldthe
e e
nurseimplement?
e
a. Moveontothediscussionaboutmedication. m
b. Asktheolderwomanhowshefeelsaboutthistopic. m
c. Instructtheinterpretertorepeattheinstructions. m
d. Havet heolderwomanr epeatthei nstructionsforclarity.
m e m e m e
ANS: B e
Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal e e
communicationandemotionregardingaspecifictopicandthereforevalidatestheassessment
e m
abouttheolderadult’stensionbeforeproceeding.Becausethenursenoticeshertension,thenurse
e e e e
temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsandtheolder
e e e m
adultisuncomfortablediscussingelimination,theni mportantinstructionscanbemissed,leadingto
e m m m e m m
adverseeffectsfortheolderadult.Repeatingtheinstructionscanaggravatetheolderadult’s
e e
discomfort.Instructingtheolderadulttorepeatthenurse’sinstructionignoresherneeds.
e e e
NURSINGTB.COM
b
Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
e
28.
,Chapter01:IntroductiontoHealthyAging
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
e m m m m m
MULTIPLECHOICE
1. Amani sterminallyillwithend-stageprostatecancer.Whichi st hebeststatementaboutt
m e m m e m e m m m
hisman’s wellness?
e e
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. m m
b. Wellnessisnot ar ealoption forthisclientbecauseheisterminallyill. m m e m m
c. Wellnessisdefinedast heabsenceofdisease. m m m e
d. Nursinginterventionscanhelpempoweraclientt oachieveahigherlevelof m m e
wellness. e
ANS: D e
Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelofwellness;anursecan m m e
fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandismultidimensional.
e e
eItisnotjusttheabsenceofdisease.Awellnessperspectiveisbasedonthebeliefthateverypersonhas
m m m e
eanoptimallevelofhealthindependentofhisorhersituationorfunctionallevel.Eveninthe
e e
presenceofchronicillnessorwhiledying,amovementtowardwellnessispossibleifemphasisof
e e m
ecareisplacedonthepromotionofwell-beinginasupportiveenvironment. m
PTS: 1 DIF: Apply REF: p.7 e TOP:NursingProcess:Diagnosis m
MSC:HealthPromotionand Maintenance
e e e m
2. Indifferentiatingbetweenhe alU
t h anSd wNe llnTe ss in hOe alth care,whichofthefollowing
N R I G B.C M e
e statementsistrue?
a. Healthisabroadtermencompassingattitudesandbehaviors.
m m
b. Theconceptofillnesspreventionwasneverconsideredbypreviousgenerations.
m m
c. Wellnessand self-actualization developthroughlearningandgrowth.
m m m m
d. Wellnessisi mpossiblewhenone’shealthiscompromised. m e m m
ANS: A e
Healthisa broadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
m e e
wellness,whichinvolvesone’swholebeing.Theconceptofillness preventionwasnever
e e m e
consideredbypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen
e e
recognized.Wellnessandself-actualizationdevelopthrough learningandgrowth—asbasic
e e m
needsaremet,higherlevel needscanbesatisfiedinturn,withever-deepening richnesstolife.
e m m
Wellnessispossiblewhenone’shealthiscompromised—evenwith chronicillness,withmultiple e m m
disabilities,orindying,movementtowardahigherlevelofwellnessispossible.
e m m m
PTS: 1 DIF: Understand REF: p.7 e TOP:NursingProcess:Evaluation m
MSC:HealthPromotionand Maintenance
e e e m
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? m m m m m
a. NativeAmericans
b. AfricanAmericans m
c. HispanicAmericans
d. AsianandPacificIslandAmericans e
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
Chapter02:Cross-CulturalCaringandAging m
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5thEdition
e e
MULTIPLECHOICE
1. Whichofthefollowingisa truestatementaboutdifferinghealthbeliefsystems? m m m
a. Personalisticormagicoreligiousbeliefshavebeensupersededi nWesternmindsby m m m e
biomedicalprinciples.
e
b. Inmostcultures,olderadultsarel ikelytotreatthemselvesusingt raditional
m m m e m e
methodsbeforeturningtobiomedicalprofessionals.
e
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine.
d. The belieft hathealth dependsonmaintaining abalanceamongoppositequalities is
m m e m m m m m m m
characteristicofamagicoreligiousbeliefsystem.
e
ANS: B e
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked m m
easwellasexpected.Afterthesetreatmentsfail,olderadultsturnt otheformalhealthcaresystem. m e m
EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydidto
e e
incuranillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem
e e e
practicedinIndiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor
e m m m e
naturalisticapproach.
e
PTS: 1 DIF: Understand REF: p.16-17 e
TOP: NursingProcess:Assessment e e MSC: HealthPromotionand Maintenance e e me
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan m m m
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageasthepatient. m m
b. Whenworkingwithi nterpreters,thenursecanuset echnicaltermsormetaphors. m e m m e
c. Apatient’syounggranddaughterwhospeaksfluentEnglishwouldmakethebest m m m
interpreterbecausesheisfamiliarwithandlovesthepatient.
e
d. Thenurseshouldfacethepatientratherthantheinterpreter.
