Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
h h h h h h h h
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1
h
h
h h h h h h h h h h
28.
,Chapter 01: Introduction to Healthy Aging
h h h h h
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
h h h h h h h h h h h h
MULTIPLEhCHOICE
1. Ahmanhishterminallyhillhwithhend-
stagehprostatehcancer.hWhichhishthehbesthstatementhabouththishman’shwellness?
a. Wellnesshcanhonlyhbehachievedhwithhaggressivehmedicalhinterventions.
b. Wellnesshishnothahrealhoptionhforhthishclienthbecausehhehishterminallyhill.
c. Wellnesshishdefinedhashthehabsencehofhdisease.
d. Nursinghinterventionshcanhhelphempowerhahclienthtohachievehahhigherhlevelhofh
wellness.
ANS:h D
Nursinghinterventionshcanhhelphempowerhahclienthtohachievehahhigherhlevelhofhwellness;hahnursehca
nhfosterhwellnesshinhhishorhherhclients.hWellnesshishdefinedhbyhthehindividualhandhishmultidimensi
onal.hIthishnothjusththehabsencehofhdisease.hAhwellnesshperspectivehishbasedhonhthehbeliefhthathever
yhpersonhhashanhoptimalhlevelhofhhealthhindependenthofhhishorhherhsituationhorhfunctionalhlevel.hE
venhinhthehpresencehofhchronichillnesshorhwhilehdying,hahmovementhtowardhwellnesshishpossiblehif
hemphasishofhcarehishplacedhonhthehpromotionhofhwell-beinghinhahsupportivehenvironment.
PTS:hhh 1 DIF: Apply REF:hhhp.h7
TOP:hNursinghProcess:hDiagnosishMSC:hHealthhPromotionhandhMaintenance
2. InhdifferentiatinghbetweenhhealU
N R I G B.C M
th aS NellnTess in hOealthhcare,hwhichhofhthehfollowingh
nd w
statementshishtrue?
a. Healthhishahbroadhtermhencompassinghattitudeshandhbehaviors.
b. Thehconcepthofhillnesshpreventionhwashneverhconsideredhbyhprevioushgenerations.
c. Wellnesshandhself-actualizationhdevelophthroughhlearninghandhgrowth.
d. Wellnesshishimpossiblehwhenhone’shhealthhishcompromised.
ANS:h A
Healthhishahbroadhtermhthathencompasseshattitudeshandhbehaviors;hholistically,hhealthhincludeshw
ellness,hwhichhinvolveshone’shwholehbeing.hThehconcepthofhillnesshpreventionhwashneverhconsid
eredhbyhprevioushgenerations;hthroughouthhistory,hbasichself-
carehrequirementshhavehbeenhrecognized.hWellnesshandhself-
actualizationhdevelophthroughhlearninghandhgrowth—
ashbasichneedsharehmet,hhigherhlevelhneedshcanhbehsatisfiedhinhturn,hwithhever-
deepeninghrichnesshtohlife.hWellnesshishpossiblehwhenhone’shhealthhishcompromised—
evenhwithhchronichillness,hwithhmultiplehdisabilities,horhinhdying,hmovementhtowardhahhigherhlev
elhofhwellnesshishpossible.
PTS:hhh 1 DIF: Understand REF:hhhp.h7
TOP:hNursinghProcess:hEvaluationhMSC:hHealthhPromotionhandhMaintenance
3. WhichhracialhorhethnichgrouphhashthehhighesthlifehexpectancyhinhthehUnitedhStates?
a. NativehAmericans
b. AfricanhAmericans
c. HispanichAmericans
d. AsianhandhPacifichIslandhAmericans
NURSINGTB.COM
, EbersolehandhHess'hGerontologicalhNursinghandhHealthyhAgingh5thhEditionhTouhyhTesthBank
Chapter 02: Cross-Cultural Caring and Aging
h h h h h
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
h h h h h h h h h h h h
MULTIPLEhCHOICE
1. Whichhofhthehfollowinghishahtruehstatementhabouthdifferinghhealthhbeliefhsystems?
a. PersonalistichorhmagicoreligioushbeliefshhavehbeenhsupersededhinhWesternhmindshbyh
biomedicalhprinciples.
