TESTBANK g6
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
g6 g6 g6 g6 g6 g6 g6 g6 g6
Veronique Boscart
g6
3RD Edition
g6
TESTBANK g6
,Chapter 01: Introduction to Healthy Aging
g6 g6 g6 g6 g6
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editi
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
on
MULTIPLE CHOICE g6
1. A man is terminally ill with end-
g6 g6 g6 g6 g6 g6
stage prostate cancer. Which is the best statement about this man‘s wellness?
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Wellness can only be achieved with aggressive medical interventions. g6 g6 g6 g6 g6 g6 g6 g6
b. Wellness is not a real option for this client because he is terminally ill. g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
c. Wellness is defined as the absence of disease. g6 g6 g6 g6 g6 g6 g6
d. Nursing interventions can help empower a client to achieve a higher level of
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
wellness.
ANS: D g6
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse c
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
an foster wellness in his or her clients. Wellness is defined by the individual and is multidime
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
nsional. It is not just the absence of disease. A wellness perspective is based on the belief that
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
every person has an optimal level of health independent of his or her situation or functional le
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
vel. Even in the presence of chronic illness or while dying, a movement toward wellness is p
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ossible if emphasis of care is placed on the promotion of well-
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
being in a supportive environment.
g6 g6 g6 g6
PTS: 1 g 6 DIF: Apply REF: p. 7 g 6 g6
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenance
g6 g6 g6 g6 g 6 g6 g6 g6
2. In differentiating between health and wellness in health care, which of the following
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
statements is true? g6 g6
a. Health is a broad term encompassing attitudes and behaviors. g6 g6 g6 g6 g6 g6 g6 g6
b. The concept of illness prevention was never considered by previous generations.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
c. Wellness and self-actualization develop through learning and growth. g6 g6 g6 g6 g6 g6 g6
d. Wellness is impossible when one‘s health is compromised. g6 g6 g6 g6 g6 g6 g6
ANS: A g6
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
wellness, which involves one‘s whole being. The concept of illness prevention was never con
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
sidered by previous generations; throughout history, basic self-
g6 g6 g6 g6 g6 g6 g6
care requirements have been recognized. Wellness and self-
g6 g6 g6 g6 g6 g6 g6
actualization develop through learning and growth— g6 g6 g6 g6 g6
as basic needs are met, higher level needs can be satisfied in turn, with ever-
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
deepening richness to life. Wellness is possible when one‘s health is compromised—
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher lev
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
el of wellness is possible.
g6 g6 g6 g6
PTS: 1 g 6 DIF: Understand REF: p. 7 g 6 g6
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance
g6 g6 g6 g6 g 6 g6 g6 g6
3. Which racial or ethnic group has the highest life expectancy in the United States?
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Native Americans g6
b. African Americans g6
c. Hispanic Americans g6
d. Asian and Pacific Island Americans g6 g6 g6 g6
, Chapter 02: Cross-Cultural Caring and Aging
g6 g6 g6 g6 g6
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editio
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
n
MULTIPLE CHOICE g6
1. Which of the following is a true statement about differing health belief systems?
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
biomedical principles. g6
b. In most cultures, older adults are likely to treat themselves using traditional
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
methods before turning to biomedical professionals. g6 g6 g6 g6 g6
c. Ayurvedic medicine is another name for traditional Chinese medicine. g6 g6 g6 g6 g6 g6 g6 g6
d. The belief that health depends on maintaining a balance among opposite qualities
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
is characteristic of a magicoreligious belief system.
g6 g6 g6 g6 g6 g6
ANS: B g6
Older adults in most cultures usually have had experience with traditional methods that have w
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
orked as well as expected. After these treatments fail, older adults turn to the formal health care
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
system. Even in the United States, it is common for older adults to pray for cures or wonder
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g
belief system practiced in India and in some neighboring countries. This belief is characterist
6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ic of a holistic or naturalistic approach.
