pp
p
p
p
TOUHY & JETT: EBERSOLE AND HESS’
p p p p p p
GERONTOLOGICAL NURSING & HEALT p p p
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HY AGING, 5TH EDITION. p p p p
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolo
p p p p p p p p p p p p
gical Nursing & Healthy Aging, 5th Edition
p p p p p p p
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MULTIPLEpCHOICEp
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1. Apmanpispterminallypillpwithpend-
stagepprostatepcancer.pWhichpispthepbestpstatementpaboutpthispman’spwellness?p
a. Wellnesspcanponlypbepachievedpwithpaggressivepmedicalpinterventions.p
b. Wellnesspispnotpaprealpoptionpforpthispclientpbecausephepispterminallypill.p
c. Wellnesspispdefinedpaspthepabsencepofpdisease.p
d. Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofpwellness.p
ANS:pDp
Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofpwellness;papnursep
canpfosterpwellnesspinphisporpherpclients.pWellnesspispdefinedpbypthepindividualpandpispmultidime
nsional.pItpispnotpjustpthepabsencepofpdisease.pApwellnesspperspectivepispbasedponpthepbeliefpthatpe
veryppersonphaspanpoptimalplevelpofphealthpindependentpofphisporpherpsituationporpfunctionalpleve
l.pEvenpinptheppresencepofpchronicpillnessporpwhilepdying,papmovementptowardpwellnesspisppossib
lepifpemphasispofpcarepispplacedponptheppromotionpofpwell-beingpinpapsupportivepenvironment.p
p
PTS:ppp1p DIF:pApplyp REF:pppp.p7p TOP:pNursingpProcess:pDiagnosisp
MSC:pHealthpPromotionpandpMaintenancep
N R I
2. Inpdifferentiatingpbetweenphe alUth aSnd wNe llTne ss i npOhe althpcare,pwhichpof
G B .C M
p thepfollowingpstatementspisptrue?p
a. Healthpispapbroadptermpencompassingpattitudespandpbehaviors.p
b. Thepconceptpofpillnessppreventionpwaspneverpconsideredpbyppreviouspgenerations.p
c. Wellnesspandpself-actualizationpdeveloppthroughplearningpandpgrowth.p
d. Wellnesspispimpossiblepwhenpone’sphealthpispcompromised.p
ANS:pAp
Healthpispapbroadptermpthatpencompassespattitudespandpbehaviors;pholistically,phealthpincludespw
ellness,pwhichpinvolvespone’spwholepbeing.pThepconceptpofpillnessppreventionpwaspneverpconsid
eredpbyppreviouspgenerations;pthroughoutphistory,pbasicpself-
careprequirementsphavepbeenprecognized.pWellnesspandpself-
actualizationpdeveloppthroughplearningpandpgrowth—
aspbasicpneedsparepmet,phigherplevelpneedspcanpbepsatisfiedpinpturn,pwithpever-
deepeningprichnessptoplife.pWellnesspisppossiblepwhenpone’sphealthpispcompromised—
p
NURSINGTB.COM p
, evenpwithpchronicpillness,pwithpmultiplepdisabilities,porpinpdying,pmovementptowardpaphigherplev
elpofpwellnesspisppossible.p
p
PTS:ppp1p DIF:pUnderstandp REF:pppp.p7p TOP:pNursingpProcess:pEvaluationp
MSC:pHealthpPromotionpandpMaintenancep
p
TOUHYp&pJETT:pEBERSOLEpANDpHESS’pGERONTOLOGICALpNURSINGp&pHEALTHYpAGING,p5THpEDITION.p
pp
3.pWhichpracialporpethnicpgroupphaspthephighestplifepexpectancypinpthepUnitedpStates?p
a. NativepAmericansp
b. AfricanpAmericansp
c. HispanicpAmericansp
d. AsianpandpPacificpIslandpAmericansp
p
NURSINGTB.COM p
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBankp
Chapter 02: Cross-
p p
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
p p p p p p p p p p p p
Healthy Aging, 5th Edition
p p p p p p
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MULTIPLEpCHOICEp
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1. Whichpofpthepfollowingpispaptruepstatementpaboutpdifferingphealthpbeliefpsystems?p
a. PersonalisticporpmagicoreligiouspbeliefsphavepbeenpsupersededpinpWesternpmindspby
