TEST BANK FOR Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada by Veronique Boscart, Lynn McCleary ISBN: 978-0323778749 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

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Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
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Veronique Boscart
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3RD Edition
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,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editio
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n


MULTIPLE CHOICE dt




1. A man is terminally ill with end-
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stage prostate cancer. Which is the best statement about this man’s wellness?
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a. Wellness can only be achieved with aggressive medical interventions. dt dt dt dt dt dt dt dt



b. Wellness is not a real option for this client because he is terminally ill. dt dt dt dt dt dt dt dt dt dt dt dt dt



c. Wellness is defined as the absence of disease. dt dt dt dt dt dt dt



d. Nursing interventions can help empower a client to achieve a higher level of w dt dt dt dt dt dt dt dt dt dt dt dt dt



ellness.
ANS: D dt



Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse ca
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n foster wellness in his or her clients. Wellness is defined by the individual and is multidimensi
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onal. It is not just the absence of disease. A wellness perspective is based on the belief that ever
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y person has an optimal level of health independent of his or her situation or functional level. E
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ven in the presence of chronic illness or while dying, a movement toward wellness is possible if
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emphasis of care is placed on the promotion of well-being in a supportive environment.
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PTS: 1 d t DIF: Apply REF: p. 7 d t dt



TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between health and wellness in health care, which of the following st
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atements is true? dt dt



a. Health is a broad term encompassing attitudes and behaviors. dt dt dt dt dt dt dt dt



b. The concept of illness prevention was never considered by previous generations.
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c. Wellness and self-actualization develop through learning and growth. dt dt dt dt dt dt dt



d. Wellness is impossible when one’s health is compromised. dt dt dt dt dt dt dt




ANS: A dt



Health is a broad term that encompasses attitudes and behaviors; holistically, health includes w
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ellness, which involves one’s whole being. The concept of illness prevention was never consid
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ered by previous generations; throughout history, basic self-
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care requirements have been recognized. Wellness and self-
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actualization develop through learning and growth— dt dt dt dt dt



as basic needs are met, higher level needs can be satisfied in turn, with ever-
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deepening richness to life. Wellness is possible when one’s health is compromised—
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even with chronic illness, with multiple disabilities, or in dying, movement toward a higher level
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of wellness is possible.
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PTS: 1 d t DIF: Understand REF: p. 7 d t dt



TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans dt



b. African Americans dt



c. Hispanic Americans dt



d. Asian and Pacific Island Americans dt dt dt dt

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
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MULTIPLE CHOICE dt




1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligious beliefs have been superseded in Western minds by bi dt dt dt dt dt dt dt dt dt dt dt



omedical principles. dt



b. In most cultures, older adults are likely to treat themselves using traditional m
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ethods before turning to biomedical professionals. dt dt dt dt dt



c. Ayurvedic medicine is another name for traditional Chinese medicine. dt dt dt dt dt dt dt dt



d. The belief that health depends on maintaining a balance among opposite qualities is
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characteristic of a magicoreligious belief system. dt dt dt dt dt




ANS: B dt



Older adults in most cultures usually have had experience with traditional methods that have wor
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ked as well as expected. After these treatments fail, older adults turn to the formal health care syst
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em. Even in the United States, it is common for older adults to pray for cures or wonder what th
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ey did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief sys
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tem practiced in India and in some neighboring countries. This belief is characteristic of a holis
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tic or naturalistic approach.
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PTS: 1 DIF: Understand
d t d t REF: p. 16-17 d t dt



TOP: Nursing Process: Assessmentd t dt dt MSC: Health Promotion and Maintenance d t dt dt dt




2. Which of the following consideUratiS
onsNis m
Tost likO
dt el y to be true when working with an in
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N R I G B.C M dt dt dt dt dt dt dt dt



terpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient’s young granddaughter who speaks fluent English would make the best int
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erpreter because she is familiar with and loves the patient. dt dt dt dt dt dt dt dt dt



d. The nurse should face the patient rather than the interpreter.
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ANS: D dt



The nurse should face the patient rather than the interpreter is a true statement; the intent is to co
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nverse with the patient, not with a third party about the patient. Many reasons may prevent the p
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atient from speaking directly to a nurse. Technical terms and metaphors may be difficult or imp
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ossible to translate. Cultural restrictions may prevent some topics from being spoken of to a gran
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dparent or child. dt dt




PTS: 1 DIF: Understand
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TOP: Nursing Process: Implementation
d t dt dt d t d t MSC: Safe, Effective Care Environment d t dt dt dt




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refus
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es to remain in the bed. Which intervention should the nurse use to promote and maintain his heal
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th?
a. Have the health care provider speak to him. dt dt dt dt dt dt dt



b. Use principles of the holistic health system. dt dt dt dt dt dt



c. Ask about his perceptions and treatment ideas. dt dt dt dt dt dt

, d. Consult with a practitioner of Chinese medicine. dt dt dt dt dt dt




ANS: C dt



Using the LEARN model (listen with sympathy to the patient’s perception of the problem, expl
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ain your perception of the problem, acknowledge the differences and similarities, recommend t
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reatment, and negotiate agreement), the nurse gathers information from the patient about cultur
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al beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
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determines what the patient believes about caregiving, decision making, treatment, and other per
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tinent health- dt



related information. Speaking with the health care provider is premature until the assessment is
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complete. Unless he accepts the beliefs, principles of the holistic health system can be potential
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ly unsuitable and insulting for this patient. Unless he accepts the treatments, consulting with a p
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ractitioner of Chinese medicine can also be unsuitable and insulting for this patient.
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PTS: 1 DIF: Apply
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TOP: Nursing Process: Implementation
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4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. dt dt dt dt



b. Use a lower quality of speech. dt dt dt dt dt



c. Use endearing terms such as “honey.” dt dt dt dt dt



d. Speak clearly. dt




ANS: D dt



Some health professionals demonstrate ageism, in part because providers tend to see many frail,
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older persons and fewer of those who are healthy and active. Providers should not assume that a
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ll older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
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dN beGtT
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akOcM
learly. Examples of unintentional ageism i dt dt dt dt dt dt dt dt



n language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of spee
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ch.

PTS: 1 DIF: Apply
d t d t REF: p. 15 d t dt



TOP: Nursing Process: Assessment
d t dt dt MSC: Health Promotion and Maintenance d t dt dt dt




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and no
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tes that she becomes tense during the instructions about elimination. Which intervention sho
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uld the nurse implement?
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a. Move on to the discussion about medication. dt dt dt dt dt dt



b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. dt dt dt dt dt dt



d. Have the older woman repeat the instructions for clarity.
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ANS: B dt



When working with an interpreter, the nurse closely watches the older adult for nonverbal com
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munication and emotion regarding a specific topic and therefore validates the assessment about
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the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse te
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mporarily suspends the preparation to validate her assessment. If the nurse proceeds and the old
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er adult is uncomfortable discussing elimination, then important instructions can be missed, leadi
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ng to adverse effects for the older adult. Repeating the instructions can aggravate the older adult’
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s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
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