Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada – Complete Test Bank

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Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
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Veronique Boscart
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3RD Edition
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TESTBANK x
1

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edi
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tion


MULTIPLE CHOICE 1x




1. A man is terminally ill with end-
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stage prostate cancer. Which is the best statement about this man‘s wellness?
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a. Wellness can only be achieved with aggressive medical interventions.
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b. Wellness is not a real option for this client because he is terminally ill.
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c. Wellness is defined as the absence of disease. 1x 1x 1x 1x 1x 1x 1x


d. Nursing interventions can help empower a client to achieve a higher level
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of wellness. 1x




ANS: D 1x


Nursing interventions can help empower a client to achieve a higher level of wellness; a nur
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se can foster wellness in his or her clients. Wellness is defined by the individual and is mu
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ltidimensional. It is not just the absence of disease. A wellness perspective is based on the
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belief that every person has an optimal level of health independent of his or her situation o
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r functional level. Even in the presence of chronic illness or while dying, a movement tow
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ard wellness is possible if emphasis of care is placed on the promotion of well-
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being in a supportive environment.
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PTS: 1 1 x DIF: Apply REF: p. 7 1 x 1x


TOP: Nursing Process: Diagnosis MSC: Health Promotion and Maintenanc
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e
2. In differentiating between health and wellness in health care, which of the followin
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g statements is true?
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a. Health is a broad term encompassing attitudes and behaviors.
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b. The concept of illness prevention was never considered by previous generations.
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c. Wellness and self-actualization develop through learning and growth.
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d. Wellness is impossible when one‘s health is compromised. 1x 1x 1x 1x 1x 1x 1x




ANS: A 1x


Health is a broad term that encompasses attitudes and behaviors; holistically, health includ
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es wellness, which involves one‘s whole being. The concept of illness prevention was nev
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er considered by previous generations; throughout history, basic self-
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care requirements have been recognized. Wellness and self-
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actualization develop through learning and growth— 1x 1x 1x 1x 1x


as basic needs are met, higher level needs can be satisfied in turn, with ever-
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deepening richness to life. Wellness is possible when one‘s health is compromised—
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even with chronic illness, with multiple disabilities, or in dying, movement toward a higher
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level of wellness is possible.
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PTS: 1 1 x DIF: Understand REF: p. 7 1 x 1x


TOP: Nursing Process: Evaluation MSC: Health Promotion and Maintenanc
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e

3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans 1x


b. African Americans 1x


c. Hispanic Americans 1x


d. Asian and Pacific Island Americans 1x 1x 1x 1x

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edit
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ion


MULTIPLE CHOICE 1x




1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligious beliefs have been superseded in Western minds b1x 1x 1x 1x 1x 1x 1x 1x 1x 1x


y biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using tradition
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al methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. 1x 1x 1x 1x 1x 1x 1x 1x


d. The belief that health depends on maintaining a balance among opposite qualiti
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es is characteristic of a magicoreligious belief system.
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ANS: B 1x


Older adults in most cultures usually have had experience with traditional methods that have
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worked as well as expected. After these treatments fail, older adults turn to the formal health
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xcare system. Even in the United States, it is common for older adults to pray for cures or
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wonder what they did to incur an illness as punishment. The Ayurvedic system is a natural
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istic health belief system practiced in India and in some neighboring countries. This belief
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is characteristic of a holistic or naturalistic approach.
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PTS: 1 x 1 x 1 DIF: Understand REF: p. 16-17 1 x 1x


TOP: 1 x Nursing Process: Assessment 1x 1x MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
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N R I G B.C M 1x 1x 1x 1x 1x 1x 1x


an interpreter?
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a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient‘s young granddaughter who speaks fluent English would make the bes
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t interpreter because she is familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: D 1x


The nurse should face the patient rather than the interpreter is a true statement; the intent i
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s to converse with the patient, not with a third party about the patient. Many reasons may
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prevent the patient from speaking directly to a nurse. Technical terms and metaphors may
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be difficult or impossible to translate. Cultural restrictions may prevent some topics from be
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ing spoken of to a grandparent or child.
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PTS: 1 x 1 x 1 DIF: Understand REF: p. 18-19 1 x 1x


TOP: 1 x Nursing Process: Implementation MSC: Safe, Effective Care Environment
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
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refuses to remain in the bed. Which intervention should the nurse use to promote and maint
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ain his health?
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a. Have the health care provider speak to him.
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b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, d. Consult with a practitioner of Chinese medicine. 1x 1x 1x 1x 1x 1x




ANS: C 1x


Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
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explain your perception of the problem, acknowledge the differences and similarities, reco
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mmend treatment, and negotiate agreement), the nurse gathers information from the patient
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about cultural beliefs concerning health care and avoids stereotyping the patient. In the asse
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ssment, the nurse determines what the patient believes about caregiving, decision making, tr
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eatment, and other pertinent health- 1x 1x 1x 1x


related information. Speaking with the health care provider is premature until the assessme
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nt is complete. Unless he accepts the beliefs, principles of the holistic health system can b
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e potentially unsuitable and insulting for this patient. Unless he accepts the treatments, con
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sulting with a practitioner of Chinese medicine can also be unsuitable and insulting for thi
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s patient.
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PTS: 1 x 1 x 1 DIF: Apply REF: p. 18 1 x 1x


TOP: 1 x Nursing Process: Implementation 1x 1x MSC: Health Promotion and Maintenance
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4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. 1x 1x 1x 1x


b. Use a lower quality of speech. 1x 1x 1x 1x 1x


c. Use endearing terms such as ―honey.‖ 1x 1x 1x 1x 1x


d. Speak clearly. 1x




ANS: D 1x


Some health professionals demonstrate ageism, in part because providers tend to see many fr
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ail, older persons and fewer of those who are healthy and active. Providers should not assu
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me that all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
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dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageis
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m in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality
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of speech.
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PTS: 1 x 1 x 1 DIF: Apply REF: p. 15 1 x 1x


TOP: 1 x Nursing Process: Assessment 1x 1x MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter a
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nd notes that she becomes tense during the instructions about elimination. Which interve
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ntion should the nurse implement?
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a. Move on to the discussion about medication. 1x 1x 1x 1x 1x 1x


b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. 1x 1x 1x 1x 1x 1x


d. Have the older woman repeat the instructions for clarity.
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ANS: B 1x


When working with an interpreter, the nurse closely watches the older adult for nonverbal
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communication and emotion regarding a specific topic and therefore validates the assessme
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nt about the older adult‘s tension before proceeding. Because the nurse notices her tension,
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the nurse temporarily suspends the preparation to validate her assessment. If the nurse pro
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ceeds and the older adult is uncomfortable discussing elimination, then important instruction
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s can be missed, leading to adverse effects for the older adult. Repeating the instructions ca
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n aggravate the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s in
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struction ignores her needs. 1x 1x 1x