TEST BANK /&
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
/& /& /& /& /& /& /& /& /&
Veronique Boscart
/&
3RD Edition
/&
TESTBANK /&
,Chapter 01: Introduction to Healthy Aging
/& /& /& /& /&
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edi
/& /& /& /& /& /& /& /& /& /& /& /&
tion
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 nur
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
se can foster wellness in his or her clients. Wellness is defined by the individual and is m
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ultidimensional. It is not just the absence of disease. A wellness perspective is based on th
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e 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 to
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ward 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 Maintenan
/& /& /& /& / & /& /& /&
ce
2. In differentiating between health and wellness in health care, which of the followi
/& /& /& /& /& /& /& /& /& /& /& /&
ng 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 includ
/& /& /& /& /& /& /& /& /& /& /& /&
es wellness, which involves one’s whole being. The concept of illness prevention was nev
/& /& /& /& /& /& /& /& /& /& /& /& /&
er 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 Maintenan
/& /& /& /& / & /& /& /&
ce
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, 3r
/& /& /& /& /& /& /& /& /& /& /&
d 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 tradition
/& /& /& /& /& /& /& /& /& /& /&
al 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 qualiti
/& /& /& /& /& /& /& /& /& /& /&
es is characteristic of a magicoreligious belief system.
/& /& /& /& /& /& /&
ANS: B /&
Older adults in most cultures usually have had experience with traditional methods that ha
/& /& /& /& /& /& /& /& /& /& /& /& /&
ve 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 consideUratiS
/& onsNis m
Tost likO
/& el y to be true when working with
/& /&
N R I G B.C M /& /& /& /& /& /& /&
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 be
/& /& /& /& /& /& /& /& /& /& /&
st 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 i
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
s 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 b
/& /& /& /& /& /& /& /& /& /& /& /& /&
eing 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 an
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
d refuses to remain in the bed. Which intervention should the nurse use to promote and mai
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ntain 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: C /&
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
/& /& /& /& /& /& /& /& /& /& /& /& /& /
&explain your perception of the problem, acknowledge the differences and similarities, reco
/& /& /& /& /& /& /& /& /& /& /&
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
/& /& /& /& /& /& /& /& /& /& /&
about cultural beliefs concerning health care and avoids stereotyping the patient. In the asse
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
ssment, the nurse determines what the patient believes about caregiving, decision making, tr
/& /& /& /& /& /& /& /& /& /& /& /&
eatment, and other pertinent health- /& /& /& /&
related information. Speaking with the health care provider is premature until the assessme
/& /& /& /& /& /& /& /& /& /& /& /&
nt is complete. Unless he accepts the beliefs, principles of the holistic health system can b
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e potentially unsuitable and insulting for this patient. Unless he accepts the treatments, con
/& /& /& /& /& /& /& /& /& /& /& /& /&
sulting with a practitioner of Chinese medicine can also be unsuitable and insulting for thi
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
s patient.
/&
PTS: / & / & 1 DIF: Apply REF: p. 18 / & /&
TOP: / & Nursing Process: Implementation /& /& MSC: Health Promotion and Maintenance
/ & /& /& /&
4. Which action should the nurse take when addressing older adults?
/& /& /& /& /& /& /& /& /&
a. Speak in an exaggerated pitch. /& /& /& /&
b. Use a lower quality of speech. /& /& /& /& /&
c. Use endearing terms such as “honey.”
/& /& /& /& /&
d. Speak clearly. /&
ANS: D /&
Some health professionals demonstrate ageism, in part because providers tend to see many f
/& /& /& /& /& /& /& /& /& /& /& /& /&
rail, older persons and fewer of those who are healthy and active. Providers should not ass
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ume that all older adults are hearing or mentally impaired. The most appropriate action
/& /& /& /& /& /& /& /& /& /& /& /& /&
when addressing an older aduNltUwRoS
/& ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageis
/& /& /& /& /& /& /&
m in language are an exaggerated pitch, a demeaning emotional tone, and a lower qualit
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
y of speech.
/& /&
PTS: / & / & 1 DIF: Apply REF: p. 15 /& /&
TOP: / & Nursing Process: Assessment /& /& MSC: Health Promotion and Maintenance
/ & /& /& /&
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
nd notes that she becomes tense during the instructions about elimination. Which interv
/& /& /& /& /& /& /& /& /& /& /& /&
ention should the nurse implement?
/& /& /& /&
a. Move on to the discussion about medication. /& /& /& /& /& /&
b. Ask the older woman how she feels about this topic.
/& /& /& /& /& /& /& /& /&
c. Instruct the interpreter to repeat the instructions.
/& /& /& /& /& /&
d. Have the older woman repeat the instructions for clarity.
