Test bank For touhy and jett ebersole and hess gerontological nursing healthy aging 5th edition latest [2024 Update With Complete Solution]

Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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TexasA&M University, Corpus ChristiNURSING NURS
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3628
Chapter 01: Introduction to Healthy Aging Touhy
& Jett: Ebersole and Hess’ Gerontological Nursing
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& Healthy Aging, 5th
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Edition
MULTIPLE CHOICE j




1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
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man‘s wellness?
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a.Wellness can only be achieved with aggressive medical interventions. j j j j j j j j


b.Wellness is not a real option for this client because he is terminally ill. j j j j j j j j j j j j j


c.Wellness is defined as the absence of disease. j j j j j j j


d.Nursing interventions can help empower a client to achieve a higher level of
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wellness.
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ANS: D j


Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
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foster wellness in his or her clients. Wellness is defined by the individual and is
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multidimensional. 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 or
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functional level. Even in the presence of chronic illness or while dying, a movement toward
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wellness is possible if emphasis of care is placed on the promotion of well-being in a supportive
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environment.
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PTS: 1 jDIF: Apply REF: p. 7 j j TOP: Nursing Process: Diagnosis j j j


MSC: Health Promotion and Maintenance
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2. In differentiating between healU
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nd w ness in O
h e a l t h care, which of the following j j
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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. j j j j j j j


d. Wellness is impossible when one‘s health is compromised. j j j j j j j




ANS: A j


Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
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wellness, which involves one‘s whole being. The concept of illness prevention was never
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considered by previous generations; throughout history, basic self-care requirements have been
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recognized. Wellness and self-actualization develop through learning and growth—as basic
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needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
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Wellness is possible when one‘s health is compromised—even with chronic illness, with
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multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
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PTS: 1 jDIF: Understand REF: p. 7 j j TOP: Nursing Process: Evaluation j j j


MSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans j


b. African Americans j


c. Hispanic Americans j


d. Asian and Pacific Island Americans j j j j




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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MULTIPLE CHOICE j




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 by j j j j j j j j j j


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


d. The belief that health depends on maintaining a balance among opposite qualities is
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characteristic of a magicoreligious belief system.
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ANS: B j


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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care 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 naturalistic
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health belief system practiced in India and in some neighboring countries. This belief is
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characteristic of a holistic or naturalistic approach.
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PTS: 1 DIF: Understand
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TOP: Nursing Process: Assessment
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2. Which of the following considU
eratiS
onsNis m
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Tost likO
ely to be true when working with an
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N R I G B.C M j j j j j j j


jinterpreter?
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 best
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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 j


The nurse should face the patient rather than the interpreter is a true statement; the intent is to
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converse with the patient, not with a third party about the patient. Many reasons may prevent the
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patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
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impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
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grandparent or child.
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PTS: 1 DIF: Understand
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TOP: Nursing Process: Implementation
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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 maintain his
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health?
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a. Have the health care provider speak to him. j j j j j j j


b. Use principles of the holistic health system. j j j j j j


c. Ask about his perceptions and treatment ideas. j j j j j j




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,Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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d. Consult with a practitioner of Chinese medicine. j j j j j j




ANS: C j


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,
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recommend treatment, and negotiate agreement), the nurse gathers information from the
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patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
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assessment, the nurse determines what the patient believes about caregiving, decision making,
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treatment, and other pertinent health-related information. Speaking with the health care
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provider is premature until the assessment is complete. Unless he accepts the beliefs, principles
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of the holistic health system can be potentially unsuitable and insulting for this patient. Unless
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he accepts the treatments, consulting with a practitioner of Chinese medicine can also be
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unsuitable and insulting for this patient.
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PTS: 1 DIF: Apply
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TOP: Nursing Process: Implementation
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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. j j j j


b. Use a lower quality of speech. j j j j j


c. Use endearing terms such as ―honey.‖ j j j j j


d. Speak clearly. j




ANS: D j


Some health professionals demonstrate ageism, in part because providers tend to see many frail,
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older persons and fewer of those who are healthy and active. Providers should not
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assume 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 ageism j j j j j j j


in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.

PTS: 1 DIF: Apply
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TOP: Nursing Process: Assessmentj j j MSC: Health Promotion and Maintenance j j j j




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
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notes that she becomes tense during the instructions about elimination. Which intervention
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should the nurse implement?
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a. Move on to the discussion about medication. j j j j j j


b. Ask the older woman how she feels about this topic. j j j j j j j j j


c. Instruct the interpreter to repeat the instructions. j j j j j j


d. Have the older woman repeat the instructions for clarity. j j j j j j j j




ANS: B j


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 assessment
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about the older adult‘s tension before proceeding. Because the nurse notices her tension, the
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nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds and
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the older adult is uncomfortable discussing elimination, then important instructions can be
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missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
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the older adult‘s discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores
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her needs.
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NURSINGTB.COM

, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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PTS: 1 DIF: Apply
j j REF: p. 18-19 j j


TOP: Communication and Documentation
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MSC: Safe, Effective Care Environment
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6. The nurse plans care for an older African American man who is from Jamaica and resides in
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New York City. Which should the nurse include in planning care?
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a. Attribute his illness to breaking a voodoo. j j j j j j


b. Help him improve social relationships. j j j j


c. Maintain blood pressure below 120/70 mm Hg. j j j j j j


d. Review the principles of the magicoreligious system. j j j j j j




ANS: C j


Because African Americans tend to be at risk for cardiovascular disease and hypertension, the
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nurse plans to maintain the patient‘s blood pressure at or below the current recommendation by
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the American Heart Association. The nurse can be incorrectly assuming that he practices and
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believes in the magicoreligious system. The nurse should assess his spiritual beliefs and
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determine how much they influence his attitudes toward Western health care. The
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magicoreligious system maintains social relationships in good condition to prevent illness;
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however, if the older adult does not follow this cultural practice, then this goal can be
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unsuitable. The older adult may not believe in this system; therefore, the information can be
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irrelevant.
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PTS: 1 DIF: Apply
j REF: p. 18-19 j j TOP: Nursing Process: Planning j j j


MSC: Safe, Effective Care Environment
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7. Which health belief system uses treatments to repair a body part?
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a. Holistic NURSINGTB.COM
b. Biomedical
c. Personalistic
d. Magicoreligious
ANS: B j


Because dysfunction or a structural abnormality is thought to cause disease, the biomedical
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system believes in repairing the structural abnormality. The holistic system holds that health is
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attained through balance. The personalistic system uses treatments such as meditation, fasting,
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and praying. The magicoreligious system is the same as the personalistic system.
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PTS: 1 DIF: Understand
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TOP: Nursing Process: Assessmentj j j MSC: Safe, Effective Care Environment j j j j




8. A nurse is caring for a culturally diverse patient who has missed follow-up appointments with the
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primary care provider three times over the past year. The patient has a chronic illness that
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requires periodic monitoring of blood test values. The patient tells the nurse: ―You don‘t
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understand—in my culture, we don‘t do things like that. I cannot be troubled with worrying
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about appointments in the future; I deal with each day as it comes.‖ The nurse understands which
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of the following about the patient‘s culture?
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a. The culture does not value Western medicine. j j j j j j


b. The culture has a different orientation to time than Western medicine.
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c. The culture is an interdependent culture. j j j j j


d. The culture does not believe in preventative care.
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