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

TEST BANK !X




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 X
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,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Ed
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ition


MULTIPLE CHOICE !X




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. !X !X !X !X !X !X !X


d. Nursing interventions can help empower a client to achieve a higher level
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of wellness. !X




ANS: D !X


Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
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se can foster wellness in his or her clients. Wellness is defined by the individual and is m
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ultidimensional. It is not just the absence of disease. A wellness perspective is based on th
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e belief that every person has an optimal level of health independent of his or her situatio
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n or functional level. Even in the presence of chronic illness or while dying, a movement
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toward wellness 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 ! X DIF: Apply REF: p. 7 ! X !X


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenan
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ce
2. In differentiating between health and wellness in health care, which of the followi
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ng 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.
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d. Wellness is impossible when one’s health is compromised. !X !X !X !X !X !X !X




ANS: A !X


Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
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es wellness, which involves one’s whole being. The concept of illness prevention was nev
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er 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— !X !X !X !X !X


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 ! X DIF: Understand REF: p. 7 ! X !X


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 !X


b. African Americans !X


c. Hispanic Americans !X


d. Asian and Pacific Island Americans !X !X !X !X

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
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ion


MULTIPLE CHOICE !X




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
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y biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using tradition
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al methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine.!X !X !X !X !X !X !X !X


d. The belief that health depends on maintaining a balance among opposite qualiti
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es is characteristic of a magicoreligious belief system.
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ANS: B !X


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 healt
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h 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 b
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elief is characteristic of a holistic or naturalistic approach.
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PTS: ! X ! X 1 DIF: Understand REF: p. 16-17 ! X !X


TOP: ! X Nursing Process: Assessment !X !X MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
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N R I G B.C M !X !X !X !X !X !X !X


an 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 be
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st 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 !X


The nurse should face the patient rather than the interpreter is a true statement; the intent i
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s to converse with the patient, not with a third party about the patient. Many reasons may
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prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
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be difficult or impossible to translate. Cultural restrictions may prevent some topics from b
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eing spoken of to a grandparent or child.
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PTS: ! X ! X 1 DIF: Understand REF: p. 18-19 ! X !X


TOP: ! X Nursing Process: Implementation 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 an
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d refuses to remain in the bed. Which intervention should the nurse use to promote and mai
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ntain his health? !X !X


a. Have the health care provider speak to him.
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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. !X !X !X !X !X !X




ANS: C !X


Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
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explain your perception of the problem, acknowledge the differences and similarities, rec
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ommend treatment, and negotiate agreement), the nurse gathers information from the patie
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nt about cultural beliefs concerning health care and avoids stereotyping the patient. In the as
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sessment, the nurse determines what the patient believes about caregiving, decision making,
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Xtreatment, and other pertinent health- !X !X !X !X


related information. Speaking with the health care provider is premature until the assessm
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ent is complete. Unless he accepts the beliefs, principles of the holistic health system can
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be potentially unsuitable and insulting for this patient. Unless he accepts the treatments, c
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onsulting with a practitioner of Chinese medicine can also be unsuitable and insulting for
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this patient. !X




PTS: ! X ! X 1 DIF: Apply REF: p. 18 ! X !X


TOP: ! X Nursing Process: Implementation !X !X MSC: Health Promotion and Maintenance
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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. !X !X !X !X


b. Use a lower quality of speech. !X !X !X !X !X


c. Use endearing terms such as “honey.”
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d. Speak clearly. !X




ANS: D !X


Some health professionals demonstrate ageism, in part because providers tend to see many f
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rail, older persons and fewer of those who are healthy and active. Providers should not as
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sume 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 ageis
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m in language are an exaggerated pitch, a demeaning emotional tone, and a lower qualit
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y of speech.
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PTS: ! X ! X 1 DIF: Apply REF: p. 15 ! X !X


TOP: ! X Nursing Process: Assessment !X !X MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
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nd notes that she becomes tense during the instructions about elimination. Which interv
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ention 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 !X


When working with an interpreter, the nurse closely watches the older adult for nonverbal
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Xcommunication and emotion regarding a specific topic and therefore validates the assessm
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ent about the older adult’s tension before proceeding. Because the nurse notices her tensio
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n, the nurse temporarily suspends the preparation to validate her assessment. If the nurse p
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roceeds and the older adult is uncomfortable discussing elimination, then important instructi
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ons can be missed, leading to adverse effects for the older adult. Repeating the instructions
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can aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s
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Xinstruction ignores her needs. !X !X !X