NURSINGTB.COM
,Chapter 01: Introduction to Healthy Aging
o o o o o
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
o o o o o o o o o o o o
MULTIPLEoCHOICE
1. Aomanoisoterminallyoillowithoend-
stageoprostateocancer.oWhichoisotheobestostatementoaboutothisoman’sowellness?
a. Wellnessocanoonlyobeoachievedowithoaggressiveomedicalointerventions.
b. Wellnessoisonotoaorealooptionoforothisoclientobecauseoheoisoterminallyoill.
c. Wellnessoisodefinedoasotheoabsenceoofodisease.
d. Nursingointerventionsocanohelpoempoweroaoclientotooachieveoaohigheroleveloofo
wellness.
ANS:o D
Nursingointerventionsocanohelpoempoweroaoclientotooachieveoaohigheroleveloofowellness;oaonurseoc
anofosterowellnessoinohisooroheroclients.oWellnessoisodefinedobyotheoindividualoandoisomultidimens
ional.oItoisonotojustotheoabsenceoofodisease.oAowellnessoperspectiveoisobasedoonotheobeliefothatoeve
ryopersonohasoanooptimaloleveloofohealthoindependentoofohisooroherosituationoorofunctionalolevel.o
Evenoinotheopresenceoofochronicoillnessoorowhileodying,oaomovementotowardowellnessoisopossible
oifoemphasisoofocareoisoplacedoonotheopromotionoofowell-beingoinoaosupportiveoenvironment.
PTS:o 1 DIF: Apply REF:o p.o7
TOP:o NursingoProcess:oDiagnosisoMSC:o HealthoPromotionoandoMaintenance
2. InodifferentiatingobetweenohealU
N R I G B.C M
th aS
nd wNellnTess in hOealthocare,owhichoofotheofollowingo
statementsoisotrue?
a. Healthoisoaobroadotermoencompassingoattitudesoandobehaviors.
b. Theoconceptoofoillnessopreventionowasoneveroconsideredobyopreviousogenerations.
c. Wellnessoandoself-actualizationodevelopothrougholearningoandogrowth.
d. Wellnessoisoimpossibleowhenoone’sohealthoisocompromised.
ANS:o A
Healthoisoaobroadotermothatoencompassesoattitudesoandobehaviors;oholistically,ohealthoincludesow
ellness,owhichoinvolvesoone’sowholeobeing.oTheoconceptoofoillnessopreventionowasoneveroconsid
eredobyopreviousogenerations;othroughoutohistory,obasicoself-
careorequirementsohaveobeenorecognized.oWellnessoandoself-
actualizationodevelopothrougholearningoandogrowth—
asobasiconeedsoareomet,ohigheroleveloneedsocanobeosatisfiedoinoturn,owithoever-
deepeningorichnessotoolife.oWellnessoisopossibleowhenoone’sohealthoisocompromised—
evenowithochronicoillness,owithomultipleodisabilities,ooroinodying,omovementotowardoaohigherolev
eloofowellnessoisopossible.
PTS:o 1 DIF: Understand REF:o p.o7
TOP:o NursingoProcess:oEvaluationoMSC:o HealthoPromotionoandoMaintenance
3. WhichoracialooroethnicogroupohasotheohighestolifeoexpectancyoinotheoUnitedoStates?
a. NativeoAmericans
b. AfricanoAmericans
c. HispanicoAmericans
d. AsianoandoPacificoIslandoAmericans
NURSINGTB.COM
, EbersoleoandoHess'oGerontologicaloNursingoandoHealthyoAgingo5thoEditionoTouhyoTestoBank
Chapter 02: Cross-Cultural Caring and Aging
o o o o o
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
o o o o o o o o o o o o
MULTIPLEoCHOICE
1. Whichoofotheofollowingoisoaotrueostatementoaboutodifferingohealthobeliefosystems?
a. PersonalisticooromagicoreligiousobeliefsohaveobeenosupersededoinoWesternomindsobyo
biomedicaloprinciples.
b. Inomostocultures,oolderoadultsoareolikelyotootreatothemselvesousingotraditionalo
methodsobeforeoturningotoobiomedicaloprofessionals.
c. AyurvedicomedicineoisoanotheronameoforotraditionaloChineseomedicine.
d. Theobeliefothatohealthodependsoonomaintainingoaobalanceoamongooppositeoqualitiesoi
socharacteristicoofoaomagicoreligiousobeliefosystem.
