TEST BANK n9
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
n9 n9 n9 n9 n9 n9 n9 n9 n9
Veronique Boscart
n9
3RD Edition
n9
TESTBANK n
9
,Chapter 01: Introduction to Healthy Aging
n9 n9 n9 n9 n9
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ion
MULTIPLE CHOICE n9
1. A man is terminally ill with end-
n9 n9 n9 n9 n9 n9
stage prostate cancer. Which is the best statement about this man‘s wellness?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Wellness can only be achieved with aggressive medical interventions.
n9 n9 n9 n9 n9 n9 n9 n9
b. Wellness is not a real option for this client because he is terminally ill.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Wellness is defined as the absence of disease. n9 n9 n9 n9 n9 n9 n9
d. Nursing interventions can help empower a client to achieve a higher level
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
of wellness. n9
ANS: D n9
Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
se can foster wellness in his or her clients. Wellness is defined by the individual and is mu
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ltidimensional. It is not just the absence of disease. A wellness perspective is based on the
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
belief that every person has an optimal level of health independent of his or her situation o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
r functional level. Even in the presence of chronic illness or while dying, a movement towa
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rd wellness is possible if emphasis of care is placed on the promotion of well-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
being in a supportive environment.
n9 n9 n9 n9
PTS: n 9 1 DIF: Apply REF: p. 7 n 9 n9
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
n9 n9 n9 n9 n 9 n9 n9 n9
e
2. In differentiating between health and wellness in health care, which of the followi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ng statements is true?
n9 n9 n9
a. Health is a broad term encompassing attitudes and behaviors.
n9 n9 n9 n9 n9 n9 n9 n9
b. The concept of illness prevention was never considered by previous generations.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Wellness and self-actualization develop through learning and growth.
n9 n9 n9 n9 n9 n9 n9
d. Wellness is impossible when one‘s health is compromised. n9 n9 n9 n9 n9 n9 n9
ANS: A n9
Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
es wellness, which involves one‘s whole being. The concept of illness prevention was neve
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
r considered by previous generations; throughout history, basic self-
n9 n9 n9 n9 n9 n9 n9 n9
care requirements have been recognized. Wellness and self-
n9 n9 n9 n9 n9 n9 n9
actualization develop through learning and growth— n9 n9 n9 n9 n9
as basic needs are met, higher level needs can be satisfied in turn, with ever-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
deepening richness to life. Wellness is possible when one‘s health is compromised—
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
level of wellness is possible.
n9 n9 n9 n9
PTS: n 9 1 DIF: Understand REF: p. 7 n 9 n9
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
n9 n9 n9 n9 n 9 n9 n9 n9
e
3. Which racial or ethnic group has the highest life expectancy in the United States?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Native Americans n9
b. African Americans n9
c. Hispanic Americans n9
d. Asian and Pacific Island Americans n9 n9 n9 n9
, Chapter 02: Cross-Cultural Caring and Aging
n9 n9 n9 n9 n9
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3r
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d Edition
n9
MULTIPLE CHOICE n9
1. Which of the following is a true statement about differing health belief systems?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Personalistic or magicoreligious beliefs have been superseded in Western minds b n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y biomedical principles.
n9 n9
b. In most cultures, older adults are likely to treat themselves using tradition
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
al methods before turning to biomedical professionals.
n9 n9 n9 n9 n9 n9
c. Ayurvedic medicine is another name for traditional Chinese medicine. n9 n9 n9 n9 n9 n9 n9 n9
d. The belief that health depends on maintaining a balance among opposite qualiti
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
es is characteristic of a magicoreligious belief system.
n9 n9 n9 n9 n9 n9 n9
ANS: B n9
Older adults in most cultures usually have had experience with traditional methods that ha
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ve worked as well as expected. After these treatments fail, older adults turn to the formal
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
health care system. Even in the United States, it is common for older adults to pray for c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ures or wonder what they did to incur an illness as punishment. The Ayurvedic system is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
a naturalistic health belief system practiced in India and in some neighboring countries.
