,Chapter 01: Introduction to Healthy Aging
e0 e0 e0 e0 e0
MULTIPLE CHOICE e0
1. A man is terminally ill with end-
e0 e0 e0 e0 e0 e0
stage prostate cancer. Which is the best statement about this man‘s wellness?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Wellness can only be achieved with aggressive medical interventions.
e0 e0 e0 e0 e0 e0 e0 e0
b. Wellness is not a real option for this client because he is terminally ill.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Wellness is defined as the absence of disease. e0 e0 e0 e0 e0 e0 e0
d. Nursing interventions can help empower a client to achieve a higher level
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
of wellness. e0
ANS: D e0
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurs
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e can foster wellness in his or her clients. Wellness is defined by the individual and is multi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
dimensional. It is not just the absence of disease. A wellness perspective is based on the bel
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ief that every person has an optimal level of health independent of his or her situation or fu
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nctional level. Even in the presence of chronic illness or while dying, a movement toward
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
wellness is possible if emphasis of care is placed on the promotion of well-
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
being in a supportive environment.
e0 e0 e0 e0
PTS: e 0 1 DIF: Apply REF: p. 7 e 0 e0
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
e0 e0 e0 e0 e 0 e0 e0 e0
e
2. In differentiating between health and wellness in health care, which of the followin
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
g statements is true?
e0 e0 e0
a. Health is a broad term encompassing attitudes and behaviors.
e0 e0 e0 e0 e0 e0 e0 e0
b. The concept of illness prevention was never considered by previous generations.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Wellness and self-actualization develop through learning and growth.
e0 e0 e0 e0 e0 e0 e0
d. Wellness is impossible when one‘s health is compromised. e0 e0 e0 e0 e0 e0 e0
ANS: A e0
Health is a broad term that encompasses attitudes and behaviors; holistically, health include
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s wellness, which involves one‘s whole being. The concept of illness prevention was never
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
considered by previous generations; throughout history, basic self-
e0 e0 e0 e0 e0 e0 e0
care requirements have been recognized. Wellness and self-
e0 e0 e0 e0 e0 e0 e0
actualization develop through learning and growth— e0 e0 e0 e0 e0
as basic needs are met, higher level needs can be satisfied in turn, with ever-
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
deepening richness to life. Wellness is possible when one‘s health is compromised—
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher l
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
evel of wellness is possible.
e0 e0 e0 e0
PTS: e 0 1 DIF: Understand REF: p. 7 e 0 e0
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
e0 e0 e0 e0 e 0 e0 e0 e0
e
3. Which racial or ethnic group has the highest life expectancy in the United States?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Native Americans e0
b. African Americans e0
c. Hispanic Americans e0
d. Asian and Pacific Island Americans e0 e0 e0 e0
, Chapter 02: Cross-Cultural Caring and Aging
e0 e0 e0 e0 e0
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
on
MULTIPLE CHOICE e0
1. Which of the following is a true statement about differing health belief systems?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Personalistic or magicoreligious beliefs have been superseded in Western minds b
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
y biomedical principles.
e0 e0
b. In most cultures, older adults are likely to treat themselves using traditiona
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
l methods before turning to biomedical professionals.
e0 e0 e0 e0 e0 e0
c. Ayurvedic medicine is another name for traditional Chinese medicine.
e0 e0 e0 e0 e0 e0 e0 e0
d. The belief that health depends on maintaining a balance among opposite qualitie
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s is characteristic of a magicoreligious belief system.
e0 e0 e0 e0 e0 e0 e0
ANS: B e0
Older adults in most cultures usually have had experience with traditional methods that hav
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e worked as well as expected. After these treatments fail, older adults turn to the formal he
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
alth care system. Even in the United States, it is common for older adults to pray for cure
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s or wonder what they did to incur an illness as punishment. The Ayurvedic system is a n
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
aturalistic health belief system practiced in India and in some neighboring countries. This
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
belief is characteristic of a holistic or naturalistic approach.
e0 e0 e0 e0 e0 e0 e0 e0
PTS: e 0 e 0 1 DIF: Understand REF: p. 16-17 e0 e0
TOP: e 0 Nursing Process: Assessment e0 e0 MSC: Health Promotion and Maintenance
e 0 e0 e0 e0
2. Which of the following consideUratiS
e0 onsNis m
Tost likO
e0 el y to be true when working with a
e0 e0
N R I G B.C M e0 e0 e0 e0 e0 e0 e0
n interpreter?