ANS:o B
Olderoadultsoinomostoculturesousuallyohaveohadoexperienceowithotraditionalomethodsothatohaveow
orkedoasowelloasoexpected.oAfterotheseotreatmentsofail,oolderoadultsoturnotootheoformalohealthocare
osystem.oEvenoinotheoUnitedoStates,oitoisocommon oforoolderoadultsotooprayoforocuresoorowonderow
hatotheyodidotooincuroanoillnessoasopunishment.oTheoAyurvedicosystemoisoaonaturalisticohealthobe
liefosystemopracticedoinoIndiaoandoinosomeoneighboringocountries.oThisobeliefoisocharacteristicoo
foaoholisticooronaturalisticoapproach.
PTS:o o 1 DIF: Understand REF:o o p.o16-17
TOP:o NursingoProcess:oAssessment MSC:o HealthoPromotionoandoMaintenance
N R I G B. C M
2. WhichoofotheofollowingoconsideUratiS
onsNis m
Tost likO
elyotoobeotrueowhenoworkingowithoanoi
nterpreter?
a. Anointerpreteroisoneveroneededoifotheonurseospeaksotheosameolanguageoasotheopatient.
b. Whenoworkingowithointerpreters,otheonurseocanouseotechnicalotermsoorometaphors.
c. Aopatient’soyoungogranddaughterowhoospeaksofluentoEnglishowouldomakeotheobestoi
nterpreterobecauseosheoisofamiliarowithoandolovesotheopatient.
d. Theonurseoshouldofaceotheopatientoratherothanotheointerpreter.
ANS:o D
Theonurseoshouldofaceotheopatientoratherothanotheointerpreteroisoaotrueostatement;otheointentoisotooc
onverseowithotheopatient,onotowithoaothirdopartyoaboutotheopatient.oManyoreasonsomayopreventoth
eopatientofromospeakingodirectlyotooaonurse.oTechnicalotermsoandometaphorsomayobeodifficultooroi
mpossibleotootranslate.oCulturalorestrictionsomayopreventosomeotopicsofromobeingospokenoofotooao
grandparentoorochild.
PTS:o o 1 DIF:o o Understando o REF:o o p.o18-19
TOP:o NursingoProcess:oImplementationo o MSC:o Safe,oEffectiveoCareoEnvironment
3. AnoolderoadultowhooisoaotraditionaloChineseomanohasoaobloodopressureoofo80/54ommoHgoandorefus
esotooremainoinotheobed.oWhichointerventionoshouldotheonurseouseotoopromoteoandomaintainohisohe
alth?
a. Haveotheohealthocareoproviderospeakotoohim.
b. Useoprinciplesoofotheoholisticohealthosystem.
c. Askoaboutohisoperceptionsoandotreatmentoideas.
NURSINGTB.COM
, EbersoleoandoHess'oGerontologicaloNursingoandoHealthyoAgingo5thoEditionoTouhyoTestoBank
d. ConsultowithoaopractitioneroofoChineseomedicine.
ANS:o C
UsingotheoLEARNomodelo(listenowithosympathyotootheopatient’soperceptionoofotheoproblem,oexpl
ainoyouroperceptionoofotheoproblem,oacknowledgeotheodifferencesoandosimilarities,orecommendo
treatment,oandonegotiateoagreement),otheonurseogathersoinformationofromotheopatientoaboutocultu
ralobeliefsoconcerningohealthocareoandoavoidsostereotypingotheopatient.oInotheoassessment,otheonur
seodeterminesowhatotheopatientobelievesoaboutocaregiving,odecisionomaking,otreatment,oandoother
opertinentohealth-
relatedoinformation.oSpeakingowithotheohealthocareoprovideroisoprematureountilotheoassessmentois
ocomplete.oUnlessoheoacceptsotheobeliefs,oprinciples oofotheoholisticohealthosystemocanobeopotentia
llyounsuitableoandoinsultingoforothisopatient.oUnlessoheoacceptsotheotreatments,oconsultingowithoao
practitioneroofoChineseomedicineocanoalsoobeounsuitableoandoinsultingoforothisopatient.
PTS:o o 1 DIF: Apply REF:o o p.o18
TOP:o NursingoProcess:oImplementation MSC:o HealthoPromotionoandoMaintenance
4. Whichoactionoshouldotheonurseotakeowhenoaddressingoolderoadults?
a. Speakoinoanoexaggeratedopitch.
b. Useoaoloweroqualityoofospeech.
c. Useoendearingotermsosuchoaso“honey.”
d. Speakoclearly.