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
This belief is characteristic of a holistic or naturalistic approach.
n9 n9 n9 n9 n9 n9 n9 n9 n9
PTS: n 9 n 9 1 DIF: Understand REF: p. 16-17 n9 n9
TOP: n 9 Nursing Process: Assessment n9 n9 MSC: Health Promotion and Maintenance
n 9 n9 n9 n9
2. Which of the following consideUratiS
onsNis m
n9
Tost likO
el y to be true when working with a
n9 n9 n9
N R I G B.C M n9 n9 n9 n9 n9 n9 n9
n interpreter?
n9
a. An interpreter is never needed if the nurse speaks the same language as the patient.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. When working with interpreters, the nurse can use technical terms or metaphors.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. A patient‘s young granddaughter who speaks fluent English would make the be
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
st interpreter because she is familiar with and loves the patient.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. The nurse should face the patient rather than the interpreter.
n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: D n9
The nurse should face the patient rather than the interpreter is a true statement; the intent i
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
s to converse with the patient, not with a third party about the patient. Many reasons may
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
be difficult or impossible to translate. Cultural restrictions may prevent some topics from be
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ing spoken of to a grandparent or child.
n9 n9 n9 n9 n9 n9 n9
PTS: n 9 n 9 1 DIF: Understand n 9 n 9 REF: p. 18-19 n 9 n9
TOP: n 9 Nursing Process: Implementation n9 n9 n 9 n 9 MSC: Safe, Effective Care Environment
n 9 n9 n9 n9
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
refuses to remain in the bed. Which intervention should the nurse use to promote and maint
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ain his health?
n9 n9
a. Have the health care provider speak to him. n9 n9 n9 n9 n9 n9 n9
b. Use principles of the holistic health system.
n9 n9 n9 n9 n9 n9
c. Ask about his perceptions and treatment ideas.
n9 n9 n9 n9 n9 n9
, d. Consult with a practitioner of Chinese medicine. n9 n9 n9 n9 n9 n9
ANS: C n9
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
explain your perception of the problem, acknowledge the differences and similarities, reco
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
about cultural beliefs concerning health care and avoids stereotyping the patient. In the asses
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sment, the nurse determines what the patient believes about caregiving, decision making, tre
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
atment, and other pertinent health-
n9 n9 n9 n9
related information. Speaking with the health care provider is premature until the assessme
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nt is complete. Unless he accepts the beliefs, principles of the holistic health system can be
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
potentially unsuitable and insulting for this patient. Unless he accepts the treatments, cons
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
patient.
PTS: n 9 n 9 1 DIF: Apply REF: p. 18 n 9 n9
TOP: n 9 Nursing Process: Implementation n9 n9 MSC: Health Promotion and Maintenance
n 9 n9 n9 n9
4. Which action should the nurse take when addressing older adults?
n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Speak in an exaggerated pitch. n9 n9 n9 n9
b. Use a lower quality of speech.
n9 n9 n9 n9 n9
c. Use endearing terms such as ―honey.‖
n9 n9 n9 n9 n9
d. Speak clearly. n9
ANS: D n9
Some health professionals demonstrate ageism, in part because providers tend to see many fr
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ail, older persons and fewer of those who are healthy and active. Providers should not assu
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
me that all older adults are hearing or mentally impaired. The most appropriate action
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
when addressing an older aduNltUwRoS
n9 ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageis
n9 n9 n9 n9 n9 n9 n9
m in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
of speech.
9 n9
PTS: n 9 n 9 1 DIF: Apply REF: p. 15 n9 n9
TOP: n 9 Nursing Process: Assessment n9 n9 MSC: Health Promotion and Maintenance
n 9 n9 n9 n9
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nd notes that she becomes tense during the instructions about elimination. Which interve
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ntion should the nurse implement?
n9 n9 n9 n9
a. Move on to the discussion about medication.
n9 n9 n9 n9 n9 n9
b. Ask the older woman how she feels about this topic.
