TESTBANK n
Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
n n n n n n n n n
Veronique Boscart
n
3RD Edition
n
TESTBANK n
,Chapter 01: Introduction to Healthy Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
n n n n n n n n n n n n
MULTIPLE CHOICE n
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
n n n n n n n n n n n n n n n
man’s wellness?
n n
a. Wellness can only be achieved with aggressive medical interventions. n n n n n n n n
b. Wellness is not a real option for this client because he is terminally ill. n n n n n n n n n n n n n
c. Wellness is defined as the absence of disease. n n n n n n n
d. Nursing interventions can help empower a client to achieve a higher level of n n n n n n n n n n n n
wellness. n
ANS: D n
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
n n n n n n n n n n n n n n n n
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
n n n n n n n n n n n n n n n n
It is not just the absence of disease. A wellness perspective is based on the belief that every person
n n n n n n n n n n n n n n n n n n n
has an optimal level of health independent of his or her situation or functional level. Even in the
n n n n n n n n n n n n n n n n n n
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
n n n n n n n n n n n n n n n n
care is placed on the promotion of well-being in a supportive environment.
n n n n n n n n n n n n
PTS: 1 DIF: Apply
n REF: p. 7 n n TOP: Nursing Process: Diagnosis n n n
MSC: Health Promotion and Maintenance
n n n n n
2. In differentiating between health and wellness in health care, which of the following
n n n n n n n n n n n n
statements is true?
n n n
a. Health is a broad term encompassing attitudes and behaviors. n n n n n n n n
b. The concept of illness prevention was never considered by previous generations.
n n n n n n n n n n
c. Wellness and self-actualization develop through learning and growth. n n n n n n n
d. Wellness is impossible when one’s health is compromised. n n n n n n n
ANS: A n
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
n n n n n n n n n n n n
wellness, which involves one’s whole being. The concept of illness prevention was never
n n n n n n n n n n n n n
considered by previous generations; throughout history, basic self-care requirements have been
n n n n n n n n n n n
recognized. Wellness and self-actualization develop through learning and growth—as basic
n n n n n n n n n n
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
n n n n n n n n n n n n n n n n
Wellness is possible when one’s health is compromised—even with chronic illness, with multiple
n n n n n n n n n n n n n
disabilities, or in dying, movement toward a higher level of wellness is possible.
n n n n n n n n n n n n n
PTS: 1 DIF: Understand REF: p. 7
n n n TOP: Nursing Process: Evaluation n n n
MSC: Health Promotion and Maintenance
n n n n n
3. Which racial or ethnic group has the highest life expectancy in the United States?
n n n n n n n n n n n n n
a. Native Americans n
b. African Americans n
c. Hispanic Americans n
d. Asian and Pacific Island Americans n n n n
, Chapter 02: Cross-Cultural Caring and Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
n n n n n n n n n n n n
MULTIPLE CHOICE n
1. Which of the following is a true statement about differing health belief systems?
n n n n n n n n n n n n
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by n n n n n n n n n n
biomedical principles.
n n
b. In most cultures, older adults are likely to treat themselves using traditional
n n n n n n n n n n n
methods before turning to biomedical professionals.
n n n n n n
c. Ayurvedic medicine is another name for traditional Chinese medicine. n n n n n n n n
d. The belief that health depends on maintaining a balance among opposite qualities is
n n n n n n n n n n n n
characteristic of a magicoreligious belief system.
n n n n n n
ANS: B n
Older adults in most cultures usually have had experience with traditional methods that have
n n n n n n n n n n n n n
worked as well as expected. After these treatments fail, older adults turn to the formal health care
n n n n n n n n n n n n n n n n n
system. Even in the United States, it is common for older adults to pray for cures or wonder what
n n n n n n n n n n n n n n n n n n n
they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
n n n n n n n n n n n n n n n n
system practiced in India and in some neighboring countries. This belief is characteristic of a
n n n n n n n n n n n n n n n
holistic or naturalistic approach.
n n n n
PTS: 1 DIF: Understand
n n REF: p. 16-17 n n
TOP: Nursing Process: Assessment n n n MSC: Health Promotion and Maintenance n n n n
2. Which of the following considU
eratiS
onsNis m
Tost likO
nely to be true when working with an
n n n
N R I G B.C M n n n n n n n
interpreter?
