TESTBANK i
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
i i i i i i i i i
Veronique Boscart
i
3RD iEdition
TESTBANK i
,Chapter i01: iIntroduction ito iHealthy iAging
Touhy i& iJett: iEbersole iand iHess’ iGerontological iNursing i& iHealthy iAging,
i3rdiEdition
MULTIPLE iCHOICE
1. A iman iis iterminally iill iwith iend-stage iprostate icancer. iWhich iis ithe ibest istatement iabout
thisiman’s iwellness?
i
a. Wellness ican ionly ibe iachieved iwith iaggressive imedical iinterventions.
b. Wellness iis inot ia ireal ioption ifor ithis iclient ibecause ihe iis iterminally iill.
c. Wellness iis idefined ias ithe iabsence iof idisease.
d. Nursing iinterventions ican ihelp iempower ia iclient ito iachieve ia ihigher ilevel
iofiwellness.
ANS: i D
Nursing iinterventions ican ihelp iempower ia iclient ito iachieve ia ihigher ilevel iof iwellness; ia
inurseican ifoster iwellness iin ihis ior iher iclients. iWellness iis idefined iby ithe iindividual iand iis
imultidimensional. iIt iis inot ijust ithe iabsence iof idisease. iA iwellness iperspective iis ibased ion
ithe ibelief ithat ievery iperson ihas ian ioptimal ilevel i of ihealth iindependent iof ihis ior iher
isituation ior ifunctional ilevel. iEven iin ithe ipresence iof ichronic iillness ior iwhile idying, ia
imovement itoward iwellness iis ipossible iif iemphasis iof icare iis iplaced ion ithe ipromotion iof
iwell-being iin ia isupportive ienvironment.
PTS: i i i 1 DIF: Apply REF: i i ip. i7 TOP: i Nursing iProcess:
iDiagnosisiMSC: i Health iPromotion iand iMaintenance
2. In idifferentiating ibetween ihealth iand iwellness iin ihealth icare, iwhich iof ithe
followingistatements iis itrue?
i
a. Health iis ia ibroad iterm iencompassing iattitudes iand ibehaviors.
b. The iconcept iof iillness iprevention iwas inever iconsidered iby iprevious igenerations.
c. Wellness iand iself-actualization idevelop ithrough ilearning iand igrowth.
d. Wellness iis iimpossible iwhen ione’s ihealth iis icompromised.
ANS: i A
Health iis ia ibroad iterm ithat iencompasses iattitudes iand ibehaviors; iholistically, ihealth
iincludes iwellness, iwhich iinvolves ione’s iwhole ibeing. iThe iconcept iof iillness iprevention
iwas inever iconsidered iby iprevious igenerations; ithroughout ihistory, ibasic iself-care
irequirements ihave ibeen irecognized. iWellness iand iself-actualization idevelop ithrough
ilearning iand igrowth—as ibasic ineeds iare imet, ihigher ilevel ineeds ican ibe isatisfied iin iturn,
iwith iever-deepening irichness ito ilife. iWellness iis i possible iwhen ione’s ihealth iis
icompromised—even iwith ichronic iillness, iwith imultiple idisabilities, ior iin idying, imovement
itoward ia ihigher ilevel iof iwellness iis ipossible.
PTS: i i i 1 DIF: Understand REF: i i ip. i7 TOP: i Nursing iProcess:
iEvaluationiMSC: i Health iPromotion iand iMaintenance
3. Which iracial ior iethnic igroup ihas ithe ihighest ilife iexpectancy iin ithe iUnited iStates?
a. Native iAmericans
b. African iAmericans
c. Hispanic iAmericans
d. Asian iand iPacific iIsland iAmericans
, Chapter 02: Cross-Cultural Caring and Aging
i i i i i
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
i i i i i i i i i i
3rdEdition
i i
MULTIPLE iCHOICE
1. Which iof ithe ifollowing iis ia itrue istatement iabout idiffering ihealth ibelief isystems?
a. Personalistic ior imagicoreligious ibeliefs ihave ibeen isuperseded iin iWestern iminds
byibiomedical iprinciples.
i
b. In imost icultures, iolder iadults iare ilikely ito itreat ithemselves iusing
i traditionalimethods ibefore iturning ito ibiomedical iprofessionals.
c. Ayurvedic imedicine iis ianother iname ifor itraditional iChinese imedicine.
d. The ibelief ithat ihealth idepends ion imaintaining ia ibalance iamong iopposite
i qualitiesiis icharacteristic iof ia imagicoreligious ibelief isystem.
