,Chapter 01: Introduction to Healthy Aging
f f f f f
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
f f f f f f f f f f f f
MULTIPLE fCHOICE
1. A fman fis fterminally fill fwith fend-stage fprostate fcancer. fWhich fis fthe fbest fstatement fabout fthis
man‘s fwellness?
f
a.Wellness fcan fonly fbe fachieved fwith faggressive fmedical finterventions.
b.Wellness fis fnot fa freal foption ffor fthis fclient fbecause fhe fis fterminally fill.
c.Wellness fis fdefined fas fthe fabsence fof fdisease.
d.Nursing finterventions fcan fhelp fempower fa fclient fto fachieve fa fhigher flevel fof
fwellness.
ANS: f D
Nursing finterventions fcan fhelp fempower fa fclient fto fachieve fa fhigher flevel fof fwellness; fa fnurse
fcan ffoster fwellness fin fhis for fher fclients. fWellness fis fdefined fby fthe findividual fand fis
fmultidimensional. fIt fis fnot fjust fthe fabsence fof fdisease. fA fwellness fperspective fis fbased fon fthe
fbelief fthat fevery fperson fhas fan foptimal flevel fof fhealth findependent fof fhis for fher fsituation for
ffunctional flevel. fEven fin fthe fpresence fof fchronic fillness for fwhile fdying, fa fmovement ftoward
fwellness fis fpossible fif femphasis fof fcare fis fplaced fon fthe fpromotion fof fwell-being fin fa
fsupportive fenvironment.
PTS: f 1 DIF: Apply REF: f p. f7 TOP: f Nursing fProcess:
fDiagnosis fMSC: f Health fPromotion fand fMaintenance
2. In fdifferentiating fbetween fhealU
N R I G B.C M
th aS
nd wNellnTess in hOealth fcare, fwhich fof fthe ffollowing
statements fis ftrue?
f
a. Health fis fa fbroad fterm fencompassing fattitudes fand fbehaviors.
b. The fconcept fof fillness fprevention fwas fnever fconsidered fby fprevious fgenerations.
c. Wellness fand fself-actualization fdevelop fthrough flearning fand fgrowth.
d. Wellness fis fimpossible fwhen fone‘s fhealth fis fcompromised.
ANS: f A
Health fis fa fbroad fterm fthat fencompasses fattitudes fand fbehaviors; fholistically, fhealth fincludes
fwellness, fwhich finvolves fone‘s fwhole fbeing. fThe fconcept fof fillness fprevention fwas fnever
fconsidered fby fprevious fgenerations; fthroughout fhistory, fbasic fself-care frequirements fhave
fbeen frecognized. fWellness fand fself-actualization fdevelop fthrough flearning fand fgrowth—as
fbasic fneeds fare fmet, fhigher flevel fneeds fcan fbe fsatisfied fin fturn, fwith fever-deepening frichness
fto flife. fWellness fis fpossible fwhen fone‘s fhealth fis fcompromised—even fwith fchronic fillness,
fwith fmultiple fdisabilities, for fin fdying, fmovement ftoward fa fhigher flevel fof fwellness fis fpossible.
PTS: f 1 DIF: Understand REF: f p. f7 TOP: f Nursing fProcess:
fEvaluation fMSC: f Health fPromotion fand fMaintenance
3. Which fracial for fethnic fgroup fhas fthe fhighest flife fexpectancy fin fthe fUnited fStates?
a. Native fAmericans
b. African fAmericans
c. Hispanic fAmericans
d. Asian fand fPacific fIsland fAmericans
NURSINGTB.COM
, Ebersole fand fHess' fGerontological fNursing fand fHealthy fAging f5th fEdition fTouhy fTest fBank
Chapter 02: Cross-Cultural Caring and Aging
f f f f f
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
f f f f f f f f f f f f
MULTIPLE fCHOICE
1. Which fof fthe ffollowing fis fa ftrue fstatement fabout fdiffering fhealth fbelief fsystems?
a. Personalistic for fmagicoreligious fbeliefs fhave fbeen fsuperseded fin fWestern fminds fby
biomedical fprinciples.