b. Inhmosthcultures,holderhadultsharehlikelyhtohtreaththemselveshusinghtraditionalh
methodshbeforehturninghtohbiomedicalhprofessionals.
c. AyurvedichmedicinehishanotherhnamehforhtraditionalhChinesehmedicine.
d. Thehbeliefhthathhealthhdependshonhmaintaininghahbalancehamonghoppositehqualitieshi
shcharacteristichofhahmagicoreligioushbeliefhsystem.
ANS:h B
Olderhadultshinhmosthcultureshusuallyhhavehhadhexperiencehwithhtraditionalhmethodshthathhavehw
orkedhashwellhashexpected.hAfterhthesehtreatmentshfail,holderhadultshturnhtohthehformalhhealthhcare
hsystem.hEvenhinhthehUnitedhStates,hithishcommonhforholderhadultshtohprayhforhcureshorhwonderhw
haththeyhdidhtohincurhanhillnesshashpunishment.hThehAyurvedichsystemhishahnaturalistichhealthhbe
liefhsystemhpracticedhinhIndiahandhinhsomehneighboringhcountries.hThishbeliefhishcharacteristicho
fhahholistichorhnaturalistichapproach.
PTS:hhh 1 DIF: Understand REF:h p.h16-17
TOP:h NursinghProcess:hAssessment MSC:h HealthhPromotionhandhMaintenance
N R I G B.C M
2. WhichhofhthehfollowinghconsideUratiS
onsNis m
Tost likO
elyhtohbehtruehwhenhworkinghwithhanhi
nterpreter?
a. Anhinterpreterhishneverhneededhifhthehnursehspeakshthehsamehlanguagehashthehpatient.
b. Whenhworkinghwithhinterpreters,hthehnursehcanhusehtechnicalhtermshorhmetaphors.
c. Ahpatient’shyounghgranddaughterhwhohspeakshfluenthEnglishhwouldhmakehthehbesthi
nterpreterhbecausehshehishfamiliarhwithhandhloveshthehpatient.
d. Thehnursehshouldhfacehthehpatienthratherhthanhthehinterpreter.
ANS:h D
Thehnursehshouldhfacehthehpatienthratherhthanhthehinterpreterhishahtruehstatement;hthehintenthishtohc
onversehwithhthehpatient,hnothwithhahthirdhpartyhabouththehpatient.hManyhreasonshmayhpreventhth
ehpatienthfromhspeakinghdirectlyhtohahnurse.hTechnicalhtermshandhmetaphorshmayhbehdifficulthorhi
mpossiblehtohtranslate.hCulturalhrestrictionshmayhpreventhsomehtopicshfromhbeinghspokenhofhtohah
grandparenthorhchild.
PTS:hhh 1 DIF:hhh Understandhhhh REF:hhhp.h18-19
TOP:h NursinghProcess:hImplementationhhhh MSC:h Safe,hEffectivehCarehEnvironment
3. AnholderhadulthwhohishahtraditionalhChinesehmanhhashahbloodhpressurehofh80/54hmmhHghandhrefus
eshtohremainhinhthehbed.hWhichhinterventionhshouldhthehnursehusehtohpromotehandhmaintainhhishhe
alth?
a. Havehthehhealthhcarehproviderhspeakhtohhim.
b. Usehprincipleshofhthehholistichhealthhsystem.
c. Askhabouthhishperceptionshandhtreatmenthideas.
NURSINGTB.COM
, EbersolehandhHess'hGerontologicalhNursinghandhHealthyhAgingh5thhEditionhTouhyhTesthBank
d. ConsulthwithhahpractitionerhofhChinesehmedicine.
