Ebersole and Hess’ Gerontological Nursing and Healthy Aging in Canada – Complete Test Bank with Answers

TestBankEbersoleandHess’GerontologicalNursing&Healthy
b




Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
a a




28.

,Chapter01: IntroductiontoHealthyAging
a a a a a




Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
a a a a a a a a a a a a




MULTIPLE CHOICE a




1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebeststatementaboutthis man’s
a a a a a a a a a a a a a a a a




wellness?
a




a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. a a a a a a a a




b. Wellnessisnot arealoption forthis clientbecauseheisterminallyill. a a a a a a a a a a a a a




c. Wellnessisdefinedastheabsenceofdisease. a a a a a a a




d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof a a a a a a a a a a a a




wellness. a




ANS: D a




Nursinginterventions canhelpempower aclient to achieveahigherlevelofwellness;anurse can
a a a a a a a a a a a a a a a a




foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional. It
a a a a a a a a a a a a a a a a a




is notjust theabsenceofdisease. Awellness perspective isbased onthe belief that every person has an
a a a a a a a a a a a a a a a a a a a a




optimal level of health independent of his or her situation or functional level. Even in the presence of
a a a a a a a a a a a a a a a a a a




chronic illness or while dying, a movement toward wellness is possible if emphasis of care is placed
a a a a a a a a a a a a a a a a a




on the promotion of well-being in a supportive environment.
a a a a a a a a a




PTS: 1 DIF: Apply REF: p. 7 a TOP:NursingProcess:Diagnosis a a a




MSC: Health Promotion and Maintenance
a a a a a




2. IndifferentiatingbetweenhealU
a th anSd w
NellnTess in hOealth care,whichofthefollowing a a
N R I G B. C M a a a a a




a statements is true? a a




a. Healthisabroadtermencompassingattitudesandbehaviors. a a a a a a a a




b. Theconceptofillnesspreventionwasneverconsideredbypreviousgenerations.
a a a a a a a a a a




c. Wellnessand self-actualizationdevelopthroughlearningandgrowth. a a a a a a a




d. Wellnessisimpossiblewhenone’shealthiscompromised. a a a a a a a




ANS: A a




Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
a a a a a a a a a a a a




wellness, which involves one’s whole being. The concept of illness prevention was never
a a a a a a a a a a a a a




considered by previous generations; throughout history, basic self-care requirements have been
a a a a a a a a a a a




recognized. Wellness and self-actualization develop through learning and growth—as basicneeds
a a a a a a a a a a a




aremet, higherlevel needs can besatisfied in turn,with ever-deepening richness to life. Wellness is
a a a a a a a a a a a a a a a a a




possible when one’s health is compromised—even with chronic illness, withmultipledisabilities,
a a a a a a a a a a a a




orindying,movement towardahigherlevelofwellnessispossible.
a a a a a a a a a a a a




PTS: 1 DIF: Understand REF: p. 7 a TOP:NursingProcess:Evaluation a a a




MSC: Health Promotion and Maintenance
a a a a a




3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates?
a a a a a a a a a a a a a




a. NativeAmericans a




b. AfricanAmericans a




c. HispanicAmericans a




d. AsianandPacificIsland Americans a a a a




NURSINGTB.COM

, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
a a a a a a a a a a a a




Chapter02:Cross-Cultural CaringandAging
a a a a a




Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
a a a a a a a a a a a a




MULTIPLE CHOICE a




1. Whichofthefollowingisa truestatementabout differinghealthbeliefsystems?
a a a a a a a a a a a a




a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWesternmindsby a a a a a a a a a a




biomedical principles.
a a




b. Inmostcultures,olderadultsarelikelytotreatthemselvesusingtraditional
a a a a a a a a a a a




methods before turning to biomedical professionals.
a a a a a a




c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. a a a a a a a a




d. Thebeliefthathealth dependsonmaintaining abalanceamongoppositequalities is
a a a a a a a a a a a a




characteristic of a magicoreligious belief system.
a a a a a a




ANS: B a




Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathave worked
a a a a a a a a a a a a a a




aswellasexpected.Afterthesetreatments fail,olderadultsturntotheformalhealth care system. Even
a a a a a a a a a a a a a a a a a a




in the United States, it is common for older adults to pray for cures or wonder what they did to incur an
a a a a a a a a a a a a a a a a a a a a a a




illness as punishment. The Ayurvedic system is a naturalistichealthbelief systempracticed inIndia
a a a a a a a a a a a a a a a




andinsomeneighboring countries.This belief is characteristic of a holistic or naturalistic approach.
a a a a a a a a a a a a a a a




