TestBankEbersoleandHess’GerontologicalNursing&Healthy
b
u Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
u28.
,Chapter01:Introduction toHealthyAging u B u
Touhy&Jett:Ebersoleand Hess’GerontologicalNursing&HealthyAging,5thEdition
u B B u
MULTIPLECHOICE u
1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebest statementaboutthis B B B
uman‘swellness? u
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. B B
b. Wellness is not arealoptionforthisclient becauseheisterminallyill. B u u u B
c. Wellness isdefined astheabsenceofdisease. B B
d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof
wellness. u
ANS: D u u
Nursinginterventions canhelpempower aclient to achievea higherlevel ofwellness;anurse can u u u u u B u u
fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandis multidimensional. It
u u u u u u u u u u u u u u u u u
is notjust theabsenceofdisease. Awellness perspective isbased onthe beliefthateverypersonhasan
u u u u u u u u u u u u u
optimallevelofhealthindependentofhisorhersituationor functionallevel.Eveninthepresenceof
u u u u u u u u u u u u u u u u u u
chronicillnessorwhiledying,amovementtoward wellnessispossibleifemphasisofcareisplaced
u u u u u u u u u u u u u u u u u
onthepromotionofwell-beinginasupportive environment.
u u u u u u u u u
PTS: 1 DIF: Apply REF: p.7 u TOP:NursingProcess:Diagnosis
MSC: Health Promotion and Maintenance
u u u u u
2. IndifferentiatingbetweenhealU
th anSd w
NellnTess in hOealthcare,whichofthefollowing N R I G B. C M u
B B
statementsistrue? u u
a. Healthisabroadterm encompassingattitudesandbehaviors. B B
b. Theconcept ofillnessprevention wasneverconsidered byprevious generations. B B B u
c. Wellness and self-actualizationdevelop throughlearningandgrowth. B u B
d. Wellness isimpossiblewhenone‘shealthis compromised. B B
ANS: A u u
Healthisabroadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
u u u u u u u u u u u u
wellness,whichinvolvesone‘swholebeing.Theconceptofillnesspreventionwasnever considered
u u u u u u u u u u u u u u
bypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen recognized.
u u u u u u u u u u u
Wellnessandself-actualizationdevelopthroughlearningand growth—asbasic needsaremet,
u u u u u u u u u u u
higherlevelneedscanbesatisfiedinturn,withever-deepeningrichness to life.
u u u u u u u u u u
Wellnessispossiblewhenone‘shealthiscompromised—evenwithchronicillness,with u u u u u u u u u u u
multipledisabilities,orindying,movementtowardahigherlevelofwellnessispossible.
u u
PTS: 1 DIF: Understand REF: p.7 u TOP:NursingProcess:Evaluation
MSC: Health Promotion and Maintenance
u u u u u
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? B B
a. NativeAmericans
b. African Americans B
c. HispanicAmericans
d. Asianand PacificIslandAmericans B u u
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
u u u u u u u u u u u u
Chapter02:Cross-CulturalCaringandAging u
Touhy&Jett:EbersoleandHess’Gerontological Nursing&HealthyAging,5thEdition
u B u
MULTIPLECHOICE u
1. Whichoft hefollowingisatruestatement aboutdifferinghealthbeliefsystems?
B u u B u
a. Personalisticormagicoreligiousbeliefshavebeen supersededinWesternmindsby B B
biomedicalprinciples.
u u
b. Inmostcultures,olderadultsarelikelytotreatthemselves usingtraditional u u u B
methods before turning to biomedical professionals.
u u u u u u
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. B u
d. Thebeliefthat healthdepends onmaintainingabalanceamong oppositequalities is B u B u B
characteristic of a magicoreligious belief system.
u u u u u u
ANS: B u u
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked B u
uaswellasexpected.Afterthesetreatments fail,olderadultst urntotheformalhealth care system. u B u u u
EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydid toincur
u u u u u u u u u u u u u u u u u u u u u
anillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem practicedin
u u u u u u u u u u u u u
Indiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor naturalistic
u u u u u u u u u u u u
approach.
u
PTS: 1 DIF: Understand REF: p.16-17 u
TOP: NursingProcess:Assessment u u MSC: HealthPromotionandMaintenance u u u u
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan u
B B
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageas the patient. B B u u
b. Whenworkingwithinterpreters,thenursecan usetechnicaltermsormetaphors. B B B
c. Apatient‘s younggranddaughterwhospeaksfluentEnglishwould makethebest B B
interpreterbecausesheisfamiliarwithandlovesthepatient.
