Test Bank Ebersole and Hess’
m m m m m
Gerontological Nursing & Hea m m m
lthy Aging 5th Edition by Theri
m m m m m
s A. Touhy, and Kathleen F Jet
m m m m m m m
Chapter 1-28. m
,Chapter m01:mIntroductionmtomHealthy mAging
Touhy m&mJett:mEbersole mandmHess’mGerontologicalmNursing m&mHealthy mAging,m5thmEdit
ion
MULTIPLEm CHOICE
1. A mmanmismterminallymillmwithmend-
stagemprostatemcancer.mWhichmismthembest mstatement mabout mthismman’smwellness?
a. Wellnessmcanmonlymbemachieved mwithmaggressivemmedicalminterventions.
b. Wellnessmismnot mamrealmoptionmformthismclient mbecausemhemismterminallymill.
c. Wellnessmismdefined masmthemabsencemof mdisease.
d. Nursingminterventionsmcanmhelpmempowermamclient mtomachievemamhighermlevelm
of mwellness.
ANS:m D
Nursingminterventionsmcanmhelpmempowermamclient mtomachievemamhighermlevelmof mwellness;mamnur
semcanmfostermwellnessminmhismormhermclients.mWellnessm ismdefined mbymthemindividualmand mismmul
tidimensional.mIt mismnot mjust mthemabsencemof mdisease.mA mwellnessmperspectivemismbased monmthemb
elief mthat meverympersonmhasmanmoptimalmlevelmof mhealthmindependent mof mhismormhermsituationmorm
functionalmlevel.mEvenminmthempresencemof mchronicmillnessmormwhilemdying,mam movement mtowar
d mwellnessmismpossiblemif memphasismof mcarem ismplaced monmthempromotionmof mwell-
beingminmamsupportivemenvironment.
PTS:m 1 DIF: Apply REF:m p.m7
TOP:m NursingmProcess:mDiagnosismMSC:m Health mPromotionmandmMaintenanc
e
2. InmdifferentiatingmbetweenmhealU
N R I G B. C M
t h aS
nd wNellnTess in O
health mcare,mwhichmof mthemfollowin
gmstatementsmismtrue?
a. Healthmismambroad mtermmencompassingmattitudesmand mbehaviors.
b. Themconcept mof millnessmpreventionmwasmnevermconsidered mbympreviousmgenerations.
c. Wellnessmand mself-actualizationmdevelopmthroughmlearningmand mgrowth.
d. Wellnessmismimpossiblemwhenmone’smhealthmismcompromised.
ANS:m A
Healthmismambroad mtermmthat mencompassesmattitudesmand mbehaviors;mholistically,mhealthminclude
smwellness,mwhichminvolvesmone’smwholembeing.m Them concept mof millnessmpreventionmwasmnever m
considered mbympreviousmgenerations;mthroughout mhistory,mbasicmself-
caremrequirementsmhavembeenmrecognized.mWellness mand mself-
actualizationmdevelopmthroughmlearningmand mgrowth—
asmbasicmneedsmaremmet,mhighermlevelmneedsmcanmbemsatisfied minmturn,mwithmever-
deepeningmrichnessmtomlife.mWellnessmismpossiblemwhenmone’smhealthmismcompromised—
evenmwithmchronicmillness,mwithmmultiplemdisabilities,morminmdying,mmovement mtoward mamhigherm
levelmof mwellnessmismpossible.
