TESTBANK q
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
q q q q q q q q q
Veronique Boscart
q
3RDqEdition
TESTBANK q
,Chapterq01:qIntroductionqtoqHealthyqAging
Touhyq&qJett:qEbersoleqandqHess’qGerontologicalqNursingq&qHealthyqAging,q3rdqEditio
n
MULTIPLEqCHOICE
1. Aqmanqisqterminallyqillqwithqend-
stageqprostateqcancer.qWhichqisqtheqbestqstatementqaboutqthisqman’sqwellness?
a. Wellnessqcanqonlyqbeqachievedqwithqaggressiveqmedicalqinterventions.
b. Wellnessqisqnotqaqrealqoptionqforqthisqclientqbecauseqheqisqterminallyqill.
c. Wellnessqisqdefinedqasqtheqabsenceqofqdisease.
d. Nursingqinterventionsqcanqhelpqempowerqaqclientqtoqachieveqaqhigherqlevelqofq
wellness.
ANS:q D
Nursingqinterventionsqcanqhelpqempowerqaqclientqtoqachieveqaqhigherqlevelqofqwellness;qaqnurseqc
anqfosterqwellnessqinqhisqorqherqclients.qWellnessqisqdefinedqbyqtheqindividualqandqisqmultidimens
ional.qItqisqnotqjustqtheqabsenceqofqdisease.qAqwellnessqperspectiveqisqbasedqonqtheqbeliefqthatqeve
ryqpersonqhasqanqoptimalqlevelqofqhealthqindependentqofqhisqorqherqsituationqorqfunctionalqlevel.q
Evenqinqtheqpresenceqofqchronicqillnessqorqwhileqdying,qaqmovementqtowardqwellnessqisqpossible
qifqemphasisqofqcareqisqplacedqonqtheqpromotionqofqwell-beingqinqaqsupportiveqenvironment.
PTS:q 1 DIF: Apply REF:q p.q7
TOP:q NursingqProcess:qDiagnosisqMSC:q HealthqPromotionqandqMaintenance
2. Inqdifferentiatingqbetweenqhealthqandqwellnessqinqhealthqcare,qwhichqofqtheqfollowingqs
tatementsqisqtrue?
a. Healthqisqaqbroadqtermqencompassingqattitudesqandqbehaviors.
b. Theqconceptqofqillnessqpreventionqwasqneverqconsideredqbyqpreviousqgenerations.
c. Wellnessqandqself-actualizationqdevelopqthroughqlearningqandqgrowth.
d. Wellnessqisqimpossibleqwhenqone’sqhealthqisqcompromised.
ANS:q A
Healthqisqaqbroadqtermqthatqencompassesqattitudesqandqbehaviors;qholistically,qhealthqincludesqw
ellness,qwhichqinvolvesqone’sqwholeqbeing.qTheqconceptqofqillnessqpreventionqwasqneverqconsid
eredqbyqpreviousqgenerations;qthroughoutqhistory,qbasicqself-
careqrequirementsqhaveqbeenqrecognized.qWellnessqandqself-
actualizationqdevelopqthroughqlearningqandqgrowth—
asqbasicqneedsqareqmet,qhigherqlevelqneedsqcanqbeqsatisfiedqinqturn,qwithqever-
deepeningqrichnessqtoqlife.qWellnessqisqpossibleqwhenqone’sqhealthqisqcompromised—
evenqwithqchronicqillness,qwithqmultipleqdisabilities,qorqinqdying,qmovementqtowardqaqhigherqlev
elqofqwellnessqisqpossible.