pbiomedicalpprinciples.p
b. Inpmostpcultures,polderpadultspareplikelyptoptreatpthemselvespusingptraditionalpmetho
dspbeforepturningptopbiomedicalpprofessionals.p
c. AyurvedicpmedicinepispanotherpnamepforptraditionalpChinesepmedicine.p
d. Thepbeliefpthatphealthpdependsponpmaintainingpapbalancepamongpoppositepqualitiespi
spcharacteristicpofpapmagicoreligiouspbeliefpsystem.p
ANS:pBp
Olderpadultspinpmostpculturespusuallyphavephadpexperiencepwithptraditionalpmethodspthatphavepw
orkedpaspwellpaspexpected.pAfterptheseptreatmentspfail,polderpadultspturnptopthepformalphealthpcare
psystem.pEvenpinpthepUnitedpStates,pitpispcommonpforpolderpadultsptoppraypforpcuresporpwonderpw
hatptheypdidptopincurpanpillnesspasppunishment.pThepAyurvedicpsystempispapnaturalisticphealthpbel
iefpsystemppracticedpinpIndiapandpinpsomepneighboringpcountries.pThispbeliefpispcharacteristicpofp
apholisticporpnaturalisticpapproach.p
p
PTS:ppp1pDIF:pUnderstandpREF:pp.p16-
17pTOP:pNursingpProcess:pAssessmentpMSC:pHealthpPromotionpandpMaintenancep
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2. Whichpofpthepfollowingpconsi dUer atSio nsNis mTo s tpl ikOel yptopbeptruepwhenp
M
workingpwithpanpinterpreter?p
a. Anpinterpreterpispneverpneededpifpthepnursepspeakspthepsameplanguagepasptheppatient.p
b. Whenpworkingpwithpinterpreters,pthepnursepcanpuseptechnicalptermsporpmetaphors.p
c. Appatient’spyoungpgranddaughterpwhopspeakspfluentpEnglishpwouldpmakepthepbestpi
nterpreterpbecausepshepispfamiliarpwithpandplovesptheppatient.p
d. Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreter.p
ANS:pDp
Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreterpispaptruepstatement;pthepintentpisptopc
onversepwithptheppatient,pnotpwithpapthirdppartypaboutptheppatient.pManypreasonspmayppreventpthe
ppatientpfrompspeakingpdirectlyptopapnurse.pTechnicalptermspandpmetaphorspmaypbepdifficultporpi
mpossibleptoptranslate.pCulturalprestrictionspmayppreventpsomeptopicspfrompbeingpspokenpofptopap
grandparentporpchild.p
p
PTS:ppp1p DIF:pppUnderstandppppREF:pppp.p18-19p
TOP:pNursingpProcess:pImplementationppppMSC:pSafe,pEffectivepCarepEnvironmentp
p
3. AnpolderpadultpwhopispaptraditionalpChinesepmanphaspapbloodppressurepofp80/54pmmpHgpandprefus
esptopremainpinpthepbed.pWhichpinterventionpshouldpthepnursepuseptoppromotepandpmaintainphisph
ealth?p
a. Havepthephealthpcarepproviderpspeakptophim.p
b. Usepprinciplespofpthepholisticphealthpsystem.p
c. Askpaboutphispperceptionspandptreatmentpideas.p
p
NURSINGTB.COM p
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBankp
d. ConsultpwithpappractitionerpofpChinesepmedicine.p
ANS:pCp
UsingpthepLEARNpmodelp(listenpwithpsympathyptoptheppatient’spperceptionpofpthepproblem,pexpl
ainpyourpperceptionpofpthepproblem,packnowledgepthepdifferencespandpsimilarities,precommendpt
reatment,pandpnegotiatepagreement),pthepnursepgatherspinformationpfromptheppatientpaboutpcultur
alpbeliefspconcerningphealthpcarepandpavoidspstereotypingptheppatient.pInpthepassessment,pthepnurs
epdeterminespwhatptheppatientpbelievespaboutpcaregiving,pdecisionpmaking,ptreatment,pandpotherp
pertinentphealth-
relatedpinformation.pSpeakingpwithpthephealthpcarepproviderpispprematurepuntilpthepassessmentpisp
complete.pUnlessphepacceptspthepbeliefs,pprinciplespofpthepholisticphealthpsystempcanpbeppotential
lypunsuitablepandpinsultingpforpthisppatient.pUnlessphepacceptsptheptreatments,pconsultingpwithpapp
ractitionerpofpChinesepmedicinepcanpalsopbepunsuitablepandpinsultingpforpthisppatient.p
