Test Bank Ebersole and Hess’ Gerontological Nursing & Health
z z z z z z z z
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapt
z z
z
z z z z z z z z z
1-28. z
,Chapter 01: Introduction to Healthy Aging
z z z z z
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
z z z z z z z z z z z z
MULTIPLE CHOICE z
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
z z z z z z z z z z z z z z z
man‘s wellness?
z z
a. Wellness can only be achieved with aggressive medical interventions. z z z z z z z z
b. Wellness is not a real option for this client because he is terminally ill. z z z z z z z z z z z z z
c. Wellness is defined as the absence of disease. z z z z z z z
d. Nursing interventions can help empower a client to achieve a higher level of
z z z z z z z z z z z z
wellness. z
ANS: D z
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
z z z z z z z z z z z z z z z
can foster wellness in his or her clients. Wellness is defined by the individual and is
z z z z z z z z z z z z z z z z
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
z z z z z z z z z z z z z z z z
belief that every person has an optimal level of health independent of his or her situation or
z z z z z z z z z z z z z z z z z
functional level. Even in the presence of chronic illness or while dying, a movement toward
z z z z z z z z z z z z z z z
wellness is possible if emphasis of care is placed on the promotion of well-being in a
z z z z z z z z z z z z z z z z
supportive environment.
z z
PTS: 1 DIF: Applyz REF: p. 7 z z TOP: Nursing Process: z z
Diagnosis MSC: Health Promotion and Maintenance
z z z z z z
2. In differentiating between healU
z th aS
nd wNellnTess in hOealth care, which of the following z z
N R I G B.C M z z z z z
statements is true?
z z z
a. Health is a broad term encompassing attitudes and behaviors. z z z z z z z z
b. The concept of illness prevention was never considered by previous generations.
z z z z z z z z z z
c. Wellness and self-actualization develop through learning and growth. z z z z z z z
d. Wellness is impossible when one‘s health is compromised. z z z z z z z
ANS: A z
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
z z z z z z z z z z z z
wellness, which involves one‘s whole being. The concept of illness prevention was never
z z z z z z z z z z z z z
considered by previous generations; throughout history, basic self-care requirements have
z z z z z z z z z z
been recognized. Wellness and self-actualization develop through learning and growth—as
z z z z z z z z z z
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
z z z z z z z z z z z z z z z
to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
z z z z z z z z z z z z z
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
z z z z z z z z z z z z z z z
PTS: 1 DIF: Understand REF: p. 7
z z z TOP: Nursing Process: z z
Evaluation MSC: Health Promotion and Maintenance
z z z z z z
3. Which racial or ethnic group has the highest life expectancy in the United States?
z z z z z z z z z z z z z
a. Native Americans z
b. African Americans z
c. Hispanic Americans z
d. Asian and Pacific Island Americans z z z z
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
z z z z z z z z z z z z
Chapter 02: Cross-Cultural Caring and Aging
z z z z z
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
z z z z z z z z z z z z
MULTIPLE CHOICE z
1. Which of the following is a true statement about differing health belief systems?
z z z z z z z z z z z z
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by z z z z z z z z z z
biomedical principles.
z z
b. In most cultures, older adults are likely to treat themselves using traditional
z z z z z z z z z z z
methods before turning to biomedical professionals.
z z z z z z
c. Ayurvedic medicine is another name for traditional Chinese medicine. z z z z z z z z
d. The belief that health depends on maintaining a balance among opposite qualities
z z z z z z z z z z z
is characteristic of a magicoreligious belief system.
z z z z z z z
ANS: B z
Older adults in most cultures usually have had experience with traditional methods that have
z z z z z z z z z z z z z
worked as well as expected. After these treatments fail, older adults turn to the formal health
z z z z z z z z z z z z z z z z
care system. Even in the United States, it is common for older adults to pray for cures or
z z z z z z z z z z z z z z z z z z
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
z z z z z z z z z z z z z z z
naturalistic health belief system practiced in India and in some neighboring countries. This
z z z z z z z z z z z z z
belief is characteristic of a holistic or naturalistic approach.
z z z z z z z z z
PTS: z z 1 DIF: Understand REF: p. 16-17 z z z
TOP: z Nursing Process: Assessment z z MSC: Health Promotion and Maintenance z z z z
2. Which of the following consideUratiS
onsNis m
z
Tost likO
ely to be true when working with an
z z z
N R I G B. C M z z z z z z z
interpreter?
