TEST BANK
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
man’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 higher level of
wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every person has an optimal level of health independent of his or her situation or
functional level. Even in the presence of chronic illness or while dying, a movement toward
wellness is possible if emphasis of care is placed on the promotion of well-being in a
supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements is true?
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
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations; throughout history, basic self-care requirements have
been recognized. Wellness and self-actualization develop through learning and growth—as
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance
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
, Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
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 Western minds by
biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional
methods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities
is characteristic of a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which of the following considU
N R I G B.C M
eratiS
onsNis m
Tost likO
ely to be true when working with an
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 make the best
interpreter because she 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 metaphors may be difficult
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
to a grandparent or child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. AnxolderxadultxwhoxisxaxtraditionalxChinesexmanxhasxaxbloodxpressurexofx80/54xmmxHgxand
xrefusesxtoxremainxinxthexbed.xWhichxinterventionxshouldxthexnursexusextoxpromotexandxmain
tainxhisxhealth?
a. Havexthexhealthxcarexproviderxspeakxtoxhim.
b. Usexprinciplesxofxthexholisticxhealthxsystem.
c. Askxaboutxhisxperceptionsxandxtreatmentxideas.
, d. ConsultxwithxaxpractitionerxofxChinesexmedicine.
ANS:x C
UsingxthexLEARNxmodelx(listenxwithxsympathyxtoxthexpatient’sxperceptionxofxthexproblem,x
explainxyourxperceptionxofxthexproblem,xacknowledgexthexdifferencesxandxsimilarities,xreco
mmendxtreatment,xandxnegotiatexagreement),xthexnursexgathersxinformationxfromxthexpatient
xaboutxculturalxbeliefsxconcerningxhealthxcarexandxavoidsxstereotypingxthexpatient.xInxthexass
essment,xthexnursexdeterminesxwhatxthexpatientxbelievesxaboutxcaregiving,xdecisionxmaking,x
treatment,xandxotherxpertinentxhealth-
relatedxinformation.xSpeakingxwithxthexhealthxcarexproviderxisxprematurexuntilxthexassessme
ntxisxcomplete.xUnlessxhexacceptsxthexbeliefs,xprinciplesxofxthexholisticxhealthxsystemxcanxbe
xpotentiallyxunsuitablexandxinsultingxforxthisxpatient.xUnlessxhexacceptsxthextreatments,xcons
ultingxwithxaxpractitionerxofxChinesexmedicinexcanxalsoxbexunsuitablexandxinsultingxforxthisx
patient.
PTS:x x 1 DIF: Apply REF:x p.x18
TOP:x NursingxProcess:xImplementation MSC:x HealthxPromotionxandxMaintenance
4. Whichxactionxshouldxthexnursextakexwhenxaddressingxolderxadults?
a. Speakxinxanxexaggeratedxpitch.
b. Usexaxlowerxqualityxofxspeech.
c. Usexendearingxtermsxsuchxasx“honey.”
d. Speakxclearly.
ANS:x D
Somexhealthxprofessionalsxdemonstratexageism,xinxpartxbecausexprovidersxtendxtoxseexmanyx
frail,xolderxpersonsxandxfewerxofxthosexwhoxarexhealthyxandxactive.xProvidersxshouldxnot
assumexthatxallxolderxadultsxarexhearingxorxmentallyximpaired.xThexmostxappropriatexactio
nxwhenxaddressingxanxolderxaduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.xExamplesxofxunintentionalxage
ismxinxlanguagexarexanxexaggeratedxpitch,xaxdemeaningxemotionalxtone,xandxaxlowerxqualit
yxof
speech.
PTS:x x 1 DIF: Apply REF:x p.x15
TOP:x NursingxProcess:xAssessment MSC:x HealthxPromotionxandxMaintenance
5. Thexnursexpreparesxanxolderxwoman,xwhoxisxPolish,xforxdischargexthroughxanxinterpreterxa
ndxnotesxthatxshexbecomesxtensexduringxthexinstructionsxaboutxelimination.xWhichxinterve
ntionxshouldxthexnurseximplement?
a. Movexonxtoxthexdiscussionxaboutxmedication.
b. Askxthexolderxwomanxhowxshexfeelsxaboutxthisxtopic.
c. Instructxthexinterpreterxtoxrepeatxthexinstructions.
d. Havexthexolderxwomanxrepeatxthexinstructionsxforxclarity.
ANS:x B
Whenxworkingxwithxanxinterpreter,xthexnursexcloselyxwatchesxthexolderxadultxforxnonverbalx
communicationxandxemotionxregardingxaxspecificxtopicxandxthereforexvalidatesxthexassessme
ntxaboutxthexolderxadult’sxtensionxbeforexproceeding.xBecausexthexnursexnoticesxherxtension,x
thexnursextemporarilyxsuspendsxthexpreparationxtoxvalidatexherxassessment.xIfxthexnursexproc
eedsxandxthexolderxadultxisxuncomfortablexdiscussingxelimination,xthenximportantxinstructions
xcanxbexmissed,xleadingxtoxadversexeffectsxforxthexolderxadult.xRepeatingxthexinstructionsxcan
xaggravatexthexolderxadult’sxdiscomfort.xInstructingxthexolderxadultxtoxrepeatxthexnurse’sxinst
ructionxignoresxherxneeds.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
man’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 higher level of
wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every person has an optimal level of health independent of his or her situation or
functional level. Even in the presence of chronic illness or while dying, a movement toward
wellness is possible if emphasis of care is placed on the promotion of well-being in a
supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements is true?
