,Chapter 01: Introduction to Healthy Aging
qx qx qx qx qx
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
qx qx qx qx qx qx qx qx qx qx qx
6thEdition
MULTIPLE CHOICE qx
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
this man‘s wellness?
qx qx
a. Wellness can only be achieved with aggressive medical interventions.
qx qx qx qx qx qx qx qx
b. Wellness is not a real option for this client because he is terminally ill.
qx qx qx qx qx qx qx qx qx qx qx qx qx
c. Wellness is defined as the absence of disease. qx qx qx qx qx qx qx
d. Nursing interventions can help empower a client to achieve a higher
qx qx qx qx qx qx qx qx qx qx qx
level of wellness. qx qx
ANS: D qx
Nursing interventions can help empower a client to achieve a higher level of wellness; a
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
nurse can foster wellness in his or her clients. Wellness is defined by the individual
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
and is multidimensional. It is not just the absence of disease. A wellness perspective is
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
based on the belief that every person has an optimal level of health independent of his
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
or her situation or functional level. Even in the presence of chronic illness or while
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
dying, a movement toward wellness is possible if emphasis of care is placed on the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
promotion of well-being in a supportive environment.
qx qx qx qx qx qx
PTS: 1 DIF: Apply
q x REF: p. 7 q x qx TOP: Nursing Process: qx qx qx
Diagnosis MSC: Health Promotion and Maintenance
qx q x qx qx qx
2. In differentiating between health and wellness in health care, which of the
qx qx qx qx qx qx qx qx qx qx qx qx
following statements is true? qx qx qx
a. Health is a broad term encompassing attitudes and behaviors.
qx qx qx qx qx qx qx qx
b. The concept of illness prevention was never considered by previous generations.
qx qx qx qx qx qx qx qx qx qx
c. Wellness and self-actualization develop through learning and growth.
qx qx qx qx qx qx qx
d. Wellness is impossible when one‘s health is compromised.qx qx qx qx qx qx qx
ANS: A qx
Health is a broad term that encompasses attitudes and behaviors; holistically, health
qx qx qx qx qx qx qx qx qx qx qx qx
includes wellness, which involves one‘s whole being. The concept of illness prevention
qx qx qx qx qx qx qx qx qx qx qx qx
was never considered by previous generations; throughout history, basic self-care
qx qx qx qx qx qx qx qx qx qx
requirements have been recognized. Wellness and self-actualization develop through
qx qx qx qx qx qx qx qx qx
learning and growth—as basic needs are met, higher level needs can be satisfied in
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
turn, with ever-deepening richness to life. Wellness is possible when one‘s health is
qx qx qx qx qx qx qx qx qx qx qx qx qx
compromised—even with chronic illness, with multiple disabilities, or in dying, qx qx qx qx qx qx qx qx qx qx
movement toward a higher level of wellness is possible.
qx qx qx qx qx qx qx qx
, PTS: 1
q x DIF: Understand REF: p. 7 q x qx TOP: Nursing Process:
qx qx qx
Evaluation MSC: Health Promotion and Maintenance
qx q x qx qx qx
3. Which racial or ethnic group has the highest life expectancy in the United States?
qx qx qx qx qx qx qx qx qx qx qx qx qx
a. Native Americans qx
b. African Americans qx
c. Hispanic Americans qx
d. Asian and Pacific Island Americans
qx qx qx qx
, Chapter 02: Cross-Cultural Caring and Aging
qx qx qx qx qx
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
qx qx qx qx qx qx qx qx qx qx qx
6thEdition
MULTIPLE CHOICE qx
1. Which of the following is a true statement about differing health belief systems?
qx qx qx qx qx qx qx qx qx qx qx qx
a. Personalistic or magicoreligious beliefs have been superseded in Western minds
qx qx qx qx qx qx qx qx qx qx
by biomedical principles.
qx qx
b. In most cultures, older adults are likely to treat themselves using
qx qx qx qx qx qx qx qx qx qx qx
traditional methods before turning to biomedical professionals.
qx qx qx qx qx qx
c. Ayurvedic medicine is another name for traditional Chinese medicine.
qx qx qx qx qx qx qx qx
d. The belief that health depends on maintaining a balance among opposite
qx qx qx qx qx qx qx qx qx qx qx
qualities is characteristic of a magicoreligious belief system.
