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