Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1-28.

Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
Chapter 1-28.

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
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5th Edition
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MULTIPLE CHOICE QC




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.
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b. Wellness is not a real option for this client because he is terminally ill.
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c. Wellness is defined as the absence of disease. QC QC QC QC QC QC QC


d. Nursing interventions can help empower a client to achieve a higher lev
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el of wellness. QC QC




ANS: Q C D
Nursing interventions can help empower a client to achieve a higher level of wellness; a
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nurse can foster wellness in his or her clients. Wellness is defined by the individual a
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nd is multidimensional. It is not just the absence of disease. A wellness perspective is
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based on the belief that every person has an optimal level of health independent of his
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or her situation or functional level. Even in the presence of chronic illness or while
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dying, a movement toward wellness is possible if emphasis of care is placed on the pr
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omotion of well-being in a supportive environment.
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PTS: 1 Q C DIF: Apply REF: p. 7 Q C QC


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Mainten
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ance

2. In differentiating between healU
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wing statements is true?
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a. Health is a broad term encompassing attitudes and behaviors.
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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.
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d. Wellness is impossible when one’s health is compromised.
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ANS: Q C A
Health is a broad term that encompasses attitudes and behaviors; holistically, health in
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cludes wellness, which involves one’s whole being. The concept of illness prevention
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was never considered 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—
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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 hi
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gher level of wellness is possible.
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PTS: 1 Q C DIF: Understand REF: p. 7 Q C QC


TOP: Nursing Process: Evaluation MSC: Health Promotion and Mainten
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ance

3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans QC


b. African Americans QC


c. Hispanic Americans QC


d. Asian and Pacific Island Americans QC QC QC QC



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Edition Touh Q C




Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
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Edition


MULTIPLE CHOICE QC




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 mind
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s by biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using traditi
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onal methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine.
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d. The belief that health depends on maintaining a balance among opposite qua
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lities is characteristic of a magicoreligious belief system.
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ANS: Q C B
Older adults in most cultures usually have had experience with traditional methods that h
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ave worked as well as expected. After these treatments fail, older adults turn to the for
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mal health care system. Even in the United States, it is common for older adults to pr
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ay for cures or wonder what they did to incur an illness as punishment. The Ayurvedi
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c system is a naturalistic health belief system practiced in India and in some neighbori
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ng countries. This belief is characteristic of a holistic or naturalistic approach.
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PTS: Q C Q C 1 DIF: Understand REF: p. 16-17 QCQC QC


TOP: Q C Nursing Process: Assessment QC QC MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
ely to be true when working wi
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th an interpreter?
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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
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best interpreter because she is familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: Q C D
The nurse should face the patient rather than the interpreter is a true statement; the int
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ent is to converse with the patient, not with a third party about the patient. Many reas
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ons may prevent the patient from speaking directly to a nurse. Technical terms and me
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taphors may be difficult or impossible to translate. Cultural restrictions may prevent so
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me topics from being spoken of to a grandparent or child.
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PTS: Q C Q C 1 DIF: Understand Q C Q C Q C Q C REF: QCQC p. 18-19 QC


TOP: Q C Nursing Process: ImplementationQC QC Q C Q C MSC: Q C Safe, Effective Care Environment
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm H
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g and refuses to remain in the bed. Which intervention should the nurse use to promote
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and maintain his health?
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a. Have the health care provider speak to him.
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b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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Edition Touh Q C




d. Consult QCQC with QCQC a Q C practitioner Q C of Q C Chinese QCQC medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s pe
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rception of t he problem, explain your perception of the problem,
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C acknowledge the difference s and similarities, recommend treatment,
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and negotiate agreement), the nurse gat hers information from the p
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atient about cultural beliefs concerning health care an d avoids stereo
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typing the patient. In the assessment, the nurse determines what t
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he patient believes about caregiving, decision making, treatment, and ot
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her pertin ent health-
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related information. Speaking with the health care provider is prema
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ture until th e assessment is complete. Unless he accepts the beli
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efs, principles of the holist ic health system can be potentially uns
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uitable and insulting for this patient. Un less he accepts the treat
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ments, consulting with a practitioner of Chinese medicin e can also
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Q be unsuitable and insulting for this patient.
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PTS: 1 DIF: Apply REF: p. 18 Q C Q C


TOP: Nursing QCQC Process: Implementation Q C Q C MSC: Health QCQC Promotion QCQC and Q C Q C Maintenance

4. Which action should the nurse take when
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a. Speak in an exaggerated pitch. Q C Q C QCQC QCQC


b. Use a lower quality of speech.
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c. Use endearing terms such as Q “honey.”
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d. Speak clearly. Q C




ANS: D
Some health professionals demonstrate ageism, in part because providers
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Q tend to see many frail, older persons and fewer of those wh
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o are healthy and active. Providers should not assume that all o
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lder adults are hearing or mentally im paired. The most appropriate
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Q action
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UNSlt NwRoul
when addressing an older adu
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p.e aCk c Ml e a r l y.
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Examples of unintent
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io nal ageism in language are an exaggerated pitch, a demeaning e
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motional tone, and a lower quality of
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speech.

PTS: 1 DIF: Apply REF: p. 15 Q C Q C


TOP: Nursing QCQC Process: Assessment Q C Q C MSC: Health QCQC Promotion QCQC and Q C Q C Maintenance

5. The nurse prepares an older woman, who is Polish, for dischar
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ge through an interpreter and notes that she becomes tense during
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Q the instructions about eli mination. Which intervention should the
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C nurse implement? Q C


a. Move on to the discussion about medication.
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b. Ask the older woman how she feels about
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c. Instruct the interpreter to repeat the instructions.
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d. Have the older woman repeat the instructions for clarity.
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ANS: B
When working with an interpreter,
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older
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specific topic and therefore validates the assessment about the older
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adult’s tension before proceeding. Beca use the nurse notices her t
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