qx qx qx qx qx qx qx
ANS: B qx
Older adults in most cultures usually have had experience with traditional methods that
qx qx qx qx qx qx qx qx qx qx qx qx qx
have worked as well as expected. After these treatments fail, older adults turn to the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
formal health care system. Even in the United States, it is common for older adults to
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
pray for cures or wonder what they did to incur an illness as punishment. The
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
Ayurvedic system is a naturalistic health belief system practiced in India and in some
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
neighboring countries. This belief is characteristic of a holistic or naturalistic approach.
qx qx qx qx qx qx qx qx qx qx qx
PTS: q x q x 1 DIF: Understand REF: p. 16-17 q x qx
TOP: q x Nursing Process: Assessment qx qx MSC: Health Promotion and Maintenance
qx qx qx qx
2. Which of the following consideUratiS
qx onsNis m
qx
Tost likO
ely to be true when working
qx qx
N R I G B.C M qx qx qx qx qx qx
with an interpreter?
qx qx
a. An interpreter is never needed if the nurse speaks the same language as the patient.
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
b. When working with interpreters, the nurse can use technical terms or metaphors.
qx qx qx qx qx qx qx qx qx qx qx
c. A patient‘s young granddaughter who speaks fluent English would make the
qx qx qx qx qx qx qx qx qx qx qx
best interpreter because she is familiar with and loves the patient.
qx qx qx qx qx qx qx qx qx qx
d. The nurse should face the patient rather than the interpreter.
qx qx qx qx qx qx qx qx qx
ANS: D qx
The nurse should face the patient rather than the interpreter is a true statement; the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
intent is to converse with the patient, not with a third party about the patient. Many
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
reasons may prevent the patient from speaking directly to a nurse. Technical terms and
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
metaphors may be difficult or impossible to translate. Cultural restrictions may prevent
qx qx qx qx qx qx qx qx qx qx qx qx
some topics from being spoken of to a grandparent or child.
qx qx qx qx qx qx qx qx qx qx
PTS: q x q x 1 DIF: Understand REF: p. 18-19 q x qx
TOP: q x Nursing Process: Implementation MSC: Safe, Effective Care Environment
qx qx q x q x q x qx qx qx
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
and refuses to remain in the bed. Which intervention should the nurse use to promote and
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
maintain his health? qx qx
a. Have the health care provider speak to him.
qx qx qx qx qx qx qx
b. Use principles of the holistic health system.
qx qx qx qx qx qx
c. Ask about his perceptions and treatment ideas.
qx qx qx qx qx qx
qx qx qx qx qx
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
qx qx qx qx qx qx qx qx qx qx qx
6thEdition
MULTIPLE CHOICE qx
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
this man‘s wellness?
qx qx
a. Wellness can only be achieved with aggressive medical interventions.
qx qx qx qx qx qx qx qx
b. Wellness is not a real option for this client because he is terminally ill.
qx qx qx qx qx qx qx qx qx qx qx qx qx
c. Wellness is defined as the absence of disease. qx qx qx qx qx qx qx
d. Nursing interventions can help empower a client to achieve a higher
qx qx qx qx qx qx qx qx qx qx qx
level of wellness. qx qx
ANS: D qx
Nursing interventions can help empower a client to achieve a higher level of wellness; a
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
nurse can foster wellness in his or her clients. Wellness is defined by the individual
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
and is multidimensional. It is not just the absence of disease. A wellness perspective is
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
based on the belief that every person has an optimal level of health independent of his
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
or her situation or functional level. Even in the presence of chronic illness or while
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
dying, a movement toward wellness is possible if emphasis of care is placed on the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
promotion of well-being in a supportive environment.
qx qx qx qx qx qx
PTS: 1 DIF: Apply
q x REF: p. 7 q x qx TOP: Nursing Process: qx qx qx
Diagnosis MSC: Health Promotion and Maintenance
qx q x qx qx qx
2. In differentiating between health and wellness in health care, which of the
qx qx qx qx qx qx qx qx qx qx qx qx
following statements is true? qx qx qx
a. Health is a broad term encompassing attitudes and behaviors.
qx qx qx qx qx qx qx qx
b. The concept of illness prevention was never considered by previous generations.
qx qx qx qx qx qx qx qx qx qx
c. Wellness and self-actualization develop through learning and growth.
qx qx qx qx qx qx qx
d. Wellness is impossible when one‘s health is compromised.qx qx qx qx qx qx qx
ANS: A qx
Health is a broad term that encompasses attitudes and behaviors; holistically, health
qx qx qx qx qx qx qx qx qx qx qx qx
includes wellness, which involves one‘s whole being. The concept of illness prevention
qx qx qx qx qx qx qx qx qx qx qx qx
was never considered by previous generations; throughout history, basic self-care
qx qx qx qx qx qx qx qx qx qx
requirements have been recognized. Wellness and self-actualization develop through
qx qx qx qx qx qx qx qx qx
learning and growth—as basic needs are met, higher level needs can be satisfied in
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
turn, with ever-deepening richness to life. Wellness is possible when one‘s health is
qx qx qx qx qx qx qx qx qx qx qx qx qx
compromised—even with chronic illness, with multiple disabilities, or in dying, qx qx qx qx qx qx qx qx qx qx
movement toward a higher level of wellness is possible.