p
PTS:ppp1p DIF:pApplyp REF:pp.p18p
TOP:pNursingpProcess:pImplementationp MSC:pHealthpPromotionpandpMaintenancep
p
4. Whichpactionpshouldpthepnurseptakepwhenpaddressingpolderpadults?p
a. Speakpinpanpexaggeratedppitch.p
b. Usepaplowerpqualitypofpspeech.p
c. Usependearingptermspsuchpasp“honey.”p
d. Speakpclearly.p
ANS:pDp
Somephealthpprofessionalspdemonstratepageism,pinppartpbecausepprovidersptendptopseepmanypfrail
,polderppersonspandpfewerpofpthosepwhoparephealthypandpactive.pProviderspshouldpnotpassumepthat
pallpolderpadultsparephearingporpmentallypimpaired.pThepmostpappropriatepactionpwhenpaddressing
panpolderpaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.pExamplespofpunintentionalpage
ismpinplanguageparepanpexaggeratedppitch,papdemeaningpemotionalptone,pandpaplowerpqualitypofps
peech.p
p
PTS:ppp1p DIF:pApplyp REF:pp.p15p
TOP:pNursingpProcess:pAssessmentp MSC:pHealthpPromotionpandpMaintenancep
p
5. Thepnurseppreparespanpolderpwoman,pwhopispPolish,pforpdischargepthroughpanpinterpreterpandpnot
espthatpshepbecomesptensepduringpthepinstructionspaboutpelimination.pWhichpinterventionpshouldp
thepnursepimplement?p
a. Moveponptopthepdiscussionpaboutpmedication.p
b. Askpthepolderpwomanphowpshepfeelspaboutpthisptopic.p
c. Instructpthepinterpreterptoprepeatpthepinstructions.p
d. Havepthepolderpwomanprepeatpthepinstructionspforpclarity.p
ANS:pBp
Whenpworkingpwithpanpinterpreter,pthepnursepcloselypwatchespthepolderpadultpforpnonverbalpcom
municationpandpemotionpregardingpapspecificptopicpandpthereforepvalidatespthepassessmentpabout
pthepolderpadult’sptensionpbeforepproceeding.pBecausepthepnursepnoticespherptension,pthepnursepte
mporarilypsuspendsptheppreparationptopvalidatepherpassessment.pIfpthepnursepproceedspandpthepold
erpadultpispuncomfortablepdiscussingpelimination,pthenpimportantpinstructionspcanpbepmissed,plea
p
NURSINGTB.COM p
p
p
p
TOUHY & JETT: EBERSOLE AND HESS’
p p p p p p
GERONTOLOGICAL NURSING & HEALT p p p
p
HY AGING, 5TH EDITION. p p p p
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolo
p p p p p p p p p p p p
gical Nursing & Healthy Aging, 5th Edition
p p p p p p p
p
p p
MULTIPLEpCHOICEp
p
1. Apmanpispterminallypillpwithpend-
stagepprostatepcancer.pWhichpispthepbestpstatementpaboutpthispman’spwellness?p
a. Wellnesspcanponlypbepachievedpwithpaggressivepmedicalpinterventions.p
b. Wellnesspispnotpaprealpoptionpforpthispclientpbecausephepispterminallypill.p
c. Wellnesspispdefinedpaspthepabsencepofpdisease.p
d. Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofpwellness.p
ANS:pDp
Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofpwellness;papnursep
canpfosterpwellnesspinphisporpherpclients.pWellnesspispdefinedpbypthepindividualpandpispmultidime
nsional.pItpispnotpjustpthepabsencepofpdisease.pApwellnesspperspectivepispbasedponpthepbeliefpthatpe
veryppersonphaspanpoptimalplevelpofphealthpindependentpofphisporpherpsituationporpfunctionalpleve
l.pEvenpinptheppresencepofpchronicpillnessporpwhilepdying,papmovementptowardpwellnesspisppossib
lepifpemphasispofpcarepispplacedponptheppromotionpofpwell-beingpinpapsupportivepenvironment.p
p
PTS:ppp1p DIF:pApplyp REF:pppp.p7p TOP:pNursingpProcess:pDiagnosisp
MSC:pHealthpPromotionpandpMaintenancep
N R I
2. Inpdifferentiatingpbetweenphe alUth aSnd wNe llTne ss i npOhe althpcare,pwhichpof
G B .C M
p thepfollowingpstatementspisptrue?p
a. Healthpispapbroadptermpencompassingpattitudespandpbehaviors.p
b. Thepconceptpofpillnessppreventionpwaspneverpconsideredpbyppreviouspgenerations.p