ANS: i B
Older iadults iin imost icultures iusually ihave ihad iexperience iwith itraditional imethods ithat
ihaveiworked ias iwell ias iexpected. iAfter ithese itreatments ifail, iolder iadults iturn ito ithe iformal
ihealthicare isystem. iEven iin ithe iUnited iStates, iit iis icommon ifor iolder iadults ito ipray ifor
icures ior iwonder iwhat ithey idid ito iincur ian iillness ias ipunishment. iThe iAyurvedic isystem
iis ia inaturalistic ihealth ibelief isystem ipracticed iin i India iand iin isome ineighboring icountries.
iThis ibelief iis icharacteristic iof ia iholistic ior inaturalistic iapproach.
PTS: i i i 1 DIF: Understand REF: ip. i16-17
TOP: i Nursing iProcess: iAssessment MSC: i Health iPromotion iand iMaintenance
2. Which iof ithe ifollowing iconsidU
eratiS
onsNis m
N R I G B.C M
Tost ilikO
ely ito ibe itrue iwhen iworking iwith
i an iinterpreter?
a. An iinterpreter iis inever ineeded iif ithe inurse ispeaks ithe isame ilanguage ias ithe ipatient.
b. When iworking iwith iinterpreters, ithe inurse ican iuse itechnical iterms ior imetaphors.
c. A ipatient’s iyoung igranddaughter iwho ispeaks ifluent iEnglish iwould imake ithe
bestiinterpreter ibecause ishe iis ifamiliar iwith iand iloves ithe ipatient.
i
d. The inurse ishould iface ithe ipatient irather ithan ithe iinterpreter.
ANS: i D
The inurse ishould iface ithe ipatient irather ithan ithe iinterpreter iis ia itrue istatement; ithe iintent iis
ito iconverse iwith ithe ipatient, inot iwith ia ithird iparty iabout ithe ipatient. iMany ireasons imay
iprevent ithe ipatient ifrom ispeaking idirectly ito ia inurse. iTechnical iterms iand imetaphors imay
ibe idifficult ior iimpossible ito itranslate. iCultural irestrictions imay iprevent i some itopics ifrom
ibeing ispoken iofito ia igrandparent ior ichild.
PTS: i i i 1 DIF: i i i Understand i i i REF: i i ip. i18-19
TOP: i Nursing iProcess: iImplementation i i i MSC: i Safe, iEffective iCare iEnvironment
3. An iolder iadult iwho iis ia itraditional iChinese iman ihas ia iblood ipressure iof i80/54 imm iHg iand
irefuses ito iremain iin ithe ibed. iWhich iintervention ishould ithe inurse iuse ito ipromote iand
imaintainihis ihealth?
a. Have ithe ihealth icare iprovider ispeak ito ihim.
b. Use iprinciples iof ithe iholistic ihealth isystem.
c. Ask iabout ihis iperceptions iand itreatment iideas.
, d. Consult iwith ia ipractitioner iof iChinese imedicine.
ANS: i C
Using ithe iLEARN imodel i(listen iwith isympathy ito ithe ipatient’s iperception iof ithe iproblem,
iexplain iyour iperception iof ithe iproblem, iacknowledge ithe idifferences iand isimilarities,
irecommend itreatment, iand inegotiate iagreement), ithe inurse igathers iinformation ifrom ithe
ipatient iabout icultural ibeliefs iconcerning ihealth icare iand iavoids istereotyping ithe ipatient. iIn
itheiassessment, ithe inurse idetermines iwhat ithe ipatient ibelieves iabout icaregiving, idecision
imaking,itreatment, iand iother ipertinent ihealth-related iinformation. iSpeaking iwith ithe ihealth
icare iprovider iis ipremature iuntil ithe iassessment iis icomplete. iUnless ihe iaccepts ithe ibeliefs,
iprinciples iof ithe iholistic ihealth i system ican ibe ipotentially iunsuitable iand iinsulting ifor ithis
ipatient. iUnless ihe iaccepts ithe itreatments, iconsulting iwith ia ipractitioner iof iChinese
imedicine ican ialso ibe iunsuitable iand iinsulting ifor ithis ipatient.
PTS: i i i 1 DIF: Apply REF: i p. i18
TOP: i Nursing iProcess: iImplementation MSC: i Health iPromotion iand iMaintenance
4. Which iaction ishould ithe inurse itake iwhen iaddressing iolder iadults?
a. Speak iin ian iexaggerated ipitch.
b. Use ia ilower iquality iof ispeech.
c. Use iendearing iterms isuch ias i“honey.”
d. Speak iclearly.
