TEST BANK
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD`Edition
TESTBANK `
,Chapter`01:`Introduction`to`Healthy`Aging
Touhy`&`Jett:`Ebersole`and`Hess’`Gerontological`Nursing`&`Healthy`Aging,`3rd`Editi
on
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`c
an`foster`wellness`in`his`or`her`clients.`Wellness`is`defined`by`the`individual`and`is`multidimen
sional.`It`is`not`just`the`absence`of`disease.`A`wellness`perspective`is`based`on`the`belief`that`ev
ery`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`possib
le`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`health`and`wellness`in`health`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`cons
idered`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`lev
el`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
Touhy`&`Jett:`Ebersole`and`Hess’`Gerontological`Nursing`&`Healthy`Aging,`3rd`Editio
n
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.
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`w
orked`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`w
hat`they`did`to`incur`an`illness`as`punishment.`The`Ayurvedic`system`is`a`naturalistic`health`be
lief`system`practiced`in`India`and`in`some`neighboring`countries.`This`belief`is`characteristic`o
f`a`holistic`or`naturalistic`approach.
PTS:` ` 1 DIF: Understand REF:` p.`16-17
TOP:` Nursing`Process:`Assessment MSC:` Health`Promotion`and`Maintenance
N R I G B.C M
2. Which`of`the`following`consideUratiS
onsNis m
Tost likO
ely`to`be`true`when`working`with`an`i
nterpreter?
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`i
nterpreter`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`c
onverse`with`the`patient,`not`with`a`third`party`about`the`patient.`Many`reasons`may`prevent`th
e`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`refu
ses`to`remain`in`the`bed.`Which`intervention`should`the`nurse`use`to`promote`and`maintain`his`h
ealth?
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.
, d. Consult`with`a`practitioner`of`Chinese`medicine.
ANS:` C
Using`the`LEARN`model`(listen`with`sympathy`to`the`patient‘s`perception`of`the`problem,`exp
lain`your`perception`of`the`problem,`acknowledge`the`differences`and`similarities,`recommen
d`treatment,`and`negotiate`agreement),`the`nurse`gathers`information`from`the`patient`about`cu
ltural`beliefs`concerning`health`care`and`avoids`stereotyping`the`patient.`In`the`assessment,`the`
nurse`determines`what`the`patient`believes`about`caregiving,`decision`making,`treatment,`and`o
ther`pertinent`health-
related`information.`Speaking`with`the`health`care`provider`is`premature`until`the`assessment`i
s`complete.`Unless`he`accepts`the`beliefs,`principles`of`the`holistic`health`system`can`be`potent
ially`unsuitable`and`insulting`for`this`patient.`Unless`he`accepts`the`treatments,`consulting`with
`a`practitioner`of`Chinese`medicine`can`also`be`unsuitable`and`insulting`for`this`patient.
PTS:` ` 1 DIF: Apply REF:` p.`18
TOP:` Nursing`Process:`Implementation MSC:` Health`Promotion`and`Maintenance
4. Which`action`should`the`nurse`take`when`addressing`older`adults?
a. Speak`in`an`exaggerated`pitch.
b. Use`a`lower`quality`of`speech.
c. Use`endearing`terms`such`as`―honey.‖
d. Speak`clearly.
ANS:` D
Some`health`professionals`demonstrate`ageism,`in`part`because`providers`tend`to`see`many`frail
,`older`persons`and`fewer`of`those`who`are`healthy`and`active.`Providers`should`not`assume`tha
t`all`older`adults`are`hearing`or`mentally`impaired.`The`most`appropriate`action
when`addressing`an`older`aduNltUwRoSulI
dNbeGtT
oBsp.eC
akOcM
learly.`Examples`of`unintentional`ageism`i
n`language`are`an`exaggerated`pitch,`a`demeaning`emotional`tone,`and`a`lower`quality`of`spe
ech.
PTS:` ` 1 DIF: Apply REF:` p.`15
TOP:` Nursing`Process:`Assessment MSC:` Health`Promotion`and`Maintenance
5. The`nurse`prepares`an`older`woman,`who`is`Polish,`for`discharge`through`an`interpreter`and`
notes`that`she`becomes`tense`during`the`instructions`about`elimination.`Which`intervention`
should`the`nurse`implement?
a. Move`on`to`the`discussion`about`medication.
b. Ask`the`older`woman`how`she`feels`about`this`topic.
c. Instruct`the`interpreter`to`repeat`the`instructions.
d. Have`the`older`woman`repeat`the`instructions`for`clarity.
ANS:` B
When`working`with`an`interpreter,`the`nurse`closely`watches`the`older`adult`for`nonverbal`com
munication`and`emotion`regarding`a`specific`topic`and`therefore`validates`the`assessment`abou
t`the`older`adult‘s`tension`before`proceeding.`Because`the`nurse`notices`her`tension,`the`nurse`t
emporarily`suspends`the`preparation`to`validate`her`assessment.`If`the`nurse`proceeds`and`the`o
lder`adult`is`uncomfortable`discussing`elimination,`then`important`instructions`can`be`missed,`l
eading`to`adverse`effects`for`the`older`adult.`Repeating`the`instructions`can`aggravate`the`older`
adult‘s`discomfort.`Instructing`the`older`adult`to`repeat`the`nurse‘s`instruction`ignores`her`need
s.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart
3RD`Edition
TESTBANK `
,Chapter`01:`Introduction`to`Healthy`Aging
Touhy`&`Jett:`Ebersole`and`Hess’`Gerontological`Nursing`&`Healthy`Aging,`3rd`Editi
on
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`c
an`foster`wellness`in`his`or`her`clients.`Wellness`is`defined`by`the`individual`and`is`multidimen
sional.`It`is`not`just`the`absence`of`disease.`A`wellness`perspective`is`based`on`the`belief`that`ev
ery`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`possib
le`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`health`and`wellness`in`health`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`cons
idered`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`lev
el`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
Touhy`&`Jett:`Ebersole`and`Hess’`Gerontological`Nursing`&`Healthy`Aging,`3rd`Editio
n
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.
