Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
9 9 9 9 9 9 9 9
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter
9
9
9 9 9 9 9 9 9 9 9
28.
,Chapter901:9Introduction9to9Healthy9Aging
Touhy9&9Jett:9Ebersole9and9Hess’9Gerontological9Nursing9&9Healthy9Aging,95th9Editio
n
MULTIPLE9CHOICE
1. A9man9is9terminally9ill9with9end-
stage9prostate9cancer.9Which9is9the9best9statement9about9this9man’s9wellness?
a. Wellness9can9only9be9achieved9with9aggressive9medical9interventions.
b. Wellness9is9not9a9real9option9for9this9client9because9he9is9terminally9ill.
c. Wellness9is9defined9as9the9absence9of9disease.
d. Nursing9interventions9can9help9empower9a9client9to9achieve9a9higher9level9of
9wellness.
ANS:9 D
Nursing9interventions9can9help9empower9a9client9to9achieve9a9higher9level9of9wellness;9a9nurse9
can9foster9wellness9in9his9or9her9clients.9Wellness9is9defined9by9the9individual9and9is9multidim
ensional.9It9is9not9just9the9absence9of9disease.9A9wellness9perspective9is9based9on9the9belief9tha
t9every9person9has9an9optimal9level9of9health9independent9of9his9or9her9situation9or9functional9l
evel.9Even9in9the9presence9of9chronic9illness9or9while9dying,9a9movement9toward9wellness9is9p
ossible9if9emphasis9of9care9is9placed9on9the9promotion9of9well-
being9in9a9supportive9environment.
PTS:9 1 DIF: Apply REF:9 p.97
TOP:9 Nursing9Process:9Diagnosis9MSC:9 Health9Promotion9and9Maintenance
N R I G B.C M
2. In9differentiating9between9healU
th aS
nd wNellnTess in hOealth9care,9which9of9the9following
9statements9is9true?
a. Health9is9a9broad9term9encompassing9attitudes9and9behaviors.
b. The9concept9of9illness9prevention9was9never9considered9by9previous9generations.
c. Wellness9and9self-actualization9develop9through9learning9and9growth.
d. Wellness9is9impossible9when9one’s9health9is9compromised.
ANS:9 A
Health9is9a9broad9term9that9encompasses9attitudes9and9behaviors;9holistically,9health9includes9
wellness,9which9involves9one’s9whole9being.9The9concept9of9illness9prevention9was9never9con
sidered9by9previous9generations;9throughout9history,9basic9self-
care9requirements9have9been9recognized.9Wellness9and9self-
actualization9develop9through9learning9and9growth—
as9basic9needs9are9met,9higher9level9needs9can9be9satisfied9in9turn,9with9ever-
deepening9richness9to9life.9Wellness9is9possible9when9one’s9health9is9compromised—
even9with9chronic9illness,9with9multiple9disabilities,9or9in9dying,9movement9toward9a9higher9le
vel9of9wellness9is9possible.
PTS:9 1 DIF: Understand REF:9 p.97
TOP:9 Nursing9Process:9Evaluation9MSC:9 Health9Promotion9and9Maintenance
3. Which9racial9or9ethnic9group9has9the9highest9life9expectancy9in9the9United9States?
a. Native9Americans
b. African9Americans
c. Hispanic9Americans
d. Asian9and9Pacific9Island9Americans
NURSINGTB.COM
, Ebersole9and9Hess'9Gerontological9Nursing9and9Healthy9Aging95th9Edition9Touhy9Test9Bank
Chapter902:9Cross-Cultural9Caring9and9Aging
Touhy9&9Jett:9Ebersole9and9Hess’9Gerontological9Nursing9&9Healthy9Aging,95th9Editio
n
MULTIPLE9CHOICE
1. Which9of9the9following9is9a9true9statement9about9differing9health9belief9systems?
a. Personalistic9or9magicoreligious9beliefs9have9been9superseded9in9Western9minds9by
9biomedical9principles.
b. In9most9cultures,9older9adults9are9likely9to9treat9themselves9using9traditional
9methods9before9turning9to9biomedical9professionals.
c. Ayurvedic9medicine9is9another9name9for9traditional9Chinese9medicine.
d. The9belief9that9health9depends9on9maintaining9a9balance9among9opposite9qualities
9is9characteristic9of9a9magicoreligious9belief9system.
