TEST BANK x1
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
x1 x1 x1 x1 x1 x1 x1 x1 x1
Veronique Boscart
x1
3RD Edition
x1
TESTBANK 1
x
,Chapter 01: Introduction to Healthy Aging
x1 x1 x1 x1 x1
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
tion
MULTIPLE CHOICE x1
1. A man is terminally ill with end-
x1 x1 x1 x1 x1 x1
stage prostate cancer. Which is the best statement about this man’s wellness?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Wellness can only be achieved with aggressive medical interventions.
x1 x1 x1 x1 x1 x1 x1 x1
b. Wellness is not a real option for this client because he is terminally ill.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Wellness is defined as the absence of disease. x1 x1 x1 x1 x1 x1 x1
d. Nursing interventions can help empower a client to achieve a higher level
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
of wellness. x1
ANS: D x1
Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
se can foster wellness in his or her clients. Wellness is defined by the individual and is mu
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ltidimensional. It is not just the absence of disease. A wellness perspective is based on the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
belief that every person has an optimal level of health independent of his or her situation o
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
r functional level. Even in the presence of chronic illness or while dying, a movement tow
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ard wellness is possible if emphasis of care is placed on the promotion of well-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
being in a supportive environment.
x1 x1 x1 x1
PTS: 1 x 1 DIF: Apply REF: p. 7 x 1 x1
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
x1 x1 x1 x1 x 1 x1 x1 x1
e
2. In differentiating between health and wellness in health care, which of the followin
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
g statements is true?
x1 x1 x1
a. Health is a broad term encompassing attitudes and behaviors.
x1 x1 x1 x1 x1 x1 x1 x1
b. The concept of illness prevention was never considered by previous generations.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Wellness and self-actualization develop through learning and growth.
x1 x1 x1 x1 x1 x1 x1
d. Wellness is impossible when one’s health is compromised. x1 x1 x1 x1 x1 x1 x1
ANS: A x1
Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
es wellness, which involves one’s whole being. The concept of illness prevention was nev
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
er considered by previous generations; throughout history, basic self-
x1 x1 x1 x1 x1 x1 x1 x1
care requirements have been recognized. Wellness and self-
x1 x1 x1 x1 x1 x1 x1
actualization develop through learning and growth— x1 x1 x1 x1 x1
as basic needs are met, higher level needs can be satisfied in turn, with ever-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
deepening richness to life. Wellness is possible when one’s health is compromised—
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
level of wellness is possible.
x1 x1 x1 x1
PTS: 1 x 1 DIF: Understand REF: p. 7 x 1 x1
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
x1 x1 x1 x1 x 1 x1 x1 x1
e
3. Which racial or ethnic group has the highest life expectancy in the United States?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Native Americans x1
b. African Americans x1
c. Hispanic Americans x1
d. Asian and Pacific Island Americans x1 x1 x1 x1
, Chapter 02: Cross-Cultural Caring and Aging
x1 x1 x1 x1 x1
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ion
MULTIPLE CHOICE x1
1. Which of the following is a true statement about differing health belief systems?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Personalistic or magicoreligious beliefs have been superseded in Western minds b x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
y biomedical principles.
x1 x1
b. In most cultures, older adults are likely to treat themselves using tradition
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
al methods before turning to biomedical professionals.
x1 x1 x1 x1 x1 x1
c. Ayurvedic medicine is another name for traditional Chinese medicine. x1 x1 x1 x1 x1 x1 x1 x1
d. The belief that health depends on maintaining a balance among opposite qualiti
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
es is characteristic of a magicoreligious belief system.
x1 x1 x1 x1 x1 x1 x1
ANS: B x1
Older adults in most cultures usually have had experience with traditional methods that have
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
worked as well as expected. After these treatments fail, older adults turn to the formal health
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1care system. Even in the United States, it is common for older adults to pray for cures or
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
wonder what they did to incur an illness as punishment. The Ayurvedic system is a natural
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
istic health belief system practiced in India and in some neighboring countries. This belief
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
is characteristic of a holistic or naturalistic approach.