ANS: i D
Some ihealth iprofessionals idemonstrate iageism, iin ipart ibecause iproviders itend ito isee
imanyifrail, iolder ipersons iand ifewer iof ithose iwho iare ihealthy iand iactive. iProviders
ishould inot
assume ithat iall iolder iadults iare ihearing ior imentally iimpaired. iThe imost iappropriate iaction
iwhen iaddressing ian iolder iadu NltUwRoSulIdNbeGtTo Bsp.eC
akOcM
learly. iExamples iof iunintentional
iageism iin ilanguage iare ian iexaggerated ipitch, ia idemeaning iemotional itone, iand ia ilower
iquality iof
speech.
PTS: i i i 1 DIF: Apply REF: i p. i15
TOP: i Nursing iProcess: iAssessment MSC: i Health iPromotion iand iMaintenance
5. The inurse iprepares ian iolder iwoman, iwho iis iPolish, ifor idischarge ithrough ian iinterpreter
and inotes ithat ishe ibecomes itense iduring ithe iinstructions iabout ielimination. iWhich
i
intervention ishould ithe inurse iimplement?
i
a. Move ion ito ithe idiscussion iabout imedication.
b. Ask ithe iolder iwoman ihow ishe ifeels iabout ithis itopic.
c. Instruct ithe iinterpreter ito irepeat ithe iinstructions.
d. Have ithe iolder iwoman irepeat ithe iinstructions ifor iclarity.
ANS: i B
When iworking iwith ian iinterpreter, ithe inurse iclosely iwatches ithe iolder iadult ifor inonverbal
icommunication iand iemotion iregarding ia ispecific itopic iand itherefore ivalidates ithe
iassessment iabout ithe iolder iadult’s itension ibefore iproceeding. iBecause ithe inurse inotices iher
itension, ithe inurse itemporarily isuspends ithe ipreparation ito ivalidate iher iassessment. iIf ithe
inurse iproceeds iand ithe iolder iadult iis iuncomfortable idiscussing ielimination, ithen iimportant
iinstructions ican ibeimissed, ileading ito iadverse ieffects ifor ithe iolder iadult. iRepeating ithe
iinstructions ican iaggravateithe iolder iadult’s idiscomfort. iInstructing ithe iolder i adult ito irepeat
ithe inurse’s iinstruction iignores iher ineeds.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
i i i i i i i i i
Veronique Boscart
i
3RD iEdition
TESTBANK i
,Chapter i01: iIntroduction ito iHealthy iAging
Touhy i& iJett: iEbersole iand iHess’ iGerontological iNursing i& iHealthy iAging,
i3rdiEdition
MULTIPLE iCHOICE
1. A iman iis iterminally iill iwith iend-stage iprostate icancer. iWhich iis ithe ibest istatement iabout
thisiman’s iwellness?
i
a. Wellness ican ionly ibe iachieved iwith iaggressive imedical iinterventions.
b. Wellness iis inot ia ireal ioption ifor ithis iclient ibecause ihe iis iterminally iill.
c. Wellness iis idefined ias ithe iabsence iof idisease.
d. Nursing iinterventions ican ihelp iempower ia iclient ito iachieve ia ihigher ilevel
iofiwellness.
ANS: i D
Nursing iinterventions ican ihelp iempower ia iclient ito iachieve ia ihigher ilevel iof iwellness; ia
inurseican ifoster iwellness iin ihis ior iher iclients. iWellness iis idefined iby ithe iindividual iand iis
imultidimensional. iIt iis inot ijust ithe iabsence iof idisease. iA iwellness iperspective iis ibased ion
ithe ibelief ithat ievery iperson ihas ian ioptimal ilevel i of ihealth iindependent iof ihis ior iher
isituation ior ifunctional ilevel. iEven iin ithe ipresence iof ichronic iillness ior iwhile idying, ia
imovement itoward iwellness iis ipossible iif iemphasis iof icare iis iplaced ion ithe ipromotion iof
iwell-being iin ia isupportive ienvironment.
PTS: i i i 1 DIF: Apply REF: i i ip. i7 TOP: i Nursing iProcess:
iDiagnosisiMSC: i Health iPromotion iand iMaintenance
2. In idifferentiating ibetween ihealth iand iwellness iin ihealth icare, iwhich iof ithe
followingistatements iis itrue?
i
a. Health iis ia ibroad iterm iencompassing iattitudes iand ibehaviors.
b. The iconcept iof iillness iprevention iwas inever iconsidered iby iprevious igenerations.
c. Wellness iand iself-actualization idevelop ithrough ilearning iand igrowth.
d. Wellness iis iimpossible iwhen ione’s ihealth iis icompromised.
