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Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th 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
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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
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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 consiNdeUrRatiSoInsNisGmToBst.liCkOelMy 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.
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