Chapter 01: Introduction to Healthy Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
x x x x x x x x x x x
Edition
MULTIPLE xCHOICE
1. A xman xis xterminally xill xwith xend-stage xprostate xcancer. xWhich xis xthe xbest xstatement xabout xthis
man‘s xwellness?
a. Wellness xcan xonly xbe xachieved xwith xaggressive xmedical xinterventions.
b. Wellness xis xnot xa xreal xoption xfor xthis xclient xbecause xhe xis xterminally xill.
c. Wellness xis xdefined xas xthe xabsence xof xdisease.
d. Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher xlevel
xof xwellness.
ANS: x D
Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher xlevel xof xwellness; xa
xnurse xcan xfoster xwellness xin xhis xor xher xclients. xWellness xis xdefined xby xthe xindividual xand xis
xmultidimensional. xIt xis xnot xjust xthe xabsence xof xdisease. xA xwellness xperspective xis xbased xon
xthe xbelief xthat xevery xperson xhas xan xoptimal xlevel xof xhealth xindependent xof xhis xor xher
xsituation xor xfunctional xlevel. xEven xin xthe xpresence xof xchronic xillness xor xwhile xdying, xa
xmovement xtoward xwellness xis xpossible xif xemphasis xof xcare xis xplaced xon xthe xpromotion xof
xwell-being xin xa xsupportive xenvironment.
PTS: x 1 DIF: Apply REF: x p. x7 TOP: x Nursing xProcess:
xDiagnosis xMSC: x Health xPromotion xand xMaintenance
2. In xdifferentiating xbetween xhealU
th aS
N R I G B.C M
NellT
nd w ness in xO
h e a l t h xcare, xwhich xof xthe
following xstatements xis xtrue?
x
a. Health xis xa xbroad xterm xencompassing xattitudes xand xbehaviors.
b. The xconcept xof xillness xprevention xwas xnever xconsidered xby xprevious xgenerations.
c. Wellness xand xself-actualization xdevelop xthrough xlearning xand xgrowth.
d. Wellness xis ximpossible xwhen xone‘s xhealth xis xcompromised.
ANS: x A
Health xis xa xbroad xterm xthat xencompasses xattitudes xand xbehaviors; xholistically, xhealth
xincludes xwellness, xwhich xinvolves xone‘s xwhole xbeing. xThe xconcept xof xillness xprevention
xwas xnever xconsidered xby xprevious xgenerations; xthroughout xhistory, xbasic xself-care
xrequirements xhave xbeen xrecognized. xWellness xand xself-actualization xdevelop xthrough
xlearning xand xgrowth—as xbasic xneeds xare xmet, xhigher xlevel xneeds xcan xbe xsatisfied xin xturn,
xwith xever-deepening xrichness xto xlife. xWellness xis xpossible xwhen xone‘s xhealth xis
xcompromised—even xwith xchronic xillness, xwith xmultiple xdisabilities, xor xin xdying, xmovement
xtoward xa xhigher xlevel xof xwellness xis xpossible.
PTS: x 1 DIF: Understand REF: x p. x7 TOP: x Nursing xProcess:
xEvaluation xMSC: x Health xPromotion xand xMaintenance
3. Which xracial xor xethnic xgroup xhas xthe xhighest xlife xexpectancy xin xthe xUnited xStates?
a. Native xAmericans
b. African xAmericans
c. Hispanic xAmericans
d. Asian xand xPacific xIsland xAmericans
,Chapter 02: Cross-Cultural Caring and Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
x x x x x x x x x x x
Edition
MULTIPLE xCHOICE
1. Which xof xthe xfollowing xis xa xtrue xstatement xabout xdiffering xhealth xbelief xsystems?
a. Personalistic xor xmagicoreligious xbeliefs xhave xbeen xsuperseded xin xWestern xminds
x by xbiomedical xprinciples.
b. In xmost xcultures, xolder xadults xare xlikely xto xtreat xthemselves xusing
x traditional xmethods xbefore xturning xto xbiomedical xprofessionals.
c. Ayurvedic xmedicine xis xanother xname xfor xtraditional xChinese xmedicine.
d. The xbelief xthat xhealth xdepends xon xmaintaining xa xbalance xamong xopposite
x qualities xis xcharacteristic xof xa xmagicoreligious xbelief xsystem.
