Stuvia.com ff- ffThe ffMarketplace ffto ffBuy ffand ffSell ffyour ffStudy
Material
, Ebersole and Hess' GSteurvoian.ctoomlo-
ff f f ff
ff ff
H ea l t h y A
a nd S e l l f f y ou r ff
dition Touhy Test
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Bank
Chapter 01: Introduction to Healthy Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. A man isnterminally ill with end-
ff ff ff ff ff
stage prostate cancer. Which isnthenbest statement about thisman‘s wellness?
ff ff ff ff ff ff ff ff
a. Wellnessncan only be achieved with aggressive medical interventions. ff ff ff ff ff ff ff
b. Wellness is not a real option for thisnclient because he is terminally ill. ff ff ff ff ff ff ff ff ff ff ff ff
c. Wellness is defined as the absence of disease. ff ff ff ff ff ff ff
d. Nursing interventions can help empower a client to achieve a higher level of ff ff ff ff ff ff ff ff ff ff ff ff
wellness. ff
ANS: D f f
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurseca n
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
foster wellness in hisnor her clients. Wellness is defined by the individual and is multidimensi
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
onal. It is not just the absence of disease. A wellness perspective is based on the belief that ever
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
y person has an optimal level of health independent of his or her situation or functional level.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
E ven in the presence of chronic illness or while dying, a movement toward wellness is possible
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
if emphasis of care is placed on the promotion of well-being in a supportive environment.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
PTS: 1 DIF: Apply REF: p. 7 f f f f ff
TOP: Nursing Process: DiagnosisMSC: Health Promotion and Maintenance
ff ff ff f ff f f f f f f
2. In differentiating bet w een n he altUh anSd wNe llnTe ss in hOe alt h care, which of the
ff ff
N R I G B.C M ff ff ff ff
ff following statements is true? ff ff ff
a. Health isna broad termnencompassing attitudes and behaviors. ff ff ff ff ff ff
b. The concept of illness prevention was never considered by previous generations.
ff ff ff ff ff ff ff ff ff ff
c. Wellness and self-actualization develop through learning and growth. ff ff ff ff ff ff ff
d. Wellness is impossible when one‘s health is compromised. ff ff ff ff ff ff ff
ANS: A f f
Health isna broad termnthat encompasses attitudes and behaviors; holistically, health includes w
ff ff ff ff ff ff ff ff ff ff ff
ellness, which involves one‘s whole being. The concept of illness prevention wasnnever
ff ff ff ff ff ff ff ff ff ff ff ff
consid ered by previous generations; throughout history, basic self-
ff ff ff ff ff ff ff ff ff
care requirements have been recognized. Wellness and self-
ff ff ff ff ff ff ff
actualization develop through learningnand growth—
ff ff ff ff ff
as basic needs arenmet, higher level needs can be satisfied in turn, with ever-
ff ff ff ff ff ff ff ff ff ff ff ff ff
deepening richnessnto life. Wellness is possible when one‘s health is compromised—
ff ff ff ff ff ff ff ff ff ff ff
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher lev
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
el of wellness isnpossible.
ff ff ff ff
PTS: 1 DIF: Understand REF: p. 7 f f f f ff
TOP: Nursing Process: EvaluationMSC: Health Promotion and Maintenance
ff ff ff f ff ff ff ff
3. Which racial or ethnic group has the highest life expectancy in the United States?
ff ff ff ff ff ff ff ff ff ff ff ff ff
a. Native Americans ff
b. African Americans ff
c. Hispanic Americans ff
d. Asian and Pacific Island Americans ff ff ff ff
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, Stuvia.com ff- ffThe ffMarketplace ffto ffBuy ffand ffSell ffyour ffStudy
Material
Chapter 02: Cross-Cultural Caring and Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. Which of the following is a true statement about differing health belief systems?
ff ff ff ff ff ff ff ff ff ff ff ff
a. Personalistic or magicoreligiousnbeliefs have been superseded in Western minds by ff ff ff ff ff ff ff ff ff
biomedical principles.
ff ff
b. In most cultures, older adults are likely to treat themselves using traditional
ff ff ff ff ff ff ff ff ff ff ff
methods before turning to biomedical professionals.
ff ff ff ff ff ff
c. Ayurvedic medicine is another name for traditional Chinese medicine. ff ff ff ff ff ff ff ff
d. The belief that health depends on maintaining a balance among opposite qualitiesi
ff ff ff ff ff ff ff ff ff ff ff
s characteristic of a magicoreligious belief system.
