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logical Nursing & HealthyAging 5th Ed
vb vb vb vb vb
vb
ition by Theris A. Touhy and Kathleen
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F Jet Chapter 1-28.
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,Chaptervb01:vbIntroductionvbtovbHealthyvbAging
Touhyvb&vbJett:vbEbersolevbandvbHess’vbGerontologicalvbNursingvb&vbHealthyvbAging,vb5thvb
Edition
MULTIPLEvbCHOICE
1. Avbmanvbisvbterminallyvbillvbwithvbend-
stagevbprostatevbcancer.vbWhichvbisvbthevbbestvbstatementvbaboutvbthisvbman’svbwellness?
a. Wellnessvbcanvbonlyvbbevbachievedvbwithvbaggressivevbmedicalvbinterventions.
b. Wellnessvbisvbnotvbavbrealvboptionvbforvbthisvbclientvbbecausevbhevbisvbterminallyvbill.
c. Wellnessvbisvbdefinedvbasvbthevbabsencevbofvbdisease.
d. Nursingvbinterventionsvbcanvbhelpvbempowervbavbclientvbtovbachievevbavbhighervbl
evelvbofvbwellness.
ANS:v b D
Nursingvbinterventionsvbcanvbhelpvbempowervbavbclientvbtovbachievevbavbhighervblevelvbofvbwellness;v
bavbnursevbcanvbfostervbwellnessvbinvbhisvborvbhervbclients.vbWellnessvbisvbdefinedvbbyvbthevbindividualv
bandvbisvbmultidimensional.vbItvbisvbnotvbjust vbthevbabsencevbofvbdisease.vbAvbwellnessvbperspectivevb
isvbbasedvbonvbthevbbeliefvbthatvbeveryvbpersonvbhasvbanvboptimalvblevelvbofvbhealthvbindependentvbof
vbhisvborvbhervbsituationvborvbfunctionalvblevel.vbEvenvbinvbthevbpresencevbofvbchronicvbillnessvborvbw
hilevbdying,vbavbmovementvbtowardvbwellnessvbisvbpossiblevbifvbemphasisvbofvbcarevbisvbplacedvbonvb
thevbpromotionvbofvbwell-beingvbinvbavbsupportivevbenvironment.
PTS:vbvbv b 1 DIF: Apply REF:vbvbvbp.vb7
TOP:vbNursingvbProcess:vbDiagnosisvbMSC:vbHealthvbPromotionvbandvbMaintenan
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2. InvbdifferentiatingvbbetweenvbhealU
th aS NellnTess in hOealthvbcare,vbwhichvbofvbthevbfollo
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wingvbstatementsvbisvbtrue?
a. Healthvbisvbavbbroadvbtermvbencompassingvbattitudesvbandvbbehaviors.
b. Thevbconceptvbofvbillnessvbpreventionvbwasvbnevervbconsideredvbbyvbpreviousvbgenerations.
c. Wellnessvbandvbself-actualizationvbdevelopvbthroughvblearningvbandvbgrowth.
d. Wellnessvbisvbimpossiblevbwhenvbone’svbhealthvbisvbcompromised.
ANS:v b A
Healthvbisvbavbbroadvbtermvbthatvbencompassesvbattitudesvbandvbbehaviors;vbholistically,vbhealthvbin
cludesvbwellness,vbwhichvbinvolvesvbone’svbwholevbbeing.vbThevbconceptvbofvbillnessvbpreventionvb
wasvbnevervbconsideredvbbyvbpreviousvbgenerations;vbthroughoutvbhistory,vbbasicvbself-
carevbrequirementsvbhavevbbeenvbrecognized.vbWellnessvbandvbself-
actualizationvbdevelopvbthroughvblearningvbandvbgrowth—
asvbbasicvbneedsvbarevbmet,vbhighervblevelvbneedsvbcanvbbevbsatisfiedvbinvbturn,vbwithvbever-
deepeningvbrichnessvbtovblife.vbWellnessvbisvbpossiblevbwhenvbone’svbhealthvbisvbcompromised—
evenvbwithvbchronicvbillness,vbwithvbmultiplevbdisabilities,vborvbinvbdying,vbmovementvbtowardvbavbh
ighervblevelvbofvbwellnessvbisvbpossible.
PTS:vbvbv b 1 DIF: Understand REF:vbvbvbp.vb7
TOP:vbNursingvbProcess:vbEvaluationvbMSC:vbHealthvbPromotionvbandvbMaintena
nce
3. WhichvbracialvborvbethnicvbgroupvbhasvbthevbhighestvblifevbexpectancyvbinvbthevbUnitedvbStates?
a. NativevbAmericans
b. AfricanvbAmericans
c. HispanicvbAmericans
d. AsianvbandvbPacificvbIslandvbAmericans
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, EbersolevbandvbHess'vbGerontologicalvbNursingvbandvbHealthyvbAgingvb5thvbEditionvbTouhyvbTes
tvbBank
Chaptervb02:vbCross-CulturalvbCaringvbandvbAging
Touhyvb&vbJett:vbEbersolevbandvbHess’vbGerontologicalvbNursingvb&vbHealthyvbAging,vb5thvb
Edition
MULTIPLEvbCHOICE
1. Whichvbofvbthevbfollowingvbisvbavbtruevbstatementvbaboutvbdifferingvbhealthvbbeliefvbsystems?
a. PersonalisticvborvbmagicoreligiousvbbeliefsvbhavevbbeenvbsupersededvbinvbWesternvbmin
dsvbbyvbbiomedicalvbprinciples.