n
a. An interpreter is never needed if the nurse speaks the same language as the patient.
n n n n n n n n n n n n n n
b. When working with interpreters, the nurse can use technical terms or metaphors.
n n n n n n n n n n n
c. A patient’s young granddaughter who speaks fluent English would make the best
n n n n n n n n n n n
interpreter because she is familiar with and loves the patient.
n n n n n n n n n n
d. The nurse should face the patient rather than the interpreter.
n n n n n n n n n
ANS: D n
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
n n n n n n n n n n n n n n n n n
converse with the patient, not with a third party about the patient. Many reasons may prevent the
n n n n n n n n n n n n n n n n n
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
n n n n n n n n n n n n n n n
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
n n n n n n n n n n n n n n n
grandparent or child.
n n n
PTS: 1 DIF: Understand
n n n n n nREF: p. 18-19 n n n
TOP: Nursing Process: Implementationn n n n n MSC: Safe, Effective Care Environment n n n n
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses
n n n n n n n n n n n n n n n n n n
to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
n n n n n n n n n n n n n n n n n
a. Have the health care provider speak to him. n n n n n n n
b. Use principles of the holistic health system. n n n n n n
c. Ask about his perceptions and treatment ideas. n n n n n n
, d. Consult with a practitioner of Chinese medicine. n n n n n n
ANS: C n
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
n n n n n n n n n n n n n n
your perception of the problem, acknowledge the differences and similarities, recommend
n n n n n n n n n n n
treatment, and negotiate agreement), the nurse gathers information from the patient about cultural
n n n n n n n n n n n n n
beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
n n n n n n n n n n n n n n
determines what the patient believes about caregiving, decision making, treatment, and other
n n n n n n n n n n n n
pertinent health-related information. Speaking with the health care provider is premature until the
n n n n n n n n n n n n n
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
n n n n n n n n n n n n n n n
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
n n n n n n n n n n n n n
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
n n n n n n n n n n n n n n n
patient.
n
PTS: 1 n DIF: Apply
n REF: p. 18 n n
TOP: Nursing Process: Implementation
n n n MSC: Health Promotion and Maintenance n n n n
4. Which action should the nurse take when addressing older adults?
n n n n n n n n n
a. Speak in an exaggerated pitch. n n n n
b. Use a lower quality of speech. n n n n n
c. Use endearing terms such as “honey.” n n n n n
d. Speak clearly. n
ANS: D n
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
n n n n n n n n n n n n n
older persons and fewer of those who are healthy and active. Providers should not
n n n n n n n n n n n n n n
assume that all older adults are hearing or mentally impaired. The most appropriate action when
n n n n n n n n n n n n n n
addressing an older aduNltUwRoS
n ulI beGtT
dN oBsp.eC
akOcM
learly. Examples of unintentional ageism in
n n n n n n n n
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
n n n n n n n n n n n n n n
speech.
PTS: 1 n DIF: Apply
n REF: p. 15 n n
TOP: Nursing Process: Assessment
n n n MSC: Health Promotion and Maintenance n n n n
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
n n n n n n n n n n n n n n
notes that she becomes tense during the instructions about elimination. Which intervention
n n n n n n n n n n n n
should the nurse implement?
n n n n
a. Move on to the discussion about medication. n n n n n n
b. Ask the older woman how she feels about this topic.
n n n n n n n n n
c. Instruct the interpreter to repeat the instructions. n n n n n n
d. Have the older woman repeat the instructions for clarity.
n n n n n n n n
ANS: B n
When working with an interpreter, the nurse closely watches the older adult for nonverbal
n n n n n n n n n n n n n
communication and emotion regarding a specific topic and therefore validates the assessment
n n n n n n n n n n n n
about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
n n n n n n n n n n n n n n n
temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
n n n n n n n n n n n n n n
older adult is uncomfortable discussing elimination, then important instructions can be missed,
n n n n n n n n n n n n
leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
n n n n n n n n n n n n n n n
adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
n n n n n n n n n n n n n n
Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
n n n n n n n n n
Veronique Boscart
n
3RD Edition
n
TESTBANK n
,Chapter 01: Introduction to Healthy Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
n n n n n n n n n n n n
MULTIPLE CHOICE n
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
n n n n n n n n n n n n n n n
man’s wellness?