ff ff ff ff ff ff ff
ANS: B f f
Older adults in most cultures usually have had experience with traditional methods that havew
ff ff ff ff ff ff ff ff ff ff ff ff ff
orked as wellnas expected. After these treatments fail, older adults turn to the formal healthcare
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
system. Even in thenUnited States, itnis common for older adults to pray for cures or wonder
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
w hat they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
be lief systemnpracticed in India and innsome neighboring countries. This belief is
ff ff ff ff ff ff ff ff ff ff ff ff
characteristic o f a holistic or naturalistic approach.
ff ff ff ff ff ff ff ff
PTS: 1 DIF: Understand REF: f f p. 16-17 ff
TOP: Nursing Process: Assessment
f f f f ff ff f f f f f f f MSC: Health Promotion and Maintenance
f ff ff ff ff
2. Which of the following consideUratiS
onsNis m
ff
Tost likeOly to be true when working with an i
ff ff ff
N R I G B .C M ff ff ff ff ff ff ff
nterpreter?
ff
a. An interpreter is never needed if the nurse speaks the same language as thenpatient.
ff ff ff ff ff ff ff ff ff ff ff ff ff
b. When working with interpreters, the nurse can use technical terms or metaphors.
ff ff ff ff ff ff ff ff ff ff ff
c. A patient‘s young granddaughter who speaks fluent English would make the besti
ff ff ff ff ff ff ff ff ff ff ff
nterpreter because shenis familiar with and loves the patient.
ff ff ff ff ff ff ff ff ff
d. The nurse should face the patient rather than the interpreter.
ff ff ff ff ff ff ff ff ff
ANS: D f f
The nurse should face the patient rather than the interpreter is a true statement; thenintent is toc
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
onverse with the patient, notnwith a third party about the patient. Many reasons may prevent
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
th e patient fromnspeaking directly to a nurse. Technical terms and metaphors may be
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
difficultor i mpossible to translate. Cultural restrictions may prevent some topics from being
ff ff ff ff ff ff ff ff ff ff ff ff ff
spoken ofto a grandparent or child.
ff ff ff ff ff ff
PTS: 1 DIF: Understand REF: f f p. 18-19
f f ff
TOP: Nursing Process: Implementation
f f f f ff ff f f f f f f MSC: Safe, Effective Care Environment f f ff ff ff
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg andnrefus
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
es to remain in thenbed. Which intervention should the nurse use to promote and maintainhis he
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
alth?
ff
a. Have the health care provider speaknto him. ff ff ff ff ff ff
b. Use principles of the holistic healthnsystem.
ff ff ff ff ff
c. Ask about his perceptions and treatment ideas.
ff ff ff ff ff ff
, Ebersole and Hess' GSteurvoian.ctoomlo-
ff H ea l t h y A
f f
a nd S e l l y ou r
ff
ff ff ff ff
dition Touhy Test
f
ff ff
Bank
d. Consult with a practitioner of Chinese medicine. ff ff ff ff ff ff
ANS: C f f
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, expl
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ain your perception of thenproblem, acknowledge the differences and similarities, recommend t
ff ff ff ff ff ff ff ff ff ff ff ff
reatment, and negotiate agreement), the nurse gathers information from thenpatient about cultur
ff ff ff ff ff ff ff ff ff ff ff ff
al beliefs concerning health care and avoids stereotyping the patient. In theassessment, the nurs
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
e determines what the patient believesnabout caregiving, decision making,treatment, andnother p
ff ff ff ff ff ff ff ff ff ff ff
ertinent health-
ff ff
related information. Speaking with the health care provider is premature until the assessment isn
ff ff ff ff ff ff ff ff ff ff ff ff ff
complete. Unlessnhe accepts the beliefs, principles of the holistic health system can be
f f ff ff ff ff ff ff ff ff ff ff ff ff
potential ly unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with anp ractitioner of Chinese medicine can also be unsuitable and insulting for this patient.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
PTS: 1 DIF: Apply REF: p. 18 f f ff
TOP: Nursing Process: Implementationf fMSC: Health Promotion and Maintenance
f f ff ff f f f f ff ff ff ff
4. Which action should the nurse takenwhen addressing older adults?
ff ff ff ff ff ff ff ff
a. Speak in an exaggerated pitch. ff ff ff ff
b. Usena lower quality of speech. ff ff ff ff
c. Use endearing terms such asn―honey.‖ ff ff ff ff
d. Speak clearly. ff
ANS: D f f
Some health professionals demonstratenageism, in part because providers tend to see manyfrail
ff ff ff ff ff ff ff ff ff ff ff
, older personsnand fewer of those who are healthy and active. Providers should notnassume tha t
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
all older adults are hearing or mentally impaired. The most appropriate action
ff ff ff ff ff ff ff ff ff ff ff ff
when addressing an older aduNltUwRoS
ulI
dN
ffbeGtT
oBsp.
eaCkOcM
learly. Examples of unintentionalnageismni n ff ff ff f ff ff ff ff
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
speech.
