TESTBANK c
Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
c c c c c c c c c
Veronique Boscart
c
3RD Edition
c
TESTBANK c
,Chapter 01: Introduction to Healthy Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
c c c c c c c c c c c c
MULTIPLE CHOICE c
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
c c c c c c c c c c c c c c c
man’s wellness?
c c
a. Wellness can only be achieved with aggressive medical interventions. c c c c c c c c
b. Wellness is not a real option for this client because he is terminally ill. c c c c c c c c c c c c c
c. Wellness is defined as the absence of disease. c c c c c c c
d. Nursing interventions can help empower a client to achieve a higher level of c c c c c c c c c c c c
wellness. c
ANS: D c
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
c c c c c c c c c c c c c c c c
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
c c c c c c c c c c c c c c c c
It is not just the absence of disease. A wellness perspective is based on the belief that every person
c c c c c c c c c c c c c c c c c c c
has an optimal level of health independent of his or her situation or functional level. Even in the
c c c c c c c c c c c c c c c c c c
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
c c c c c c c c c c c c c c c c
care is placed on the promotion of well-being in a supportive environment.
c c c c c c c c c c c c
PTS: 1 DIF: Apply c REF: p. 7 c c TOP: NursingProcess: Diagnosis c c c
MSC: Health Promotion and Maintenance
c c c c c
2. In differentiating between health and wellness in health care, which of the following
c c c c c c c c c c c c
statements is true?
c c c
a. Health is a broad term encompassing attitudes and behaviors. c c c c c c c c
b. The concept of illness prevention was never considered by previous generations.
c c c c c c c c c c
c. Wellness and self-actualization develop through learning and growth. c c c c c c c
d. Wellness is impossible when one’s health is compromised. c c c c c c c
ANS: A c
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
c c c c c c c c c c c c
wellness, which involves one’s whole being. The concept of illness prevention was never
c c c c c c c c c c c c c
considered by previous generations; throughout history, basic self-care requirements have been
c c c c c c c c c c c
recognized. Wellness and self-actualization develop through learning and growth—as basic
c c c c c c c c c c
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
c c c c c c c c c c c c c c c c
Wellness is possible when one’s health is compromised—even with chronic illness, with multiple
c c c c c c c c c c c c c
disabilities, or in dying, movement toward a higher level of wellness is possible.
c c c c c c c c c c c c c
PTS: 1 DIF: Understand REF: p. 7
c c c TOP: NursingProcess: Evaluation c c c
MSC: Health Promotion and Maintenance
c c c c c
3. Which racial or ethnic group has the highest life expectancy in the United States?
c c c c c c c c c c c c c
a. Native Americans c
b. African Americans c
c. Hispanic Americans c
d. Asian and Pacific Island Americans c c c c
, Chapter02: Cross-Cultural Caringand Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
c c c c c c c c c c c c
MULTIPLE CHOICE c
1. Which of the following is a true statement about differing health belief systems?
c c c c c c c c c c c c
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by c c c c c c c c c c
biomedical principles.
c c
b. In most cultures, older adults are likely to treat themselves using traditional
c c c c c c c c c c c
methods before turning to biomedical professionals.
c c c c c c
c. Ayurvedic medicine is another name for traditional Chinese medicine. c c c c c c c c
d. The belief that health depends on maintaining a balance among opposite qualities is
c c c c c c c c c c c c
characteristic of a magicoreligious belief system.
c c c c c c
ANS: B c
Older adults in most cultures usually have had experience with traditional methods that have
c c c c c c c c c c c c c
worked as well as expected. After these treatments fail, older adults turn to the formal health care
c c c c c c c c c c c c c c c c c
system. Even in the United States, it is common for older adults to pray for cures or wonder what
c c c c c c c c c c c c c c c c c c c
they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
c c c c c c c c c c c c c c c c
system practiced in India and in some neighboring countries. This belief is characteristic of a
c c c c c c c c c c c c c c c
holistic or naturalistic approach.
c c c c
PTS: 1 DIF: Understand
c c REF: p. 16-17 c c
TOP: Nursing Process: Assessmentc c c MSC: Health Promotion and Maintenance c c c c
2. Which of the following considU
eratiS
onsNis m
Tost likO
c ely to be true when working with an
c c c
N R I G B.C M c c c c c c c
interpreter?