u u u u u u u u u u
d. Thenurseshouldfacethepatient ratherthantheinterpreter. u
ANS: D u u
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
u u u u u u u u u u u u u u u u u
conversewiththepatient, not withathird party about thepatient. Many reasons mayprevent the patient
u u u u u u u u u u u u u u u u u u
from speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
u u u u u u u u u u u u u u u u
translate.Culturalrestrictionsmayprevent sometopicsfrom being spokenof to agrandparentorchild.
u u u u u u u u u u u u u u u u
PTS: u u 1 DIF: Understand u u u u u u REF: p. 18-19 u u u
TOP: u u NursingProcess: Implementation
u u u u u u MSC: Safe,Effective Care Environment
u u u u u u
3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto
u u u u u u u u u u u u u u u u u u
remaininthebed.Whichintervention should thenurseusetopromoteandmaintainhis health?
u B B B u u
a. Havethehealth careproviderspeaktohim. B
b. Useprinciplesoftheholistichealthsystem.
c. Askabouthisperceptionsandtreatmentideas. B
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
u u u u u u u u u u u u
d. ConsultwithapractitionerofChinesemedicine. u
ANS: C u u
UsingtheLEARNmodel(listenwithsympathytothepatient‘sperceptionoftheproblem, explain
u u u u u u u u u u u u u u
yourperceptionoftheproblem,acknowledgethedifferences andsimilarities, recommend
u u u u u u u u u u u
treatment,andnegotiateagreement),thenursegathersinformationfromthepatient
u u u u u u u u u u u
aboutculturalbeliefsconcerning healthcareand avoidsstereotypingthepatient.Intheassessment,
u B B u u
the nursedetermineswhatthepatientbelievesaboutcaregiving,decisionmaking, treatment, and
u B u u u
otherpertinenthealth-relatedinformation.Speakingwiththehealthcareproviderispremature until
u u u u u u u u u u u u u
theassessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealth systemcan
u u u u u u u u u u u u u u u u
bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthe treatments,consulting
u u u u u u u u u u u u u u
withapractitionerofChinesemedicinecanalsobeunsuitableand insultingforthis patient.
u u u u u u u u u u u u u u u
PTS: 1 DIF: Apply REF: p.18 u
TOP: NursingProcess: Implementation u u MSC: HealthPromotionandMaintenance u u u u
4. Whichactionshouldthenursetakewhenaddressing olderadults? u B
a. Speak inanexaggeratedpitch. B u
b. Useal owerqualityofspeech. B u
c. Useendearingtermssuchas―honey.‖ B
d. Speak clearly. B
ANS: D u u
Somehealth professionalsdemonstrateageism, inpartbecause providerstendtoseemany frail, u u u u u u
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshouldnot assumethatall
u u u u u u u u u u u u u u u u u
olderadultsarehearingormentallyimpaired.Themostappropriateaction
u u u u u u u u u u
whenaddressing anolderaduNltUwRoS
u ulI
dNbeGtT
oB sp.eaCkOcM
learly. Examplesofunintentionalageismin B u u
languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech.
u u u u u u u u u u u u u u
PTS: 1 DIF: Apply REF: p.15 u
TOP: NursingProcess:Assessment u u MSC: HealthPromotionandMaintenance u u u u
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
u u u u u u u u u u u u u u u
that shebecomes tenseduring theinstructions about elimination. Which intervention should the
u u u u u u u u u u u u u
nurseimplement?
u u
a. Moveontothediscussion about medication. u u
b. Asktheolderwomanhowshefeels aboutthistopic. B u u
c. Instructtheinterpretertorepeattheinstructions. B
d. Havetheolderwomanrepeattheinstructionsforclarity.
ANS: B u u
Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal
u u u u u u u u u u u u u
communication and emotion regardingaspecific topicand therefore validates theassessment about
u u u u u u u u u
theolderadult‘stensionbeforeproceeding.Becausethenursenoticeshertension,the nurse
u u u u u u u u u u u u u u
temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsand
u u u u u u u u u u u u u
theolderadultis uncomfortablediscussingelimination,thenimportantinstructionscan bemissed,
u u B B u
leadingtoadverseeffects fortheolderadult.Repeating theinstructions canaggravate the older
u u u B u u u u
adult‘sdiscomfort.Instructingtheolderadulttorepeatthenurse‘sinstructionignoresherneeds.
u u u u u u u u u u u u u
NURSINGTB.COM
b
u Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
u28.