ANS: D e
The nurseshould face the patient rather than the interpreter is a true statement; the intent is to converse
e e e e e e e e e e e e e e e e e e
with the patient, not with a third party about the patient. Many reasons may prevent the patient from
e e e e e e e e e e e e e e e e e e
speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
e e e e e e e e e e e e e e e
translate.Culturalrestrictionsmaypreventsometopicsfrombeingspokenoftoa grandparentorchild.
e e e e e e e e e e e e e e
PTS: e e 1 DIF: Understand e e e e e REF: p.18-19 e e e
TOP: e e e NursingProcess: Implementation e e e e MSC: Safe,EffectiveCareEnvironment
e e e e e e e
3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto e e m
e remaininthebed.Whichinterventionshouldthenurseusetopromoteandmaintainhishealth?
m m m m
a. Havet hehealthcareproviderspeaktohim. m e m
b. Useprinciplesoft heholistichealthsystem. m e m
c. Askabouthisperceptionsandtreatmentideas. m m
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
d. Consultwith apractitionerofChinesemedicine. m m
ANS: C e
UsingtheLEARNmodel(listenwithsympathytothepatient’sperceptionoftheproblem,explain e
yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities,recommend
e e
treatment,andnegotiateagreement),thenursegathersinformationfromthepatientaboutcultural
e e e e m
beliefsconcerninghealthcareandavoidsstereotypingthepatient.Intheassessment,thenurse
e m m m m m m
determineswhatt hepatientbelievesaboutcaregiving,decisionmaking,treatment,andother
e m e m e
pertinenthealth-relatedinformation.Speakingwiththehealthcareproviderisprematureuntilthe
e e
assessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealthsystemcan
e e e e
bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthetreatments,consulting
e e e
withapractitionerofChinesemedicinecan alsobeunsuitableandinsultingforthis patient.
e e m
PTS: 1 DIF: Apply REF: p.18 e
TOP: NursingProcess: Implementation e e MSC: HealthPromotionandMaintenance
e e e
4. Whichaction shouldthenursetakewhenaddressingolderadults? m m m
a. Speaki nan exaggeratedpitch. m e m m
b. Useal owerqualityofspeech.
m e
c. Useendearingt ermssuchas“honey.” m e
d. Speakclearly. m
ANS: D e
Somehealthprofessionalsdemonstrateageism,inpartbecauseproviderstendtoseemanyfrail,
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshould not
e m
assumethatallolderadultsarehearing ormentallyimpaired.Themostappropriateactionwhen m e
eaddressing anolderaduNltUwRoS ulIdNbeGtT
oBsp.eaCkOcM
learly. Examplesofunintentionalageismin
m n e m
languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech.
e e e
PTS: 1 DIF: Apply REF: p.15 e
TOP: NursingProcess:Assessment e e MSC: HealthPromotionand Maintenance
e e me
5. Thenurseprepares an olderwoman, whoisPolish, fordischargethroughaninterpreterand notes e e e e e
thatshebecomestenseduringtheinstructionsaboutelimination. Whichinterventionshouldthe
e e
nurseimplement?
e
a. Moveontothediscussionaboutmedication. m
b. Asktheolderwomanhowshefeelsaboutthistopic. m
c. Instructtheinterpretertorepeattheinstructions. m
d. Havet heolderwomanr epeatthei nstructionsforclarity.
m e m e m e
ANS: B e
Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal e e
communicationandemotionregardingaspecifictopicandthereforevalidatestheassessment
e m
abouttheolderadult’stensionbeforeproceeding.Becausethenursenoticeshertension,thenurse
e e e e
temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsandtheolder
e e e m
adultisuncomfortablediscussingelimination,theni mportantinstructionscanbemissed,leadingto
e m m m e m m
adverseeffectsfortheolderadult.Repeatingtheinstructionscanaggravatetheolderadult’s
e e
discomfort.Instructingtheolderadulttorepeatthenurse’sinstructionignoresherneeds.
e e e
NURSINGTB.COM