c
a. An interpreter is never needed if the nurse speaks the same language as the patient.
c c c c c c c c c c c c c c
b. When working with interpreters, the nurse can use technical terms or metaphors.
c c c c c c c c c c c
c. A patient’s young granddaughter who speaks fluent English would make the best
c c c c c c c c c c c
interpreter because she is familiar with and loves the patient.
c c c c c c c c c c
d. The nurse should face the patient rather than the interpreter.
c c c c c c c c c
ANS: D c
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
c c c c c c c c c c c c c c c c c
converse with the patient, not with a third party about the patient. Many reasons may prevent the
c c c c c c c c c c c c c c c c c
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
c c c c c c c c c c c c c c c
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
c c c c c c c c c c c c c c c
grandparent or child.
c c c
PTS: 1 DIF: Understand
c c c c c REF: p. 18-19
c c c c
TOP: Nursing Process: Implementationc c c c c MSC: Safe, Effective Care Environment c c c c
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to
c c c c c c c c c c c c c c c c c c c
remain in the bed. Which intervention should the nurse use to promote and maintain his health?
c c c c c c c c c c c c c c c c
a. Have the health care provider speak to him. c c c c c c c
b. Use principles of the holistic health system. c c c c c c
c. Ask about his perceptions and treatment ideas. c c c c c c
, d. Consult with a practitioner of Chinese medicine. c c c c c c
ANS: C c
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
c c c c c c c c c c c c c c
your perception of the problem, acknowledge the differences and similarities, recommend
c c c c c c c c c c c
treatment, and negotiate agreement), the nurse gathers information from the patient about cultural
c c c c c c c c c c c c c
beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
c c c c c c c c c c c c c c
determines what the patient believes about caregiving, decision making, treatment, and other
c c c c c c c c c c c c
pertinent health-related information. Speaking with the health care provider is premature until the
c c c c c c c c c c c c c
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
c c c c c c c c c c c c c c c
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
c c c c c c c c c c c c c
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
c c c c c c c c c c c c c c c
patient.
c
PTS: 1 DIF: Apply
c c REF: p. 18 c c
TOP: Nursing Process: Implementation
c c c MSC: Health Promotion and Maintenance c c c c
4. Which action should the nurse take when addressing older adults?
c c c c c c c c c
a. Speak in an exaggerated pitch. c c c c
b. Use a lower quality of speech. c c c c c
c. Use endearing terms such as “honey.” c c c c c
d. Speak clearly. c
ANS: D c
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
c c c c c c c c c c c c c
older persons and fewer of those who are healthy and active. Providers should not
c c c c c c c c c c c c c c
assume that all older adults are hearing or mentally impaired. The most appropriate action when
c c c c c c c c c c c c c c
addressing an older aduNltUwRoS
c ulIdNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism in
c c c c c c c c
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
c c c c c c c c c c c c c c
speech.
PTS: 1 DIF: Apply
c c REF: p. 15 c c
TOP: Nursing Process: Assessmentc c c MSC: Health Promotion and Maintenance c c c c
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
c c c c c c c c c c c c c c c
that she becomes tense during the instructions about elimination. Which intervention should
c c c c c c c c c c c c
the nurse implement?
c c c
a. Move on to the discussion about medication. c c c c c c
b. Ask the older woman how she feels about this topic.
c c c c c c c c c
c. Instruct the interpreter to repeat the instructions. c c c c c c
d. Have the older woman repeat the instructions for clarity.c c c c c c c c
ANS: B c
When working with an interpreter, the nurse closely watches the older adult for nonverbal
c c c c c c c c c c c c c
communication and emotion regarding a specific topic and therefore validates the assessment
c c c c c c c c c c c c
about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
c c c c c c c c c c c c c c c
temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
c c c c c c c c c c c c c c
older adult is uncomfortable discussing elimination, then important instructions can be missed,
c c c c c c c c c c c c
leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
c c c c c c c c c c c c c c c
adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
c c c c c c c c c c c c c c
Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
c c c c c c c c c
Veronique Boscart
c
3RD Edition
c
TESTBANK c
,Chapter 01: Introduction to Healthy Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
c c c c c c c c c c c c
MULTIPLE CHOICE c
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
c c c c c c c c c c c c c c c
man’s wellness?
