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Aging 6 th Editionby TherisA.Touhy, andKathleenFJet
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Chapter 1-28.
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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 ss
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about
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this man‘s wellness?
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a. Wellness can only be achieved with aggressive medical interventions. ss ss ss ss ss ss ss ss
b. Wellness is not a real option for this client because he is terminally ill. ss ss ss ss ss ss ss ss ss ss ss ss ss
c. Wellness is defined as the absence of disease. ss ss ss ss ss ss ss
d. Nursing interventions can help empower a client to achieve a higher level ss ss ss ss ss ss ss ss ss ss ss
of wellness. ss ss
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
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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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s the belief that every person has an optimal level of health independent of his or
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her 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 REF: p. 7 ss TOP: Nursing Process: ss
Diagnosis MSC:
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2. In differentiating between healU
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NellnTess in hOealth care, which of the ss ss
N R I G B.C M ss ss ss ss
following statements is true?
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a. Health is a broad term encompassing attitudes and behaviors. ss ss ss ss ss ss ss ss
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. ss ss ss ss ss ss ss
d. Wellness is impossible when one‘s health is compromised. ss ss ss ss ss ss ss
ANS: 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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s 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 ss TOP: Nursing Process: ss
Evaluation MSC:
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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 ss
b. African Americans ss
c. Hispanic Americans ss
d. Asian and Pacific Island Americans ss ss ss ss
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 6th Edition Touhy Test
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Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition
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MULTIPLE CHOICE ss
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 ss ss ss ss ss ss ss ss ss ss
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. ss ss ss ss ss ss ss ss
d. The belief that health depends on maintaining a balance among opposite qualities
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is characteristic of a magicoreligious belief system.
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ANS: B
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: 1 DIF: Understand REF: p. 16-17 ss
TOP: Nursing Process: Assessment ss ss MSC: Health Promotion and Maintenance ss ss ss
2. Which of the following consideUratiS
ssonsNis m
Tost likO
ely to be true when working with
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N R I G B. C M ss ss ss ss ss ss
ss an 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 best
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ss interpreter because she is familiar with and loves the patient. ss ss ss ss ss ss ss ss ss
d. The nurse should face the patient rather than the interpreter.
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ANS: 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 may
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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: 1 DIF: Understand REF: p. 18-19 ss
TOP: s s s s s s Nursing Process: Implementation ss ss MSC: s s 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 and
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refuses to remain in the bed. Which intervention should the nurse use to promote and
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maintain his health?
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a. Have the health care provider speak to him. ss ss ss ss ss ss ss
b. Use principles of the holistic health system.
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c. Ask about his perceptions and treatment ideas.
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