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Instruct the interpreter to repeat the instructions.
n9 n9 n9 n9 n9 n9
d. Have the older woman repeat the instructions for clarity.
n9 n9 n9 n9 n9 n9 n9 n9
ANS: B n9
When working with an interpreter, the nurse closely watches the older adult for nonverbal
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
communication and emotion regarding a specific topic and therefore validates the assessme
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nt about the older adult‘s tension before proceeding. Because the nurse notices her tension,
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
the nurse temporarily suspends the preparation to validate her assessment. If the nurse proc
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
eeds and the older adult is uncomfortable discussing elimination, then important instructions
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
9can be missed, leading to adverse effects for the older adult. Repeating the instructions can
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
9aggravate the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instr
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
uction ignores her needs.n9 n9 n9
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
n9 n9 n9 n9 n9 n9 n9 n9 n9
Veronique Boscart
n9
3RD Edition
n9
TESTBANK n
9
,Chapter 01: Introduction to Healthy Aging
n9 n9 n9 n9 n9
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ion
MULTIPLE CHOICE n9
1. A man is terminally ill with end-
n9 n9 n9 n9 n9 n9
stage prostate cancer. Which is the best statement about this man‘s wellness?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Wellness can only be achieved with aggressive medical interventions.
n9 n9 n9 n9 n9 n9 n9 n9
b. Wellness is not a real option for this client because he is terminally ill.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Wellness is defined as the absence of disease. n9 n9 n9 n9 n9 n9 n9
d. Nursing interventions can help empower a client to achieve a higher level
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
of wellness. n9
ANS: D n9
Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
se can foster wellness in his or her clients. Wellness is defined by the individual and is mu
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ltidimensional. It is not just the absence of disease. A wellness perspective is based on the
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
belief that every person has an optimal level of health independent of his or her situation o
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
r functional level. Even in the presence of chronic illness or while dying, a movement towa
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
rd wellness is possible if emphasis of care is placed on the promotion of well-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
being in a supportive environment.
n9 n9 n9 n9
PTS: n 9 1 DIF: Apply REF: p. 7 n 9 n9
TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
n9 n9 n9 n9 n 9 n9 n9 n9
e
2. In differentiating between health and wellness in health care, which of the followi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ng statements is true?
n9 n9 n9
a. Health is a broad term encompassing attitudes and behaviors.
n9 n9 n9 n9 n9 n9 n9 n9
b. The concept of illness prevention was never considered by previous generations.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. Wellness and self-actualization develop through learning and growth.
n9 n9 n9 n9 n9 n9 n9
d. Wellness is impossible when one‘s health is compromised. n9 n9 n9 n9 n9 n9 n9
ANS: A n9
Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
es wellness, which involves one‘s whole being. The concept of illness prevention was neve
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
r considered by previous generations; throughout history, basic self-
n9 n9 n9 n9 n9 n9 n9 n9
care requirements have been recognized. Wellness and self-
n9 n9 n9 n9 n9 n9 n9
actualization develop through learning and growth— n9 n9 n9 n9 n9
as basic needs are met, higher level needs can be satisfied in turn, with ever-
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
deepening richness to life. Wellness is possible when one‘s health is compromised—
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
level of wellness is possible.
n9 n9 n9 n9
PTS: n 9 1 DIF: Understand REF: p. 7 n 9 n9
TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
n9 n9 n9 n9 n 9 n9 n9 n9
e
3. Which racial or ethnic group has the highest life expectancy in the United States?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Native Americans n9
b. African Americans n9
c. Hispanic Americans n9
d. Asian and Pacific Island Americans n9 n9 n9 n9
, Chapter 02: Cross-Cultural Caring and Aging
n9 n9 n9 n9 n9
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3r
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d Edition
n9
MULTIPLE CHOICE n9
1. Which of the following is a true statement about differing health belief systems?
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Personalistic or magicoreligious beliefs have been superseded in Western minds b n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
y biomedical principles.
n9 n9
b. In most cultures, older adults are likely to treat themselves using tradition
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
al methods before turning to biomedical professionals.
n9 n9 n9 n9 n9 n9
c. Ayurvedic medicine is another name for traditional Chinese medicine. n9 n9 n9 n9 n9 n9 n9 n9
d. The belief that health depends on maintaining a balance among opposite qualiti
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
es is characteristic of a magicoreligious belief system.
n9 n9 n9 n9 n9 n9 n9
ANS: B n9
Older adults in most cultures usually have had experience with traditional methods that ha
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ve worked as well as expected. After these treatments fail, older adults turn to the formal
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
health care system. Even in the United States, it is common for older adults to pray for c
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ures or wonder what they did to incur an illness as punishment. The Ayurvedic system is
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
a naturalistic health belief system practiced in India and in some neighboring countries.