c c
a. Wellness can only be achieved with aggressive medical interventions. c c c c c c c c
b. Wellness is not a real option for this client because he is terminally ill. c c c c c c c c c c c c c
c. Wellness is defined as the absence of disease. c c c c c c c
d. Nursing interventions can help empower a client to achieve a higher level of c c c c c c c c c c c c
wellness. c
ANS: D c
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
c c c c c c c c c c c c c c c c
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
c c c c c c c c c c c c c c c c
It is not just the absence of disease. A wellness perspective is based on the belief that every person
c c c c c c c c c c c c c c c c c c c
has an optimal level of health independent of his or her situation or functional level. Even in the
c c c c c c c c c c c c c c c c c c
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
c c c c c c c c c c c c c c c c
care is placed on the promotion of well-being in a supportive environment.
c c c c c c c c c c c c
PTS: 1 DIF: Apply c REF: p. 7 c c TOP: NursingProcess: Diagnosis c c c
MSC: Health Promotion and Maintenance
c c c c c
2. In differentiating between health and wellness in health care, which of the following
c c c c c c c c c c c c
statements is true?
c c c
a. Health is a broad term encompassing attitudes and behaviors. c c c c c c c c
b. The concept of illness prevention was never considered by previous generations.
c c c c c c c c c c
c. Wellness and self-actualization develop through learning and growth. c c c c c c c
d. Wellness is impossible when one’s health is compromised. c c c c c c c
ANS: A c
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
c c c c c c c c c c c c
wellness, which involves one’s whole being. The concept of illness prevention was never
c c c c c c c c c c c c c
considered by previous generations; throughout history, basic self-care requirements have been
c c c c c c c c c c c
recognized. Wellness and self-actualization develop through learning and growth—as basic
c c c c c c c c c c
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
c c c c c c c c c c c c c c c c
Wellness is possible when one’s health is compromised—even with chronic illness, with multiple
c c c c c c c c c c c c c
disabilities, or in dying, movement toward a higher level of wellness is possible.
c c c c c c c c c c c c c
PTS: 1 DIF: Understand REF: p. 7
c c c TOP: NursingProcess: Evaluation c c c
MSC: Health Promotion and Maintenance
c c c c c
3. Which racial or ethnic group has the highest life expectancy in the United States?
c c c c c c c c c c c c c
a. Native Americans c
b. African Americans c
c. Hispanic Americans c
d. Asian and Pacific Island Americans c c c c
, Chapter02: Cross-Cultural Caringand Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
c c c c c c c c c c c c
MULTIPLE CHOICE c
1. Which of the following is a true statement about differing health belief systems?
c c c c c c c c c c c c
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by c c c c c c c c c c
biomedical principles.
c c
b. In most cultures, older adults are likely to treat themselves using traditional
c c c c c c c c c c c
methods before turning to biomedical professionals.
c c c c c c
c. Ayurvedic medicine is another name for traditional Chinese medicine. c c c c c c c c
d. The belief that health depends on maintaining a balance among opposite qualities is
c c c c c c c c c c c c
characteristic of a magicoreligious belief system.
c c c c c c
ANS: B c
Older adults in most cultures usually have had experience with traditional methods that have
c c c c c c c c c c c c c
worked as well as expected. After these treatments fail, older adults turn to the formal health care
c c c c c c c c c c c c c c c c c
system. Even in the United States, it is common for older adults to pray for cures or wonder what
c c c c c c c c c c c c c c c c c c c
they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
c c c c c c c c c c c c c c c c
system practiced in India and in some neighboring countries. This belief is characteristic of a
c c c c c c c c c c c c c c c
holistic or naturalistic approach.
c c c c
PTS: 1 DIF: Understand
c c REF: p. 16-17 c c
TOP: Nursing Process: Assessmentc c c MSC: Health Promotion and Maintenance c c c c
2. Which of the following considU
eratiS
onsNis m
Tost likO
c ely to be true when working with an
c c c
N R I G B.C M c c c c c c c
interpreter?
