Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy Aging Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy Aging
6th Edition 6th Edition
by Theris A. Touhy, and Kathleen F Jet
Chapter 1 – 28
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
N R I G B.C M
2. In differentiating between healU
t h aS
nd wNellnTess in hOealth 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.
, Chapter 02: Cross-Cultural Caring and Aging
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th
Edition
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans MULTIPLE CHOICE
c. Hispanic Americans
d. Asian and Pacific Island Americans 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
N R I G B.C M
2. Which of the following consideUratiS
onsNis m
Tost likO
ely 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.
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.
PTS: 1 DIF: Apply REF: p. 18-19
ANS: C TOP: Communication and Documentation
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, MSC: Safe, Effective Care Environment
explain your perception of the problem, acknowledge the differences and similarities,
recommend treatment, and negotiate agreement), the nurse gathers information from the 6. The nurse plans care for an older African American man who is from Jamaica and resides in
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the New York City. Which should the nurse include in planning care?
assessment, the nurse determines what the patient believes about caregiving, decision making, a. Attribute his illness to breaking a voodoo.
treatment, and other pertinent health-related information. Speaking with the health care b. Help him improve social relationships.
provider is premature until the assessment is complete. Unless he accepts the beliefs, c. Maintain blood pressure below 120/70 mm Hg.
principles of the holistic health system can be potentially unsuitable and insulting for this d. Review the principles of the magicoreligious system.
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
can also be unsuitable and insulting for this patient. ANS: C
Because African Americans tend to be at risk for cardiovascular disease and hypertension, the
PTS: 1 DIF: Apply REF: p. 18 nurse plans to maintain the patient’s blood pressure at or below the current recommendation
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance by the American Heart Association. The nurse can be incorrectly assuming that he practices
and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and
4. Which action should the nurse take when addressing older adults? determine how much they influence his attitudes toward Western health care. The
a. Speak in an exaggerated pitch. magicoreligious system maintains social relationships in good condition to prevent illness;
b. Use a lower quality of speech. however, if the older adult does not follow this cultural practice, then this goal can be
c. Use endearing terms such as “honey.” unsuitable. The older adult may not believe in this system; therefore, the information can be
d. Speak clearly. irrelevant.
ANS: D PTS: 1 DIF: Apply REF: p. 18-19 TOP: Nursing Process: Planning
Some health professionals demonstrate ageism, in part because providers tend to see many MSC: Safe, Effective Care Environment
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 7. Which health belief system uses treatments to repair a body part?
when addressing an older aduNltUwRoSulI
dNbeGtT
oBsp.
eaCkOcM
learly. Examples of unintentional ageism a. Holistic .
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of b. Biomedical
speech. c. Personalistic
d. Magicoreligious
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance ANS: B
Because dysfunction or a structural abnormality is thought to cause disease, the biomedical
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and system believes in repairing the structural abnormality. The holistic system holds that health is
notes that she becomes tense during the instructions about elimination. Which intervention attained through balance. The personalistic system uses treatments such as meditation, fasting,
should the nurse implement? and praying. The magicoreligious system is the same as the personalistic system.
a. Move on to the discussion about medication.
b. Ask the older woman how she feels about this topic. PTS: 1 DIF: Understand REF: p. 17
c. Instruct the interpreter to repeat the instructions. TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
d. Have the older woman repeat the instructions for clarity.
8. A nurse is caring for a culturally diverse patient who has missed follow-up appointments with
ANS: B the primary care provider three times over the past year. The patient has a chronic illness that
When working with an interpreter, the nurse closely watches the older adult for nonverbal requires periodic monitoring of blood test values. The patient tells the nurse: “You don’t
communication and emotion regarding a specific topic and therefore validates the assessment understand—in my culture, we don’t do things like that. I cannot be troubled with worrying
about the older adult’s tension before proceeding. Because the nurse notices her tension, the about appointments in the future; I deal with each day as it comes.” The nurse understands
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds which of the following about the patient’s culture?
and the older adult is uncomfortable discussing elimination, then important instructions can be a. The culture does not value Western medicine.
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate b. The culture has a different orientation to time than Western medicine.
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction c. The culture is an interdependent culture.
ignores her needs. d. The culture does not believe in preventative care.