PTS:q 1 DIF: Understand REF:q p.q7
TOP:q NursingqProcess:qEvaluationqMSC:q HealthqPromotionqandqMaintenance
3. WhichqracialqorqethnicqgroupqhasqtheqhighestqlifeqexpectancyqinqtheqUnitedqStates?
a. NativeqAmericans
b. AfricanqAmericans
c. HispanicqAmericans
d. AsianqandqPacificqIslandqAmericans
, Chapter 02: Cross-Cultural Caring and Aging
q q q q q
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editio
q q q q q q q q q q q q
n
MULTIPLEqCHOICE
1. Whichqofqtheqfollowingqisqaqtrueqstatementqaboutqdifferingqhealthqbeliefqsystems?
a. PersonalisticqorqmagicoreligiousqbeliefsqhaveqbeenqsupersededqinqWesternqmindsqbyq
biomedicalqprinciples.
b. Inqmostqcultures,qolderqadultsqareqlikelyqtoqtreatqthemselvesqusingqtraditionalq
methodsqbeforeqturningqtoqbiomedicalqprofessionals.
c. AyurvedicqmedicineqisqanotherqnameqforqtraditionalqChineseqmedicine.
d. Theqbeliefqthatqhealthqdependsqonqmaintainingqaqbalanceqamongqoppositeqqualitiesqi
sqcharacteristicqofqaqmagicoreligiousqbeliefqsystem.
ANS:q B
Olderqadultsqinqmostqculturesqusuallyqhaveqhadqexperienceqwithqtraditionalqmethodsqthatqhaveq
workedqasqwellqasqexpected.qAfterqtheseqtreatmentsqfail,qolderqadultsqturnqtoqtheqformalqhealthqc
areqsystem.qEvenqinqtheqUnitedqStates,qitqisqcommonqforqolderqadultsqtoqprayqforqcuresqorqwond
erqwhatqtheyqdidqtoqincurqanqillnessqasqpunishment.qTheqAyurvedicqsystemqisqaqnaturalisticqheal
thqbeliefqsystemqpracticedqinqIndiaqandqinqsomeqneighboringqcountries.qThisqbeliefqisqcharacteri
sticqofqaqholisticqorqnaturalisticqapproach.
PTS:q q 1 DIF: Understand REF:q p.q16-17
TOP:q NursingqProcess:qAssessment MSC:q HealthqPromotionqandqMaintenance
2. WhichqofqtheqfollowingqconsidU
eratiS
N R I G B.C M
onsNis m
Tost likO
elyqtoqbeqtrueqwhenqworkingqwithqanqi
nterpreter?
a. Anqinterpreterqisqneverqneededqifqtheqnurseqspeaksqtheqsameqlanguageqasqtheqpatient.
b. Whenqworkingqwithqinterpreters,qtheqnurseqcanquseqtechnicalqtermsqorqmetaphors.
c. Aqpatient’sqyoungqgranddaughterqwhoqspeaksqfluentqEnglishqwouldqmakeqtheqbestqi
nterpreterqbecauseqsheqisqfamiliarqwithqandqlovesqtheqpatient.
d. Theqnurseqshouldqfaceqtheqpatientqratherqthanqtheqinterpreter.
ANS:q D
Theqnurseqshouldqfaceqtheqpatientqratherqthanqtheqinterpreterqisqaqtrueqstatement;qtheqintentqisqtoqc
onverseqwithqtheqpatient,qnotqwithqaqthirdqpartyqaboutqtheqpatient.qManyqreasonsqmayqpreventqthe
qpatientqfromqspeakingqdirectlyqtoqaqnurse.qTechnicalqtermsqandqmetaphorsqmayqbeqdifficultqorqi
mpossibleqtoqtranslate.qCulturalqrestrictionsqmayqpreventqsomeqtopicsqfromqbeingqspokenqofqtoqaq
grandparentqorqchild.
PTS:q q 1 DIF:q q Understandq q REF:q q p.q18-19
TOP:q NursingqProcess:qImplementationq q MSC:q Safe,qEffectiveqCareqEnvironment
3. AnqolderqadultqwhoqisqaqtraditionalqChineseqmanqhasqaqbloodqpressureqofq80/54qmmqHgqandqrefus
esqtoqremainqinqtheqbed.qWhichqinterventionqshouldqtheqnursequseqtoqpromoteqandqmaintainqhisqhe
alth?
a. Haveqtheqhealthqcareqproviderqspeakqtoqhim.
b. Useqprinciplesqofqtheqholisticqhealthqsystem.
c. Askqaboutqhisqperceptionsqandqtreatmentqideas.
, d. ConsultqwithqaqpractitionerqofqChineseqmedicine.
