Test Bank Ebersole and Hess’ Gerontological Nursing & Health
u u u u u u u u
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
u u
u
u u u u u u u u
Chapter 1-28.
u u
,Chapter 01: Introduction to Healthy Aging
u u u u u
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
u u u u u u u u u u u
Edition
u
MULTIPLE CHOICE u
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
u u u u u u u u u u u u u u u
u man‘s wellness? u
a. Wellness can only be achieved with aggressive medical interventions. u u u u u u u u
b. Wellness is not a real option for this client because he is terminally ill.
u u u u u u u u u u u u u
c. Wellness is defined as the absence of disease. u u u u u u u
d. Nursing interventions can help empower a client to achieve a higher level of
u u u u u u u u u u u u
wellness. u
ANS: D u
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
u u u u u u u u u u u u u u u
can foster wellness in his or her clients. Wellness is defined by the individual and is
u u u u u u u u u u u u u u u u
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
u u u u u u u u u u u u u u u u
belief that every person has an optimal level of health independent of his or her situation or
u u u u u u u u u u u u u u u u u
functional level. Even in the presence of chronic illness or while dying, a movement toward
u u u u u u u u u u u u u u u
wellness is possible if emphasis of care is placed on the promotion of well-being in a
u u u u u u u u u u u u u u u u
supportive environment.
u u
PTS: 1 DIF: Applyu REF: p. 7 u u TOP: Nursing Process: u u
Diagnosis MSC: Health Promotion and Maintenance
u u u u u u
2. In differentiating between healU
u th aS
nd wNellnTess in hOealth care, which of the following u u
N R I G B.C M u u u u u
statements is true?
u u u
a. Health is a broad term encompassing attitudes and behaviors.
u u u u u u u u
b. The concept of illness prevention was never considered by previous generations.
u u u u u u u u u u
c. Wellness and self-actualization develop through learning and growth. u u u u u u u
d. Wellness is impossible when one‘s health is compromised. u u u u u u u
ANS: A u
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
u u u u u u u u u u u u
wellness, which involves one‘s whole being. The concept of illness prevention was never
u u u u u u u u u u u u u
considered by previous generations; throughout history, basic self-care requirements have
u u u u u u u u u u
been recognized. Wellness and self-actualization develop through learning and growth—as
u u u u u u u u u u
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
u u u u u u u u u u u u u u u
to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
u u u u u u u u u u u u u
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
u u u u u u u u u u u u u u u
PTS: 1 DIF: Understand REF: p. 7
u u u TOP: Nursing Process: u u
Evaluation MSC: Health Promotion and Maintenance
u u u u u u
3. Which racial or ethnic group has the highest life expectancy in the United States?
u u u u u u u u u u u u u
a. Native Americans u
b. African Americans u
c. Hispanic Americans u
d. Asian and Pacific Island Americans u u u u
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
u u u u u u u u u u u u
Chapter 02: Cross-Cultural Caring and Aging
u u u u u
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
u u u u u u u u u u u
Edition
u
MULTIPLE CHOICE u
1. Which of the following is a true statement about differing health belief systems?
u u u u u u u u u u u u
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by u u u u u u u u u u
biomedical principles.
u u
b. In most cultures, older adults are likely to treat themselves using traditional
u u u u u u u u u u u
methods before turning to biomedical professionals.
u u u u u u
c. Ayurvedic medicine is another name for traditional Chinese medicine. u u u u u u u u
d. The belief that health depends on maintaining a balance among opposite qualities
u u u u u u u u u u u
is characteristic of a magicoreligious belief system.
u u u u u u u
ANS: B u
Older adults in most cultures usually have had experience with traditional methods that have
u u u u u u u u u u u u u
worked as well as expected. After these treatments fail, older adults turn to the formal health
u u u u u u u u u u u u u u u u
care system. Even in the United States, it is common for older adults to pray for cures or
u u u u u u u u u u u u u u u u u u
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
u u u u u u u u u u u u u u u
naturalistic health belief system practiced in India and in some neighboring countries. This
u u u u u u u u u u u u u
belief is characteristic of a holistic or naturalistic approach.