ANS:h C
UsinghthehLEARNhmodelh(listenhwithhsympathyhtohthehpatient’shperceptionhofhthehproblem,hexpl
ainhyourhperceptionhofhthehproblem,hacknowledgehthehdifferenceshandhsimilarities,hrecommendht
reatment,handhnegotiatehagreement),hthehnursehgathershinformationhfromhthehpatienthabouthcultur
alhbeliefshconcerninghhealthhcarehandhavoidshstereotypinghthehpatient.hInhthehassessment,hthehnurs
ehdetermineshwhaththehpatienthbelieveshabouthcaregiving,hdecisionhmaking,htreatment,handhotherhp
ertinenthhealth-
relatedhinformation.hSpeakinghwithhthehhealthhcarehproviderhishprematurehuntilhthehassessmenthish
complete.hUnlesshhehacceptshthehbeliefs,hprincipleshofhthehholistichhealthhsystemhcanhbehpotential
lyhunsuitablehandhinsultinghforhthishpatient.hUnlesshhehacceptshthehtreatments,hconsultinghwithhahp
ractitionerhofhChinesehmedicinehcanhalsohbehunsuitablehandhinsultinghforhthishpatient.
PTS:hhh 1 DIF: Apply REF:h p.h18
TOP:h NursinghProcess:hImplementation MSC:h HealthhPromotionhandhMaintenance
4. Whichhactionhshouldhthehnursehtakehwhenhaddressingholderhadults?
a. Speakhinhanhexaggeratedhpitch.
b. Usehahlowerhqualityhofhspeech.
c. Usehendearinghtermshsuchhash“honey.”
d. Speakhclearly.
ANS:h D
Somehhealthhprofessionalshdemonstratehageism,hinhparthbecausehprovidershtendhtohseehmanyhfrail
,holderhpersonshandhfewerhofhthosehwhoharehhealthyhandhactive.hProvidershshouldhnothassumehtha
thallholderhadultsharehhearinghorhmentallyhimpaired.hThehmosthappropriatehaction
whenhaddressinghanholderhaduNltUwRoSulIdNbeGtT
ohB
sp.
eaCkOcM
learly.hExampleshofhunintentionalhageismhi
nhlanguageharehanhexaggeratedhpitch,hahdemeaninghemotionalhtone,handhahlowerhqualityhof
speech.
PTS:hhh 1 DIF: Apply REF:h p.h15
TOP:h NursinghProcess:hAssessment MSC:h HealthhPromotionhandhMaintenance
5. Thehnursehprepareshanholderhwoman,hwhohishPolish,hforhdischargehthroughhanhinterpreterhandhn
oteshthathshehbecomeshtensehduringhthehinstructionshabouthelimination.hWhichhinterventionhsh
ouldhthehnursehimplement?
a. Movehonhtohthehdiscussionhabouthmedication.
b. Askhtheholderhwomanhhowhshehfeelshabouththishtopic.
c. Instrucththehinterpreterhtohrepeaththehinstructions.
d. Havehtheholderhwomanhrepeaththehinstructionshforhclarity.
ANS:h B
Whenhworkinghwithhanhinterpreter,hthehnursehcloselyhwatcheshtheholderhadulthforhnonverbalhcom
municationhandhemotionhregardinghahspecifichtopichandhthereforehvalidateshthehassessmenthabout
htheholderhadult’shtensionhbeforehproceeding.hBecausehthehnursehnoticeshherhtension,hthehnursehte
mporarilyhsuspendshthehpreparationhtohvalidatehherhassessment.hIfhthehnursehproceedshandhthehold
erhadulthishuncomfortablehdiscussinghelimination,hthenhimportanthinstructionshcanhbehmissed,hlead
inghtohadverseheffectshforhtheholderhadult.hRepeatinghthehinstructionshcanhaggravatehtheholderhadul
t’shdiscomfort.hInstructinghtheholderhadulthtohrepeaththehnurse’shinstructionhignoreshherhneeds.
