Test Bank Ebersole and Hess’ Gerontological Nursing & Health
|\ |\ |\ |\ |\ |\ |\ |\
|\ Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapt
| \ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1-28. |\
,Chapter 01: Introduction to Healthy Aging
|\ |\ |\ |\ |\
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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
|\ |\ | \ |\ |\ |\
2. In differentiating between healU
|\ t h anSd w
NellnTess in hOealth care, which of the following |\ |\
N R I G B.C M |\ |\ |\ |\ |\
|\ 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 |\ |\ |\ |\
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Chapter 02: Cross-Cultural Caring and Aging
|\ |\ |\ |\ |\
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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 consideUratiS
onsNis m
Tost likO
ely to be true when working with an
|\ |\ |\ |\
N R I G B.C M |\ |\ |\ |\ |\ |\ |\
|\ 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. |\ |\ |\ |\ |\ |\
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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. 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 addressingan olderaduNltUwRoS
|\ ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examples ofunintentionalageismin |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ | \ |\ |\ |\ |\
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 | \ |\ |\ |\
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
notes that she becomes tense during the instructions about elimination. Which intervention
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse implement?
|\ |\ |\ |\
a. Move on to the discussion about medication. |\ |\ |\ |\ |\ |\
b. Ask the older woman how she feels about this topic.
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Instruct the interpreter to repeat the instructions. |\ |\ |\ |\ |\ |\
d. Have the older woman repeat the instructions for clarity.
|\ |\ |\ |\ |\ |\ |\ |\
ANS: | \ B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communication and emotion regarding a specific topic and therefore validates the assessment
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the older adult is uncomfortable discussing elimination, then important instructions can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ignores her needs.
|\ |\ |\
NURSINGTB.COM
|\ |\ |\ |\ |\ |\ |\ |\
|\ Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapt
| \ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
1-28. |\
,Chapter 01: Introduction to Healthy Aging
|\ |\ |\ |\ |\
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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
|\ |\ | \ |\ |\ |\
2. In differentiating between healU
|\ t h anSd w
NellnTess in hOealth care, which of the following |\ |\
N R I G B.C M |\ |\ |\ |\ |\
|\ 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 |\ |\ |\ |\
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Chapter 02: Cross-Cultural Caring and Aging
|\ |\ |\ |\ |\
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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 consideUratiS
onsNis m
Tost likO
ely to be true when working with an
|\ |\ |\ |\
N R I G B.C M |\ |\ |\ |\ |\ |\ |\
|\ 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. |\ |\ |\ |\ |\ |\
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
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. 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 addressingan olderaduNltUwRoS
|\ ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examples ofunintentionalageismin |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ | \ |\ |\ |\ |\
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 | \ |\ |\ |\
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
notes that she becomes tense during the instructions about elimination. Which intervention
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse implement?
|\ |\ |\ |\
a. Move on to the discussion about medication. |\ |\ |\ |\ |\ |\
b. Ask the older woman how she feels about this topic.
|\ |\ |\ |\ |\ |\ |\ |\ |\
c. Instruct the interpreter to repeat the instructions. |\ |\ |\ |\ |\ |\
d. Have the older woman repeat the instructions for clarity.
|\ |\ |\ |\ |\ |\ |\ |\
ANS: | \ B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
communication and emotion regarding a specific topic and therefore validates the assessment
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
and the older adult is uncomfortable discussing elimination, then important instructions can be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ignores her needs.
|\ |\ |\
NURSINGTB.COM