ANS: x B
Older xadults xin xmost xcultures xusually xhave xhad xexperience xwith xtraditional xmethods xthat
xhave xworked xas xwell xas xexpected. xAfter xthese xtreatments xfail, xolder xadults xturn xto xthe
xformal xhealth xcare xsystem. xEven xin xthe xUnited xStates, xit xis xcommon xfor xolder xadults xto
xpray xfor xcures xor xwonder xwhat xthey xdid xto xincur xan xillness xas xpunishment. xThe xAyurvedic
xsystem xis xa xnaturalistic xhealth xbelief xsystem xpracticed xin xIndia xand xin xsome xneighboring
xcountries. xThis xbelief xis xcharacteristic xof xa xholistic xor xnaturalistic xapproach.
PTS: x x 1 DIF: Understand REF: x x p. x16-17
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
2. Which xof xthe xfollowing xconsidU
eratiS
N R I G B.C M
onsNis m
Tost likO
ely xto xbe xtrue xwhen xworking xwith
xan xinterpreter?
a. An xinterpreter xis xnever xneeded xif xthe xnurse xspeaks xthe xsame xlanguage xas xthe xpatient.
b. When xworking xwith xinterpreters, xthe xnurse xcan xuse xtechnical xterms xor xmetaphors.
c. A xpatient‘s xyoung xgranddaughter xwho xspeaks xfluent xEnglish xwould xmake xthe xbest
interpreter xbecause xshe xis xfamiliar xwith xand xloves xthe xpatient.
d. The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter.
ANS: x D
The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter xis xa xtrue xstatement; xthe xintent xis
xto xconverse xwith xthe xpatient, xnot xwith xa xthird xparty xabout xthe xpatient. xMany xreasons xmay
xprevent xthe xpatient xfrom xspeaking xdirectly xto xa xnurse. xTechnical xterms xand xmetaphors xmay
xbe xdifficult xor ximpossible xto xtranslate. xCultural xrestrictions xmay xprevent xsome xtopics xfrom
xbeing xspoken xof xto xa xgrandparent xor xchild.
PTS: x x 1 DIF: x x Understand x x REF: x x p. x18-19
TOP: x Nursing xProcess: xImplementation x x x MSC: x Safe, xEffective xCare xEnvironment
3. An xolder xadult xwho xis xa xtraditional xChinese xman xhas xa xblood xpressure xof x80/54 xmm xHg xand
xrefuses xto xremain xin xthe xbed. xWhich xintervention xshould xthe xnurse xuse xto xpromote xand
maintain xhis xhealth?
x
a. Have xthe xhealth xcare xprovider xspeak xto xhim.
b. Use xprinciples xof xthe xholistic xhealth xsystem.
c. Ask xabout xhis xperceptions xand xtreatment xideas.
NURSINGTB.COM
, d. Consult xwith xa xpractitioner xof xChinese xmedicine.
ANS: x C
Using xthe xLEARN xmodel x(listen xwith xsympathy xto xthe xpatient‘s xperception xof xthe xproblem,
xexplain xyour xperception xof xthe xproblem, xacknowledge xthe xdifferences xand xsimilarities,
xrecommend xtreatment, xand xnegotiate xagreement), xthe xnurse xgathers xinformation xfrom xthe
xpatient xabout xcultural xbeliefs xconcerning xhealth xcare xand xavoids xstereotyping xthe xpatient. xIn
xthe xassessment, xthe xnurse xdetermines xwhat xthe xpatient xbelieves xabout xcaregiving, xdecision
xmaking, xtreatment, xand xother xpertinent xhealth-related xinformation. xSpeaking xwith xthe xhealth
xcare xprovider xis xpremature xuntil xthe xassessment xis xcomplete. xUnless xhe xaccepts xthe xbeliefs,
xprinciples xof xthe xholistic xhealth xsystem xcan xbe xpotentially xunsuitable xand xinsulting xfor xthis
xpatient. xUnless xhe xaccepts xthe xtreatments, xconsulting xwith xa xpractitioner xof xChinese
xmedicine xcan xalso xbe xunsuitable xand xinsulting xfor xthis xpatient.
PTS: x x 1 DIF: Apply REF: x x p. x18
TOP: x Nursing xProcess: xImplementation MSC: x Health xPromotion xand xMaintenance
4. Which xaction xshould xthe xnurse xtake xwhen xaddressing xolder xadults?
a. Speak xin xan xexaggerated xpitch.
b. Use xa xlower xquality xof xspeech.
c. Use xendearing xterms xsuch xas x―honey.‖
d. Speak xclearly.