z
a. An interpreter is never needed if the nurse speaks the same language as the patient.
z z z z z z z z z z z z z z
b. When working with interpreters, the nurse can use technical terms or metaphors.
z z z z z z z z z z z
c. A patient‘s young granddaughter who speaks fluent English would make the best
z z z z z z z z z z z
interpreter because she is familiar with and loves the patient.
z z z z z z z z z z
d. The nurse should face the patient rather than the interpreter.
z z z z z z z z z
ANS: D z
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
z z z z z z z z z z z z z z z z z
converse with the patient, not with a third party about the patient. Many reasons may prevent
z z z z z z z z z z z z z z z z
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
z z z z z z z z z z z z z z z
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
z z z z z z z z z z z z z z
to a grandparent or child.
z z z z z
PTS: z z 1 DIF: Understand z z z z REF: p. 18-19 z z z
TOP: z Nursing Process: Implementation z z z z MSC: Safe, Effective Care Environment z z z z
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
z z z z z z z z z z z z z z z z z
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
z z z z z z z z z z z z z z z z
his health?
z z
a. Have the health care provider speak to him. z z z z z z z
b. Use principles of the holistic health system.z z z z z z
c. Ask about his perceptions and treatment ideas.
z z z z z z
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
z z z z z z z z z z z z
d. Consult with a practitioner of Chinese medicine. z z z z z z
ANS: C z
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
z z z z z z z z z z z z z
explain your perception of the problem, acknowledge the differences and similarities,
z z z z z z z z z z z
recommend treatment, and negotiate agreement), the nurse gathers information from the
z z z z z z z z z z z
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
z z z z z z z z z z z z z z
assessment, the nurse determines what the patient believes about caregiving, decision making,
z z z z z z z z z z z z
treatment, and other pertinent health-related information. Speaking with the health care
z z z z z z z z z z z
provider is premature until the assessment is complete. Unless he accepts the beliefs,
z z z z z z z z z z z z z
principles of the holistic health system can be potentially unsuitable and insulting for this
z z z z z z z z z z z z z z
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
z z z z z z z z z z z z z
can also be unsuitable and insulting for this patient.
z z z z z z z z z
PTS: z z 1 DIF: Apply REF: p. 18 z z z
TOP: z Nursing Process: Implementation z z MSC: Health Promotion and Maintenance z z z z
4. Which action should the nurse take when addressing older adults?
z z z z z z z z z
a. Speak in an exaggerated pitch. z z z z
b. Use a lower quality of speech. z z z z z
c. Use endearing terms such as ―honey.‖
z z z z z
d. Speak clearly. z
ANS: D z
Some health professionals demonstrate ageism, in part because providers tend to see many
z z z z z z z z z z z z
frail, older persons and fewer of those who are healthy and active. Providers should not
z z z z z z z z z z z z z z z
assume that all older adults are hearing or mentally impaired. The most appropriate action
z z z z z z z z z z z z z z
when addressing an older aduNltUwRoS
z ulI
dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism
z z z z z z z z
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
z z z z z z z z z z z z z z z
speech.
PTS: z z 1 DIF: Apply REF: p. 15 z z z
TOP: z Nursing Process: Assessment z z MSC: Health Promotion and Maintenance z z z z
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
z z z z z z z z z z z z z z
notes that she becomes tense during the instructions about elimination. Which intervention
z z z z z z z z z z z z
should the nurse implement?
z z z z
a. Move on to the discussion about medication. z z z z z z
b. Ask the older woman how she feels about this topic.
z z z z z z z z z
c. Instruct the interpreter to repeat the instructions. z z z z z z
d. Have the older woman repeat the instructions for clarity.
z z z z z z z z
ANS: B z
When working with an interpreter, the nurse closely watches the older adult for nonverbal
z z z z z z z z z z z z z
communication and emotion regarding a specific topic and therefore validates the assessment
z z z z z z z z z z z z
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
z z z z z z z z z z z z z z
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
z z z z z z z z z z z z z
and the older adult is uncomfortable discussing elimination, then important instructions can be
z z z z z z z z z z z z z
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
z z z z z z z z z z z z z z
the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction
z z z z z z z z z z z z z
ignores her needs.