x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: Understand REF: p. 16-17 x 1 x1
TOP: x 1 Nursing Process: Assessment x1 x1 MSC: Health Promotion and Maintenance
x1 x1 x1 x1
2. Which of the following consideUratiS
onsNis m
x1
Tost likO
ely to be true when working with
x1 x1 x1
N R I G B.C M x1 x1 x1 x1 x1 x1 x1
an interpreter?
x1
a. An interpreter is never needed if the nurse speaks the same language as the patient.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. When working with interpreters, the nurse can use technical terms or metaphors.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. A patient’s young granddaughter who speaks fluent English would make the bes
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
t interpreter because she is familiar with and loves the patient.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. The nurse should face the patient rather than the interpreter.
x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: D x1
The nurse should face the patient rather than the interpreter is a true statement; the intent i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s to converse with the patient, not with a third party about the patient. Many reasons may
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
be difficult or impossible to translate. Cultural restrictions may prevent some topics from be
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ing spoken of to a grandparent or child.
x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: Understand REF: p. 18-19 x 1 x1
TOP: x 1 Nursing Process: Implementation MSC: Safe, Effective Care Environment
x1 x1 x 1 x 1 x 1 x1 x1 x1
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
refuses to remain in the bed. Which intervention should the nurse use to promote and maint
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ain his health?x1 x1
a. Have the health care provider speak to him.x1 x1 x1 x1 x1 x1 x1
b. Use principles of the holistic health system.
x1 x1 x1 x1 x1 x1
c. Ask about his perceptions and treatment ideas.
x1 x1 x1 x1 x1 x1
, d. Consult with a practitioner of Chinese medicine. x1 x1 x1 x1 x1 x1
ANS: C x1
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1explain your perception of the problem, acknowledge the differences and similarities, reco
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
about cultural beliefs concerning health care and avoids stereotyping the patient. In the asse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ssment, the nurse determines what the patient believes about caregiving, decision making, tr
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
eatment, and other pertinent health- x1 x1 x1 x1
related information. Speaking with the health care provider is premature until the assessme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nt is complete. Unless he accepts the beliefs, principles of the holistic health system can b
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e potentially unsuitable and insulting for this patient. Unless he accepts the treatments, con
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
sulting with a practitioner of Chinese medicine can also be unsuitable and insulting for thi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s patient.
x1
PTS: x 1 x 1 1 DIF: Apply REF: p. 18 x 1 x1
TOP: x 1 Nursing Process: Implementation x1 x1 MSC: Health Promotion and Maintenance
x1 x1 x1 x1
4. Which action should the nurse take when addressing older adults?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Speak in an exaggerated pitch. x1 x1 x1 x1
b. Use a lower quality of speech. x1 x1 x1 x1 x1
c. Use endearing terms such as “honey.” x1 x1 x1 x1 x1
d. Speak clearly. x1
ANS: D x1
Some health professionals demonstrate ageism, in part because providers tend to see many fr
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ail, older persons and fewer of those who are healthy and active. Providers should not assu
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
me that all older adults are hearing or mentally impaired. The most appropriate action
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
when addressing an older aduNltUwRoS
x1 ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageis
x1 x1 x1 x1 x1 x1 x1
m in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
of speech.
x1 x1
PTS: x 1 x 1 1 DIF: Apply REF: p. 15 x 1 x1
TOP: x 1 Nursing Process: Assessment x1 x1 MSC: Health Promotion and Maintenance
x1 x1 x1 x1
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nd notes that she becomes tense during the instructions about elimination. Which interve
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ntion should the nurse implement?
x1 x1 x1 x1
a. Move on to the discussion about medication. x1 x1 x1 x1 x1 x1
b. Ask the older woman how she feels about this topic.
x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Instruct the interpreter to repeat the instructions. x1 x1 x1 x1 x1 x1
d. Have the older woman repeat the instructions for clarity.
x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
When working with an interpreter, the nurse closely watches the older adult for nonverbal
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
communication and emotion regarding a specific topic and therefore validates the assessme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nt about the older adult’s tension before proceeding. Because the nurse notices her tension,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
the nurse temporarily suspends the preparation to validate her assessment. If the nurse pro
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ceeds and the older adult is uncomfortable discussing elimination, then important instruction
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s can be missed, leading to adverse effects for the older adult. Repeating the instructions ca
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s in
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
struction ignores her needs. x1 x1 x1
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
x1 x1 x1 x1 x1 x1 x1 x1 x1
Veronique Boscart
x1
3RD Edition
x1
TESTBANK 1
x
,Chapter 01: Introduction to Healthy Aging
x1 x1 x1 x1 x1
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
tion
MULTIPLE CHOICE x1
1. A man is terminally ill with end-
x1 x1 x1 x1 x1 x1
stage prostate cancer. Which is the best statement about this man’s wellness?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Wellness can only be achieved with aggressive medical interventions.
