Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
ff ff ff ff ff ff ff ff
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
ff f f
f f
ff ff ff ff ff ff ff ff
Chapter 1-28. ff ff
,Chapter 01: Introduction to Healthy Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
ff ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
man‘s wellness?
ff ff
a. Wellness can only be achieved with aggressive medical interventions. ff ff ff ff ff ff ff ff
b. Wellness is not a real option for this client because he is terminally ill. ff ff ff ff ff ff ff ff ff ff ff ff ff
c. Wellness is defined as the absence of disease. ff ff ff ff ff ff ff
d. Nursing interventions can help empower a client to achieve a higher level of ff ff ff ff ff ff ff ff ff ff ff ff
wellness. ff
ANS: f f D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
can foster wellness in his or her clients. Wellness is defined by the individual and is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
belief that every person has an optimal level of health independent of his or her situation or
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
functional level. Even in the presence of chronic illness or while dying, a movement toward
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
wellness is possible if emphasis of care is placed on the promotion of well-being in a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
supportive environment.
ff ff
PTS: 1 DIF: Apply REF: p. 7
f f f f ff TOP: f f Nursing Process: ff
Diagnosis MSC: Health Promotion and Maintenance
ff ff f f ff ff ff
2. In differentiating between healU
ff th aS
nd wNellnTess in hOealth care, which of the following ff ff
N R I G B.C M ff ff ff ff ff
statements is true?
ff ff ff
a. Health is a broad term encompassing attitudes and behaviors. ff ff ff ff ff ff ff ff
b. The concept of illness prevention was never considered by previous generations.
ff ff ff ff ff ff ff ff ff ff
c. Wellness and self-actualization develop through learning and growth. ff ff ff ff ff ff ff
d. Wellness is impossible when one‘s health is compromised. ff ff ff ff ff ff ff
ANS: f f A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
ff ff ff ff ff ff ff ff ff ff ff ff
wellness, which involves one‘s whole being. The concept of illness prevention was never
ff ff ff ff ff ff ff ff ff ff ff ff ff
considered by previous generations; throughout history, basic self-care requirements have
ff ff ff ff ff ff ff ff ff ff
been recognized. Wellness and self-actualization develop through learning and growth—as
ff ff ff ff ff ff ff ff ff ff
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
ff ff ff ff ff ff ff ff ff ff ff ff ff
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
PTS: 1 DIF: Understand REF: p. 7
f f f f ff TOP: f f Nursing Process: ff
Evaluation MSC: Health Promotion and Maintenance
ff ff f f ff ff ff
3. Which racial or ethnic group has the highest life expectancy in the United States?
ff ff ff ff ff ff ff ff ff ff ff ff ff
a. Native Americans ff
b. African Americans ff
c. Hispanic Americans ff
d. Asian and Pacific Island Americans ff ff ff ff
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
ff ff ff ff ff ff ff ff ff ff ff ff
Chapter 02: Cross-Cultural Caring and Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
ff ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. Which of the following is a true statement about differing health belief systems?
ff ff ff ff ff ff ff ff ff ff ff ff
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by ff ff ff ff ff ff ff ff ff ff
biomedical principles.
ff ff
b. In most cultures, older adults are likely to treat themselves using traditional
ff ff ff ff ff ff ff ff ff ff ff
methods before turning to biomedical professionals.
ff ff ff ff ff ff
c. Ayurvedic medicine is another name for traditional Chinese medicine. ff ff ff ff ff ff ff ff
d. The belief that health depends on maintaining a balance among opposite qualities is
ff ff ff ff ff ff ff ff ff ff ff ff
characteristic of a magicoreligious belief system.
ff ff ff ff ff ff
ANS: f f B
Older adults in most cultures usually have had experience with traditional methods that have
ff ff ff ff ff ff ff ff ff ff ff ff ff
worked as well as expected. After these treatments fail, older adults turn to the formal health
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
care system. Even in the United States, it is common for older adults to pray for cures or
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
naturalistic health belief system practiced in India and in some neighboring countries. This
ff ff ff ff ff ff ff ff ff ff ff ff ff
belief is characteristic of a holistic or naturalistic approach.
ff ff ff ff ff ff ff ff ff
PTS: f f f f 1 DIF: Understand REF: p. 16-17 f f f f ff
TOP: f f Nursing Process: Assessment ff ff MSC: Health Promotion and Maintenance f f ff ff ff
2. Which of the following consideUratiS
onsNis m
Tost likO
ely to be true when working with an
ff ff ff ff
N R I G B. C M ff ff ff ff ff ff ff
interpreter?
