Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
c c c c c c c c
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapte
c c c c c c c c c c c c
1-28. c
,Chapter 01: Introduction to Healthy Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
c c c c c c c c c c c
Edition
c
MULTIPLE CHOICE c
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
c c c c c c c c c c c c c c c
cman’s wellness? c
a. Wellness can only be achieved with aggressive medical interventions. c c c c c c c c
b. Wellness is not a real option for this client because he is terminally ill. c c c c c c c c c c c c c
c. Wellness is defined as the absence of disease. c c c c c c c
d. Nursing interventions can help empower a client to achieve a higher level of c c c c c c c c c c c c
wellness. c
ANS: c D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
c c c c c c c c c c c c c c c c
foster wellness in his or her clients. Wellness is defined by the individual and is
c c c c c c c c c c c c c c c
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
c c c c c c c c c c c c c c c c
belief that every person has an optimal level of health independent of his or her situation or
c c c c c c c c c c c c c c c c c
functional level. Even in the presence of chronic illness or while dying, a movement toward
c c c c c c c c c c c c c c c
wellness is possible if emphasis of care is placed on the promotion of well-being in a
c c c c c c c c c c c c c c c c
supportive environment.
c c
PTS: 1 DIF: Apply c REF: p. 7 c c TOP: c Nursing Process: c
Diagnosis MSC: Health Promotion and Maintenance
c c c c c c
2. In differentiating between healU
c th anSd wNellnTess in hOealth care, which of the following c c
N R I G B.C M c c c c c
cstatements is true? c c
a. Health is a broad term encompassing attitudes and behaviors. c c c c c c c c
b. The concept of illness prevention was never considered by previous generations.
c c c c c c c c c c
c. Wellness and self-actualization develop through learning and growth. c c c c c c c
d. Wellness is impossible when one’s health is compromised. c c c c c c c
ANS: c A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
c c c c c c c c c c c c
wellness, which involves one’s whole being. The concept of illness prevention was never
c c c c c c c c c c c c c
considered by previous generations; throughout history, basic self-care requirements have
c c c c c c c c c c
been recognized. Wellness and self-actualization develop through learning and growth—as
c c c c c c c c c c
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
c c c c c c c c c c c c c c c
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
c c c c c c c c c c c c c
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
c c c c c c c c c c c c c c c
PTS: 1 DIF: Understand REF: p. 7
c c c TOP: c Nursing Process: c
Evaluation MSC: Health Promotion and Maintenance
c c c c c c
3. Which racial or ethnic group has the highest life expectancy in the United States?
c c c c c c c c c c c c c
a. Native Americans c
b. African Americans c
c. Hispanic Americans c
d. Asian and Pacific Island Americans c c c c
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
c c c c c c c c c c c c
Chapter 02: Cross-Cultural Caring and Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
c c c c c c c c c c c c
MULTIPLE CHOICE c
1. Which of the following is a true statement about differing health belief systems?
c c c c c c c c c c c c
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by c c c c c c c c c c
biomedical principles.
c c
b. In most cultures, older adults are likely to treat themselves using traditional
c c c c c c c c c c c
methods before turning to biomedical professionals.
c c c c c c
c. Ayurvedic medicine is another name for traditional Chinese medicine. c c c c c c c c
d. The belief that health depends on maintaining a balance among opposite qualities is
c c c c c c c c c c c c
characteristic of a magicoreligious belief system.
c c c c c c
ANS: c B
Older adults in most cultures usually have had experience with traditional methods that have
c c c c c c c c c c c c c
worked as well as expected. After these treatments fail, older adults turn to the formal health care
c c c c c c c c c c c c c c c c c
system. Even in the United States, it is common for older adults to pray for cures or wonder
c c c c c c c c c c c c c c c c c c
what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health
c c c c c c c c c c c c c c c c
belief system practiced in India and in some neighboring countries. This belief is
c c c c c c c c c c c c c
characteristic of a holistic or naturalistic approach.
c c c c c c c
PTS: c c 1 DIF: Understand REF: p. 16-17 c c c
TOP: c Nursing Process: Assessment c c MSC: Health Promotion and Maintenance c c c c
2. Which of the following consideUratiS
onsNis m
Tost likO
c ely to be true when working with an
c c c
N R I G B. C M c c c c c c c
cinterpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
c c c c c c c c c c c c c c
b. When working with interpreters, the nurse can use technical terms or metaphors.