, ANS: B d. Ayurvedic
Time orientation is a culturally constructed factor. Westernized medical care is future
oriented. Conflicts between future oriented Westernized medical care and those with a present ANS: B
or past time orientation may arise. Patients are likely to be labeled as noncompliant for failing Magicoreligious beliefs view illness as caused by actions of a higher authority. Biomedical
to keep appointments. beliefs view disease as a result of abnormalities in structure and function and disease caused
by intrusion of pathogens into the body. Naturalistic beliefs are based on the concepts of
PTS: 1 DIF: Understand REF: p. 15-17 TOP: Nursing Process: Planning balance; health is seen as a sign of balance. Ayurvedic beliefs are of the oldest known
MSC: Safe, Effective Care Environment paradigm in the naturalistic system; illness is seen as an imbalance.
9. A paper on culture and illness would be likely to include the statement that PTS: 1 DIF: Remember REF: p. 17
a. culture is the same as ethnicity. TOP: Communication and Documentation MSC: Psychosocial Integrity
b. ethnic groups always share common geographic origin and religion.
c. ethnicity involves recognized traditions, symbols, and literature. 12. The term health disparity is defined as
a. the systematic elimination of the culture of another resulting in decreased wellness.
d. most members of an ethnic group exhibit identical cultural traits.
b. differences in health outcomes among groups.
ANS: C c. the difference between an expected incidence and prevalence and that which
Ethnicity is a complex phenomenon that includes traditions, symbols, literature, folklore, food actually occurs in a comparison population group.
preferences, and dress. It is a shared identity. Ethnicity is more than just culture. It is social d. the existence of more than one group with differing values and perspective.
differentiation based on culture. Even within ethnic groups, there is considerable diversity.
ANS: B
PTS: 1 DIF: Remember REF: p. 12 TOP: Teaching and Learning Health disparities are defined as differences in health outcomes among groups. Cultural
MSC: Psychosocial Integrity destructiveness is defined as the systematic elimination of the culture of another. Health
inequities are defined as the difference between an expected incidence and prevalence and that
10. A home care nurse is caring for an older patient from a different culture who is bedbound and which actually occurs in a comparison population group. Cultural diversity is defined as the
high risk for development of a pressure ulcer. The nurse discusses the plan of care with the existence of more than one group with differing values and perspective.
patient’s daughter, emphasizing the importance of turning every 2 hours, and posts a turning
clock on the wall. When the nurse returns later in the week, the turning clock has been PTS: 1 DIF: Remember REF: p. 13 TOP: Teaching and Learning
removed, and the patient’s daNuU
ghRteS
rI poGrtT
reN sBth.
atCheMturns her mother occasionally. She states,
sO MSC: Psychosocial Integrity .
“I am taking very good care of my mother. You just don’t understand—our ways do not
involve doing things on schedules.” The best response by the nurse is: MULTIPLE RESPONSE
a. “You must follow my guidelines and turn her every 2 hours, or I will not be able to
take care of her.” 1. The nurse is assessing an older adult from a culture different than the nurse’s by asking
b. “I understand that you value your culture, but culture cannot stop you from questions from the explanatory model for culturally sensitive assessment. Which question(s)
providing good care to your mother.” should the nurse ask to follow this model? (Select all that apply.)
c. ‘I understand that you care very much for your mother. Perhaps caring for her is a. How can we negotiate to solve the problem?
too much for you.” b. What treatment can improve your condition?
d. “How can we best work together to provide the best care for your mother?” c. Should we try my plan first to see if it helps?
d. Can we discuss differences in our plans now?
ANS: D
e. How long have you experienced the problem?
In providing cross-cultural care, it is important that the nurse work with the patient and family
f. Who, other than me, can make you feel better?
and listen carefully and find a way to include the values and beliefs of the patient in the plan
of care. ANS: B, E, F
Asking about potential therapies is a question from the explanatory model and asks what the
PTS: 1 DIF: Analyze REF: p. 15 individual believes will help clear up the problem. The nurse asks about the duration of the
TOP: Communication and Documentation MSC: Psychosocial Integrity problem as a part of applying the explanatory model. The nurse asks about other disciplines
that the individual believes can be therapeutic. This question is based on the LEARN model.