c. Wellnesspandpself-actualizationpdeveloppthroughplearningpandpgrowth.p
d. Wellnesspispimpossiblepwhenpone’sphealthpispcompromised.p
ANS:pAp
Healthpispapbroadptermpthatpencompassespattitudespandpbehaviors;pholistically,phealthpincludespw
ellness,pwhichpinvolvespone’spwholepbeing.pThepconceptpofpillnessppreventionpwaspneverpconsid
eredpbyppreviouspgenerations;pthroughoutphistory,pbasicpself-
careprequirementsphavepbeenprecognized.pWellnesspandpself-
actualizationpdeveloppthroughplearningpandpgrowth—
aspbasicpneedsparepmet,phigherplevelpneedspcanpbepsatisfiedpinpturn,pwithpever-
deepeningprichnessptoplife.pWellnesspisppossiblepwhenpone’sphealthpispcompromised—
p
NURSINGTB.COM p
, evenpwithpchronicpillness,pwithpmultiplepdisabilities,porpinpdying,pmovementptowardpaphigherplev
elpofpwellnesspisppossible.p
p
PTS:ppp1p DIF:pUnderstandp REF:pppp.p7p TOP:pNursingpProcess:pEvaluationp
MSC:pHealthpPromotionpandpMaintenancep
p
TOUHYp&pJETT:pEBERSOLEpANDpHESS’pGERONTOLOGICALpNURSINGp&pHEALTHYpAGING,p5THpEDITION.p
pp
3.pWhichpracialporpethnicpgroupphaspthephighestplifepexpectancypinpthepUnitedpStates?p
a. NativepAmericansp
b. AfricanpAmericansp
c. HispanicpAmericansp
d. AsianpandpPacificpIslandpAmericansp
p
NURSINGTB.COM p
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBankp
Chapter 02: Cross-
p p
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
p p p p p p p p p p p p
Healthy Aging, 5th Edition
p p p p p p
p
MULTIPLEpCHOICEp
p
1. Whichpofpthepfollowingpispaptruepstatementpaboutpdifferingphealthpbeliefpsystems?p
a. PersonalisticporpmagicoreligiouspbeliefsphavepbeenpsupersededpinpWesternpmindspby
pbiomedicalpprinciples.p
b. Inpmostpcultures,polderpadultspareplikelyptoptreatpthemselvespusingptraditionalpmetho
dspbeforepturningptopbiomedicalpprofessionals.p
c. AyurvedicpmedicinepispanotherpnamepforptraditionalpChinesepmedicine.p
d. Thepbeliefpthatphealthpdependsponpmaintainingpapbalancepamongpoppositepqualitiespi
spcharacteristicpofpapmagicoreligiouspbeliefpsystem.p
ANS:pBp
Olderpadultspinpmostpculturespusuallyphavephadpexperiencepwithptraditionalpmethodspthatphavepw
orkedpaspwellpaspexpected.pAfterptheseptreatmentspfail,polderpadultspturnptopthepformalphealthpcare
psystem.pEvenpinpthepUnitedpStates,pitpispcommonpforpolderpadultsptoppraypforpcuresporpwonderpw
hatptheypdidptopincurpanpillnesspasppunishment.pThepAyurvedicpsystempispapnaturalisticphealthpbel
iefpsystemppracticedpinpIndiapandpinpsomepneighboringpcountries.pThispbeliefpispcharacteristicpofp
apholisticporpnaturalisticpapproach.p
p
PTS:ppp1pDIF:pUnderstandpREF:pp.p16-
17pTOP:pNursingpProcess:pAssessmentpMSC:pHealthpPromotionpandpMaintenancep
N R I G B. C
2. Whichpofpthepfollowingpconsi dUer atSio nsNis mTo s tpl ikOel yptopbeptruepwhenp
M
workingpwithpanpinterpreter?p
a. Anpinterpreterpispneverpneededpifpthepnursepspeakspthepsameplanguagepasptheppatient.p
b. Whenpworkingpwithpinterpreters,pthepnursepcanpuseptechnicalptermsporpmetaphors.p
c. Appatient’spyoungpgranddaughterpwhopspeakspfluentpEnglishpwouldpmakepthepbestpi
nterpreterpbecausepshepispfamiliarpwithpandplovesptheppatient.p
d. Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreter.p
ANS:pDp
Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreterpispaptruepstatement;pthepintentpisptopc
onversepwithptheppatient,pnotpwithpapthirdppartypaboutptheppatient.pManypreasonspmayppreventpthe
ppatientpfrompspeakingpdirectlyptopapnurse.pTechnicalptermspandpmetaphorspmaypbepdifficultporpi