NURSINGTB.COM
h h h h h h h h
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1
h
h
h h h h h h h h h h
28.
,Chapter 01: Introduction to Healthy Aging
h h h h h
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
h h h h h h h h h h h h
MULTIPLEhCHOICE
1. Ahmanhishterminallyhillhwithhend-
stagehprostatehcancer.hWhichhishthehbesthstatementhabouththishman’shwellness?
a. Wellnesshcanhonlyhbehachievedhwithhaggressivehmedicalhinterventions.
b. Wellnesshishnothahrealhoptionhforhthishclienthbecausehhehishterminallyhill.
c. Wellnesshishdefinedhashthehabsencehofhdisease.
d. Nursinghinterventionshcanhhelphempowerhahclienthtohachievehahhigherhlevelhofh
wellness.
ANS:h D
Nursinghinterventionshcanhhelphempowerhahclienthtohachievehahhigherhlevelhofhwellness;hahnursehca
nhfosterhwellnesshinhhishorhherhclients.hWellnesshishdefinedhbyhthehindividualhandhishmultidimensi
onal.hIthishnothjusththehabsencehofhdisease.hAhwellnesshperspectivehishbasedhonhthehbeliefhthathever
yhpersonhhashanhoptimalhlevelhofhhealthhindependenthofhhishorhherhsituationhorhfunctionalhlevel.hE
venhinhthehpresencehofhchronichillnesshorhwhilehdying,hahmovementhtowardhwellnesshishpossiblehif
hemphasishofhcarehishplacedhonhthehpromotionhofhwell-beinghinhahsupportivehenvironment.
PTS:hhh 1 DIF: Apply REF:hhhp.h7
TOP:hNursinghProcess:hDiagnosishMSC:hHealthhPromotionhandhMaintenance
2. InhdifferentiatinghbetweenhhealU
N R I G B.C M
th aS NellnTess in hOealthhcare,hwhichhofhthehfollowingh
nd w
statementshishtrue?
a. Healthhishahbroadhtermhencompassinghattitudeshandhbehaviors.
b. Thehconcepthofhillnesshpreventionhwashneverhconsideredhbyhprevioushgenerations.
c. Wellnesshandhself-actualizationhdevelophthroughhlearninghandhgrowth.
d. Wellnesshishimpossiblehwhenhone’shhealthhishcompromised.
ANS:h A
Healthhishahbroadhtermhthathencompasseshattitudeshandhbehaviors;hholistically,hhealthhincludeshw
ellness,hwhichhinvolveshone’shwholehbeing.hThehconcepthofhillnesshpreventionhwashneverhconsid
eredhbyhprevioushgenerations;hthroughouthhistory,hbasichself-
carehrequirementshhavehbeenhrecognized.hWellnesshandhself-
actualizationhdevelophthroughhlearninghandhgrowth—
ashbasichneedsharehmet,hhigherhlevelhneedshcanhbehsatisfiedhinhturn,hwithhever-
deepeninghrichnesshtohlife.hWellnesshishpossiblehwhenhone’shhealthhishcompromised—
evenhwithhchronichillness,hwithhmultiplehdisabilities,horhinhdying,hmovementhtowardhahhigherhlev
elhofhwellnesshishpossible.
PTS:hhh 1 DIF: Understand REF:hhhp.h7
TOP:hNursinghProcess:hEvaluationhMSC:hHealthhPromotionhandhMaintenance
3. WhichhracialhorhethnichgrouphhashthehhighesthlifehexpectancyhinhthehUnitedhStates?
a. NativehAmericans
b. AfricanhAmericans
c. HispanichAmericans
d. AsianhandhPacifichIslandhAmericans
NURSINGTB.COM
, EbersolehandhHess'hGerontologicalhNursinghandhHealthyhAgingh5thhEditionhTouhyhTesthBank
Chapter 02: Cross-Cultural Caring and Aging
h h h h h
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
h h h h h h h h h h h h
MULTIPLEhCHOICE
1. Whichhofhthehfollowinghishahtruehstatementhabouthdifferinghhealthhbeliefhsystems?
a. PersonalistichorhmagicoreligioushbeliefshhavehbeenhsupersededhinhWesternhmindshbyh
biomedicalhprinciples.
