TestBankEbersoleandHess’GerontologicalNursing&Healthy
b
Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
f
f28.
,Chapter01:Introduction toHealthyAging f B f
Touhy&Jett:Ebersoleand Hess’GerontologicalNursing&HealthyAging,5thEdition
f B B f
MULTIPLECHOICE f
1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebest statementaboutthis B B B
fman‘swellness? f
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. B B
b. Wellness is notarealoptionforthisclient becauseheisterminallyill. B f f f B
c. Wellness isdefined astheabsenceofdisease. B B
d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof
wellness. f
ANS: D f f
Nursinginterventions canhelpempower aclient toachievea higherlevel ofwellness;anurse can f f f f f B f f
fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandis multidimensional. It
f f f f f f f f f f f f f f f f f
is notjust theabsenceofdisease. Awellness perspectiveisbased onthe beliefthateverypersonhasan
f f f f f f f f f f f f f
optimallevelofhealthindependentofhisorhersituationor functionallevel.Eveninthepresenceof
f f f f f f f f f f f f f f f f f f
chronicillnessorwhiledying,amovementtoward wellnessispossibleifemphasisofcareisplaced
f f f f f f f f f f f f f f f f f
onthepromotionofwell-beinginasupportive environment.
f f f f f f f f f
PTS: 1 DIF: Apply REF: p.7 f TOP:NursingProcess:Diagnosis
MSC: Health Promotion and Maintenance
f f f f f
2. IndifferentiatingbetweenhealU
th anSd w
NellnTess in hOealthcare,whichofthefollowing N R I G B. C M f
B B
statementsistrue? f f
a. Healthisabroadterm encompassingattitudesandbehaviors. B B
b. Theconcept ofillnessprevention wasneverconsidered byprevious generations. B B B f
c. Wellness and self-actualizationdevelop throughlearningandgrowth. B f B
d. Wellness isimpossiblewhenone‘shealthis compromised. B B
ANS: A f f
Healthisabroadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
f f f f f f f f f f f f
wellness,whichinvolvesone‘swholebeing.Theconceptofillnesspreventionwasnever considered
f f f f f f f f f f f f f f
bypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen recognized.
f f f f f f f f f f f
Wellnessandself-actualizationdevelopthroughlearningandgrowth—asbasic needsaremet,
f f f f f f f f f f f
higherlevelneedscanbesatisfiedinturn,withever-deepeningrichness to life.
f f f f f f f f f f
Wellnessispossiblewhenone‘shealthiscompromised—evenwithchronicillness,with f f f f f f f f f f f
multipledisabilities,orindying,movementtowardahigherlevelofwellnessispossible.
f f
PTS: 1 DIF: Understand REF: p.7 f TOP:NursingProcess:Evaluation
MSC: Health Promotion and Maintenance
f f f f f
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? B B
a. NativeAmericans
b. African Americans B
c. HispanicAmericans
d. Asianand PacificIslandAmericans B f f
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
f f f f f f f f f f f f
Chapter02:Cross-CulturalCaringandAging f
Touhy&Jett:EbersoleandHess’Gerontological Nursing&HealthyAging,5thEdition
f B f
MULTIPLECHOICE f
1. Whichoft hefollowingisatruestatement aboutdifferinghealthbeliefsystems? B f f B f
a. Personalisticormagicoreligiousbeliefshavebeen supersededinWesternmindsby B B
biomedicalprinciples.
f f
b. Inmostcultures,olderadultsarelikelytotreatthemselves usingtraditional f f f B
methods before turning to biomedical professionals.
f f f f f f
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. B f
d. Thebeliefthat healthdepends onmaintainingabalanceamong oppositequalities is B f B f B
characteristic of a magicoreligious belief system.
f f f f f f
ANS: B f f
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked B f
faswellasexpected.Afterthesetreatments fail,olderadultst urntotheformalhealth care system. f B f f f
EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydid toincur
f f f f f f f f f f f f f f f f f f f f f
anillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem practicedin
f f f f f f f f f f f f f
Indiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor naturalistic
f f f f f f f f f f f f
approach.
f
PTS: 1 DIF: Understand REF: p.16-17 f
TOP: NursingProcess:Assessment f f MSC: HealthPromotionandMaintenance f f f f
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan f
B B
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageas the patient. B B f f
b. Whenworkingwithinterpreters,thenursecan usetechnicaltermsormetaphors. B B B
c. Apatient‘s younggranddaughterwhospeaksfluentEnglishwould makethebest B B
interpreterbecausesheisfamiliarwithandlovesthepatient.