x1 x1 x1 x1 x1 x1 x1 x1
b. Wellness is not a real option for this client because he is terminally ill.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Wellness is defined as the absence of disease. x1 x1 x1 x1 x1 x1 x1
d. Nursing interventions can help empower a client to achieve a higher level
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
of wellness. x1
ANS: D x1
Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
se can foster wellness in his or her clients. Wellness is defined by the individual and is mu
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ltidimensional. It is not just the absence of disease. A wellness perspective is based on the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
belief that every person has an optimal level of health independent of his or her situation o
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
r functional level. Even in the presence of chronic illness or while dying, a movement tow
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ard wellness is possible if emphasis of care is placed on the promotion of well-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
being in a supportive environment.
x1 x1 x1 x1
PTS: 1 x 1 DIF: Apply REF: p. 7 x 1 x1
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
x1 x1 x1 x1 x 1 x1 x1 x1
e
2. In differentiating between health and wellness in health care, which of the followin
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
g statements is true?
x1 x1 x1
a. Health is a broad term encompassing attitudes and behaviors.
x1 x1 x1 x1 x1 x1 x1 x1
b. The concept of illness prevention was never considered by previous generations.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Wellness and self-actualization develop through learning and growth.
x1 x1 x1 x1 x1 x1 x1
d. Wellness is impossible when one’s health is compromised. x1 x1 x1 x1 x1 x1 x1
ANS: A x1
Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
es wellness, which involves one’s whole being. The concept of illness prevention was nev
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
er considered by previous generations; throughout history, basic self-
x1 x1 x1 x1 x1 x1 x1 x1
care requirements have been recognized. Wellness and self-
x1 x1 x1 x1 x1 x1 x1
actualization develop through learning and growth— x1 x1 x1 x1 x1
as basic needs are met, higher level needs can be satisfied in turn, with ever-
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
deepening richness to life. Wellness is possible when one’s health is compromised—
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
level of wellness is possible.
x1 x1 x1 x1
PTS: 1 x 1 DIF: Understand REF: p. 7 x 1 x1
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
x1 x1 x1 x1 x 1 x1 x1 x1
e
3. Which racial or ethnic group has the highest life expectancy in the United States?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Native Americans x1
b. African Americans x1
c. Hispanic Americans x1
d. Asian and Pacific Island Americans x1 x1 x1 x1
, Chapter 02: Cross-Cultural Caring and Aging
x1 x1 x1 x1 x1
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ion
MULTIPLE CHOICE x1
1. Which of the following is a true statement about differing health belief systems?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Personalistic or magicoreligious beliefs have been superseded in Western minds b x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
y biomedical principles.
x1 x1
b. In most cultures, older adults are likely to treat themselves using tradition
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
al methods before turning to biomedical professionals.
x1 x1 x1 x1 x1 x1
c. Ayurvedic medicine is another name for traditional Chinese medicine. x1 x1 x1 x1 x1 x1 x1 x1
d. The belief that health depends on maintaining a balance among opposite qualiti
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
es is characteristic of a magicoreligious belief system.
x1 x1 x1 x1 x1 x1 x1
ANS: B x1
Older adults in most cultures usually have had experience with traditional methods that have
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
worked as well as expected. After these treatments fail, older adults turn to the formal health
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1care system. Even in the United States, it is common for older adults to pray for cures or
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
wonder what they did to incur an illness as punishment. The Ayurvedic system is a natural
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
istic health belief system practiced in India and in some neighboring countries. This belief
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
is characteristic of a holistic or naturalistic approach.
x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: Understand REF: p. 16-17 x 1 x1
TOP: x 1 Nursing Process: Assessment x1 x1 MSC: Health Promotion and Maintenance
x1 x1 x1 x1
2. Which of the following consideUratiS
onsNis m
x1
Tost likO
ely to be true when working with
x1 x1 x1
N R I G B.C M x1 x1 x1 x1 x1 x1 x1
an interpreter?