b. Inhmosthcultures,holderhadultsharehlikelyhtohtreaththemselveshusinghtraditionalh
methodshbeforehturninghtohbiomedicalhprofessionals.
c. AyurvedichmedicinehishanotherhnamehforhtraditionalhChinesehmedicine.
d. Thehbeliefhthathhealthhdependshonhmaintaininghahbalancehamonghoppositehqualitieshi
shcharacteristichofhahmagicoreligioushbeliefhsystem.
ANS:h B
Olderhadultshinhmosthcultureshusuallyhhavehhadhexperiencehwithhtraditionalhmethodshthathhavehw
orkedhashwellhashexpected.hAfterhthesehtreatmentshfail,holderhadultshturnhtohthehformalhhealthhcare
hsystem.hEvenhinhthehUnitedhStates,hithishcommonhforholderhadultshtohprayhforhcureshorhwonderhw
haththeyhdidhtohincurhanhillnesshashpunishment.hThehAyurvedichsystemhishahnaturalistichhealthhbe
liefhsystemhpracticedhinhIndiahandhinhsomehneighboringhcountries.hThishbeliefhishcharacteristicho
fhahholistichorhnaturalistichapproach.
PTS:hhh 1 DIF: Understand REF:h p.h16-17
TOP:h NursinghProcess:hAssessment MSC:h HealthhPromotionhandhMaintenance
N R I G B.C M
2. WhichhofhthehfollowinghconsideUratiS
onsNis m
Tost likO
elyhtohbehtruehwhenhworkinghwithhanhi
nterpreter?
a. Anhinterpreterhishneverhneededhifhthehnursehspeakshthehsamehlanguagehashthehpatient.
b. Whenhworkinghwithhinterpreters,hthehnursehcanhusehtechnicalhtermshorhmetaphors.
c. Ahpatient’shyounghgranddaughterhwhohspeakshfluenthEnglishhwouldhmakehthehbesthi
nterpreterhbecausehshehishfamiliarhwithhandhloveshthehpatient.
d. Thehnursehshouldhfacehthehpatienthratherhthanhthehinterpreter.
ANS:h D
Thehnursehshouldhfacehthehpatienthratherhthanhthehinterpreterhishahtruehstatement;hthehintenthishtohc
onversehwithhthehpatient,hnothwithhahthirdhpartyhabouththehpatient.hManyhreasonshmayhpreventhth
ehpatienthfromhspeakinghdirectlyhtohahnurse.hTechnicalhtermshandhmetaphorshmayhbehdifficulthorhi
mpossiblehtohtranslate.hCulturalhrestrictionshmayhpreventhsomehtopicshfromhbeinghspokenhofhtohah
grandparenthorhchild.
PTS:hhh 1 DIF:hhh Understandhhhh REF:hhhp.h18-19
TOP:h NursinghProcess:hImplementationhhhh MSC:h Safe,hEffectivehCarehEnvironment
3. AnholderhadulthwhohishahtraditionalhChinesehmanhhashahbloodhpressurehofh80/54hmmhHghandhrefus
eshtohremainhinhthehbed.hWhichhinterventionhshouldhthehnursehusehtohpromotehandhmaintainhhishhe
alth?
a. Havehthehhealthhcarehproviderhspeakhtohhim.
b. Usehprincipleshofhthehholistichhealthhsystem.
c. Askhabouthhishperceptionshandhtreatmenthideas.
NURSINGTB.COM
, EbersolehandhHess'hGerontologicalhNursinghandhHealthyhAgingh5thhEditionhTouhyhTesthBank
d. ConsulthwithhahpractitionerhofhChinesehmedicine.