PTS: 1 DIF: Understand REF: p. 16-17 a




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




2. WhichofthefollowingconsideUratiS
onsNis m
Tost likO
ely tobetruewhenworkingwithan
a a a a
N R I G B. C M a a a a a a a




a interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageasthe patient.
a a a a a a a a a a a a a a




b. Whenworkingwithinterpreters,thenursecanusetechnicaltermsormetaphors. a a a a a a a a a a a




c. Apatient’syounggranddaughterwhospeaksfluentEnglishwouldmakethebest
a a a a a a a a a a a




interpreter because she is familiar with and loves the patient.
a a a a a a a a a a




d. Thenurseshouldfacethepatient ratherthantheinterpreter. a a a a a a a a a




ANS: D a




The nurse should face the patient rather than the interpreter is a true statement; the intent is to
a a a a a a a a a a a a a a a a a




converse with the patient, not with a third party about the patient. Many reasons may prevent the
a a a a a a a a a a a a a a a a a




patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
a a a a a a a a a a a a a a a




impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
a a a a a a a a a a a a a a a




grandparent or child.
a a a




PTS: a a 1 DIF: Understand REF: p. 18-19 a a a a a a a




TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment a a a a a




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refusesto
a a a a a a a a a a a a a a a a a a a




remaininthebed.Whichinterventionshouldthenurseusetopromoteandmaintain his health?
a a a a a a a a a a a a a a a a




a. Havethehealthcareproviderspeaktohim. a a a a a a a




b. Useprinciplesoftheholistichealthsystem. a a a a a a




c. Askabouthisperceptionsandtreatmentideas. a a a a a a




NURSINGTB.COM

, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
a a a a a a a a a a a a




d. Consultwith apractitionerofChinesemedicine. a a a a a a




ANS: C a




Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
a a a a a a a a a a a a a a




your perception of the problem, acknowledge the differences and similarities, recommend
a a a a a a a a a a a




treatment, and negotiate agreement), the nurse gathers information from the patientaboutcultural
a a a a a a a a a a a a a




beliefsconcerninghealthcareandavoidsstereotypingthepatient. Inthe assessment,thenurse
a a a a a a a a a a a a a a




determineswhatthepatientbelievesaboutcaregiving,decisionmaking, treatment, and other
a a a a a a a a a a a a




pertinent health-related information. Speaking with the health care provider is premature until the
a a a a a a a a a a a a a




assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can be
a a a a a a a a a a a a a a a a




potentially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
a a a a a a a a a a a a a




with a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.
a a a a a a a a a a a a a a a




PTS: 1 DIF: Apply REF: p. 18 a




TOP: Nursing Process: Implementation a a MSC: Health Promotion and Maintenance a a a a




4. Whichaction shouldthenursetakewhenaddressingolderadults?
a a a a a a a a a




a. Speakinanexaggerated pitch. a a a a




b. Usealowerqualityofspeech. a a a a a




c. Useendearingtermssuchas“honey.” a a a a a




d. Speakclearly. a




ANS: D a




Somehealth professionalsdemonstrate ageism, inpart because providerstendtoseemany frail,
a a a a a a a a a a a a a




older persons and fewer of those who are healthy and active. Providers should not
a a a a a a a a a a a a a a




assume that all older adults arehearing or mentally impaired. The most appropriate action when
a a a a a a a a a a a a a a




addressinganolderaduNltUwRoS
a ulI
dNbeGtT
oBsp.
eaCkOcM
learly. Examplesofunintentionalageism in a a a n a a a a a




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




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




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




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
a a a a a a a a a a a a a a a




that she becomes tense during the instructions about elimination. Which intervention should the
a a a a a a a a a a a a a




nurse implement?
a a




a. Moveontothediscussion about medication. a a a a a a




b. Asktheolderwomanhowshefeelsabout this topic. a a a a a a a a a




c. Instructtheinterpretertorepeattheinstructions. a a a a a a




d. Havetheolderwomanrepeattheinstructionsforclarity. a a a a a a a a




ANS: B a




When working with an interpreter, the nurse closely watches the older adult for nonverbal
a a a a a a a a a a a a a




communication and emotion regardingaspecific topicand therefore validates theassessment about
a a a a a a a a a a a a a




the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
a a a a a a a a a a a a a a




temporarily suspends the preparation to validate her assessment. If the nurse proceeds andtheolder
a a a a a a a a a a a a a a a




adult isuncomfortablediscussingelimination,thenimportantinstructionscanbe missed,leadingto
a a a a a a a a a a a a a




adverseeffects fortheolderadult.Repeatingtheinstructions canaggravate the older adult’s
a a a a a a a a a a a a a a




discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
a a a a a a a a a a a a a




NURSINGTB.COM