f
b. In fmost fcultures, folder fadults fare flikely fto ftreat fthemselves fusing ftraditional
fmethods fbefore fturning fto fbiomedical fprofessionals.
c. Ayurvedic fmedicine fis fanother fname ffor ftraditional fChinese fmedicine.
d. The fbelief fthat fhealth fdepends fon fmaintaining fa fbalance famong fopposite fqualities
fis fcharacteristic fof fa fmagicoreligious fbelief fsystem.
ANS: f B
Older fadults fin fmost fcultures fusually fhave fhad fexperience fwith ftraditional fmethods fthat fhave
fworked fas fwell fas fexpected. fAfter fthese ftreatments ffail, folder fadults fturn fto fthe fformal fhealth
fcare fsystem. fEven fin fthe fUnited fStates, fit fis fcommon ffor folder fadults fto fpray ffor fcures for
fwonder fwhat fthey fdid fto fincur fan fillness fas fpunishment. fThe fAyurvedic fsystem fis fa
fnaturalistic fhealth fbelief fsystem fpracticed fin fIndia fand fin fsome fneighboring fcountries. fThis
fbelief fis fcharacteristic fof fa fholistic for fnaturalistic fapproach.
PTS: f f 1 DIF: Understand REF: f f p. f16-17
TOP: f Nursing fProcess: fAssessment MSC: f Health fPromotion fand fMaintenance
2. Which fof fthe ffollowing fconsideUratiS
N R I G B. C M
onsNis m
Tost likO
ely fto fbe ftrue fwhen fworking fwith fan
interpreter?
f
a. An finterpreter fis fnever fneeded fif fthe fnurse fspeaks fthe fsame flanguage fas fthe fpatient.
b. When fworking fwith finterpreters, fthe fnurse fcan fuse ftechnical fterms for fmetaphors.
c. A fpatient‘s fyoung fgranddaughter fwho fspeaks ffluent fEnglish fwould fmake fthe fbest
interpreter fbecause fshe fis ffamiliar fwith fand floves fthe fpatient.
f
d. The fnurse fshould fface fthe fpatient frather fthan fthe finterpreter.
ANS: f D
The fnurse fshould fface fthe fpatient frather fthan fthe finterpreter fis fa ftrue fstatement; fthe fintent fis fto
fconverse fwith fthe fpatient, fnot fwith fa fthird fparty fabout fthe fpatient. fMany freasons fmay fprevent
fthe fpatient ffrom fspeaking fdirectly fto fa fnurse. fTechnical fterms fand fmetaphors fmay fbe fdifficult
for fimpossible fto ftranslate. fCultural frestrictions fmay fprevent fsome ftopics ffrom fbeing fspoken fof
fto fa fgrandparent for fchild.
PTS: f f 1 DIF: f f Understand f f REF: f f p. f18-19
TOP: f Nursing fProcess: fImplementation f f MSC: f Safe, fEffective fCare fEnvironment
3. An folder fadult fwho fis fa ftraditional fChinese fman fhas fa fblood fpressure fof f80/54 fmm fHg fand
frefuses fto fremain fin fthe fbed. fWhich fintervention fshould fthe fnurse fuse fto fpromote fand fmaintain
fhis fhealth?
a. Have fthe fhealth fcare fprovider fspeak fto fhim.
b. Use fprinciples fof fthe fholistic fhealth fsystem.
c. Ask fabout fhis fperceptions fand ftreatment fideas.
NURSINGTB.COM
, Ebersole fand fHess' fGerontological fNursing fand fHealthy fAging f5th fEdition fTouhy fTest fBank
d. Consult fwith fa fpractitioner fof fChinese fmedicine.