c c c c c c c c c c c
c. A patient’s young granddaughter who speaks fluent English would make the best
c c c c c c c c c c c
c interpreter because she is familiar with and loves the patient. c c c c c c c c c
d. The nurse should face the patient rather than the interpreter.
c c c c c c c c c
ANS: c D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
c c c c c c c c c c c c c c c c c
converse with the patient, not with a third party about the patient. Many reasons may prevent
c c c c c c c c c c c c c c c c
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
c c c c c c c c c c c c c c c
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
c c c c c c c c c c c c c c
to a grandparent or child.
c c c c c
PTS: c c 1 DIF: Understand c c c c REF: p. 18-19 c c c
TOP: c Nursing Process: Implementation c c c c MSC: Safe, Effective Care Environment c c c c
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
c c c c c c c c c c c c c c c c c
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
c c c c c c c c c c c c c c c c
his health?
c c
a. Have the health care provider speak to him. c c c c c c c
b. Use principles of the holistic health system. c c c c c c
c. Ask about his perceptions and treatment ideas. c c c c c c
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
c c c c c c c c c c c c
d. Consult with a practitioner of Chinese medicine. c c c c c c
ANS: c C
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
c c c c c c c c c c c c c
explain your perception of the problem, acknowledge the differences and similarities,
c c c c c c c c c c c
recommend treatment, and negotiate agreement), the nurse gathers information from the
c c c c c c c c c c c
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
c c c c c c c c c c c c c c
assessment, the nurse determines what the patient believes about caregiving, decision making,
c c c c c c c c c c c c
treatment, and other pertinent health-related information. Speaking with the health care
c c c c c c c c c c c
provider is premature until the assessment is complete. Unless he accepts the beliefs,
c c c c c c c c c c c c c
principles of the holistic health system can be potentially unsuitable and insulting for this
c c c c c c c c c c c c c c
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
c c c c c c c c c c c c c
can also be unsuitable and insulting for this patient.
c c c c c c c c c
PTS: c c 1 DIF: Apply REF: p. 18 c c c
TOP: c Nursing Process: Implementation c c MSC: Health Promotion and Maintenance c c c c
4. Which action should the nurse take when addressing older adults?
c c c c c c c c c
a. Speak in an exaggerated pitch. c c c c
b. Use a lower quality of speech. c c c c c
c. Use endearing terms such as “honey.” c c c c c
d. Speak clearly. c
ANS: c D
Some health professionals demonstrate ageism, in part because providers tend to see many
c c c c c c c c c c c c
frail, older persons and fewer of those who are healthy and active. Providers should not
c c c c c c c c c c c c c c c
assume that all older adults are hearing or mentally impaired. The most appropriate action
c c c c c c c c c c c c c c
when addressingan olderaduNltUwRoS
c ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examples ofunintentionalageisminc c c c c c c c c cc c c c c c
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
c c c c c c c c c c c c c c
speech.
PTS: c c 1 DIF: Apply REF: p. 15 c c c
TOP: c Nursing Process: Assessment c c MSC: Health Promotion and Maintenance c c c c
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
c c c c c c c c c c c c c c
notes that she becomes tense during the instructions about elimination. Which intervention
c c c c c c c c c c c c
should the nurse implement?
c c c c
a. Move on to the discussion about medication. c c c c c c
b. Ask the older woman how she feels about this topic.
c c c c c c c c c
c. Instruct the interpreter to repeat the instructions. c c c c c c
d. Have the older woman repeat the instructions for clarity.
c c c c c c c c
ANS: c B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
c c c c c c c c c c c c c
communication and emotion regarding a specific topic and therefore validates the assessment
c c c c c c c c c c c c
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
c c c c c c c c c c c c c c
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
c c c c c c c c c c c c c
and the older adult is uncomfortable discussing elimination, then important instructions can be
c c c c c c c c c c c c c
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
c c c c c c c c c c c c c c
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
c c c c c c c c c c c c c
ignores her needs.