g6 g6 g6 g6 g6 g6
PTS: 1 DIF: Understand
g 6 g 6 REF: p. 16-17 g 6 g6
TOP: Nursing Process: Assessment
g 6 g6 g6 MSC: Health Promotion and Maintenance
g 6 g6 g6 g6
2. Which of the following consideUratiS
onsNis m
g6
Tost likO
ely to be true when working with an
g6 g6 g6
N R I G B.C M g6 g6 g6 g6 g6 g6 g6 g6
interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
b. When working with interpreters, the nurse can use technical terms or metaphors.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
c. A patient‘s young granddaughter who speaks fluent English would make the best i
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
nterpreter because she is familiar with and loves the patient. g6 g6 g6 g6 g6 g6 g6 g6 g6
d. The nurse should face the patient rather than the interpreter.
g6 g6 g6 g6 g6 g6 g6 g6 g6
ANS: D g6
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
converse with the patient, not with a third party about the patient. Many reasons may prevent
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
to a grandparent or child.
g6 g6 g6 g6
PTS: 1 DIF: Understand
g 6 g 6 REF: p. 18-19 g 6 g6
TOP: Nursing Process: Implementation
g 6 g6 g6 g 6 g MSC: Safe, Effective Care Environment
6 g 6 g6 g6 g6
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and ref
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
uses to remain in the bed. Which intervention should the nurse use to promote and maintain his
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
health?
a. Have the health care provider speak to him. g6 g6 g6 g6 g6 g6 g6
b. Use principles of the holistic health system.
g6 g6 g6 g6 g6 g6
c. Ask about his perceptions and treatment ideas.
g6 g6 g6 g6 g6 g6
, d. Consult with a practitioner of Chinese medicine. g6 g6 g6 g6 g6 g6
ANS: C g6
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, ex
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
plain your perception of the problem, acknowledge the differences and similarities, recomme
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
nd treatment, and negotiate agreement), the nurse gathers information from the patient about
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
cultural beliefs concerning health care and avoids stereotyping the patient. In the assessment, th
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
e nurse determines what the patient believes about caregiving, decision making, treatment, and
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
other pertinent health- g6 g6
related information. Speaking with the health care provider is premature until the assessment
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
is complete. Unless he accepts the beliefs, principles of the holistic health system can be pote
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ntially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
with a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
PTS: 1 DIF: Apply g 6 g 6 REF: p. 18 g 6 g6
TOP: Nursing Process: Implementation
g 6 g6 g6 MSC: Health Promotion and Maintenance
g 6 g6 g6 g6
4. Which action should the nurse take when addressing older adults?
g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Speak in an exaggerated pitch. g6 g6 g6 g6
b. Use a lower quality of speech. g6 g6 g6 g6 g6
c. Use endearing terms such as ―honey.‖ g6 g6 g6 g6 g6
d. Speak clearly. g6
ANS: D g6
Some health professionals demonstrate ageism, in part because providers tend to see many frail
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
, older persons and fewer of those who are healthy and active. Providers should not assume th
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
at all older adults are hearing or mentally impaired. The most appropriate action
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
when addressing an older aduNltUwRoSulI
g6dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism g6 g6 g6 g6 g6 g6 g6 g6
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of sp
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
eech.
PTS: 1 DIF: Apply g 6 g 6 REF: p. 15 g 6 g6
TOP: Nursing Process: Assessmentg 6 g6 g6 MSC: Health Promotion and Maintenance
g 6 g6 g6 g6
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
notes that she becomes tense during the instructions about elimination. Which intervention
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
should the nurse implement? g6 g6 g6
a. Move on to the discussion about medication. g6 g6 g6 g6 g6 g6
b. Ask the older woman how she feels about this topic.
g6 g6 g6 g6 g6 g6 g6 g6 g6
c. Instruct the interpreter to repeat the instructions. g6 g6 g6 g6 g6 g6
d. Have the older woman repeat the instructions for clarity.
g6 g6 g6 g6 g6 g6 g6 g6
ANS: B g6
When working with an interpreter, the nurse closely watches the older adult for nonverbal co
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
mmunication and emotion regarding a specific topic and therefore validates the assessment ab
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
out the older adult‘s tension before proceeding. Because the nurse notices her tension, the nur
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
se temporarily suspends the preparation to validate her assessment. If the nurse proceeds and t
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
he older adult is uncomfortable discussing elimination, then important instructions can be miss
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ed, leading to adverse effects for the older adult. Repeating the instructions can aggravate the o
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
lder adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
needs.
g6
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
g6 g6 g6 g6 g6 g6 g6 g6 g6
Veronique Boscart
g6
3RD Edition
g6
TESTBANK g6
,Chapter 01: Introduction to Healthy Aging
g6 g6 g6 g6 g6
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editi
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
on
MULTIPLE CHOICE g6
1. A man is terminally ill with end-
g6 g6 g6 g6 g6 g6
stage prostate cancer. Which is the best statement about this man‘s wellness?
