TestBankEbersoleandHess’GerontologicalNursing&Healthy
b
Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
28.
,Chapter01:IntroductiontoHealthyAging
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
m m m m m
MULTIPLECHOICE
1. Amanisterminallyillwithend-stageprostatecancer.Whichist hebeststatement aboutthisman’s
m m m m m m m
wellness?
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. m m
b. Wellnessisnot arealoption forthisclientbecauseheisterminallyill.
m m m m
c. Wellnessisdefinedast heabsenceofdisease.
m m m
d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof m m
wellness.
ANS: D
Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelofwellness;anursecan m m
fosterwellnessinhisorherclients. Wellnessisdefinedbytheindividualandismultidimensional.
Itisnotjusttheabsenceofdisease.Awellnessperspectiveisbasedonthebeliefthateverypersonhas
m m m
anoptimal levelofhealthindependentofhisorhersituationorfunctionallevel. Eveninthe
presenceofchronicillnessorwhiledying, a movementtowardwellnessispossibleifemphasisof m
careisplacedonthepromotionofwell-beinginasupportiveenvironment. m
PTS: 1 DIF: Apply REF: p. 7 TOP:NursingProcess:Diagnosism
MSC: Health Promotionand Maintenance m
2. Indifferentiatingbetweenhe alU
t h anSd wNe llnTe ss in hOe alth care,whichofthefollowing
N R I G B.C M
statementsistrue?
a. Healthisabroadtermencompassingattitudesandbehaviors.
m m
b. Theconceptofillnesspreventionwasneverconsideredbypreviousgenerations.
m m
c. Wellnessand self-actualization developthroughlearningandgrowth.
m m m m
d. Wellnessisimpossiblewhenone’shealthiscompromised.
m m m
ANS: A
Healthisa broadtermthatencompassesattitudesandbehaviors; holistically, healthincludes
m
wellness, whichinvolvesone’swholebeing.Theconceptofillness prevention wasnever m
consideredbypreviousgenerations; throughouthistory,basicself-carerequirementshavebeen
recognized. Wellnessandself-actualizationdevelopthrough learningandgrowth—asbasic m
needsaremet,higherlevelneedscanbesatisfiedinturn,withever-deepening richnesstolife. m m
Wellnessispossiblewhenone’shealthis compromised—evenwith chronicillness,withmultiple m m
disabilities,orindying,movementtowardahigherlevelofwellnessispossible.
m m m
PTS: 1 DIF: Understand REF: p. 7 TOP:NursingProcess:Evaluation
m
MSC: Health Promotionand Maintenance m
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates?
m m m m m
a. NativeAmericans
b. AfricanAmericans m
c. HispanicAmericans
d. AsianandPacificIsland Americans
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
Chapter02:Cross-CulturalCaringandAging m
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
MULTIPLECHOICE
1. Whichofthefollowingisa truestatementaboutdifferinghealthbeliefsystems?
m m m
a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWesternmindsby m m m
biomedicalprinciples.
b. Inmostcultures,olderadultsarelikelytotreatthemselvesusingtraditional
m m m m
methodsbeforeturningtobiomedicalprofessionals.
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine.
d. The beliefthathealth dependsonmaintaining abalanceamongoppositequalities is
m m m m m m m m m
characteristicofamagicoreligiousbeliefsystem.
ANS: B
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked
m m
aswellasexpected.Afterthesetreatmentsfail,olderadultsturntotheformalhealthcaresystem. m m
Eveninthe UnitedStates, itiscommonforolderadultstoprayforcuresorwonderwhattheydidto
incuranillness as punishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem
practicedinIndiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor
m m m
naturalisticapproach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotionand Maintenance m
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan
m m m
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageasthepatient. m m
b. Whenworkingwithinterpreters,thenursecanusetechnicaltermsormetaphors. m m m
c. Apatient’syounggranddaughterwhospeaksfluentEnglishwouldmakethebest
m m m
interpreterbecausesheisfamiliarwithandlovesthepatient.
d. Thenurseshouldfacethepatientratherthantheinterpreter.
ANS: D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
converse with the patient, not with a third party about the patient. Many reasons may prevent the
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
grandparentorchild.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. Anolderadult whoisatraditionalChinesemanhasabloodpressureof80/54mm Hgand refusesto m
remaininthebed.Whichinterventionshouldthenurseusetopromoteandmaintainhishealth?
m m m m
a. Havethehealthcareproviderspeaktohim.
m m
b. Useprinciplesoftheholistichealthsystem. m m
c. Askabouthisperceptionsandtreatmentideas.