f f f f f f f f f f
d. Thenurseshouldfacethepatient ratherthantheinterpreter. f
ANS: D f f
The nurseshould face the patient rather than the interpreter is a true statement; the intent is to converse
f f f f f f f f f f f f f f f f f f
with the patient, not with a third party about the patient. Many reasons may prevent the patient from
f f f f f f f f f f f f f f f f f f
speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
f f f f f f f f f f f f f f f
translate.Culturalrestrictionsmaypreventsometopicsfrom being spokenofto agrandparentorchild.
f f f f f f f f f f f f f f f f
PTS: f f 1 DIF: Understand f f f f f f REF: p. 18-19 f f f
TOP: f f fNursingProcess: Implementation f f f f f MSC: Safe,Effective CareEnvironment
f f f f f f
3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto
f f f f f f f f f f f f f f f f f f
remaininthebed.Whichintervention should thenurseusetopromoteandmaintainhis health?
f B B B f f
a. Havethehealth careproviderspeaktohim. B
b. Useprinciplesoftheholistichealthsystem.
c. Askabouthisperceptionsandtreatmentideas. B
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
f f f f f f f f f f f f
d. ConsultwithapractitionerofChinesemedicine. f
ANS: C f f
UsingtheLEARNmodel(listenwithsympathytothepatient‘sperceptionoftheproblem, explain
f f f f f f f f f f f f f f
yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities, recommend
f f f f f f f f f f f
treatment,andnegotiateagreement),thenursegathersinformationfromthepatient
f f f f f f f f f f f
aboutculturalbeliefsconcerning healthcareand avoidsstereotypingthepatient.Intheassessment,
f B B f f
thenursedetermineswhatthepatientbelievesaboutcaregiving,decisionmaking,treatment, and
f B f f f
otherpertinenthealth-relatedinformation.Speakingwiththehealthcareproviderispremature until
f f f f f f f f f f f f f
theassessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealth systemcan
f f f f f f f f f f f f f f f f
bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthe treatments,consulting
f f f f f f f f f f f f f f
withapractitionerofChinesemedicinecanalsobeunsuitableand insultingforthis patient.
f f f f f f f f f f f f f f f
PTS: 1 DIF: Apply REF: p.18 f
TOP: NursingProcess: Implementation f f MSC: HealthPromotionandMaintenance f f f f
4. Whichactionshouldthenursetakewhenaddressing olderadults? f B
a. Speak inanexaggeratedpitch. B f
b. Useal owerqualityofspeech. B f
c. Useendearingtermssuchas―honey.‖ B
d. Speak clearly. B
ANS: D f f
Somehealth professionalsdemonstrateageism, inpartbecause providerstendtoseemany frail, f f f f f f
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshouldnot assumethatall
f f f f f f f f f f f f f f f f f
olderadultsarehearingormentallyimpaired.Themostappropriateaction
f f f f f f f f f f
whenaddressing anolderaduNltUwRoS
f ulI
dNbeGtT
oB sp.eaCkOcM
learly. Examplesofunintentionalageismin B f f
languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech. f f f f f f f f f f f f f f
PTS: 1 DIF: Apply REF: p.15 f
TOP: NursingProcess:Assessment f f MSC: HealthPromotionandMaintenance f f f f
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
f f f f f f f f f f f f f f f
that she becomes tense during the instructions about elimination. Whichintervention should the
f f f f f f f f f f f f f
nurseimplement?
f f
a. Moveontothediscussion about medication. f f
b. Asktheolderwomanhowshefeels aboutthistopic. B f f
c. Instructtheinterpretertorepeattheinstructions. B
d. Havetheolderwomanrepeattheinstructionsforclarity.
ANS: B f f
Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal
f f f f f f f f f f f f f
communication andemotion regardingaspecifictopicandthereforevalidates theassessment about
f f f f f f f f f
theolderadult‘stensionbeforeproceeding.Becausethenursenoticeshertension,the nurse
f f f f f f f f f f f f f f
temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsand
f f f f f f f f f f f f f
theolderadultis uncomfortablediscussingelimination,thenimportantinstructionscan bemissed,
f f B B f
leadingtoadverseeffectsfortheolderadult.Repeating theinstructions canaggravate the older
f f f B f f f f
adult‘sdiscomfort.Instructingtheolderadulttorepeatthenurse‘sinstructionignoresherneeds.
f f f f f f f f f f f f f
NURSINGTB.COM
b
Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
f
f28.
