Ebersole and Hess – Gerontological Nursing & Healthy Aging, 5th Edition – Complete Test Bank with Questions and Answers

TestBankEbersoleandHess’GerontologicalNursing&Healthy
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u Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
u28.

,Chapter01:Introduction toHealthyAging u B u




Touhy&Jett:Ebersoleand Hess’GerontologicalNursing&HealthyAging,5thEdition
u B B u




MULTIPLECHOICE u




1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebest statementaboutthis B B B




uman‘swellness? u




a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. B B




b. Wellness is not arealoptionforthisclient becauseheisterminallyill. B u u u B




c. Wellness isdefined astheabsenceofdisease. B B




d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof
wellness. u




ANS: D u u




Nursinginterventions canhelpempower aclient to achievea higherlevel ofwellness;anurse can u u u u u B u u




fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandis multidimensional. It
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is notjust theabsenceofdisease. Awellness perspective isbased onthe beliefthateverypersonhasan
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optimallevelofhealthindependentofhisorhersituationor functionallevel.Eveninthepresenceof
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chronicillnessorwhiledying,amovementtoward wellnessispossibleifemphasisofcareisplaced
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onthepromotionofwell-beinginasupportive environment.
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PTS: 1 DIF: Apply REF: p.7 u TOP:NursingProcess:Diagnosis
MSC: Health Promotion and Maintenance
u u u u u




2. IndifferentiatingbetweenhealU
th anSd w
NellnTess in hOealthcare,whichofthefollowing N R I G B. C M u




B B




statementsistrue? u u




a. Healthisabroadterm encompassingattitudesandbehaviors. B B




b. Theconcept ofillnessprevention wasneverconsidered byprevious generations. B B B u




c. Wellness and self-actualizationdevelop throughlearningandgrowth. B u B




d. Wellness isimpossiblewhenone‘shealthis compromised. B B




ANS: A u u




Healthisabroadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
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wellness,whichinvolvesone‘swholebeing.Theconceptofillnesspreventionwasnever considered
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bypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen recognized.
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Wellnessandself-actualizationdevelopthroughlearningand growth—asbasic needsaremet,
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higherlevelneedscanbesatisfiedinturn,withever-deepeningrichness to life.
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Wellnessispossiblewhenone‘shealthiscompromised—evenwithchronicillness,with u u u u u u u u u u u




multipledisabilities,orindying,movementtowardahigherlevelofwellnessispossible.
u u




PTS: 1 DIF: Understand REF: p.7 u TOP:NursingProcess:Evaluation
MSC: Health Promotion and Maintenance
u u u u u




3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? B B




a. NativeAmericans
b. African Americans B




c. HispanicAmericans
d. Asianand PacificIslandAmericans B u u




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, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
u u u u u u u u u u u u




Chapter02:Cross-CulturalCaringandAging u




Touhy&Jett:EbersoleandHess’Gerontological Nursing&HealthyAging,5thEdition
u B u




MULTIPLECHOICE u




1. Whichoft hefollowingisatruestatement aboutdifferinghealthbeliefsystems?
B u u B u




a. Personalisticormagicoreligiousbeliefshavebeen supersededinWesternmindsby B B




biomedicalprinciples.
u u




b. Inmostcultures,olderadultsarelikelytotreatthemselves usingtraditional u u u B




methods before turning to biomedical professionals.
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c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. B u




d. Thebeliefthat healthdepends onmaintainingabalanceamong oppositequalities is B u B u B




characteristic of a magicoreligious belief system.
u u u u u u




ANS: B u u




Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked B u




uaswellasexpected.Afterthesetreatments fail,olderadultst urntotheformalhealth care system. u B u u u




EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydid toincur
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anillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem practicedin
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Indiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor naturalistic
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approach.
u