ANS: x D
Some xhealth xprofessionals xdemonstrate xageism, xin xpart xbecause xproviders xtend xto xsee xmany
xfrail, xolder xpersons xand xfewer xof xthose xwho xare xhealthy xand xactive. xProviders xshould xnot
xassume xthat xall xolder xadults xare xhearing xor xmentally ximpaired. xThe xmost xappropriate xaction
when xaddressing xan xolder xaduNltUwRoS ulI
dNbeGtT
oB sp.eC
akOcM
learly. xExamples xof xunintentional
xageism xin xlanguage xare xan xexaggerated xpitch, xa xdemeaning xemotional xtone, xand xa xlower
xquality xof
speech.
PTS: x x 1 DIF: Apply REF: x x p. x15
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
5. The xnurse xprepares xan xolder xwoman, xwho xis xPolish, xfor xdischarge xthrough xan xinterpreter
xand xnotes xthat xshe xbecomes xtense xduring xthe xinstructions xabout xelimination. xWhich
xintervention xshould xthe xnurse ximplement?
a. Move xon xto xthe xdiscussion xabout xmedication.
b. Ask xthe xolder xwoman xhow xshe xfeels xabout xthis xtopic.
c. Instruct xthe xinterpreter xto xrepeat xthe xinstructions.
d. Have xthe xolder xwoman xrepeat xthe xinstructions xfor xclarity.
ANS: x B
When xworking xwith xan xinterpreter, xthe xnurse xclosely xwatches xthe xolder xadult xfor xnonverbal
xcommunication xand xemotion xregarding xa xspecific xtopic xand xtherefore xvalidates xthe
xassessment xabout xthe xolder xadult‘s xtension xbefore xproceeding. xBecause xthe xnurse xnotices xher
xtension, xthe xnurse xtemporarily xsuspends xthe xpreparation xto xvalidate xher xassessment. xIf xthe
xnurse xproceeds xand xthe xolder xadult xis xuncomfortable xdiscussing xelimination, xthen ximportant
xinstructions xcan xbe xmissed, xleading xto xadverse xeffects xfor xthe xolder xadult. xRepeating xthe
xinstructions xcan xaggravate xthe xolder xadult‘s xdiscomfort. xInstructing xthe xolder xadult xto xrepeat
xthe xnurse‘s xinstruction xignores xher xneeds.
NURSINGTB.COM
, PTS: x x 1 DIF: Apply REF: x x p. x18-19
TOP: x Communication xand xDocumentation
xMSC: x Safe, xEffective xCare xEnvironment
6. The xnurse xplans xcare xfor xan xolder xAfrican xAmerican xman xwho xis xfrom xJamaica xand xresides
in xNew xYork xCity. xWhich xshould xthe xnurse xinclude xin xplanning xcare?
x
a. Attribute xhis xillness xto xbreaking xa xvoodoo.
b. Help xhim ximprove xsocial xrelationships.
c. Maintain xblood xpressure xbelow x120/70 xmm xHg.
d. Review xthe xprinciples xof xthe xmagicoreligious xsystem.
ANS: x C
Because xAfrican xAmericans xtend xto xbe xat xrisk xfor xcardiovascular xdisease xand xhypertension,
xthe xnurse xplans xto xmaintain xthe xpatient‘s xblood xpressure xat xor xbelow xthe xcurrent
xrecommendation xby xthe xAmerican xHeart xAssociation. xThe xnurse xcan xbe xincorrectly
xassuming xthat xhe xpractices xand xbelieves xin xthe xmagicoreligious xsystem. xThe xnurse xshould
xassess xhis xspiritual xbeliefs xand xdetermine xhow xmuch xthey xinfluence xhis xattitudes xtoward
xWestern xhealth xcare. xThe xmagicoreligious xsystem xmaintains xsocial xrelationships xin xgood
xcondition xto xprevent xillness; xhowever, xif xthe xolder xadult xdoes xnot xfollow xthis xcultural
xpractice, xthen xthis xgoal xcan xbe xunsuitable. xThe xolder xadult xmay xnot xbelieve xin xthis xsystem;
xtherefore, xthe xinformation xcan xbe xirrelevant.