e0
a. An interpreter is never needed if the nurse speaks the same language as the patient.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
b. When working with interpreters, the nurse can use technical terms or metaphors.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. A patient‘s young granddaughter who speaks fluent English would make the bes
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
t interpreter because she is familiar with and loves the patient.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
d. The nurse should face the patient rather than the interpreter.
e0 e0 e0 e0 e0 e0 e0 e0 e0
ANS: D e0
The nurse should face the patient rather than the interpreter is a true statement; the intent is
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
to converse with the patient, not with a third party about the patient. Many reasons may pr
0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
event the patient from speaking directly to a nurse. Technical terms and metaphors may be
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
difficult or impossible to translate. Cultural restrictions may prevent some topics from being
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
spoken of to a grandparent or child.
0 e0 e0 e0 e0 e0 e0
PTS: e 0 e 0 1 DIF: Understand e 0 e 0 REF: p. 18-19 e 0 e0
TOP: e 0 Nursing Process: Implementation e0 e0 e 0 e 0 MSC: Safe, Effective Care Environment
e 0 e0 e0 e0
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
refuses to remain in the bed. Which intervention should the nurse use to promote and maintai
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
n his health?
e0 e0
a. Have the health care provider speak to him.
e0 e0 e0 e0 e0 e0 e0
b. Use principles of the holistic health system.
e0 e0 e0 e0 e0 e0
c. Ask about his perceptions and treatment ideas.
e0 e0 e0 e0 e0 e0
, d. Consult with a practitioner of Chinese medicine. e0 e0 e0 e0 e0 e0
ANS: C e0
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
explain your perception of the problem, acknowledge the differences and similarities, reco
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
about cultural beliefs concerning health care and avoids stereotyping the patient. In the assess
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ment, the nurse determines what the patient believes about caregiving, decision making, treat
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ment, and other pertinent health-
e0 e0 e0 e0
related information. Speaking with the health care provider is premature until the assessmen
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
t is complete. Unless he accepts the beliefs, principles of the holistic health system can be p
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
otentially unsuitable and insulting for this patient. Unless he accepts the treatments, consulti
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ng with a practitioner of Chinese medicine can also be unsuitable and insulting for this pati
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ent.
PTS: 1 DIF: Apply
e 0 e 0 REF: p. 18 e 0 e0
TOP: Nursing Process: Implementation
e 0 e0 e0 MSC: Health Promotion and Maintenance
e 0 e0 e0 e0
4. Which action should the nurse take when addressing older adults?
e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Speak in an exaggerated pitch. e0 e0 e0 e0
b. Use a lower quality of speech. e0 e0 e0 e0 e0
c. Use endearing terms such as ―honey.‖
e0 e0 e0 e0 e0
d. Speak clearly. e0
ANS: D e0
Some health professionals demonstrate ageism, in part because providers tend to see many fr
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ail, older persons and fewer of those who are healthy and active. Providers should not assu
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
me that all older adults are hearing or mentally impaired. The most appropriate action
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
when addressing an older aduNltUwRoS
e0 ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism
e0 e0 e0 e0 e0 e0 e0
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
speech.
e0
PTS: e 0 e 0 1 DIF: Apply REF: p. 15 e0 e0
TOP: e 0 Nursing Process: Assessment e0 e0 MSC: Health Promotion and Maintenance
e 0 e0 e0 e0
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter an
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
d notes that she becomes tense during the instructions about elimination. Which intervent
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ion should the nurse implement?
e0 e0 e0 e0
a. Move on to the discussion about medication.
e0 e0 e0 e0 e0 e0
b. Ask the older woman how she feels about this topic.
e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Instruct the interpreter to repeat the instructions.
e0 e0 e0 e0 e0 e0
d. Have the older woman repeat the instructions for clarity.
e0 e0 e0 e0 e0 e0 e0 e0
ANS: B e0
When working with an interpreter, the nurse closely watches the older adult for nonverbal c
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ommunication and emotion regarding a specific topic and therefore validates the assessment
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0about the older adult‘s tension before proceeding. Because the nurse notices her tension, th
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e nurse temporarily suspends the preparation to validate her assessment. If the nurse procee
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ds and the older adult is uncomfortable discussing elimination, then important instructions ca
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
n be missed, leading to adverse effects for the older adult. Repeating the instructions can ag
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
gravate the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruct
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ion ignores her needs.