ff
a. An interpreter is never needed if the nurse speaks the same language as the patient.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
b. When working with interpreters, the nurse can use technical terms or metaphors.ff ff ff ff ff ff ff ff ff ff ff
c. A patient‘s young granddaughter who speaks fluent English would make the best
ff ff ff ff ff ff ff ff ff ff ff
interpreter because she is familiar with and loves the patient.
ff ff ff ff ff ff ff ff ff ff
d. The nurse should face the patient rather than the interpreter.
ff ff ff ff ff ff ff ff ff
ANS: f f D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
converse with the patient, not with a third party about the patient. Many reasons may prevent
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
to a grandparent or child.
ff ff ff ff ff
PTS: f f f f 1 DIF: Understand f f f f f f f f REF: f f f f p. 18-19 ff
TOP: f f Nursing Process: Implementation ff ff f f f f MSC: f f Safe, Effective Care Environment ff ff ff
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
his health?
ff ff
a. Have the health care provider speak to him. ff ff ff ff ff ff ff
b. Use principles of the holistic health system. ff ff ff ff ff ff
c. Ask about his perceptions and treatment ideas. ff ff ff ff ff ff
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
ff ff ff ff ff ff ff ff ff ff ff ff
d. Consult with a practitioner of Chinese medicine. ff ff ff ff ff ff
ANS: f f C
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
ff ff ff ff ff ff ff ff ff ff ff ff ff
explain your perception of the problem, acknowledge the differences and similarities,
ff ff ff ff ff ff ff ff ff ff ff
recommend treatment, and negotiate agreement), the nurse gathers information from the
ff ff ff ff ff ff ff ff ff ff ff
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
assessment, the nurse determines what the patient believes about caregiving, decision making,
ff ff ff ff ff ff ff ff ff ff ff ff
treatment, and other pertinent health-related information. Speaking with the health care
ff ff ff ff ff ff ff ff ff ff ff
provider is premature until the assessment is complete. Unless he accepts the beliefs,
ff ff ff ff ff ff ff ff ff ff ff ff ff
principles of the holistic health system can be potentially unsuitable and insulting for this
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
ff ff ff ff ff ff ff ff ff ff ff ff ff
can also be unsuitable and insulting for this patient.
ff ff ff ff ff ff ff ff ff
PTS: f f f f 1 DIF: Apply REF: p. 18 f f f f ff
TOP: f f Nursing Process: Implementation MSC: Health Promotion and Maintenance ff ff f f ff ff ff
4. Which action should the nurse take when addressing older adults?
ff ff ff ff ff ff ff ff ff
a. Speak in an exaggerated pitch. ff ff ff ff
b. Use a lower quality of speech. ff ff ff ff ff
c. Use endearing terms such as ―honey.‖ ff ff ff ff ff
d. Speak clearly. ff
ANS: f f D
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
ff ff ff ff ff ff ff ff ff ff ff ff ff
older persons and fewer of those who are healthy and active. Providers should not assume
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
that all older adults are hearing or mentally impaired. The most appropriate action
ff ff ff ff ff ff ff ff ff ff ff ff ff
when addressing an older aduNltUwRoS
ff ulI
dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism ff ff ff f ff ff ff ff
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
f ff ff ff ff ff ff ff ff ff ff ff ff ff ff
speech.
PTS: f f f f 1 DIF: Apply REF: p. 15 f f f f ff
TOP: f f Nursing Process: Assessment ff ff MSC: Health Promotion and Maintenance f f ff ff ff
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
notes that she becomes tense during the instructions about elimination. Which intervention
ff ff ff ff ff ff ff ff ff ff ff ff
should the nurse implement?
ff ff ff ff
a. Move on to the discussion about medication. ff ff ff ff ff ff
b. Ask the older woman how she feels about this topic.
ff ff ff ff ff ff ff ff ff
c. Instruct the interpreter to repeat the instructions. ff ff ff ff ff ff
d. Have the older woman repeat the instructions for clarity. ff ff ff ff ff ff ff ff
ANS: f f B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
ff ff ff ff ff ff ff ff ff ff ff ff ff
communication and emotion regarding a specific topic and therefore validates the assessment
ff ff ff ff ff ff ff ff ff ff ff ff
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
ff ff ff ff ff ff ff ff ff ff ff ff ff
and the older adult is uncomfortable discussing elimination, then important instructions can be
ff ff ff ff ff ff ff ff ff ff ff ff ff
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction
ff ff ff ff ff ff ff ff ff ff ff ff ff
ignores her needs.
