Test Bank Ebersole and Hess Gerontological Nursing and Healthy Aging in Canada, 6TH Edition Author:Theris A. Touhy, Kathleen F Jett All Chapters[1-28]With Verified Questions And Answers 100% Complete A+ Guide Latest Version

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TOUHY & JETT: EBERSOLE AND HESS’ OI OI OI OI OI OI




GERONTOLOGICAL NURSING & HEALT OI OI OI




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HY AGING, 5TH EDITION. OI OI OI OI




Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolog
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ical Nursing & Healthy Aging, 5th Edition
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MULTIPLE CHOICE OI OI




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. OI OI OI OI OI OI OI OI OI




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




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




d. Nursing interventions can help empower a client to achieve a higher level of wellness.
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ANS: D OI OI




Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse ca
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n foster wellness in his or her clients. Wellness is defined by the individual and is multidimensio
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nal. It is not just the absence of disease. A wellness perspective is based on the belief that every p
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erson 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 DIF: Apply OIOIOI OI OI OI REF: p. 7 OIOIOI OI OI TOP: Nursing Process: Diagnosis
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MSC: Health Promotion and Maintenance OI OI OI OI OI




N R I G B .C M
2. In differentiating between he alUth aSnd wNe llTne ss i n Ohe alth care, which of
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the following statements is true?
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a. Health is a broad term encompassing attitudes and behaviors. OI OI OI OI OI OI OI OI OI




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. OI OI OI OI OI OI OI OI




d. Wellness is impossible when one‘s health is compromised. OI OI OI OI OI OI OI OI




ANS: A OI OI




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— OI OI OI OI OI




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—OI OI OI OI OI OI OI OI OI OI OI




even with chronic illness, with multiple disabilities, or in dying, movement toward a higher leve
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l of wellness is possible.
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, PTS: 1
OIOIOI OI DIF: Understand OI OI REF: p. 7
OIOIOI OI OI TOP: Nursing Process: Evaluation
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MSC: Health Promotion and Maintenance
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TOUHY & JETT: EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY AGING, 5TH EDITION.
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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 OI OI




b. African Americans OI OI




c. Hispanic Americans OI OI




d. Asian and Pacific Island Americans
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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Chapter 02: Cross-
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Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
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Healthy Aging, 5th Edition
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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 OI OI OI OI OI OI OI OI OI OI OI




biomedical principles. OI OI




b. In most cultures, older adults are likely to treat themselves using traditional method
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s before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. OI OI OI OI OI OI OI OI OI




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




ANS: B OI OI




Older adults in most cultures usually have had experience with traditional methods that have wo
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rked as well as expected. After these treatments fail, older adults turn to the formal health care s
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ystem. Even in the United States, it is common for older adults to pray for cures or wonder what
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they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief sy
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stem 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 REF: p. 16-
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17 TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
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N R I G B. C M
2. Which of the following consi dUer atSio nsNis mTo s t l ikOel y to be true when w
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orking with an interpreter? OI OI OI OI




a. An interpreter is never needed if the nurse speaks the same language as the patient. OI OI OI OI OI OI OI OI OI OI OI OI OI OI OI




b. When working with interpreters, the nurse can use technical terms or metaphors. OI OI OI OI OI OI OI OI OI OI OI OI




c. A patient‘s young granddaughter who speaks fluent English would make the best int OI OI OI OI OI OI OI OI OI OI OI OI




erpreter because she is familiar with and loves the patient. OI OI OI OI OI OI OI OI OI OI




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




ANS: D OI OI




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 impo
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ssible to translate. Cultural restrictions may prevent some topics from being spoken of to a gran
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dparent or child. OI OI OI




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 heal
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a. Have the health care provider speak to him. OI OI OI OI OI OI OI OI




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




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




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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d. Consult with a practitioner of Chinese medicine. OI OI OI OI OI OI OI




ANS: C OI OI




Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, explai
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n 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 d
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etermines what the patient believes about caregiving, decision making, treatment, and other pert
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inent health- OI




related information. Speaking with the health care provider is premature until the assessment is c
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omplete. Unless he accepts the beliefs, principles of the holistic health system can be potentially
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unsuitable and insulting for this patient. Unless he accepts the treatments, consulting with a pract
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itioner of Chinese medicine can also be unsuitable and insulting for this patient.
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PTS: 1 DIF: ApplyOIOIOI OI OI OI REF: p. 18 OI OI OI




TOP: Nursing Process: Implementation OI OI OI OI 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. OI OI OI OI OI




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




c. Use endearing terms such as ―honey.‖ OI OI OI OI OI OI




d. Speak clearly. OI OI




ANS: D OI OI




Some health professionals demonstrate ageism, in part because providers tend to see many frail,
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older persons and fewer of those who are healthy and active. Providers should not assume that al
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l older adults are hearing or mentally impaired. The most appropriate action when addressing an
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older aduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly. Examples of unintentional ageism
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in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of speec
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PTS: 1 DIF: ApplyOIOIOI OI OI OI REF: p. 15 OI OI OI




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TOP: Nursing Process: Assessment OI OI OI OI MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and note
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s that she becomes tense during the instructions about elimination. Which intervention should th
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e nurse implement?
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a. Move on to the discussion about medication. OI OI OI OI OI OI OI




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




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




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




ANS: B OI OI




When working with an interpreter, the nurse closely watches the older adult for nonverbal comm
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unication and emotion regarding a specific topic and therefore validates the assessment about th
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e older adult‘s tension before proceeding. Because the nurse notices her tension, the nurse tempo
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rarily suspends the preparation to validate her assessment. If the nurse proceeds and the older ad
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ult is uncomfortable discussing elimination, then important instructions can be missed, leading t
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o adverse effects for the older adult. Repeating the instructions can aggravate the older adult‘s di
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scomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her needs.
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