e0 e0 e0
e0 e0 e0 e0 e0
MULTIPLE CHOICE e0
1. A man is terminally ill with end-
e0 e0 e0 e0 e0 e0
stage prostate cancer. Which is the best statement about this man‘s wellness?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Wellness can only be achieved with aggressive medical interventions.
e0 e0 e0 e0 e0 e0 e0 e0
b. Wellness is not a real option for this client because he is terminally ill.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Wellness is defined as the absence of disease. e0 e0 e0 e0 e0 e0 e0
d. Nursing interventions can help empower a client to achieve a higher level
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
of wellness. e0
ANS: D e0
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurs
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e can foster wellness in his or her clients. Wellness is defined by the individual and is multi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
dimensional. It is not just the absence of disease. A wellness perspective is based on the bel
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ief that every person has an optimal level of health independent of his or her situation or fu
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
nctional level. Even in the presence of chronic illness or while dying, a movement toward
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
wellness is possible if emphasis of care is placed on the promotion of well-
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
being in a supportive environment.
e0 e0 e0 e0
PTS: e 0 1 DIF: Apply REF: p. 7 e 0 e0
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
e0 e0 e0 e0 e 0 e0 e0 e0
e
2. In differentiating between health and wellness in health care, which of the followin
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
g statements is true?
e0 e0 e0
a. Health is a broad term encompassing attitudes and behaviors.
e0 e0 e0 e0 e0 e0 e0 e0
b. The concept of illness prevention was never considered by previous generations.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. Wellness and self-actualization develop through learning and growth.
e0 e0 e0 e0 e0 e0 e0
d. Wellness is impossible when one‘s health is compromised. e0 e0 e0 e0 e0 e0 e0
ANS: A e0
Health is a broad term that encompasses attitudes and behaviors; holistically, health include
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s wellness, which involves one‘s whole being. The concept of illness prevention was never
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
considered by previous generations; throughout history, basic self-
e0 e0 e0 e0 e0 e0 e0
care requirements have been recognized. Wellness and self-
e0 e0 e0 e0 e0 e0 e0
actualization develop through learning and growth— e0 e0 e0 e0 e0
as basic needs are met, higher level needs can be satisfied in turn, with ever-
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
deepening richness to life. Wellness is possible when one‘s health is compromised—
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher l
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
evel of wellness is possible.
e0 e0 e0 e0
PTS: e 0 1 DIF: Understand REF: p. 7 e 0 e0
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
e0 e0 e0 e0 e 0 e0 e0 e0
e
3. Which racial or ethnic group has the highest life expectancy in the United States?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Native Americans e0
b. African Americans e0
c. Hispanic Americans e0
d. Asian and Pacific Island Americans e0 e0 e0 e0
, Chapter 02: Cross-Cultural Caring and Aging
e0 e0 e0 e0 e0
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editi
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
on
MULTIPLE CHOICE e0
1. Which of the following is a true statement about differing health belief systems?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Personalistic or magicoreligious beliefs have been superseded in Western minds b
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
y biomedical principles.
e0 e0
b. In most cultures, older adults are likely to treat themselves using traditiona
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
l methods before turning to biomedical professionals.
e0 e0 e0 e0 e0 e0
c. Ayurvedic medicine is another name for traditional Chinese medicine.
e0 e0 e0 e0 e0 e0 e0 e0
d. The belief that health depends on maintaining a balance among opposite qualitie
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s is characteristic of a magicoreligious belief system.
e0 e0 e0 e0 e0 e0 e0
ANS: B e0
Older adults in most cultures usually have had experience with traditional methods that hav
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e worked as well as expected. After these treatments fail, older adults turn to the formal he
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
alth care system. Even in the United States, it is common for older adults to pray for cure
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
s or wonder what they did to incur an illness as punishment. The Ayurvedic system is a n
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
aturalistic health belief system practiced in India and in some neighboring countries. This
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
belief is characteristic of a holistic or naturalistic approach.