ff ff ff
NURSINGTB.COM
ff ff ff ff ff ff ff ff
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
ff f f
f f
ff ff ff ff ff ff ff ff
Chapter 1-28. ff ff
,Chapter 01: Introduction to Healthy Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
ff ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
man‘s wellness?
ff ff
a. Wellness can only be achieved with aggressive medical interventions. ff ff ff ff ff ff ff ff
b. Wellness is not a real option for this client because he is terminally ill. ff ff ff ff ff ff ff ff ff ff ff ff ff
c. Wellness is defined as the absence of disease. ff ff ff ff ff ff ff
d. Nursing interventions can help empower a client to achieve a higher level of ff ff ff ff ff ff ff ff ff ff ff ff
wellness. ff
ANS: f f D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
can foster wellness in his or her clients. Wellness is defined by the individual and is
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
belief that every person has an optimal level of health independent of his or her situation or
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
functional level. Even in the presence of chronic illness or while dying, a movement toward
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
wellness is possible if emphasis of care is placed on the promotion of well-being in a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
supportive environment.
ff ff
PTS: 1 DIF: Apply REF: p. 7
f f f f ff TOP: f f Nursing Process: ff
Diagnosis MSC: Health Promotion and Maintenance
ff ff f f ff ff ff
2. In differentiating between healU
ff th aS
nd wNellnTess in hOealth care, which of the following ff ff
N R I G B.C M ff ff ff ff ff
statements is true?
ff ff ff
a. Health is a broad term encompassing attitudes and behaviors. ff ff ff ff ff ff ff ff
b. The concept of illness prevention was never considered by previous generations.
ff ff ff ff ff ff ff ff ff ff
c. Wellness and self-actualization develop through learning and growth. ff ff ff ff ff ff ff
d. Wellness is impossible when one‘s health is compromised. ff ff ff ff ff ff ff
ANS: f f A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
ff ff ff ff ff ff ff ff ff ff ff ff
wellness, which involves one‘s whole being. The concept of illness prevention was never
ff ff ff ff ff ff ff ff ff ff ff ff ff
considered by previous generations; throughout history, basic self-care requirements have
ff ff ff ff ff ff ff ff ff ff
been recognized. Wellness and self-actualization develop through learning and growth—as
ff ff ff ff ff ff ff ff ff ff
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
ff ff ff ff ff ff ff ff ff ff ff ff ff
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
PTS: 1 DIF: Understand REF: p. 7
f f f f ff TOP: f f Nursing Process: ff
Evaluation MSC: Health Promotion and Maintenance
ff ff f f ff ff ff
3. Which racial or ethnic group has the highest life expectancy in the United States?
ff ff ff ff ff ff ff ff ff ff ff ff ff
a. Native Americans ff
b. African Americans ff
c. Hispanic Americans ff
d. Asian and Pacific Island Americans ff ff ff ff
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
ff ff ff ff ff ff ff ff ff ff ff ff
Chapter 02: Cross-Cultural Caring and Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
ff ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. Which of the following is a true statement about differing health belief systems?
ff ff ff ff ff ff ff ff ff ff ff ff
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by ff ff ff ff ff ff ff ff ff ff
biomedical principles.
ff ff
b. In most cultures, older adults are likely to treat themselves using traditional
ff ff ff ff ff ff ff ff ff ff ff
methods before turning to biomedical professionals.
ff ff ff ff ff ff
c. Ayurvedic medicine is another name for traditional Chinese medicine. ff ff ff ff ff ff ff ff
d. The belief that health depends on maintaining a balance among opposite qualities is
ff ff ff ff ff ff ff ff ff ff ff ff
characteristic of a magicoreligious belief system.
ff ff ff ff ff ff
ANS: f f B
Older adults in most cultures usually have had experience with traditional methods that have
ff ff ff ff ff ff ff ff ff ff ff ff ff
worked as well as expected. After these treatments fail, older adults turn to the formal health
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
care system. Even in the United States, it is common for older adults to pray for cures or
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
naturalistic health belief system practiced in India and in some neighboring countries. This
ff ff ff ff ff ff ff ff ff ff ff ff ff
belief is characteristic of a holistic or naturalistic approach.
ff ff ff ff ff ff ff ff ff
PTS: f f f f 1 DIF: Understand REF: p. 16-17 f f f f ff
TOP: f f Nursing Process: Assessment ff ff MSC: Health Promotion and Maintenance f f ff ff ff
2. Which of the following consideUratiS
onsNis m
Tost likO
ely to be true when working with an
ff ff ff ff
N R I G B. C M ff ff ff ff ff ff ff
interpreter?