ANS:9 B
Older9adults9in9most9cultures9usually9have9had9experience9with9traditional9methods9that9have9
worked9as9well9as9expected.9After9these9treatments9fail,9older9adults9turn9to9the9formal9health9
care9system.9Even9in9the9United9States,9it9is9common9for9older9adults9to9pray9for9cures9or9won
der9what9they9did9to9incur9an9illness9as9punishment.9The9Ayurvedic9system9is9a9naturalistic9h
ealth9belief9system9practiced9in9India9and9in9some9neighboring9countries.9This9belief9is9chara
cteristic9of9a9holistic9or9naturalistic9approach.
PTS:9 9 1 DIF: Understand REF:9 9 p.916-17
TOP:9 Nursing9Process:9Assessment MSC:9 Health9Promotion9and9Maintenance
N R I G B .C M
2. Which9of9the9following9consideUratiS
onsNis m
Tost likO
ely9to9be9true9when9working9with9an
9interpreter?
a. An9interpreter9is9never9needed9if9the9nurse9speaks9the9same9language9as9the9patient.
b. When9working9with9interpreters,9the9nurse9can9use9technical9terms9or9metaphors.
c. A9patient’s9young9granddaughter9who9speaks9fluent9English9would9make9the9best
9interpreter9because9she9is9familiar9with9and9loves9the9patient.
d. The9nurse9should9face9the9patient9rather9than9the9interpreter.
ANS:9 D
The9nurse9should9face9the9patient9rather9than9the9interpreter9is9a9true9statement;9the9intent9is9to
9converse9with9the9patient,9not9with9a9third9party9about9the9patient.9Many9reasons9may9prevent
9the9patient9from9speaking9directly9to9a9nurse.9Technical9terms9and9metaphors9may9be9difficul
t9or9impossible9to9translate.9Cultural9restrictions9may9prevent9some9topics9from9being9spoken9
of9to9a9grandparent9or9child.
PTS:9 9 1 DIF:9 9 Understand9 9 REF:9 9 p.918-19
TOP:9 Nursing9Process:9Implementation9 9 MSC:9 Safe,9Effective9Care9Environment
3. An9older9adult9who9is9a9traditional9Chinese9man9has9a9blood9pressure9of980/549mm9Hg9and9ref
uses9to9remain9in9the9bed.9Which9intervention9should9the9nurse9use9to9promote9and9maintain9hi
s9health?
a. Have9the9health9care9provider9speak9to9him.
b. Use9principles9of9the9holistic9health9system.
c. Ask9about9his9perceptions9and9treatment9ideas.
NURSINGTB.COM
, Ebersole9and9Hess'9Gerontological9Nursing9and9Healthy9Aging95th9Edition9Touhy9Test9Bank
d. Consult9with9a9practitioner9of9Chinese9medicine.
ANS:9 C
Using9the9LEARN9model9(listen9with9sympathy9to9the9patient’s9perception9of9the9problem,9ex
plain9your9perception9of9the9problem,9acknowledge9the9differences9and9similarities,9recomme
nd9treatment,9and9negotiate9agreement),9the9nurse9gathers9information9from9the9patient9about9
cultural9beliefs9concerning9health9care9and9avoids9stereotyping9the9patient.9In9the9assessment,9t
he9nurse9determines9what9the9patient9believes9about9caregiving,9decision9making,9treatment,9a
nd9other9pertinent9health-
related9information.9Speaking9with9the9health9care9provider9is9premature9until9the9assessment9
is9complete.9Unless9he9accepts9the9beliefs,9principles9of9the9holistic9health9system9can9be9pote
ntially9unsuitable9and9insulting9for9this9patient.9Unless9he9accepts9the9treatments,9consulting9w
ith9a9practitioner9of9Chinese9medicine9can9also9be9unsuitable9and9insulting9for9this9patient.
PTS:9 9 1 DIF: Apply REF:9 9 p.918
TOP:9 Nursing9Process:9Implementation MSC:9 Health9Promotion9and9Maintenance
4. Which9action9should9the9nurse9take9when9addressing9older9adults?
a. Speak9in9an9exaggerated9pitch.
b. Use9a9lower9quality9of9speech.
c. Use9endearing9terms9such9as9“honey.”
d. Speak9clearly.