ANS:o D
Someohealthoprofessionalsodemonstrateoageism,oinopartobecauseoprovidersotendotooseeomanyofrail
,oolderopersonsoandofeweroofothoseowhooareohealthyoandoactive.oProvidersoshouldonotoassumeotha
toalloolderoadultsoareohearingooromentallyoimpaired.oTheomostoappropriateoaction
whenoaddressingoanoolderoaduNltUwRoS
ulI
dNbeGtT
ooBs p.e aCkOcM
l e a r l y . oExamplesoofounintentionaloageismoi
nolanguageoareoanoexaggeratedopitch,oaodemeaningoemotionalotone,oandoaoloweroqualityoof
speech.
PTS:o o 1 DIF: Apply REF:o o p.o15
TOP:o NursingoProcess:oAssessment MSC:o HealthoPromotionoandoMaintenance
5. Theonurseopreparesoanoolderowoman,owhooisoPolish,oforodischargeothroughoanointerpreteroandon
otesothatosheobecomesotenseoduringotheoinstructionsoaboutoelimination.oWhichointerventionosh
ouldotheonurseoimplement?
a. Moveoonotootheodiscussionoaboutomedication.
b. Askotheoolderowomanohowosheofeelsoaboutothisotopic.
c. Instructotheointerpreterotoorepeatotheoinstructions.
d. Haveotheoolderowomanorepeatotheoinstructionsoforoclarity.
ANS:o B
Whenoworkingowithoanointerpreter,otheonurseocloselyowatchesotheoolderoadultoforononverbalocom
municationoandoemotionoregardingoaospecificotopicoandothereforeovalidatesotheoassessmentoabout
otheoolderoadult’sotension obeforeoproceeding.oBecauseotheonurseonoticesoherotension,otheonurseote
mporarilyosuspendsotheopreparationotoovalidateoheroassessment.oIfotheonurseoproceedsoandotheoold
eroadultoisouncomfortableodiscussingoelimination,othenoimportantoinstructionsocanobeomissed,olea
dingotooadverseoeffectsoforotheoolderoadult.oRepeatingotheoinstructionsocanoaggravateotheoolderoad
ult’sodiscomfort.oInstructingotheoolderoadultotoorepeatotheonurse’soinstructionoignoresoheroneeds.
NURSINGTB.COM
,Chapter 01: Introduction to Healthy Aging
o o o o o
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
o o o o o o o o o o o o
MULTIPLEoCHOICE
1. Aomanoisoterminallyoillowithoend-
stageoprostateocancer.oWhichoisotheobestostatementoaboutothisoman’sowellness?
a. Wellnessocanoonlyobeoachievedowithoaggressiveomedicalointerventions.
b. Wellnessoisonotoaorealooptionoforothisoclientobecauseoheoisoterminallyoill.
c. Wellnessoisodefinedoasotheoabsenceoofodisease.
d. Nursingointerventionsocanohelpoempoweroaoclientotooachieveoaohigheroleveloofo
wellness.
ANS:o D
Nursingointerventionsocanohelpoempoweroaoclientotooachieveoaohigheroleveloofowellness;oaonurseoc
anofosterowellnessoinohisooroheroclients.oWellnessoisodefinedobyotheoindividualoandoisomultidimens
ional.oItoisonotojustotheoabsenceoofodisease.oAowellnessoperspectiveoisobasedoonotheobeliefothatoeve
ryopersonohasoanooptimaloleveloofohealthoindependentoofohisooroherosituationoorofunctionalolevel.o
Evenoinotheopresenceoofochronicoillnessoorowhileodying,oaomovementotowardowellnessoisopossible
oifoemphasisoofocareoisoplacedoonotheopromotionoofowell-beingoinoaosupportiveoenvironment.
PTS:o 1 DIF: Apply REF:o p.o7
TOP:o NursingoProcess:oDiagnosisoMSC:o HealthoPromotionoandoMaintenance
2. InodifferentiatingobetweenohealU
N R I G B.C M
th aS
nd wNellnTess in hOealthocare,owhichoofotheofollowingo
statementsoisotrue?
a. Healthoisoaobroadotermoencompassingoattitudesoandobehaviors.
b. Theoconceptoofoillnessopreventionowasoneveroconsideredobyopreviousogenerations.
c. Wellnessoandoself-actualizationodevelopothrougholearningoandogrowth.
d. Wellnessoisoimpossibleowhenoone’sohealthoisocompromised.