b. Invbmostvbcultures,vboldervbadultsvbarevblikelyvbtovbtreatvbthemselvesvbusingvbtrad
itionalvbmethodsvbbeforevbturningvbtovbbiomedicalvbprofessionals.
c. AyurvedicvbmedicinevbisvbanothervbnamevbforvbtraditionalvbChinesevbmedicine.
d. Thevbbeliefvbthatvbhealthvbdependsvbonvbmaintainingvbavbbalancevbamongvboppositevbq
ualitiesvbisvbcharacteristicvbofvbavbmagicoreligiousvbbeliefvbsystem.
ANS:v b B
Oldervbadultsvbinvbmostvbculturesvbusuallyvbhavevbhadvbexperiencevbwithvbtraditionalvbmethodsvbtha
tvbhavevbworkedvbasvbwellvbasvbexpected.vbAftervbthesevbtreatmentsvbfail,vboldervbadultsvbturnvbtovbthev
bformalvbhealthvbcarevbsystem.vbEvenvbinvbthevbUnitedvbStates,vbitvbisvbcommonvbforvboldervbadultsvbt
ovbprayvbforvbcuresvborvbwondervbwhatvbtheyvbdidvbtovbincurvbanvbillnessvbasvbpunishment.vbThevbAy
urvedicvbsystemvbisvbavbnaturalisticvbhealthvbbeliefvbsystemvbpracticedvbinvbIndiavbandvbinvbsomevbn
eighboringvbcountries.vbThisvbbeliefvbisvbcharacteristicvbofvbavbholisticvborvbnaturalisticvbapproach.
PTS:vbvbv b 1 DIF: Understand REF:v b p.vb16-17
TOP:v b NursingvbProcess:vbAssessment MSC:vbHealthvbPromotionvbandvbMaintenance
N R I G B.C M
2. WhichvbofvbthevbfollowingvbconsideUratiS
onsNis m
Tost likO
elyvbtovbbevbtruevbwhenvbworkingvbw
ithvbanvbinterpreter?
a. Anvbinterpretervbisvbnevervbneededvbifvbthevbnursevbspeaksvbthevbsamevblanguagevbasvbthevbpatient.
b. Whenvbworkingvbwithvbinterpreters,vbthevbnursevbcanvbusevbtechnicalvbtermsvborvbmetaphors.
c. Avbpatient’svbyoungvbgranddaughtervbwhovbspeaksvbfluentvbEnglishvbwouldvbmakevbt
hevbbestvbinterpretervbbecausevbshevbisvbfamiliarvbwithvbandvblovesvbthevbpatient.
d. Thevbnursevbshouldvbfacevbthevbpatientvbrathervbthanvbthevbinterpreter.
ANS:v b D
Thevbnursevbshouldvbfacevbthevbpatientvbrathervbthanvbthevbinterpretervbisvbavbtruevbstatement;vbthevbi
ntentvbisvbtovcb onversevbwithvbthevbpatient,vbnotvbwithvbavbthirdvbpartyvbaboutvbthevbpatient.vbManyvbre
asonsvbmayvbpreventvbthevbpatientvbfromvbspeakingvbdirectlyvbtovbavbnurse.vbTechnicalvbtermsvbandv
bmetaphorsvbmayvbbevbdifficultvborvbimpossiblevbtovbtranslate.vbCulturalvbrestrictionsvbmayvbpreventv
bsomevbtopicsvbfromvbbeingvbspokenvbofvt b ovbavbgrandparentvborvbchild.
PTS:vbvbv b 1 DIF:vbvbv b Understandvbvbvbv b REF:vbvbvbp.vb18-19
TOP:v b NursingvbProcess:vbImplementationvbvbvbv b MSC:v b Safe,vbEffectivevbCarevbEnvironment
3. AnvboldervbadultvbwhovbisvbavbtraditionalvbChinesevbmanvbhasvbavbbloodvbpressurevbofvb80/54vbmmvb
Hgvbandvbrefusesvbtovbremainvbinvbthevbbed.vbWhichvbinterventionvbshouldvbthevbnursevbusevbtovbpro
motevbandvbmaintainvbhisvbhealth?
a. Havevbthevbhealthvbcarevbprovidervbspeakvbtovbhim.
b. Usevbprinciplesvbofvbthevbholisticvbhealthvbsystem.
c. Askvbaboutvbhisvbperceptionsvbandvbtreatmentvbideas.
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, EbersolevbandvbHess'vbGerontologicalvbNursingvbandvbHealthyvbAgingvb5thvbEditionvbTouhyvbTes
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d. ConsultvbwithvbavbpractitionervbofvbChinesevbmedicine.