ANS: f C
Using fthe fLEARN fmodel f(listen fwith fsympathy fto fthe fpatient‘s fperception fof fthe fproblem,
fexplain fyour fperception fof fthe fproblem, facknowledge fthe fdifferences fand fsimilarities,
frecommend ftreatment, fand fnegotiate fagreement), fthe fnurse fgathers finformation ffrom fthe
fpatient fabout fcultural fbeliefs fconcerning fhealth fcare fand favoids fstereotyping fthe fpatient. fIn fthe
fassessment, fthe fnurse fdetermines fwhat fthe fpatient fbelieves fabout fcaregiving, fdecision fmaking,
ftreatment, fand fother fpertinent fhealth-related finformation. fSpeaking fwith fthe fhealth fcare
fprovider fis fpremature funtil fthe fassessment fis fcomplete. fUnless fhe faccepts fthe fbeliefs,
fprinciples fof fthe fholistic fhealth fsystem fcan fbe fpotentially funsuitable fand finsulting ffor fthis
fpatient. fUnless fhe faccepts fthe ftreatments, fconsulting fwith fa fpractitioner fof fChinese fmedicine
fcan falso fbe funsuitable fand finsulting ffor fthis fpatient.
PTS: f f 1 DIF: Apply REF: f f p. f18
TOP: f Nursing fProcess: fImplementation MSC: f Health fPromotion fand fMaintenance
4. Which faction fshould fthe fnurse ftake fwhen faddressing folder fadults?
a. Speak fin fan fexaggerated fpitch.
b. Use fa flower fquality fof fspeech.
c. Use fendearing fterms fsuch fas f―honey.‖
d. Speak fclearly.
ANS: f D
Some fhealth fprofessionals fdemonstrate fageism, fin fpart fbecause fproviders ftend fto fsee fmany
ffrail, folder fpersons fand ffewer fof fthose fwho fare fhealthy fand factive. fProviders fshould fnot
fassume fthat fall folder fadults fare fhearing for fmentally fimpaired. fThe fmost fappropriate faction
when faddressing fan folder faduNltUwRoSulI
dNbeGtT
ofBs p.e aCkOcMl e a r l y . fExamples fof funintentional fageism
fin flanguage fare fan fexaggerated fpitch, fa fdemeaning femotional ftone, fand fa flower fquality fof
speech.
PTS: f f 1 DIF: Apply REF: f f p. f15
TOP: f Nursing fProcess: fAssessment MSC: f Health fPromotion fand fMaintenance
5. The fnurse fprepares fan folder fwoman, fwho fis fPolish, ffor fdischarge fthrough fan finterpreter fand
notes fthat fshe fbecomes ftense fduring fthe finstructions fabout felimination. fWhich fintervention
f
should fthe fnurse fimplement?
f
a. Move fon fto fthe fdiscussion fabout fmedication.
b. Ask fthe folder fwoman fhow fshe ffeels fabout fthis ftopic.
c. Instruct fthe finterpreter fto frepeat fthe finstructions.
d. Have fthe folder fwoman frepeat fthe finstructions ffor fclarity.
ANS: f B
When fworking fwith fan finterpreter, fthe fnurse fclosely fwatches fthe folder fadult ffor fnonverbal
fcommunication fand femotion fregarding fa fspecific ftopic fand ftherefore fvalidates fthe fassessment
fabout fthe folder fadult‘s ftension fbefore fproceeding. fBecause fthe fnurse fnotices fher ftension, fthe
fnurse ftemporarily fsuspends fthe fpreparation fto fvalidate fher fassessment. fIf fthe fnurse fproceeds
fand fthe folder fadult fis funcomfortable fdiscussing felimination, fthen fimportant finstructions fcan fbe
fmissed, fleading fto fadverse feffects ffor fthe folder fadult. fRepeating fthe finstructions fcan faggravate
fthe folder fadult‘s fdiscomfort. fInstructing fthe folder fadult fto frepeat fthe fnurse‘s finstruction
fignores fher fneeds.