m m
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
d. Consultwith apractitionerofChinesemedicine.m m
ANS: C
UsingtheLEARNmodel(listenwithsympathytothepatient’sperceptionof theproblem,explain
yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities, recommend
treatment, and negotiateagreement), thenursegathersinformationfromthepatientaboutcultural m
beliefsconcerninghealthcareandavoidsstereotypingthepatient.Intheassessment,thenurse
m m m m m m
determineswhatthepatientbelievesaboutcaregiving,decisionmaking,treatment, andother
m m
pertinenthealth-relatedinformation.Speakingwiththehealthcareproviderisprematureuntilthe
assessmentiscomplete. Unlessheacceptsthebeliefs,principles oftheholistichealthsystem can
bepotentiallyunsuitableandinsultingforthispatient. Unlessheacceptsthetreatments, consulting
withapractitionerofChinesemedicinecan alsobeunsuitableandinsultingforthis patient. m
PTS: 1 DIF: Apply REF: p. 18
TOP: Nursing Process: Implementation MSC: Health Promotionand Maintenance
4. Whichaction shouldthenursetakewhenaddressingolderadults?
m m m
a. Speakinan exaggeratedpitch.
m m m
b. Usealowerqualityofspeech.
m
c. Useendearingtermssuchas“honey.” m
d. Speakclearly. m
ANS: D
Somehealthprofessionalsdemonstrateageism,inpartbecauseproviderstendtoseemanyfrail,
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshould not m
assumethatallolderadultsarehearing ormentallyimpaired. Themostappropriateactionwhen m
addressing anolderaduNltUwRoS ulIdN
mbeGtT
oBsp.eaCkOcM
learly. Examplesofunintentionalageismin n m
languagearean exaggeratedpitch, ademeaningemotionaltone,andalowerqualityofspeech.
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotionand Maintenancem
5. Thenurseprepares an olderwoman, whoisPolish, fordischargethroughaninterpreterand notes
thatshebecomestenseduringtheinstructionsaboutelimination. Whichinterventionshouldthe
nurseimplement?
a. Moveontothediscussionaboutmedication.
m
b. Asktheolderwomanhowshefeelsaboutthistopic. m
c. Instructtheinterpretertorepeattheinstructions. m
d. Havetheolderwomanrepeattheinstructionsforclarity.
m m m
ANS: B
Whenworkingwith an interpreter,thenursecloselywatchestheolderadultfornonverbal
communicationandemotionregardingaspecifictopicandthereforevalidatestheassessment m
abouttheolderadult’s tensionbeforeproceeding. Becausethenursenotices hertension,thenurse
temporarilysuspendsthepreparationtovalidateherassessment. Ifthenurseproceeds andtheolder m
adultisuncomfortablediscussingelimination,thenimportantinstructionscanbemissed,leadingto
m m m m m
adverseeffectsfortheolderadult.Repeatingtheinstructionscanaggravatethe olderadult’s
discomfort. Instructingtheolderadulttorepeatthenurse’sinstructionignores herneeds.
NURSINGTB.COM
b
Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
28.
,Chapter01:IntroductiontoHealthyAging
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
m m m m m
MULTIPLECHOICE
1. Amanisterminallyillwithend-stageprostatecancer.Whichist hebeststatement aboutthisman’s
m m m m m m m
wellness?
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. m m
b. Wellnessisnot arealoption forthisclientbecauseheisterminallyill.
m m m m
c. Wellnessisdefinedast heabsenceofdisease.
m m m
d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof m m
wellness.
ANS: D
Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelofwellness;anursecan m m
fosterwellnessinhisorherclients. Wellnessisdefinedbytheindividualandismultidimensional.
Itisnotjusttheabsenceofdisease.Awellnessperspectiveisbasedonthebeliefthateverypersonhas
m m m
anoptimal levelofhealthindependentofhisorhersituationorfunctionallevel. Eveninthe
presenceofchronicillnessorwhiledying, a movementtowardwellnessispossibleifemphasisof m
careisplacedonthepromotionofwell-beinginasupportiveenvironment. m
PTS: 1 DIF: Apply REF: p. 7 TOP:NursingProcess:Diagnosism
MSC: Health Promotionand Maintenance m
2. Indifferentiatingbetweenhe alU
t h anSd wNe llnTe ss in hOe alth care,whichofthefollowing
N R I G B.C M
statementsistrue?
a. Healthisabroadtermencompassingattitudesandbehaviors.
m m
b. Theconceptofillnesspreventionwasneverconsideredbypreviousgenerations.
m m
c. Wellnessand self-actualization developthroughlearningandgrowth.
m m m m
d. Wellnessisimpossiblewhenone’shealthiscompromised.
m m m
ANS: A
Healthisa broadtermthatencompassesattitudesandbehaviors; holistically, healthincludes
m
wellness, whichinvolvesone’swholebeing.Theconceptofillness prevention wasnever m
consideredbypreviousgenerations; throughouthistory,basicself-carerequirementshavebeen
recognized. Wellnessandself-actualizationdevelopthrough learningandgrowth—asbasic m
needsaremet,higherlevelneedscanbesatisfiedinturn,withever-deepening richnesstolife. m m
Wellnessispossiblewhenone’shealthis compromised—evenwith chronicillness,withmultiple m m
disabilities,orindying,movementtowardahigherlevelofwellnessispossible.
m m m
PTS: 1 DIF: Understand REF: p. 7 TOP:NursingProcess:Evaluation
m
MSC: Health Promotionand Maintenance m
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates?
m m m m m
a. NativeAmericans
b. AfricanAmericans m
c. HispanicAmericans
d. AsianandPacificIsland Americans
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
Chapter02:Cross-CulturalCaringandAging m
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
MULTIPLECHOICE
1. Whichofthefollowingisa truestatementaboutdifferinghealthbeliefsystems?
m m m
a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWesternmindsby m m m
biomedicalprinciples.
b. Inmostcultures,olderadultsarelikelytotreatthemselvesusingtraditional
m m m m
methodsbeforeturningtobiomedicalprofessionals.
