TEST BANK FOR Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada by Veronique Boscart, Lynn McCleary ISBN: 978-0323778749 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

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Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
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Veronique Boscart
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3RD Edition
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TESTBANK b
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,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
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ion


MULTIPLE CHOICE bg




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.
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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. bg bg bg bg bg bg bg


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




ANS: D bg


Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
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se can foster wellness in his or her clients. Wellness is defined by the individual and is mu
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ltidimensional. 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 o
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r functional level. Even in the presence of chronic illness or while dying, a movement towa
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rd wellness 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 g 1 DIF: Apply REF: p. 7 b g bg


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
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e
2. In differentiating between health and wellness in health care, which of the followi
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ng statements is true?
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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. bg bg bg bg bg bg bg




ANS: A bg


Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
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es wellness, which involves one‘s whole being. The concept of illness prevention was neve
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r considered 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— bg bg bg bg bg


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
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level of wellness is possible.
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PTS: b g 1 DIF: Understand REF: p. 7 b g bg


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 bg


b. African Americans bg


c. Hispanic Americans bg


d. Asian and Pacific Island Americans bg bg bg bg

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3r
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d Edition
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MULTIPLE CHOICE bg




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 b bg bg bg bg bg bg bg bg bg bg


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


d. The belief that health depends on maintaining a balance among opposite qualiti
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es is characteristic of a magicoreligious belief system.
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ANS: B bg


Older adults in most cultures usually have had experience with traditional methods that ha
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ve worked as well as expected. After these treatments fail, older adults turn to the formal
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health care system. Even in the United States, it is common for older adults to pray for c
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ures or wonder what they did to incur an illness as punishment. The Ayurvedic system is
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a naturalistic health belief system practiced in India and in some neighboring countries.
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This belief is characteristic of a holistic or naturalistic approach.
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PTS: b g b g 1 DIF: Understand REF: p. 16-17 bg bg


TOP: b g Nursing Process: Assessment bg bg MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
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N R I G B.C M bg bg bg bg bg bg bg


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 be
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st 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 bg


The nurse should face the patient rather than the interpreter is a true statement; the intent i
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s to converse with the patient, not with a third party about the patient. Many reasons may
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prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
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be difficult or impossible to translate. Cultural restrictions may prevent some topics from be
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ing spoken of to a grandparent or child.
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PTS: b g b g 1 DIF: Understand b g b g REF: p. 18-19 b g bg


TOP: b g Nursing Process: Implementation bg bg b g b g 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
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refuses to remain in the bed. Which intervention should the nurse use to promote and maint
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ain his health?
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a. Have the health care provider speak to him.
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b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, d. Consult with a practitioner of Chinese medicine. bg bg bg bg bg bg




ANS: C bg


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, reco
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mmend treatment, and negotiate agreement), the nurse gathers information from the patient
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about cultural beliefs concerning health care and avoids stereotyping the patient. In the asses
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sment, the nurse determines what the patient believes about caregiving, decision making, tre
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atment, and other pertinent health-
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related information. Speaking with the health care provider is premature until the assessme
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nt is complete. Unless he accepts the beliefs, principles of the holistic health system can be
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potentially unsuitable and insulting for this patient. Unless he accepts the treatments, cons
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ulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
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patient.

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TOP: b g Nursing Process: Implementation bg bg 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. bg bg bg bg


b. Use a lower quality of speech.
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c. Use endearing terms such as ―honey.‖
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d. Speak clearly. bg




ANS: D bg


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
oBsp.eC
akOcM
learly. Examples of unintentional ageis
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m in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality
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of speech.
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TOP: b g Nursing Process: Assessment bg bg MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
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nd notes that she becomes tense during the instructions about elimination. Which interve
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ntion should the nurse implement?
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a. Move on to the discussion about medication.
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b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions.
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d. Have the older woman repeat the instructions for clarity.
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ANS: B bg


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 assessme
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nt about the older adult‘s tension before proceeding. Because the nurse notices her tension,
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the nurse temporarily suspends the preparation to validate her assessment. If the nurse proc
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eeds and the older adult is uncomfortable discussing elimination, then important instructions
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gcan be missed, leading to adverse effects for the older adult. Repeating the instructions can
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gaggravate the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instr
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uction ignores her needs.bg bg bg