Test Bank Ebersole and Hess’ Gerontological Nursing & Health
Aging 5th 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, 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
N R I G B.C M
2. In differentiating between healU
th 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.
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 cof cthe cfollowing cis ca ctrue cstatement cabout cdiffering chealth cbelief csystems?
a. Personalistic cor cmagicoreligious cbeliefs chave cbeen csuperseded cin cWestern cminds cby
cbiomedical cprinciples.
b. In cmost ccultures, colder cadults care clikely cto ctreat cthemselves cusing ctraditional
cmethods cbefore cturning cto cbiomedical cprofessionals.
c. Ayurvedic cmedicine cis canother cname cfor ctraditional cChinese cmedicine.
d. The cbelief cthat chealth cdepends con cmaintaining ca cbalance camong copposite cqualities
cis ccharacteristic cof ca cmagicoreligious cbelief csystem.
ANS: c B
Older cadults cin cmost ccultures cusually chave chad cexperience cwith ctraditional cmethods cthat chave
cworked cas cwell cas cexpected. cAfter cthese ctreatments cfail, colder cadults cturn cto cthe cformal chealth
ccare csystem. cEven cin cthe cUnited cStates, cit cis ccommon cfor colder cadults cto cpray cfor ccures cor
cwonder cwhat cthey cdid cto cincur can cillness cas cpunishment. cThe cAyurvedic csystem cis ca
cnaturalistic chealth cbelief csystem cpracticed cin cIndia cand cin csome cneighboring ccountries. cThis
cbelief cis ccharacteristic cof ca cholistic cor cnaturalistic capproach.
PTS: c c 1 DIF: Understand REF: c c p. c16-17
TOP: c Nursing cProcess: cAssessment MSC: c Health cPromotion cand cMaintenance
N R I G B .C M
2. Which cof cthe cfollowing cconsideUratiS
onsNis m
Tost likO
ely cto cbe ctrue cwhen cworking cwith
an cinterpreter?
c
a. An cinterpreter cis cnever cneeded cif cthe cnurse cspeaks cthe csame clanguage cas cthe cpatient.
b. When cworking cwith cinterpreters, cthe cnurse ccan cuse ctechnical cterms cor cmetaphors.
c. A cpatient’s cyoung cgranddaughter cwho cspeaks cfluent cEnglish cwould cmake cthe cbest
cinterpreter cbecause cshe cis cfamiliar cwith cand cloves cthe cpatient.
d. The cnurse cshould cface cthe cpatient crather cthan cthe cinterpreter.
ANS: c D
The cnurse cshould cface cthe cpatient crather cthan cthe cinterpreter cis ca ctrue cstatement; cthe cintent cis
cto cconverse cwith cthe cpatient, cnot cwith ca cthird cparty cabout cthe cpatient. cMany creasons cmay
cprevent cthe cpatient cfrom cspeaking cdirectly cto ca cnurse. cTechnical cterms cand cmetaphors cmay
cbe cdifficult cor cimpossible cto ctranslate. cCultural crestrictions cmay cprevent csome ctopics cfrom
cbeing cspoken cof cto ca cgrandparent cor cchild.
PTS: c c 1 DIF: c c Understand c c REF: c c p. c18-19
TOP: c Nursing cProcess: cImplementation c c MSC: c Safe, cEffective cCare cEnvironment
3. An colder cadult cwho cis ca ctraditional cChinese cman chas ca cblood cpressure cof c80/54 cmm cHg cand
crefuses cto cremain cin cthe cbed. cWhich cintervention cshould cthe cnurse cuse cto cpromote cand
cmaintain chis chealth?
a. Have cthe chealth ccare cprovider cspeak cto chim.
b. Use cprinciples cof cthe cholistic chealth csystem.
c. Ask cabout chis cperceptions cand ctreatment cideas.
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
d. Consult cwith ca cpractitioner cof cChinese cmedicine.
