Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
TEST BANK
Ebersole and Hess’
Gerontological Nursing & Healthy Aging
Theris A. Touhy, Kathleen F. Jett
6th Edition
, Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
Table of Contents
Chapter 01 Gerontological Nursing and Promotion of Healthy Aging
Chapter 02 Introduction to Healthy Aging
Chapter 03 Making Clinical Judgments in the Cross-Cultural Setting with Older Adults
Chapter 4 Biological Theories and Age-Related Cues
Chapter 5 Clinical Judgment to Promote Psychosocial, Spiritual, and Cognitive Health
Chapter 6 Gerontological Nursing Across the Continuum of Care
Chapter 7 Economic and Legal Issues Affecting Clinical Judgment
Chapter 08 Recognizing and Analyzing Cues in Gerontological Nursing
Chapter 09 Clinical Judgment to Promote Safe Medication Use
Chapter 10 Clinical Judgment to Promote Nutritional Health
Chapter 11 Clinical Judgment to Promote Hydration and Oral Health
Chapter 12 Clinical Judgment to Promote Bladder and Bowel Health
Chapter 13 Clinical Judgment to Promote Healthy Rest, Sleep, and Activity
Chapter 14 Clinical Judgment to Promote Healthy Skin
Chapter 15 Clinical Judgment to Reduce Fall Risk and Injuries
Chapter 16 Clinical Judgment to Promote Safe Environments
Chapter 17 Living with Chronic Illness
Chapter 18 Clinical Judgment to Promote Relief from Pain
Chapter 19 Clinical Judgment to Enhance Hearing and Vision
Chapter 20 Metabolic Disorders
Chapter 21 Bone and Joint Problems
Chapter 22 Cardiovascular and Respiratory Disorders
Chapter 23 Neurological Disorders
Chapter 24 Clinical Judgment to Promote Mental Health
Chapter 25 Clinical Judgment in Care of Individuals with Neurocognitive Disorders
Chapter 26 Clinical Judgment to Promote Healthy Relationships, Roles, and Transitions
Chapter 27 Clinical Judgment to Promote Caregiver Health
Chapter 28 Loss, Death, and Palliative Care
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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, 6th Edition
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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.IiCkOeIMy 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.
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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. An older adult who is a traditional Chinese man has a blood pressure of 80/54
mm Hg and refuses to remain in the bed. Which intervention should the nurse use to
promote and maintain his health?
a. Have the health care provider speak to him.
b. Use principles of the holistic health system.
c. Ask about his perceptions and treatment ideas.
d. Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient's perception of the problem,
explain your perception of the problem, acknowledge the differences and similarities,
recommend treatment, and negotiate agreement), the nurse gathers information from
the patient about cultural beliefs concerning health care and avoids stereotyping the
patient. In the assessment, the nurse determines what the patient believes about
caregiving, decision making, treatment, and other pertinent health-related information.
Speaking with the health care provider is premature until the assessment is complete.
, Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
Unless he accepts the beliefs, principles of the holistic health system can be potentially
unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
with a practitioner of Chinese medicine can also be unsuitable and insulting for this
patient.
PTS: 1 DIF: Apply REF: p. 18
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Which action should the nurse take when addressing older adults?
a. Speak in an exaggerated pitch.
b. Use a lower quality of speech.
c. Use endearing terms such as “honey.”
d. Speak
clearly.
ANS: D
Some health professionals demonstrate ageism, in part because providers tend to see
many frail, older persons and fewer of those who are healthy and active. Providers
should not assume that all older adults are hearing or mentally impaired. The most
appropriate action
when addressing an older aduNltUwRoSulldNbeGtTo Bsp.eaCkOcMIearly. Examples of
unintentional ageism in language are an exaggerated pitch, a demeaning emotional
tone, and a lower quality of
speech.
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
TEST BANK
Ebersole and Hess’
Gerontological Nursing & Healthy Aging
Theris A. Touhy, Kathleen F. Jett
6th Edition
, Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
Table of Contents
Chapter 01 Gerontological Nursing and Promotion of Healthy Aging
Chapter 02 Introduction to Healthy Aging
Chapter 03 Making Clinical Judgments in the Cross-Cultural Setting with Older Adults
Chapter 4 Biological Theories and Age-Related Cues
Chapter 5 Clinical Judgment to Promote Psychosocial, Spiritual, and Cognitive Health
Chapter 6 Gerontological Nursing Across the Continuum of Care
Chapter 7 Economic and Legal Issues Affecting Clinical Judgment
Chapter 08 Recognizing and Analyzing Cues in Gerontological Nursing
Chapter 09 Clinical Judgment to Promote Safe Medication Use
Chapter 10 Clinical Judgment to Promote Nutritional Health
Chapter 11 Clinical Judgment to Promote Hydration and Oral Health
Chapter 12 Clinical Judgment to Promote Bladder and Bowel Health
Chapter 13 Clinical Judgment to Promote Healthy Rest, Sleep, and Activity
Chapter 14 Clinical Judgment to Promote Healthy Skin
Chapter 15 Clinical Judgment to Reduce Fall Risk and Injuries
Chapter 16 Clinical Judgment to Promote Safe Environments
Chapter 17 Living with Chronic Illness
Chapter 18 Clinical Judgment to Promote Relief from Pain
Chapter 19 Clinical Judgment to Enhance Hearing and Vision
Chapter 20 Metabolic Disorders
Chapter 21 Bone and Joint Problems
Chapter 22 Cardiovascular and Respiratory Disorders
Chapter 23 Neurological Disorders
Chapter 24 Clinical Judgment to Promote Mental Health
Chapter 25 Clinical Judgment in Care of Individuals with Neurocognitive Disorders
Chapter 26 Clinical Judgment to Promote Healthy Relationships, Roles, and Transitions
Chapter 27 Clinical Judgment to Promote Caregiver Health
Chapter 28 Loss, Death, and Palliative Care
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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, 6th Edition
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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.IiCkOeIMy 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.
,Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
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. An older adult who is a traditional Chinese man has a blood pressure of 80/54
mm Hg and refuses to remain in the bed. Which intervention should the nurse use to
promote and maintain his health?
a. Have the health care provider speak to him.
b. Use principles of the holistic health system.
c. Ask about his perceptions and treatment ideas.
d. Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient's perception of the problem,
explain your perception of the problem, acknowledge the differences and similarities,
recommend treatment, and negotiate agreement), the nurse gathers information from
the patient about cultural beliefs concerning health care and avoids stereotyping the
patient. In the assessment, the nurse determines what the patient believes about
caregiving, decision making, treatment, and other pertinent health-related information.
Speaking with the health care provider is premature until the assessment is complete.
, Test Bank - Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition (Touhy, 2022)
Unless he accepts the beliefs, principles of the holistic health system can be potentially
unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
with a practitioner of Chinese medicine can also be unsuitable and insulting for this
patient.
PTS: 1 DIF: Apply REF: p. 18
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
4. Which action should the nurse take when addressing older adults?
a. Speak in an exaggerated pitch.
b. Use a lower quality of speech.
c. Use endearing terms such as “honey.”
d. Speak
clearly.
ANS: D
Some health professionals demonstrate ageism, in part because providers tend to see
many frail, older persons and fewer of those who are healthy and active. Providers
should not assume that all older adults are hearing or mentally impaired. The most
appropriate action
when addressing an older aduNltUwRoSulldNbeGtTo Bsp.eaCkOcMIearly. Examples of
unintentional ageism in language are an exaggerated pitch, a demeaning emotional
tone, and a lower quality of
speech.
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