ANS:q C
UsingqtheqLEARNqmodelq(listenqwithqsympathyqtoqtheqpatient’sqperceptionqofqtheqproblem,qexpl
ainqyourqperceptionqofqtheqproblem,qacknowledgeqtheqdifferencesqandqsimilarities,qrecommendq
treatment,qandqnegotiateqagreement),qtheqnurseqgathersqinformationqfromqtheqpatientqaboutqcultu
ralqbeliefsqconcerningqhealthqcareqandqavoidsqstereotypingqtheqpatient.qInqtheqassessment,qtheqnur
seqdeterminesqwhatqtheqpatientqbelievesqaboutqcaregiving,qdecisionqmaking,qtreatment,qandqother
qpertinentqhealth-
relatedqinformation.qSpeakingqwithqtheqhealthqcareqproviderqisqprematurequntilqtheqassessmentqis
qcomplete.qUnlessqheqacceptsqtheqbeliefs,qprinciplesqofqtheqholisticqhealthqsystemqcanqbeqpotentia
llyqunsuitableqandqinsultingqforqthisqpatient.qUnlessqheqacceptsqtheqtreatments,qconsultingqwithqaq
practitionerqofqChineseqmedicineqcanqalsoqbequnsuitableqandqinsultingqforqthisqpatient.
PTS:q q 1 DIF: Apply REF:q p.q18
TOP:q NursingqProcess:qImplementation MSC:q HealthqPromotionqandqMaintenance
4. Whichqactionqshouldqtheqnurseqtakeqwhenqaddressingqolderqadults?
a. Speakqinqanqexaggeratedqpitch.
b. Useqaqlowerqqualityqofqspeech.
c. Useqendearingqtermsqsuchqasq“honey.”
d. Speakqclearly.
ANS:q D
Someqhealthqprofessionalsqdemonstrateqageism,qinqpartqbecauseqprovidersqtendqtoqseeqmanyqfrail,
qolderqpersonsqandqfewerqofqthoseqwhoqareqhealthyqandqactive.qProvidersqshouldqnot
assumeqthatqallqolderqadultsqareqhearingqorqmentallyqimpaired.qTheqmostqappropriateqactionqwh
enqaddressingqanqolderqaduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.qExamplesqofqunintentionalqageismqinql
anguageqareqanqexaggeratedqpitch,qaqdemeaningqemotionalqtone,qandqaqlowerqqualityqof
speech.
PTS:q q 1 DIF: Apply REF:q p.q15
TOP:q NursingqProcess:qAssessment MSC:q HealthqPromotionqandqMaintenance
5. Theqnurseqpreparesqanqolderqwoman,qwhoqisqPolish,qforqdischargeqthroughqanqinterpreterqandqn
otesqthatqsheqbecomesqtenseqduringqtheqinstructionsqaboutqelimination.qWhichqinterventionqsh
ouldqtheqnurseqimplement?
a. Moveqonqtoqtheqdiscussionqaboutqmedication.
b. Askqtheqolderqwomanqhowqsheqfeelsqaboutqthisqtopic.
c. Instructqtheqinterpreterqtoqrepeatqtheqinstructions.
d. Haveqtheqolderqwomanqrepeatqtheqinstructionsqforqclarity.
ANS:q B
Whenqworkingqwithqanqinterpreter,qtheqnurseqcloselyqwatchesqtheqolderqadultqforqnonverbalqcom
municationqandqemotionqregardingqaqspecificqtopicqandqthereforeqvalidatesqtheqassessmentqabout
qtheqolderqadult’sqtensionqbeforeqproceeding.qBecauseqtheqnurseqnoticesqherqtension,qtheqnurseqte
mporarilyqsuspendsqtheqpreparationqtoqvalidateqherqassessment.qIfqtheqnurseqproceedsqandqtheqold
erqadultqisquncomfortableqdiscussingqelimination,qthenqimportantqinstructionsqcanqbeqmissed,qlea
dingqtoqadverseqeffectsqforqtheqolderqadult.qRepeatingqtheqinstructionsqcanqaggravateqtheqolderqad
ult’sqdiscomfort.qInstructingqtheqolderqadultqtoqrepeatqtheqnurse’sqinstructionqignoresqherqneeds.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
q q q q q q q q q
Veronique Boscart
q
3RDqEdition
TESTBANK q
,Chapterq01:qIntroductionqtoqHealthyqAging
Touhyq&qJett:qEbersoleqandqHess’qGerontologicalqNursingq&qHealthyqAging,q3rdqEditio
n
MULTIPLEqCHOICE
1. Aqmanqisqterminallyqillqwithqend-
stageqprostateqcancer.qWhichqisqtheqbestqstatementqaboutqthisqman’sqwellness?