/& /& /& /& /& /& /& /&
ANS: B /&
When working with an interpreter, the nurse closely watches the older adult for nonverbal
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
communication and emotion regarding a specific topic and therefore validates the assessme
/& /& /& /& /& /& /& /& /& /& /&
nt about the older adult’s tension before proceeding. Because the nurse notices her tension,
/& /& /& /& /& /& /& /& /& /& /& /& /& /
&the nurse temporarily suspends the preparation to validate her assessment. If the nurse pro
/& /& /& /& /& /& /& /& /& /& /& /& /&
ceeds and the older adult is uncomfortable discussing elimination, then important instructio
/& /& /& /& /& /& /& /& /& /& /&
ns can be missed, leading to adverse effects for the older adult. Repeating the instructions
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
can aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
instruction ignores her needs. /& /& /&
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
/& /& /& /& /& /& /& /& /&
Veronique Boscart
/&
3RD Edition
/&
TESTBANK /&
,Chapter 01: Introduction to Healthy Aging
/& /& /& /& /&
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edi
/& /& /& /& /& /& /& /& /& /& /& /&
tion
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 nur
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
se can foster wellness in his or her clients. Wellness is defined by the individual and is m
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ultidimensional. It is not just the absence of disease. A wellness perspective is based on th
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e 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 to
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ward 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 Maintenan
/& /& /& /& / & /& /& /&
ce
2. In differentiating between health and wellness in health care, which of the followi
/& /& /& /& /& /& /& /& /& /& /& /&
ng 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 includ
/& /& /& /& /& /& /& /& /& /& /& /&
es wellness, which involves one’s whole being. The concept of illness prevention was nev
/& /& /& /& /& /& /& /& /& /& /& /& /&
er 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 Maintenan
/& /& /& /& / & /& /& /&
ce
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, 3r
/& /& /& /& /& /& /& /& /& /& /&
d 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 tradition
/& /& /& /& /& /& /& /& /& /& /&
al 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 qualiti
/& /& /& /& /& /& /& /& /& /& /&
es is characteristic of a magicoreligious belief system.
/& /& /& /& /& /& /&
ANS: B /&
Older adults in most cultures usually have had experience with traditional methods that ha
/& /& /& /& /& /& /& /& /& /& /& /& /&
ve 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 consideUratiS
/& onsNis m
Tost likO
/& el y to be true when working with
/& /&
N R I G B.C M /& /& /& /& /& /& /&
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 be
/& /& /& /& /& /& /& /& /& /& /&
st 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 i
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
s 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 b
/& /& /& /& /& /& /& /& /& /& /& /& /&
eing 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 an
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
d refuses to remain in the bed. Which intervention should the nurse use to promote and mai
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
ntain 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: C /&
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
/& /& /& /& /& /& /& /& /& /& /& /& /& /
&explain your perception of the problem, acknowledge the differences and similarities, reco
/& /& /& /& /& /& /& /& /& /& /&
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
/& /& /& /& /& /& /& /& /& /& /&
about cultural beliefs concerning health care and avoids stereotyping the patient. In the asse
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
ssment, the nurse determines what the patient believes about caregiving, decision making, tr
/& /& /& /& /& /& /& /& /& /& /& /&
eatment, and other pertinent health- /& /& /& /&
related information. Speaking with the health care provider is premature until the assessme
/& /& /& /& /& /& /& /& /& /& /& /&
nt is complete. Unless he accepts the beliefs, principles of the holistic health system can b
/& /& /& /& /& /& /& /& /& /& /& /& /& /& /&
e potentially unsuitable and insulting for this patient. Unless he accepts the treatments, con
/& /& /& /& /& /& /& /& /& /& /& /& /&
sulting with a practitioner of Chinese medicine can also be unsuitable and insulting for thi
/& /& /& /& /& /& /& /& /& /& /& /& /& /&
s patient.
/&
PTS: / & / & 1 DIF: Apply REF: p. 18 / & /&
TOP: / & Nursing Process: Implementation /& /& MSC: Health Promotion and Maintenance
/ & /& /& /&
4. Which action should the nurse take when addressing older adults?
/& /& /& /& /& /& /& /& /&
a. Speak in an exaggerated pitch. /& /& /& /&
b. Use a lower quality of speech. /& /& /& /& /&
c. Use endearing terms such as “honey.”
/& /& /& /& /&
d. Speak clearly. /&
ANS: D /&
Some health professionals demonstrate ageism, in part because providers tend to see many f
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rail, older persons and fewer of those who are healthy and active. Providers should not ass
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ume that all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
/& 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 qualit
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y of speech.
/& /&
PTS: / & / & 1 DIF: Apply REF: p. 15 /& /&
TOP: / & Nursing Process: Assessment /& /& MSC: Health Promotion and Maintenance
/ & /& /& /&
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
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nd notes that she becomes tense during the instructions about elimination. Which interv
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ention should the nurse implement?
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a. Move on to the discussion about medication. /& /& /& /& /& /&
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.
/& /& /& /& /& /& /& /&
ANS: B /&
When working with an interpreter, the nurse closely watches the older adult for nonverbal
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communication and emotion regarding a specific topic and therefore validates the assessme
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nt about the older adult’s tension before proceeding. Because the nurse notices her tension,
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&the nurse temporarily suspends the preparation to validate her assessment. If the nurse pro
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ceeds and the older adult is uncomfortable discussing elimination, then important instructio
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ns can be missed, leading to adverse effects for the older adult. Repeating the instructions
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can aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s
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instruction ignores her needs. /& /& /&
