TEST BANK - Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition by Theris A. Touhy, and Kathleen F Jet, Chapter 1 - 28 | Newest Version

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 m




1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about
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mthis man‘s wellness?
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a. Wellness can only be achieved with aggressive medical interventions.
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b. Wellness is not a real option for this client because he is terminally ill.
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c. Wellness is defined as the absence of disease. m m m m m m m


d. Nursing interventions can help empower a client to achieve a higher level
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of wellness.
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ANS: m D
Nursing interventions can help empower a client to achieve a higher level of wellness; a
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nurse can 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
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the belief that every person has an optimal level of health independent of his or her
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situation or functional level. Even in the presence of chronic illness or while dying, a
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movement toward wellness is possible if emphasis of care is placed on the promotion of
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well-being in a supportive environment.
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PTS: 1 DIF: Apply
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Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between healU
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nd wNellnTess in hOealth care, which of the
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N R I G B.C M m m m m


mfollowing statements is true? m m m


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


b. African Americans m


c. Hispanic Americans m


d. Asian and Pacific Island Americansm m m m




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test
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Bank
Chapter 02: Cross-Cultural Caring and 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 m




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
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by biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using
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traditional methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine.
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d. The belief that health depends on maintaining a balance among opposite
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qualities is characteristic of a magicoreligious belief system.
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ANS: m B
Older adults in most cultures usually have had experience with traditional methods that
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have worked as well as expected. After these treatments fail, older adults turn to the
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formal health care system. Even in the United States, it is common for older adults to
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pray for cures or wonder what they did to incur an illness as punishment. The Ayurvedic
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system is a naturalistic health belief system practiced in India and in some neighboring
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countries. This belief is characteristic of a holistic or naturalistic approach.
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PTS: m m 1 DIF: Understand REF: p. 16-17 m m m


TOP: m Nursing Process: Assessment m m MSC: Health Promotion and Maintenance
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2. Which of the following consideUratiS
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Tost likO
ely to be true when working with
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N R I G B .C M m m m m m m


man interpreter?
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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
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best 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: m D
The nurse should face the patient rather than the interpreter is a true statement; the intent
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is to converse with the patient, not with a third party about the patient. Many reasons
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may prevent the patient from speaking directly to a nurse. Technical terms and metaphors
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may be difficult or impossible to translate. Cultural restrictions may prevent some topics
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from being spoken of to a grandparent or child.
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PTS: m m 1 DIF: Understand m m m m REF: p. 18-19 m m m


TOP: m Nursing Process: Implementation m m m m MSC: Safe, Effective Care Environment
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg
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mand refuses to remain in the bed. Which intervention should the nurse use to promote and
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mmaintain his health? m m


a. Have the health care provider speak to him.
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b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test
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Bank
d. Consult with a practitioner of Chinese medicine.
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ANS: m C
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
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the assessment, the nurse determines what the patient believes about caregiving, decision
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making, treatment, and other pertinent health-related information. Speaking with the health
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care provider is premature until the assessment is complete. Unless he accepts the beliefs,
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principles of the holistic health system can be potentially unsuitable and insulting for this
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patient. Unless he accepts the treatments, consulting with a practitioner of Chinese
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medicine can also be unsuitable and insulting for this patient.
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PTS: m m 1 DIF: Apply REF: p. 18 m m m


TOP: m Nursing Process: Implementation MSC: Health Promotion and Maintenance
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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.
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b. Use a lower quality of speech.
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c. Use endearing terms such as ―honey.‖
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d. Speak clearly. m




ANS: m D
Some health professionals demonstrate ageism, in part because providers tend to see many
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mfrail, older persons and fewer of those who are healthy and active. Providers should not
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massume that all older adults are hearing or mentally impaired. The most appropriate
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maction
when addressing an older aduNltUwRoS
m ulI
dNbeGtT
o Bs p.e aCkOcM
ml e a r l y . Examples of unintentional
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mageism in language are an exaggerated pitch, a demeaning emotional tone, and a lower
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mquality of m


speech.

PTS: m m 1 DIF: Apply REF: p. 15 m m m


TOP: m Nursing Process: Assessment m m MSC: Health Promotion and Maintenance
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter
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mand notes that she becomes tense during the instructions about elimination. Which
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mintervention should the nurse implement? m m m m


a. Move on to the discussion about medication.
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b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions.
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d. Have the older woman repeat the instructions for clarity.
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ANS: m B
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
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assessment about the older adult‘s tension before proceeding. Because the nurse notices
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her tension, the nurse temporarily suspends the preparation to validate her assessment. If
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the nurse proceeds and the older adult is uncomfortable discussing elimination, then
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important instructions can be missed, leading to adverse effects for the older adult.
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Repeating the instructions can aggravate the older adult‘s discomfort. Instructing the older
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adult to repeat the nurse‘s instruction ignores her needs.
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