PTS: x 1 DIF: Apply REF: x p. x18-19 TOP: x Nursing xProcess:
xPlanning xMSC: x Safe, xEffective xCare xEnvironment
7. Which xhealth xbelief xsystem xuses xtreatments xto xrepair xa xbody xpart?
a. Holistic NURSINGTB.COM
b. Biomedical
c. Personalistic
d. Magicoreligious
ANS: x B
Because xdysfunction xor xa xstructural xabnormality xis xthought xto xcause xdisease, xthe xbiomedical
xsystem xbelieves xin xrepairing xthe xstructural xabnormality. xThe xholistic xsystem xholds xthat xhealth
xis xattained xthrough xbalance. xThe xpersonalistic xsystem xuses xtreatments xsuch xas xmeditation,
xfasting, xand xpraying. xThe xmagicoreligious xsystem xis xthe xsame xas xthe xpersonalistic xsystem.
PTS: x x 1 DIF: Understand REF: x x p. x17
TOP: x Nursing xProcess: xAssessment MSC: x Safe, xEffective xCare xEnvironment
8. A xnurse xis xcaring xfor xa xculturally xdiverse xpatient xwho xhas xmissed xfollow-up xappointments
xwith xthe xprimary xcare xprovider xthree xtimes xover xthe xpast xyear. xThe xpatient xhas xa xchronic
xillness xthat xrequires xperiodic xmonitoring xof xblood xtest xvalues. xThe xpatient xtells xthe xnurse:
x―You xdon‘t xunderstand—in xmy xculture, xwe xdon‘t xdo xthings xlike xthat. xI xcannot xbe xtroubled
xwith xworrying xabout xappointments xin xthe xfuture; xI xdeal xwith xeach xday xas xit xcomes.‖ xThe
xnurse xunderstands
which xof xthe xfollowing xabout xthe xpatient‘s xculture?
a. The xculture xdoes xnot xvalue xWestern xmedicine.
b. The xculture xhas xa xdifferent xorientation xto xtime xthan xWestern xmedicine.
c. The xculture xis xan xinterdependent xculture.
d. The xculture xdoes xnot xbelieve xin xpreventative xcare.
NURSINGTB.COM
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
x x x x x x x x x x x
Edition
MULTIPLE xCHOICE
1. A xman xis xterminally xill xwith xend-stage xprostate xcancer. xWhich xis xthe xbest xstatement xabout xthis
man‘s xwellness?
a. Wellness xcan xonly xbe xachieved xwith xaggressive xmedical xinterventions.
b. Wellness xis xnot xa xreal xoption xfor xthis xclient xbecause xhe xis xterminally xill.
c. Wellness xis xdefined xas xthe xabsence xof xdisease.
d. Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher xlevel
xof xwellness.
ANS: x D
Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher xlevel xof xwellness; xa
xnurse xcan xfoster xwellness xin xhis xor xher xclients. xWellness xis xdefined xby xthe xindividual xand xis
xmultidimensional. xIt xis xnot xjust xthe xabsence xof xdisease. xA xwellness xperspective xis xbased xon
xthe xbelief xthat xevery xperson xhas xan xoptimal xlevel xof xhealth xindependent xof xhis xor xher
xsituation xor xfunctional xlevel. xEven xin xthe xpresence xof xchronic xillness xor xwhile xdying, xa
xmovement xtoward xwellness xis xpossible xif xemphasis xof xcare xis xplaced xon xthe xpromotion xof
xwell-being xin xa xsupportive xenvironment.
PTS: x 1 DIF: Apply REF: x p. x7 TOP: x Nursing xProcess:
xDiagnosis xMSC: x Health xPromotion xand xMaintenance
2. In xdifferentiating xbetween xhealU
th aS
N R I G B.C M
NellT
nd w ness in xO
h e a l t h xcare, xwhich xof xthe
following xstatements xis xtrue?
x
a. Health xis xa xbroad xterm xencompassing xattitudes xand xbehaviors.
b. The xconcept xof xillness xprevention xwas xnever xconsidered xby xprevious xgenerations.
c. Wellness xand xself-actualization xdevelop xthrough xlearning xand xgrowth.
d. Wellness xis ximpossible xwhen xone‘s xhealth xis xcompromised.
