Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition TEST BANK by Touhy, and Jet, All Chapters 1 - 28, Complete Newest Version

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Test Bank Ebersole and Hess’
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Gerontological Nursing & Healthy
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Aging 5th Edition by Theris A. Touhy
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and Kathleen F Jet Chapter 1-28.
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,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
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MULTIPLE CHOICE v




1. A man is terminally ill with end-stage prostate cancer. Which is the best
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vstatementabout thisman’s wellness? v v v




a. Wellness can only be achieved with aggressive medical interventions. v v v v v v v v




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




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




d. Nursing interventions can help empower a client to achieve a v v v v v v v v v




higherlevel ofwellness. v v v




ANS: D v




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




DiagnosisMSC: Health Promotion and Maintenance
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2. In differentiating between healU
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nd wNellT
ness in hOealth care, which of the vv vv
N R I G B.C M vv vv vv vv




following statements is true?
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a. Health is a broad term encompassing attitudes and behaviors. v v v v v v v v




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. v v v v v v v




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




ANS: A v




Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
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wellness, which involves one’s whole being. The concept of illness prevention was never
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considered by previous generations; throughout history, basic self-care requirements have been
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recognized. Wellness and self-actualization develop through learning and growth—as basic
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needs are met, higher level needs can be satisfied in turn, with ever-deepening
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vrichness to life. Wellness is possible when one’s health is compromised—even with v v v v v v v v v v v




vchronic illness, with multiple disabilities, orin dying, movement toward a higher level
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of wellness is possible.
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PTS: 1 DIF: Understand REF: p. 7 v TOP: Nursing Process: v v




EvaluationMSC: 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 v




b. African Americans v




c. Hispanic Americans v




d. Asian and Pacific Island Americans v v v v




NURSINGTB.COM

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




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 v v v v v v v




Westernminds bybiomedical principles.
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b. In most cultures, older adults are likely to treat themselves
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usingtraditionalmethods before turning to biomedical
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professionals. v




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




d. The belief that health depends on maintaining a balance among v v v v v v v v v




oppositequalitiesis characteristic of a magicoreligious belief system.
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ANS: B v




Older adults in most cultures usually have had experience with traditional methods
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that haveworked as well as expected. After these treatments fail, older adults turn to
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the formal healthcare system. Even in the United States, it is common for older
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adults to pray for cures or wonder what they did to incur an illness as punishment.
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The Ayurvedic system is a naturalistic health belief system practiced in India and insome
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neighboring countries. This belief is characteristic of a holistic or naturalistic approach.
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PTS: 1 DIF: Understand REF: p. 16-17 v




TOP: Nursing Process: Assessment v v MSC: Health Promotion and Maintenance v v v v




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




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. v v v v v v v v v v v




c. A patient’s young granddaughter who speaks fluent English would
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makethe bestinterpreter because she is familiar with and loves the
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patient. v




d. The nurse should face the patient rather than the interpreter. v v v v v v v v v




ANS: D v




The nurse should face the patient rather than the interpreter is a true statement; the
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intent is to converse with the patient, not with a third party about the patient. Many reasons
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vmay prevent the patient from speaking directly to a nurse. Technical terms and
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metaphors may be difficult or impossible to translate. Cultural restrictions may prevent some
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vtopics from being spoken ofto a grandparent or child. v v v v v v v v




PTS: 1 DIF: Understand REF: p. 18-19 v




TOP: Nursing Process: Implementation v MSC: Safe, Effective Care Environment v v v




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm
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Hg and refuses to remain in the bed. Which intervention should the nurse use to promote
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vand maintainhis health? v v




a. Have the health care provider speak to him. v v v v v v v




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




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




NURSINGTB.COM

, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition
v v v v v v v v v




Touhy
v




d. Consult with a practitioner of Chinese medicine. v v v v v v




ANS: C v




Using the LEARN model (listen with sympathy to the patient’s perception of the
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vproblem, explain your perception of the problem, acknowledge the differences and similarities,
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vrecommend treatment, and negotiate agreement), the nurse gathers information from the v v v v v v v v v v




vpatient about cultural beliefs concerning health care and avoids stereotyping the patient. In
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v theassessment, the nurse determines what the patient believes about caregiving, decision v v v v v v v v v v




vmaking, treatment, and other pertinent health-relatedinformation. Speaking with the health
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v care provider is premature until the assessment is complete. Unless he accepts the
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v beliefs, principles of the holistic health system canbe potentially unsuitable and
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v insulting for this patient. Unless he accepts the treatments, consulting with a v v v v v v v v v v v




v practitioner of Chinese medicine can also be unsuitable and insulting for this v v v v v v v v v v v




v patient.

PTS: 1 DIF: Apply REF: p. 18 v




TOP: v v Nursing Process: ImplementationMSC: Health Promotion and Maintenance v v v v v v v




4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. v v v v




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




c. Use endearing terms such as “honey.” v v v v v




d. Speak clearly. v




ANS: D v




Some health professionals demonstrate ageism, in part because providers tend to see manyfrail,
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volder persons and fewer of those who are healthy and active. Providers should not assume
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vthat all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
v v ulI
dNbeGtT
obB
sp.
eaCkOcM
learly. Examples of unintentional v v v v v v v v v v v v




vageism in language are an exaggerated pitch, a demeaning emotional tone, and a lower
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v quality of v




speech.

PTS: 1 DIF: Apply REF: p. 15 v




TOP: Nursing Process: Assessment v v MSC: Health Promotion and Maintenance v v v v




5. The nurse prepares an older woman, who is Polish, for discharge through
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v aninterpreter andnotes that she becomes tense during the instructions about
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velimination. Which interventionshould the nurse implement? v v v vv v




a. Move on to the discussion about medication. v v v v v v




b. Ask the older woman how she feels about this topic. v v v v v v v v v




c. Instruct the interpreter to repeat the instructions. v v v v v v




d. Have the older woman repeat the instructions for clarity. v v v v v v v v




ANS: B v




When working with an interpreter, the nurse closely watches the older adult for nonverbal
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communication and emotion regarding a specific topic and therefore validates the
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assessment about the older adult’s tension before proceeding. Because the nurse
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notices her tension, the nurse temporarily suspends the preparation to validate her
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assessment. If the nurse proceeds and the older adult is uncomfortablediscussing elimination,
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then important instructions can bemissed, leading to adverse effects for the older adult.
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Repeating the instructions can aggravatethe older adult’sdiscomfort. Instructing the older
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adult to repeat the nurse’s instruction ignores her needs.
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