,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th
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Edition
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MULTIPLE CHOICE nn
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about
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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. nn nn nn nn nn nn nn
d. Nursing interventions can help empower a client to achieve a higher
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level of wellness.
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ANS: n n 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 is
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based on the belief that every person has an optimal level of health independent of his
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or her situation or functional level. Even in the presence of chronic illness or while
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dying, a movement toward wellness is possible if emphasis of care is placed on the
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promotion of well-being in a supportive environment.
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PTS: 1 DIF: Apply
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Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between healU
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nd wNellnTess in hOealth care, which of the nn nn
N R I G B.C M nn nn nn nn
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. nn nn nn nn nn nn nn
ANS: n n 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 prevention
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was never considered by previous generations; throughout history, basic self-care
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requirements have been recognized. Wellness and self-actualization develop through
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learning and growth—as basic needs are met, higher level needs can be satisfied in
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turn, with ever-deepening richness to life. Wellness is possible when one‘s health is
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compromised—even with chronic illness, with multiple disabilities, or in dying,
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movement toward a higher level of wellness is possible.
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PTS: 1 DIF: Understand REF:
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Evaluation MSC: Health Promotion and Maintenance
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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 nn
b. African Americans nn
c. Hispanic Americans nn
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,d. Asian and Pacific Island Americans
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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 nn
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: n n 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 to
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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 some
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neighboring countries. This belief is characteristic of a holistic or naturalistic approach.
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PTS: n n n n 1 DIF: Understand REF: nn nn p. 16-17 nn
TOP: n n Nursing Process: Assessment nn nn MSC: n n 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 nn nn nn nn nn
nn 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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nn 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: n n 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 and
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metaphors may be difficult or impossible to translate. Cultural restrictions may prevent
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some topics from being spoken of to a grandparent or child.
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PTS: n n n n 1 DIF: Understand n n n n n n n n REF: nn nn p. 18-19 nn
TOP: n n Nursing Process: Implementation nn nn n n n n MSC: n n 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
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and refuses to remain in the bed. Which intervention should the nurse use to promote and
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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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