NURSINGTB.COM
f f f f f
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
f f f f f f f f f f f f
MULTIPLE fCHOICE
1. A fman fis fterminally fill fwith fend-stage fprostate fcancer. fWhich fis fthe fbest fstatement fabout fthis
man‘s fwellness?
f
a.Wellness fcan fonly fbe fachieved fwith faggressive fmedical finterventions.
b.Wellness fis fnot fa freal foption ffor fthis fclient fbecause fhe fis fterminally fill.
c.Wellness fis fdefined fas fthe fabsence fof fdisease.
d.Nursing finterventions fcan fhelp fempower fa fclient fto fachieve fa fhigher flevel fof
fwellness.
ANS: f D
Nursing finterventions fcan fhelp fempower fa fclient fto fachieve fa fhigher flevel fof fwellness; fa fnurse
fcan ffoster fwellness fin fhis for fher fclients. fWellness fis fdefined fby fthe findividual fand fis
fmultidimensional. fIt fis fnot fjust fthe fabsence fof fdisease. fA fwellness fperspective fis fbased fon fthe
fbelief fthat fevery fperson fhas fan foptimal flevel fof fhealth findependent fof fhis for fher fsituation for
ffunctional flevel. fEven fin fthe fpresence fof fchronic fillness for fwhile fdying, fa fmovement ftoward
fwellness fis fpossible fif femphasis fof fcare fis fplaced fon fthe fpromotion fof fwell-being fin fa
fsupportive fenvironment.
PTS: f 1 DIF: Apply REF: f p. f7 TOP: f Nursing fProcess:
fDiagnosis fMSC: f Health fPromotion fand fMaintenance
2. In fdifferentiating fbetween fhealU
N R I G B.C M
th aS
nd wNellnTess in hOealth fcare, fwhich fof fthe ffollowing
statements fis ftrue?
f
a. Health fis fa fbroad fterm fencompassing fattitudes fand fbehaviors.
b. The fconcept fof fillness fprevention fwas fnever fconsidered fby fprevious fgenerations.
c. Wellness fand fself-actualization fdevelop fthrough flearning fand fgrowth.
d. Wellness fis fimpossible fwhen fone‘s fhealth fis fcompromised.
ANS: f A
Health fis fa fbroad fterm fthat fencompasses fattitudes fand fbehaviors; fholistically, fhealth fincludes
fwellness, fwhich finvolves fone‘s fwhole fbeing. fThe fconcept fof fillness fprevention fwas fnever
fconsidered fby fprevious fgenerations; fthroughout fhistory, fbasic fself-care frequirements fhave
fbeen frecognized. fWellness fand fself-actualization fdevelop fthrough flearning fand fgrowth—as
fbasic fneeds fare fmet, fhigher flevel fneeds fcan fbe fsatisfied fin fturn, fwith fever-deepening frichness
fto flife. fWellness fis fpossible fwhen fone‘s fhealth fis fcompromised—even fwith fchronic fillness,
fwith fmultiple fdisabilities, for fin fdying, fmovement ftoward fa fhigher flevel fof fwellness fis fpossible.
PTS: f 1 DIF: Understand REF: f p. f7 TOP: f Nursing fProcess:
fEvaluation fMSC: f Health fPromotion fand fMaintenance
3. Which fracial for fethnic fgroup fhas fthe fhighest flife fexpectancy fin fthe fUnited fStates?
a. Native fAmericans
b. African fAmericans
c. Hispanic fAmericans
d. Asian fand fPacific fIsland fAmericans
NURSINGTB.COM
, Ebersole fand fHess' fGerontological fNursing fand fHealthy fAging f5th fEdition fTouhy fTest fBank
Chapter 02: Cross-Cultural Caring and Aging
f f f f f
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
f f f f f f f f f f f f
MULTIPLE fCHOICE
1. Which fof fthe ffollowing fis fa ftrue fstatement fabout fdiffering fhealth fbelief fsystems?
a. Personalistic for fmagicoreligious fbeliefs fhave fbeen fsuperseded fin fWestern fminds fby
biomedical fprinciples.
