Test Bank - Ebersole and Hess' Gerontological Nursing & Healthy Aging, 5th edition (Touhy, 2018), Chapter 1-28 | All Chapters

,Chapter01:IntroductiontoHealthyAging
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Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th
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Edition
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MULTIPLE CHOICE f




1. A man is terminallyill with end-stage prostate cancer. Which is the best statement about this man‘s
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f wellness?
a. Wellnesscan onlybe achieved with aggressive medical interventions. f f f f f f f f




b. Wellness is not a real option for this client because he is terminallyill. f f f f f f f f f f f f f




c. Wellness is defined as the absence of disease. f f f f f f f




d. Nursinginterventionscan help empoweraclient to achieve ahigherlevel of f f f f f f f f f f f f




wellness. f




ANS: D f




Nursinginterventionscan help empoweraclient to achieve ahigherlevel ofwellness; anurse can
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foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
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It is not just the absence of disease. A wellness perspective is based on the belief that every person
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has an optimal level of health independent of his or her situation or functional level. Even in the
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presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
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care is placed on the promotion of well-being in a supportive environment.
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PTS: 1 DIF: Apply f REF: p. 7 f f TOP: NursingProcess:Diagnosis f f f




MSC: Health Promotion and Maintenance
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2. In differentiating between healU
f th anSd wNellnTess in hOealth care, which of the following f f
N R I G B.C M f f f f f




statements is true?
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a. Health is a broad term encompassing attitudes and behaviors. f f f f f f f f




b. Theconcept of illness prevention was never considered byprevious generations.
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c. Wellnessand self-actualization develop through learning and growth. f f f f f f f




d. Wellness is impossible when one‘s health is compromised. f f f f f f f




ANS: A f




Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
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wellness, which involves one‘s whole being. The concept of illness prevention was never
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considered by previous generations; throughout history, basic self-care requirements have been
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recognized. Wellness and self-actualization develop through learning and growth—as basic
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needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
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Wellness is possible when one‘s health is compromised—even with chronic illness, withmultiple
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disabilities, or in dying, movement toward a higher level of wellness is possible.
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PTS: 1 DIF: Understand f REF: p. 7 f f TOP: NursingProcess:Evaluation f f f




MSC: Health Promotion and Maintenance
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3. Whichracial or ethnic group has the highest life expectancyin the United States?
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a. Native Americans f




b. AfricanAmericans f




c. HispanicAmericans f




d. Asian and Pacific Island Americans f f f f

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Chapter02:Cross-CulturalCaringandAging
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Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
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MULTIPLE CHOICE f




1. Whichof the following is a true statement about differing health belief systems?
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a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWestern mindsby f f f f f f f f f f




biomedical principles.
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b. In most cultures,olderadults arelikelytotreat themselves usingtraditional
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methods before turning to biomedical professionals.
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c. Ayurvedicmedicine is anothername for traditional Chinese medicine. f f f f f f f f




d. Thebeliefthat healthdepends onmaintainingabalanceamongoppositequalities is
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characteristic of a magicoreligious belief system.
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ANS: B f




Olderadults inmost culturesusuallyhavehad experiencewith traditional methodsthathave worked
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as well as expected. After these treatments fail,older adultsturn to theformal health care system.
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Even in the United States, it is common for older adults to pray for cures or wonder what they did to
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incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system
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practiced in India and in some neighboring countries. This belief is characteristic of a holistic or
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naturalistic approach.
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PTS: 1 DIF: Understand
f f REF: p. 16-17 f f f




TOP: Nursing Process: Assessment f f f MSC: Health Promotion and Maintenance f f f f




2. Which of the following consideUratiS
onsNis m
Tost likO
f elyto be true when working with an
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N R I G B.C M f f f f f f f




f interpreter?
a. Aninterpreter is never needed if the nurse speaks the same language as the patient.
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b. Whenworking with interpreters, the nurse can use technical terms or metaphors. f f f f f f f f f f f




c. Apatient‘s younggranddaughterwhospeaks fluentEnglishwouldmakethebest
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f interpreter because she is familiar with and loves the patient. f f f f f f f f f




d. Thenurse should face the patient rather than the interpreter.
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ANS: D f




The nurse should face the patient rather than the interpreter is a true statement; the intent is to
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converse with the patient, not with a third party about the patient. Many reasons may prevent the
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patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
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impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
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grandparent or child.
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PTS: 1 DIF: Understand
f f f f f REF: p. 18-19
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TOP: Nursing Process: Implementation f f f f f MSC: Safe, Effective Care Environment f f f f




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to
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remain inthebed. Which interventionshould thenurseuseto promote and maintain his health?
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a. Have the health care provider speak to him. f f f f f f f




b. Use principles of the holistic health system. f f f f f f




c. Askabout his perceptions and treatment ideas. f f f f f f




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d. Consult with a practitioner of Chinese medicine. f f f f f f




ANS: C f




Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, explain
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your perception of the problem, acknowledge the differences and similarities, recommend
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treatment, and negotiate agreement), the nurse gathers information from the patient aboutcultural
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beliefs concerninghealth careand avoids stereotypingthepatient. Inthe assessment,thenurse
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determines whatthepatient believes about caregiving,decisionmaking, treatment, and other
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pertinent health-related information. Speaking with the health care provider is premature until the
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assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
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be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
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consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
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patient.
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PTS: 1 f DIF: Apply f REF: p. 18 f f f




TOP: Nursing Process: Implementation
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4. Whichaction should the nurse take when addressing older adults?
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a. Speakin an exaggerated pitch. f f f f




b. Use a lower quality of speech. f f f f f




c. Use endearing terms such as ―honey.‖ f f f f f




d. Speakclearly. f




ANS: D f




Some health professionals demonstrate ageism, in part because providers tend to see many frail,
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older persons and fewer of those who are healthy and active. Providers should not assume that all
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older adults are hearing or mentally impaired. The most appropriate action
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whenaddressinganolderaduNltUwRoS
f ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examplesofunintentionalageismin f f f f f f f f f f f f f f f f




language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.

PTS: 1 f DIF: Apply f REF: p. 15 f f f




TOP: Nursing Process: Assessment
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
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that she becomes tense during the instructions about elimination. Which intervention should the
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nurse implement?
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a. Move on to the discussion about medication. f f f f f f




b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. f f f f f f




d. Have the older woman repeat the instructions for clarity.
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ANS: B f




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 assessment
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about the older adult‘s tension before proceeding. Because the nurse notices her tension, the nurse
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temporarily suspends the preparation to validate her assessment. If the nurse proceeds andtheolder
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adult is uncomfortablediscussingelimination,thenimportant instructions canbe missed, leading to
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adverseeffects for the older adult. Repeating the instructions can aggravate the older adult‘s
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discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her needs.
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