u u u u u u u u u
PTS: u u 1 DIF: Understand REF: p. 16-17 u u u
TOP: u Nursing Process: Assessment u u MSC: Health Promotion and Maintenance u u u u
2. Which of the following consideUratiS
onsNis m
u
Tost likO
ely to be true when working with an
u u u
N R I G B. C M u u u u u u u
u interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
u u u u u u u u u u u u u u
b. When working with interpreters, the nurse can use technical terms or metaphors.
u u u u u u u u u u u
c. A patient‘s young granddaughter who speaks fluent English would make the best
u u u u u u u u u u u
u interpreter because she is familiar with and loves the patient. u u u u u u u u u
d. The nurse should face the patient rather than the interpreter.
u u u u u u u u u
ANS: D u
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
u u u u u u u u u u u u u u u u u
converse with the patient, not with a third party about the patient. Many reasons may prevent
u u u u u u u u u u u u u u u u
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
u u u u u u u u u u u u u u u
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
u u u u u u u u u u u u u u
to a grandparent or child.
u u u u u
PTS: u u 1 DIF: Understand u u u u REF: p. 18-19 u u u
TOP: u Nursing Process: Implementation u u u u MSC: Safe, Effective Care Environment
u u u u
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
u u u u u u u u u u u u u u u u u
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
u u u u u u u u u u u u u u u u
his health?
u u
a. Have the health care provider speak to him. u u u u u u u
b. Use principles of the holistic health system.u u u u u u
c. Ask about his perceptions and treatment ideas.
u u u u u u
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
u u u u u u u u u u u u
d. Consult with a practitioner of Chinese medicine. u u u u u u
ANS: C u
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
u u u u u u u u u u u u u
explain your perception of the problem, acknowledge the differences and similarities,
u u u u u u u u u u u
recommend treatment, and negotiate agreement), the nurse gathers information from the
u u u u u u u u u u u
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
u u u u u u u u u u u u u u
assessment, the nurse determines what the patient believes about caregiving, decision making,
u u u u u u u u u u u u
treatment, and other pertinent health-related information. Speaking with the health care
u u u u u u u u u u u
provider is premature until the assessment is complete. Unless he accepts the beliefs,
u u u u u u u u u u u u u
principles of the holistic health system can be potentially unsuitable and insulting for this
u u u u u u u u u u u u u u
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
u u u u u u u u u u u u u
can also be unsuitable and insulting for this patient.
u u u u u u u u u
PTS: u u 1 DIF: Apply REF: p. 18 u u u
TOP: u Nursing Process: Implementation u u MSC: Health Promotion and Maintenance u u u u
4. Which action should the nurse take when addressing older adults?
u u u u u u u u u
a. Speak in an exaggerated pitch. u u u u
b. Use a lower quality of speech. u u u u u
c. Use endearing terms such as ―honey.‖
u u u u u
d. Speak clearly. u
ANS: D u
Some health professionals demonstrate ageism, in part because providers tend to see many
u u u u u u u u u u u u
frail, older persons and fewer of those who are healthy and active. Providers should not
u u u u u u u u u u u u u u u
assume that all older adults are hearing or mentally impaired. The most appropriate action
u u u u u u u u u u u u u u
when addressing an older aduNltUwRoS
u ulI
dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism
u u u u u u u u
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
u u u u u u u u u u u u u u u
speech.
PTS: u u 1 DIF: Apply REF: p. 15 u u u
TOP: u Nursing Process: Assessment u u MSC: Health Promotion and Maintenance u u u u
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
u u u u u u u u u u u u u u
notes that she becomes tense during the instructions about elimination. Which intervention
u u u u u u u u u u u u
should the nurse implement?
u u u u
a. Move on to the discussion about medication. u u u u u u
b. Ask the older woman how she feels about this topic.
u u u u u u u u u
c. Instruct the interpreter to repeat the instructions. u u u u u u
d. Have the older woman repeat the instructions for clarity.
u u u u u u u u
ANS: B u
When working with an interpreter, the nurse closely watches the older adult for nonverbal
u u u u u u u u u u u u u
communication and emotion regarding a specific topic and therefore validates the assessment
u u u u u u u u u u u u
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
u u u u u u u u u u u u u u
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
u u u u u u u u u u u u u
and the older adult is uncomfortable discussing elimination, then important instructions can be
u u u u u u u u u u u u u
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
u u u u u u u u u u u u u u
the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction
u u u u u u u u u u u u u
ignores her needs.
u u u
NURSINGTB.COM
u u u u u u u u
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
u u
u
u u u u u u u u
Chapter 1-28.