ANS: x A
Health xis xa xbroad xterm xthat xencompasses xattitudes xand xbehaviors; xholistically, xhealth
xincludes xwellness, xwhich xinvolves xone‘s xwhole xbeing. xThe xconcept xof xillness xprevention
xwas xnever xconsidered xby xprevious xgenerations; xthroughout xhistory, xbasic xself-care
xrequirements xhave xbeen xrecognized. xWellness xand xself-actualization xdevelop xthrough
xlearning xand xgrowth—as xbasic xneeds xare xmet, xhigher xlevel xneeds xcan xbe xsatisfied xin xturn,
xwith xever-deepening xrichness xto xlife. xWellness xis xpossible xwhen xone‘s xhealth xis
xcompromised—even xwith xchronic xillness, xwith xmultiple xdisabilities, xor xin xdying, xmovement
xtoward xa xhigher xlevel xof xwellness xis xpossible.
PTS: x 1 DIF: Understand REF: x p. x7 TOP: x Nursing xProcess:
xEvaluation xMSC: x Health xPromotion xand xMaintenance
3. Which xracial xor xethnic xgroup xhas xthe xhighest xlife xexpectancy xin xthe xUnited xStates?
a. Native xAmericans
b. African xAmericans
c. Hispanic xAmericans
d. Asian xand xPacific xIsland xAmericans
,Chapter 02: Cross-Cultural Caring and Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
x x x x x x x x x x x
Edition
MULTIPLE xCHOICE
1. Which xof xthe xfollowing xis xa xtrue xstatement xabout xdiffering xhealth xbelief xsystems?
a. Personalistic xor xmagicoreligious xbeliefs xhave xbeen xsuperseded xin xWestern xminds
x by xbiomedical xprinciples.
b. In xmost xcultures, xolder xadults xare xlikely xto xtreat xthemselves xusing
x traditional xmethods xbefore xturning xto xbiomedical xprofessionals.
c. Ayurvedic xmedicine xis xanother xname xfor xtraditional xChinese xmedicine.
d. The xbelief xthat xhealth xdepends xon xmaintaining xa xbalance xamong xopposite
x qualities xis xcharacteristic xof xa xmagicoreligious xbelief xsystem.
ANS: x B
Older xadults xin xmost xcultures xusually xhave xhad xexperience xwith xtraditional xmethods xthat
xhave xworked xas xwell xas xexpected. xAfter xthese xtreatments xfail, xolder xadults xturn xto xthe
xformal xhealth xcare xsystem. xEven xin xthe xUnited xStates, xit xis xcommon xfor xolder xadults xto
xpray xfor xcures xor xwonder xwhat xthey xdid xto xincur xan xillness xas xpunishment. xThe xAyurvedic
xsystem xis xa xnaturalistic xhealth xbelief xsystem xpracticed xin xIndia xand xin xsome xneighboring
xcountries. xThis xbelief xis xcharacteristic xof xa xholistic xor xnaturalistic xapproach.
PTS: x x 1 DIF: Understand REF: x x p. x16-17
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
2. Which xof xthe xfollowing xconsidU
eratiS
N R I G B.C M
onsNis m
Tost likO
ely xto xbe xtrue xwhen xworking xwith
xan xinterpreter?
a. An xinterpreter xis xnever xneeded xif xthe xnurse xspeaks xthe xsame xlanguage xas xthe xpatient.
b. When xworking xwith xinterpreters, xthe xnurse xcan xuse xtechnical xterms xor xmetaphors.
c. A xpatient‘s xyoung xgranddaughter xwho xspeaks xfluent xEnglish xwould xmake xthe xbest
interpreter xbecause xshe xis xfamiliar xwith xand xloves xthe xpatient.
d. The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter.
ANS: x D
The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter xis xa xtrue xstatement; xthe xintent xis
xto xconverse xwith xthe xpatient, xnot xwith xa xthird xparty xabout xthe xpatient. xMany xreasons xmay
xprevent xthe xpatient xfrom xspeaking xdirectly xto xa xnurse. xTechnical xterms xand xmetaphors xmay
xbe xdifficult xor ximpossible xto xtranslate. xCultural xrestrictions xmay xprevent xsome xtopics xfrom
xbeing xspoken xof xto xa xgrandparent xor xchild.