c
a. An interpreter is never needed if the nurse speaks the same language as the patient.
c c c c c c c c c c c c c c
b. When working with interpreters, the nurse can use technical terms or metaphors.
c c c c c c c c c c c
c. A patient’s young granddaughter who speaks fluent English would make the best
c c c c c c c c c c c
interpreter because she is familiar with and loves the patient.
c c c c c c c c c c
d. The nurse should face the patient rather than the interpreter.
c c c c c c c c c
ANS: D c
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
c c c c c c c c c c c c c c c c c
converse with the patient, not with a third party about the patient. Many reasons may prevent the
c c c c c c c c c c c c c c c c c
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
c c c c c c c c c c c c c c c
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
c c c c c c c c c c c c c c c
grandparent or child.
c c c
PTS: 1 DIF: Understand
c c c c c REF: p. 18-19
c c c c
TOP: Nursing Process: Implementationc c c c c MSC: Safe, Effective Care Environment c c c c
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to
c c c c c c c c c c c c c c c c c c c
remain in the bed. Which intervention should the nurse use to promote and maintain his health?
c c c c c c c c c c c c c c c c
a. Have the health care provider speak to him. c c c c c c c
b. Use principles of the holistic health system. c c c c c c
c. Ask about his perceptions and treatment ideas. c c c c c c
, d. Consult with a practitioner of Chinese medicine. c c c c c c
ANS: C c
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
c c c c c c c c c c c c c c
your perception of the problem, acknowledge the differences and similarities, recommend
c c c c c c c c c c c
treatment, and negotiate agreement), the nurse gathers information from the patient about cultural
c c c c c c c c c c c c c
beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
c c c c c c c c c c c c c c
determines what the patient believes about caregiving, decision making, treatment, and other
c c c c c c c c c c c c
pertinent health-related information. Speaking with the health care provider is premature until the
c c c c c c c c c c c c c
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
c c c c c c c c c c c c c c c
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
c c c c c c c c c c c c c
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
c c c c c c c c c c c c c c c
patient.
c
PTS: 1 DIF: Apply
c c REF: p. 18 c c
TOP: Nursing Process: Implementation
c c c MSC: Health Promotion and Maintenance c c c c
4. Which action should the nurse take when addressing older adults?
c c c c c c c c c
a. Speak in an exaggerated pitch. c c c c
b. Use a lower quality of speech. c c c c c
c. Use endearing terms such as “honey.” c c c c c
d. Speak clearly. c
ANS: D c
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
c c c c c c c c c c c c c
older persons and fewer of those who are healthy and active. Providers should not
c c c c c c c c c c c c c c
assume that all older adults are hearing or mentally impaired. The most appropriate action when
c c c c c c c c c c c c c c
addressing an older aduNltUwRoS
c ulIdNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism in
c c c c c c c c
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
c c c c c c c c c c c c c c
speech.
PTS: 1 DIF: Apply
c c REF: p. 15 c c
TOP: Nursing Process: Assessmentc c c MSC: Health Promotion and Maintenance c c c c
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
c c c c c c c c c c c c c c c
that she becomes tense during the instructions about elimination. Which intervention should
c c c c c c c c c c c c
the nurse implement?
c c c
a. Move on to the discussion about medication. c c c c c c
b. Ask the older woman how she feels about this topic.
c c c c c c c c c
c. Instruct the interpreter to repeat the instructions. c c c c c c
d. Have the older woman repeat the instructions for clarity.c c c c c c c c
ANS: B c
When working with an interpreter, the nurse closely watches the older adult for nonverbal
c c c c c c c c c c c c c
communication and emotion regarding a specific topic and therefore validates the assessment
c c c c c c c c c c c c
about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
c c c c c c c c c c c c c c c
temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
c c c c c c c c c c c c c c
older adult is uncomfortable discussing elimination, then important instructions can be missed,
c c c c c c c c c c c c
leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
c c c c c c c c c c c c c c c
adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
c c c c c c c c c c c c c c
