Test Bank - Ebersole and Hess' Gerontological Nursing & Healthy Aging, 5th edition (Touhy, 2018), Chapter 1-28 | All Chapters

Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
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Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
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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, 5th
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Edition
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MULTIPLE CHOICE ww




1. A man is terminally ill with end-stage prostate cancer. Which is the best statement
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about this man‘s wellness?
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a. Wellness can only be achieved with aggressive medical interventions.
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b. Wellness is not a real option for this client because he is terminally ill.
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c. Wellness is defined as the absence of disease. ww ww ww ww ww ww ww



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



Diagnosis MSC:
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2. In differentiating between healU
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nd wNellnTess in hOealth care, which of the ww ww
N R I G B.C M ww ww ww ww



following statements is true?
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a. Health is a broad term encompassing attitudes and behaviors.
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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.
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d. Wellness is impossible when one‘s health is compromised. ww ww ww ww ww ww ww




ANS: w w A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
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includes wellness, which involves one‘s whole being. The concept of illness
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prevention was never considered by previous generations; throughout history, basic
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self-care requirements have been recognized. Wellness and self-actualization develop
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through learning and growth—as basic needs are met, higher level needs can be
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satisfied in turn, with ever-deepening richness to life. Wellness is possible when
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one‘s health is compromised—even with chronic illness, with multiple disabilities, or
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in dying, movement toward a higher level of wellness is possible.
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PTS: 1 w w DIF: Understand REF: p. 7 w w ww TOP: w w Nursing Process: ww



Evaluation MSC:
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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 ww



b. African Americans ww



c. Hispanic Americans ww



d. Asian and Pacific Island Americans ww ww ww ww




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




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
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by biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using
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traditional methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine.
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d. The belief that health depends on maintaining a balance among opposite
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qualities is characteristic of a magicoreligious belief system.
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ANS: w w B
Older adults in most cultures usually have had experience with traditional methods that
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have worked as well as expected. After these treatments fail, older adults turn to the
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formal health care system. Even in the United States, it is common for older adults
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to pray for cures or wonder what they did to incur an illness as punishment. The
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Ayurvedic system is a naturalistic health belief system practiced in India and in
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some neighboring countries. This belief is characteristic of a holistic or naturalistic
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approach.
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PTS: w w w w 1 DIF: Understand REF: w w w w p. 16-17 ww



TOP: w w Nursing Process: Assessment ww ww MSC: w w Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
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N R I G B .C M ww ww ww ww ww



with an 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.
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c. A patient‘s young granddaughter who speaks fluent English would make the
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best interpreter because she is familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: w w D
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
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reasons may prevent the patient from speaking directly to a nurse. Technical terms
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and metaphors may be difficult or impossible to translate. Cultural restrictions may
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prevent some topics from being spoken of to a grandparent or child.
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PTS: w w w w 1 DIF: Understand w w w w w w w w REF: w w w w p. 18-19 ww



TOP: w w Nursing Process: Implementation ww ww w w w w MSC: w w 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
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Hg and refuses to remain in the bed. Which intervention should the nurse use to
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promote and maintain his health?
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a. Have the health care provider speak to him.
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b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test
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Bank
d. Consult with a practitioner of Chinese medicine.
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ANS: w w C
Using the LEARN model (listen with sympathy to the patient‘s perception of the
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problem, explain your perception of the problem, acknowledge the differences and
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similarities, recommend treatment, and negotiate agreement), the nurse gathers
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information from the patient about cultural beliefs concerning health care and avoids
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stereotyping the patient. In the assessment, the nurse determines what the patient
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believes about caregiving, decision making, treatment, and other pertinent health-related
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information. Speaking with the health care provider is premature until the assessment
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is complete. Unless he accepts the beliefs, principles of the holistic health system can
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be potentially unsuitable and insulting for this patient. Unless he accepts the
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treatments, consulting with a practitioner of Chinese medicine can also be unsuitable
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and insulting for this patient.
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PTS: w w 1
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TOP: w w Nursing Process: Implementation MSC:ww Health Promotion and Maintenance ww w w ww ww ww




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



b. Use a lower quality of speech.
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c. Use endearing terms such as ―honey.‖
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d. Speak clearly. ww




ANS: w w D
Some health professionals demonstrate ageism, in part because providers tend to see
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many frail, older persons and fewer of those who are healthy and active. Providers
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should not assume that all older adults are hearing or mentally impaired. The most
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appropriate action
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when addressing an older aduNltUwRoS
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dNbeGtT
o Bs p.e aCkOcM
l e a r l y . Examples of unintentional
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ageism in language are an exaggerated pitch, a demeaning emotional tone, and a
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lower quality of
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speech.

PTS: w w 1
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TOP: w w Nursing Process: Assessment ww ww MSC: w w Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an
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interpreter and notes that she becomes tense during the instructions about
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elimination. Which intervention should the nurse implement?
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a. Move on to the discussion about medication.
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b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions.
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d. Have the older woman repeat the instructions for clarity.
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ANS: w w B
When working with an interpreter, the nurse closely watches the older adult for
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nonverbal communication and emotion regarding a specific topic and therefore
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validates the assessment about the older adult‘s tension before proceeding. Because
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the nurse notices her tension, the nurse temporarily suspends the preparation to
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validate her assessment. If the nurse proceeds and the older adult is uncomfortable
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discussing elimination, then important instructions can be missed, leading to adverse
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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
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needs.
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