z z z
NURSINGTB.COM
z z z z z z z z
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapt
z z
z
z z z z z z z z z
1-28. z
,Chapter 01: Introduction to Healthy Aging
z z z z z
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
z z z z z z z z z z z z
MULTIPLE CHOICE z
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
z z z z z z z z z z z z z z z
man‘s wellness?
z z
a. Wellness can only be achieved with aggressive medical interventions. z z z z z z z z
b. Wellness is not a real option for this client because he is terminally ill. z z z z z z z z z z z z z
c. Wellness is defined as the absence of disease. z z z z z z z
d. Nursing interventions can help empower a client to achieve a higher level of
z z z z z z z z z z z z
wellness. z
ANS: D z
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
z z z z z z z z z z z z z z z
can foster wellness in his or her clients. Wellness is defined by the individual and is
z z z z z z z z z z z z z z z z
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
z z z z z z z z z z z z z z z z
belief that every person has an optimal level of health independent of his or her situation or
z z z z z z z z z z z z z z z z z
functional level. Even in the presence of chronic illness or while dying, a movement toward
z z z z z z z z z z z z z z z
wellness is possible if emphasis of care is placed on the promotion of well-being in a
z z z z z z z z z z z z z z z z
supportive environment.
z z
PTS: 1 DIF: Applyz REF: p. 7 z z TOP: Nursing Process: z z
Diagnosis MSC: Health Promotion and Maintenance
z z z z z z
2. In differentiating between healU
z th aS
nd wNellnTess in hOealth care, which of the following z z
N R I G B.C M z z z z z
statements is true?
z z z
a. Health is a broad term encompassing attitudes and behaviors. z z z z z z z z
b. The concept of illness prevention was never considered by previous generations.
z z z z z z z z z z
c. Wellness and self-actualization develop through learning and growth. z z z z z z z
d. Wellness is impossible when one‘s health is compromised. z z z z z z z
ANS: A z
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
z z z z z z z z z z z z
wellness, which involves one‘s whole being. The concept of illness prevention was never
z z z z z z z z z z z z z
considered by previous generations; throughout history, basic self-care requirements have
z z z z z z z z z z
been recognized. Wellness and self-actualization develop through learning and growth—as
z z z z z z z z z z
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
z z z z z z z z z z z z z z z
to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
z z z z z z z z z z z z z
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
z z z z z z z z z z z z z z z
PTS: 1 DIF: Understand REF: p. 7
z z z TOP: Nursing Process: z z
Evaluation MSC: Health Promotion and Maintenance
z z z z z z
3. Which racial or ethnic group has the highest life expectancy in the United States?
z z z z z z z z z z z z z
a. Native Americans z
b. African Americans z
c. Hispanic Americans z
d. Asian and Pacific Island Americans z z z z
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
z z z z z z z z z z z z
Chapter 02: Cross-Cultural Caring and Aging
z z z z z
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
z z z z z z z z z z z z
MULTIPLE CHOICE z
1. Which of the following is a true statement about differing health belief systems?
z z z z z z z z z z z z
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by z z z z z z z z z z
biomedical principles.
z z
b. In most cultures, older adults are likely to treat themselves using traditional
z z z z z z z z z z z
methods before turning to biomedical professionals.
z z z z z z
c. Ayurvedic medicine is another name for traditional Chinese medicine. z z z z z z z z
d. The belief that health depends on maintaining a balance among opposite qualities
z z z z z z z z z z z
is characteristic of a magicoreligious belief system.
z z z z z z z
ANS: B z
Older adults in most cultures usually have had experience with traditional methods that have
z z z z z z z z z z z z z
worked as well as expected. After these treatments fail, older adults turn to the formal health
z z z z z z z z z z z z z z z z
care system. Even in the United States, it is common for older adults to pray for cures or
z z z z z z z z z z z z z z z z z z
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
z z z z z z z z z z z z z z z
naturalistic health belief system practiced in India and in some neighboring countries. This
z z z z z z z z z z z z z
belief is characteristic of a holistic or naturalistic approach.
z z z z z z z z z
PTS: z z 1 DIF: Understand REF: p. 16-17 z z z
TOP: z Nursing Process: Assessment z z MSC: Health Promotion and Maintenance z z z z
2. Which of the following consideUratiS
onsNis m
z
Tost likO
ely to be true when working with an
z z z
N R I G B. C M z z z z z z z
interpreter?