a. Wellnessqcanqonlyqbeqachievedqwithqaggressiveqmedicalqinterventions.
b. Wellnessqisqnotqaqrealqoptionqforqthisqclientqbecauseqheqisqterminallyqill.
c. Wellnessqisqdefinedqasqtheqabsenceqofqdisease.
d. Nursingqinterventionsqcanqhelpqempowerqaqclientqtoqachieveqaqhigherqlevelqofq
wellness.
ANS:q D
Nursingqinterventionsqcanqhelpqempowerqaqclientqtoqachieveqaqhigherqlevelqofqwellness;qaqnurseqc
anqfosterqwellnessqinqhisqorqherqclients.qWellnessqisqdefinedqbyqtheqindividualqandqisqmultidimens
ional.qItqisqnotqjustqtheqabsenceqofqdisease.qAqwellnessqperspectiveqisqbasedqonqtheqbeliefqthatqeve
ryqpersonqhasqanqoptimalqlevelqofqhealthqindependentqofqhisqorqherqsituationqorqfunctionalqlevel.q
Evenqinqtheqpresenceqofqchronicqillnessqorqwhileqdying,qaqmovementqtowardqwellnessqisqpossible
qifqemphasisqofqcareqisqplacedqonqtheqpromotionqofqwell-beingqinqaqsupportiveqenvironment.
PTS:q 1 DIF: Apply REF:q p.q7
TOP:q NursingqProcess:qDiagnosisqMSC:q HealthqPromotionqandqMaintenance
2. Inqdifferentiatingqbetweenqhealthqandqwellnessqinqhealthqcare,qwhichqofqtheqfollowingqs
tatementsqisqtrue?
a. Healthqisqaqbroadqtermqencompassingqattitudesqandqbehaviors.
b. Theqconceptqofqillnessqpreventionqwasqneverqconsideredqbyqpreviousqgenerations.
c. Wellnessqandqself-actualizationqdevelopqthroughqlearningqandqgrowth.
d. Wellnessqisqimpossibleqwhenqone’sqhealthqisqcompromised.
ANS:q A
Healthqisqaqbroadqtermqthatqencompassesqattitudesqandqbehaviors;qholistically,qhealthqincludesqw
ellness,qwhichqinvolvesqone’sqwholeqbeing.qTheqconceptqofqillnessqpreventionqwasqneverqconsid
eredqbyqpreviousqgenerations;qthroughoutqhistory,qbasicqself-
careqrequirementsqhaveqbeenqrecognized.qWellnessqandqself-
actualizationqdevelopqthroughqlearningqandqgrowth—
asqbasicqneedsqareqmet,qhigherqlevelqneedsqcanqbeqsatisfiedqinqturn,qwithqever-
deepeningqrichnessqtoqlife.qWellnessqisqpossibleqwhenqone’sqhealthqisqcompromised—
evenqwithqchronicqillness,qwithqmultipleqdisabilities,qorqinqdying,qmovementqtowardqaqhigherqlev
elqofqwellnessqisqpossible.