ANS:o A
Healthoisoaobroadotermothatoencompassesoattitudesoandobehaviors;oholistically,ohealthoincludesow
ellness,owhichoinvolvesoone’sowholeobeing.oTheoconceptoofoillnessopreventionowasoneveroconsid
eredobyopreviousogenerations;othroughoutohistory,obasicoself-
careorequirementsohaveobeenorecognized.oWellnessoandoself-
actualizationodevelopothrougholearningoandogrowth—
asobasiconeedsoareomet,ohigheroleveloneedsocanobeosatisfiedoinoturn,owithoever-
deepeningorichnessotoolife.oWellnessoisopossibleowhenoone’sohealthoisocompromised—
evenowithochronicoillness,owithomultipleodisabilities,ooroinodying,omovementotowardoaohigherolev
eloofowellnessoisopossible.
PTS:o 1 DIF: Understand REF:o p.o7
TOP:o NursingoProcess:oEvaluationoMSC:o HealthoPromotionoandoMaintenance
3. WhichoracialooroethnicogroupohasotheohighestolifeoexpectancyoinotheoUnitedoStates?
a. NativeoAmericans
b. AfricanoAmericans
c. HispanicoAmericans
d. AsianoandoPacificoIslandoAmericans
NURSINGTB.COM
, EbersoleoandoHess'oGerontologicaloNursingoandoHealthyoAgingo5thoEditionoTouhyoTestoBank
Chapter 02: Cross-Cultural Caring and Aging
o o o o o
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
o o o o o o o o o o o o
MULTIPLEoCHOICE
1. Whichoofotheofollowingoisoaotrueostatementoaboutodifferingohealthobeliefosystems?
a. PersonalisticooromagicoreligiousobeliefsohaveobeenosupersededoinoWesternomindsobyo
biomedicaloprinciples.
b. Inomostocultures,oolderoadultsoareolikelyotootreatothemselvesousingotraditionalo
methodsobeforeoturningotoobiomedicaloprofessionals.
c. AyurvedicomedicineoisoanotheronameoforotraditionaloChineseomedicine.
d. Theobeliefothatohealthodependsoonomaintainingoaobalanceoamongooppositeoqualitiesoi
socharacteristicoofoaomagicoreligiousobeliefosystem.
ANS:o B
Olderoadultsoinomostoculturesousuallyohaveohadoexperienceowithotraditionalomethodsothatohaveow
orkedoasowelloasoexpected.oAfterotheseotreatmentsofail,oolderoadultsoturnotootheoformalohealthocare
osystem.oEvenoinotheoUnitedoStates,oitoisocommon oforoolderoadultsotooprayoforocuresoorowonderow
hatotheyodidotooincuroanoillnessoasopunishment.oTheoAyurvedicosystemoisoaonaturalisticohealthobe
liefosystemopracticedoinoIndiaoandoinosomeoneighboringocountries.oThisobeliefoisocharacteristicoo
foaoholisticooronaturalisticoapproach.
PTS:o o 1 DIF: Understand REF:o o p.o16-17
TOP:o NursingoProcess:oAssessment MSC:o HealthoPromotionoandoMaintenance
N R I G B. C M
2. WhichoofotheofollowingoconsideUratiS
onsNis m
Tost likO
elyotoobeotrueowhenoworkingowithoanoi
nterpreter?
a. Anointerpreteroisoneveroneededoifotheonurseospeaksotheosameolanguageoasotheopatient.
b. Whenoworkingowithointerpreters,otheonurseocanouseotechnicalotermsoorometaphors.
c. Aopatient’soyoungogranddaughterowhoospeaksofluentoEnglishowouldomakeotheobestoi
nterpreterobecauseosheoisofamiliarowithoandolovesotheopatient.
d. Theonurseoshouldofaceotheopatientoratherothanotheointerpreter.
ANS:o D
Theonurseoshouldofaceotheopatientoratherothanotheointerpreteroisoaotrueostatement;otheointentoisotooc
onverseowithotheopatient,onotowithoaothirdopartyoaboutotheopatient.oManyoreasonsomayopreventoth
eopatientofromospeakingodirectlyotooaonurse.oTechnicalotermsoandometaphorsomayobeodifficultooroi
mpossibleotootranslate.oCulturalorestrictionsomayopreventosomeotopicsofromobeingospokenoofotooao
grandparentoorochild.