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`w
orked`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`w
hat`they`did`to`incur`an`illness`as`punishment.`The`Ayurvedic`system`is`a`naturalistic`health`be
lief`system`practiced`in`India`and`in`some`neighboring`countries.`This`belief`is`characteristic`o
f`a`holistic`or`naturalistic`approach.
PTS:` ` 1 DIF: Understand REF:` p.`16-17
TOP:` Nursing`Process:`Assessment MSC:` Health`Promotion`and`Maintenance
N R I G B.C M
2. Which`of`the`following`consideUratiS
onsNis m
Tost likO
ely`to`be`true`when`working`with`an`i
nterpreter?
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`i
nterpreter`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`c
onverse`with`the`patient,`not`with`a`third`party`about`the`patient.`Many`reasons`may`prevent`th
e`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`refu
ses`to`remain`in`the`bed.`Which`intervention`should`the`nurse`use`to`promote`and`maintain`his`h
ealth?
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.
, d. Consult`with`a`practitioner`of`Chinese`medicine.
ANS:` C
Using`the`LEARN`model`(listen`with`sympathy`to`the`patient‘s`perception`of`the`problem,`exp
lain`your`perception`of`the`problem,`acknowledge`the`differences`and`similarities,`recommen
d`treatment,`and`negotiate`agreement),`the`nurse`gathers`information`from`the`patient`about`cu
ltural`beliefs`concerning`health`care`and`avoids`stereotyping`the`patient.`In`the`assessment,`the`
nurse`determines`what`the`patient`believes`about`caregiving,`decision`making,`treatment,`and`o
ther`pertinent`health-
related`information.`Speaking`with`the`health`care`provider`is`premature`until`the`assessment`i
s`complete.`Unless`he`accepts`the`beliefs,`principles`of`the`holistic`health`system`can`be`potent
ially`unsuitable`and`insulting`for`this`patient.`Unless`he`accepts`the`treatments,`consulting`with
`a`practitioner`of`Chinese`medicine`can`also`be`unsuitable`and`insulting`for`this`patient.
PTS:` ` 1 DIF: Apply REF:` p.`18
TOP:` Nursing`Process:`Implementation MSC:` Health`Promotion`and`Maintenance
4. Which`action`should`the`nurse`take`when`addressing`older`adults?
a. Speak`in`an`exaggerated`pitch.
b. Use`a`lower`quality`of`speech.
c. Use`endearing`terms`such`as`―honey.‖
d. Speak`clearly.
ANS:` D
Some`health`professionals`demonstrate`ageism,`in`part`because`providers`tend`to`see`many`frail
,`older`persons`and`fewer`of`those`who`are`healthy`and`active.`Providers`should`not`assume`tha
t`all`older`adults`are`hearing`or`mentally`impaired.`The`most`appropriate`action
when`addressing`an`older`aduNltUwRoSulI
dNbeGtT
oBsp.eC
akOcM
learly.`Examples`of`unintentional`ageism`i
n`language`are`an`exaggerated`pitch,`a`demeaning`emotional`tone,`and`a`lower`quality`of`spe
ech.
PTS:` ` 1 DIF: Apply REF:` p.`15
TOP:` Nursing`Process:`Assessment MSC:` Health`Promotion`and`Maintenance
5. The`nurse`prepares`an`older`woman,`who`is`Polish,`for`discharge`through`an`interpreter`and`
notes`that`she`becomes`tense`during`the`instructions`about`elimination.`Which`intervention`
should`the`nurse`implement?
a. Move`on`to`the`discussion`about`medication.
b. Ask`the`older`woman`how`she`feels`about`this`topic.
c. Instruct`the`interpreter`to`repeat`the`instructions.
d. Have`the`older`woman`repeat`the`instructions`for`clarity.
ANS:` B
When`working`with`an`interpreter,`the`nurse`closely`watches`the`older`adult`for`nonverbal`com
munication`and`emotion`regarding`a`specific`topic`and`therefore`validates`the`assessment`abou
t`the`older`adult‘s`tension`before`proceeding.`Because`the`nurse`notices`her`tension,`the`nurse`t
emporarily`suspends`the`preparation`to`validate`her`assessment.`If`the`nurse`proceeds`and`the`o
lder`adult`is`uncomfortable`discussing`elimination,`then`important`instructions`can`be`missed,`l
eading`to`adverse`effects`for`the`older`adult.`Repeating`the`instructions`can`aggravate`the`older`
adult‘s`discomfort.`Instructing`the`older`adult`to`repeat`the`nurse‘s`instruction`ignores`her`need
s.