ANS:v b C
UsingvbthevbLEARNvbmodelvb(listenvbwithvbsympathyvbtovbthevbpatient’svbperceptionvbofvbthevbprob
lem,vbexplainvbyourvbperceptionvbofvbthevbproblem,vbacknowledgevbthevbdifferencesvbandvbsimilarit
ies,vbrecommendvbtreatment,vbandvbnegotiatevbagreement),vbthevbnursevbgathersvbinformationvbfro
mvbthevbpatientvbaboutvbculturalvbbeliefsvbconcerningvbhealthvbcarevbandvbavoidsvbstereotypingvbthevb
patient.vbInvbthevbassessment,vbthevbnursevbdeterminesvbwhatvbthevbpatientvbbelievesvbaboutvbcaregivi
ng,vbdecisionvbmaking,vbtreatment,vbandvbothervbpertinentvbhealth-
relatedvbinformation.vbSpeakingvbwithvbthevbhealthvbcarevbprovidervbisvbprematurevbuntilvbthevbasse
ssmentvbisvbcomplete.vbUnlessvbhevbacceptsvbthevbbeliefs,vbprinciplesvbofvbthevbholisticvbhealthvbsyst
emvbcanvbbevbpotentiallyvbunsuitablevbandvbinsultingvbforvbthisvbpatient.vbUnlessvbhevbacceptsvbthevbt
reatments,vbconsultingvbwithvbavbpractitionervbofvbChinesevbmedicinevbcanvbalsovbbevbunsuitablevba
ndvbinsultingvbforvbthisvbpatient.
PTS:vbvbv b 1 DIF: Apply REF:v b p.vb18
TOP:v b NursingvbProcess:vbImplementation MSC:vbHealthvbPromotionvbandvbMaintenance
4. Whichvbactionvbshouldvbthevbnursevbtakevbwhenvbaddressingvboldervbadults?
a. Speakvbinvbanvbexaggeratedvbpitch.
b. Usevbavblowervbqualityvbofvbspeech.
c. Usevbendearingvbtermsvbsuchvbasvb“honey.”
d. Speakvbclearly.
ANS:v b D
Somevbhealthvbprofessionalsvbdemonstratevbageism,vbinvbpartvbbecausevbprovidersvbtendvbtovbseevb
manyvbfrail,vboldervbpersonsvbandvbfewervbofvbthosevbwhovbarevbhealthyvbandvbactive.vbProvidersvbsh
ouldvbnotvbassumevbthatvballvboldervbadultsvbarevbhearingvborvbmentallyvbimpaired.vbThevbmostvbappr
opriatevbaction
whenvbaddressingvbanvboldervbaduNltUwRoSulI
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learly.vbExamplesvbofvbunintentionalvbag
eismvbinvblanguagevbarevbanvbexaggeratedvbpitch,vbavbdemeaningvbemotionalvbtone,vbandvbavblowervb
qualityvbof
speech.
PTS:vbvbv b 1 DIF: Apply REF:v b p.vb15
TOP:v b NursingvbProcess:vbAssessment MSC:vbHealthvbPromotionvbandvbMaintenance
5. Thevbnursevbpreparesvbanvboldervbwoman,vbwhovbisvbPolish,vbforvbdischargevbthroughvbanvbinterpr
etervbandvbnotesvbthatvbshevbbecomesvbtensevbduringvbthevbinstructionsvbaboutvbelimination.vbWhi
chvbinterventionvbshouldvbthevbnursevbimplement?
a. Movevbonvbtovbthevbdiscussionvbaboutvbmedication.
b. Askvbthevboldervbwomanvbhowvbshevbfeelsvbaboutvbthisvbtopic.
c. Instructvbthevbinterpretervbtovbrepeatvbthevbinstructions.
d. Havevbthevboldervbwomanvbrepeatvbthevbinstructionsvbforvbclarity.
ANS:v b B
Whenvbworkingvbwithvbanvbinterpreter,vbthevbnursevbcloselyvbwatchesvbthevboldervbadultvbforvbnonve
rbalvbcommunicationvbandvbemotionvbregardingvbavbspecificvbtopicvbandvbthereforevbvalidatesvbthevb
assessmentvbaboutvbthevboldervbadult’svbtensionvbbeforevbproceeding.vbBecausevbthevbnursevbnotice
svbhervbtension,vbthevbnursevbtemporarilyvbsuspendsvbthevbpreparationvbtovbvalidatevbhervbassessmen
t.vbIfvbthevbnursevbproceedsvbandvbthevboldervbadultvbisvbuncomfortablevbdiscussingvbelimination,vbth
envbimportantvbinstructionsvbcanvbbevbmissed,vbleadingvbtovbadversevbeffectsvbforvbthevboldervbadult.vb
Repeatingvbthevbinstructionsvbcanvbaggravatevbthevboldervbadult’svbdiscomfort.vbInstructingvbthevbold
ervbadultvbtovbrepeatvbthevbnurse’svbinstructionvbignoresvbhervbneeds.
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