,Chapter01:IntroductiontoHealthyAging
f f f f f
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th
f f f f f f f f f f f
Edition
f
MULTIPLE CHOICE f
1. A man is terminallyill with end-stage prostate cancer. Which is the best statement about this man‘s
f f f f f f f f f f f f f f f f
f wellness?
a. Wellnesscan onlybe achieved with aggressive medical interventions. f f f f f f f f
b. Wellness is not a real option for this client because he is terminallyill. f f f f f f f f f f f f f
c. Wellness is defined as the absence of disease. f f f f f f f
d. Nursinginterventionscan help empoweraclient to achieve ahigherlevel of f f f f f f f f f f f f
wellness. f
ANS: D f
Nursinginterventionscan help empoweraclient to achieve ahigherlevel ofwellness; anurse can
f f f f f f f f f f f f f f f f
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
f f f f f f f f f f f f f f f f
It is not just the absence of disease. A wellness perspective is based on the belief that every person
f f f f f f f f f f f f f f f f f f f
has an optimal level of health independent of his or her situation or functional level. Even in the
f f f f f f f f f f f f f f f f f f
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
f f f f f f f f f f f f f f f f
care is placed on the promotion of well-being in a supportive environment.
f f f f f f f f f f f f
PTS: 1 DIF: Apply f REF: p. 7 f f TOP: NursingProcess:Diagnosis f f f
MSC: Health Promotion and Maintenance
f f f f f
2. In differentiating between healU
f th anSd wNellnTess in hOealth care, which of the following f f
N R I G B.C M f f f f f
statements is true?
f f f
a. Health is a broad term encompassing attitudes and behaviors. f f f f f f f f
b. Theconcept of illness prevention was never considered byprevious generations.
f f f f f f f f f f
c. Wellnessand self-actualization develop through learning and growth. f f f f f f f
d. Wellness is impossible when one‘s health is compromised. f f f f f f f
ANS: A f
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
f f f f f f f f f f f f
wellness, which involves one‘s whole being. The concept of illness prevention was never
f f f f f f f f f f f f f
considered by previous generations; throughout history, basic self-care requirements have been
f f f f f f f f f f f
recognized. Wellness and self-actualization develop through learning and growth—as basic
f f f f f f f f f f
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
f f f f f f f f f f f f f f f f
Wellness is possible when one‘s health is compromised—even with chronic illness, withmultiple
f f f f f f f f f f f f f
disabilities, or in dying, movement toward a higher level of wellness is possible.
f f f f f f f f f f f f f
PTS: 1 DIF: Understand f REF: p. 7 f f TOP: NursingProcess:Evaluation f f f
MSC: Health Promotion and Maintenance
f f f f f
3. Whichracial or ethnic group has the highest life expectancyin the United States?
f f f f f f f f f f f f f
a. Native Americans f
b. AfricanAmericans f
c. HispanicAmericans f
d. Asian and Pacific Island Americans f f f f
, https://www.stuvia.com/user/Smartscroll
Chapter02:Cross-CulturalCaringandAging
f f f f f
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
f f f f f f f f f f f f
MULTIPLE CHOICE f
1. Whichof the following is a true statement about differing health belief systems?
f f f f f f f f f f f f
a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWestern mindsby f f f f f f f f f f
biomedical principles.
f f
b. In most cultures,olderadults arelikelytotreat themselves usingtraditional
f f f f f f f f f f f
methods before turning to biomedical professionals.
f f f f f f
c. Ayurvedicmedicine is anothername for traditional Chinese medicine. f f f f f f f f
d. Thebeliefthat healthdepends onmaintainingabalanceamongoppositequalities is
f f f f f f f f f f f f
characteristic of a magicoreligious belief system.
f f f f f f
ANS: B f
Olderadults inmost culturesusuallyhavehad experiencewith traditional methodsthathave worked
f f f f f f f f f f f f f f
as well as expected. After these treatments fail,older adultsturn to theformal health care system.
f f f f f f f f f f f f f f f f f
Even in the United States, it is common for older adults to pray for cures or wonder what they did to
f f f f f f f f f f f f f f f f f f f f f
incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system
f f f f f f f f f f f f f f
practiced in India and in some neighboring countries. This belief is characteristic of a holistic or
f f f f f f f f f f f f f f f f
naturalistic approach.
f f
PTS: 1 DIF: Understand
f f REF: p. 16-17 f f f
TOP: Nursing Process: Assessment f f f MSC: Health Promotion and Maintenance f f f f
2. Which of the following consideUratiS
onsNis m
Tost likO
f elyto be true when working with an
f f f
N R I G B.C M f f f f f f f
f interpreter?
a. Aninterpreter is never needed if the nurse speaks the same language as the patient.
f f f f f f f f f f f f f f
b. Whenworking with interpreters, the nurse can use technical terms or metaphors. f f f f f f f f f f f
c. Apatient‘s younggranddaughterwhospeaks fluentEnglishwouldmakethebest
f f f f f f f f f f f
f interpreter because she is familiar with and loves the patient. f f f f f f f f f
d. Thenurse should face the patient rather than the interpreter.