ff
a. An interpreter is never needed if the nurse speaks the same language as the patient.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
b. When working with interpreters, the nurse can use technical terms or metaphors.ff ff ff ff ff ff ff ff ff ff ff
c. A patient‘s young granddaughter who speaks fluent English would make the best
ff ff ff ff ff ff ff ff ff ff ff
interpreter because she is familiar with and loves the patient.
ff ff ff ff ff ff ff ff ff ff
d. The nurse should face the patient rather than the interpreter.
ff ff ff ff ff ff ff ff ff
ANS: f f D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
converse with the patient, not with a third party about the patient. Many reasons may prevent
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
to a grandparent or child.
ff ff ff ff ff
PTS: f f f f 1 DIF: Understand f f f f f f f f REF: f f f f p. 18-19 ff
TOP: f f Nursing Process: Implementation ff ff f f f f MSC: f f Safe, Effective Care Environment ff ff ff
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
his health?
ff ff
a. Have the health care provider speak to him. ff ff ff ff ff ff ff
b. Use principles of the holistic health system. ff ff ff ff ff ff
c. Ask about his perceptions and treatment ideas. ff ff ff ff ff ff
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
ff ff ff ff ff ff ff ff ff ff ff ff
d. Consult with a practitioner of Chinese medicine. ff ff ff ff ff ff
ANS: f f C
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
ff ff ff ff ff ff ff ff ff ff ff ff ff
explain your perception of the problem, acknowledge the differences and similarities,
ff ff ff ff ff ff ff ff ff ff ff
recommend treatment, and negotiate agreement), the nurse gathers information from the
ff ff ff ff ff ff ff ff ff ff ff
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
assessment, the nurse determines what the patient believes about caregiving, decision making,
ff ff ff ff ff ff ff ff ff ff ff ff
treatment, and other pertinent health-related information. Speaking with the health care
ff ff ff ff ff ff ff ff ff ff ff
provider is premature until the assessment is complete. Unless he accepts the beliefs,
ff ff ff ff ff ff ff ff ff ff ff ff ff
principles of the holistic health system can be potentially unsuitable and insulting for this
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
ff ff ff ff ff ff ff ff ff ff ff ff ff
can also be unsuitable and insulting for this patient.
ff ff ff ff ff ff ff ff ff
PTS: f f f f 1 DIF: Apply REF: p. 18 f f f f ff
TOP: f f Nursing Process: Implementation MSC: Health Promotion and Maintenance ff ff f f ff ff ff
4. Which action should the nurse take when addressing older adults?
ff ff ff ff ff ff ff ff ff
a. Speak in an exaggerated pitch. ff ff ff ff
b. Use a lower quality of speech. ff ff ff ff ff
c. Use endearing terms such as ―honey.‖ ff ff ff ff ff
d. Speak clearly. ff
ANS: f f D
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
ff ff ff ff ff ff ff ff ff ff ff ff ff
older persons and fewer of those who are healthy and active. Providers should not assume
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
that all older adults are hearing or mentally impaired. The most appropriate action
ff ff ff ff ff ff ff ff ff ff ff ff ff
when addressing an older aduNltUwRoS
ff ulI
dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism ff ff ff f ff ff ff ff
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
f ff ff ff ff ff ff ff ff ff ff ff ff ff ff
speech.
PTS: f f f f 1 DIF: Apply REF: p. 15 f f f f ff
TOP: f f Nursing Process: Assessment ff ff MSC: Health Promotion and Maintenance f f ff ff ff
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
notes that she becomes tense during the instructions about elimination. Which intervention
ff ff ff ff ff ff ff ff ff ff ff ff
should the nurse implement?
ff ff ff ff
a. Move on to the discussion about medication. ff ff ff ff ff ff
b. Ask the older woman how she feels about this topic.
ff ff ff ff ff ff ff ff ff
c. Instruct the interpreter to repeat the instructions. ff ff ff ff ff ff
d. Have the older woman repeat the instructions for clarity. ff ff ff ff ff ff ff ff
ANS: f f B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
ff ff ff ff ff ff ff ff ff ff ff ff ff
communication and emotion regarding a specific topic and therefore validates the assessment
ff ff ff ff ff ff ff ff ff ff ff ff
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
ff ff ff ff ff ff ff ff ff ff ff ff ff
and the older adult is uncomfortable discussing elimination, then important instructions can be
ff ff ff ff ff ff ff ff ff ff ff ff ff
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction
ff ff ff ff ff ff ff ff ff ff ff ff ff
ignores her needs.
ff ff ff
NURSINGTB.COM