ANS:h C
UsinghthehLEARNhmodelh(listenhwithhsympathyhtohthehpatient’shperceptionhofhthehproblem,hexpl
ainhyourhperceptionhofhthehproblem,hacknowledgehthehdifferenceshandhsimilarities,hrecommendht
reatment,handhnegotiatehagreement),hthehnursehgathershinformationhfromhthehpatienthabouthcultur
alhbeliefshconcerninghhealthhcarehandhavoidshstereotypinghthehpatient.hInhthehassessment,hthehnurs
ehdetermineshwhaththehpatienthbelieveshabouthcaregiving,hdecisionhmaking,htreatment,handhotherhp
ertinenthhealth-
relatedhinformation.hSpeakinghwithhthehhealthhcarehproviderhishprematurehuntilhthehassessmenthish
complete.hUnlesshhehacceptshthehbeliefs,hprincipleshofhthehholistichhealthhsystemhcanhbehpotential
lyhunsuitablehandhinsultinghforhthishpatient.hUnlesshhehacceptshthehtreatments,hconsultinghwithhahp
ractitionerhofhChinesehmedicinehcanhalsohbehunsuitablehandhinsultinghforhthishpatient.
PTS:hhh 1 DIF: Apply REF:h p.h18
TOP:h NursinghProcess:hImplementation MSC:h HealthhPromotionhandhMaintenance
4. Whichhactionhshouldhthehnursehtakehwhenhaddressingholderhadults?
a. Speakhinhanhexaggeratedhpitch.
b. Usehahlowerhqualityhofhspeech.
c. Usehendearinghtermshsuchhash“honey.”
d. Speakhclearly.
ANS:h D
Somehhealthhprofessionalshdemonstratehageism,hinhparthbecausehprovidershtendhtohseehmanyhfrail
,holderhpersonshandhfewerhofhthosehwhoharehhealthyhandhactive.hProvidershshouldhnothassumehtha
thallholderhadultsharehhearinghorhmentallyhimpaired.hThehmosthappropriatehaction
whenhaddressinghanholderhaduNltUwRoSulIdNbeGtT
ohB
sp.
eaCkOcM
learly.hExampleshofhunintentionalhageismhi
nhlanguageharehanhexaggeratedhpitch,hahdemeaninghemotionalhtone,handhahlowerhqualityhof
speech.
PTS:hhh 1 DIF: Apply REF:h p.h15
TOP:h NursinghProcess:hAssessment MSC:h HealthhPromotionhandhMaintenance
5. Thehnursehprepareshanholderhwoman,hwhohishPolish,hforhdischargehthroughhanhinterpreterhandhn
oteshthathshehbecomeshtensehduringhthehinstructionshabouthelimination.hWhichhinterventionhsh
ouldhthehnursehimplement?
a. Movehonhtohthehdiscussionhabouthmedication.
b. Askhtheholderhwomanhhowhshehfeelshabouththishtopic.
c. Instrucththehinterpreterhtohrepeaththehinstructions.
d. Havehtheholderhwomanhrepeaththehinstructionshforhclarity.
ANS:h B
Whenhworkinghwithhanhinterpreter,hthehnursehcloselyhwatcheshtheholderhadulthforhnonverbalhcom
municationhandhemotionhregardinghahspecifichtopichandhthereforehvalidateshthehassessmenthabout
htheholderhadult’shtensionhbeforehproceeding.hBecausehthehnursehnoticeshherhtension,hthehnursehte
mporarilyhsuspendshthehpreparationhtohvalidatehherhassessment.hIfhthehnursehproceedshandhthehold
erhadulthishuncomfortablehdiscussinghelimination,hthenhimportanthinstructionshcanhbehmissed,hlead
inghtohadverseheffectshforhtheholderhadult.hRepeatinghthehinstructionshcanhaggravatehtheholderhadul
t’shdiscomfort.hInstructinghtheholderhadulthtohrepeaththehnurse’shinstructionhignoreshherhneeds.
NURSINGTB.COM
