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

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Ebersoleand Hess' Gerontological Nursing and HealthyAging in Canada
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Veronique Boscart
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3RD Edition
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TESTBANK l/

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




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. l/ l/ l/ l/ l/ l/ l/ l/


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


c. Wellness is defined as the absence of disease. l/ l/ l/ l/ l/ l/ l/


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


ellness.
ANS: D l/


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 l / DIF: Apply REF: p. 7 l / l/


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between health and wellness in health care, which of the following st
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atements is true? l/ l/


a. Health is a broad term encompassing attitudes and behaviors. l/ l/ l/ l/ l/ l/ l/ l/


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. l/ l/ l/ l/ l/ l/ l/


d. Wellness is impossible when one’s health is compromised. l/ l/ l/ l/ l/ l/ l/




ANS: A l/


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— l/ l/ l/ l/ l/


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 l / DIF: Understand REF: p. 7 l / l/


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 l/


b. African Americans l/


c. Hispanic Americans l/


d. Asian and Pacific Island Americans l/ l/ l/ l/

, 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 l/




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 l/ l/ l/ l/ l/ l/ l/ l/ l/ l/ l/


omedical principles. l/


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


c. Ayurvedic medicine is another name for traditional Chinese medicine. l/ l/ l/ l/ l/ l/ l/ l/


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




ANS: B l/


Older adults in most cultures usually have had experience with traditional methods that have w
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orked as well as expected. After these treatments fail, older adults turn to the formal health care
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system. Even in the United States, it is common for older adults to pray for cures or wonder w
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hat they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health be
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lief system practiced in India and in some neighboring countries. This belief is characteristic o
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f a holistic or naturalistic approach.
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PTS: 1 DIF: Understand
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TOP: Nursing Process: Assessment
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2. Which of the following consideUratiS
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Tost likO
ely to be true when working with an int
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N R I G B.C M l/ l/ l/ l/ l/ l/ l/ l/


erpreter?
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. l/ l/ l/ l/ l/ l/ l/ l/ l/


d. The nurse should face the patient rather than the interpreter.
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ANS: D l/


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. l/ l/




PTS: 1 DIF: Understand REF: p. 18-19
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TOP: 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 and refuse
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s to remain in the bed. Which intervention should the nurse use to promote and maintain his healt
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h?
a. Have the health care provider speak to him. l/ l/ l/ l/ l/ l/ l/


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. l/ l/ l/ l/ l/ l/




ANS: C l/


Using the LEARN model (listen with sympathy to the patient’s perception of the problem, expla
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in your perception of the problem, acknowledge the differences and similarities, recommend tre
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atment, and negotiate agreement), the nurse gathers information from the patient about cultural
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beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse det
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ermines what the patient believes about caregiving, decision making, treatment, and other pertin
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ent health- l/


related information. Speaking with the health care provider is premature until the assessment is
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complete. Unless he accepts the beliefs, principles of the holistic health system can be potentiall
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y unsuitable and insulting for this patient. Unless he accepts the treatments, consulting with a pr
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actitioner of Chinese medicine can also be unsuitable and insulting for this patient.
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PTS: 1 DIF: Apply
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TOP: Nursing Process: Implementation
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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. l/ l/ l/ l/


b. Use a lower quality of speech. l/ l/ l/ l/ l/


c. Use endearing terms such as “honey.” l/ l/ l/ l/ l/


d. Speak clearly. l/




ANS: D l/


Some health professionals demonstrate ageism, in part because providers tend to see many frail, o
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lder persons and fewer of those who are healthy and active. Providers should not assume that all
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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 ageism in l/ l/ l/ l/ l/ l/ l/ l/ l


language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of speech
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PTS: 1 DIF: Apply
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TOP: Nursing Process: Assessment
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and no
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tes that she becomes tense during the instructions about elimination. Which intervention sho
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uld the nurse implement?
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a. Move on to the discussion about medication. l/ l/ l/ l/ l/ l/


b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. l/ l/ l/ l/ l/ l/


d. Have the older woman repeat the instructions for clarity.
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ANS: B l/


When working with an interpreter, the nurse closely watches the older adult for nonverbal com
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munication and emotion regarding a specific topic and therefore validates the assessment about
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the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse tem
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porarily suspends the preparation to validate her assessment. If the nurse proceeds and the older
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adult is uncomfortable discussing elimination, then important instructions can be missed, leadin
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g to adverse effects for the older adult. Repeating the instructions can aggravate the older adult’s
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discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
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