TESTBANK x
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
x x x x x x x x x
Veronique Boscart
x
3RD xEdition
TESTBANK x
,Chapter x01: xIntroduction xto xHealthy xAging
Touhy x& xJett: xEbersole xand xHess’ xGerontological xNursing x& xHealthy xAging,
x3rdxEdition
MULTIPLE xCHOICE
1. A xman xis xterminally xill xwith xend-stage xprostate xcancer. xWhich xis xthe xbest xstatement
xabout xthisxman’s xwellness?
a. Wellness xcan xonly xbe xachieved xwith xaggressive xmedical xinterventions.
b. Wellness xis xnot xa xreal xoption xfor xthis xclient xbecause xhe xis xterminally xill.
c. Wellness xis xdefined xas xthe xabsence xof xdisease.
d. Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher
xlevel xofx
wellness.
ANS: x D
Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher xlevel xof xwellness; xa
xnursexcan xfoster xwellness xin xhis xor xher xclients. xWellness xis xdefined xby xthe xindividual xand
xis xmultidimensional. xIt xis xnot xjust xthe xabsence xof xdisease. xA xwellness xperspective xis
xbased xon xthe xbelief xthat xevery xperson xhas xan xoptimal xlevel xof xhealth xindependent xof xhis
xor xher xsituation xor xfunctional xlevel. xEven xin xthe xpresence xof xchronic xillness xor xwhile
xdying, xa xmovement xtoward xwellness xis xpossible xif xemphasis xof xcare xis xplaced xon xthe
xpromotion xof xwell-being xin xa xsupportive xenvironment.
PTS: x x x 1 DIF: Apply REF: x x x p. x7 TOP: x Nursing xProcess:
xDiagnosisx MSC: x Health xPromotion xand xMaintenance
2. In xdifferentiating xbetween xhealth xand xwellness xin xhealth xcare, xwhich xof xthe
followingxstatements xis xtrue?
x
a. Health xis xa xbroad xterm xencompassing xattitudes xand xbehaviors.
b. The xconcept xof xillness xprevention xwas xnever xconsidered xby xprevious xgenerations.
c. Wellness xand xself-actualization xdevelop xthrough xlearning xand xgrowth.
d. Wellness xis ximpossible xwhen xone’s xhealth xis xcompromised.
ANS: x A
Health xis xa xbroad xterm xthat xencompasses xattitudes xand xbehaviors; xholistically, xhealth
xincludes xwellness, xwhich xinvolves xone’s xwhole xbeing. xThe xconcept xof xillness xprevention
xwas xnever xconsidered xby xprevious xgenerations; xthroughout xhistory, xbasic xself-care
xrequirements xhave xbeen xrecognized. xWellness xand xself-actualization xdevelop xthrough
xlearning xand xgrowth—as xbasic xneeds xare xmet, xhigher xlevel xneeds xcan xbe xsatisfied xin
xturn, xwith xever-deepening xrichness xto xlife. xWellness xis xpossible xwhen xone’s xhealth xis
xcompromised—even xwith xchronic xillness, xwith xmultiple xdisabilities, xor xin xdying,
xmovement xtoward xa xhigher xlevel xof xwellness xis xpossible.
PTS: x x x 1 DIF: Understand REF: x x x p. x7 TOP: x Nursing xProcess:
xEvaluationx MSC: x Health xPromotion xand xMaintenance
3. Which xracial xor xethnic xgroup xhas xthe xhighest xlife xexpectancy xin xthe xUnited xStates?
a. Native xAmericans
b. African xAmericans
c. Hispanic xAmericans
d. Asian xand xPacific xIsland xAmericans
, Chapter 02: Cross-Cultural Caring and Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
x x x x x x x x x x
3rdEdition
x x
MULTIPLE xCHOICE
1. Which xof xthe xfollowing xis xa xtrue xstatement xabout xdiffering xhealth xbelief xsystems?
a. Personalistic xor xmagicoreligious xbeliefs xhave xbeen xsuperseded xin xWestern xminds
x byxbiomedical xprinciples.
b. In xmost xcultures, xolder xadults xare xlikely xto xtreat xthemselves xusing
x traditionalxmethods xbefore xturning xto xbiomedical xprofessionals.
c. Ayurvedic xmedicine xis xanother xname xfor xtraditional xChinese xmedicine.
d. The xbelief xthat xhealth xdepends xon xmaintaining xa xbalance xamong xopposite
x qualitiesxis xcharacteristic xof xa xmagicoreligious xbelief xsystem.