n n
a. Wellness can only be achieved with aggressive medical interventions. n n n n n n n n
b. Wellness is not a real option for this client because he is terminally ill. n n n n n n n n n n n n n
c. Wellness is defined as the absence of disease. n n n n n n n
d. Nursing interventions can help empower a client to achieve a higher level of n n n n n n n n n n n n
wellness. n
ANS: D n
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
n n n n n n n n n n n n n n n n
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
n n n n n n n n n n n n n n n n
It is not just the absence of disease. A wellness perspective is based on the belief that every person
n n n n n n n n n n n n n n n n n n n
has an optimal level of health independent of his or her situation or functional level. Even in the
n n n n n n n n n n n n n n n n n n
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
n n n n n n n n n n n n n n n n
care is placed on the promotion of well-being in a supportive environment.
n n n n n n n n n n n n
PTS: 1 DIF: Apply
n REF: p. 7 n n TOP: Nursing Process: Diagnosis n n n
MSC: Health Promotion and Maintenance
n n n n n
2. In differentiating between health and wellness in health care, which of the following
n n n n n n n n n n n n
statements is true?
n n n
a. Health is a broad term encompassing attitudes and behaviors. n n n n n n n n
b. The concept of illness prevention was never considered by previous generations.
n n n n n n n n n n
c. Wellness and self-actualization develop through learning and growth. n n n n n n n
d. Wellness is impossible when one’s health is compromised. n n n n n n n
ANS: A n
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
n n n n n n n n n n n n
wellness, which involves one’s whole being. The concept of illness prevention was never
n n n n n n n n n n n n n
considered by previous generations; throughout history, basic self-care requirements have been
n n n n n n n n n n n
recognized. Wellness and self-actualization develop through learning and growth—as basic
n n n n n n n n n n
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
n n n n n n n n n n n n n n n n
Wellness is possible when one’s health is compromised—even with chronic illness, with multiple
n n n n n n n n n n n n n
disabilities, or in dying, movement toward a higher level of wellness is possible.
n n n n n n n n n n n n n
PTS: 1 DIF: Understand REF: p. 7
n n n TOP: Nursing Process: Evaluation n n n
MSC: Health Promotion and Maintenance
n n n n n
3. Which racial or ethnic group has the highest life expectancy in the United States?
n n n n n n n n n n n n n
a. Native Americans n
b. African Americans n
c. Hispanic Americans n
d. Asian and Pacific Island Americans n n n n
, Chapter 02: Cross-Cultural Caring and Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
n n n n n n n n n n n n
MULTIPLE CHOICE n
1. Which of the following is a true statement about differing health belief systems?
n n n n n n n n n n n n
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by n n n n n n n n n n
biomedical principles.
n n
b. In most cultures, older adults are likely to treat themselves using traditional
n n n n n n n n n n n
methods before turning to biomedical professionals.
n n n n n n
c. Ayurvedic medicine is another name for traditional Chinese medicine. n n n n n n n n
d. The belief that health depends on maintaining a balance among opposite qualities is
n n n n n n n n n n n n
characteristic of a magicoreligious belief system.
n n n n n n
ANS: B n
Older adults in most cultures usually have had experience with traditional methods that have
n n n n n n n n n n n n n
worked as well as expected. After these treatments fail, older adults turn to the formal health care
n n n n n n n n n n n n n n n n n
system. Even in the United States, it is common for older adults to pray for cures or wonder what
n n n n n n n n n n n n n n n n n n n
they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
n n n n n n n n n n n n n n n n
system practiced in India and in some neighboring countries. This belief is characteristic of a
n n n n n n n n n n n n n n n
holistic or naturalistic approach.
n n n n
PTS: 1 DIF: Understand
n n REF: p. 16-17 n n
TOP: Nursing Process: Assessment n n n MSC: Health Promotion and Maintenance n n n n
2. Which of the following considU
eratiS
onsNis m
Tost likO
nely to be true when working with an
n n n
N R I G B.C M n n n n n n n
interpreter?
