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