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 mx




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 xm

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


MULTIPLE CHOICE mx




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. mx mx mx mx mx mx mx


d. Nursing interventions can help empower a client to achieve a higher lev
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el of wellness. mx mx




ANS: D mx


Nursing interventions can help empower a client to achieve a higher level of wellness; a
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nurse can foster wellness in his or her clients. Wellness is defined by the individual an
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d is multidimensional. It is not just the absence of disease. A wellness perspective is ba
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sed on the belief that every person has an optimal level of health independent of his or
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her situation or functional level. Even in the presence of chronic illness or while dying
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, a movement toward wellness is possible if emphasis of care is placed on the promotio
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n of well-being in a supportive environment.
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PTS: 1 m x DIF: Apply REF: p. 7 m x mx


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintena
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nce
2. In differentiating between health and wellness in health care, which of the follo
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wing 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.
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ANS: A mx


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


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 high
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er level of wellness is possible.
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PTS: 1 m x DIF: Understand REF: p. 7 m x mx


TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintena
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nce

3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans mx


b. African Americans mx


c. Hispanic Americans mx


d. Asian and Pacific Island Americans mx mx mx mx

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


MULTIPLE CHOICE mx




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
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by biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using traditi
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onal methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine.
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d. The belief that health depends on maintaining a balance among opposite qual
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ities is characteristic of a magicoreligious belief system.
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ANS: B mx


Older adults in most cultures usually have had experience with traditional methods that ha
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ve worked as well as expected. After these treatments fail, older adults turn to the formal
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xhealth care system. Even in the United States, it is common for older adults to pray fo
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r cures or wonder what they did to incur an illness as punishment. The Ayurvedic syste
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m is a naturalistic health belief system practiced in India and in some neighboring coun
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tries. This belief is characteristic of a holistic or naturalistic approach.
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PTS: m x m x 1 DIF: Understand REF: p. 16-17 m x mx


TOP: m x Nursing Process: Assessment mx mx MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
mx ely to be true when working wit
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N R I G B.C M mx mx mx mx mx mx


h 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
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best 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 mx


The nurse should face the patient rather than the interpreter is a true statement; the inte
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nt is to converse with the patient, not with a third party about the patient. Many reason
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s may prevent the patient from speaking directly to a nurse. Technical terms and metap
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hors may be difficult or impossible to translate. Cultural restrictions may prevent some t
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opics from being spoken of to a grandparent or child.
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PTS: m x m x 1 DIF: Understand REF: p. 18-19 m x mx


TOP: m 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
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and refuses to remain in the bed. Which intervention should the nurse use to promote an
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d maintain his health?
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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.
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ANS: C mx


Using the LEARN model (listen with sympathy to the patient’s perception of the proble
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m, explain your perception of the problem, acknowledge the differences and similarities,
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mxrecommend treatment, and negotiate agreement), the nurse gathers information from th
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e patient about cultural beliefs concerning health care and avoids stereotyping the patient.
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xIn the assessment, the nurse determines what the patient believes about caregiving, decisi
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on making, treatment, and other pertinent health-
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related information. Speaking with the health care provider is premature until the assess
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ment is complete. Unless he accepts the beliefs, principles of the holistic health system
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can be potentially unsuitable and insulting for this patient. Unless he accepts the treatm
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ents, consulting with a practitioner of Chinese medicine can also be unsuitable and insu
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lting for this patient.
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PTS: m x m x 1 DIF: Apply REF: p. 18 m x mx


TOP: m x Nursing Process: Implementation 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. mx mx mx mx


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


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




ANS: D mx


Some health professionals demonstrate ageism, in part because providers tend to see man
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y frail, older persons and fewer of those who are healthy and active. Providers should
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not assume that all older adults are hearing or mentally impaired. The most appropriate
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action
when addressing an older aduNltUwRoS
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dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional agei
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sm in language are an exaggerated pitch, a demeaning emotional tone, and a lower qu
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ality of speech.mx mx




PTS: m x m x 1 DIF: Apply REF: p. 15 m x mx


TOP: m x Nursing Process: Assessment mx mx MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interprete
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r and notes that she becomes tense during the instructions about elimination. Which i
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ntervention should the nurse implement? mx mx mx mx


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 mx


When working with an interpreter, the nurse closely watches the older adult for nonverb
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al communication and emotion regarding a specific topic and therefore validates the ass
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essment about the older adult’s tension before proceeding. Because the nurse notices her
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tension, the nurse temporarily suspends the preparation to validate her assessment. If th
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e nurse proceeds and the older adult is uncomfortable discussing elimination, then import
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ant instructions can be missed, leading to adverse effects for the older adult. Repeating t
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he instructions can aggravate the older adult’s discomfort. Instructing the older adult to
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repeat the nurse’s instruction ignores her needs.
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