Test Bank Ebersole and Hess’ Gerontological Nursing & Health
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
Chapter 1-28.
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
Edition
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
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every 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 possible 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
N R I G B.C M
2. In differentiating between healU
th aS
nd wNellnTess in hOealth 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
considered 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 level 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
NURSINGTB.COM
, Ebersoley2andy2Hess'y2Gerontologicaly2Nursingy2andy2Healthyy2Agingy25thy2Editiony2Touh
yy2Testy2Bank
Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
Edition
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
worked 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 what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of 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
interpreter?
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
interpreter 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
converse with the patient, not with a third party about the patient. Many reasons may prevent
the 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
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
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.
NURSINGTB.COM
, Ebersoley2andy2Hess'y2Gerontologicaly2Nursingy2andy2Healthyy2Agingy25thy2Editiony2Touh
yy2Testy2Bank
d. Consulty2withy2ay2practitionery2ofy2Chinesey2medicine.
ANS:y 2 C
Usingy2they2LEARNy2modely2(listeny2withy2sympathyy2toy2they2patient’sy2perceptiony2ofy2t
hey2problem,y2explainy2youry2perceptiony2ofy2they2problem,y2acknowledgey2they2difference
sy2andy2similarities,y2recommendy2treatment,y2andy2negotiatey2agreement),y2they2nursey2gat
hersy2informationy2fromy2they2patienty2abouty2culturaly2beliefsy2concerningy2healthy2carey2an
dy2avoidsy2stereotypingy2they2patient.y2Iny2they2assessment,y2they2nursey2determinesy2whaty2t
hey2patienty2believesy2abouty2caregiving,y2decisiony2making,y2treatment,y2andy2othery2pertin
enty2health-
relatedy2information.y2Speakingy2withy2they2healthy2carey2providery2isy2prematurey2untily2th
ey2assessmenty2isy2complete.y2Unlessy2hey2acceptsy2they2beliefs,y2principlesy2ofy2they2holist
icy2healthy2systemy2cany2bey2potentiallyy2unsuitabley2andy2insultingy2fory2thisy2patient.y2Un
lessy2hey2acceptsy2they2treatments,y2consultingy2withy2ay2practitionery2ofy2Chinesey2medicin
ey2cany2alsoy2bey2unsuitabley2andy2insultingy2fory2thisy2patient.
PTS:y 2 y 2 1 DIF: Apply REF:y 2 y 2 p.y218
TOP:y 2 Nursingy2Process:y2Implementation MSC:y 2 Healthy2Promotiony2andy2Maintenance
4. Whichy2actiony2shouldy2they2nursey2takey2wheny2addressingy2oldery2adults?
a. Speaky2iny2any2exaggeratedy2pitch.
b. Usey2ay2lowery2qualityy2ofy2speech.
c. Usey2endearingy2termsy2suchy2asy2“honey.”
d. Speaky2clearly.
ANS:y 2 D
Somey2healthy2professionalsy2demonstratey2ageism,y2iny2party2becausey2providersy2tendy2toy
2seey2manyy2frail,y2oldery2personsy2andy2fewery2ofy2thosey2whoy2arey2healthyy2andy2active.
y2Providersy2shouldy2noty2assumey2thaty2ally2oldery2adultsy2arey2hearingy2ory2mentallyy2im
paired.y2They2mosty2appropriatey2action
wheny2addressingy2any2oldery2aduNltUwRoS
ulI
dNbeGtT
oy2Bs p.e aCkOcM
l e a r l y . y2Examplesy2ofy2unintentio
naly2ageismy2iny2languagey2arey2any2exaggeratedy2pitch,y2ay2demeaningy2emotionaly2tone,y2
andy2ay2lowery2qualityy2of
speech.
PTS:y 2 y 2 1 DIF: Apply REF:y 2 y 2 p.y215
TOP:y 2 Nursingy2Process:y2Assessment MSC:y 2 Healthy2Promotiony2andy2Maintenance
5. They2nursey2preparesy2any2oldery2woman,y2whoy2isy2Polish,y2fory2dischargey2throughy2any
2interpretery2andy2notesy2thaty2shey2becomesy2tensey2duringy2they2instructionsy2abouty2eli
mination.y2Whichy2interventiony2shouldy2they2nursey2implement?
a. Movey2ony2toy2they2discussiony2abouty2medication.
b. Asky2they2oldery2womany2howy2shey2feelsy2abouty2thisy2topic.
c. Instructy2they2interpretery2toy2repeaty2they2instructions.
d. Havey2they2oldery2womany2repeaty2they2instructionsy2fory2clarity.
ANS:y 2 B
Wheny2workingy2withy2any2interpreter,y2they2nursey2closelyy2watchesy2they2oldery2adulty2fo
ry2nonverbaly2communicationy2andy2emotiony2regardingy2ay2specificy2topicy2andy2thereforey
2validatesy2they2assessmenty2abouty2they2oldery2adult’sy2tensiony2beforey2proceeding.y2Beca
usey2they2nursey2noticesy2hery2tension,y2they2nursey2temporarilyy2suspendsy2they2preparation
y2toy2validatey2hery2assessment.y2Ify2they2nursey2proceedsy2andy2they2oldery2adulty2isy2unco
mfortabley2discussingy2elimination,y2theny2importanty2instructionsy2cany2bey2missed,y2leadin
gy2toy2adversey2effectsy2fory2they2oldery2adult.y2Repeatingy2they2instructionsy2cany2aggravate
y2they2oldery2adult’sy2discomfort.y2Instructingy2they2oldery2adulty2toy2repeaty2they2nurse’sy2i
nstructiony2ignoresy2hery2needs.