z
a. An interpreter is never needed if the nurse speaks the same language as the patient.
z z z z z z z z z z z z z z
b. When working with interpreters, the nurse can use technical terms or metaphors.
z z z z z z z z z z z
c. A patient‘s young granddaughter who speaks fluent English would make the best
z z z z z z z z z z z
interpreter because she is familiar with and loves the patient.
z z z z z z z z z z
d. The nurse should face the patient rather than the interpreter.
z z z z z z z z z
ANS: D z
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
z z z z z z z z z z z z z z z z z
converse with the patient, not with a third party about the patient. Many reasons may prevent
z z z z z z z z z z z z z z z z
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
z z z z z z z z z z z z z z z
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
z z z z z z z z z z z z z z
to a grandparent or child.
z z z z z
PTS: z z 1 DIF: Understand z z z z REF: p. 18-19 z z z
TOP: z Nursing Process: Implementation z z z z MSC: Safe, Effective Care Environment z z z z
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
z z z z z z z z z z z z z z z z z
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
z z z z z z z z z z z z z z z z
his health?
z z
a. Have the health care provider speak to him. z z z z z z z
b. Use principles of the holistic health system.z z z z z z
c. Ask about his perceptions and treatment ideas.
z z z z z z
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
z z z z z z z z z z z z
d. Consult with a practitioner of Chinese medicine. z z z z z z
ANS: C z
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
z z z z z z z z z z z z z
explain your perception of the problem, acknowledge the differences and similarities,
z z z z z z z z z z z
recommend treatment, and negotiate agreement), the nurse gathers information from the
z z z z z z z z z z z
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
z z z z z z z z z z z z z z
assessment, the nurse determines what the patient believes about caregiving, decision making,
z z z z z z z z z z z z
treatment, and other pertinent health-related information. Speaking with the health care
z z z z z z z z z z z
provider is premature until the assessment is complete. Unless he accepts the beliefs,
z z z z z z z z z z z z z
principles of the holistic health system can be potentially unsuitable and insulting for this
z z z z z z z z z z z z z z
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
z z z z z z z z z z z z z
can also be unsuitable and insulting for this patient.
z z z z z z z z z
PTS: z z 1 DIF: Apply REF: p. 18 z z z
TOP: z Nursing Process: Implementation z z MSC: Health Promotion and Maintenance z z z z
4. Which action should the nurse take when addressing older adults?
z z z z z z z z z
a. Speak in an exaggerated pitch. z z z z
b. Use a lower quality of speech. z z z z z
c. Use endearing terms such as ―honey.‖
z z z z z
d. Speak clearly. z
ANS: D z
Some health professionals demonstrate ageism, in part because providers tend to see many
z z z z z z z z z z z z
frail, older persons and fewer of those who are healthy and active. Providers should not
z z z z z z z z z z z z z z z
assume that all older adults are hearing or mentally impaired. The most appropriate action
z z z z z z z z z z z z z z
when addressing an older aduNltUwRoS
z ulI
dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism
z z z z z z z z
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
z z z z z z z z z z z z z z z
speech.
PTS: z z 1 DIF: Apply REF: p. 15 z z z
TOP: z Nursing Process: Assessment z z MSC: Health Promotion and Maintenance z z z z
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
z z z z z z z z z z z z z z
notes that she becomes tense during the instructions about elimination. Which intervention
z z z z z z z z z z z z
should the nurse implement?
z z z z
a. Move on to the discussion about medication. z z z z z z
b. Ask the older woman how she feels about this topic.
z z z z z z z z z
c. Instruct the interpreter to repeat the instructions. z z z z z z
d. Have the older woman repeat the instructions for clarity.
z z z z z z z z
ANS: B z
When working with an interpreter, the nurse closely watches the older adult for nonverbal
z z z z z z z z z z z z z
communication and emotion regarding a specific topic and therefore validates the assessment
z z z z z z z z z z z z
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
z z z z z z z z z z z z z z
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
z z z z z z z z z z z z z
and the older adult is uncomfortable discussing elimination, then important instructions can be
z z z z z z z z z z z z z
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
z z z z z z z z z z z z z z
the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction
z z z z z z z z z z z z z
ignores her needs.
z z z
NURSINGTB.COM