ANS:9 D
Some9health9professionals9demonstrate9ageism,9in9part9because9providers9tend9to9see9many9fra
il,9older9persons9and9fewer9of9those9who9are9healthy9and9active.9Providers9should9not9assume9
that9all9older9adults9are9hearing9or9mentally9impaired.9The9most9appropriate9action
when9addressing9an9older9aduNltUwRoS
ulI
dNbeGtT
o9Bs p.e aCkOcM
l e a r l y . 9Examples9of9unintentional9ageism9
in9language9are9an9exaggerated9pitch,9a9demeaning9emotional9tone,9and9a9lower9quality9of
speech.
PTS:9 9 1 DIF: Apply REF:9 9 p.915
TOP:9 Nursing9Process:9Assessment MSC:9 Health9Promotion9and9Maintenance
5. The9nurse9prepares9an9older9woman,9who9is9Polish,9for9discharge9through9an9interpreter9and
9notes9that9she9becomes9tense9during9the9instructions9about9elimination.9Which9interventio
n9should9the9nurse9implement?
a. Move9on9to9the9discussion9about9medication.
b. Ask9the9older9woman9how9she9feels9about9this9topic.
c. Instruct9the9interpreter9to9repeat9the9instructions.
d. Have9the9older9woman9repeat9the9instructions9for9clarity.
ANS:9 B
When9working9with9an9interpreter,9the9nurse9closely9watches9the9older9adult9for9nonverbal9co
mmunication9and9emotion9regarding9a9specific9topic9and9therefore9validates9the9assessment9ab
out9the9older9adult’s9tension9before9proceeding.9Because9the9nurse9notices9her9tension,9the9nur
se9temporarily9suspends9the9preparation9to9validate9her9assessment.9If9the9nurse9proceeds9and9t
he9older9adult9is9uncomfortable9discussing9elimination,9then9important9instructions9can9be9miss
ed,9leading9to9adverse9effects9for9the9older9adult.9Repeating9the9instructions9can9aggravate9the9
older9adult’s9discomfort.9Instructing9the9older9adult9to9repeat9the9nurse’s9instruction9ignores9he
r9needs.
NURSINGTB.COM
9 9 9 9 9 9 9 9
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter
9
9
9 9 9 9 9 9 9 9 9
28.
,Chapter901:9Introduction9to9Healthy9Aging
Touhy9&9Jett:9Ebersole9and9Hess’9Gerontological9Nursing9&9Healthy9Aging,95th9Editio
n
MULTIPLE9CHOICE
1. A9man9is9terminally9ill9with9end-
stage9prostate9cancer.9Which9is9the9best9statement9about9this9man’s9wellness?
a. Wellness9can9only9be9achieved9with9aggressive9medical9interventions.
b. Wellness9is9not9a9real9option9for9this9client9because9he9is9terminally9ill.
c. Wellness9is9defined9as9the9absence9of9disease.
d. Nursing9interventions9can9help9empower9a9client9to9achieve9a9higher9level9of
9wellness.
ANS:9 D
Nursing9interventions9can9help9empower9a9client9to9achieve9a9higher9level9of9wellness;9a9nurse9
can9foster9wellness9in9his9or9her9clients.9Wellness9is9defined9by9the9individual9and9is9multidim
ensional.9It9is9not9just9the9absence9of9disease.9A9wellness9perspective9is9based9on9the9belief9tha
t9every9person9has9an9optimal9level9of9health9independent9of9his9or9her9situation9or9functional9l
evel.9Even9in9the9presence9of9chronic9illness9or9while9dying,9a9movement9toward9wellness9is9p
ossible9if9emphasis9of9care9is9placed9on9the9promotion9of9well-
being9in9a9supportive9environment.
PTS:9 1 DIF: Apply REF:9 p.97
TOP:9 Nursing9Process:9Diagnosis9MSC:9 Health9Promotion9and9Maintenance
N R I G B.C M
2. In9differentiating9between9healU
th aS
nd wNellnTess in hOealth9care,9which9of9the9following
9statements9is9true?
a. Health9is9a9broad9term9encompassing9attitudes9and9behaviors.
b. The9concept9of9illness9prevention9was9never9considered9by9previous9generations.
c. Wellness9and9self-actualization9develop9through9learning9and9growth.
d. Wellness9is9impossible9when9one’s9health9is9compromised.