PTS:q 1 DIF: Understand REF:q p.q7
TOP:q NursingqProcess:qEvaluationqMSC:q HealthqPromotionqandqMaintenance
3. WhichqracialqorqethnicqgroupqhasqtheqhighestqlifeqexpectancyqinqtheqUnitedqStates?
a. NativeqAmericans
b. AfricanqAmericans
c. HispanicqAmericans
d. AsianqandqPacificqIslandqAmericans
, Chapter 02: Cross-Cultural Caring and Aging
q q q q q
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Editio
q q q q q q q q q q q q
n
MULTIPLEqCHOICE
1. Whichqofqtheqfollowingqisqaqtrueqstatementqaboutqdifferingqhealthqbeliefqsystems?
a. PersonalisticqorqmagicoreligiousqbeliefsqhaveqbeenqsupersededqinqWesternqmindsqbyq
biomedicalqprinciples.
b. Inqmostqcultures,qolderqadultsqareqlikelyqtoqtreatqthemselvesqusingqtraditionalq
methodsqbeforeqturningqtoqbiomedicalqprofessionals.
c. AyurvedicqmedicineqisqanotherqnameqforqtraditionalqChineseqmedicine.
d. Theqbeliefqthatqhealthqdependsqonqmaintainingqaqbalanceqamongqoppositeqqualitiesqi
sqcharacteristicqofqaqmagicoreligiousqbeliefqsystem.
ANS:q B
Olderqadultsqinqmostqculturesqusuallyqhaveqhadqexperienceqwithqtraditionalqmethodsqthatqhaveq
workedqasqwellqasqexpected.qAfterqtheseqtreatmentsqfail,qolderqadultsqturnqtoqtheqformalqhealthqc
areqsystem.qEvenqinqtheqUnitedqStates,qitqisqcommonqforqolderqadultsqtoqprayqforqcuresqorqwond
erqwhatqtheyqdidqtoqincurqanqillnessqasqpunishment.qTheqAyurvedicqsystemqisqaqnaturalisticqheal
thqbeliefqsystemqpracticedqinqIndiaqandqinqsomeqneighboringqcountries.qThisqbeliefqisqcharacteri
sticqofqaqholisticqorqnaturalisticqapproach.
PTS:q q 1 DIF: Understand REF:q p.q16-17
TOP:q NursingqProcess:qAssessment MSC:q HealthqPromotionqandqMaintenance
2. WhichqofqtheqfollowingqconsidU
eratiS
N R I G B.C M
onsNis m
Tost likO
elyqtoqbeqtrueqwhenqworkingqwithqanqi
nterpreter?
a. Anqinterpreterqisqneverqneededqifqtheqnurseqspeaksqtheqsameqlanguageqasqtheqpatient.
b. Whenqworkingqwithqinterpreters,qtheqnurseqcanquseqtechnicalqtermsqorqmetaphors.
c. Aqpatient’sqyoungqgranddaughterqwhoqspeaksqfluentqEnglishqwouldqmakeqtheqbestqi
nterpreterqbecauseqsheqisqfamiliarqwithqandqlovesqtheqpatient.
d. Theqnurseqshouldqfaceqtheqpatientqratherqthanqtheqinterpreter.
ANS:q D
Theqnurseqshouldqfaceqtheqpatientqratherqthanqtheqinterpreterqisqaqtrueqstatement;qtheqintentqisqtoqc
onverseqwithqtheqpatient,qnotqwithqaqthirdqpartyqaboutqtheqpatient.qManyqreasonsqmayqpreventqthe
qpatientqfromqspeakingqdirectlyqtoqaqnurse.qTechnicalqtermsqandqmetaphorsqmayqbeqdifficultqorqi
mpossibleqtoqtranslate.qCulturalqrestrictionsqmayqpreventqsomeqtopicsqfromqbeingqspokenqofqtoqaq
grandparentqorqchild.
PTS:q q 1 DIF:q q Understandq q REF:q q p.q18-19
TOP:q NursingqProcess:qImplementationq q MSC:q Safe,qEffectiveqCareqEnvironment
3. AnqolderqadultqwhoqisqaqtraditionalqChineseqmanqhasqaqbloodqpressureqofq80/54qmmqHgqandqrefus
esqtoqremainqinqtheqbed.qWhichqinterventionqshouldqtheqnursequseqtoqpromoteqandqmaintainqhisqhe
alth?
a. Haveqtheqhealthqcareqproviderqspeakqtoqhim.
b. Useqprinciplesqofqtheqholisticqhealthqsystem.
c. Askqaboutqhisqperceptionsqandqtreatmentqideas.
, d. ConsultqwithqaqpractitionerqofqChineseqmedicine.