11. An older patient learns that she has metastatic cancer. The patient states: “I must have angered
God.” This is an example of which type of belief? PTS: 1 DIF: Apply REF: p. 14
a. Biomedical TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
b. Magicoreligious
c. Naturalistic
6th Edition 6th Edition
by Theris A. Touhy, and Kathleen F Jet
Chapter 1 – 28
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
N R I G B.C M
2. In differentiating between healU
t h aS
nd wNellnTess in hOealth 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.
, Chapter 02: Cross-Cultural Caring and Aging
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th
Edition
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans MULTIPLE CHOICE
c. Hispanic Americans
d. Asian and Pacific Island Americans 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
N R I G B.C M
2. Which of the following consideUratiS
onsNis m
Tost likO
ely 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.
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.
PTS: 1 DIF: Apply REF: p. 18-19
ANS: C TOP: Communication and Documentation
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, MSC: Safe, Effective Care Environment
explain your perception of the problem, acknowledge the differences and similarities,
recommend treatment, and negotiate agreement), the nurse gathers information from the 6. The nurse plans care for an older African American man who is from Jamaica and resides in
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the New York City. Which should the nurse include in planning care?
assessment, the nurse determines what the patient believes about caregiving, decision making, a. Attribute his illness to breaking a voodoo.
treatment, and other pertinent health-related information. Speaking with the health care b. Help him improve social relationships.
provider is premature until the assessment is complete. Unless he accepts the beliefs, c. Maintain blood pressure below 120/70 mm Hg.
principles of the holistic health system can be potentially unsuitable and insulting for this d. Review the principles of the magicoreligious system.
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
can also be unsuitable and insulting for this patient. ANS: C
Because African Americans tend to be at risk for cardiovascular disease and hypertension, the
PTS: 1 DIF: Apply REF: p. 18 nurse plans to maintain the patient’s blood pressure at or below the current recommendation
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance by the American Heart Association. The nurse can be incorrectly assuming that he practices
and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and
4. Which action should the nurse take when addressing older adults? determine how much they influence his attitudes toward Western health care. The
a. Speak in an exaggerated pitch. magicoreligious system maintains social relationships in good condition to prevent illness;
b. Use a lower quality of speech. however, if the older adult does not follow this cultural practice, then this goal can be
c. Use endearing terms such as “honey.” unsuitable. The older adult may not believe in this system; therefore, the information can be
d. Speak clearly. irrelevant.
ANS: D PTS: 1 DIF: Apply REF: p. 18-19 TOP: Nursing Process: Planning
Some health professionals demonstrate ageism, in part because providers tend to see many MSC: Safe, Effective Care Environment
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 7. Which health belief system uses treatments to repair a body part?
when addressing an older aduNltUwRoSulI
dNbeGtT
oBsp.
eaCkOcM
learly. Examples of unintentional ageism a. Holistic .
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of b. Biomedical
speech. c. Personalistic
d. Magicoreligious
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance ANS: B
Because dysfunction or a structural abnormality is thought to cause disease, the biomedical
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and system believes in repairing the structural abnormality. The holistic system holds that health is
notes that she becomes tense during the instructions about elimination. Which intervention attained through balance. The personalistic system uses treatments such as meditation, fasting,
should the nurse implement? and praying. The magicoreligious system is the same as the personalistic system.
a. Move on to the discussion about medication.
b. Ask the older woman how she feels about this topic. PTS: 1 DIF: Understand REF: p. 17
c. Instruct the interpreter to repeat the instructions. TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
d. Have the older woman repeat the instructions for clarity.
8. A nurse is caring for a culturally diverse patient who has missed follow-up appointments with
ANS: B the primary care provider three times over the past year. The patient has a chronic illness that
When working with an interpreter, the nurse closely watches the older adult for nonverbal requires periodic monitoring of blood test values. The patient tells the nurse: “You don’t
communication and emotion regarding a specific topic and therefore validates the assessment understand—in my culture, we don’t do things like that. I cannot be troubled with worrying
about the older adult’s tension before proceeding. Because the nurse notices her tension, the about appointments in the future; I deal with each day as it comes.” The nurse understands
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds which of the following about the patient’s culture?
and the older adult is uncomfortable discussing elimination, then important instructions can be a. The culture does not value Western medicine.
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate b. The culture has a different orientation to time than Western medicine.
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction c. The culture is an interdependent culture.
ignores her needs. d. The culture does not believe in preventative care.
