TEST BANK FOR Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada3rd edition by Veronique Boscart, Lynn McCleary ISBN: 978-0323778749 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

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Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
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Veronique Boscart
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3RD Edition
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TESTBANK /C

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edi
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tion


MULTIPLE CHOICE C/




1. A man is terminally ill with end-
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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. C/ C/ C/ C/ C/ C/ C/ C/


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. C/ C/ C/ C/ C/ C/ C/


d. Nursing interventions can help empower a client to achieve a higher level o
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f wellness. C/




ANS: D C/


Nursing interventions can help empower a client to achieve a higher level of wellness; a nurs
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e can foster wellness in his or her clients. Wellness is defined by the individual and is mult
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idimensional. It is not just the absence of disease. A wellness perspective is based on the be
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lief that every person has an optimal level of health independent of his or her situation or f
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unctional level. Even in the presence of chronic illness or while dying, a movement toward
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wellness is possible if emphasis of care is placed on the promotion of well-
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being in a supportive environment.
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PTS: 1 C / DIF: Apply REF: p. 7 C / C/


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
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e
2. In differentiating between health and wellness in health care, which of the followin
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g 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. C/ C/ C/ C/ C/ C/ C/


d. Wellness is impossible when one’s health is compromised. C/ C/ C/ C/ C/ C/ C/




ANS: A C/


Health is a broad term that encompasses attitudes and behaviors; holistically, health include
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s wellness, which involves one’s whole being. The concept of illness prevention was never
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considered by previous generations; throughout history, basic self-
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care requirements have been recognized. Wellness and self-
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actualization develop through learning and growth— C/ C/ C/ C/ C/


as basic needs are met, higher level needs can be satisfied in turn, with ever-
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deepening richness to life. Wellness is possible when one’s health is compromised—
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even with chronic illness, with multiple disabilities, or in dying, movement toward a higher l
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evel of wellness is possible.
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PTS: 1 C / DIF: Understand REF: p. 7 C / C/


TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
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e

3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans C/


b. African Americans C/


c. Hispanic Americans C/


d. Asian and Pacific Island Americans C/ C/ C/ C/

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
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ion


MULTIPLE CHOICE C/




1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligious beliefs have been superseded in Western minds b C/ C/ C/ C/ C/ C/ C/ C/ C/ C/


y biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using traditiona
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l methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. C/ C/ C/ C/ C/ C/ C/ C/


d. The belief that health depends on maintaining a balance among opposite qualitie
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s is characteristic of a magicoreligious belief system.
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ANS: B C/


Older adults in most cultures usually have had experience with traditional methods that have
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worked as well as expected. After these treatments fail, older adults turn to the formal health
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care system. Even in the United States, it is common for older adults to pray for cures or w
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onder what they did to incur an illness as punishment. The Ayurvedic system is a naturalist
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ic health belief system practiced in India and in some neighboring countries. This belief is
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characteristic of a holistic or naturalistic approach. C/ C/ C/ C/ C/ C/




PTS: 1 DIF: Understand
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TOP: Nursing Process: Assessment
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2. Which of the following consideUratiS
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Tost likO
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n interpreter?
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a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient’s young granddaughter who speaks fluent English would make the bes
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t interpreter because she is familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: D C/


The nurse should face the patient rather than the interpreter is a true statement; the intent is
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to converse with the patient, not with a third party about the patient. Many reasons may pre
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vent the patient from speaking directly to a nurse. Technical terms and metaphors may be d
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ifficult or impossible to translate. Cultural restrictions may prevent some topics from being s
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poken of to a grandparent or child.
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PTS: 1 DIF: Understand REF: p. 18-19
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TOP: Nursing Process: Implementation
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
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refuses to remain in the bed. Which intervention should the nurse use to promote and maintai
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n his health?
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a. Have the health care provider speak to him.
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b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, d. Consult with a practitioner of Chinese medicine. C/ C/ C/ C/ C/ C/




ANS: C C/


Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
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explain your perception of the problem, acknowledge the differences and similarities, reco
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mmend treatment, and negotiate agreement), the nurse gathers information from the patient
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about cultural beliefs concerning health care and avoids stereotyping the patient. In the assess
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ment, the nurse determines what the patient believes about caregiving, decision making, treat
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ment, and other pertinent health-
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related information. Speaking with the health care provider is premature until the assessme
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nt is complete. Unless he accepts the beliefs, principles of the holistic health system can be
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potentially unsuitable and insulting for this patient. Unless he accepts the treatments, cons
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ulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
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patient.

PTS: 1 DIF: Apply
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TOP: Nursing Process: Implementation
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4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. C/ C/ C/ C/


b. Use a lower quality of speech. C/ C/ C/ C/ C/


c. Use endearing terms such as “honey.” C/ C/ C/ C/ C/


d. Speak clearly. C/




ANS: D C/


Some health professionals demonstrate ageism, in part because providers tend to see many fr
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ail, older persons and fewer of those who are healthy and active. Providers should not assu
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me that all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
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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 quality
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of speech.
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PTS: 1 DIF: Apply
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TOP: Nursing Process: Assessment
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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. C/ C/ C/ C/ C/ C/


b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. C/ C/ C/ C/ C/ C/


d. Have the older woman repeat the instructions for clarity.
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ANS: B C/


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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about 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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