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
This belief is characteristic of a holistic or naturalistic approach.
n9 n9 n9 n9 n9 n9 n9 n9 n9
PTS: n 9 n 9 1 DIF: Understand REF: p. 16-17 n9 n9
TOP: n 9 Nursing Process: Assessment n9 n9 MSC: Health Promotion and Maintenance
n 9 n9 n9 n9
2. Which of the following consideUratiS
onsNis m
n9
Tost likO
el y to be true when working with a
n9 n9 n9
N R I G B.C M n9 n9 n9 n9 n9 n9 n9
n interpreter?
n9
a. An interpreter is never needed if the nurse speaks the same language as the patient.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. When working with interpreters, the nurse can use technical terms or metaphors.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
c. A patient‘s young granddaughter who speaks fluent English would make the be
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
st interpreter because she is familiar with and loves the patient.
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d. The nurse should face the patient rather than the interpreter.
n9 n9 n9 n9 n9 n9 n9 n9 n9
ANS: D n9
The nurse should face the patient rather than the interpreter is a true statement; the intent i
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
s to converse with the patient, not with a third party about the patient. Many reasons may
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
be difficult or impossible to translate. Cultural restrictions may prevent some topics from be
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ing spoken of to a grandparent or child.
n9 n9 n9 n9 n9 n9 n9
PTS: n 9 n 9 1 DIF: Understand n 9 n 9 REF: p. 18-19 n 9 n9
TOP: n 9 Nursing Process: Implementation n9 n9 n 9 n 9 MSC: Safe, Effective Care Environment
n 9 n9 n9 n9
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
refuses to remain in the bed. Which intervention should the nurse use to promote and maint
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ain his health?
n9 n9
a. Have the health care provider speak to him. n9 n9 n9 n9 n9 n9 n9
b. Use principles of the holistic health system.
n9 n9 n9 n9 n9 n9
c. Ask about his perceptions and treatment ideas.
n9 n9 n9 n9 n9 n9
, d. Consult with a practitioner of Chinese medicine. n9 n9 n9 n9 n9 n9
ANS: C n9
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
explain your perception of the problem, acknowledge the differences and similarities, reco
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
mmend treatment, and negotiate agreement), the nurse gathers information from the patient
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n
about cultural beliefs concerning health care and avoids stereotyping the patient. In the asses
9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
sment, the nurse determines what the patient believes about caregiving, decision making, tre
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
atment, and other pertinent health-
n9 n9 n9 n9
related information. Speaking with the health care provider is premature until the assessme
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nt is complete. Unless he accepts the beliefs, principles of the holistic health system can be
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
potentially unsuitable and insulting for this patient. Unless he accepts the treatments, cons
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
patient.
PTS: n 9 n 9 1 DIF: Apply REF: p. 18 n 9 n9
TOP: n 9 Nursing Process: Implementation n9 n9 MSC: Health Promotion and Maintenance
n 9 n9 n9 n9
4. Which action should the nurse take when addressing older adults?
n9 n9 n9 n9 n9 n9 n9 n9 n9
a. Speak in an exaggerated pitch. n9 n9 n9 n9
b. Use a lower quality of speech.
n9 n9 n9 n9 n9
c. Use endearing terms such as ―honey.‖
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d. Speak clearly. n9
ANS: D n9
Some health professionals demonstrate ageism, in part because providers tend to see many fr
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ail, older persons and fewer of those who are healthy and active. Providers should not assu
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me that all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
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learly. Examples of unintentional ageis
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m in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality
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of speech.
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PTS: n 9 n 9 1 DIF: Apply REF: p. 15 n9 n9
TOP: n 9 Nursing Process: Assessment n9 n9 MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
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nd notes that she becomes tense during the instructions about elimination. Which interve
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ntion should the nurse implement?
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a. Move on to the discussion about medication.
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b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions.
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d. Have the older woman repeat the instructions for clarity.
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ANS: B n9
When working with an interpreter, the nurse closely watches the older adult for nonverbal
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communication and emotion regarding a specific topic and therefore validates the assessme
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nt about the older adult‘s tension before proceeding. Because the nurse notices her tension,
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the nurse temporarily suspends the preparation to validate her assessment. If the nurse proc
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eeds and the older adult is uncomfortable discussing elimination, then important instructions
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9can be missed, leading to adverse effects for the older adult. Repeating the instructions can
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9aggravate the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instr
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uction ignores her needs.n9 n9 n9
