TEST BANK For Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition by Theris A. Touhy, and Kathleen F Jet, All Chapters 1 - 28, Complete Newest Version

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,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
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Edition


MULTIPLE CHOICE bh




1. A man is terminally ill with end-
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stage prostate cancer. Which is the best statement about this man’s wellness?
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a. Wellness can only be achieved with aggressive medical interventions. bh bh bh bh bh bh bh bh



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. bh bh bh bh bh bh bh



d. Nursing interventions can help empower a client to achieve a higher level of
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wellness. bh




ANS: D b h



Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
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hcan foster wellness in his or her clients. Wellness is defined by the individual and is multidi
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mensional. It is not just the absence of disease. A wellness perspective is based on the belief
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that every person has an optimal level of health independent of his or her situation or functio
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nal level. Even in the presence of chronic illness or while dying, a movement toward wellnes
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s is possible if emphasis of care is placed on the promotion of well-
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being in a supportive environment.
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PTS: b h 1 DIF: Apply REF: p. 7 b h bh



TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
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e

2. In differentiating between healU
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nd wNellnTess in hOealth care, which of the following bh bh
N R I G B.C M bh bh bh bh bh



bh statements is true? bh bh



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. bh bh bh bh bh bh bh




ANS: A b h



Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
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wellness, which involves one’s whole being. The concept of illness prevention was never co
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nsidered by previous generations; throughout history, basic self-
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care requirements have been recognized. Wellness and self-
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actualization develop through learning and growth— bh bh bh bh bh



as basic needs are met, higher level needs can be satisfied in turn, with ever-
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deepening richness to life. Wellness is possible when one’s health is compromised—
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even with chronic illness, with multiple disabilities, or in dying, movement toward a higher le
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vel of wellness is possible.
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PTS: b h 1 DIF: Understand REF: p. 7 b h bh



TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
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e

3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans bh



b. African Americans bh



c. Hispanic Americans bh



d. Asian and Pacific Island Americans bh bh bh bh




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Editio
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n


MULTIPLE CHOICE bh




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 by bh bh bh bh bh bh bh bh bh bh b



biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using traditional
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methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. bh bh bh bh bh bh bh bh



d. The belief that health depends on maintaining a balance among opposite qualities
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is characteristic of a magicoreligious belief system.
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ANS: B b h



Older adults in most cultures usually have had experience with traditional methods that have
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worked as well as expected. After these treatments fail, older adults turn to the formal health
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care system. Even in the United States, it is common for older adults to pray for cures or w
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onder what they did to incur an illness as punishment. The Ayurvedic system is a naturalisti
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c health belief system practiced in India and in some neighboring countries. This belief is c
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haracteristic of a holistic or naturalistic approach. bh bh bh bh bh bh




PTS: b h b h 1 DIF: Understand REF: p. 16-17 b h b h bh



TOP: b h Nursing Process: Assessment bh bh MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
ely to be true when working with a
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N R I G B .C M bh bh bh bh bh bh bh



n 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 best
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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: D b h



The nurse should face the patient rather than the interpreter is a true statement; the intent is t
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o converse with the patient, not with a third party about the patient. Many reasons may prev
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ent the patient from speaking directly to a nurse. Technical terms and metaphors may be diff
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icult or impossible to translate. Cultural restrictions may prevent some topics from being spok
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en of to a grandparent or child.
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PTS: b h b h 1 DIF: Understand b h b h b h b h REF: p. 18-19 b h b h bh



TOP: b h Nursing Process: Implementation bh bh b h b h MSC: 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 and re
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fuses to remain in the bed. Which intervention should the nurse use to promote and maintain h
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is health?
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a. Have the health care provider speak to him. bh bh bh bh bh bh bh



b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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d. Consult with a practitioner of Chinese medicine. bh bh bh bh bh bh




ANS: C b h



Using the LEARN model (listen with sympathy to the patient’s perception of the problem, e
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xplain your perception of the problem, acknowledge the differences and similarities, recom
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mend treatment, and negotiate agreement), the nurse gathers information from the patient ab
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out cultural beliefs concerning health care and avoids stereotyping the patient. In the assessme
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nt, the nurse determines what the patient believes about caregiving, decision making, treatmen
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t, and other pertinent health-
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related information. Speaking with the health care provider is premature until the assessment
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his complete. Unless he accepts the beliefs, principles of the holistic health system can be pot
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entially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
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hwith a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.
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PTS: b h b h 1 DIF: Apply REF: p. 18 b h b h bh



TOP: b h Nursing Process: Implementation bh bh MSC: Health Promotion and Maintenance
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4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. bh bh bh bh



b. Use a lower quality of speech. bh bh bh bh bh



c. Use endearing terms such as “honey.” bh bh bh bh bh



d. Speak clearly. bh




ANS: D b h



Some health professionals demonstrate ageism, in part because providers tend to see many fr
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ail, older persons and fewer of those who are healthy and active. Providers should not assu
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me 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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dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism
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in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.

PTS: b h b h 1 DIF: Apply REF: p. 15 b h b h bh



TOP: b h Nursing Process: Assessment bh bh MSC: Health Promotion and Maintenance
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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 interventio
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n should the nurse implement?
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a. Move on to the discussion about medication. bh bh bh bh bh bh



b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. bh bh bh bh bh bh



d. Have the older woman repeat the instructions for clarity.
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ANS: B b h



When working with an interpreter, the nurse closely watches the older adult for nonverbal co
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mmunication and emotion regarding a specific topic and therefore validates the assessment a
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bout the older adult’s tension before proceeding. Because the nurse notices her tension, the n
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urse temporarily suspends the preparation to validate her assessment. If the nurse proceeds a
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nd 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 aggravat
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e the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ign
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ores her needs. bh bh




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