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Wellness can only be achieved with aggressive medical interventions. g6 g6 g6 g6 g6 g6 g6 g6
b. Wellness is not a real option for this client because he is terminally ill. g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
c. Wellness is defined as the absence of disease. g6 g6 g6 g6 g6 g6 g6
d. Nursing interventions can help empower a client to achieve a higher level of
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
wellness.
ANS: D g6
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse c
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
an foster wellness in his or her clients. Wellness is defined by the individual and is multidime
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
nsional. It is not just the absence of disease. A wellness perspective is based on the belief that
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
every person has an optimal level of health independent of his or her situation or functional le
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
vel. Even in the presence of chronic illness or while dying, a movement toward wellness is p
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ossible if emphasis of care is placed on the promotion of well-
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
being in a supportive environment.
g6 g6 g6 g6
PTS: 1 g 6 DIF: Apply REF: p. 7 g 6 g6
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenance
g6 g6 g6 g6 g 6 g6 g6 g6
2. In differentiating between health and wellness in health care, which of the following
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
statements is true? g6 g6
a. Health is a broad term encompassing attitudes and behaviors. g6 g6 g6 g6 g6 g6 g6 g6
b. The concept of illness prevention was never considered by previous generations.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
c. Wellness and self-actualization develop through learning and growth. g6 g6 g6 g6 g6 g6 g6
d. Wellness is impossible when one‘s health is compromised. g6 g6 g6 g6 g6 g6 g6
ANS: A g6
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
wellness, which involves one‘s whole being. The concept of illness prevention was never con
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
sidered by previous generations; throughout history, basic self-
g6 g6 g6 g6 g6 g6 g6
care requirements have been recognized. Wellness and self-
g6 g6 g6 g6 g6 g6 g6
actualization develop through learning and growth— g6 g6 g6 g6 g6
as basic needs are met, higher level needs can be satisfied in turn, with ever-
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
deepening richness to life. Wellness is possible when one‘s health is compromised—
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher lev
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
el of wellness is possible.
g6 g6 g6 g6
PTS: 1 g 6 DIF: Understand REF: p. 7 g 6 g6
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance
g6 g6 g6 g6 g 6 g6 g6 g6
3. Which racial or ethnic group has the highest life expectancy in the United States?
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Native Americans g6
b. African Americans g6
c. Hispanic Americans g6
d. Asian and Pacific Island Americans g6 g6 g6 g6
, Chapter 02: Cross-Cultural Caring and Aging
g6 g6 g6 g6 g6
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editio
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
n
MULTIPLE CHOICE g6
1. Which of the following is a true statement about differing health belief systems?
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
biomedical principles. g6
b. In most cultures, older adults are likely to treat themselves using traditional
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
methods before turning to biomedical professionals. g6 g6 g6 g6 g6
c. Ayurvedic medicine is another name for traditional Chinese medicine. g6 g6 g6 g6 g6 g6 g6 g6
d. The belief that health depends on maintaining a balance among opposite qualities
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
is characteristic of a magicoreligious belief system.
g6 g6 g6 g6 g6 g6
ANS: B g6
Older adults in most cultures usually have had experience with traditional methods that have w
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
orked as well as expected. After these treatments fail, older adults turn to the formal health care
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
system. Even in the United States, it is common for older adults to pray for cures or wonder
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g
belief system practiced in India and in some neighboring countries. This belief is characterist
6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ic of a holistic or naturalistic approach.