PTS: 1 DIF: Apply REF: p. 15 f f ff
TOP: Nursing Process: Assessment f f f f ff ff MSC: Health Promotion and Maintenance ff ff ff ff
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter andn
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
otes that she becomes tense during the instructions about elimination. Which
ff ff ff ff ff ff ff ff ff ff ff
interventionsh ould thennurse implement?
ff ff ff ff
a. Movenon to the discussion about medication. ff ff ff ff ff
b. Ask the older woman how she feelsnabout this topic. ff ff ff ff ff ff ff ff
c. Instruct the interpreter to repeat the instructions. ff ff ff ff ff ff
d. Have the older woman repeat theninstructions for clarity. ff ff ff ff ff ff ff
ANS: B f f
When working with an interpreter, thennurse closely watches the older adult for nonverbal com
ff ff ff ff ff ff ff ff ff ff ff ff ff
munication and emotion regarding a specific topic and therefore validates the assessment about
ff ff ff ff ff ff ff ff ff ff ff ff ff
the older adult‘s tension before proceeding. Because the nurse notices her tension, thennurse
ff ff ff ff ff ff ff ff ff ff ff ff ff
te mporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
old er adult is uncomfortable discussingnelimination, then important instructions can bemissed,
ff ff ff ff ff ff ff ff ff ff ff
lead ing to adverse effects for the older adult. Repeating the instructions can
ff ff ff ff ff ff ff ff ff ff ff ff ff
aggravatethenoldernadul t‘s discomfort. Instructing the older adult to repeat the nurse‘s
ff ff ff ff ff ff ff ff ff ff ff
instruction ignores her needs.
ff ff ff ff
NURSINGTB.COM
Material
, Ebersole and Hess' GSteurvoian.ctoomlo-
ff f f ff
ff ff
H ea l t h y A
a nd S e l l f f y ou r ff
dition Touhy Test
f
ff ff
Bank
Chapter 01: Introduction to Healthy Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. A man isnterminally ill with end-
ff ff ff ff ff
stage prostate cancer. Which isnthenbest statement about thisman‘s wellness?
ff ff ff ff ff ff ff ff
a. Wellnessncan only be achieved with aggressive medical interventions. ff ff ff ff ff ff ff
b. Wellness is not a real option for thisnclient because he is terminally ill. ff ff ff ff ff ff ff ff ff ff ff ff
c. Wellness is defined as the absence of disease. ff ff ff ff ff ff ff
d. Nursing interventions can help empower a client to achieve a higher level of ff ff ff ff ff ff ff ff ff ff ff ff
wellness. ff
ANS: D f f
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurseca n
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
foster wellness in hisnor her clients. Wellness is defined by the individual and is multidimensi
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
onal. It is not just the absence of disease. A wellness perspective is based on the belief that ever
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
y person has an optimal level of health independent of his or her situation or functional level.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
E ven in the presence of chronic illness or while dying, a movement toward wellness is possible
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
if emphasis of care is placed on the promotion of well-being in a supportive environment.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
PTS: 1 DIF: Apply REF: p. 7 f f f f ff
TOP: Nursing Process: DiagnosisMSC: Health Promotion and Maintenance
ff ff ff f ff f f f f f f
2. In differentiating bet w een n he altUh anSd wNe llnTe ss in hOe alt h care, which of the
ff ff
N R I G B.C M ff ff ff ff
ff following statements is true? ff ff ff
a. Health isna broad termnencompassing attitudes and behaviors. ff ff ff ff ff ff
b. The concept of illness prevention was never considered by previous generations.
