Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 5th Edition Touhy

TestBankEbersoleandHess’GerontologicalNursing&Healthy
b




Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
B B




28.

,Chapter 01: Introduction to Healthy Aging
B B B B B




Touhy &Jett: EbersoleandHess’Gerontological Nursing&HealthyAging,5th Edition
B B B B B B B B B B B B




MULTIPLE CHOICE B




1. Aman is terminallyill with end-stageprostate cancer. Which isthe best statement about this
B B B B B B B B B B B B B B B




man‘s wellness?
B B




a. Wellnesscan onlybeachieved with aggressive medical interventions. B B B B B B B B




b. Wellness is not a real option for this client because he is terminallyill.B B B B B B B B B B B B B




c. Wellness is defined as the absenceof disease. B B B B B B B




d. Nursinginterventionscan help empoweraclient to achieveahigher level of
B B B B B B B B B B B B




wellness. B




ANS: D B




Nursing interventions can help empower aclient to achieve a higher level of wellness; a nurse can
B B B B B B B B B B B B B B B B




foster wellness in his or her clients. Wellness is defined by the individual and is
B B B B B B B B B B B B B B B




multidimensional. It is not just the absence of disease. A wellness perspective is based on the
B B B B B B B B B B B B B B B B




belief that every person has an optimal level of health independent of his or her situation or
B B B B B B B B B B B B B B B B B




functional level. Even in the presence of chronic illness or while dying, a movement toward
B B B B B B B B B B B B B B B




wellness is possible if emphasis of care is placed on the promotion of well-being in a supportive
B B B B B B B B B B B B B B B B B




environment.
B




PTS: 1 DIF: Apply REF: p. 7 B TOP: Nursing Process: Diagnosis B B B




MSC: Health Promotion and Maintenance
B B B B B




2. In differentiating between healU
B th anSd w
NellnTess in hOealth care, which of thefollowing B B
N R I G B. C M B B B B B




statements is true?
B B B




a. Healthis a broad term encompassing attitudes and behaviors.
B B B B B B B B




b. Theconcept ofillnessprevention was never considered byprevious generations.
B B B B B B B B B B




c. Wellness and self-actualization develop through learning and growth. B B B B B B B




d. Wellness is impossible when one‘s health is compromised. B B B B B B B




ANS: A B




Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
B B B B B B B B B B B B




wellness, which involves one‘s whole being. The concept of illness prevention was never
B B B B B B B B B B B B B




considered by previous generations; throughout history, basic self-care requirements have been
B B B B B B B B B B B




recognized. Wellness and self-actualization develop through learning and growth—as basic
B B B B B B B B B B




needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
B B B B B B B B B B B B B B B B




Wellness is possible when one‘s health is compromised—even with chronic illness, with
B B B B B B B B B B B B




multipledisabilities, orin dying, movement toward ahigherlevel of wellness is possible.
B B B B B B B B B B B B B B




PTS: 1 DIF: Understand REF: p. 7 B TOP: Nursing Process: Evaluation B B B




MSC: Health Promotion and Maintenance
B B B B B




3. Whichracial or ethnic group has the highest lifeexpectancy in the United States?
B B B B B B B B B B B B B




a. NativeAmericans B




b. African Americans B




c. Hispanic Americans B




d. Asian and Pacific Island Americans B B B B




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank

Chapter 02: Cross-Cultural Caringand Aging
B B B B B




Touhy&Jett: EbersoleandHess’Gerontological Nursing&HealthyAging,5th Edition
B B B B B B B B B B B B




MULTIPLE CHOICE B




1. Which ofthe following is a true statement about differing health belief systems?
B B B B B B B B B B B B




a. Personalisticormagicoreligious beliefs havebeen supersededinWesternminds by B B B B B B B B B B




biomedical principles.
B B




b. In most cultures, olderadults arelikely to treat themselves using traditional
B B B B B B B B B B B




methods before turning to biomedical professionals.
B B B B B B




c. Ayurvedic medicine is anothernamefor traditional Chinesemedicine. B B B B B B B B




d. The belief that health depends on maintaining abalanceamong opposite qualities is
B B B B B B B B B B B B




characteristic of a magicoreligious belief system.
B B B B B B




ANS: B B




Olderadults in most culturesusually have had experience with traditional methodsthat have worked
B B B B B B B B B B B B B B




as well as expected. After these treatments fail,older adultsturn to theformal health care system.
B B B B B B B B B B B B B B B B B




Even in the United States, it is common for older adults to pray for cures or wonder what they did
B B B B B B B B B B B B B B B B B B B B




to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system
B B B B B B B B B B B B B B B




practiced in India and in some neighboring countries. This belief is characteristic of a holistic or
B B B B B B B B B B B B B B B B




naturalistic approach.
B B




PTS: 1 DIF: Understand REF: p. 16-17 B




TOP: Nursing Process: Assessment B B MSC: Health Promotion and Maintenance B B B B




