Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy Aging 6th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1 – 28

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th
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Edition
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MULTIPLE |!CHOICE

1. A |!man |!is |!terminally |!ill |!with |!end-stage |!prostate |!cancer. |!Which |!is |!the |!best |!statement |!about
this |!man’s |!wellness?
|!

a. Wellness |!can |!only |!be |!achieved |!with |!aggressive |!medical |!interventions.
b. Wellness |!is |!not |!a |!real |!option |!for |!this |!client |!because |!he |!is |!terminally |!ill.
c. Wellness |!is |!defined |!as |!the |!absence |!of |!disease.
d. Nursing |!interventions |!can |!help |!empower |!a |!client |!to |!achieve |!a |!higher |!level
|!of |!wellness.



ANS: | ! D
Nursing |!interventions |!can |!help |!empower |!a |!client |!to |!achieve |!a |!higher |!level |!of |!wellness; |!a |!nurse
|!can |!foster |!wellness |!in |!his |!or |!her |!clients. |!Wellness |!is |!defined |!by |!the |!individual |!and |!is

|!multidimensional. |!It |!is |!not |!just |!the |!absence |!of |!disease. |!A |!wellness |!perspective |!is |!based |!on

|!the |!belief |!that |!every |!person |!has |!an |!optimal |!level |!of |!health |!independent |!of |!his |!or |!her

|!situation |!or |!functional |!level. |!Even |!in |!the |!presence |!of |!chronic |!illness |!or |!while |!dying, |!a

|!movement |!toward |!wellness |!is |!possible |!if |!emphasis |!of |!care |!is |!placed |!on |!the |!promotion |!of

|!well-being |!in |!a |!supportive |!environment.




PTS: | ! 1 DIF: Apply REF: | ! p. |!7 TOP: |!Nursing |!Process: |!Diagnosis
|!MSC: |!Health |!Promotion |!and |!Maintenance




2. In |!differentiating |!between |!healU
t h aS
N R I G B. C M
nd wNellnTess in hOealth |!care, |!which |!of |!the |!following
|! statements |!is |!true?
a. Health |!is |!a |!broad |!term |!encompassing |!attitudes |!and |!behaviors.
b. The |!concept |!of |!illness |!prevention |!was |!never |!considered |!by |!previous |!generations.
c. Wellness |!and |!self-actualization |!develop |!through |!learning |!and |!growth.
d. Wellness |!is |!impossible |!when |!one’s |!health |!is |!compromised.
ANS: | ! A
Health |!is |!a |!broad |!term |!that |!encompasses |!attitudes |!and |!behaviors; |!holistically, |!health
|!includes |!wellness, |!which |!involves |!one’s |!whole |!being. |!The |!concept |!of |!illness |!prevention

|!was |!never |!considered |!by |!previous |!generations; |!throughout |!history, |!basic |!self-care

|!requirements |!have |!been |!recognized. |!Wellness |!and |!self-actualization |!develop |!through

|!learning |!and |!growth—as |!basic |!needs |!are |!met, |!higher |!level |!needs |!can |!be |!satisfied |!in |!turn,

|!with |!ever-deepening |!richness |!to |!life. |!Wellness |!is |!possible |!when |!one’s |!health |!is

|!compromised—even |!with |!chronic |!illness, |!with |!multiple |!disabilities, |!or |!in |!dying, |!movement

|!toward |!a |!higher |!level |!of |!wellness |!is |!possible.

, PTS: | ! 1 DIF: Understand REF: | ! p. |!7 TOP: |!Nursing |!Process: |!Evaluation
|!MSC: |!Health |!Promotion |!and |!Maintenance




3. Which |!racial |!or |!ethnic |!group |!has |!the |!highest |! life |!expectancy |!in |!the |!United |!States?
a. Native |!Americans
b. African |!Americans
c. Hispanic |!Americans
d. Asian |!and |!Pacific |!Island |!Americans

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th
|! |! |! |! |! |! |! |! |! |! |!

Edition
|!




