Test Bank - Ebersole and Hess- Gerontological Nursing and Healthy Aging, 6th Edition (Touhy, 2025!!!!)

Test Bank Ebersole and Hess’ Gerontological Nursing & Health
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Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
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Chapter 1-28. vv vv

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
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5th Edition
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MULTIPLE CHOICE vv




1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about
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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. vv vv vv vv vv vv vv


d. Nursing interventions can help empower a client to achieve a higher level
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of wellness.
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ANS: v v D
Nursing interventions can help empower a client to achieve a higher level of wellness; a
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nurse can foster wellness in his or her clients. Wellness is defined by the individual
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and is multidimensional. It is not just the absence of disease. A wellness perspective is
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based on the belief that every person has an optimal level of health independent of his
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or her situation or functional level. Even in the presence of chronic illness or while
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dying, a movement toward wellness is possible if emphasis of care is placed on the
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promotion of well-being in a supportive environment.
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PTS: 1 DIF: Apply
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Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between healU
vv th anSd wNellnTess in hOealth care, which of the vv vv
N R I G B.C M vv vv vv vv


vv following statements is true? vv vv vv


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.
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ANS: v v A
Health is a broad term that encompasses attitudes and behaviors; holistically, health
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includes wellness, which involves one’s whole being. The concept of illness prevention
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was never considered by previous generations; throughout history, basic self-care
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requirements have been recognized. Wellness and self-actualization develop through
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learning and growth—as basic needs are met, higher level needs can be satisfied in
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turn, with ever-deepening richness to life. Wellness is possible when one’s health is
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compromised—even with chronic illness, with multiple disabilities, or in dying,
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movement toward a higher level of wellness is possible.
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PTS: 1 DIF: Understand REF: p. 7
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Evaluation MSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans vv


b. African Americans vv


c. Hispanic Americans vv


d. Asian and Pacific Island Americans vv vv vv vv




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test
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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
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Edition
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MULTIPLE CHOICE vv




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
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vv by biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using
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vv traditional methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine.
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d. The belief that health depends on maintaining a balance among opposite
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vv qualities is characteristic of a magicoreligious belief system.
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ANS: v v B
Older adults in most cultures usually have had experience with traditional methods that
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have worked as well as expected. After these treatments fail, older adults turn to the
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formal health care system. Even in the United States, it is common for older adults to
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pray for cures or wonder what they did to incur an illness as punishment. The
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Ayurvedic system is a naturalistic health belief system practiced in India and in some
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neighboring countries. This belief is characteristic of a holistic or naturalistic approach.
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PTS: v v v v 1 DIF: Understand REF: vv vv p. 16-17 vv


TOP: v v Nursing Process: Assessment vv vv MSC: v v Health Promotion and Maintenance vv vv vv




2. Which of the following consideUratiS
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Tost likO
vvely to be true when working
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N R I G B .C M vv vv vv vv vv


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


TOP: v v Nursing Process: Implementation vv vv v v v v MSC: v v 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
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and refuses to remain in the bed. Which intervention should the nurse use to promote and
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maintain 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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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test
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Bank
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d. Consult with a practitioner of Chinese medicine.
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ANS: v v C
Using the LEARN model (listen with sympathy to the patient’s perception of the
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problem, explain your perception of the problem, acknowledge the differences and
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similarities, recommend treatment, and negotiate agreement), the nurse gathers
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information from the patient about cultural beliefs concerning health care and avoids
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stereotyping the patient. In the assessment, the nurse determines what the patient believes
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about caregiving, decision making, treatment, and other pertinent health-related
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information. Speaking with the health care provider is premature until the assessment is
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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,
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consulting with a practitioner of Chinese medicine can also be unsuitable and insulting
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for this patient.
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PTS: v v v v 1 DIF: Apply REF: vv vv p. 18 vv


TOP: v v Nursing Process: Implementation MSC: vv vv v v 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. vv vv vv vv


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. vv




ANS: v v D
Some health professionals demonstrate ageism, in part because providers tend to see
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many frail, older persons and fewer of those who are healthy and active. Providers
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should not assume that all older adults are hearing or mentally impaired. The most
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appropriate action
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when addressing an older aduNltUwRoS
vv ulI
dNbeGtT
oBs p.e aCk Oc Ml e a rl y. Examples of unintentional
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ageism in language are an exaggerated pitch, a demeaning emotional tone, and a lower
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quality of
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speech.

PTS: v v v v 1 DIF: Apply REF: vv vv p. 15 vv


TOP: v v Nursing Process: Assessment vv vv MSC: v v Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter
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and notes that she becomes tense during the instructions about elimination. Which
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intervention 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: v v B
When working with an interpreter, the nurse closely watches the older adult for
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nonverbal communication and emotion regarding a specific topic and therefore validates
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the assessment about the older adult’s tension before proceeding. Because the nurse
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notices her tension, the nurse temporarily suspends the preparation to validate her
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assessment. If the nurse proceeds and the older adult is uncomfortable discussing
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elimination, then important instructions can be missed, leading to adverse effects for the
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older adult. Repeating the instructions can aggravate the older adult’s discomfort.
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Instructing the older adult to repeat the nurse’s instruction ignores her needs.
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