f
b. In fmost fcultures, folder fadults fare flikely fto ftreat fthemselves fusing ftraditional
fmethods fbefore fturning fto fbiomedical fprofessionals.
c. Ayurvedic fmedicine fis fanother fname ffor ftraditional fChinese fmedicine.
d. The fbelief fthat fhealth fdepends fon fmaintaining fa fbalance famong fopposite fqualities
fis fcharacteristic fof fa fmagicoreligious fbelief fsystem.
ANS: f B
Older fadults fin fmost fcultures fusually fhave fhad fexperience fwith ftraditional fmethods fthat fhave
fworked fas fwell fas fexpected. fAfter fthese ftreatments ffail, folder fadults fturn fto fthe fformal fhealth
fcare fsystem. fEven fin fthe fUnited fStates, fit fis fcommon ffor folder fadults fto fpray ffor fcures for
fwonder fwhat fthey fdid fto fincur fan fillness fas fpunishment. fThe fAyurvedic fsystem fis fa
fnaturalistic fhealth fbelief fsystem fpracticed fin fIndia fand fin fsome fneighboring fcountries. fThis
fbelief fis fcharacteristic fof fa fholistic for fnaturalistic fapproach.
PTS: f f 1 DIF: Understand REF: f f p. f16-17
TOP: f Nursing fProcess: fAssessment MSC: f Health fPromotion fand fMaintenance
2. Which fof fthe ffollowing fconsideUratiS
N R I G B. C M
onsNis m
Tost likO
ely fto fbe ftrue fwhen fworking fwith fan
interpreter?
f
a. An finterpreter fis fnever fneeded fif fthe fnurse fspeaks fthe fsame flanguage fas fthe fpatient.
b. When fworking fwith finterpreters, fthe fnurse fcan fuse ftechnical fterms for fmetaphors.
c. A fpatient‘s fyoung fgranddaughter fwho fspeaks ffluent fEnglish fwould fmake fthe fbest
interpreter fbecause fshe fis ffamiliar fwith fand floves fthe fpatient.
f
d. The fnurse fshould fface fthe fpatient frather fthan fthe finterpreter.
ANS: f D
The fnurse fshould fface fthe fpatient frather fthan fthe finterpreter fis fa ftrue fstatement; fthe fintent fis fto
fconverse fwith fthe fpatient, fnot fwith fa fthird fparty fabout fthe fpatient. fMany freasons fmay fprevent
fthe fpatient ffrom fspeaking fdirectly fto fa fnurse. fTechnical fterms fand fmetaphors fmay fbe fdifficult
for fimpossible fto ftranslate. fCultural frestrictions fmay fprevent fsome ftopics ffrom fbeing fspoken fof
fto fa fgrandparent for fchild.
PTS: f f 1 DIF: f f Understand f f REF: f f p. f18-19
TOP: f Nursing fProcess: fImplementation f f MSC: f Safe, fEffective fCare fEnvironment
3. An folder fadult fwho fis fa ftraditional fChinese fman fhas fa fblood fpressure fof f80/54 fmm fHg fand
frefuses fto fremain fin fthe fbed. fWhich fintervention fshould fthe fnurse fuse fto fpromote fand fmaintain
fhis fhealth?
a. Have fthe fhealth fcare fprovider fspeak fto fhim.
b. Use fprinciples fof fthe fholistic fhealth fsystem.
c. Ask fabout fhis fperceptions fand ftreatment fideas.
NURSINGTB.COM
, Ebersole fand fHess' fGerontological fNursing fand fHealthy fAging f5th fEdition fTouhy fTest fBank
d. Consult fwith fa fpractitioner fof fChinese fmedicine.