n
a. An interpreter is never needed if the nurse speaks the same language as the patient.
n n n n n n n n n n n n n n
b. When working with interpreters, the nurse can use technical terms or metaphors.
n n n n n n n n n n n
c. A patient’s young granddaughter who speaks fluent English would make the best
n n n n n n n n n n n
interpreter because she is familiar with and loves the patient.
n n n n n n n n n n
d. The nurse should face the patient rather than the interpreter.
n n n n n n n n n
ANS: D n
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
n n n n n n n n n n n n n n n n n
converse with the patient, not with a third party about the patient. Many reasons may prevent the
n n n n n n n n n n n n n n n n n
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
n n n n n n n n n n n n n n n
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
n n n n n n n n n n n n n n n
grandparent or child.
n n n
PTS: 1 DIF: Understand
n n n n n nREF: p. 18-19 n n n
TOP: Nursing Process: Implementationn n n n n MSC: Safe, Effective Care Environment n n n n
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses
n n n n n n n n n n n n n n n n n n
to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
n n n n n n n n n n n n n n n n n
a. Have the health care provider speak to him. n n n n n n n
b. Use principles of the holistic health system. n n n n n n
c. Ask about his perceptions and treatment ideas. n n n n n n
, d. Consult with a practitioner of Chinese medicine. n n n n n n
ANS: C n
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
n n n n n n n n n n n n n n
your perception of the problem, acknowledge the differences and similarities, recommend
n n n n n n n n n n n
treatment, and negotiate agreement), the nurse gathers information from the patient about cultural
n n n n n n n n n n n n n
beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
n n n n n n n n n n n n n n
determines what the patient believes about caregiving, decision making, treatment, and other
n n n n n n n n n n n n
pertinent health-related information. Speaking with the health care provider is premature until the
n n n n n n n n n n n n n
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
n n n n n n n n n n n n n n n
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
n n n n n n n n n n n n n
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
n n n n n n n n n n n n n n n
patient.
n
PTS: 1 n DIF: Apply
n REF: p. 18 n n
TOP: Nursing Process: Implementation
n n n MSC: Health Promotion and Maintenance n n n n
4. Which action should the nurse take when addressing older adults?
n n n n n n n n n
a. Speak in an exaggerated pitch. n n n n
b. Use a lower quality of speech. n n n n n
c. Use endearing terms such as “honey.” n n n n n
d. Speak clearly. n
ANS: D n
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
n n n n n n n n n n n n n
older persons and fewer of those who are healthy and active. Providers should not
n n n n n n n n n n n n n n
assume that all older adults are hearing or mentally impaired. The most appropriate action when
n n n n n n n n n n n n n n
addressing an older aduNltUwRoS
n ulI beGtT
dN oBsp.eC
akOcM
learly. Examples of unintentional ageism in
n n n n n n n n
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
n n n n n n n n n n n n n n
speech.
PTS: 1 n DIF: Apply
n REF: p. 15 n n
TOP: Nursing Process: Assessment
n n n MSC: Health Promotion and Maintenance n n n n
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
n n n n n n n n n n n n n n
notes that she becomes tense during the instructions about elimination. Which intervention
n n n n n n n n n n n n
should the nurse implement?
n n n n
a. Move on to the discussion about medication. n n n n n n
b. Ask the older woman how she feels about this topic.
n n n n n n n n n
c. Instruct the interpreter to repeat the instructions. n n n n n n
d. Have the older woman repeat the instructions for clarity.
n n n n n n n n
ANS: B n
When working with an interpreter, the nurse closely watches the older adult for nonverbal
n n n n n n n n n n n n n
communication and emotion regarding a specific topic and therefore validates the assessment
n n n n n n n n n n n n
about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
n n n n n n n n n n n n n n n
temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
n n n n n n n n n n n n n n
older adult is uncomfortable discussing elimination, then important instructions can be missed,
n n n n n n n n n n n n
leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
n n n n n n n n n n n n n n n
adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
n n n n n n n n n n n n n n
