Ebersole and Hess’ Gerontological Nursing & Healthy Aging – 5th Edition by Touhy & Jett, Complete Test Bank

TOUHY & JETT: EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY AGING, 5TH EDITION.
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TOUHY& JETT: EBERSOLE AND HESS’
GERONTOLOGICALNURSING&HEALTHY
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AGING, 5TH EDITION.
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Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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MULTIPLE CHOICE Il`




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. Il` Il` Il` Il` Il` Il` Il` Il`




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




c. Wellness is defined as the absence of disease. Il` Il` Il` Il` Il` Il` Il`




d. Nursing interventions can help empower a client to achieve a higher level of Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




wellness. Il`




ANS: D I l `




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
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supportive environment.
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PTS: 1 DIF: Apply I REF: l ` I l ` p. 7 Il` TOP: NursingProcess:Diagnosis I l ` Il̀ Il̀




MSC: Health Promotion and Maintenance
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2. In differentiatingbetween healU
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nd w ness in O
h e a l t h care, which ofthe following Il` Il`
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statements is true?
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a. Health is a broad term encompassing attitudes and behaviors. Il` Il` Il` Il` Il` Il` Il` Il`




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. Il` Il` Il` Il` Il` Il` Il`




d. Wellness is impossible when one’s health is compromised. Il` Il` Il` Il` Il` Il` Il`




ANS: A I l `




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 DIF: Understand REF:
I l ` I l ` p. 7 Il` TOP: NursingProcess:Evaluation I l ` Il̀ Il̀




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 Il`




b. African Americans Il`




c. Hispanic Americans Il`




d. Asian and Pacific Island Americans
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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 Il`




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 Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




biomedical principles. Il` Il`




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. Il` Il` Il` Il` Il` Il` Il` Il`




d. The belief that health depends on maintaining a balance among opposite qualities isIl` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




characteristic of a magicoreligious belief system.
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ANS: B I l `




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
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naturalistic health belief system practiced in India and in some neighboring countries. This
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belief is characteristic of a holistic or naturalistic approach.
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PTS: I l ` I l 1
` DIF: Understand REF: p. 16-17 I l ` Il`




TOP: I l ` Nursing Process: Assessment Il` Il` MSC: Health Promotion and Maintenance I l ` Il` Il` Il`




2. Which of the following consideUratiS
onsNis m
Tost likO
ely to be true when working with an
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N R I G B.C M Il` Il` Il` Il` Il` Il` Il`




Il` interpreter?
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. Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




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 I l `




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
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the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
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or impossible to translate. Cultural restrictions may prevent some topics from being spoken of to
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a grandparent or child.
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PTS: I l ` I l 1
` DIF: Understand I l ` I l ` I l ` I l REF: p. 18-19
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TOP: I l ` Nursing Process: Implementation Il` Il` I l ` I l ` MSC: Safe, Effective Care Environment I l ` Il` Il` Il`




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. Il` Il` Il` Il` Il` Il` Il`




b. Use principles of the holistic health system. Il` Il` Il` Il` Il` Il`




c. Ask about his perceptions and treatment ideas. Il` Il` Il` Il` Il` Il`




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d. Consult with a practitioner of Chinese medicine. Il` Il` Il` Il` Il` Il`




ANS: C I l `




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: I l ` I l 1 ` DIF: Apply REF: p. 18 I l ` Il`




TOP: I l ` Nursing Process: Implementation Il` Il` MSC: Health Promotion and Maintenance I l ` Il` Il` Il`




4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. Il` Il` Il` Il`




b. Use a lower quality of speech. Il` Il` Il` Il` Il`




c. Use endearing terms such as “honey.” Il` Il` Il` Il` Il`




d. Speak clearly. Il`




ANS: D I l `




Some health professionals demonstrate ageism, in part because providers tend to seemany 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
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akOcM
learly. Examples of unintentional ageism Il` Il` Il` Il` Il` Il` Il`




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

PTS: I l ` I l 1 ` DIF: Apply REF: p. 15 I l ` Il`




TOP: I l ` Nursing Process: Assessment Il` Il` MSC: Health Promotion and Maintenance I l ` Il` Il` Il`




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. Il` Il` Il` Il` Il` Il`




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




c. Instruct the interpreter to repeat the instructions. Il` Il` Il` Il` Il` Il`




d. Have the older woman repeat the instructions for clarity. Il` Il` Il` Il` Il` Il` Il` Il`




ANS: B I l `




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
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and 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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