TEST BANK
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
man’s wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level of
wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every person has an optimal level of health independent of his or her situation or
functional level. Even in the presence of chronic illness or while dying, a movement toward
wellness is possible if emphasis of care is placed on the promotion of well-being in a
supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations; throughout history, basic self-care requirements have
been recognized. Wellness and self-actualization develop through learning and growth—as
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
, Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. Which of the following is a true statement about differing health belief systems?
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by
biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional
methods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities
is characteristic of a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which of the following considU
N R I G B.C M
eratiS
onsNis m
Tost likO
ely to be true when working with an
interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
b. When working with interpreters, the nurse can use technical terms or metaphors.
c. A patient’s young granddaughter who speaks fluent English would make the best
interpreter because she is familiar with and loves the patient.
d. The nurse should face the patient rather than the interpreter.
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 grandparent or child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
a. Have the health care provider speak to him.
b. Use principles of the holistic health system.
c. Ask about his perceptions and treatment ideas.
, d. Consult with a practitioner of Chinese medicine.
ANS: d C
Using dthe dLEARN dmodel d(listen dwith dsympathy dto dthe dpatient’s dperception dof dthe
dproblem, dexplain dyour dperception dof dthe dproblem, dacknowledge dthe ddifferences dand
dsimilarities, drecommend dtreatment, dand dnegotiate dagreement), dthe dnurse dgathers
dinformation dfrom dthe dpatient dabout dcultural dbeliefs dconcerning dhealth dcare dand davoids
dstereotyping dthe dpatient. dIn dthe dassessment, dthe dnurse ddetermines dwhat dthe dpatient
dbelieves dabout dcaregiving, ddecision dmaking, dtreatment, dand dother dpertinent dhealth-
related dinformation. dSpeaking dwith dthe dhealth dcare dprovider dis dpremature duntil dthe
dassessment dis dcomplete. dUnless dhe daccepts dthe dbeliefs, dprinciples dof dthe dholistic dhealth
dsystem dcan dbe dpotentially dunsuitable dand dinsulting dfor dthis dpatient. dUnless dhe daccepts
dthe dtreatments, dconsulting dwith da dpractitioner dof dChinese dmedicine dcan dalso dbe
dunsuitable dand dinsulting dfor dthis dpatient.
PTS: d d 1 DIF: Apply REF: d p. d18
TOP: d Nursing dProcess: dImplementation MSC: d Health dPromotion dand dMaintenance
4. Which daction dshould dthe dnurse dtake dwhen daddressing dolder dadults?
a. Speak din dan dexaggerated dpitch.
b. Use da dlower dquality dof dspeech.
c. Use dendearing dterms dsuch das d“honey.”
d. Speak dclearly.
ANS: d D
Some dhealth dprofessionals ddemonstrate dageism, din dpart dbecause dproviders dtend dto dsee
dmany dfrail, dolder dpersons dand dfewer dof dthose dwho dare dhealthy dand dactive. dProviders
dshould dnot
assume dthat dall dolder dadults dare dhearing dor dmentally dimpaired. dThe dmost dappropriate
daction dwhen daddressing dan dolder dadu NltUwRoSulIdNbeGtTo Bsp.eC
akOcM
learly. dExamples dof
dunintentional dageism din dlanguage dare dan dexaggerated dpitch, da ddemeaning demotional
dtone, dand da dlower dquality dof
speech.
PTS: d d 1 DIF: Apply REF: d p. d15
TOP: d Nursing dProcess: dAssessment MSC: d Health dPromotion dand dMaintenance
5. The dnurse dprepares dan dolder dwoman, dwho dis dPolish, dfor ddischarge dthrough dan
dinterpreter dand dnotes dthat dshe dbecomes dtense dduring dthe dinstructions dabout
delimination. dWhich dintervention dshould dthe dnurse dimplement?
a. Move don dto dthe ddiscussion dabout dmedication.
b. Ask dthe dolder dwoman dhow dshe dfeels dabout dthis dtopic.
c. Instruct dthe dinterpreter dto drepeat dthe dinstructions.
d. Have dthe dolder dwoman drepeat dthe dinstructions dfor dclarity.
ANS: d B
When dworking dwith dan dinterpreter, dthe dnurse dclosely dwatches dthe dolder dadult dfor
dnonverbal dcommunication dand demotion dregarding da dspecific dtopic dand dtherefore
dvalidates dthe dassessment dabout dthe dolder dadult’s dtension dbefore dproceeding. dBecause
dthe dnurse dnotices dher dtension, dthe dnurse dtemporarily dsuspends dthe dpreparation dto
dvalidate dher dassessment. dIf dthe dnurse dproceeds dand dthe dolder dadult dis duncomfortable
ddiscussing delimination, dthen dimportant dinstructions dcan dbe dmissed, dleading dto dadverse
deffects dfor dthe dolder dadult. dRepeating dthe dinstructions dcan daggravate dthe dolder dadult’s
ddiscomfort. dInstructing dthe dolder dadult dto drepeat dthe dnurse’s dinstruction dignores dher
dneeds.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
man’s wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level of
wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every person has an optimal level of health independent of his or her situation or
functional level. Even in the presence of chronic illness or while dying, a movement toward
wellness is possible if emphasis of care is placed on the promotion of well-being in a
supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations; throughout history, basic self-care requirements have
been recognized. Wellness and self-actualization develop through learning and growth—as
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
, Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. Which of the following is a true statement about differing health belief systems?