,Chapter01:Introduction toHealthyAging u B u
Touhy&Jett:Ebersoleand Hess’GerontologicalNursing&HealthyAging,5thEdition
u B B u
MULTIPLECHOICE u
1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebest statementaboutthis B B B
uman‘swellness? u
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. B B
b. Wellness is not arealoptionforthisclient becauseheisterminallyill. B u u u B
c. Wellness isdefined astheabsenceofdisease. B B
d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof
wellness. u
ANS: D u u
Nursinginterventions canhelpempower aclient to achievea higherlevel ofwellness;anurse can u u u u u B u u
fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandis multidimensional. It
u u u u u u u u u u u u u u u u u
is notjust theabsenceofdisease. Awellness perspective isbased onthe beliefthateverypersonhasan
u u u u u u u u u u u u u
optimallevelofhealthindependentofhisorhersituationor functionallevel.Eveninthepresenceof
u u u u u u u u u u u u u u u u u u
chronicillnessorwhiledying,amovementtoward wellnessispossibleifemphasisofcareisplaced
u u u u u u u u u u u u u u u u u
onthepromotionofwell-beinginasupportive environment.
u u u u u u u u u
PTS: 1 DIF: Apply REF: p.7 u TOP:NursingProcess:Diagnosis
MSC: Health Promotion and Maintenance
u u u u u
2. IndifferentiatingbetweenhealU
th anSd w
NellnTess in hOealthcare,whichofthefollowing N R I G B. C M u
B B
statementsistrue? u u
a. Healthisabroadterm encompassingattitudesandbehaviors. B B
b. Theconcept ofillnessprevention wasneverconsidered byprevious generations. B B B u
c. Wellness and self-actualizationdevelop throughlearningandgrowth. B u B
d. Wellness isimpossiblewhenone‘shealthis compromised. B B
ANS: A u u
Healthisabroadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
u u u u u u u u u u u u
wellness,whichinvolvesone‘swholebeing.Theconceptofillnesspreventionwasnever considered
u u u u u u u u u u u u u u
bypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen recognized.
u u u u u u u u u u u
Wellnessandself-actualizationdevelopthroughlearningand growth—asbasic needsaremet,
u u u u u u u u u u u
higherlevelneedscanbesatisfiedinturn,withever-deepeningrichness to life.
u u u u u u u u u u
Wellnessispossiblewhenone‘shealthiscompromised—evenwithchronicillness,with u u u u u u u u u u u
multipledisabilities,orindying,movementtowardahigherlevelofwellnessispossible.
u u
PTS: 1 DIF: Understand REF: p.7 u TOP:NursingProcess:Evaluation
MSC: Health Promotion and Maintenance
u u u u u
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? B B
a. NativeAmericans
b. African Americans B
c. HispanicAmericans
d. Asianand PacificIslandAmericans B u u
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
u u u u u u u u u u u u
Chapter02:Cross-CulturalCaringandAging u
Touhy&Jett:EbersoleandHess’Gerontological Nursing&HealthyAging,5thEdition
u B u
MULTIPLECHOICE u
1. Whichoft hefollowingisatruestatement aboutdifferinghealthbeliefsystems?
B u u B u
a. Personalisticormagicoreligiousbeliefshavebeen supersededinWesternmindsby B B
biomedicalprinciples.
u u
b. Inmostcultures,olderadultsarelikelytotreatthemselves usingtraditional u u u B
methods before turning to biomedical professionals.
u u u u u u
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. B u
d. Thebeliefthat healthdepends onmaintainingabalanceamong oppositequalities is B u B u B
characteristic of a magicoreligious belief system.
u u u u u u
ANS: B u u
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked B u
uaswellasexpected.Afterthesetreatments fail,olderadultst urntotheformalhealth care system. u B u u u
EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydid toincur
u u u u u u u u u u u u u u u u u u u u u
anillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem practicedin
u u u u u u u u u u u u u
Indiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor naturalistic
u u u u u u u u u u u u
approach.
u
PTS: 1 DIF: Understand REF: p.16-17 u
TOP: NursingProcess:Assessment u u MSC: HealthPromotionandMaintenance u u u u
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan u
B B
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageas the patient. B B u u
b. Whenworkingwithinterpreters,thenursecan usetechnicaltermsormetaphors. B B B
c. Apatient‘s younggranddaughterwhospeaksfluentEnglishwould makethebest B B
interpreterbecausesheisfamiliarwithandlovesthepatient.