,Chapter01:Introduction toHealthyAging f B f
Touhy&Jett:Ebersoleand Hess’GerontologicalNursing&HealthyAging,5thEdition
f B B f
MULTIPLECHOICE f
1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebest statementaboutthis B B B
fman‘swellness? f
a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. B B
b. Wellness is notarealoptionforthisclient becauseheisterminallyill. B f f f B
c. Wellness isdefined astheabsenceofdisease. B B
d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof
wellness. f
ANS: D f f
Nursinginterventions canhelpempower aclient toachievea higherlevel ofwellness;anurse can f f f f f B f f
fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandis multidimensional. It
f f f f f f f f f f f f f f f f f
is notjust theabsenceofdisease. Awellness perspectiveisbased onthe beliefthateverypersonhasan
f f f f f f f f f f f f f
optimallevelofhealthindependentofhisorhersituationor functionallevel.Eveninthepresenceof
f f f f f f f f f f f f f f f f f f
chronicillnessorwhiledying,amovementtoward wellnessispossibleifemphasisofcareisplaced
f f f f f f f f f f f f f f f f f
onthepromotionofwell-beinginasupportive environment.
f f f f f f f f f
PTS: 1 DIF: Apply REF: p.7 f TOP:NursingProcess:Diagnosis
MSC: Health Promotion and Maintenance
f f f f f
2. IndifferentiatingbetweenhealU
th anSd w
NellnTess in hOealthcare,whichofthefollowing N R I G B. C M f
B B
statementsistrue? f f
a. Healthisabroadterm encompassingattitudesandbehaviors. B B
b. Theconcept ofillnessprevention wasneverconsidered byprevious generations. B B B f
c. Wellness and self-actualizationdevelop throughlearningandgrowth. B f B
d. Wellness isimpossiblewhenone‘shealthis compromised. B B
ANS: A f f
Healthisabroadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
f f f f f f f f f f f f
wellness,whichinvolvesone‘swholebeing.Theconceptofillnesspreventionwasnever considered
f f f f f f f f f f f f f f
bypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen recognized.
f f f f f f f f f f f
Wellnessandself-actualizationdevelopthroughlearningandgrowth—asbasic needsaremet,
f f f f f f f f f f f
higherlevelneedscanbesatisfiedinturn,withever-deepeningrichness to life.
f f f f f f f f f f
Wellnessispossiblewhenone‘shealthiscompromised—evenwithchronicillness,with f f f f f f f f f f f
multipledisabilities,orindying,movementtowardahigherlevelofwellnessispossible.
f f
PTS: 1 DIF: Understand REF: p.7 f TOP:NursingProcess:Evaluation
MSC: Health Promotion and Maintenance
f f f f f
3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? B B
a. NativeAmericans
b. African Americans B
c. HispanicAmericans
d. Asianand PacificIslandAmericans B f f
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
f f f f f f f f f f f f
Chapter02:Cross-CulturalCaringandAging f
Touhy&Jett:EbersoleandHess’Gerontological Nursing&HealthyAging,5thEdition
f B f
MULTIPLECHOICE f
1. Whichoft hefollowingisatruestatement aboutdifferinghealthbeliefsystems? B f f B f
a. Personalisticormagicoreligiousbeliefshavebeen supersededinWesternmindsby B B
biomedicalprinciples.
f f
b. Inmostcultures,olderadultsarelikelytotreatthemselves usingtraditional f f f B
methods before turning to biomedical professionals.
f f f f f f
c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. B f
d. Thebeliefthat healthdepends onmaintainingabalanceamong oppositequalities is B f B f B
characteristic of a magicoreligious belief system.
f f f f f f
ANS: B f f
Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked B f
faswellasexpected.Afterthesetreatments fail,olderadultst urntotheformalhealth care system. f B f f f
EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydid toincur
f f f f f f f f f f f f f f f f f f f f f
anillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem practicedin
f f f f f f f f f f f f f
Indiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor naturalistic
f f f f f f f f f f f f
approach.
f
PTS: 1 DIF: Understand REF: p.16-17 f
TOP: NursingProcess:Assessment f f MSC: HealthPromotionandMaintenance f f f f
2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan f
B B
interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageas the patient. B B f f
b. Whenworkingwithinterpreters,thenursecan usetechnicaltermsormetaphors. B B B
c. Apatient‘s younggranddaughterwhospeaksfluentEnglishwould makethebest B B
interpreterbecausesheisfamiliarwithandlovesthepatient.