mpossibleptoptranslate.pCulturalprestrictionspmayppreventpsomeptopicspfrompbeingpspokenpofptopap
grandparentporpchild.p
p
PTS:ppp1p DIF:pppUnderstandppppREF:pppp.p18-19p
TOP:pNursingpProcess:pImplementationppppMSC:pSafe,pEffectivepCarepEnvironmentp
p
3. AnpolderpadultpwhopispaptraditionalpChinesepmanphaspapbloodppressurepofp80/54pmmpHgpandprefus
esptopremainpinpthepbed.pWhichpinterventionpshouldpthepnursepuseptoppromotepandpmaintainphisph
ealth?p
a. Havepthephealthpcarepproviderpspeakptophim.p
b. Usepprinciplespofpthepholisticphealthpsystem.p
c. Askpaboutphispperceptionspandptreatmentpideas.p
p
NURSINGTB.COM p
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBankp
d. ConsultpwithpappractitionerpofpChinesepmedicine.p
ANS:pCp
UsingpthepLEARNpmodelp(listenpwithpsympathyptoptheppatient’spperceptionpofpthepproblem,pexpl
ainpyourpperceptionpofpthepproblem,packnowledgepthepdifferencespandpsimilarities,precommendpt
reatment,pandpnegotiatepagreement),pthepnursepgatherspinformationpfromptheppatientpaboutpcultur
alpbeliefspconcerningphealthpcarepandpavoidspstereotypingptheppatient.pInpthepassessment,pthepnurs
epdeterminespwhatptheppatientpbelievespaboutpcaregiving,pdecisionpmaking,ptreatment,pandpotherp
pertinentphealth-
relatedpinformation.pSpeakingpwithpthephealthpcarepproviderpispprematurepuntilpthepassessmentpisp
complete.pUnlessphepacceptspthepbeliefs,pprinciplespofpthepholisticphealthpsystempcanpbeppotential
lypunsuitablepandpinsultingpforpthisppatient.pUnlessphepacceptsptheptreatments,pconsultingpwithpapp
ractitionerpofpChinesepmedicinepcanpalsopbepunsuitablepandpinsultingpforpthisppatient.p
p
PTS:ppp1p DIF:pApplyp REF:pp.p18p
TOP:pNursingpProcess:pImplementationp MSC:pHealthpPromotionpandpMaintenancep
p
4. Whichpactionpshouldpthepnurseptakepwhenpaddressingpolderpadults?p
a. Speakpinpanpexaggeratedppitch.p
b. Usepaplowerpqualitypofpspeech.p
c. Usependearingptermspsuchpasp“honey.”p
d. Speakpclearly.p
ANS:pDp
Somephealthpprofessionalspdemonstratepageism,pinppartpbecausepprovidersptendptopseepmanypfrail
,polderppersonspandpfewerpofpthosepwhoparephealthypandpactive.pProviderspshouldpnotpassumepthat
pallpolderpadultsparephearingporpmentallypimpaired.pThepmostpappropriatepactionpwhenpaddressing
panpolderpaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.pExamplespofpunintentionalpage
ismpinplanguageparepanpexaggeratedppitch,papdemeaningpemotionalptone,pandpaplowerpqualitypofps
peech.p
p
PTS:ppp1p DIF:pApplyp REF:pp.p15p
TOP:pNursingpProcess:pAssessmentp MSC:pHealthpPromotionpandpMaintenancep
p
5. Thepnurseppreparespanpolderpwoman,pwhopispPolish,pforpdischargepthroughpanpinterpreterpandpnot
espthatpshepbecomesptensepduringpthepinstructionspaboutpelimination.pWhichpinterventionpshouldp
thepnursepimplement?p
a. Moveponptopthepdiscussionpaboutpmedication.p
b. Askpthepolderpwomanphowpshepfeelspaboutpthisptopic.p
c. Instructpthepinterpreterptoprepeatpthepinstructions.p
d. Havepthepolderpwomanprepeatpthepinstructionspforpclarity.p
ANS:pBp
Whenpworkingpwithpanpinterpreter,pthepnursepcloselypwatchespthepolderpadultpforpnonverbalpcom
municationpandpemotionpregardingpapspecificptopicpandpthereforepvalidatespthepassessmentpabout
pthepolderpadult’sptensionpbeforepproceeding.pBecausepthepnursepnoticespherptension,pthepnursepte
mporarilypsuspendsptheppreparationptopvalidatepherpassessment.pIfpthepnursepproceedspandpthepold
erpadultpispuncomfortablepdiscussingpelimination,pthenpimportantpinstructionspcanpbepmissed,plea
p
NURSINGTB.COM p
