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