PTS:m 1 DIF: Understand REF:m p.m7
TOP:m NursingmProcess:mEvaluationmMSC:m Health mPromotion mandmMaintenanc
e
3. Whichmracialmormethnicmgroupmhasmthemhighest mlifemexpectancyminmthemUnited mStates?
a. NativemAmericans
b. AfricanmAmericans
c. HispanicmAmericans
d. Asianmand mPacificmIsland mAmericans
, Ebersolemand mHess'mGerontologicalmNursingmand mHealthymAgingm5thmEditionmTouhymTest mBa
nk
Chapter m02:mCross-CulturalmCaring mandmAging
Touhy m&mJett:mEbersole mandmHess’mGerontologicalmNursing m&mHealthy mAging,m5thmEdit
ion
MULTIPLEm CHOICE
1. Whichmof mthemfollowingmismamtruemstatement mabout mdifferingmhealthmbelief msystems?
a. Personalisticmormmagicoreligiousmbeliefsmhavembeenmsuperseded minmWesternmmindsm
bymbiomedicalmprinciples.
b. Inmmost mcultures,moldermadultsmaremlikelymtomtreat mthemselvesmusingmtradition
almmethodsmbeforemturningmtombiomedicalmprofessionals.
c. AyurvedicmmedicinemismanothermnamemformtraditionalmChinesemmedicine.
d. Thembelief mthat mhealthmdependsmonmmaintainingmambalancemamongmoppositemqualiti
esmismcharacteristicmof mammagicoreligiousmbelief msystem.
ANS:m B
Oldermadultsminmmost mculturesmusuallymhavemhad mexperiencemwithmtraditionalmmethodsmthat mhav
emworked masmwellmasmexpected.mAftermthesemtreatmentsmfail,moldermadultsmturnmtomthemformalmhe
althmcaremsystem.mEvenminmthemUnited mStates,mit mismcommonmformoldermadultsmtompraymformcures
mormwondermwhat mtheymdid mtomincurmanmillnessmasmpunishment.mThemAyurvedicmsystemmismamnat
uralisticmhealthmbelief msystemmpracticed minmIndiamand minmsomemneighboringmcountries.m Thismbe
lief mismcharacteristicmof mamholisticmormnaturalisticmapproach.
PTS:m m 1 DIF: Understand REF:m m p.m16-17
TOP:m NursingmProcess:mAssessment MSC:m Health mPromotion mand mMaintenance
N R I G B .C M
2. Whichmof mthemfollowingmconsideUratiS
onsNis m
Tost likO
ely mtombemtruemwhenmworkingmwithm
anminterpreter?
a. Anminterpretermismnevermneeded mif mthemnursemspeaksmthemsamemlanguagemasmthempatient.
b. Whenmworkingmwithminterpreters,mthemnursemcanmusemtechnicalmtermsmormmetaphors.
c. Ampatient’smyoungmgranddaughtermwhomspeaksmfluent mEnglishmwould mmakemthembe
st minterpretermbecausemshemismfamiliarmwithmand mlovesmthempatient.
d. Themnursemshould mfacemthempatient mrathermthanmtheminterpreter.
ANS:m D
Themnursemshould mfacemthempatient mrathermthanmtheminterpretermismamtruemstatement;mthemintent mis
mtomconversemwithmthempatient,mnot mwithmamthird mpartymabout mthempatient.mManymreasonsmmaymp
revent mthempatient mfrommspeakingmdirectlymtomamnurse.mTechnicalmtermsmand mmetaphorsmmaymb
emdifficult mormimpossiblemtomtranslate.mCulturalmrestrictionsmmaymprevent msomemtopicsmfrommbei
ngmspokenmof mtomamgrandparent mormchild.
PTS:m m 1 DIF: Understand REF:m m p.m18-19
TOP:m NursingmProcess:mImplementation m m MSC:m Safe,mEffective mCaremEnvironment
3. Anmoldermadult mwhomismamtraditionalmChinesemmanmhasmamblood mpressuremof m80/54mmmmHgmand
mrefusesmtomremainminmthembed.mWhichminterventionmshould mthemnursemusemtompromotemand mmain
tainmhismhealth?
a. Havemthemhealthmcaremprovidermspeakmtomhim.
b. Usemprinciplesmof mthemholisticmhealthmsystem.
c. Askmabout mhismperceptionsmand mtreatment mideas.
, Ebersolemand mHess'mGerontologicalmNursingmand mHealthymAgingm5thmEditionmTouhymTest mBa
nk
d. Consult mwithmampractitionermof mChinesemmedicine.