ANS: c C
Using cthe cLEARN cmodel c(listen cwith csympathy cto cthe cpatient’s cperception cof cthe cproblem,
cexplain cyour cperception cof cthe cproblem, cacknowledge cthe cdifferences cand csimilarities,
crecommend ctreatment, cand cnegotiate cagreement), cthe cnurse cgathers cinformation cfrom cthe
cpatient cabout ccultural cbeliefs cconcerning chealth ccare cand cavoids cstereotyping cthe cpatient. cIn
cthe cassessment, cthe cnurse cdetermines cwhat cthe cpatient cbelieves cabout ccaregiving, cdecision
cmaking, ctreatment, cand cother cpertinent chealth-related cinformation. cSpeaking cwith cthe chealth
ccare cprovider cis cpremature cuntil cthe cassessment cis ccomplete. cUnless che caccepts cthe cbeliefs,
cprinciples cof cthe cholistic chealth csystem ccan cbe cpotentially cunsuitable cand cinsulting cfor cthis
cpatient. cUnless che caccepts cthe ctreatments, cconsulting cwith ca cpractitioner cof cChinese cmedicine
ccan calso cbe cunsuitable cand cinsulting cfor cthis cpatient.
PTS: c c 1 DIF: Apply REF: c c p. c18
TOP: c Nursing cProcess: cImplementation MSC: c Health cPromotion cand cMaintenance
4. Which caction cshould cthe cnurse ctake cwhen caddressing colder cadults?
a. Speak cin can cexaggerated cpitch.
b. Use ca clower cquality cof cspeech.
c. Use cendearing cterms csuch cas c“honey.”
d. Speak cclearly.
ANS: c D
Some chealth cprofessionals cdemonstrate cageism, cin cpart cbecause cproviders ctend cto csee cmany
cfrail, colder cpersons cand cfewer cof cthose cwho care chealthy cand cactive. cProviders cshould cnot
cassume cthat call colder cadults care chearing cor cmentally cimpaired. cThe cmost cappropriate caction
when caddressing can colder caduNltUwRoS
ulI
dNbeGtT
ocBs p.e aCkOcM
l e a r l y . cExamples cof cunintentional cageism
cin clanguage care can cexaggerated cpitch, ca cdemeaning cemotional ctone, cand ca clower cquality cof
speech.
PTS: c c 1 DIF: Apply REF: c c p. c15
TOP: c Nursing cProcess: cAssessment MSC: c Health cPromotion cand cMaintenance
5. The cnurse cprepares can colder cwoman, cwho cis cPolish, cfor cdischarge cthrough can cinterpreter
and cnotes cthat cshe cbecomes ctense cduring cthe cinstructions cabout celimination. cWhich
c
intervention cshould cthe cnurse cimplement?
c
a. Move con cto cthe cdiscussion cabout cmedication.
b. Ask cthe colder cwoman chow cshe cfeels cabout cthis ctopic.
c. Instruct cthe cinterpreter cto crepeat cthe cinstructions.
d. Have cthe colder cwoman crepeat cthe cinstructions cfor cclarity.
ANS: c B
When cworking cwith can cinterpreter, cthe cnurse cclosely cwatches cthe colder cadult cfor cnonverbal
ccommunication cand cemotion cregarding ca cspecific ctopic cand ctherefore cvalidates cthe
cassessment cabout cthe colder cadult’s ctension cbefore cproceeding. cBecause cthe cnurse cnotices cher
ctension, cthe cnurse ctemporarily csuspends cthe cpreparation cto cvalidate cher cassessment. cIf cthe
cnurse cproceeds cand cthe colder cadult cis cuncomfortable cdiscussing celimination, cthen cimportant
cinstructions ccan cbe cmissed, cleading cto cadverse ceffects cfor cthe colder cadult. cRepeating cthe
cinstructions ccan caggravate cthe colder cadult’s cdiscomfort. cInstructing cthe colder cadult cto crepeat
cthe cnurse’s cinstruction cignores cher cneeds.