c c c
NURSINGTB.COM
c c c c c c c c
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapte
c c c c c c c c c c c c
1-28. c
,Chapter 01: Introduction to Healthy Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
c c c c c c c c c c c
Edition
c
MULTIPLE CHOICE c
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
c c c c c c c c c c c c c c c
cman’s wellness? c
a. Wellness can only be achieved with aggressive medical interventions. c c c c c c c c
b. Wellness is not a real option for this client because he is terminally ill. c c c c c c c c c c c c c
c. Wellness is defined as the absence of disease. c c c c c c c
d. Nursing interventions can help empower a client to achieve a higher level of c c c c c c c c c c c c
wellness. c
ANS: c D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
c c c c c c c c c c c c c c c c
foster wellness in his or her clients. Wellness is defined by the individual and is
c c c c c c c c c c c c c c c
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
c c c c c c c c c c c c c c c c
belief that every person has an optimal level of health independent of his or her situation or
c c c c c c c c c c c c c c c c c
functional level. Even in the presence of chronic illness or while dying, a movement toward
c c c c c c c c c c c c c c c
wellness is possible if emphasis of care is placed on the promotion of well-being in a
c c c c c c c c c c c c c c c c
supportive environment.
c c
PTS: 1 DIF: Apply c REF: p. 7 c c TOP: c Nursing Process: c
Diagnosis MSC: Health Promotion and Maintenance
c c c c c c
2. In differentiating between healU
c th anSd wNellnTess in hOealth care, which of the following c c
N R I G B.C M c c c c c
cstatements is true? c c
a. Health is a broad term encompassing attitudes and behaviors. c c c c c c c c
b. The concept of illness prevention was never considered by previous generations.
c c c c c c c c c c
c. Wellness and self-actualization develop through learning and growth. c c c c c c c
d. Wellness is impossible when one’s health is compromised. c c c c c c c
ANS: c A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
c c c c c c c c c c c c
wellness, which involves one’s whole being. The concept of illness prevention was never
c c c c c c c c c c c c c
considered by previous generations; throughout history, basic self-care requirements have
c c c c c c c c c c
been recognized. Wellness and self-actualization develop through learning and growth—as
c c c c c c c c c c
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
c c c c c c c c c c c c c c c
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
c c c c c c c c c c c c c
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
c c c c c c c c c c c c c c c
PTS: 1 DIF: Understand REF: p. 7
c c c TOP: c Nursing Process: c
Evaluation MSC: Health Promotion and Maintenance
c c c c c c
3. Which racial or ethnic group has the highest life expectancy in the United States?
c c c c c c c c c c c c c
a. Native Americans c
b. African Americans c
c. Hispanic Americans c
d. Asian and Pacific Island Americans c c c c
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
c c c c c c c c c c c c
Chapter 02: Cross-Cultural Caring and Aging
c c c c c
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
c c c c c c c c c c c c
MULTIPLE CHOICE c
1. Which of the following is a true statement about differing health belief systems?
c c c c c c c c c c c c
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by c c c c c c c c c c
biomedical principles.
c c
b. In most cultures, older adults are likely to treat themselves using traditional
c c c c c c c c c c c
methods before turning to biomedical professionals.
c c c c c c
c. Ayurvedic medicine is another name for traditional Chinese medicine. c c c c c c c c
d. The belief that health depends on maintaining a balance among opposite qualities is
c c c c c c c c c c c c
characteristic of a magicoreligious belief system.
c c c c c c
ANS: c B
Older adults in most cultures usually have had experience with traditional methods that have
c c c c c c c c c c c c c
worked as well as expected. After these treatments fail, older adults turn to the formal health care
c c c c c c c c c c c c c c c c c
system. Even in the United States, it is common for older adults to pray for cures or wonder
c c c c c c c c c c c c c c c c c c
what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health
c c c c c c c c c c c c c c c c
belief system practiced in India and in some neighboring countries. This belief is
c c c c c c c c c c c c c
characteristic of a holistic or naturalistic approach.
c c c c c c c
PTS: c c 1 DIF: Understand REF: p. 16-17 c c c
TOP: c Nursing Process: Assessment c c MSC: Health Promotion and Maintenance c c c c
2. Which of the following consideUratiS
onsNis m
Tost likO
c ely to be true when working with an
c c c
N R I G B. C M c c c c c c c
cinterpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
c c c c c c c c c c c c c c
b. When working with interpreters, the nurse can use technical terms or metaphors.