ANS: x B
Older xadults xin xmost xcultures xusually xhave xhad xexperience xwith xtraditional xmethods xthat
xhavexworked xas xwell xas xexpected. xAfter xthese xtreatments xfail, xolder xadults xturn xto xthe
xformal xhealthxcare xsystem. xEven xin xthe xUnited xStates, xit xis xcommon xfor xolder xadults xto
xpray xfor xcures xor xwonder xwhat xthey xdid xto xincur xan xillness xas xpunishment. xThe
xAyurvedic xsystem xis xa xnaturalistic xhealth xbelief xsystem xpracticed xin xIndia xand xin xsome
xneighboring xcountries. xThis xbelief xis xcharacteristic xof xa xholistic xor xnaturalistic xapproach.
PTS: x x x 1 DIF: Understand REF: x p. x16-17
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
2. Which xof xthe xfollowing x considU
eratiS
N R I G B. C M
onsNis m
Tost xlikO
ely xto xbe xtrue xwhen x working
x with xan xinterpreter?
a. An xinterpreter xis xnever xneeded xif xthe xnurse xspeaks xthe xsame xlanguage xas xthe x patient.
b. When xworking xwith xinterpreters, xthe xnurse xcan xuse xtechnical xterms xor xmetaphors.
c. A xpatient’s xyoung xgranddaughter xwho xspeaks xfluent xEnglish xwould xmake xthe
bestxinterpreter xbecause xshe xis xfamiliar xwith xand xloves xthe xpatient.
x
d. The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter.
ANS: x D
The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter xis xa xtrue xstatement; xthe
xintent xis xto x
converse xwith xthe xpatient, xnot xwith xa xthird xparty xabout xthe xpatient. xMany
xreasons xmay xprevent xthe xpatient xfrom xspeaking xdirectly xto xa xnurse. xTechnical xterms xand
xmetaphors xmay xbe xdifficult xor ximpossible xto xtranslate. xCultural xrestrictions xmay xprevent
xsome xtopics xfrom xbeing xspoken xofxto xa xgrandparent xor xchild.
PTS: x x x 1 DIF: x x x Understand x x x REF: x x xp. x18-19
TOP: x Nursing xProcess: xImplementation x x x MSC: x Safe, xEffective xCare xEnvironment
3. An xolder xadult xwho xis xa xtraditional xChinese xman xhas xa xblood xpressure xof x80/54 xmm xHg
xand xrefuses xto xremain xin xthe xbed. xWhich xintervention xshould xthe xnurse xuse xto xpromote
xand xmaintainx his xhealth?
a. Have xthe xhealth xcare xprovider xspeak xto xhim.
b. Use xprinciples xof xthe xholistic xhealth xsystem.
c. Ask xabout xhis xperceptions xand xtreatment xideas.
, d. Consult xwith xa xpractitioner xof xChinese xmedicine.
ANS: x C
Using xthe xLEARN xmodel x(listen xwith xsympathy xto xthe xpatient’s xperception xof xthe
xproblem, xexplain xyour xperception xof xthe xproblem, xacknowledge xthe xdifferences xand
xsimilarities, xrecommend xtreatment, xand xnegotiate xagreement), xthe xnurse xgathers
xinformation xfrom xthe xpatient xabout xcultural xbeliefs xconcerning xhealth xcare xand xavoids
xstereotyping xthe xpatient. xIn xthexassessment, xthe xnurse xdetermines xwhat xthe xpatient xbelieves
xabout xcaregiving, xdecision xmaking,xtreatment, xand xother xpertinent xhealth-related
xinformation. xSpeaking xwith xthe xhealth xcare xprovider xis xpremature xuntil xthe xassessment xis
xcomplete. xUnless xhe xaccepts xthe xbeliefs, xprinciples xof xthe xholistic xhealth xsystem xcan xbe
xpotentially xunsuitable xand xinsulting xfor xthis xpatient. xUnless xhe xaccepts xthe xtreatments,
xconsulting xwith xa xpractitioner xof xChinese xmedicine xcan xalso xbe xunsuitable xand xinsulting
xfor xthis xpatient.
PTS: x x x 1 DIF: Apply REF: x p. x18
TOP: x Nursing xProcess: xImplementation MSC: x Health xPromotion xand xMaintenance
4. Which xaction xshould xthe xnurse xtake xwhen xaddressing xolder xadults?
a. Speak xin xan xexaggerated xpitch.
b. Use xa xlower xquality xof xspeech.
c. Use xendearing xterms xsuch xas x“honey.”
d. Speak xclearly.