f f f f f f f f f f
d. Thenurseshouldfacethepatient ratherthantheinterpreter. f
ANS: D f f
The nurseshould face the patient rather than the interpreter is a true statement; the intent is to converse
f f f f f f f f f f f f f f f f f f
with the patient, not with a third party about the patient. Many reasons may prevent the patient from
f f f f f f f f f f f f f f f f f f
speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
f f f f f f f f f f f f f f f
translate.Culturalrestrictionsmaypreventsometopicsfrom being spokenofto agrandparentorchild.
f f f f f f f f f f f f f f f f
PTS: f f 1 DIF: Understand f f f f f f REF: p. 18-19 f f f
TOP: f f fNursingProcess: Implementation f f f f f MSC: Safe,Effective CareEnvironment
f f f f f f
3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto
f f f f f f f f f f f f f f f f f f
remaininthebed.Whichintervention should thenurseusetopromoteandmaintainhis health?
f B B B f f
a. Havethehealth careproviderspeaktohim. B
b. Useprinciplesoftheholistichealthsystem.
c. Askabouthisperceptionsandtreatmentideas. B
NURSINGTB.COM
, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
f f f f f f f f f f f f
d. ConsultwithapractitionerofChinesemedicine. f
ANS: C f f
UsingtheLEARNmodel(listenwithsympathytothepatient‘sperceptionoftheproblem, explain
f f f f f f f f f f f f f f
yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities, recommend
f f f f f f f f f f f
treatment,andnegotiateagreement),thenursegathersinformationfromthepatient
f f f f f f f f f f f
aboutculturalbeliefsconcerning healthcareand avoidsstereotypingthepatient.Intheassessment,
f B B f f
thenursedetermineswhatthepatientbelievesaboutcaregiving,decisionmaking,treatment, and
f B f f f
otherpertinenthealth-relatedinformation.Speakingwiththehealthcareproviderispremature until
f f f f f f f f f f f f f
theassessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealth systemcan
f f f f f f f f f f f f f f f f
bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthe treatments,consulting
f f f f f f f f f f f f f f
withapractitionerofChinesemedicinecanalsobeunsuitableand insultingforthis patient.
f f f f f f f f f f f f f f f
PTS: 1 DIF: Apply REF: p.18 f
TOP: NursingProcess: Implementation f f MSC: HealthPromotionandMaintenance f f f f
4. Whichactionshouldthenursetakewhenaddressing olderadults? f B
a. Speak inanexaggeratedpitch. B f
b. Useal owerqualityofspeech. B f
c. Useendearingtermssuchas―honey.‖ B
d. Speak clearly. B
ANS: D f f
Somehealth professionalsdemonstrateageism, inpartbecause providerstendtoseemany frail, f f f f f f
olderpersonsandfewerofthosewhoarehealthyandactive.Providersshouldnot assumethatall
f f f f f f f f f f f f f f f f f
olderadultsarehearingormentallyimpaired.Themostappropriateaction
f f f f f f f f f f
whenaddressing anolderaduNltUwRoS
f ulI
dNbeGtT
oB sp.eaCkOcM
learly. Examplesofunintentionalageismin B f f
languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech. f f f f f f f f f f f f f f
PTS: 1 DIF: Apply REF: p.15 f
TOP: NursingProcess:Assessment f f MSC: HealthPromotionandMaintenance f f f f
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
f f f f f f f f f f f f f f f
that she becomes tense during the instructions about elimination. Whichintervention should the
f f f f f f f f f f f f f
nurseimplement?
f f
a. Moveontothediscussion about medication. f f
b. Asktheolderwomanhowshefeels aboutthistopic. B f f
c. Instructtheinterpretertorepeattheinstructions. B
d. Havetheolderwomanrepeattheinstructionsforclarity.
ANS: B f f
Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal
f f f f f f f f f f f f f
communication andemotion regardingaspecifictopicandthereforevalidates theassessment about
f f f f f f f f f
theolderadult‘stensionbeforeproceeding.Becausethenursenoticeshertension,the nurse
f f f f f f f f f f f f f f
temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsand
f f f f f f f f f f f f f
theolderadultis uncomfortablediscussingelimination,thenimportantinstructionscan bemissed,
f f B B f
leadingtoadverseeffectsfortheolderadult.Repeating theinstructions canaggravate the older
f f f B f f f f
adult‘sdiscomfort.Instructingtheolderadulttorepeatthenurse‘sinstructionignoresherneeds.
f f f f f f f f f f f f f
NURSINGTB.COM