2. Which of the following consideUratiS
B onsNis m
Tost likO
ely to be true when working with an
B B B
N R I G B.C M B B B B B B B




interpreter?
B




a. An interpreter is never needed ifthe nurse speaks the samelanguage as the patient.
B B B B B B B B B B B B B B




b. Whenworking withinterpreters, thenursecan use technical terms or metaphors.
B B B B B B B B B B B




c. Apatient‘s young granddaughter who speaks fluent English would makethe best
B B B B B B B B B B B




interpreter because she is familiar with and loves the patient.
B B B B B B B B B B




d. Thenurse should face the patient ratherthan the interpreter.
B B B B B B B B B




ANS: D B




The nurse should face the patient rather than the interpreter is a true statement; the intent is to
B B B B B B B B B B B B B B B B B




converse with the patient, not with a third party about the patient. Many reasons may prevent the
B B B B B B B B B B B B B B B B B




patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
B B B B B B B B B B B B B B B




impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
B B B B B B B B B B B B B B B




grandparent or child.
B B B




PTS: B B 1 DIF: Understand B B B B REF: p. 18-19 B B B




TOP: Nursing Process: Implementation B B MSC: Safe, Effective Care Environment B B B




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
B B B B B B B B B B B B B B B B B




refuses to remain in the bed. Which intervention should thenurse use to promote and maintain his
B B B B B B B B B B B B B B B B B




health?
B




a. Havethe health care providerspeak to him. B B B B B B B




b. Use principles of the holistic health system.
B B B B B B




c. Askabout his perceptions and treatment ideas.
B B B B B B




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank

d. Consult with apractitioner of Chinese medicine. B B B B B B




ANS: C B




Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
B B B B B B B B B B B B B




explain your perception of the problem, acknowledge the differences and similarities,
B B B B B B B B B B B




recommend treatment, and negotiate agreement), the nurse gathers information from the patient
B B B B B B B B B B B B




about cultural beliefs concerning health careand avoids stereotyping thepatient. In the assessment,
B B B B B B B B B B B B B B




the nursedetermines what thepatient believes about caregiving, decision making, treatment, and
B B B B B B B B B B B B B




other pertinent health-related information. Speaking with the health care provider is premature
B B B B B B B B B B B B




until the assessment is complete. Unless he accepts the beliefs, principles of the holistic health
B B B B B B B B B B B B B B B




system can be potentially unsuitable and insulting for this patient. Unless he accepts the
B B B B B B B B B B B B B B




treatments, consulting with a practitioner of Chinese medicine can also be unsuitable and
B B B B B B B B B B B B B




insulting for this patient.
B B B B




PTS: 1 DIF: Apply REF: p. 18 B




TOP: Nursing Process: Implementation B B MSC: Health Promotion and Maintenance B B B B




4. Which action should thenursetake when addressing older adults?
B B B B B B B B B




a. Speak in an exaggerated pitch. B B B B




b. Usealower quality of speech. B B B B B




c. Useendearingterms such as ―honey.‖
B B B B B




d. Speak clearly. B




ANS: D B




Some health professionals demonstrate ageism, in part because providers tend to see many
B B B B B B B B B B B B




frail, older persons and fewer of those who are healthy and active. Providers should not
B B B B B B B B B B B B B B B




assume that all older adults are hearing or mentally impaired. The most appropriate action
B B B B B B B B B B B B B




when addressing an older aduNltUwRoS
B B ulI
dNbeGtT
oBsp.
eaCkOcM
learly. Examples ofunintentional ageism in B B B n B B B B B




language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of speech.
B B B B B B B B B B B B B B B




PTS: 1 DIF: Apply REF: p. 15 B




TOP: Nursing Process: Assessment B B MSC: Health Promotion and Maintenance B B B B




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
B B B B B B B B B B B B B B




notes that she becomes tense during the instructions about elimination. Which intervention
B B B B B B B B B B B B




should the nurse implement?
B B B B




a. Move on to the discussion about medication. B B B B B B




b. Ask the older woman how she feels about this topic.
B B B B B B B B B




c. Instruct theinterpreter to repeat theinstructions. B B B B B B




d. Havethe older woman repeat the instructions forclarity.
B B B B B B B B




ANS: B B




When working with an interpreter, the nurse closely watches the older adult for nonverbal
B B B B B B B B B B B B B




communication and emotion regarding a specific topic and therefore validates the assessment
B B B B B B B B B B B B




about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
B B B B B B B B B B B B B B




nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds and
B B B B B B B B B B B B B B




the older adult is uncomfortable discussing elimination, thenimportant instructions can be missed,
B B B B B B B B B B B B B




leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
B B B B B B B B B B B B B B B




adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her needs.
B B B B B B B B B B B B B B




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