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
, Ebersolea2anda2Hess'a2Gerontologicala2Nursinga2anda2Healthya2Aginga25tha2Editiona2Touhya2
Testa2Bank
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
N R I G B .C M
2. Which of the following consideUratiS
onsNis m
Tost likO
ely to be true when working with an
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
, Ebersolea2anda2Hess'a2Gerontologicala2Nursinga2anda2Healthya2Aginga25tha2Editiona2Touhya2
Testa2Bank
d. Consulta2witha2aa2practitionera2ofa2Chinesea2medicine.
ANS:a 2 C
Usinga2thea2LEARNa2modela2(listena2witha2sympathya2toa2thea2patient’sa2perceptiona2ofa2thea2
problem,a2explaina2youra2perceptiona2ofa2thea2problem,a2acknowledgea2thea2differencesa2anda2
similarities,a2recommenda2treatment,a2anda2negotiatea2agreement),a2thea2nursea2gathersa2infor
mationa2froma2thea2patienta2abouta2culturala2beliefsa2concerninga2healtha2carea2anda2avoidsa2ste
reotypinga2thea2patient.a2Ina2thea2assessment,a2thea2nursea2determinesa2whata2thea2patienta2belie
vesa2abouta2caregiving,a2decisiona2making,a2treatment,a2anda2othera2pertinenta2health-
relateda2information.a2Speakinga2witha2thea2healtha2carea2providera2isa2prematurea2untila2thea2
assessmenta2isa2complete.a2Unlessa2hea2acceptsa2thea2beliefs,a2principlesa2ofa2thea2holistica2he
altha2systema2cana2bea2potentiallya2unsuitablea2anda2insultinga2fora2thisa2patient.a2Unlessa2hea2
acceptsa2thea2treatments,a2consultinga2witha2aa2practitionera2ofa2Chinesea2medicinea2cana2alsoa
2bea2unsuitablea2anda2insultinga2fora2thisa2patient.
PTS:a 2 a 2 1 DIF: Apply REF:a 2 a 2 p.a218
TOP:a 2 Nursinga2Process:a2Implementation MSC:a 2 Healtha2Promotiona2anda2Maintenance
4. Whicha2actiona2shoulda2thea2nursea2takea2whena2addressinga2oldera2adults?
a. Speaka2ina2ana2exaggerateda2pitch.
b. Usea2aa2lowera2qualitya2ofa2speech.
c. Usea2endearinga2termsa2sucha2asa2“honey.”
d. Speaka2clearly.
ANS:a 2 D
Somea2healtha2professionalsa2demonstratea2ageism,a2ina2parta2becausea2providersa2tenda2toa2se
ea2manya2frail,a2oldera2personsa2anda2fewera2ofa2thosea2whoa2area2healthya2anda2active.a2Provi
dersa2shoulda2nota2assumea2thata2alla2oldera2adultsa2area2hearinga2ora2mentallya2impaired.a2Th
ea2mosta2appropriatea2action
whena2addressinga2ana2oldera2aduNltUwRoS
ulI
dNbeGtT
oa2Bs p.e aCkOcM
l e a r l y . a2Examplesa2ofa2unintentional
a2ageisma2ina2languagea2area2ana2exaggerateda2pitch,a2aa2demeaninga2emotionala2tone,a2anda2a
a2lowera2qualitya2of
speech.
PTS:a 2 a 2 1 DIF: Apply REF:a 2 a 2 p.a215
TOP:a 2 Nursinga2Process:a2Assessment MSC:a 2 Healtha2Promotiona2anda2Maintenance
5. Thea2nursea2preparesa2ana2oldera2woman,a2whoa2isa2Polish,a2fora2dischargea2througha2ana2int
erpretera2anda2notesa2thata2shea2becomesa2tensea2duringa2thea2instructionsa2abouta2eliminati
on.a2Whicha2interventiona2shoulda2thea2nursea2implement?
a. Movea2ona2toa2thea2discussiona2abouta2medication.
b. Aska2thea2oldera2womana2howa2shea2feelsa2abouta2thisa2topic.
c. Instructa2thea2interpretera2toa2repeata2thea2instructions.
d. Havea2thea2oldera2womana2repeata2thea2instructionsa2fora2clarity.
ANS:a 2 B
Whena2workinga2witha2ana2interpreter,a2thea2nursea2closelya2watchesa2thea2oldera2adulta2fora2n
onverbala2communicationa2anda2emotiona2regardinga2aa2specifica2topica2anda2thereforea2valida
tesa2thea2assessmenta2abouta2thea2oldera2adult’sa2tensiona2beforea2proceeding.a2Becausea2thea2
nursea2noticesa2hera2tension,a2thea2nursea2temporarilya2suspendsa2thea2preparationa2toa2validate
a2hera2assessment.a2Ifa2thea2nursea2proceedsa2anda2thea2oldera2adulta2isa2uncomfortablea2discuss
inga2elimination,a2thena2importanta2instructionsa2cana2bea2missed,a2leadinga2toa2adversea2effects
a2fora2thea2oldera2adult.a2Repeatinga2thea2instructionsa2cana2aggravatea2thea2oldera2adult’sa2disc
omfort.a2Instructinga2thea2oldera2adulta2toa2repeata2thea2nurse’sa2instructiona2ignoresa2hera2nee
ds.