ANS: i A
Health iis ia ibroad iterm ithat iencompasses iattitudes iand ibehaviors; iholistically, ihealth
iincludes iwellness, iwhich iinvolves ione’s iwhole ibeing. iThe iconcept iof iillness iprevention
iwas inever iconsidered iby iprevious igenerations; ithroughout ihistory, ibasic iself-care
irequirements ihave ibeen irecognized. iWellness iand iself-actualization idevelop ithrough
ilearning iand igrowth—as ibasic ineeds iare imet, ihigher ilevel ineeds ican ibe isatisfied iin iturn,
iwith iever-deepening irichness ito ilife. iWellness iis i possible iwhen ione’s ihealth iis
icompromised—even iwith ichronic iillness, iwith imultiple idisabilities, ior iin idying, imovement
itoward ia ihigher ilevel iof iwellness iis ipossible.
PTS: i i i 1 DIF: Understand REF: i i ip. i7 TOP: i Nursing iProcess:
iEvaluationiMSC: i Health iPromotion iand iMaintenance
3. Which iracial ior iethnic igroup ihas ithe ihighest ilife iexpectancy iin ithe iUnited iStates?
a. Native iAmericans
b. African iAmericans
c. Hispanic iAmericans
d. Asian iand iPacific iIsland iAmericans
, Chapter 02: Cross-Cultural Caring and Aging
i i i i i
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
i i i i i i i i i i
3rdEdition
i i
MULTIPLE iCHOICE
1. Which iof ithe ifollowing iis ia itrue istatement iabout idiffering ihealth ibelief isystems?
a. Personalistic ior imagicoreligious ibeliefs ihave ibeen isuperseded iin iWestern iminds
byibiomedical iprinciples.
i
b. In imost icultures, iolder iadults iare ilikely ito itreat ithemselves iusing
i traditionalimethods ibefore iturning ito ibiomedical iprofessionals.
c. Ayurvedic imedicine iis ianother iname ifor itraditional iChinese imedicine.
d. The ibelief ithat ihealth idepends ion imaintaining ia ibalance iamong iopposite
i qualitiesiis icharacteristic iof ia imagicoreligious ibelief isystem.
ANS: i B
Older iadults iin imost icultures iusually ihave ihad iexperience iwith itraditional imethods ithat
ihaveiworked ias iwell ias iexpected. iAfter ithese itreatments ifail, iolder iadults iturn ito ithe iformal
ihealthicare isystem. iEven iin ithe iUnited iStates, iit iis icommon ifor iolder iadults ito ipray ifor
icures ior iwonder iwhat ithey idid ito iincur ian iillness ias ipunishment. iThe iAyurvedic isystem
iis ia inaturalistic ihealth ibelief isystem ipracticed iin i India iand iin isome ineighboring icountries.
iThis ibelief iis icharacteristic iof ia iholistic ior inaturalistic iapproach.
PTS: i i i 1 DIF: Understand REF: ip. i16-17
TOP: i Nursing iProcess: iAssessment MSC: i Health iPromotion iand iMaintenance
2. Which iof ithe ifollowing iconsidU
eratiS
onsNis m
N R I G B.C M
Tost ilikO
ely ito ibe itrue iwhen iworking iwith
i an iinterpreter?
a. An iinterpreter iis inever ineeded iif ithe inurse ispeaks ithe isame ilanguage ias ithe ipatient.
b. When iworking iwith iinterpreters, ithe inurse ican iuse itechnical iterms ior imetaphors.
c. A ipatient’s iyoung igranddaughter iwho ispeaks ifluent iEnglish iwould imake ithe
bestiinterpreter ibecause ishe iis ifamiliar iwith iand iloves ithe ipatient.
i
d. The inurse ishould iface ithe ipatient irather ithan ithe iinterpreter.
ANS: i D
The inurse ishould iface ithe ipatient irather ithan ithe iinterpreter iis ia itrue istatement; ithe iintent iis
ito iconverse iwith ithe ipatient, inot iwith ia ithird iparty iabout ithe ipatient. iMany ireasons imay
iprevent ithe ipatient ifrom ispeaking idirectly ito ia inurse. iTechnical iterms iand imetaphors imay
ibe idifficult ior iimpossible ito itranslate. iCultural irestrictions imay iprevent i some itopics ifrom
ibeing ispoken iofito ia igrandparent ior ichild.