u u u u u u u u u u
d. Thenurseshouldfacethepatient ratherthantheinterpreter. u
ANS: D u u
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
u u u u u u u u u u u u u u u u u
conversewiththepatient, not withathird party about thepatient. Many reasons mayprevent the patient
u u u u u u u u u u u u u u u u u u
from speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
u u u u u u u u u u u u u u u u
translate.Culturalrestrictionsmayprevent sometopicsfrom being spokenof to agrandparentorchild.
u u u u u u u u u u u u u u u u
PTS: u u 1 DIF: Understand u u u u u u REF: p. 18-19 u u u
TOP: u u NursingProcess: Implementation
u u u u u u MSC: Safe,Effective Care Environment
u u u u u u
3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto
u u u u u u u u u u u u u u u u u u
remaininthebed.Whichintervention should thenurseusetopromoteandmaintainhis health?
u B B B u u
a. Havethehealth careproviderspeaktohim. B
b. Useprinciplesoftheholistichealthsystem.
c. Askabouthisperceptionsandtreatmentideas. B
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
u u u u u u u u u u u u
d. ConsultwithapractitionerofChinesemedicine. u
ANS: C u u
UsingtheLEARNmodel(listenwithsympathytothepatient‘sperceptionoftheproblem, explain
u u u u u u u u u u u u u u
yourperceptionoftheproblem,acknowledgethedifferences andsimilarities, recommend
u u u u u u u u u u u
treatment,andnegotiateagreement),thenursegathersinformationfromthepatient
u u u u u u u u u u u
aboutculturalbeliefsconcerning healthcareand avoidsstereotypingthepatient.Intheassessment,
u B B u u
the nursedetermineswhatthepatientbelievesaboutcaregiving,decisionmaking, treatment, and
u B u u u
otherpertinenthealth-relatedinformation.Speakingwiththehealthcareproviderispremature until
u u u u u u u u u u u u u
theassessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealth systemcan
u u u u u u u u u u u u u u u u
bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthe treatments,consulting
u u u u u u u u u u u u u u
withapractitionerofChinesemedicinecanalsobeunsuitableand insultingforthis patient.
u u u u u u u u u u u u u u u
PTS: 1 DIF: Apply REF: p.18 u
TOP: NursingProcess: Implementation u u MSC: HealthPromotionandMaintenance u u u u
4. Whichactionshouldthenursetakewhenaddressing olderadults? u B
a. Speak inanexaggeratedpitch. B u
b. Useal owerqualityofspeech. B u
c. Useendearingtermssuchas―honey.‖ B
d. Speak clearly. B
ANS: D u u
Somehealth professionalsdemonstrateageism, inpartbecause providerstendtoseemany frail, u u u u u u
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshouldnot assumethatall
u u u u u u u u u u u u u u u u u
olderadultsarehearingormentallyimpaired.Themostappropriateaction
u u u u u u u u u u
whenaddressing anolderaduNltUwRoS
u ulI
dNbeGtT
oB sp.eaCkOcM
learly. Examplesofunintentionalageismin B u u
languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech.
u u u u u u u u u u u u u u
PTS: 1 DIF: Apply REF: p.15 u
TOP: NursingProcess:Assessment u u MSC: HealthPromotionandMaintenance u u u u
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
u u u u u u u u u u u u u u u
that shebecomes tenseduring theinstructions about elimination. Which intervention should the
u u u u u u u u u u u u u
nurseimplement?
u u
a. Moveontothediscussion about medication. u u
b. Asktheolderwomanhowshefeels aboutthistopic. B u u
c. Instructtheinterpretertorepeattheinstructions. B
d. Havetheolderwomanrepeattheinstructionsforclarity.
ANS: B u u
Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal
u u u u u u u u u u u u u
communication and emotion regardingaspecific topicand therefore validates theassessment about
u u u u u u u u u
theolderadult‘stensionbeforeproceeding.Becausethenursenoticeshertension,the nurse
u u u u u u u u u u u u u u
temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsand
u u u u u u u u u u u u u
theolderadultis uncomfortablediscussingelimination,thenimportantinstructionscan bemissed,
u u B B u
leadingtoadverseeffects fortheolderadult.Repeating theinstructions canaggravate the older
u u u B u u u u
adult‘sdiscomfort.Instructingtheolderadulttorepeatthenurse‘sinstructionignoresherneeds.
u u u u u u u u u u u u u
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