x1
a. An interpreter is never needed if the nurse speaks the same language as the patient.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. When working with interpreters, the nurse can use technical terms or metaphors.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. A patient’s young granddaughter who speaks fluent English would make the bes
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
t interpreter because she is familiar with and loves the patient.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. The nurse should face the patient rather than the interpreter.
x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: D x1
The nurse should face the patient rather than the interpreter is a true statement; the intent i
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s to converse with the patient, not with a third party about the patient. Many reasons may
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
be difficult or impossible to translate. Cultural restrictions may prevent some topics from be
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ing spoken of to a grandparent or child.
x1 x1 x1 x1 x1 x1 x1
PTS: x 1 x 1 1 DIF: Understand REF: p. 18-19 x 1 x1
TOP: x 1 Nursing Process: Implementation MSC: Safe, Effective Care Environment
x1 x1 x 1 x 1 x 1 x1 x1 x1
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
refuses to remain in the bed. Which intervention should the nurse use to promote and maint
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ain his health?x1 x1
a. Have the health care provider speak to him.x1 x1 x1 x1 x1 x1 x1
b. Use principles of the holistic health system.
x1 x1 x1 x1 x1 x1
c. Ask about his perceptions and treatment ideas.
x1 x1 x1 x1 x1 x1
, d. Consult with a practitioner of Chinese medicine. x1 x1 x1 x1 x1 x1
ANS: C x1
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
1explain your perception of the problem, acknowledge the differences and similarities, reco
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
about cultural beliefs concerning health care and avoids stereotyping the patient. In the asse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ssment, the nurse determines what the patient believes about caregiving, decision making, tr
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
eatment, and other pertinent health- x1 x1 x1 x1
related information. Speaking with the health care provider is premature until the assessme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nt is complete. Unless he accepts the beliefs, principles of the holistic health system can b
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e potentially unsuitable and insulting for this patient. Unless he accepts the treatments, con
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
sulting with a practitioner of Chinese medicine can also be unsuitable and insulting for thi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s patient.
x1
PTS: x 1 x 1 1 DIF: Apply REF: p. 18 x 1 x1
TOP: x 1 Nursing Process: Implementation x1 x1 MSC: Health Promotion and Maintenance
x1 x1 x1 x1
4. Which action should the nurse take when addressing older adults?
x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Speak in an exaggerated pitch. x1 x1 x1 x1
b. Use a lower quality of speech. x1 x1 x1 x1 x1
c. Use endearing terms such as “honey.” x1 x1 x1 x1 x1
d. Speak clearly. x1
ANS: D x1
Some health professionals demonstrate ageism, in part because providers tend to see many fr
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ail, older persons and fewer of those who are healthy and active. Providers should not assu
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
me that all older adults are hearing or mentally impaired. The most appropriate action
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
when addressing an older aduNltUwRoS
x1 ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageis
x1 x1 x1 x1 x1 x1 x1
m in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
of speech.
x1 x1
PTS: x 1 x 1 1 DIF: Apply REF: p. 15 x 1 x1
TOP: x 1 Nursing Process: Assessment x1 x1 MSC: Health Promotion and Maintenance
x1 x1 x1 x1
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nd notes that she becomes tense during the instructions about elimination. Which interve
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ntion should the nurse implement?
x1 x1 x1 x1
a. Move on to the discussion about medication. x1 x1 x1 x1 x1 x1
b. Ask the older woman how she feels about this topic.
x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Instruct the interpreter to repeat the instructions. x1 x1 x1 x1 x1 x1
d. Have the older woman repeat the instructions for clarity.
x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
When working with an interpreter, the nurse closely watches the older adult for nonverbal
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
communication and emotion regarding a specific topic and therefore validates the assessme
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nt about the older adult’s tension before proceeding. Because the nurse notices her tension,
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
the nurse temporarily suspends the preparation to validate her assessment. If the nurse pro
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ceeds and the older adult is uncomfortable discussing elimination, then important instruction
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s can be missed, leading to adverse effects for the older adult. Repeating the instructions ca
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s in
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
struction ignores her needs. x1 x1 x1