PTS: i i i 1 DIF: i i i Understand i i i REF: i i ip. i18-19
TOP: i Nursing iProcess: iImplementation i i i MSC: i Safe, iEffective iCare iEnvironment
3. An iolder iadult iwho iis ia itraditional iChinese iman ihas ia iblood ipressure iof i80/54 imm iHg iand
irefuses ito iremain iin ithe ibed. iWhich iintervention ishould ithe inurse iuse ito ipromote iand
imaintainihis ihealth?
a. Have ithe ihealth icare iprovider ispeak ito ihim.
b. Use iprinciples iof ithe iholistic ihealth isystem.
c. Ask iabout ihis iperceptions iand itreatment iideas.
, d. Consult iwith ia ipractitioner iof iChinese imedicine.
ANS: i C
Using ithe iLEARN imodel i(listen iwith isympathy ito ithe ipatient’s iperception iof ithe iproblem,
iexplain iyour iperception iof ithe iproblem, iacknowledge ithe idifferences iand isimilarities,
irecommend itreatment, iand inegotiate iagreement), ithe inurse igathers iinformation ifrom ithe
ipatient iabout icultural ibeliefs iconcerning ihealth icare iand iavoids istereotyping ithe ipatient. iIn
itheiassessment, ithe inurse idetermines iwhat ithe ipatient ibelieves iabout icaregiving, idecision
imaking,itreatment, iand iother ipertinent ihealth-related iinformation. iSpeaking iwith ithe ihealth
icare iprovider iis ipremature iuntil ithe iassessment iis icomplete. iUnless ihe iaccepts ithe ibeliefs,
iprinciples iof ithe iholistic ihealth i system ican ibe ipotentially iunsuitable iand iinsulting ifor ithis
ipatient. iUnless ihe iaccepts ithe itreatments, iconsulting iwith ia ipractitioner iof iChinese
imedicine ican ialso ibe iunsuitable iand iinsulting ifor ithis ipatient.
PTS: i i i 1 DIF: Apply REF: i p. i18
TOP: i Nursing iProcess: iImplementation MSC: i Health iPromotion iand iMaintenance
4. Which iaction ishould ithe inurse itake iwhen iaddressing iolder iadults?
a. Speak iin ian iexaggerated ipitch.
b. Use ia ilower iquality iof ispeech.
c. Use iendearing iterms isuch ias i“honey.”
d. Speak iclearly.
ANS: i D
Some ihealth iprofessionals idemonstrate iageism, iin ipart ibecause iproviders itend ito isee
imanyifrail, iolder ipersons iand ifewer iof ithose iwho iare ihealthy iand iactive. iProviders
ishould inot
assume ithat iall iolder iadults iare ihearing ior imentally iimpaired. iThe imost iappropriate iaction
iwhen iaddressing ian iolder iadu NltUwRoSulIdNbeGtTo Bsp.eC
akOcM
learly. iExamples iof iunintentional
iageism iin ilanguage iare ian iexaggerated ipitch, ia idemeaning iemotional itone, iand ia ilower
iquality iof
speech.
PTS: i i i 1 DIF: Apply REF: i p. i15
TOP: i Nursing iProcess: iAssessment MSC: i Health iPromotion iand iMaintenance
5. The inurse iprepares ian iolder iwoman, iwho iis iPolish, ifor idischarge ithrough ian iinterpreter
and inotes ithat ishe ibecomes itense iduring ithe iinstructions iabout ielimination. iWhich
i
intervention ishould ithe inurse iimplement?
i
a. Move ion ito ithe idiscussion iabout imedication.
b. Ask ithe iolder iwoman ihow ishe ifeels iabout ithis itopic.
c. Instruct ithe iinterpreter ito irepeat ithe iinstructions.
d. Have ithe iolder iwoman irepeat ithe iinstructions ifor iclarity.
ANS: i B
When iworking iwith ian iinterpreter, ithe inurse iclosely iwatches ithe iolder iadult ifor inonverbal
icommunication iand iemotion iregarding ia ispecific itopic iand itherefore ivalidates ithe
iassessment iabout ithe iolder iadult’s itension ibefore iproceeding. iBecause ithe inurse inotices iher
itension, ithe inurse itemporarily isuspends ithe ipreparation ito ivalidate iher iassessment. iIf ithe
inurse iproceeds iand ithe iolder iadult iis iuncomfortable idiscussing ielimination, ithen iimportant
iinstructions ican ibeimissed, ileading ito iadverse ieffects ifor ithe iolder iadult. iRepeating ithe
iinstructions ican iaggravateithe iolder iadult’s idiscomfort. iInstructing ithe iolder i adult ito irepeat
ithe inurse’s iinstruction iignores iher ineeds.