ANS:m C
UsingmthemLEARN mmodelm(listenmwithmsympathymtomthempatient’smperceptionmof mthemproblem,m
explainmyourmperceptionmof mthemproblem,macknowledgemthemdifferencesmand msimilarities,mreco
mmend mtreatment,mand mnegotiatemagreement),mthemnursemgathersminformationmfrommthempatient m
about mculturalmbeliefsmconcerningmhealthmcaremand mavoidsmstereotypingmthempatient.mInmthemasse
ssment,mthemnursemdeterminesmwhat mthempatient mbelievesmabout mcaregiving,mdecisionmmaking,mtr
eatment,mand mothermpertinent mhealth-
related minformation.mSpeakingmwithmthemhealthmcaremprovidermismprematuremuntilmthemassessme
nt mismcomplete.mUnlessmhemacceptsmthembeliefs,mprinciples mof mthemholisticmhealthmsystemmcan mbe
mpotentiallymunsuitablemand minsultingmformthismpatient.mUnlessmhemacceptsmthemtreatments,mconsu
ltingmwithmampractitionermof mChinesemmedicinemcanmalsombemunsuitablemand minsultingmformthismp
atient.
PTS:m m 1 DIF: Apply REF:m m p.m18
TOP:m NursingmProcess:mImplementation MSC:m Health mPromotion mand mMaintenance
4. Whichmactionmshould mthemnursemtakemwhenmaddressingmoldermadults?
a. Speakminmanmexaggerated mpitch.
b. Usemamlowermqualitymof mspeech.
c. Usemendearingmtermsmsuchmasm“honey.”
d. Speakmclearly.
ANS:m D
Somemhealthmprofessionalsmdemonstratemageism,minmpart mbecausemprovidersmtend mtomseemmanym
frail,moldermpersonsmand mfewermof mthosemwhomaremhealthymand mactive.mProvidersmshould mnot mas
sumemthat mallmoldermadultsmaremhearingmormmentallymimpaired.mThem most mappropriatemaction
whenmaddressingmanmoldermaduNltUwRoS
ulI
dNbeGtT
o mBs p.e aCkOc Mle a r l y . mExamplesmofmunintentionalmageis
mminmlanguagemaremanmexaggerated mpitch,mamdemeaningmemotionalmtone,mand mamlowermqualitym
of
speech.
PTS:m m 1 DIF: Apply REF:m m p.m15
TOP:m NursingmProcess:mAssessment MSC:m Health mPromotion mand mMaintenance
5. Themnursempreparesmanmoldermwoman,mwhomismPolish,mformdischargemthroughmanminterpreterma
nd mnotesmthat mshembecomesmtensemduringmtheminstructionsmabout melimination.mWhichminterve
ntionmshould mthemnursemimplement?
a. Movemonmtomthemdiscussionmabout mmedication.
b. Askmthemoldermwomanmhow mshemfeelsmabout mthismtopic.
c. Instruct mtheminterpretermtomrepeat mtheminstructions.
d. Havemthemoldermwomanmrepeat mtheminstructionsmformclarity.
ANS:m B
Whenmworkingmwithmanminterpreter,mthemnursemcloselymwatchesmthemoldermadult mformnonverbalm
communicationmand memotionmregardingmamspecificmtopicmand mthereforemvalidatesmthemassessme
nt mabout mthemoldermadult’smtensionmbeforemproceeding.mBecausemthemnursemnoticesmhermtension,m
themnursemtemporarilymsuspendsmthempreparationmtomvalidatemhermassessment.mIf mthemnursemproc
eedsmand mthemoldermadult mismuncomfortablemdiscussingmelimination,mthenmimportant minstructions
mcanmbemmissed,mleadingmtomadversemeffectsmformthemoldermadult.mRepeatingmtheminstructionsmcan
maggravatemthemoldermadult’smdiscomfort.mInstructingmthemoldermadult mtomrepeat mthemnurse’sminst
ructionmignoresmhermneeds.