ANS: f C
Using fthe fLEARN fmodel f(listen fwith fsympathy fto fthe fpatient‘s fperception fof fthe fproblem,
fexplain fyour fperception fof fthe fproblem, facknowledge fthe fdifferences fand fsimilarities,
frecommend ftreatment, fand fnegotiate fagreement), fthe fnurse fgathers finformation ffrom fthe
fpatient fabout fcultural fbeliefs fconcerning fhealth fcare fand favoids fstereotyping fthe fpatient. fIn fthe
fassessment, fthe fnurse fdetermines fwhat fthe fpatient fbelieves fabout fcaregiving, fdecision fmaking,
ftreatment, fand fother fpertinent fhealth-related finformation. fSpeaking fwith fthe fhealth fcare
fprovider fis fpremature funtil fthe fassessment fis fcomplete. fUnless fhe faccepts fthe fbeliefs,
fprinciples fof fthe fholistic fhealth fsystem fcan fbe fpotentially funsuitable fand finsulting ffor fthis
fpatient. fUnless fhe faccepts fthe ftreatments, fconsulting fwith fa fpractitioner fof fChinese fmedicine
fcan falso fbe funsuitable fand finsulting ffor fthis fpatient.
PTS: f f 1 DIF: Apply REF: f f p. f18
TOP: f Nursing fProcess: fImplementation MSC: f Health fPromotion fand fMaintenance
4. Which faction fshould fthe fnurse ftake fwhen faddressing folder fadults?
a. Speak fin fan fexaggerated fpitch.
b. Use fa flower fquality fof fspeech.
c. Use fendearing fterms fsuch fas f―honey.‖
d. Speak fclearly.
ANS: f D
Some fhealth fprofessionals fdemonstrate fageism, fin fpart fbecause fproviders ftend fto fsee fmany
ffrail, folder fpersons fand ffewer fof fthose fwho fare fhealthy fand factive. fProviders fshould fnot
fassume fthat fall folder fadults fare fhearing for fmentally fimpaired. fThe fmost fappropriate faction
when faddressing fan folder faduNltUwRoSulI
dNbeGtT
ofBs p.e aCkOcMl e a r l y . fExamples fof funintentional fageism
fin flanguage fare fan fexaggerated fpitch, fa fdemeaning femotional ftone, fand fa flower fquality fof
speech.
PTS: f f 1 DIF: Apply REF: f f p. f15
TOP: f Nursing fProcess: fAssessment MSC: f Health fPromotion fand fMaintenance
5. The fnurse fprepares fan folder fwoman, fwho fis fPolish, ffor fdischarge fthrough fan finterpreter fand
notes fthat fshe fbecomes ftense fduring fthe finstructions fabout felimination. fWhich fintervention
f
should fthe fnurse fimplement?
f
a. Move fon fto fthe fdiscussion fabout fmedication.
b. Ask fthe folder fwoman fhow fshe ffeels fabout fthis ftopic.
c. Instruct fthe finterpreter fto frepeat fthe finstructions.
d. Have fthe folder fwoman frepeat fthe finstructions ffor fclarity.
ANS: f B
When fworking fwith fan finterpreter, fthe fnurse fclosely fwatches fthe folder fadult ffor fnonverbal
fcommunication fand femotion fregarding fa fspecific ftopic fand ftherefore fvalidates fthe fassessment
fabout fthe folder fadult‘s ftension fbefore fproceeding. fBecause fthe fnurse fnotices fher ftension, fthe
fnurse ftemporarily fsuspends fthe fpreparation fto fvalidate fher fassessment. fIf fthe fnurse fproceeds
fand fthe folder fadult fis funcomfortable fdiscussing felimination, fthen fimportant finstructions fcan fbe
fmissed, fleading fto fadverse feffects ffor fthe folder fadult. fRepeating fthe finstructions fcan faggravate
fthe folder fadult‘s fdiscomfort. fInstructing fthe folder fadult fto frepeat fthe fnurse‘s finstruction
fignores fher fneeds.
NURSINGTB.COM
