Ebersole and Hess’ Gerontological Nursing & Healthy Aging – Touhy & Jett (5th Edition) | Introduction to Healthy Aging – Lecture Summary

TOUHY & JETT: EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY AGING, 5TH EDITION.
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TOUHY & JETT: EBERSOLE AND HESS’
GERONTOLOGICALNURSING & HEALTHY
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AGING, 5TH EDITION.
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Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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MULTIPLE CHOICE rts




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




b. Wellness is not a real option for this client because he is terminally ill. rts rts rts rts rts rts rts rts rts rts rts rts rts




c. Wellness is defined as the absence of disease. rts rts rts rts rts rts rts




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




wellness. rts




ANS: D r t s




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




MSC: Health Promotion and Maintenance
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2. In differentiating between healU
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nd w ness in O
h e a l t h care, which of the following rts rts
N R I G B.C M rts rts rts rts rts rts




rts statements is true? rts rts




a. Health is a broad term encompassing attitudes and behaviors. rts rts rts rts rts rts rts rts




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. rts rts rts rts rts rts rts




d. Wellness is impossible when one’s healthis compromised. rts rts rts rts rts rts rts




ANS: A r t s




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
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considered by previous generations; throughout history, basic self-care requirements have
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been recognized. Wellness and self-actualization develop through learning and growth—as
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basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to
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life. Wellness is possible when one’s health is compromised—even with chronic illness, with
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multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
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PTS: 1 DIF: Understand REF: r t s r t s p. 7 rts TOP: Nursing Process:Evaluation r t s rts rts




MSC: Health Promotion and Maintenance
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, TOUHY & JETT: EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY AGING, 5TH EDITION.
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3. Which racial or ethnic group hasthe highest life expectancy inthe United States?
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a. Native Americans rts




b. African Americans rts




c. Hispanic Americans rts




d. Asian and Pacific Island Americans
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging5th 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 Edition
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MULTIPLE CHOICE rts




1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligiousbeliefs have been supersededin Western minds by rts rts rts rts rts rts rts rts rts rts




biomedical principles. rts rts




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. rts rts rts rts rts rts rts rts




d. The belief that health depends on maintaining a balance among opposite qualities is rts rts rts rts rts rts rts rts rts rts rts rts




characteristic of a magicoreligious belief system.
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ANS: B r t s




Older adults in most cultures usually havehad experience with traditional methods that have
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worked aswell as expected. Afterthese 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
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wonder what they did to incur an illness as punishment. The Ayurvedic system is a
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naturalistic health belief system practiced in India and in some neighboring countries. This
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belief is characteristic of a holistic or naturalistic approach.
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PTS: r t s r t s 1 DIF: Understand REF: p. 16-17 r t s rts




TOP: r t s Nursing Process:Assessment rts rts MSC: Health Promotion and Maintenance r t s rts rts rts




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




rts interpreter?
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 nursecan use technical terms or metaphors. rts rts rts rts rts rts rts rts rts rts rts




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 r t s




The nurse should face the patient rather than the interpreter is a true statement; the intent is to
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converse with the patient, not with a third party about the patient. Many reasons may prevent
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the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
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or impossible to translate. Cultural restrictions may prevent some topics from being spoken of to
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a grandparent or child.
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PTS: r t s r t s 1 DIF: Understand r t s r t s r t s r t REF:
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TOP: r t s Nursing Process: Implementation rts rts r t s r t s MSC: Safe, Effective Care Environment r t s rts rts rts




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
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refuses to remain in the bed.Whichintervention should the nurse use to promote and maintain
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his health?
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a. Have the health care provider speak to him. rts rts rts rts rts rts rts




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




c. Ask about his perceptions and treatment ideas. rts rts rts rts rts rts




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging5th Edition Touhy Test Bank
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d. Consult with a practitioner of Chinese medicine. rts rts rts rts rts rts




ANS: C r t s




Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
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explain your perception of the problem, acknowledge the differences and similarities,
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recommend treatment, and negotiate agreement), the nurse gathers information from the
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patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
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assessment, the nurse determines whatthe patient believes about caregiving, decision making,
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treatment, and other pertinent health-related information. Speaking with the health care
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provider is premature until the assessment is complete. Unless he accepts the beliefs,
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principles of the holistic health system can be potentially unsuitable and insulting for this
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patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
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can also be unsuitable and insulting for this patient.
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PTS: r t s r t s 1 DIF: Apply REF: p. 18 r t s rts




TOP: r t s Nursing Process: Implementation rts rts MSC: Health Promotion and Maintenance r t s rts rts rts




4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. rts rts rts rts




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




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




d. Speak clearly. rts




ANS: D r t s




Some health professionalsdemonstrate ageism, in part because providers tend to seemany frail,
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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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rts beGtT
dN oBsp.eC
akOcM
learly. Examples of unintentional ageism rts rts rts rts rts rts rts




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

PTS: r t s r t s 1 DIF: Apply REF: p. 15 r t s rts




TOP: r t s NursingProcess: Assessment rts rts MSC: Health Promotion and Maintenance r t s rts rts rts




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. rts rts rts rts rts rts




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




c. Instruct the interpreter to repeat the instructions. rts rts rts rts rts rts




d. Have the older woman repeat the instructions for clarity. rts rts rts rts rts rts rts rts




ANS: B r t s




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 isuncomfortable 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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