ANS:9 A
Health9is9a9broad9term9that9encompasses9attitudes9and9behaviors;9holistically,9health9includes9
wellness,9which9involves9one’s9whole9being.9The9concept9of9illness9prevention9was9never9con
sidered9by9previous9generations;9throughout9history,9basic9self-
care9requirements9have9been9recognized.9Wellness9and9self-
actualization9develop9through9learning9and9growth—
as9basic9needs9are9met,9higher9level9needs9can9be9satisfied9in9turn,9with9ever-
deepening9richness9to9life.9Wellness9is9possible9when9one’s9health9is9compromised—
even9with9chronic9illness,9with9multiple9disabilities,9or9in9dying,9movement9toward9a9higher9le
vel9of9wellness9is9possible.
PTS:9 1 DIF: Understand REF:9 p.97
TOP:9 Nursing9Process:9Evaluation9MSC:9 Health9Promotion9and9Maintenance
3. Which9racial9or9ethnic9group9has9the9highest9life9expectancy9in9the9United9States?
a. Native9Americans
b. African9Americans
c. Hispanic9Americans
d. Asian9and9Pacific9Island9Americans
NURSINGTB.COM
, Ebersole9and9Hess'9Gerontological9Nursing9and9Healthy9Aging95th9Edition9Touhy9Test9Bank
Chapter902:9Cross-Cultural9Caring9and9Aging
Touhy9&9Jett:9Ebersole9and9Hess’9Gerontological9Nursing9&9Healthy9Aging,95th9Editio
n
MULTIPLE9CHOICE
1. Which9of9the9following9is9a9true9statement9about9differing9health9belief9systems?
a. Personalistic9or9magicoreligious9beliefs9have9been9superseded9in9Western9minds9by
9biomedical9principles.
b. In9most9cultures,9older9adults9are9likely9to9treat9themselves9using9traditional
9methods9before9turning9to9biomedical9professionals.
c. Ayurvedic9medicine9is9another9name9for9traditional9Chinese9medicine.
d. The9belief9that9health9depends9on9maintaining9a9balance9among9opposite9qualities
9is9characteristic9of9a9magicoreligious9belief9system.
ANS:9 B
Older9adults9in9most9cultures9usually9have9had9experience9with9traditional9methods9that9have9
worked9as9well9as9expected.9After9these9treatments9fail,9older9adults9turn9to9the9formal9health9
care9system.9Even9in9the9United9States,9it9is9common9for9older9adults9to9pray9for9cures9or9won
der9what9they9did9to9incur9an9illness9as9punishment.9The9Ayurvedic9system9is9a9naturalistic9h
ealth9belief9system9practiced9in9India9and9in9some9neighboring9countries.9This9belief9is9chara
cteristic9of9a9holistic9or9naturalistic9approach.
PTS:9 9 1 DIF: Understand REF:9 9 p.916-17
TOP:9 Nursing9Process:9Assessment MSC:9 Health9Promotion9and9Maintenance
N R I G B .C M
2. Which9of9the9following9consideUratiS
onsNis m
Tost likO
ely9to9be9true9when9working9with9an
9interpreter?
a. An9interpreter9is9never9needed9if9the9nurse9speaks9the9same9language9as9the9patient.
b. When9working9with9interpreters,9the9nurse9can9use9technical9terms9or9metaphors.
c. A9patient’s9young9granddaughter9who9speaks9fluent9English9would9make9the9best
9interpreter9because9she9is9familiar9with9and9loves9the9patient.
d. The9nurse9should9face9the9patient9rather9than9the9interpreter.
ANS:9 D
The9nurse9should9face9the9patient9rather9than9the9interpreter9is9a9true9statement;9the9intent9is9to
9converse9with9the9patient,9not9with9a9third9party9about9the9patient.9Many9reasons9may9prevent
9the9patient9from9speaking9directly9to9a9nurse.9Technical9terms9and9metaphors9may9be9difficul
t9or9impossible9to9translate.9Cultural9restrictions9may9prevent9some9topics9from9being9spoken9
of9to9a9grandparent9or9child.