NURSINGTB.COM
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet
Chapter 1-28.
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
Edition
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
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every 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 possible 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
N R I G B.C M
2. In differentiating between healU
th aS
nd wNellnTess in hOealth 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
considered 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 level 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
NURSINGTB.COM
, Ebersoley2andy2Hess'y2Gerontologicaly2Nursingy2andy2Healthyy2Agingy25thy2Editiony2Touh
yy2Testy2Bank
Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
Edition
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
worked 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 what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of 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
interpreter?
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
interpreter 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
converse with the patient, not with a third party about the patient. Many reasons may prevent
the 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
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
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.
NURSINGTB.COM
, Ebersoley2andy2Hess'y2Gerontologicaly2Nursingy2andy2Healthyy2Agingy25thy2Editiony2Touh
yy2Testy2Bank
d. Consulty2withy2ay2practitionery2ofy2Chinesey2medicine.
ANS:y 2 C
Usingy2they2LEARNy2modely2(listeny2withy2sympathyy2toy2they2patient’sy2perceptiony2ofy2t
hey2problem,y2explainy2youry2perceptiony2ofy2they2problem,y2acknowledgey2they2difference
sy2andy2similarities,y2recommendy2treatment,y2andy2negotiatey2agreement),y2they2nursey2gat
hersy2informationy2fromy2they2patienty2abouty2culturaly2beliefsy2concerningy2healthy2carey2an
dy2avoidsy2stereotypingy2they2patient.y2Iny2they2assessment,y2they2nursey2determinesy2whaty2t
hey2patienty2believesy2abouty2caregiving,y2decisiony2making,y2treatment,y2andy2othery2pertin
enty2health-
relatedy2information.y2Speakingy2withy2they2healthy2carey2providery2isy2prematurey2untily2th
ey2assessmenty2isy2complete.y2Unlessy2hey2acceptsy2they2beliefs,y2principlesy2ofy2they2holist
icy2healthy2systemy2cany2bey2potentiallyy2unsuitabley2andy2insultingy2fory2thisy2patient.y2Un
lessy2hey2acceptsy2they2treatments,y2consultingy2withy2ay2practitionery2ofy2Chinesey2medicin
ey2cany2alsoy2bey2unsuitabley2andy2insultingy2fory2thisy2patient.
PTS:y 2 y 2 1 DIF: Apply REF:y 2 y 2 p.y218
TOP:y 2 Nursingy2Process:y2Implementation MSC:y 2 Healthy2Promotiony2andy2Maintenance
4. Whichy2actiony2shouldy2they2nursey2takey2wheny2addressingy2oldery2adults?
a. Speaky2iny2any2exaggeratedy2pitch.
b. Usey2ay2lowery2qualityy2ofy2speech.
c. Usey2endearingy2termsy2suchy2asy2“honey.”
d. Speaky2clearly.
ANS:y 2 D
Somey2healthy2professionalsy2demonstratey2ageism,y2iny2party2becausey2providersy2tendy2toy
2seey2manyy2frail,y2oldery2personsy2andy2fewery2ofy2thosey2whoy2arey2healthyy2andy2active.
y2Providersy2shouldy2noty2assumey2thaty2ally2oldery2adultsy2arey2hearingy2ory2mentallyy2im
paired.y2They2mosty2appropriatey2action
wheny2addressingy2any2oldery2aduNltUwRoS
ulI
dNbeGtT
oy2Bs p.e aCkOcM
l e a r l y . y2Examplesy2ofy2unintentio
naly2ageismy2iny2languagey2arey2any2exaggeratedy2pitch,y2ay2demeaningy2emotionaly2tone,y2
andy2ay2lowery2qualityy2of
speech.
PTS:y 2 y 2 1 DIF: Apply REF:y 2 y 2 p.y215
TOP:y 2 Nursingy2Process:y2Assessment MSC:y 2 Healthy2Promotiony2andy2Maintenance
5. They2nursey2preparesy2any2oldery2woman,y2whoy2isy2Polish,y2fory2dischargey2throughy2any
2interpretery2andy2notesy2thaty2shey2becomesy2tensey2duringy2they2instructionsy2abouty2eli
mination.y2Whichy2interventiony2shouldy2they2nursey2implement?
a. Movey2ony2toy2they2discussiony2abouty2medication.
b. Asky2they2oldery2womany2howy2shey2feelsy2abouty2thisy2topic.
c. Instructy2they2interpretery2toy2repeaty2they2instructions.
d. Havey2they2oldery2womany2repeaty2they2instructionsy2fory2clarity.
ANS:y 2 B
Wheny2workingy2withy2any2interpreter,y2they2nursey2closelyy2watchesy2they2oldery2adulty2fo
ry2nonverbaly2communicationy2andy2emotiony2regardingy2ay2specificy2topicy2andy2thereforey
2validatesy2they2assessmenty2abouty2they2oldery2adult’sy2tensiony2beforey2proceeding.y2Beca
usey2they2nursey2noticesy2hery2tension,y2they2nursey2temporarilyy2suspendsy2they2preparation
y2toy2validatey2hery2assessment.y2Ify2they2nursey2proceedsy2andy2they2oldery2adulty2isy2unco
mfortabley2discussingy2elimination,y2theny2importanty2instructionsy2cany2bey2missed,y2leadin
gy2toy2adversey2effectsy2fory2they2oldery2adult.y2Repeatingy2they2instructionsy2cany2aggravate
y2they2oldery2adult’sy2discomfort.y2Instructingy2they2oldery2adulty2toy2repeaty2they2nurse’sy2i
nstructiony2ignoresy2hery2needs.
NURSINGTB.COM