m m m m m
Gerontological Nursing & Hea m m m
lthy Aging 5th Edition by Theri
m m m m m
s A. Touhy, and Kathleen F Jet
m m m m m m m
Chapter 1-28. m
,Chapter m01:mIntroductionmtomHealthy mAging
Touhy m&mJett:mEbersole mandmHess’mGerontologicalmNursing m&mHealthy mAging,m5thmEdit
ion
MULTIPLEm CHOICE
1. A mmanmismterminallymillmwithmend-
stagemprostatemcancer.mWhichmismthembest mstatement mabout mthismman’smwellness?
a. Wellnessmcanmonlymbemachieved mwithmaggressivemmedicalminterventions.
b. Wellnessmismnot mamrealmoptionmformthismclient mbecausemhemismterminallymill.
c. Wellnessmismdefined masmthemabsencemof mdisease.
d. Nursingminterventionsmcanmhelpmempowermamclient mtomachievemamhighermlevelm
of mwellness.
ANS:m D
Nursingminterventionsmcanmhelpmempowermamclient mtomachievemamhighermlevelmof mwellness;mamnur
semcanmfostermwellnessminmhismormhermclients.mWellnessm ismdefined mbymthemindividualmand mismmul
tidimensional.mIt mismnot mjust mthemabsencemof mdisease.mA mwellnessmperspectivemismbased monmthemb
elief mthat meverympersonmhasmanmoptimalmlevelmof mhealthmindependent mof mhismormhermsituationmorm
functionalmlevel.mEvenminmthempresencemof mchronicmillnessmormwhilemdying,mam movement mtowar
d mwellnessmismpossiblemif memphasismof mcarem ismplaced monmthempromotionmof mwell-
beingminmamsupportivemenvironment.
PTS:m 1 DIF: Apply REF:m p.m7
TOP:m NursingmProcess:mDiagnosismMSC:m Health mPromotionmandmMaintenanc
e
2. InmdifferentiatingmbetweenmhealU
N R I G B. C M
t h aS
nd wNellnTess in O
health mcare,mwhichmof mthemfollowin
gmstatementsmismtrue?
a. Healthmismambroad mtermmencompassingmattitudesmand mbehaviors.
b. Themconcept mof millnessmpreventionmwasmnevermconsidered mbympreviousmgenerations.
c. Wellnessmand mself-actualizationmdevelopmthroughmlearningmand mgrowth.
d. Wellnessmismimpossiblemwhenmone’smhealthmismcompromised.
ANS:m A
Healthmismambroad mtermmthat mencompassesmattitudesmand mbehaviors;mholistically,mhealthminclude
smwellness,mwhichminvolvesmone’smwholembeing.m Them concept mof millnessmpreventionmwasmnever m
considered mbympreviousmgenerations;mthroughout mhistory,mbasicmself-
caremrequirementsmhavembeenmrecognized.mWellness mand mself-
actualizationmdevelopmthroughmlearningmand mgrowth—
asmbasicmneedsmaremmet,mhighermlevelmneedsmcanmbemsatisfied minmturn,mwithmever-
deepeningmrichnessmtomlife.mWellnessmismpossiblemwhenmone’smhealthmismcompromised—
evenmwithmchronicmillness,mwithmmultiplemdisabilities,morminmdying,mmovement mtoward mamhigherm
levelmof mwellnessmismpossible.
PTS:m 1 DIF: Understand REF:m p.m7
TOP:m NursingmProcess:mEvaluationmMSC:m Health mPromotion mandmMaintenanc
e
3. Whichmracialmormethnicmgroupmhasmthemhighest mlifemexpectancyminmthemUnited mStates?
a. NativemAmericans
b. AfricanmAmericans
c. HispanicmAmericans
d. Asianmand mPacificmIsland mAmericans
, Ebersolemand mHess'mGerontologicalmNursingmand mHealthymAgingm5thmEditionmTouhymTest mBa
nk
Chapter m02:mCross-CulturalmCaring mandmAging
Touhy m&mJett:mEbersole mandmHess’mGerontologicalmNursing m&mHealthy mAging,m5thmEdit
ion
MULTIPLEm CHOICE
1. Whichmof mthemfollowingmismamtruemstatement mabout mdifferingmhealthmbelief msystems?
a. Personalisticmormmagicoreligiousmbeliefsmhavembeenmsuperseded minmWesternmmindsm
bymbiomedicalmprinciples.