g6 g6 g6 g6 g6 g6
PTS: 1 DIF: Understand
g 6 g 6 REF: p. 16-17 g 6 g6
TOP: Nursing Process: Assessment
g 6 g6 g6 MSC: Health Promotion and Maintenance
g 6 g6 g6 g6
2. Which of the following consideUratiS
onsNis m
g6
Tost likO
ely to be true when working with an
g6 g6 g6
N R I G B.C M g6 g6 g6 g6 g6 g6 g6 g6
interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
b. When working with interpreters, the nurse can use technical terms or metaphors.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
c. A patient‘s young granddaughter who speaks fluent English would make the best i
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
nterpreter because she is familiar with and loves the patient. g6 g6 g6 g6 g6 g6 g6 g6 g6
d. The nurse should face the patient rather than the interpreter.
g6 g6 g6 g6 g6 g6 g6 g6 g6
ANS: D g6
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
converse with the patient, not with a third party about the patient. Many reasons may prevent
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
to a grandparent or child.
g6 g6 g6 g6
PTS: 1 DIF: Understand
g 6 g 6 REF: p. 18-19 g 6 g6
TOP: Nursing Process: Implementation
g 6 g6 g6 g 6 g MSC: Safe, Effective Care Environment
6 g 6 g6 g6 g6
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and ref
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
uses to remain in the bed. Which intervention should the nurse use to promote and maintain his
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
health?
a. Have the health care provider speak to him. g6 g6 g6 g6 g6 g6 g6
b. Use principles of the holistic health system.
g6 g6 g6 g6 g6 g6
c. Ask about his perceptions and treatment ideas.
g6 g6 g6 g6 g6 g6
, d. Consult with a practitioner of Chinese medicine. g6 g6 g6 g6 g6 g6
ANS: C g6
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, ex
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
plain your perception of the problem, acknowledge the differences and similarities, recomme
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
nd treatment, and negotiate agreement), the nurse gathers information from the patient about
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
cultural beliefs concerning health care and avoids stereotyping the patient. In the assessment, th
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
e nurse determines what the patient believes about caregiving, decision making, treatment, and
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
other pertinent health- g6 g6
related information. Speaking with the health care provider is premature until the assessment
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
is complete. Unless he accepts the beliefs, principles of the holistic health system can be pote
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
ntially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
with a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.
g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6 g6
PTS: 1 DIF: Apply g 6 g 6 REF: p. 18 g 6 g6
TOP: Nursing Process: Implementation
g 6 g6 g6 MSC: Health Promotion and Maintenance
g 6 g6 g6 g6
4. Which action should the nurse take when addressing older adults?
g6 g6 g6 g6 g6 g6 g6 g6 g6
a. Speak in an exaggerated pitch. g6 g6 g6 g6
b. Use a lower quality of speech. g6 g6 g6 g6 g6
c. Use endearing terms such as ―honey.‖ g6 g6 g6 g6 g6
d. Speak clearly. g6
ANS: D g6
Some health professionals demonstrate ageism, in part because providers tend to see many frail
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, older persons and fewer of those who are healthy and active. Providers should not assume th
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at all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoSulI
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learly. Examples of unintentional ageism g6 g6 g6 g6 g6 g6 g6 g6
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of sp
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eech.
PTS: 1 DIF: Apply g 6 g 6 REF: p. 15 g 6 g6
TOP: Nursing Process: Assessmentg 6 g6 g6 MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
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notes that she becomes tense during the instructions about elimination. Which intervention
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should the nurse implement? g6 g6 g6
a. Move on to the discussion about medication. g6 g6 g6 g6 g6 g6
b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. g6 g6 g6 g6 g6 g6
d. Have the older woman repeat the instructions for clarity.
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ANS: B g6
When working with an interpreter, the nurse closely watches the older adult for nonverbal co
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mmunication and emotion regarding a specific topic and therefore validates the assessment ab
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out the older adult‘s tension before proceeding. Because the nurse notices her tension, the nur
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se temporarily suspends the preparation to validate her assessment. If the nurse proceeds and t
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he older adult is uncomfortable discussing elimination, then important instructions can be miss
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ed, leading to adverse effects for the older adult. Repeating the instructions can aggravate the o
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lder adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her
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needs.
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