PTS: x x 1 DIF: x x Understand x x REF: x x p. x18-19
TOP: x Nursing xProcess: xImplementation x x x MSC: x Safe, xEffective xCare xEnvironment
3. An xolder xadult xwho xis xa xtraditional xChinese xman xhas xa xblood xpressure xof x80/54 xmm xHg xand
xrefuses xto xremain xin xthe xbed. xWhich xintervention xshould xthe xnurse xuse xto xpromote xand
maintain xhis xhealth?
x
a. Have xthe xhealth xcare xprovider xspeak xto xhim.
b. Use xprinciples xof xthe xholistic xhealth xsystem.
c. Ask xabout xhis xperceptions xand xtreatment xideas.
NURSINGTB.COM
, d. Consult xwith xa xpractitioner xof xChinese xmedicine.
ANS: x C
Using xthe xLEARN xmodel x(listen xwith xsympathy xto xthe xpatient‘s xperception xof xthe xproblem,
xexplain xyour xperception xof xthe xproblem, xacknowledge xthe xdifferences xand xsimilarities,
xrecommend xtreatment, xand xnegotiate xagreement), xthe xnurse xgathers xinformation xfrom xthe
xpatient xabout xcultural xbeliefs xconcerning xhealth xcare xand xavoids xstereotyping xthe xpatient. xIn
xthe xassessment, xthe xnurse xdetermines xwhat xthe xpatient xbelieves xabout xcaregiving, xdecision
xmaking, xtreatment, xand xother xpertinent xhealth-related xinformation. xSpeaking xwith xthe xhealth
xcare xprovider xis xpremature xuntil xthe xassessment xis xcomplete. xUnless xhe xaccepts xthe xbeliefs,
xprinciples xof xthe xholistic xhealth xsystem xcan xbe xpotentially xunsuitable xand xinsulting xfor xthis
xpatient. xUnless xhe xaccepts xthe xtreatments, xconsulting xwith xa xpractitioner xof xChinese
xmedicine xcan xalso xbe xunsuitable xand xinsulting xfor xthis xpatient.
PTS: x x 1 DIF: Apply REF: x x p. x18
TOP: x Nursing xProcess: xImplementation MSC: x Health xPromotion xand xMaintenance
4. Which xaction xshould xthe xnurse xtake xwhen xaddressing xolder xadults?
a. Speak xin xan xexaggerated xpitch.
b. Use xa xlower xquality xof xspeech.
c. Use xendearing xterms xsuch xas x―honey.‖
d. Speak xclearly.
ANS: x D
Some xhealth xprofessionals xdemonstrate xageism, xin xpart xbecause xproviders xtend xto xsee xmany
xfrail, xolder xpersons xand xfewer xof xthose xwho xare xhealthy xand xactive. xProviders xshould xnot
xassume xthat xall xolder xadults xare xhearing xor xmentally ximpaired. xThe xmost xappropriate xaction
when xaddressing xan xolder xaduNltUwRoS ulI
dNbeGtT
oB sp.eC
akOcM
learly. xExamples xof xunintentional
xageism xin xlanguage xare xan xexaggerated xpitch, xa xdemeaning xemotional xtone, xand xa xlower
xquality xof
speech.
PTS: x x 1 DIF: Apply REF: x x p. x15
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
5. The xnurse xprepares xan xolder xwoman, xwho xis xPolish, xfor xdischarge xthrough xan xinterpreter
xand xnotes xthat xshe xbecomes xtense xduring xthe xinstructions xabout xelimination. xWhich
xintervention xshould xthe xnurse ximplement?
a. Move xon xto xthe xdiscussion xabout xmedication.
b. Ask xthe xolder xwoman xhow xshe xfeels xabout xthis xtopic.
c. Instruct xthe xinterpreter xto xrepeat xthe xinstructions.
d. Have xthe xolder xwoman xrepeat xthe xinstructions xfor xclarity.
ANS: x B
When xworking xwith xan xinterpreter, xthe xnurse xclosely xwatches xthe xolder xadult xfor xnonverbal
xcommunication xand xemotion xregarding xa xspecific xtopic xand xtherefore xvalidates xthe
xassessment xabout xthe xolder xadult‘s xtension xbefore xproceeding. xBecause xthe xnurse xnotices xher
xtension, xthe xnurse xtemporarily xsuspends xthe xpreparation xto xvalidate xher xassessment. xIf xthe
xnurse xproceeds xand xthe xolder xadult xis xuncomfortable xdiscussing xelimination, xthen ximportant
xinstructions xcan xbe xmissed, xleading xto xadverse xeffects xfor xthe xolder xadult. xRepeating xthe
xinstructions xcan xaggravate xthe xolder xadult‘s xdiscomfort. xInstructing xthe xolder xadult xto xrepeat
xthe xnurse‘s xinstruction xignores xher xneeds.