, ANS: B d. Ayurvedic
Time orientation is a culturally constructed factor. Westernized medical care is future
oriented. Conflicts between future oriented Westernized medical care and those with a present ANS: B
or past time orientation may arise. Patients are likely to be labeled as noncompliant for failing Magicoreligious beliefs view illness as caused by actions of a higher authority. Biomedical
to keep appointments. beliefs view disease as a result of abnormalities in structure and function and disease caused
by intrusion of pathogens into the body. Naturalistic beliefs are based on the concepts of
PTS: 1 DIF: Understand REF: p. 15-17 TOP: Nursing Process: Planning balance; health is seen as a sign of balance. Ayurvedic beliefs are of the oldest known
MSC: Safe, Effective Care Environment paradigm in the naturalistic system; illness is seen as an imbalance.
9. A paper on culture and illness would be likely to include the statement that PTS: 1 DIF: Remember REF: p. 17
a. culture is the same as ethnicity. TOP: Communication and Documentation MSC: Psychosocial Integrity
b. ethnic groups always share common geographic origin and religion.
c. ethnicity involves recognized traditions, symbols, and literature. 12. The term health disparity is defined as
a. the systematic elimination of the culture of another resulting in decreased wellness.
d. most members of an ethnic group exhibit identical cultural traits.
b. differences in health outcomes among groups.
ANS: C c. the difference between an expected incidence and prevalence and that which
Ethnicity is a complex phenomenon that includes traditions, symbols, literature, folklore, food actually occurs in a comparison population group.
preferences, and dress. It is a shared identity. Ethnicity is more than just culture. It is social d. the existence of more than one group with differing values and perspective.
differentiation based on culture. Even within ethnic groups, there is considerable diversity.
ANS: B
PTS: 1 DIF: Remember REF: p. 12 TOP: Teaching and Learning Health disparities are defined as differences in health outcomes among groups. Cultural
MSC: Psychosocial Integrity destructiveness is defined as the systematic elimination of the culture of another. Health
inequities are defined as the difference between an expected incidence and prevalence and that
10. A home care nurse is caring for an older patient from a different culture who is bedbound and which actually occurs in a comparison population group. Cultural diversity is defined as the
high risk for development of a pressure ulcer. The nurse discusses the plan of care with the existence of more than one group with differing values and perspective.
patient’s daughter, emphasizing the importance of turning every 2 hours, and posts a turning
clock on the wall. When the nurse returns later in the week, the turning clock has been PTS: 1 DIF: Remember REF: p. 13 TOP: Teaching and Learning
removed, and the patient’s daNuU
ghRteS
rI poGrtT
reN sBth.
atCheMturns her mother occasionally. She states,
sO MSC: Psychosocial Integrity .
“I am taking very good care of my mother. You just don’t understand—our ways do not
involve doing things on schedules.” The best response by the nurse is: MULTIPLE RESPONSE
a. “You must follow my guidelines and turn her every 2 hours, or I will not be able to
take care of her.” 1. The nurse is assessing an older adult from a culture different than the nurse’s by asking
b. “I understand that you value your culture, but culture cannot stop you from questions from the explanatory model for culturally sensitive assessment. Which question(s)
providing good care to your mother.” should the nurse ask to follow this model? (Select all that apply.)
c. ‘I understand that you care very much for your mother. Perhaps caring for her is a. How can we negotiate to solve the problem?
too much for you.” b. What treatment can improve your condition?
d. “How can we best work together to provide the best care for your mother?” c. Should we try my plan first to see if it helps?
d. Can we discuss differences in our plans now?
ANS: D
e. How long have you experienced the problem?
In providing cross-cultural care, it is important that the nurse work with the patient and family
f. Who, other than me, can make you feel better?
and listen carefully and find a way to include the values and beliefs of the patient in the plan
of care. ANS: B, E, F
Asking about potential therapies is a question from the explanatory model and asks what the
PTS: 1 DIF: Analyze REF: p. 15 individual believes will help clear up the problem. The nurse asks about the duration of the
TOP: Communication and Documentation MSC: Psychosocial Integrity problem as a part of applying the explanatory model. The nurse asks about other disciplines
that the individual believes can be therapeutic. This question is based on the LEARN model.
11. An older patient learns that she has metastatic cancer. The patient states: “I must have angered
God.” This is an example of which type of belief? PTS: 1 DIF: Apply REF: p. 14
a. Biomedical TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
b. Magicoreligious
c. Naturalistic
