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,Chapter 01: Introduction to Healthy Aging
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5thEdition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best
statementabout thisman‘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
higherlevel ofwellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of
wellness;a nursecan fosterwellnessinhisor her clients. Wellness is defined by the
individualandis multidimensional. It is not just the absence of disease. A wellness
v
perspectiveis based on the belief that every person has an optimal level of health
independentofhisorhersituationorfunctionallevel. Even in the presence of chronic
illness orwhile dying, a movement toward wellness is possible if emphasis of care
is placed on thepromotion of well-beingin a supportive environment.
v v
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process:
DiagnosisMSC: Health Promotion and Maintenance
v
N R I G B.C M
2. In differentiating between healU
th anSd wNellnTess in O
health care, which ofthe
following statementsistrue?
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
Healthisabroadtermthatencompassesattitudesandbehaviors;holistically, healthincludes
wellness,which involves one‘s wholebeing. The concept of illnesspreventionwasnever
consideredbypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen
recognized.Wellnessandself-actualizationdevelopthroughlearningand growth—asbasic
v
needsare met, higher level needs can besatisfied in turn, with ever-deepening
v
richness to life. Wellness is possible when one‘s health is compromised—even with
v v
chronic illness,with multiple disabilities, orin dying, movementtoward a higher level
of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process:
EvaluationMSC: Health Promotion and Maintenance
v
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
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition
Chapter 02: Cross-Cultural Caring and Aging
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5thEdition v
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
Westernminds bybiomedical principles.
b. In most cultures, older adults are likely to treat themselves
usingtraditionalmethods beforeturning to biomedical
v
professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among
oppositequalitiesischaracteristicof a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods
thathaveworkedaswell as expected. After these treatments fail, older adultsturn to
theformal healthcare system. Even in the United States, it is common for older
adultstoprayforcuresor wonder what they did to incur an illness as punishment.
TheAyurvedicsystemisanaturalistichealthbeliefsystem practiced in India and insome
neighboringcountries.Thisbeliefischaracteristicofaholisticornaturalisticapproach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
N R I G B. C M
2. Whichofthefollowing consi deUra tiS
on sNis m
Tost likO
el y tobetruewhen workingwith an
v
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
makethe bestinterpreter becauseshe 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 is 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
metaphorsmaybedifficultorimpossibleto translate. Cultural restrictions maypreventsome
topics frombeing spoken ofto agrandparentor child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. Anolderadult whois a traditional Chinese man has a blood pressure of 80/54 mm
v
Hgandrefusestoremain inthebed.Which intervention should thenurse use topromote
v
and maintainhishealth?
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.
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition
d. Consult y with y a y practitioner y of y Chinese y medicine.
ANS: y C
UsingtheLEARNmodel(listen y with y sympathy y to y the y patient‘s y perception
y of y the
yproblem,explainyourperceptionoftheproblem,acknowledgethedifferencesand similarities, y
v v
y recommendtreatment, yand y negotiateagreement), y the y nurse
y gathersinformationfromthe
ypatientaboutculturalbeliefsconcerninghealthcareandavoidsstereotypingthe y patient. y In
y theassessment, y the y nurse y determines y what y the
y patient believesabout caregiving,decision y making,treatment,andotherpertinenthealth-
v v
relatedinformation. y Speaking y with y the y health ycare y provider y is y premature
y until y the y assessmentiscomplete.Unlesshe y accepts y the ybeliefs, y principles
y of y the y holistic y health y system y canbe y potentially y unsuitable y and
v
yinsulting y for y this y patient. y Unless y he y accepts
y thetreatments,consultingwith y a ypractitioner y of y Chinese y medicine y can
y also y be y unsuitableand y insulting y for y this ypatient.
PTS: 1 DIF: Apply REF: p. y18
TOP: Nursing y Process: y ImplementationMSC: y y Health y Promotion y and y Maintenance
v
4. Which y action y should y the y nurse y take y when y addressing y older y adults?
a. Speak y in y an y exaggerated y pitch.
b. Use y a y lower y quality y of y speech.
c. Use y endearing y terms y such y as y ―honey.‖
d. Speak y clearly.
ANS: y D
Somehealthprofessionalsdemonstrateageism, yinpartbecauseproviderstendtoseemanyfrail,
yolder ypersons yand yfewer yof ythose ywho yare yhealthy yand y active.
y Providersshould ynot yassume
ythatallolderadults arehearingormentallyimpaired.Themostappropriate y action
v
when yaddressing yan yolder yaduNltUwRoSulI
dNbeGtT
o y Bs p.e aCkOcMl e a r l y . yExamples yof
yunintentional yageism y in ylanguage yare yan yexaggerated ypitch, ya ydemeaning
y emotional y tone, yand ya ylower yquality y of
speech.
PTS: 1 DIF: Apply REF: p. y15
TOP: y y Nursing y Process: y Assessment y y y MSC: yHealth y Promotion y and y Maintenanc
5. The y nurse y prepares y an y older y woman, y who y is y Polish, y for
y discharge y through y aninterpreter y andnotesthat she
v
y becomestenseduringthe yinstructionsabout
yelimination.Whichinterventionshould y thenurse y implement?
a. Move y on y to y the y discussion y about y medication.
b. Ask y the y older y woman y how y she y feels y aboutthis y topic.
c. Instruct y the y interpreter y to y repeat y the y instructions.
d. Have y the y older y woman y repeat y the y instructions y for y clarity.
ANS: y B
Whenworkingwithan interpreter,thenursecloselywatches y the y older y adult y fornonverbal
v
y communicationandemotionregarding y a y specific y topic y and y thereforevalidatesthe
y assessmentabout y the y older y adult‘s y tension y before y proceeding.
y Becausethenurse y noticeshertension,the y nurse y temporarily y suspends y the
y preparation y tovalidateher
y assessment.Ifthenurseproceedsandtheolderadultisuncomfortablediscussingelimination,
v
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