b. Inmmost mcultures,moldermadultsmaremlikelymtomtreat mthemselvesmusingmtradition
almmethodsmbeforemturningmtombiomedicalmprofessionals.
c. AyurvedicmmedicinemismanothermnamemformtraditionalmChinesemmedicine.
d. Thembelief mthat mhealthmdependsmonmmaintainingmambalancemamongmoppositemqualiti
esmismcharacteristicmof mammagicoreligiousmbelief msystem.
ANS:m B
Oldermadultsminmmost mculturesmusuallymhavemhad mexperiencemwithmtraditionalmmethodsmthat mhav
emworked masmwellmasmexpected.mAftermthesemtreatmentsmfail,moldermadultsmturnmtomthemformalmhe
althmcaremsystem.mEvenminmthemUnited mStates,mit mismcommonmformoldermadultsmtompraymformcures
mormwondermwhat mtheymdid mtomincurmanmillnessmasmpunishment.mThemAyurvedicmsystemmismamnat
uralisticmhealthmbelief msystemmpracticed minmIndiamand minmsomemneighboringmcountries.m Thismbe
lief mismcharacteristicmof mamholisticmormnaturalisticmapproach.
PTS:m m 1 DIF: Understand REF:m m p.m16-17
TOP:m NursingmProcess:mAssessment MSC:m Health mPromotion mand mMaintenance
N R I G B .C M
2. Whichmof mthemfollowingmconsideUratiS
onsNis m
Tost likO
ely mtombemtruemwhenmworkingmwithm
anminterpreter?
a. Anminterpretermismnevermneeded mif mthemnursemspeaksmthemsamemlanguagemasmthempatient.
b. Whenmworkingmwithminterpreters,mthemnursemcanmusemtechnicalmtermsmormmetaphors.
c. Ampatient’smyoungmgranddaughtermwhomspeaksmfluent mEnglishmwould mmakemthembe
st minterpretermbecausemshemismfamiliarmwithmand mlovesmthempatient.
d. Themnursemshould mfacemthempatient mrathermthanmtheminterpreter.
ANS:m D
Themnursemshould mfacemthempatient mrathermthanmtheminterpretermismamtruemstatement;mthemintent mis
mtomconversemwithmthempatient,mnot mwithmamthird mpartymabout mthempatient.mManymreasonsmmaymp
revent mthempatient mfrommspeakingmdirectlymtomamnurse.mTechnicalmtermsmand mmetaphorsmmaymb
emdifficult mormimpossiblemtomtranslate.mCulturalmrestrictionsmmaymprevent msomemtopicsmfrommbei
ngmspokenmof mtomamgrandparent mormchild.
PTS:m m 1 DIF: Understand REF:m m p.m18-19
TOP:m NursingmProcess:mImplementation m m MSC:m Safe,mEffective mCaremEnvironment
3. Anmoldermadult mwhomismamtraditionalmChinesemmanmhasmamblood mpressuremof m80/54mmmmHgmand
mrefusesmtomremainminmthembed.mWhichminterventionmshould mthemnursemusemtompromotemand mmain
tainmhismhealth?
a. Havemthemhealthmcaremprovidermspeakmtomhim.
b. Usemprinciplesmof mthemholisticmhealthmsystem.
c. Askmabout mhismperceptionsmand mtreatment mideas.
, Ebersolemand mHess'mGerontologicalmNursingmand mHealthymAgingm5thmEditionmTouhymTest mBa
nk
d. Consult mwithmampractitionermof mChinesemmedicine.