NURSINGTB.COM
Aging 5th 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, 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
N R I G B.C M
2. In differentiating between healU
th 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.
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 cof cthe cfollowing cis ca ctrue cstatement cabout cdiffering chealth cbelief csystems?
a. Personalistic cor cmagicoreligious cbeliefs chave cbeen csuperseded cin cWestern cminds cby
cbiomedical cprinciples.
b. In cmost ccultures, colder cadults care clikely cto ctreat cthemselves cusing ctraditional
cmethods cbefore cturning cto cbiomedical cprofessionals.
c. Ayurvedic cmedicine cis canother cname cfor ctraditional cChinese cmedicine.
d. The cbelief cthat chealth cdepends con cmaintaining ca cbalance camong copposite cqualities
cis ccharacteristic cof ca cmagicoreligious cbelief csystem.
ANS: c B
Older cadults cin cmost ccultures cusually chave chad cexperience cwith ctraditional cmethods cthat chave
cworked cas cwell cas cexpected. cAfter cthese ctreatments cfail, colder cadults cturn cto cthe cformal chealth
ccare csystem. cEven cin cthe cUnited cStates, cit cis ccommon cfor colder cadults cto cpray cfor ccures cor
cwonder cwhat cthey cdid cto cincur can cillness cas cpunishment. cThe cAyurvedic csystem cis ca
cnaturalistic chealth cbelief csystem cpracticed cin cIndia cand cin csome cneighboring ccountries. cThis
cbelief cis ccharacteristic cof ca cholistic cor cnaturalistic capproach.
PTS: c c 1 DIF: Understand REF: c c p. c16-17
TOP: c Nursing cProcess: cAssessment MSC: c Health cPromotion cand cMaintenance
N R I G B .C M
2. Which cof cthe cfollowing cconsideUratiS
onsNis m
Tost likO
ely cto cbe ctrue cwhen cworking cwith
an cinterpreter?
c
a. An cinterpreter cis cnever cneeded cif cthe cnurse cspeaks cthe csame clanguage cas cthe cpatient.
b. When cworking cwith cinterpreters, cthe cnurse ccan cuse ctechnical cterms cor cmetaphors.
c. A cpatient’s cyoung cgranddaughter cwho cspeaks cfluent cEnglish cwould cmake cthe cbest
cinterpreter cbecause cshe cis cfamiliar cwith cand cloves cthe cpatient.
d. The cnurse cshould cface cthe cpatient crather cthan cthe cinterpreter.
ANS: c D
The cnurse cshould cface cthe cpatient crather cthan cthe cinterpreter cis ca ctrue cstatement; cthe cintent cis
cto cconverse cwith cthe cpatient, cnot cwith ca cthird cparty cabout cthe cpatient. cMany creasons cmay
cprevent cthe cpatient cfrom cspeaking cdirectly cto ca cnurse. cTechnical cterms cand cmetaphors cmay
cbe cdifficult cor cimpossible cto ctranslate. cCultural crestrictions cmay cprevent csome ctopics cfrom
cbeing cspoken cof cto ca cgrandparent cor cchild.
PTS: c c 1 DIF: c c Understand c c REF: c c p. c18-19
TOP: c Nursing cProcess: cImplementation c c MSC: c Safe, cEffective cCare cEnvironment
3. An colder cadult cwho cis ca ctraditional cChinese cman chas ca cblood cpressure cof c80/54 cmm cHg cand
crefuses cto cremain cin cthe cbed. cWhich cintervention cshould cthe cnurse cuse cto cpromote cand
cmaintain chis chealth?
a. Have cthe chealth ccare cprovider cspeak cto chim.
b. Use cprinciples cof cthe cholistic chealth csystem.
c. Ask cabout chis cperceptions cand ctreatment cideas.
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
d. Consult cwith ca cpractitioner cof cChinese cmedicine.