PTS: 1 DIF: Understand REF: p.16-17 u




TOP: NursingProcess:Assessment u u MSC: HealthPromotionandMaintenance u u u u




2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan u




B B




interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageas the patient. B B u u




b. Whenworkingwithinterpreters,thenursecan usetechnicaltermsormetaphors. B B B




c. Apatient‘s younggranddaughterwhospeaksfluentEnglishwould makethebest B B




interpreterbecausesheisfamiliarwithandlovesthepatient.
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d. Thenurseshouldfacethepatient ratherthantheinterpreter. u




ANS: D u u




The nurse should face the patient rather than the interpreter is a true statement; the intent is to
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conversewiththepatient, not withathird party about thepatient. Many reasons mayprevent the patient
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from speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
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translate.Culturalrestrictionsmayprevent sometopicsfrom being spokenof to agrandparentorchild.
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PTS: u u 1 DIF: Understand u u u u u u REF: p. 18-19 u u u




TOP: u u NursingProcess: Implementation
u u u u u u MSC: Safe,Effective Care Environment
u u u u u u




3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto
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remaininthebed.Whichintervention should thenurseusetopromoteandmaintainhis health?
u B B B u u




a. Havethehealth careproviderspeaktohim. B




b. Useprinciplesoftheholistichealthsystem.
c. Askabouthisperceptionsandtreatmentideas. B




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, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
u u u u u u u u u u u u




d. ConsultwithapractitionerofChinesemedicine. u




ANS: C u u




UsingtheLEARNmodel(listenwithsympathytothepatient‘sperceptionoftheproblem, explain
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yourperceptionoftheproblem,acknowledgethedifferences andsimilarities, recommend
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treatment,andnegotiateagreement),thenursegathersinformationfromthepatient
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aboutculturalbeliefsconcerning healthcareand avoidsstereotypingthepatient.Intheassessment,
u B B u u




the nursedetermineswhatthepatientbelievesaboutcaregiving,decisionmaking, treatment, and
u B u u u




otherpertinenthealth-relatedinformation.Speakingwiththehealthcareproviderispremature until
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theassessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealth systemcan
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bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthe treatments,consulting
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withapractitionerofChinesemedicinecanalsobeunsuitableand insultingforthis patient.
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PTS: 1 DIF: Apply REF: p.18 u




TOP: NursingProcess: Implementation u u MSC: HealthPromotionandMaintenance u u u u




4. Whichactionshouldthenursetakewhenaddressing olderadults? u B




a. Speak inanexaggeratedpitch. B u




b. Useal owerqualityofspeech. B u




c. Useendearingtermssuchas―honey.‖ B




d. Speak clearly. B




ANS: D u u




Somehealth professionalsdemonstrateageism, inpartbecause providerstendtoseemany frail, u u u u u u




olderpersonsandfewerofthosewhoarehealthyandactive.Providersshouldnot assumethatall
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olderadultsarehearingormentallyimpaired.Themostappropriateaction
u u u u u u u u u u




whenaddressing anolderaduNltUwRoS
u ulI
dNbeGtT
oB sp.eaCkOcM
learly. Examplesofunintentionalageismin B u u




languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech.
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PTS: 1 DIF: Apply REF: p.15 u




TOP: NursingProcess:Assessment u u MSC: HealthPromotionandMaintenance u u u u




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes
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that shebecomes tenseduring theinstructions about elimination. Which intervention should the
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nurseimplement?
u u




a. Moveontothediscussion about medication. u u




b. Asktheolderwomanhowshefeels aboutthistopic. B u u




c. Instructtheinterpretertorepeattheinstructions. B




d. Havetheolderwomanrepeattheinstructionsforclarity.
ANS: B u u




Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal
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communication and emotion regardingaspecific topicand therefore validates theassessment about
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theolderadult‘stensionbeforeproceeding.Becausethenursenoticeshertension,the nurse
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temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsand
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theolderadultis uncomfortablediscussingelimination,thenimportantinstructionscan bemissed,
u u B B u




leadingtoadverseeffects fortheolderadult.Repeating theinstructions canaggravate the older
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adult‘sdiscomfort.Instructingtheolderadulttorepeatthenurse‘sinstructionignoresherneeds.
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