u u
,Chapter 01: Introduction to Healthy Aging
u u u u u
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
u u u u u u u u u u u
Edition
u
MULTIPLE CHOICE u
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
u u u u u u u u u u u u u u u
u man‘s wellness? u
a. Wellness can only be achieved with aggressive medical interventions. u u u u u u u u
b. Wellness is not a real option for this client because he is terminally ill.
u u u u u u u u u u u u u
c. Wellness is defined as the absence of disease. u u u u u u u
d. Nursing interventions can help empower a client to achieve a higher level of
u u u u u u u u u u u u
wellness. u
ANS: D u
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
u u u u u u u u u u u u u u u
can foster wellness in his or her clients. Wellness is defined by the individual and is
u u u u u u u u u u u u u u u u
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
u u u u u u u u u u u u u u u u
belief that every person has an optimal level of health independent of his or her situation or
u u u u u u u u u u u u u u u u u
functional level. Even in the presence of chronic illness or while dying, a movement toward
u u u u u u u u u u u u u u u
wellness is possible if emphasis of care is placed on the promotion of well-being in a
u u u u u u u u u u u u u u u u
supportive environment.
u u
PTS: 1 DIF: Applyu REF: p. 7 u u TOP: Nursing Process: u u
Diagnosis MSC: Health Promotion and Maintenance
u u u u u u
2. In differentiating between healU
u th aS
nd wNellnTess in hOealth care, which of the following u u
N R I G B.C M u u u u u
statements is true?
u u u
a. Health is a broad term encompassing attitudes and behaviors.
u u u u u u u u
b. The concept of illness prevention was never considered by previous generations.
u u u u u u u u u u
c. Wellness and self-actualization develop through learning and growth. u u u u u u u
d. Wellness is impossible when one‘s health is compromised. u u u u u u u
ANS: A u
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
u u u u u u u u u u u u
wellness, which involves one‘s whole being. The concept of illness prevention was never
u u u u u u u u u u u u u
considered by previous generations; throughout history, basic self-care requirements have
u u u u u u u u u u
been recognized. Wellness and self-actualization develop through learning and growth—as
u u u u u u u u u u
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
u u u u u u u u u u u u u u u
to life. Wellness is possible when one‘s health is compromised—even with chronic illness,
u u u u u u u u u u u u u
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
u u u u u u u u u u u u u u u
PTS: 1 DIF: Understand REF: p. 7
u u u TOP: Nursing Process: u u
Evaluation MSC: Health Promotion and Maintenance
u u u u u u
3. Which racial or ethnic group has the highest life expectancy in the United States?
u u u u u u u u u u u u u
a. Native Americans u
b. African Americans u
c. Hispanic Americans u
d. Asian and Pacific Island Americans u u u u
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
u u u u u u u u u u u u
Chapter 02: Cross-Cultural Caring and Aging
u u u u u
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
u u u u u u u u u u u
Edition
u
MULTIPLE CHOICE u
1. Which of the following is a true statement about differing health belief systems?
u u u u u u u u u u u u
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by u u u u u u u u u u
biomedical principles.
u u
b. In most cultures, older adults are likely to treat themselves using traditional
u u u u u u u u u u u
methods before turning to biomedical professionals.
u u u u u u
c. Ayurvedic medicine is another name for traditional Chinese medicine. u u u u u u u u
d. The belief that health depends on maintaining a balance among opposite qualities
u u u u u u u u u u u
is characteristic of a magicoreligious belief system.
u u u u u u u
ANS: B u
Older adults in most cultures usually have had experience with traditional methods that have
u u u u u u u u u u u u u
worked as well as expected. After these treatments fail, older adults turn to the formal health
u u u u u u u u u u u u u u u u
care system. Even in the United States, it is common for older adults to pray for cures or
u u u u u u u u u u u u u u u u u u
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
u u u u u u u u u u u u u u u
naturalistic health belief system practiced in India and in some neighboring countries. This
u u u u u u u u u u u u u
belief is characteristic of a holistic or naturalistic approach.
u u u u u u u u u
PTS: u u 1 DIF: Understand REF: p. 16-17 u u u
TOP: u Nursing Process: Assessment u u MSC: Health Promotion and Maintenance u u u u
2. Which of the following consideUratiS
onsNis m
u
Tost likO
ely to be true when working with an
u u u
N R I G B. C M u u u u u u u
u interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
u u u u u u u u u u u u u u
b. When working with interpreters, the nurse can use technical terms or metaphors.