MULTIPLE |!CHOICE

1. Which |!of |!the |!following |!is |!a |!true |!statement |!about |!differing |!health |!belief |!systems?
a. Personalistic |!or |!magicoreligious |!beliefs |!have |!been |!superseded |!in |!Western |!minds |!by
|! biomedical |!principles.
b. In |!most |!cultures, |!older |!adults |!are |!likely |!to |!treat |!themselves |!using
traditional |!methods |!before |!turning |!to |!biomedical |!professionals.
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c. Ayurvedic |!medicine |!is |!another |!name |!for |!traditional |!Chinese |!medicine.
d. The |!belief |!that |!health |!depends |!on |!maintaining |!a |!balance |!among |!opposite |!qualities
|! is |!characteristic |!of |!a |!magicoreligious |!belief |!system.
ANS: | ! B
Older |!adults |!in |!most |!cultures |!usually |!have |!had |!experience |!with |!traditional |!methods |!that |!have
|!worked |!as |!well |!as |!expected. |!After |!these |!treatments |!fail, |!older |!adults |!turn |!to |!the |!formal

|!health |!care |!system. |!Even |!in |!the |!United |!States, |!it |!is |!common |!for |!older |!adults |!to |!pray |!for

|!cures |!or |!wonder |!what |!they |!did |!to |!incur |!an |!illness |!as |!punishment. |!The |!Ayurvedic |!system

|!is |!a |!naturalistic |!health |!belief |!system |!practiced |!in |!India |!and |!in |!some |!neighboring |!countries.

|!This |!belief |!is |!characteristic |!of |!a |!holistic |!or |!naturalistic |!approach.




PTS: | ! | ! 1 DIF: Understand REF: | ! p. |!16-17
TOP: | ! Nursing |!Process: |!Assessment MSC: |!Health |!Promotion |!and |!Maintenance

2. Which |!of |!the |!following |!consideUratiS
onsNis m
N R I G B .C M
Tost likO
ely |!to |!be |!true |!when |!working |!with |!an
|! interpreter?
a. An |!interpreter |!is |!never |!needed |!if |!the |!nurse |!speaks |!the |!same |!language |!as |!the |!patient.
b. When |!working |!with |!interpreters, |!the |!nurse |!can |!use |!technical |!terms |!or |!metaphors.
c. A |!patient’s |!young |!granddaughter |!who |!speaks |!fluent |!English |!would |!make |!the |!best
|! interpreter |!because |!she |!is |!familiar |!with |!and |!loves |!the |!patient.
d. The |!nurse |!should |!face |!the |!patient |!rather |!than |!the |!interpreter.
ANS: | ! D
The |!nurse |!should |!face |!the |!patient |!rather |!than |!the |!interpreter |!is |!a |!true |!statement; |!the |!intent |!is
|!to |!converse |!with |!the |!patient, |!not |!with |!a |!third |!party |!about |!the |!patient. |!Many |!reasons |!may

|!prevent |!the |!patient |!from |!speaking |!directly |!to |!a |!nurse. |!Technical |!terms |!and |!metaphors |!may

|!be |!difficult |!or |!impossible |!to |!translate. |!Cultural |!restrictions |!may |!prevent |!some |!topics |!from

|!being |!spoken |!of |!to |!a |!grandparent |!or |!child.




PTS: | ! | ! 1 DIF: Understand REF: | ! | ! p. |!18-19
TOP: | ! Nursing |!Process: |!Implementation | ! | ! MSC: | ! Safe, |!Effective |!Care |!Environment

3. An |!older |!adult |!who |!is |!a |!traditional |!Chinese |!man |!has |!a |!blood |!pressure |!of |!80/54 |!mm |!Hg |!and
refuses |!to |!remain |!in |!the |!bed. |!Which |!intervention |!should |!the |!nurse |!use |!to |!promote |!and
|!

maintain |!his |!health?
|!

a. Have |!the |!health |!care |!provider |!speak |!to |!him.
b. Use |!principles |!of |!the |!holistic |!health |!system.
c. Ask |!about |!his |!perceptions |!and |!treatment |!ideas.