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
, Ebersolea2anda2Hess'a2Gerontologicala2Nursinga2anda2Healthya2Aginga25tha2Editiona2Touhya2
Testa2Bank
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
N R I G B .C M
2. Which of the following consideUratiS
onsNis m
Tost likO
ely to be true when working with an
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
, Ebersolea2anda2Hess'a2Gerontologicala2Nursinga2anda2Healthya2Aginga25tha2Editiona2Touhya2
Testa2Bank
d. Consulta2witha2aa2practitionera2ofa2Chinesea2medicine.
ANS:a 2 C
Usinga2thea2LEARNa2modela2(listena2witha2sympathya2toa2thea2patient’sa2perceptiona2ofa2thea2
problem,a2explaina2youra2perceptiona2ofa2thea2problem,a2acknowledgea2thea2differencesa2anda2
similarities,a2recommenda2treatment,a2anda2negotiatea2agreement),a2thea2nursea2gathersa2infor
mationa2froma2thea2patienta2abouta2culturala2beliefsa2concerninga2healtha2carea2anda2avoidsa2ste
reotypinga2thea2patient.a2Ina2thea2assessment,a2thea2nursea2determinesa2whata2thea2patienta2belie
vesa2abouta2caregiving,a2decisiona2making,a2treatment,a2anda2othera2pertinenta2health-
relateda2information.a2Speakinga2witha2thea2healtha2carea2providera2isa2prematurea2untila2thea2
assessmenta2isa2complete.a2Unlessa2hea2acceptsa2thea2beliefs,a2principlesa2ofa2thea2holistica2he
altha2systema2cana2bea2potentiallya2unsuitablea2anda2insultinga2fora2thisa2patient.a2Unlessa2hea2
acceptsa2thea2treatments,a2consultinga2witha2aa2practitionera2ofa2Chinesea2medicinea2cana2alsoa
2bea2unsuitablea2anda2insultinga2fora2thisa2patient.
PTS:a 2 a 2 1 DIF: Apply REF:a 2 a 2 p.a218
TOP:a 2 Nursinga2Process:a2Implementation MSC:a 2 Healtha2Promotiona2anda2Maintenance
4. Whicha2actiona2shoulda2thea2nursea2takea2whena2addressinga2oldera2adults?
a. Speaka2ina2ana2exaggerateda2pitch.
b. Usea2aa2lowera2qualitya2ofa2speech.
c. Usea2endearinga2termsa2sucha2asa2“honey.”
d. Speaka2clearly.
ANS:a 2 D
Somea2healtha2professionalsa2demonstratea2ageism,a2ina2parta2becausea2providersa2tenda2toa2se
ea2manya2frail,a2oldera2personsa2anda2fewera2ofa2thosea2whoa2area2healthya2anda2active.a2Provi
dersa2shoulda2nota2assumea2thata2alla2oldera2adultsa2area2hearinga2ora2mentallya2impaired.a2Th
ea2mosta2appropriatea2action
whena2addressinga2ana2oldera2aduNltUwRoS
ulI
dNbeGtT
oa2Bs p.e aCkOcM
l e a r l y . a2Examplesa2ofa2unintentional
a2ageisma2ina2languagea2area2ana2exaggerateda2pitch,a2aa2demeaninga2emotionala2tone,a2anda2a
a2lowera2qualitya2of
speech.
PTS:a 2 a 2 1 DIF: Apply REF:a 2 a 2 p.a215
TOP:a 2 Nursinga2Process:a2Assessment MSC:a 2 Healtha2Promotiona2anda2Maintenance
5. Thea2nursea2preparesa2ana2oldera2woman,a2whoa2isa2Polish,a2fora2dischargea2througha2ana2int
erpretera2anda2notesa2thata2shea2becomesa2tensea2duringa2thea2instructionsa2abouta2eliminati
on.a2Whicha2interventiona2shoulda2thea2nursea2implement?
a. Movea2ona2toa2thea2discussiona2abouta2medication.
b. Aska2thea2oldera2womana2howa2shea2feelsa2abouta2thisa2topic.
c. Instructa2thea2interpretera2toa2repeata2thea2instructions.
d. Havea2thea2oldera2womana2repeata2thea2instructionsa2fora2clarity.
ANS:a 2 B
Whena2workinga2witha2ana2interpreter,a2thea2nursea2closelya2watchesa2thea2oldera2adulta2fora2n
onverbala2communicationa2anda2emotiona2regardinga2aa2specifica2topica2anda2thereforea2valida
tesa2thea2assessmenta2abouta2thea2oldera2adult’sa2tensiona2beforea2proceeding.a2Becausea2thea2
nursea2noticesa2hera2tension,a2thea2nursea2temporarilya2suspendsa2thea2preparationa2toa2validate
a2hera2assessment.a2Ifa2thea2nursea2proceedsa2anda2thea2oldera2adulta2isa2uncomfortablea2discuss
inga2elimination,a2thena2importanta2instructionsa2cana2bea2missed,a2leadinga2toa2adversea2effects
a2fora2thea2oldera2adult.a2Repeatinga2thea2instructionsa2cana2aggravatea2thea2oldera2adult’sa2disc
omfort.a2Instructinga2thea2oldera2adulta2toa2repeata2thea2nurse’sa2instructiona2ignoresa2hera2nee
ds.
NURSINGTB.COM
