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

TEST BANK
EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY
AGING 5TH EDITION BY THERIS A. TOUHY, AND KATHLEEN F JET
CHAPTER 1-28.

, Table of contents
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Chapter 01: Introduction to Healthy Aging ......................................................................................................................................... 2
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Chapter 02: Cross-Cultural Caring and Aging .................................................................................................................................... 4
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Chapter 03: Biological Theories of Aging and Age-Related Physical Changes ................................................................................ 14
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Chapter 04: Psychosocial, Spiritual, and Cognitive Aspects of Aging .............................................................................................. 24
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Chapter 05: Gerontological Nursing and Promotion of Healthy Aging ............................................................................................. 31
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Chapter 06: Gerontological Nursing Across the Continuum of Care................................................................................................. 38
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Chapter 09: Safe Medication Use ...................................................................................................................................................... 52
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Chapter 10: Nutrition ........................................................................................................................................................................ 59
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Chapter 11: Hydration and Oral Care ................................................................................................................................................ 66
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Chapter 12: Elimination .................................................................................................................................................................... 73
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Chapter 13: Rest, Sleep, and Activity................................................................................................................................................ 80
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Chapter 14: Promoting Healthy Skin ................................................................................................................................................ 87
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Chapter 15: Falls and Fall Risk Reduction ........................................................................................................................................ 92
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Chapter 18: Pain and Comfort ........................................................................................................................................................... 95
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Chapter 19: Diseases Affecting Vision and Hearing ....................................................................................................................... 102
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Chapter 20: Metabolic Disorders .................................................................................................................................................... 108
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Chapter 16: Promoting Safety ......................................................................................................................................................... 119
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Chapter 17: Living With Chronic Illness......................................................................................................................................... 125
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Chapter 17: Living With Chronic Illness......................................................................................................................................... 131
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Chapter 18: Pain and Comfort ......................................................................................................................................................... 137
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Chapter 19: Diseases Affecting Vision and Hearing ....................................................................................................................... 144
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Chapter 20: Metabolic Disorders .................................................................................................................................................... 149
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Chapter 21: Bone and Joint Problems ............................................................................................................................................. 157
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Chapter 22: Cardiovascular and Respiratory Disorders .................................................................................................................. 164
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Chapter 23: Neurological Disorders ................................................................................................................................................ 173
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Chapter 24: Mental Health .............................................................................................................................................................. 176
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Chapter 25: Care of Individuals With Neurocognitive Disorders .................................................................................................... 189
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Chapter 26: Relationships, Roles, and Transitions .......................................................................................................................... 194
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Chapter 27: Caregiving ................................................................................................................................................................... 204
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Chapter 28: Loss, Death, and Palliative Care .................................................................................................................................. 211
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Chapter 28: Loss, Death, and Palliative Care .................................................................................................................................. 224
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Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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,MULTIPLE CHOICE ie




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. ie ie ie ie ie ie ie ie



b. Wellness is not a real option for this client because he is terminally ill. ie ie ie ie ie ie ie ie ie ie ie ie ie



c. Wellness is defined as the absence of disease. ie ie ie ie ie ie ie



d. Nursing interventions can help empower a client to achieve a higher level of w ie ie ie ie ie ie ie ie ie ie ie ie ie



ellness.
Answer: D i e



Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
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foster wellness in his or her clients. Wellness is defined by the individual and is multidimension
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al. It is not just the absence of disease. A wellness perspective is based on the belief that every pe
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rson has an optimal level of health independent of his or her situation or functional level. Even i
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n the presence of chronic illness or while dying, a movement toward wellness is possible if emp
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hasis of care is placed on the promotion of well-being in a supportive environment.
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PTS: 1 i e DIF: Apply REF: p. 7 i e ie



TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between healU
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nd wNellnTess in hOealth care, which of the following s ie ie
N R I G B.C M ie ie ie ie ie ie



tatements is true? ie ie



a. Health is a broad term encompassing attitudes and behaviors. ie ie ie ie ie ie ie ie



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. ie ie ie ie ie ie ie



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




Answer: A i e



Health is a broad term that encompasses attitudes and behaviors; holistically, health includes we
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llness, which involves one’s whole being. The concept of illness prevention was never consider
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ed 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— ie ie ie ie ie



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 level
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of wellness is possible.
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PTS: 1 i e DIF: Understand REF: p. 7 i e ie



TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans ie



b. African Americans ie



c. Hispanic Americans ie



d. Asian and Pacific Island Americans ie ie ie ie

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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MULTIPLE CHOICE ie




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 by bi ie ie ie ie ie ie ie ie ie ie ie



omedical principles. ie



b. In most cultures, older adults are likely to treat themselves using traditional m
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ethods before turning to biomedical professionals. ie ie ie ie ie



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



d. The belief that health depends on maintaining a balance among opposite qualities is
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characteristic of a magicoreligious belief system. ie ie ie ie ie




Answer: B i e



Older adults in most cultures usually have had experience with traditional methods that have wor
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ked as well as expected. After these treatments fail, older adults turn to the formal health care sys
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tem. Even in the United States, it is common for older adults to pray for cures or wonder what th
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ey did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief sys
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tem practiced in India and in some neighboring countries. This belief is characteristic of a holis
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tic or naturalistic approach.
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PTS: 1 DIF: Understand
i e i e REF: p. 16-17 i e i e ie



TOP: Nursing Process: Assessment
i e ie ie MSC: Health Promotion and Maintenance i e ie ie ie




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



terpreter?
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 in
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terpreter because she is familiar with and loves the patient. ie ie ie ie ie ie ie ie ie



d. The nurse should face the patient rather than the interpreter.
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Answer: D i e



The nurse should face the patient rather than the interpreter is a true statement; the intent is to co
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nverse with the patient, not with a third party about the patient. Many reasons may prevent the p
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atient from speaking directly to a nurse. Technical terms and metaphors may be difficult or imp
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ossible to translate. Cultural restrictions may prevent some topics from being spoken of to a gran
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dparent or child. ie ie




PTS: 1 DIF: Understand
i e i e i e i e i e i e REF: p. 18-19 i e i e ie



TOP: Nursing Process: Implementation
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuse
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s to remain in the bed. Which intervention should the nurse use to promote and maintain his health
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?
a. Have the health care provider speak to him. ie ie ie ie ie ie ie



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



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