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by
biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional
methods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities
is characteristic of a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which of the following considU
N R I G B.C M
eratiS
onsNis m
Tost likO
ely to be true when working with an
interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
b. When working with interpreters, the nurse can use technical terms or metaphors.
c. A patient’s young granddaughter who speaks fluent English would make the best
interpreter because she is familiar with and loves the patient.
d. The nurse should face the patient rather than the interpreter.
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 grandparent or child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
a. Have the health care provider speak to him.
b. Use principles of the holistic health system.
c. Ask about his perceptions and treatment ideas.
, d. Consult with a practitioner of Chinese medicine.
ANS: d C
Using dthe dLEARN dmodel d(listen dwith dsympathy dto dthe dpatient’s dperception dof dthe
dproblem, dexplain dyour dperception dof dthe dproblem, dacknowledge dthe ddifferences dand
dsimilarities, drecommend dtreatment, dand dnegotiate dagreement), dthe dnurse dgathers
dinformation dfrom dthe dpatient dabout dcultural dbeliefs dconcerning dhealth dcare dand davoids
dstereotyping dthe dpatient. dIn dthe dassessment, dthe dnurse ddetermines dwhat dthe dpatient
dbelieves dabout dcaregiving, ddecision dmaking, dtreatment, dand dother dpertinent dhealth-
related dinformation. dSpeaking dwith dthe dhealth dcare dprovider dis dpremature duntil dthe
dassessment dis dcomplete. dUnless dhe daccepts dthe dbeliefs, dprinciples dof dthe dholistic dhealth
dsystem dcan dbe dpotentially dunsuitable dand dinsulting dfor dthis dpatient. dUnless dhe daccepts
dthe dtreatments, dconsulting dwith da dpractitioner dof dChinese dmedicine dcan dalso dbe
dunsuitable dand dinsulting dfor dthis dpatient.
PTS: d d 1 DIF: Apply REF: d p. d18
TOP: d Nursing dProcess: dImplementation MSC: d Health dPromotion dand dMaintenance
4. Which daction dshould dthe dnurse dtake dwhen daddressing dolder dadults?
a. Speak din dan dexaggerated dpitch.
b. Use da dlower dquality dof dspeech.
c. Use dendearing dterms dsuch das d“honey.”
d. Speak dclearly.
ANS: d D
Some dhealth dprofessionals ddemonstrate dageism, din dpart dbecause dproviders dtend dto dsee
dmany dfrail, dolder dpersons dand dfewer dof dthose dwho dare dhealthy dand dactive. dProviders
dshould dnot
assume dthat dall dolder dadults dare dhearing dor dmentally dimpaired. dThe dmost dappropriate
daction dwhen daddressing dan dolder dadu NltUwRoSulIdNbeGtTo Bsp.eC
akOcM
learly. dExamples dof
dunintentional dageism din dlanguage dare dan dexaggerated dpitch, da ddemeaning demotional
dtone, dand da dlower dquality dof
speech.
PTS: d d 1 DIF: Apply REF: d p. d15
TOP: d Nursing dProcess: dAssessment MSC: d Health dPromotion dand dMaintenance
5. The dnurse dprepares dan dolder dwoman, dwho dis dPolish, dfor ddischarge dthrough dan
dinterpreter dand dnotes dthat dshe dbecomes dtense dduring dthe dinstructions dabout
delimination. dWhich dintervention dshould dthe dnurse dimplement?
a. Move don dto dthe ddiscussion dabout dmedication.
b. Ask dthe dolder dwoman dhow dshe dfeels dabout dthis dtopic.
c. Instruct dthe dinterpreter dto drepeat dthe dinstructions.
d. Have dthe dolder dwoman drepeat dthe dinstructions dfor dclarity.
ANS: d B
When dworking dwith dan dinterpreter, dthe dnurse dclosely dwatches dthe dolder dadult dfor
dnonverbal dcommunication dand demotion dregarding da dspecific dtopic dand dtherefore
dvalidates dthe dassessment dabout dthe dolder dadult’s dtension dbefore dproceeding. dBecause
dthe dnurse dnotices dher dtension, dthe dnurse dtemporarily dsuspends dthe dpreparation dto
dvalidate dher dassessment. dIf dthe dnurse dproceeds dand dthe dolder dadult dis duncomfortable
ddiscussing delimination, dthen dimportant dinstructions dcan dbe dmissed, dleading dto dadverse
deffects dfor dthe dolder dadult. dRepeating dthe dinstructions dcan daggravate dthe dolder dadult’s
ddiscomfort. dInstructing dthe dolder dadult dto drepeat dthe dnurse’s dinstruction dignores dher
dneeds.
