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