ANS: x D
Some xhealth xprofessionals xdemonstrate xageism, xin xpart xbecause xproviders xtend xto xsee
xmanyx frail, xolder xpersons xand xfewer xof xthose xwho xare xhealthy xand xactive. xProviders
xshould xnot
assume xthat xall xolder xadults xare xhearing xor xmentally ximpaired. xThe xmost xappropriate
xaction x when xaddressing xan xolder xadu NltUwRoSulIdNbeGtTo Bsp.eC
akOcM
learly. xExamples xof
xunintentional xageism x in xlanguage xare xan xexaggerated xpitch, xa xdemeaning xemotional xtone,
xand xa xlower xquality xof
speech.
PTS: x x x 1 DIF: Apply REF: x p. x15
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
5. The xnurse xprepares xan xolder xwoman, xwho xis xPolish, xfor xdischarge xthrough xan
xinterpreter xandxnotes xthat xshe xbecomes xtense xduring xthe xinstructions xabout xelimination.
xWhich xintervention xshould xthe xnurse ximplement?
a. Move xon xto xthe xdiscussion xabout xmedication.
b. Ask xthe xolder xwoman xhow xshe xfeels xabout xthis xtopic.
c. Instruct xthe xinterpreter xto xrepeat xthe xinstructions.
d. Have xthe xolder xwoman xrepeat xthe xinstructions xfor xclarity.
ANS: x B
When xworking xwith xan xinterpreter, xthe xnurse xclosely xwatches xthe xolder xadult xfor
xnonverbal xcommunication xand xemotion xregarding xa xspecific xtopic xand xtherefore xvalidates
xthe xassessment xabout xthe xolder xadult’s xtension xbefore xproceeding. xBecause xthe xnurse
xnotices xher xtension, xthe xnurse xtemporarily xsuspends xthe xpreparation xto xvalidate xher
xassessment. xIf xthe xnurse xproceeds xand xthe xolder xadult xis xuncomfortable xdiscussing
xelimination, xthen ximportant xinstructions xcan xbexmissed, xleading xto xadverse xeffects xfor xthe
xolder xadult. xRepeating xthe xinstructions xcan xaggravatexthe xolder xadult’s xdiscomfort.
xInstructing xthe xolder x adult x to xrepeat xthe xnurse’s xinstruction xignores xher xneeds.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
x x x x x x x x x
Veronique Boscart
x
3RD xEdition
TESTBANK x
,Chapter x01: xIntroduction xto xHealthy xAging
Touhy x& xJett: xEbersole xand xHess’ xGerontological xNursing x& xHealthy xAging,
x3rdxEdition
MULTIPLE xCHOICE
1. A xman xis xterminally xill xwith xend-stage xprostate xcancer. xWhich xis xthe xbest xstatement
xabout xthisxman’s xwellness?
a. Wellness xcan xonly xbe xachieved xwith xaggressive xmedical xinterventions.
b. Wellness xis xnot xa xreal xoption xfor xthis xclient xbecause xhe xis xterminally xill.
c. Wellness xis xdefined xas xthe xabsence xof xdisease.
d. Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher
xlevel xofx
wellness.
ANS: x D
Nursing xinterventions xcan xhelp xempower xa xclient xto xachieve xa xhigher xlevel xof xwellness; xa
xnursexcan xfoster xwellness xin xhis xor xher xclients. xWellness xis xdefined xby xthe xindividual xand
xis xmultidimensional. xIt xis xnot xjust xthe xabsence xof xdisease. xA xwellness xperspective xis
xbased xon xthe xbelief xthat xevery xperson xhas xan xoptimal xlevel xof xhealth xindependent xof xhis
xor xher xsituation xor xfunctional xlevel. xEven xin xthe xpresence xof xchronic xillness xor xwhile
xdying, xa xmovement xtoward xwellness xis xpossible xif xemphasis xof xcare xis xplaced xon xthe
xpromotion xof xwell-being xin xa xsupportive xenvironment.
PTS: x x x 1 DIF: Apply REF: x x x p. x7 TOP: x Nursing xProcess:
xDiagnosisx MSC: x Health xPromotion xand xMaintenance
2. In xdifferentiating xbetween xhealth xand xwellness xin xhealth xcare, xwhich xof xthe
followingxstatements xis xtrue?
x
a. Health xis xa xbroad xterm xencompassing xattitudes xand xbehaviors.
b. The xconcept xof xillness xprevention xwas xnever xconsidered xby xprevious xgenerations.
c. Wellness xand xself-actualization xdevelop xthrough xlearning xand xgrowth.
d. Wellness xis ximpossible xwhen xone’s xhealth xis xcompromised.