PTS:o o 1 DIF:o o Understando o REF:o o p.o18-19
TOP:o NursingoProcess:oImplementationo o MSC:o Safe,oEffectiveoCareoEnvironment
3. AnoolderoadultowhooisoaotraditionaloChineseomanohasoaobloodopressureoofo80/54ommoHgoandorefus
esotooremainoinotheobed.oWhichointerventionoshouldotheonurseouseotoopromoteoandomaintainohisohe
alth?
a. Haveotheohealthocareoproviderospeakotoohim.
b. Useoprinciplesoofotheoholisticohealthosystem.
c. Askoaboutohisoperceptionsoandotreatmentoideas.
NURSINGTB.COM
, EbersoleoandoHess'oGerontologicaloNursingoandoHealthyoAgingo5thoEditionoTouhyoTestoBank
d. ConsultowithoaopractitioneroofoChineseomedicine.
ANS:o C
UsingotheoLEARNomodelo(listenowithosympathyotootheopatient’soperceptionoofotheoproblem,oexpl
ainoyouroperceptionoofotheoproblem,oacknowledgeotheodifferencesoandosimilarities,orecommendo
treatment,oandonegotiateoagreement),otheonurseogathersoinformationofromotheopatientoaboutocultu
ralobeliefsoconcerningohealthocareoandoavoidsostereotypingotheopatient.oInotheoassessment,otheonur
seodeterminesowhatotheopatientobelievesoaboutocaregiving,odecisionomaking,otreatment,oandoother
opertinentohealth-
relatedoinformation.oSpeakingowithotheohealthocareoprovideroisoprematureountilotheoassessmentois
ocomplete.oUnlessoheoacceptsotheobeliefs,oprinciples oofotheoholisticohealthosystemocanobeopotentia
llyounsuitableoandoinsultingoforothisopatient.oUnlessoheoacceptsotheotreatments,oconsultingowithoao
practitioneroofoChineseomedicineocanoalsoobeounsuitableoandoinsultingoforothisopatient.
PTS:o o 1 DIF: Apply REF:o o p.o18
TOP:o NursingoProcess:oImplementation MSC:o HealthoPromotionoandoMaintenance
4. Whichoactionoshouldotheonurseotakeowhenoaddressingoolderoadults?
a. Speakoinoanoexaggeratedopitch.
b. Useoaoloweroqualityoofospeech.
c. Useoendearingotermsosuchoaso“honey.”
d. Speakoclearly.
ANS:o D
Someohealthoprofessionalsodemonstrateoageism,oinopartobecauseoprovidersotendotooseeomanyofrail
,oolderopersonsoandofeweroofothoseowhooareohealthyoandoactive.oProvidersoshouldonotoassumeotha
toalloolderoadultsoareohearingooromentallyoimpaired.oTheomostoappropriateoaction
whenoaddressingoanoolderoaduNltUwRoS
ulI
dNbeGtT
ooBs p.e aCkOcM
l e a r l y . oExamplesoofounintentionaloageismoi
nolanguageoareoanoexaggeratedopitch,oaodemeaningoemotionalotone,oandoaoloweroqualityoof
speech.
PTS:o o 1 DIF: Apply REF:o o p.o15
TOP:o NursingoProcess:oAssessment MSC:o HealthoPromotionoandoMaintenance
5. Theonurseopreparesoanoolderowoman,owhooisoPolish,oforodischargeothroughoanointerpreteroandon
otesothatosheobecomesotenseoduringotheoinstructionsoaboutoelimination.oWhichointerventionosh
ouldotheonurseoimplement?
a. Moveoonotootheodiscussionoaboutomedication.
b. Askotheoolderowomanohowosheofeelsoaboutothisotopic.
c. Instructotheointerpreterotoorepeatotheoinstructions.
d. Haveotheoolderowomanorepeatotheoinstructionsoforoclarity.
ANS:o B
Whenoworkingowithoanointerpreter,otheonurseocloselyowatchesotheoolderoadultoforononverbalocom
municationoandoemotionoregardingoaospecificotopicoandothereforeovalidatesotheoassessmentoabout
otheoolderoadult’sotension obeforeoproceeding.oBecauseotheonurseonoticesoherotension,otheonurseote
mporarilyosuspendsotheopreparationotoovalidateoheroassessment.oIfotheonurseoproceedsoandotheoold
eroadultoisouncomfortableodiscussingoelimination,othenoimportantoinstructionsocanobeomissed,olea
dingotooadverseoeffectsoforotheoolderoadult.oRepeatingotheoinstructionsocanoaggravateotheoolderoad
ult’sodiscomfort.oInstructingotheoolderoadultotoorepeatotheonurse’soinstructionoignoresoheroneeds.
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