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