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine.
d. The beliefthathealth dependsonmaintaining abalanceamongoppositequalities is
m m m m m m m m m
characteristicofamagicoreligiousbeliefsystem.
ANS: B
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked
m m
aswellasexpected.Afterthesetreatmentsfail,olderadultsturntotheformalhealthcaresystem. m m
Eveninthe UnitedStates, itiscommonforolderadultstoprayforcuresorwonderwhattheydidto
incuranillness as punishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem
practicedinIndiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor
m m m
naturalisticapproach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotionand Maintenance m
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan
m m m
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageasthepatient. m m
b. Whenworkingwithinterpreters,thenursecanusetechnicaltermsormetaphors. m m m
c. Apatient’syounggranddaughterwhospeaksfluentEnglishwouldmakethebest
m m m
interpreterbecausesheisfamiliarwithandlovesthepatient.
d. Thenurseshouldfacethepatientratherthantheinterpreter.
ANS: D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
converse with the patient, not with a third party about the patient. Many reasons may prevent the
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
grandparentorchild.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. Anolderadult whoisatraditionalChinesemanhasabloodpressureof80/54mm Hgand refusesto m
remaininthebed.Whichinterventionshouldthenurseusetopromoteandmaintainhishealth?
m m m m
a. Havethehealthcareproviderspeaktohim.
m m
b. Useprinciplesoftheholistichealthsystem. m m
c. Askabouthisperceptionsandtreatmentideas.
m m
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank m m m
d. Consultwith apractitionerofChinesemedicine.m m
ANS: C
UsingtheLEARNmodel(listenwithsympathytothepatient’sperceptionof theproblem,explain
yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities, recommend
treatment, and negotiateagreement), thenursegathersinformationfromthepatientaboutcultural m
beliefsconcerninghealthcareandavoidsstereotypingthepatient.Intheassessment,thenurse
m m m m m m
determineswhatthepatientbelievesaboutcaregiving,decisionmaking,treatment, andother
m m
pertinenthealth-relatedinformation.Speakingwiththehealthcareproviderisprematureuntilthe
assessmentiscomplete. Unlessheacceptsthebeliefs,principles oftheholistichealthsystem can
bepotentiallyunsuitableandinsultingforthispatient. Unlessheacceptsthetreatments, consulting
withapractitionerofChinesemedicinecan alsobeunsuitableandinsultingforthis patient. m
PTS: 1 DIF: Apply REF: p. 18
TOP: Nursing Process: Implementation MSC: Health Promotionand Maintenance
4. Whichaction shouldthenursetakewhenaddressingolderadults?
m m m
a. Speakinan exaggeratedpitch.
m m m
b. Usealowerqualityofspeech.
m
c. Useendearingtermssuchas“honey.” m
d. Speakclearly. m
ANS: D
Somehealthprofessionalsdemonstrateageism,inpartbecauseproviderstendtoseemanyfrail,
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshould not m
assumethatallolderadultsarehearing ormentallyimpaired. Themostappropriateactionwhen m
addressing anolderaduNltUwRoS ulIdN
mbeGtT
oBsp.eaCkOcM
learly. Examplesofunintentionalageismin n m
languagearean exaggeratedpitch, ademeaningemotionaltone,andalowerqualityofspeech.
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotionand Maintenancem
5. Thenurseprepares an olderwoman, whoisPolish, fordischargethroughaninterpreterand notes
thatshebecomestenseduringtheinstructionsaboutelimination. Whichinterventionshouldthe
nurseimplement?
a. Moveontothediscussionaboutmedication.
m
b. Asktheolderwomanhowshefeelsaboutthistopic. m
c. Instructtheinterpretertorepeattheinstructions. m
d. Havetheolderwomanrepeattheinstructionsforclarity.
m m m
ANS: B
Whenworkingwith an interpreter,thenursecloselywatchestheolderadultfornonverbal
communicationandemotionregardingaspecifictopicandthereforevalidatestheassessment m
abouttheolderadult’s tensionbeforeproceeding. Becausethenursenotices hertension,thenurse
temporarilysuspendsthepreparationtovalidateherassessment. Ifthenurseproceeds andtheolder m
adultisuncomfortablediscussingelimination,thenimportantinstructionscanbemissed,leadingto
m m m m m
adverseeffectsfortheolderadult.Repeatingtheinstructionscanaggravatethe olderadult’s
discomfort. Instructingtheolderadulttorepeatthenurse’sinstructionignores herneeds.
NURSINGTB.COM