ff ff ff ff ff ff ff ff ff ff
c. Wellness and self-actualization develop through learning and growth. ff ff ff ff ff ff ff
d. Wellness is impossible when one‘s health is compromised. ff ff ff ff ff ff ff
ANS: A f f
Health isna broad termnthat encompasses attitudes and behaviors; holistically, health includes w
ff ff ff ff ff ff ff ff ff ff ff
ellness, which involves one‘s whole being. The concept of illness prevention wasnnever
ff ff ff ff ff ff ff ff ff ff ff ff
consid ered by previous generations; throughout history, basic self-
ff ff ff ff ff ff ff ff ff
care requirements have been recognized. Wellness and self-
ff ff ff ff ff ff ff
actualization develop through learningnand growth—
ff ff ff ff ff
as basic needs arenmet, higher level needs can be satisfied in turn, with ever-
ff ff ff ff ff ff ff ff ff ff ff ff ff
deepening richnessnto life. Wellness is possible when one‘s health is compromised—
ff ff ff ff ff ff ff ff ff ff ff
even with chronic illness, with multiple disabilities, or in dying, movement toward a higher lev
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
el of wellness isnpossible.
ff ff ff ff
PTS: 1 DIF: Understand REF: p. 7 f f f f ff
TOP: Nursing Process: EvaluationMSC: Health Promotion and Maintenance
ff ff ff f ff ff ff ff
3. Which racial or ethnic group has the highest life expectancy in the United States?
ff ff ff ff ff ff ff ff ff ff ff ff ff
a. Native Americans ff
b. African Americans ff
c. Hispanic Americans ff
d. Asian and Pacific Island Americans ff ff ff ff
NURSINGTB.COM
NURSINGTB.COM
, Stuvia.com ff- ffThe ffMarketplace ffto ffBuy ffand ffSell ffyour ffStudy
Material
Chapter 02: Cross-Cultural Caring and Aging
ff ff ff ff ff
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
ff ff ff ff ff ff ff ff ff ff ff
MULTIPLE CHOICE ff
1. Which of the following is a true statement about differing health belief systems?
ff ff ff ff ff ff ff ff ff ff ff ff
a. Personalistic or magicoreligiousnbeliefs have been superseded in Western minds by ff ff ff ff ff ff ff ff ff
biomedical principles.
ff ff
b. In most cultures, older adults are likely to treat themselves using traditional
ff ff ff ff ff ff ff ff ff ff ff
methods before turning to biomedical professionals.
ff ff ff ff ff ff
c. Ayurvedic medicine is another name for traditional Chinese medicine. ff ff ff ff ff ff ff ff
d. The belief that health depends on maintaining a balance among opposite qualitiesi
ff ff ff ff ff ff ff ff ff ff ff
s characteristic of a magicoreligious belief system.
ff ff ff ff ff ff ff
ANS: B f f
Older adults in most cultures usually have had experience with traditional methods that havew
ff ff ff ff ff ff ff ff ff ff ff ff ff
orked as wellnas expected. After these treatments fail, older adults turn to the formal healthcare
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
system. Even in thenUnited States, itnis common for older adults to pray for cures or wonder
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
w hat they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
be lief systemnpracticed in India and innsome neighboring countries. This belief is
ff ff ff ff ff ff ff ff ff ff ff ff
characteristic o f a holistic or naturalistic approach.
ff ff ff ff ff ff ff ff
PTS: 1 DIF: Understand REF: f f p. 16-17 ff
TOP: Nursing Process: Assessment
f f f f ff ff f f f f f f f MSC: Health Promotion and Maintenance
f ff ff ff ff
2. Which of the following consideUratiS
onsNis m
ff
Tost likeOly to be true when working with an i
ff ff ff
N R I G B .C M ff ff ff ff ff ff ff
nterpreter?
ff
a. An interpreter is never needed if the nurse speaks the same language as thenpatient.
ff ff ff ff ff ff ff ff ff ff ff ff ff
b. When working with interpreters, the nurse can use technical terms or metaphors.
ff ff ff ff ff ff ff ff ff ff ff
c. A patient‘s young granddaughter who speaks fluent English would make the besti
ff ff ff ff ff ff ff ff ff ff ff
nterpreter because shenis familiar with and loves the patient.
ff ff ff ff ff ff ff ff ff
d. The nurse should face the patient rather than the interpreter.
ff ff ff ff ff ff ff ff ff
ANS: D f f
The nurse should face the patient rather than the interpreter is a true statement; thenintent is toc
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
onverse with the patient, notnwith a third party about the patient. Many reasons may prevent
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
th e patient fromnspeaking directly to a nurse. Technical terms and metaphors may be
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
difficultor i mpossible to translate. Cultural restrictions may prevent some topics from being
ff ff ff ff ff ff ff ff ff ff ff ff ff
spoken ofto a grandparent or child.
ff ff ff ff ff ff
PTS: 1 DIF: Understand REF: f f p. 18-19
f f ff
TOP: Nursing Process: Implementation
f f f f ff ff f f f f f f MSC: Safe, Effective Care Environment f f ff ff ff
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg andnrefus
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
es to remain in thenbed. Which intervention should the nurse use to promote and maintainhis he
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
alth?