ANS: c C
Using cthe cLEARN cmodel c(listen cwith csympathy cto cthe cpatient’s cperception cof cthe cproblem,
cexplain cyour cperception cof cthe cproblem, cacknowledge cthe cdifferences cand csimilarities,
crecommend ctreatment, cand cnegotiate cagreement), cthe cnurse cgathers cinformation cfrom cthe
cpatient cabout ccultural cbeliefs cconcerning chealth ccare cand cavoids cstereotyping cthe cpatient. cIn
cthe cassessment, cthe cnurse cdetermines cwhat cthe cpatient cbelieves cabout ccaregiving, cdecision
cmaking, ctreatment, cand cother cpertinent chealth-related cinformation. cSpeaking cwith cthe chealth
ccare cprovider cis cpremature cuntil cthe cassessment cis ccomplete. cUnless che caccepts cthe cbeliefs,
cprinciples cof cthe cholistic chealth csystem ccan cbe cpotentially cunsuitable cand cinsulting cfor cthis
cpatient. cUnless che caccepts cthe ctreatments, cconsulting cwith ca cpractitioner cof cChinese cmedicine
ccan calso cbe cunsuitable cand cinsulting cfor cthis cpatient.
PTS: c c 1 DIF: Apply REF: c c p. c18
TOP: c Nursing cProcess: cImplementation MSC: c Health cPromotion cand cMaintenance
4. Which caction cshould cthe cnurse ctake cwhen caddressing colder cadults?
a. Speak cin can cexaggerated cpitch.
b. Use ca clower cquality cof cspeech.
c. Use cendearing cterms csuch cas c“honey.”
d. Speak cclearly.
ANS: c D
Some chealth cprofessionals cdemonstrate cageism, cin cpart cbecause cproviders ctend cto csee cmany
cfrail, colder cpersons cand cfewer cof cthose cwho care chealthy cand cactive. cProviders cshould cnot
cassume cthat call colder cadults care chearing cor cmentally cimpaired. cThe cmost cappropriate caction
when caddressing can colder caduNltUwRoS
ulI
dNbeGtT
ocBs p.e aCkOcM
l e a r l y . cExamples cof cunintentional cageism
cin clanguage care can cexaggerated cpitch, ca cdemeaning cemotional ctone, cand ca clower cquality cof
speech.
PTS: c c 1 DIF: Apply REF: c c p. c15
TOP: c Nursing cProcess: cAssessment MSC: c Health cPromotion cand cMaintenance
5. The cnurse cprepares can colder cwoman, cwho cis cPolish, cfor cdischarge cthrough can cinterpreter
and cnotes cthat cshe cbecomes ctense cduring cthe cinstructions cabout celimination. cWhich
c
intervention cshould cthe cnurse cimplement?
c
a. Move con cto cthe cdiscussion cabout cmedication.
b. Ask cthe colder cwoman chow cshe cfeels cabout cthis ctopic.
c. Instruct cthe cinterpreter cto crepeat cthe cinstructions.
d. Have cthe colder cwoman crepeat cthe cinstructions cfor cclarity.
ANS: c B
When cworking cwith can cinterpreter, cthe cnurse cclosely cwatches cthe colder cadult cfor cnonverbal
ccommunication cand cemotion cregarding ca cspecific ctopic cand ctherefore cvalidates cthe
cassessment cabout cthe colder cadult’s ctension cbefore cproceeding. cBecause cthe cnurse cnotices cher
ctension, cthe cnurse ctemporarily csuspends cthe cpreparation cto cvalidate cher cassessment. cIf cthe
cnurse cproceeds cand cthe colder cadult cis cuncomfortable cdiscussing celimination, cthen cimportant
cinstructions ccan cbe cmissed, cleading cto cadverse ceffects cfor cthe colder cadult. cRepeating cthe
cinstructions ccan caggravate cthe colder cadult’s cdiscomfort. cInstructing cthe colder cadult cto crepeat
cthe cnurse’s cinstruction cignores cher cneeds.
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