NURSINGTB.COM
, PTS: x x 1 DIF: Apply REF: x x p. x18-19
TOP: x Communication xand xDocumentation
xMSC: x Safe, xEffective xCare xEnvironment
6. The xnurse xplans xcare xfor xan xolder xAfrican xAmerican xman xwho xis xfrom xJamaica xand xresides
in xNew xYork xCity. xWhich xshould xthe xnurse xinclude xin xplanning xcare?
x
a. Attribute xhis xillness xto xbreaking xa xvoodoo.
b. Help xhim ximprove xsocial xrelationships.
c. Maintain xblood xpressure xbelow x120/70 xmm xHg.
d. Review xthe xprinciples xof xthe xmagicoreligious xsystem.
ANS: x C
Because xAfrican xAmericans xtend xto xbe xat xrisk xfor xcardiovascular xdisease xand xhypertension,
xthe xnurse xplans xto xmaintain xthe xpatient‘s xblood xpressure xat xor xbelow xthe xcurrent
xrecommendation xby xthe xAmerican xHeart xAssociation. xThe xnurse xcan xbe xincorrectly
xassuming xthat xhe xpractices xand xbelieves xin xthe xmagicoreligious xsystem. xThe xnurse xshould
xassess xhis xspiritual xbeliefs xand xdetermine xhow xmuch xthey xinfluence xhis xattitudes xtoward
xWestern xhealth xcare. xThe xmagicoreligious xsystem xmaintains xsocial xrelationships xin xgood
xcondition xto xprevent xillness; xhowever, xif xthe xolder xadult xdoes xnot xfollow xthis xcultural
xpractice, xthen xthis xgoal xcan xbe xunsuitable. xThe xolder xadult xmay xnot xbelieve xin xthis xsystem;
xtherefore, xthe xinformation xcan xbe xirrelevant.
PTS: x 1 DIF: Apply REF: x p. x18-19 TOP: x Nursing xProcess:
xPlanning xMSC: x Safe, xEffective xCare xEnvironment
7. Which xhealth xbelief xsystem xuses xtreatments xto xrepair xa xbody xpart?
a. Holistic NURSINGTB.COM
b. Biomedical
c. Personalistic
d. Magicoreligious
ANS: x B
Because xdysfunction xor xa xstructural xabnormality xis xthought xto xcause xdisease, xthe xbiomedical
xsystem xbelieves xin xrepairing xthe xstructural xabnormality. xThe xholistic xsystem xholds xthat xhealth
xis xattained xthrough xbalance. xThe xpersonalistic xsystem xuses xtreatments xsuch xas xmeditation,
xfasting, xand xpraying. xThe xmagicoreligious xsystem xis xthe xsame xas xthe xpersonalistic xsystem.
PTS: x x 1 DIF: Understand REF: x x p. x17
TOP: x Nursing xProcess: xAssessment MSC: x Safe, xEffective xCare xEnvironment
8. A xnurse xis xcaring xfor xa xculturally xdiverse xpatient xwho xhas xmissed xfollow-up xappointments
xwith xthe xprimary xcare xprovider xthree xtimes xover xthe xpast xyear. xThe xpatient xhas xa xchronic
xillness xthat xrequires xperiodic xmonitoring xof xblood xtest xvalues. xThe xpatient xtells xthe xnurse:
x―You xdon‘t xunderstand—in xmy xculture, xwe xdon‘t xdo xthings xlike xthat. xI xcannot xbe xtroubled
xwith xworrying xabout xappointments xin xthe xfuture; xI xdeal xwith xeach xday xas xit xcomes.‖ xThe
xnurse xunderstands
which xof xthe xfollowing xabout xthe xpatient‘s xculture?
a. The xculture xdoes xnot xvalue xWestern xmedicine.
b. The xculture xhas xa xdifferent xorientation xto xtime xthan xWestern xmedicine.
c. The xculture xis xan xinterdependent xculture.
d. The xculture xdoes xnot xbelieve xin xpreventative xcare.
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