e0 e0 e0 e0 e0 e0 e0 e0
PTS: e 0 e 0 1 DIF: Understand REF: p. 16-17 e0 e0
TOP: e 0 Nursing Process: Assessment e0 e0 MSC: Health Promotion and Maintenance
e 0 e0 e0 e0
2. Which of the following consideUratiS
e0 onsNis m
Tost likO
e0 el y to be true when working with a
e0 e0
N R I G B.C M e0 e0 e0 e0 e0 e0 e0
n interpreter?
e0
a. An interpreter is never needed if the nurse speaks the same language as the patient.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
b. When working with interpreters, the nurse can use technical terms or metaphors.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. A patient‘s young granddaughter who speaks fluent English would make the bes
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
t interpreter because she is familiar with and loves the patient.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
d. The nurse should face the patient rather than the interpreter.
e0 e0 e0 e0 e0 e0 e0 e0 e0
ANS: D e0
The nurse should face the patient rather than the interpreter is a true statement; the intent is
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
to converse with the patient, not with a third party about the patient. Many reasons may pr
0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
event the patient from speaking directly to a nurse. Technical terms and metaphors may be
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
difficult or impossible to translate. Cultural restrictions may prevent some topics from being
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
spoken of to a grandparent or child.
0 e0 e0 e0 e0 e0 e0
PTS: e 0 e 0 1 DIF: Understand e 0 e 0 REF: p. 18-19 e 0 e0
TOP: e 0 Nursing Process: Implementation e0 e0 e 0 e 0 MSC: Safe, Effective Care Environment
e 0 e0 e0 e0
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
refuses to remain in the bed. Which intervention should the nurse use to promote and maintai
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
n his health?
e0 e0
a. Have the health care provider speak to him.
e0 e0 e0 e0 e0 e0 e0
b. Use principles of the holistic health system.
e0 e0 e0 e0 e0 e0
c. Ask about his perceptions and treatment ideas.
e0 e0 e0 e0 e0 e0
, d. Consult with a practitioner of Chinese medicine. e0 e0 e0 e0 e0 e0
ANS: C e0
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
explain your perception of the problem, acknowledge the differences and similarities, reco
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
about cultural beliefs concerning health care and avoids stereotyping the patient. In the assess
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ment, the nurse determines what the patient believes about caregiving, decision making, treat
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ment, and other pertinent health-
e0 e0 e0 e0
related information. Speaking with the health care provider is premature until the assessmen
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
t is complete. Unless he accepts the beliefs, principles of the holistic health system can be p
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
otentially unsuitable and insulting for this patient. Unless he accepts the treatments, consulti
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ng with a practitioner of Chinese medicine can also be unsuitable and insulting for this pati
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ent.
PTS: 1 DIF: Apply
e 0 e 0 REF: p. 18 e 0 e0
TOP: Nursing Process: Implementation
e 0 e0 e0 MSC: Health Promotion and Maintenance
e 0 e0 e0 e0
4. Which action should the nurse take when addressing older adults?
e0 e0 e0 e0 e0 e0 e0 e0 e0
a. Speak in an exaggerated pitch. e0 e0 e0 e0
b. Use a lower quality of speech. e0 e0 e0 e0 e0
c. Use endearing terms such as ―honey.‖
e0 e0 e0 e0 e0
d. Speak clearly. e0
ANS: D e0
Some health professionals demonstrate ageism, in part because providers tend to see many fr
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ail, older persons and fewer of those who are healthy and active. Providers should not assu
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
me that all older adults are hearing or mentally impaired. The most appropriate action
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
when addressing an older aduNltUwRoS
e0 ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism
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in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.
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PTS: e 0 e 0 1 DIF: Apply REF: p. 15 e0 e0
TOP: e 0 Nursing Process: Assessment e0 e0 MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter an
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d notes that she becomes tense during the instructions about elimination. Which intervent
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ion 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: B e0
When working with an interpreter, the nurse closely watches the older adult for nonverbal c
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ommunication and emotion regarding a specific topic and therefore validates the assessment
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0about the older adult‘s tension before proceeding. Because the nurse notices her tension, th
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e nurse temporarily suspends the preparation to validate her assessment. If the nurse procee
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ds and the older adult is uncomfortable discussing elimination, then important instructions ca
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n be missed, leading to adverse effects for the older adult. Repeating the instructions can ag
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gravate the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruct
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ion ignores her needs.
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