ANS:q C
UsingqtheqLEARNqmodelq(listenqwithqsympathyqtoqtheqpatient’sqperceptionqofqtheqproblem,qexpl
ainqyourqperceptionqofqtheqproblem,qacknowledgeqtheqdifferencesqandqsimilarities,qrecommendq
treatment,qandqnegotiateqagreement),qtheqnurseqgathersqinformationqfromqtheqpatientqaboutqcultu
ralqbeliefsqconcerningqhealthqcareqandqavoidsqstereotypingqtheqpatient.qInqtheqassessment,qtheqnur
seqdeterminesqwhatqtheqpatientqbelievesqaboutqcaregiving,qdecisionqmaking,qtreatment,qandqother
qpertinentqhealth-
relatedqinformation.qSpeakingqwithqtheqhealthqcareqproviderqisqprematurequntilqtheqassessmentqis
qcomplete.qUnlessqheqacceptsqtheqbeliefs,qprinciplesqofqtheqholisticqhealthqsystemqcanqbeqpotentia
llyqunsuitableqandqinsultingqforqthisqpatient.qUnlessqheqacceptsqtheqtreatments,qconsultingqwithqaq
practitionerqofqChineseqmedicineqcanqalsoqbequnsuitableqandqinsultingqforqthisqpatient.
PTS:q q 1 DIF: Apply REF:q p.q18
TOP:q NursingqProcess:qImplementation MSC:q HealthqPromotionqandqMaintenance
4. Whichqactionqshouldqtheqnurseqtakeqwhenqaddressingqolderqadults?
a. Speakqinqanqexaggeratedqpitch.
b. Useqaqlowerqqualityqofqspeech.
c. Useqendearingqtermsqsuchqasq“honey.”
d. Speakqclearly.
ANS:q D
Someqhealthqprofessionalsqdemonstrateqageism,qinqpartqbecauseqprovidersqtendqtoqseeqmanyqfrail,
qolderqpersonsqandqfewerqofqthoseqwhoqareqhealthyqandqactive.qProvidersqshouldqnot
assumeqthatqallqolderqadultsqareqhearingqorqmentallyqimpaired.qTheqmostqappropriateqactionqwh
enqaddressingqanqolderqaduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.qExamplesqofqunintentionalqageismqinql
anguageqareqanqexaggeratedqpitch,qaqdemeaningqemotionalqtone,qandqaqlowerqqualityqof
speech.
PTS:q q 1 DIF: Apply REF:q p.q15
TOP:q NursingqProcess:qAssessment MSC:q HealthqPromotionqandqMaintenance
5. Theqnurseqpreparesqanqolderqwoman,qwhoqisqPolish,qforqdischargeqthroughqanqinterpreterqandqn
otesqthatqsheqbecomesqtenseqduringqtheqinstructionsqaboutqelimination.qWhichqinterventionqsh
ouldqtheqnurseqimplement?
a. Moveqonqtoqtheqdiscussionqaboutqmedication.
b. Askqtheqolderqwomanqhowqsheqfeelsqaboutqthisqtopic.
c. Instructqtheqinterpreterqtoqrepeatqtheqinstructions.
d. Haveqtheqolderqwomanqrepeatqtheqinstructionsqforqclarity.
ANS:q B
Whenqworkingqwithqanqinterpreter,qtheqnurseqcloselyqwatchesqtheqolderqadultqforqnonverbalqcom
municationqandqemotionqregardingqaqspecificqtopicqandqthereforeqvalidatesqtheqassessmentqabout
qtheqolderqadult’sqtensionqbeforeqproceeding.qBecauseqtheqnurseqnoticesqherqtension,qtheqnurseqte
mporarilyqsuspendsqtheqpreparationqtoqvalidateqherqassessment.qIfqtheqnurseqproceedsqandqtheqold
erqadultqisquncomfortableqdiscussingqelimination,qthenqimportantqinstructionsqcanqbeqmissed,qlea
dingqtoqadverseqeffectsqforqtheqolderqadult.qRepeatingqtheqinstructionsqcanqaggravateqtheqolderqad
ult’sqdiscomfort.qInstructingqtheqolderqadultqtoqrepeatqtheqnurse’sqinstructionqignoresqherqneeds.