ANS: x A
Health xis xa xbroad xterm xthat xencompasses xattitudes xand xbehaviors; xholistically, xhealth
xincludes xwellness, xwhich xinvolves xone’s xwhole xbeing. xThe xconcept xof xillness xprevention
xwas xnever xconsidered xby xprevious xgenerations; xthroughout xhistory, xbasic xself-care
xrequirements xhave xbeen xrecognized. xWellness xand xself-actualization xdevelop xthrough
xlearning xand xgrowth—as xbasic xneeds xare xmet, xhigher xlevel xneeds xcan xbe xsatisfied xin
xturn, xwith xever-deepening xrichness xto xlife. xWellness xis xpossible xwhen xone’s xhealth xis
xcompromised—even xwith xchronic xillness, xwith xmultiple xdisabilities, xor xin xdying,
xmovement xtoward xa xhigher xlevel xof xwellness xis xpossible.
PTS: x x x 1 DIF: Understand REF: x x x p. x7 TOP: x Nursing xProcess:
xEvaluationx MSC: x Health xPromotion xand xMaintenance
3. Which xracial xor xethnic xgroup xhas xthe xhighest xlife xexpectancy xin xthe xUnited xStates?
a. Native xAmericans
b. African xAmericans
c. Hispanic xAmericans
d. Asian xand xPacific xIsland xAmericans
, Chapter 02: Cross-Cultural Caring and Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
x x x x x x x x x x
3rdEdition
x x
MULTIPLE xCHOICE
1. Which xof xthe xfollowing xis xa xtrue xstatement xabout xdiffering xhealth xbelief xsystems?
a. Personalistic xor xmagicoreligious xbeliefs xhave xbeen xsuperseded xin xWestern xminds
x byxbiomedical xprinciples.
b. In xmost xcultures, xolder xadults xare xlikely xto xtreat xthemselves xusing
x traditionalxmethods xbefore xturning xto xbiomedical xprofessionals.
c. Ayurvedic xmedicine xis xanother xname xfor xtraditional xChinese xmedicine.
d. The xbelief xthat xhealth xdepends xon xmaintaining xa xbalance xamong xopposite
x qualitiesxis xcharacteristic xof xa xmagicoreligious xbelief xsystem.
ANS: x B
Older xadults xin xmost xcultures xusually xhave xhad xexperience xwith xtraditional xmethods xthat
xhavexworked xas xwell xas xexpected. xAfter xthese xtreatments xfail, xolder xadults xturn xto xthe
xformal xhealthxcare xsystem. xEven xin xthe xUnited xStates, xit xis xcommon xfor xolder xadults xto
xpray xfor xcures xor xwonder xwhat xthey xdid xto xincur xan xillness xas xpunishment. xThe
xAyurvedic xsystem xis xa xnaturalistic xhealth xbelief xsystem xpracticed xin xIndia xand xin xsome
xneighboring xcountries. xThis xbelief xis xcharacteristic xof xa xholistic xor xnaturalistic xapproach.
PTS: x x x 1 DIF: Understand REF: x p. x16-17
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
2. Which xof xthe xfollowing x considU
eratiS
N R I G B. C M
onsNis m
Tost xlikO
ely xto xbe xtrue xwhen x working
x with xan xinterpreter?
a. An xinterpreter xis xnever xneeded xif xthe xnurse xspeaks xthe xsame xlanguage xas xthe x patient.
b. When xworking xwith xinterpreters, xthe xnurse xcan xuse xtechnical xterms xor xmetaphors.
c. A xpatient’s xyoung xgranddaughter xwho xspeaks xfluent xEnglish xwould xmake xthe
bestxinterpreter xbecause xshe xis xfamiliar xwith xand xloves xthe xpatient.
x
d. The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter.
ANS: x D
The xnurse xshould xface xthe xpatient xrather xthan xthe xinterpreter xis xa xtrue xstatement; xthe
xintent xis xto x
converse xwith xthe xpatient, xnot xwith xa xthird xparty xabout xthe xpatient. xMany
xreasons xmay xprevent xthe xpatient xfrom xspeaking xdirectly xto xa xnurse. xTechnical xterms xand
xmetaphors xmay xbe xdifficult xor ximpossible xto xtranslate. xCultural xrestrictions xmay xprevent
xsome xtopics xfrom xbeing xspoken xofxto xa xgrandparent xor xchild.