u u u u u u u u u u u
c. A patient‘s young granddaughter who speaks fluent English would make the best
u u u u u u u u u u u
u interpreter because she is familiar with and loves the patient. u u u u u u u u u
d. The nurse should face the patient rather than the interpreter.
u u u u u u u u u
ANS: D u
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
u u u u u u u u u u u u u u u u u
converse with the patient, not with a third party about the patient. Many reasons may prevent
u u u u u u u u u u u u u u u u
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
u u u u u u u u u u u u u u u
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
u u u u u u u u u u u u u u
to a grandparent or child.
u u u u u
PTS: u u 1 DIF: Understand u u u u REF: p. 18-19 u u u
TOP: u Nursing Process: Implementation u u u u MSC: Safe, Effective Care Environment
u u u u
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
u u u u u u u u u u u u u u u u u
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
u u u u u u u u u u u u u u u u
his health?
u u
a. Have the health care provider speak to him. u u u u u u u
b. Use principles of the holistic health system.u u u u u u
c. Ask about his perceptions and treatment ideas.
u u u u u u
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
u u u u u u u u u u u u
d. Consult with a practitioner of Chinese medicine. u u u u u u
ANS: C u
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
u u u u u u u u u u u u u
explain your perception of the problem, acknowledge the differences and similarities,
u u u u u u u u u u u
recommend treatment, and negotiate agreement), the nurse gathers information from the
u u u u u u u u u u u
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
u u u u u u u u u u u u u u
assessment, the nurse determines what the patient believes about caregiving, decision making,
u u u u u u u u u u u u
treatment, and other pertinent health-related information. Speaking with the health care
u u u u u u u u u u u
provider is premature until the assessment is complete. Unless he accepts the beliefs,
u u u u u u u u u u u u u
principles of the holistic health system can be potentially unsuitable and insulting for this
u u u u u u u u u u u u u u
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
u u u u u u u u u u u u u
can also be unsuitable and insulting for this patient.
u u u u u u u u u
PTS: u u 1 DIF: Apply REF: p. 18 u u u
TOP: u Nursing Process: Implementation u u MSC: Health Promotion and Maintenance u u u u
4. Which action should the nurse take when addressing older adults?
u u u u u u u u u
a. Speak in an exaggerated pitch. u u u u
b. Use a lower quality of speech. u u u u u
c. Use endearing terms such as ―honey.‖
u u u u u
d. Speak clearly. u
ANS: D u
Some health professionals demonstrate ageism, in part because providers tend to see many
u u u u u u u u u u u u
frail, older persons and fewer of those who are healthy and active. Providers should not
u u u u u u u u u u u u u u u
assume that all older adults are hearing or mentally impaired. The most appropriate action
u u u u u u u u u u u u u u
when addressing an older aduNltUwRoS
u ulI
dNbeGtT
oBs p.e aCkOcM
l e a r l y . Examples of unintentional ageism
u u u u u u u u
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
u u u u u u u u u u u u u u u
speech.
PTS: u u 1 DIF: Apply REF: p. 15 u u u
TOP: u Nursing Process: Assessment u u MSC: Health Promotion and Maintenance u u u u
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
u u u u u u u u u u u u u u
notes that she becomes tense during the instructions about elimination. Which intervention
u u u u u u u u u u u u
should the nurse implement?
u u u u
a. Move on to the discussion about medication. u u u u u u
b. Ask the older woman how she feels about this topic.
u u u u u u u u u
c. Instruct the interpreter to repeat the instructions. u u u u u u
d. Have the older woman repeat the instructions for clarity.
u u u u u u u u
ANS: B u
When working with an interpreter, the nurse closely watches the older adult for nonverbal
u u u u u u u u u u u u u
communication and emotion regarding a specific topic and therefore validates the assessment
u u u u u u u u u u u u
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
u u u u u u u u u u u u u u
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
u u u u u u u u u u u u u
and the older adult is uncomfortable discussing elimination, then important instructions can be
u u u u u u u u u u u u u
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
u u u u u u u u u u u u u u
the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction
u u u u u u u u u u u u u
ignores her needs.
u u u
NURSINGTB.COM
