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