ANS:m C
UsingmthemLEARN mmodelm(listenmwithmsympathymtomthempatient’smperceptionmof mthemproblem,m
explainmyourmperceptionmof mthemproblem,macknowledgemthemdifferencesmand msimilarities,mreco
mmend mtreatment,mand mnegotiatemagreement),mthemnursemgathersminformationmfrommthempatient m
about mculturalmbeliefsmconcerningmhealthmcaremand mavoidsmstereotypingmthempatient.mInmthemasse
ssment,mthemnursemdeterminesmwhat mthempatient mbelievesmabout mcaregiving,mdecisionmmaking,mtr
eatment,mand mothermpertinent mhealth-
related minformation.mSpeakingmwithmthemhealthmcaremprovidermismprematuremuntilmthemassessme
nt mismcomplete.mUnlessmhemacceptsmthembeliefs,mprinciples mof mthemholisticmhealthmsystemmcan mbe
mpotentiallymunsuitablemand minsultingmformthismpatient.mUnlessmhemacceptsmthemtreatments,mconsu
ltingmwithmampractitionermof mChinesemmedicinemcanmalsombemunsuitablemand minsultingmformthismp
atient.
PTS:m m 1 DIF: Apply REF:m m p.m18
TOP:m NursingmProcess:mImplementation MSC:m Health mPromotion mand mMaintenance
4. Whichmactionmshould mthemnursemtakemwhenmaddressingmoldermadults?
a. Speakminmanmexaggerated mpitch.
b. Usemamlowermqualitymof mspeech.
c. Usemendearingmtermsmsuchmasm“honey.”
d. Speakmclearly.
ANS:m D
Somemhealthmprofessionalsmdemonstratemageism,minmpart mbecausemprovidersmtend mtomseemmanym
frail,moldermpersonsmand mfewermof mthosemwhomaremhealthymand mactive.mProvidersmshould mnot mas
sumemthat mallmoldermadultsmaremhearingmormmentallymimpaired.mThem most mappropriatemaction
whenmaddressingmanmoldermaduNltUwRoS
ulI
dNbeGtT
o mBs p.e aCkOc Mle a r l y . mExamplesmofmunintentionalmageis
mminmlanguagemaremanmexaggerated mpitch,mamdemeaningmemotionalmtone,mand mamlowermqualitym
of
speech.
PTS:m m 1 DIF: Apply REF:m m p.m15
TOP:m NursingmProcess:mAssessment MSC:m Health mPromotion mand mMaintenance
5. Themnursempreparesmanmoldermwoman,mwhomismPolish,mformdischargemthroughmanminterpreterma
nd mnotesmthat mshembecomesmtensemduringmtheminstructionsmabout melimination.mWhichminterve
ntionmshould mthemnursemimplement?
a. Movemonmtomthemdiscussionmabout mmedication.
b. Askmthemoldermwomanmhow mshemfeelsmabout mthismtopic.
c. Instruct mtheminterpretermtomrepeat mtheminstructions.
d. Havemthemoldermwomanmrepeat mtheminstructionsmformclarity.
ANS:m B
Whenmworkingmwithmanminterpreter,mthemnursemcloselymwatchesmthemoldermadult mformnonverbalm
communicationmand memotionmregardingmamspecificmtopicmand mthereforemvalidatesmthemassessme
nt mabout mthemoldermadult’smtensionmbeforemproceeding.mBecausemthemnursemnoticesmhermtension,m
themnursemtemporarilymsuspendsmthempreparationmtomvalidatemhermassessment.mIf mthemnursemproc
eedsmand mthemoldermadult mismuncomfortablemdiscussingmelimination,mthenmimportant minstructions
mcanmbemmissed,mleadingmtomadversemeffectsmformthemoldermadult.mRepeatingmtheminstructionsmcan
maggravatemthemoldermadult’smdiscomfort.mInstructingmthemoldermadult mtomrepeat mthemnurse’sminst
ructionmignoresmhermneeds.
