TEST BANK FOR Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada by Veronique Boscart, Lynn McCleary ISBN: 978-0323778749 COMPLETE GUIDE ALL CHAPTERS COVERED 100% VERIFIED A+ GRADE ASSURED!!!!!NEW LATEST UPDATE!!!!!

TestBankEbersoleandHess’GerontologicalNursing&Healthy
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m Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
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28.

,Chapter01: IntroductiontoHealthyAging
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Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
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MULTIPLE CHOICE m




1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebeststatementaboutthis man’s
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wellness?
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a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. m m m m m m m m




b. Wellnessis not arealoption forthis clientbecauseheisterminallyill. m m m m m m m m m m m m m




c. Wellnessisdefinedastheabsenceofdisease. m m m m m m m




d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof m m m m m m m m m m m m




wellness. m




ANS: D m




Nursinginterventions canhelp empower aclient to achieveahigherlevel ofwellness; anurse can
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foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
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It is not just theabsence of disease. A wellness perspective is based on the belief that every person has
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an optimal level of health independent of his or her situation or functional level. Even in the
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presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
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care is placed on the promotion of well-being in a supportive environment.
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PTS: 1 DIF: Apply REF: p. 7 m TOP:NursingProcess:Diagnosis m m m




MSC: Health Promotion and Maintenance
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2. IndifferentiatingbetweenhealU
m th anSd w
NellnTess in hOealth care,whichofthefollowing m m
N R I G B. C M m m m m m




m statements is true? m m




a. Healthisabroadtermencompassingattitudesandbehaviors. m m m m m m m m




b. Theconceptofillnesspreventionwasneverconsideredbyprevious generations.
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c. Wellnessand self-actualization develop throughlearningandgrowth. m m m m m m m




d. Wellnessisimpossiblewhenone’shealthiscompromised. m m m m m m m




ANS: A m




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, withmultiple
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disabilities,orindying,movement towardahigherlevelofwellnessispossible.
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PTS: 1 DIF: Understand REF: p. 7 m TOP:NursingProcess:Evaluation m m m




MSC: Health Promotion and Maintenance
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3. Whichracial orethnicgrouphasthehighestlifeexpectancyintheUnitedStates?
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a. NativeAmericans m




b. AfricanAmericans m




c. HispanicAmericans m




d. AsianandPacific Island Americans m m m m




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, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
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Chapter02:Cross-Cultural CaringandAging
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Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
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MULTIPLE CHOICE m




1. Whichofthefollowingis a truestatement about differinghealthbeliefsystems?
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a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWesternmindsby m m m m m m m m m m




biomedical principles.
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b. Inmost cultures, olderadults arelikely totreat themselvesusingtraditional
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methods before turning to biomedical professionals.
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c. Ayurvedicmedicineisanothernamefortraditional Chinesemedicine. m m m m m m m m




d. Thebeliefthathealth dependsonmaintaining abalanceamongoppositequalities is
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characteristic of a magicoreligious belief system.
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ANS: B m




Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathave worked
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aswellas expected.Afterthesetreatments fail,olderadultsturntotheformalhealth care system.
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Even in the United States, it is common for older adults to pray for cures or wonder what they did to
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incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system
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practiced in India and in some neighboring countries. This belief is characteristic of a holistic or
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naturalistic approach.
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PTS: 1 DIF: Understand REF: p. 16-17 m




TOP: Nursing Process: Assessment m m MSC: Health Promotion and Maintenance m m m m




2. WhichofthefollowingconsideUratiS
onsNis m
Tost likO
ely tobetruewhenworkingwithan
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N R I G B. C M m m m m m m m




interpreter?
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a. Aninterpreterisneverneededifthe nursespeaks thesamelanguageasthe patient.
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b. Whenworkingwithinterpreters,thenursecanusetechnicaltermsormetaphors. m m m m m m m m m m m




c. Apatient’syounggranddaughterwhospeaksfluentEnglishwouldmakethebest
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interpreter because she is familiar with and loves the patient.
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d. Thenurseshould facethe patient ratherthantheinterpreter. m m m m m m m m m




ANS: D m




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 the
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patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
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impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
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grandparent or child.
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PTS: m m 1 DIF: Understand REF: p. 18-19 m m m m m m m




TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment m m m m m




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refusesto
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remaininthebed.Whichinterventionshouldthenurseusetopromoteandmaintain his health?
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a. Havethehealthcareproviderspeaktohim. m m m m m m m




b. Useprinciplesoftheholistichealthsystem. m m m m m m




c. Askabouthisperceptionsandtreatment ideas. m m m m m m




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, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
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d. Consult with apractitionerofChinesemedicine. m m m m m m




ANS: C m




Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
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your perception of the problem, acknowledge the differences and similarities, recommend
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treatment, and negotiate agreement), the nurse gathers information from the patientaboutcultural
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beliefsconcerninghealthcareand avoidsstereotypingthepatient. Inthe assessment,thenurse
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determineswhatthepatientbelievesaboutcaregiving, decisionmaking, treatment, and other
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pertinent health-related information. Speaking with the health care provider is premature until the
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assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
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be potentially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting
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with a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.
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PTS: 1 DIF: Apply REF: p. 18 m




TOP: Nursing Process: Implementation m m MSC: Health Promotion and Maintenance m m m m




4. Whichaction shouldthenursetakewhenaddressing olderadults?
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a. Speakinan exaggerated pitch. m m m m




b. Usealowerqualityofspeech. m m m m m




c. Useendearingtermssuchas“honey.” m m m m m




d. Speakclearly. m




ANS: D m




Somehealth professionalsdemonstrate ageism, inpart because providerstendtoseemany 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 when
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addressinganolderaduNltUwRoS
m ulI
dN beGtT
oBsp.
eaCkOcM
learly. Examplesofunintentionalageism in m m m n m m m m m




language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of speech.
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PTS: 1 DIF: Apply REF: p. 15 m




TOP: Nursing Process: Assessment m m MSC: Health Promotion and Maintenance m m m m




5. The nurse prepares an older woman, who is Polish, for dischargethrough an interpreter and notes
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that she becomes tenseduring the instructions about elimination. Which intervention should the
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nurse implement?
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a. Moveontothediscussion about medication. m m m m m m




b. Asktheolderwomanhowshefeelsabout this topic. m m m m m m m m m




c. Instructtheinterpretertorepeattheinstructions. m m m m m m




d. Havetheolderwomanrepeattheinstructions forclarity. m m m m m m m m




ANS: B m




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 nurse
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temporarily suspends the preparation to validate her assessment. If the nurse proceeds andtheolder
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adult isuncomfortablediscussingelimination,thenimportant instructionscanbe missed,leading to
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adverseeffects forthe older adult. Repeating theinstructions can aggravate the older adult’s
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discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
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