c c c c c c c c c c c
c. A patient’s young granddaughter who speaks fluent English would make the best
c c c c c c c c c c c
c interpreter because she is familiar with and loves the patient. c c c c c c c c c
d. The nurse should face the patient rather than the interpreter.
c c c c c c c c c
ANS: c D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
c c c c c c c c c c c c c c c c c
converse with the patient, not with a third party about the patient. Many reasons may prevent
c c c c c c c c c c c c c c c c
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
c c c c c c c c c c c c c c c
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
c c c c c c c c c c c c c c
to a grandparent or child.
c c c c c
PTS: c c 1 DIF: Understand c c c c REF: p. 18-19 c c c
TOP: c Nursing Process: Implementation c c c c MSC: Safe, Effective Care Environment c c c c
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
c c c c c c c c c c c c c c c c c
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
c c c c c c c c c c c c c c c c
his health?
c c
a. Have the health care provider speak to him. c c c c c c c
b. Use principles of the holistic health system. c c c c c c
c. Ask about his perceptions and treatment ideas. c c c c c c
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
c c c c c c c c c c c c
d. Consult with a practitioner of Chinese medicine. c c c c c c
ANS: c C
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
c c c c c c c c c c c c c
explain your perception of the problem, acknowledge the differences and similarities,
c c c c c c c c c c c
recommend treatment, and negotiate agreement), the nurse gathers information from the
c c c c c c c c c c c
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
c c c c c c c c c c c c c c
assessment, the nurse determines what the patient believes about caregiving, decision making,
c c c c c c c c c c c c
treatment, and other pertinent health-related information. Speaking with the health care
c c c c c c c c c c c
provider is premature until the assessment is complete. Unless he accepts the beliefs,
c c c c c c c c c c c c c
principles of the holistic health system can be potentially unsuitable and insulting for this
c c c c c c c c c c c c c c
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
c c c c c c c c c c c c c
can also be unsuitable and insulting for this patient.
c c c c c c c c c
PTS: c c 1 DIF: Apply REF: p. 18 c c c
TOP: c Nursing Process: Implementation c c MSC: Health Promotion and Maintenance c c c c
4. Which action should the nurse take when addressing older adults?
c c c c c c c c c
a. Speak in an exaggerated pitch. c c c c
b. Use a lower quality of speech. c c c c c
c. Use endearing terms such as “honey.” c c c c c
d. Speak clearly. c
ANS: c D
Some health professionals demonstrate ageism, in part because providers tend to see many
c c c c c c c c c c c c
frail, older persons and fewer of those who are healthy and active. Providers should not
c c c c c c c c c c c c c c c
assume that all older adults are hearing or mentally impaired. The most appropriate action
c c c c c c c c c c c c c c
when addressingan olderaduNltUwRoS
c ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examples ofunintentionalageisminc c c c c c c c c cc c c c c c
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
c c c c c c c c c c c c c c
speech.
PTS: c c 1 DIF: Apply REF: p. 15 c c c
TOP: c Nursing Process: Assessment c c MSC: Health Promotion and Maintenance c c c c
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
c c c c c c c c c c c c c c
notes that she becomes tense during the instructions about elimination. Which intervention
c c c c c c c c c c c c
should the nurse implement?
c c c c
a. Move on to the discussion about medication. c c c c c c
b. Ask the older woman how she feels about this topic.
c c c c c c c c c
c. Instruct the interpreter to repeat the instructions. c c c c c c
d. Have the older woman repeat the instructions for clarity.
c c c c c c c c
ANS: c B
When working with an interpreter, the nurse closely watches the older adult for nonverbal
c c c c c c c c c c c c c
communication and emotion regarding a specific topic and therefore validates the assessment
c c c c c c c c c c c c
about the older adult’s tension before proceeding. Because the nurse notices her tension, the
c c c c c c c c c c c c c c
nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
c c c c c c c c c c c c c
and the older adult is uncomfortable discussing elimination, then important instructions can be
c c c c c c c c c c c c c
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
c c c c c c c c c c c c c c
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
c c c c c c c c c c c c c
ignores her needs.
c c c
NURSINGTB.COM