PTS:9 9 1 DIF:9 9 Understand9 9 REF:9 9 p.918-19
TOP:9 Nursing9Process:9Implementation9 9 MSC:9 Safe,9Effective9Care9Environment
3. An9older9adult9who9is9a9traditional9Chinese9man9has9a9blood9pressure9of980/549mm9Hg9and9ref
uses9to9remain9in9the9bed.9Which9intervention9should9the9nurse9use9to9promote9and9maintain9hi
s9health?
a. Have9the9health9care9provider9speak9to9him.
b. Use9principles9of9the9holistic9health9system.
c. Ask9about9his9perceptions9and9treatment9ideas.
NURSINGTB.COM
, Ebersole9and9Hess'9Gerontological9Nursing9and9Healthy9Aging95th9Edition9Touhy9Test9Bank
d. Consult9with9a9practitioner9of9Chinese9medicine.
ANS:9 C
Using9the9LEARN9model9(listen9with9sympathy9to9the9patient’s9perception9of9the9problem,9ex
plain9your9perception9of9the9problem,9acknowledge9the9differences9and9similarities,9recomme
nd9treatment,9and9negotiate9agreement),9the9nurse9gathers9information9from9the9patient9about9
cultural9beliefs9concerning9health9care9and9avoids9stereotyping9the9patient.9In9the9assessment,9t
he9nurse9determines9what9the9patient9believes9about9caregiving,9decision9making,9treatment,9a
nd9other9pertinent9health-
related9information.9Speaking9with9the9health9care9provider9is9premature9until9the9assessment9
is9complete.9Unless9he9accepts9the9beliefs,9principles9of9the9holistic9health9system9can9be9pote
ntially9unsuitable9and9insulting9for9this9patient.9Unless9he9accepts9the9treatments,9consulting9w
ith9a9practitioner9of9Chinese9medicine9can9also9be9unsuitable9and9insulting9for9this9patient.
PTS:9 9 1 DIF: Apply REF:9 9 p.918
TOP:9 Nursing9Process:9Implementation MSC:9 Health9Promotion9and9Maintenance
4. Which9action9should9the9nurse9take9when9addressing9older9adults?
a. Speak9in9an9exaggerated9pitch.
b. Use9a9lower9quality9of9speech.
c. Use9endearing9terms9such9as9“honey.”
d. Speak9clearly.
ANS:9 D
Some9health9professionals9demonstrate9ageism,9in9part9because9providers9tend9to9see9many9fra
il,9older9persons9and9fewer9of9those9who9are9healthy9and9active.9Providers9should9not9assume9
that9all9older9adults9are9hearing9or9mentally9impaired.9The9most9appropriate9action
when9addressing9an9older9aduNltUwRoS
ulI
dNbeGtT
o9Bs p.e aCkOcM
l e a r l y . 9Examples9of9unintentional9ageism9
in9language9are9an9exaggerated9pitch,9a9demeaning9emotional9tone,9and9a9lower9quality9of
speech.
PTS:9 9 1 DIF: Apply REF:9 9 p.915
TOP:9 Nursing9Process:9Assessment MSC:9 Health9Promotion9and9Maintenance
5. The9nurse9prepares9an9older9woman,9who9is9Polish,9for9discharge9through9an9interpreter9and
9notes9that9she9becomes9tense9during9the9instructions9about9elimination.9Which9interventio
n9should9the9nurse9implement?
a. Move9on9to9the9discussion9about9medication.
b. Ask9the9older9woman9how9she9feels9about9this9topic.
c. Instruct9the9interpreter9to9repeat9the9instructions.
d. Have9the9older9woman9repeat9the9instructions9for9clarity.
ANS:9 B
When9working9with9an9interpreter,9the9nurse9closely9watches9the9older9adult9for9nonverbal9co
mmunication9and9emotion9regarding9a9specific9topic9and9therefore9validates9the9assessment9ab
out9the9older9adult’s9tension9before9proceeding.9Because9the9nurse9notices9her9tension,9the9nur
se9temporarily9suspends9the9preparation9to9validate9her9assessment.9If9the9nurse9proceeds9and9t
he9older9adult9is9uncomfortable9discussing9elimination,9then9important9instructions9can9be9miss
ed,9leading9to9adverse9effects9for9the9older9adult.9Repeating9the9instructions9can9aggravate9the9
older9adult’s9discomfort.9Instructing9the9older9adult9to9repeat9the9nurse’s9instruction9ignores9he
r9needs.
NURSINGTB.COM