PTS: x x x 1 DIF: x x x Understand x x x REF: x x xp. x18-19
TOP: x Nursing xProcess: xImplementation x x x MSC: x Safe, xEffective xCare xEnvironment
3. An xolder xadult xwho xis xa xtraditional xChinese xman xhas xa xblood xpressure xof x80/54 xmm xHg
xand xrefuses xto xremain xin xthe xbed. xWhich xintervention xshould xthe xnurse xuse xto xpromote
xand xmaintainx his xhealth?
a. Have xthe xhealth xcare xprovider xspeak xto xhim.
b. Use xprinciples xof xthe xholistic xhealth xsystem.
c. Ask xabout xhis xperceptions xand xtreatment xideas.
, d. Consult xwith xa xpractitioner xof xChinese xmedicine.
ANS: x C
Using xthe xLEARN xmodel x(listen xwith xsympathy xto xthe xpatient’s xperception xof xthe
xproblem, xexplain xyour xperception xof xthe xproblem, xacknowledge xthe xdifferences xand
xsimilarities, xrecommend xtreatment, xand xnegotiate xagreement), xthe xnurse xgathers
xinformation xfrom xthe xpatient xabout xcultural xbeliefs xconcerning xhealth xcare xand xavoids
xstereotyping xthe xpatient. xIn xthexassessment, xthe xnurse xdetermines xwhat xthe xpatient xbelieves
xabout xcaregiving, xdecision xmaking,xtreatment, xand xother xpertinent xhealth-related
xinformation. xSpeaking xwith xthe xhealth xcare xprovider xis xpremature xuntil xthe xassessment xis
xcomplete. xUnless xhe xaccepts xthe xbeliefs, xprinciples xof xthe xholistic xhealth xsystem xcan xbe
xpotentially xunsuitable xand xinsulting xfor xthis xpatient. xUnless xhe xaccepts xthe xtreatments,
xconsulting xwith xa xpractitioner xof xChinese xmedicine xcan xalso xbe xunsuitable xand xinsulting
xfor xthis xpatient.
PTS: x x x 1 DIF: Apply REF: x p. x18
TOP: x Nursing xProcess: xImplementation MSC: x Health xPromotion xand xMaintenance
4. Which xaction xshould xthe xnurse xtake xwhen xaddressing xolder xadults?
a. Speak xin xan xexaggerated xpitch.
b. Use xa xlower xquality xof xspeech.
c. Use xendearing xterms xsuch xas x“honey.”
d. Speak xclearly.
ANS: x D
Some xhealth xprofessionals xdemonstrate xageism, xin xpart xbecause xproviders xtend xto xsee
xmanyx frail, xolder xpersons xand xfewer xof xthose xwho xare xhealthy xand xactive. xProviders
xshould xnot
assume xthat xall xolder xadults xare xhearing xor xmentally ximpaired. xThe xmost xappropriate
xaction x when xaddressing xan xolder xadu NltUwRoSulIdNbeGtTo Bsp.eC
akOcM
learly. xExamples xof
xunintentional xageism x in xlanguage xare xan xexaggerated xpitch, xa xdemeaning xemotional xtone,
xand xa xlower xquality xof
speech.
PTS: x x x 1 DIF: Apply REF: x p. x15
TOP: x Nursing xProcess: xAssessment MSC: x Health xPromotion xand xMaintenance
5. The xnurse xprepares xan xolder xwoman, xwho xis xPolish, xfor xdischarge xthrough xan
xinterpreter xandxnotes xthat xshe xbecomes xtense xduring xthe xinstructions xabout xelimination.
xWhich xintervention xshould xthe xnurse ximplement?
a. Move xon xto xthe xdiscussion xabout xmedication.
b. Ask xthe xolder xwoman xhow xshe xfeels xabout xthis xtopic.
c. Instruct xthe xinterpreter xto xrepeat xthe xinstructions.
d. Have xthe xolder xwoman xrepeat xthe xinstructions xfor xclarity.
ANS: x B
When xworking xwith xan xinterpreter, xthe xnurse xclosely xwatches xthe xolder xadult xfor
xnonverbal xcommunication xand xemotion xregarding xa xspecific xtopic xand xtherefore xvalidates
xthe xassessment xabout xthe xolder xadult’s xtension xbefore xproceeding. xBecause xthe xnurse
xnotices xher xtension, xthe xnurse xtemporarily xsuspends xthe xpreparation xto xvalidate xher
xassessment. xIf xthe xnurse xproceeds xand xthe xolder xadult xis xuncomfortable xdiscussing
xelimination, xthen ximportant xinstructions xcan xbexmissed, xleading xto xadverse xeffects xfor xthe
xolder xadult. xRepeating xthe xinstructions xcan xaggravatexthe xolder xadult’s xdiscomfort.
xInstructing xthe xolder x adult x to xrepeat xthe xnurse’s xinstruction xignores xher xneeds.