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
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations; throughout history, basic self-care requirements have
been recognized. Wellness and self-actualization develop through learning and growth—as
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance
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
, Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
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 Western minds by
biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional
methods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities
is characteristic of a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which of the following considU
N R I G B.C M
eratiS
onsNis m
Tost likO
ely to be true when working with an
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 make the best
interpreter because she 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 metaphors may be difficult
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
to a grandparent or child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. AnxolderxadultxwhoxisxaxtraditionalxChinesexmanxhasxaxbloodxpressurexofx80/54xmmxHgxand
xrefusesxtoxremainxinxthexbed.xWhichxinterventionxshouldxthexnursexusextoxpromotexandxmain
tainxhisxhealth?
a. Havexthexhealthxcarexproviderxspeakxtoxhim.
b. Usexprinciplesxofxthexholisticxhealthxsystem.
c. Askxaboutxhisxperceptionsxandxtreatmentxideas.
, d. ConsultxwithxaxpractitionerxofxChinesexmedicine.
ANS:x C
UsingxthexLEARNxmodelx(listenxwithxsympathyxtoxthexpatient’sxperceptionxofxthexproblem,x
explainxyourxperceptionxofxthexproblem,xacknowledgexthexdifferencesxandxsimilarities,xreco
mmendxtreatment,xandxnegotiatexagreement),xthexnursexgathersxinformationxfromxthexpatient
xaboutxculturalxbeliefsxconcerningxhealthxcarexandxavoidsxstereotypingxthexpatient.xInxthexass
essment,xthexnursexdeterminesxwhatxthexpatientxbelievesxaboutxcaregiving,xdecisionxmaking,x
treatment,xandxotherxpertinentxhealth-
relatedxinformation.xSpeakingxwithxthexhealthxcarexproviderxisxprematurexuntilxthexassessme
ntxisxcomplete.xUnlessxhexacceptsxthexbeliefs,xprinciplesxofxthexholisticxhealthxsystemxcanxbe
xpotentiallyxunsuitablexandxinsultingxforxthisxpatient.xUnlessxhexacceptsxthextreatments,xcons
ultingxwithxaxpractitionerxofxChinesexmedicinexcanxalsoxbexunsuitablexandxinsultingxforxthisx
patient.
PTS:x x 1 DIF: Apply REF:x p.x18
TOP:x NursingxProcess:xImplementation MSC:x HealthxPromotionxandxMaintenance
4. Whichxactionxshouldxthexnursextakexwhenxaddressingxolderxadults?
a. Speakxinxanxexaggeratedxpitch.
b. Usexaxlowerxqualityxofxspeech.
c. Usexendearingxtermsxsuchxasx“honey.”
d. Speakxclearly.
ANS:x D
Somexhealthxprofessionalsxdemonstratexageism,xinxpartxbecausexprovidersxtendxtoxseexmanyx
frail,xolderxpersonsxandxfewerxofxthosexwhoxarexhealthyxandxactive.xProvidersxshouldxnot
assumexthatxallxolderxadultsxarexhearingxorxmentallyximpaired.xThexmostxappropriatexactio
nxwhenxaddressingxanxolderxaduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.xExamplesxofxunintentionalxage
ismxinxlanguagexarexanxexaggeratedxpitch,xaxdemeaningxemotionalxtone,xandxaxlowerxqualit
yxof
speech.
PTS:x x 1 DIF: Apply REF:x p.x15
TOP:x NursingxProcess:xAssessment MSC:x HealthxPromotionxandxMaintenance
5. Thexnursexpreparesxanxolderxwoman,xwhoxisxPolish,xforxdischargexthroughxanxinterpreterxa
ndxnotesxthatxshexbecomesxtensexduringxthexinstructionsxaboutxelimination.xWhichxinterve
ntionxshouldxthexnurseximplement?
a. Movexonxtoxthexdiscussionxaboutxmedication.
b. Askxthexolderxwomanxhowxshexfeelsxaboutxthisxtopic.
c. Instructxthexinterpreterxtoxrepeatxthexinstructions.
d. Havexthexolderxwomanxrepeatxthexinstructionsxforxclarity.
ANS:x B
Whenxworkingxwithxanxinterpreter,xthexnursexcloselyxwatchesxthexolderxadultxforxnonverbalx
communicationxandxemotionxregardingxaxspecificxtopicxandxthereforexvalidatesxthexassessme
ntxaboutxthexolderxadult’sxtensionxbeforexproceeding.xBecausexthexnursexnoticesxherxtension,x
thexnursextemporarilyxsuspendsxthexpreparationxtoxvalidatexherxassessment.xIfxthexnursexproc
eedsxandxthexolderxadultxisxuncomfortablexdiscussingxelimination,xthenximportantxinstructions
xcanxbexmissed,xleadingxtoxadversexeffectsxforxthexolderxadult.xRepeatingxthexinstructionsxcan
xaggravatexthexolderxadult’sxdiscomfort.xInstructingxthexolderxadultxtoxrepeatxthexnurse’sxinst
ructionxignoresxherxneeds.