qx qx qx qx qx qx qx qx
, PTS: 1
q x DIF: Understand REF: p. 7 q x qx TOP: Nursing Process:
qx qx qx
Evaluation MSC: Health Promotion and Maintenance
qx q x qx qx qx
3. Which racial or ethnic group has the highest life expectancy in the United States?
qx qx qx qx qx qx qx qx qx qx qx qx qx
a. Native Americans qx
b. African Americans qx
c. Hispanic Americans qx
d. Asian and Pacific Island Americans
qx qx qx qx
, Chapter 02: Cross-Cultural Caring and Aging
qx qx qx qx qx
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging,
qx qx qx qx qx qx qx qx qx qx qx
6thEdition
MULTIPLE CHOICE qx
1. Which of the following is a true statement about differing health belief systems?
qx qx qx qx qx qx qx qx qx qx qx qx
a. Personalistic or magicoreligious beliefs have been superseded in Western minds
qx qx qx qx qx qx qx qx qx qx
by biomedical principles.
qx qx
b. In most cultures, older adults are likely to treat themselves using
qx qx qx qx qx qx qx qx qx qx qx
traditional methods before turning to biomedical professionals.
qx qx qx qx qx qx
c. Ayurvedic medicine is another name for traditional Chinese medicine.
qx qx qx qx qx qx qx qx
d. The belief that health depends on maintaining a balance among opposite
qx qx qx qx qx qx qx qx qx qx qx
qualities is characteristic of a magicoreligious belief system.
qx qx qx qx qx qx qx
ANS: B qx
Older adults in most cultures usually have had experience with traditional methods that
qx qx qx qx qx qx qx qx qx qx qx qx qx
have worked as well as expected. After these treatments fail, older adults turn to the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
formal health care system. Even in the United States, it is common for older adults to
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
pray for cures or wonder what they did to incur an illness as punishment. The
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
Ayurvedic system is a naturalistic health belief system practiced in India and in some
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
neighboring countries. This belief is characteristic of a holistic or naturalistic approach.
qx qx qx qx qx qx qx qx qx qx qx
PTS: q x q x 1 DIF: Understand REF: p. 16-17 q x qx
TOP: q x Nursing Process: Assessment qx qx MSC: Health Promotion and Maintenance
qx qx qx qx
2. Which of the following consideUratiS
qx onsNis m
qx
Tost likO
ely to be true when working
qx qx
N R I G B.C M qx qx qx qx qx qx
with an interpreter?
qx qx
a. An interpreter is never needed if the nurse speaks the same language as the patient.
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
b. When working with interpreters, the nurse can use technical terms or metaphors.
qx qx qx qx qx qx qx qx qx qx qx
c. A patient‘s young granddaughter who speaks fluent English would make the
qx qx qx qx qx qx qx qx qx qx qx
best interpreter because she is familiar with and loves the patient.
qx qx qx qx qx qx qx qx qx qx
d. The nurse should face the patient rather than the interpreter.
qx qx qx qx qx qx qx qx qx
ANS: D qx
The nurse should face the patient rather than the interpreter is a true statement; the
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
intent is to converse with the patient, not with a third party about the patient. Many
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
reasons may prevent the patient from speaking directly to a nurse. Technical terms and
qx qx qx qx qx qx qx qx qx qx qx qx qx qx
metaphors may be difficult or impossible to translate. Cultural restrictions may prevent
qx qx qx qx qx qx qx qx qx qx qx qx
some topics from being spoken of to a grandparent or child.
qx qx qx qx qx qx qx qx qx qx
PTS: q x q x 1 DIF: Understand REF: p. 18-19 q x qx
TOP: q x Nursing Process: Implementation MSC: Safe, Effective Care Environment
qx qx q x q x q x qx qx qx
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
and refuses to remain in the bed. Which intervention should the nurse use to promote and
qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx qx
maintain his health? qx qx
a. Have the health care provider speak to him.
qx qx qx qx qx qx qx
b. Use principles of the holistic health system.
qx qx qx qx qx qx
c. Ask about his perceptions and treatment ideas.
qx qx qx qx qx qx