ff
a. Have the health care provider speaknto him. ff ff ff ff ff ff
b. Use principles of the holistic healthnsystem.
ff ff ff ff ff
c. Ask about his perceptions and treatment ideas.
ff ff ff ff ff ff
, Ebersole and Hess' GSteurvoian.ctoomlo-
ff H ea l t h y A
f f
a nd S e l l y ou r
ff
ff ff ff ff
dition Touhy Test
f
ff ff
Bank
d. Consult with a practitioner of Chinese medicine. ff ff ff ff ff ff
ANS: C f f
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, expl
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
ain your perception of thenproblem, acknowledge the differences and similarities, recommend t
ff ff ff ff ff ff ff ff ff ff ff ff
reatment, and negotiate agreement), the nurse gathers information from thenpatient about cultur
ff ff ff ff ff ff ff ff ff ff ff ff
al beliefs concerning health care and avoids stereotyping the patient. In theassessment, the nurs
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
e determines what the patient believesnabout caregiving, decision making,treatment, andnother p
ff ff ff ff ff ff ff ff ff ff ff
ertinent health-
ff ff
related information. Speaking with the health care provider is premature until the assessment isn
ff ff ff ff ff ff ff ff ff ff ff ff ff
complete. Unlessnhe accepts the beliefs, principles of the holistic health system can be
f f ff ff ff ff ff ff ff ff ff ff ff ff
potential ly unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
with anp ractitioner of Chinese medicine can also be unsuitable and insulting for this patient.
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
PTS: 1 DIF: Apply REF: p. 18 f f ff
TOP: Nursing Process: Implementationf fMSC: Health Promotion and Maintenance
f f ff ff f f f f ff ff ff ff
4. Which action should the nurse takenwhen addressing older adults?
ff ff ff ff ff ff ff ff
a. Speak in an exaggerated pitch. ff ff ff ff
b. Usena lower quality of speech. ff ff ff ff
c. Use endearing terms such asn―honey.‖ ff ff ff ff
d. Speak clearly. ff
ANS: D f f
Some health professionals demonstratenageism, in part because providers tend to see manyfrail
ff ff ff ff ff ff ff ff ff ff ff
, older personsnand fewer of those who are healthy and active. Providers should notnassume tha t
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
all older adults are hearing or mentally impaired. The most appropriate action
ff ff ff ff ff ff ff ff ff ff ff ff
when addressing an older aduNltUwRoS
ulI
dN
ffbeGtT
oBsp.
eaCkOcM
learly. Examples of unintentionalnageismni n ff ff ff f ff ff ff ff
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
speech.
PTS: 1 DIF: Apply REF: p. 15 f f ff
TOP: Nursing Process: Assessment f f f f ff ff MSC: Health Promotion and Maintenance ff ff ff ff
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter andn
ff ff ff ff ff ff ff ff ff ff ff ff ff ff
otes that she becomes tense during the instructions about elimination. Which
ff ff ff ff ff ff ff ff ff ff ff
interventionsh ould thennurse implement?
ff ff ff ff
a. Movenon to the discussion about medication. ff ff ff ff ff
b. Ask the older woman how she feelsnabout this topic. ff ff ff ff ff ff ff ff
c. Instruct the interpreter to repeat the instructions. ff ff ff ff ff ff
d. Have the older woman repeat theninstructions for clarity. ff ff ff ff ff ff ff
ANS: B f f
When working with an interpreter, thennurse closely watches the older adult for nonverbal com
ff ff ff ff ff ff ff ff ff ff ff ff ff
munication and emotion regarding a specific topic and therefore validates the assessment about
ff ff ff ff ff ff ff ff ff ff ff ff ff
the older adult‘s tension before proceeding. Because the nurse notices her tension, thennurse
ff ff ff ff ff ff ff ff ff ff ff ff ff
te mporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
ff ff ff ff ff ff ff ff ff ff ff ff ff ff ff
old er adult is uncomfortable discussingnelimination, then important instructions can bemissed,
ff ff ff ff ff ff ff ff ff ff ff
lead ing to adverse effects for the older adult. Repeating the instructions can
ff ff ff ff ff ff ff ff ff ff ff ff ff
aggravatethenoldernadul t‘s discomfort. Instructing the older adult to repeat the nurse‘s
ff ff ff ff ff ff ff ff ff ff ff
instruction ignores her needs.
ff ff ff ff
NURSINGTB.COM