f f f f f f f f f
ANS: D f
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
f f f f f f f f f f f f f f f f f
converse with the patient, not with a third party about the patient. Many reasons may prevent the
f f f f f f f f f f f f f f f f f
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
f f f f f f f f f f f f f f f
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
f f f f f f f f f f f f f f f
grandparent or child.
f f f
PTS: 1 DIF: Understand
f f f f f REF: p. 18-19
f f f f
TOP: Nursing Process: Implementation f f f f f MSC: Safe, Effective Care Environment f f f f
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to
f f f f f f f f f f f f f f f f f f f
remain inthebed. Which interventionshould thenurseuseto promote and maintain his health?
f f f f f f f f f f f f f f f f
a. Have the health care provider speak to him. f f f f f f f
b. Use principles of the holistic health system. f f f f f f
c. Askabout his perceptions and treatment ideas. f f f f f f
NURSINGTB.COM
, https://www.stuvia.com/user/Smartscroll
d. Consult with a practitioner of Chinese medicine. f f f f f f
ANS: C f
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, explain
f f f f f f f f f f f f f f
your perception of the problem, acknowledge the differences and similarities, recommend
f f f f f f f f f f f
treatment, and negotiate agreement), the nurse gathers information from the patient aboutcultural
f f f f f f f f f f f f f
beliefs concerninghealth careand avoids stereotypingthepatient. Inthe assessment,thenurse
f f f f f f f f f f f f f f
determines whatthepatient believes about caregiving,decisionmaking, treatment, and other
f f f f f f f f f f f f
pertinent health-related information. Speaking with the health care provider is premature until the
f f f f f f f f f f f f f
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
f f f f f f f f f f f f f f f
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
f f f f f f f f f f f f f
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
f f f f f f f f f f f f f f f
patient.
f
PTS: 1 f DIF: Apply f REF: p. 18 f f f
TOP: Nursing Process: Implementation
f f f MSC: Health Promotion and Maintenance f f f f
4. Whichaction should the nurse take when addressing older adults?
f f f f f f f f f
a. Speakin an exaggerated pitch. f f f f
b. Use a lower quality of speech. f f f f f
c. Use endearing terms such as ―honey.‖ f f f f f
d. Speakclearly. f
ANS: D f
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
f f f f f f f f f f f f f
older persons and fewer of those who are healthy and active. Providers should not assume that all
f f f f f f f f f f f f f f f f f
older adults are hearing or mentally impaired. The most appropriate action
f f f f f f f f f f f
whenaddressinganolderaduNltUwRoS
f ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examplesofunintentionalageismin f f f f f f f f f f f f f f f f
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
f f f f f f f f f f f f f f
speech.
PTS: 1 f DIF: Apply f REF: p. 15 f f f
TOP: Nursing Process: Assessment
f f f MSC: Health Promotion and Maintenance 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. Which intervention should the
f f f f f f f f f f f f f
nurse implement?
f f
a. Move on to the discussion about medication. f f f f f f
b. Ask the older woman how she feels about this topic.
f f f f f f f f f
c. Instruct the interpreter to repeat the instructions. f f f f f f
d. Have the older woman repeat the instructions for clarity.
f f f f f f f f
ANS: B f
When working with an interpreter, the nurse closely watches the older adult for nonverbal
f f f f f f f f f f f f f
communication and emotion regarding a specific topic and therefore validates the assessment
f f f f f f f f f f f f
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the nurse
f f f f f f f f f f f f f f f
temporarily suspends the preparation to validate her assessment. If the nurse proceeds andtheolder
f f f f f f f f f f f f f f f
adult is uncomfortablediscussingelimination,thenimportant instructions canbe missed, leading to
f f f f f f f f f f f f f
adverseeffects for the older adult. Repeating the instructions can aggravate the older adult‘s
f f f f f f f f f f f f f f
discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her needs.
f f f f f f f f f f f f f
NURSINGTB.COM
f f f f f
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th
f f f f f f f f f f f
Edition
f
MULTIPLE CHOICE f
1. A man is terminallyill with end-stage prostate cancer. Which is the best statement about this man‘s
f f f f f f f f f f f f f f f f
f wellness?
a. Wellnesscan onlybe achieved with aggressive medical interventions. f f f f f f f f
b. Wellness is not a real option for this client because he is terminallyill. f f f f f f f f f f f f f
c. Wellness is defined as the absence of disease. f f f f f f f
d. Nursinginterventionscan help empoweraclient to achieve ahigherlevel of f f f f f f f f f f f f
wellness. f
ANS: D f
Nursinginterventionscan help empoweraclient to achieve ahigherlevel ofwellness; anurse can
f f f f f f f f f f f f f f f f
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
f f f f f f f f f f f f f f f f
It is not just the absence of disease. A wellness perspective is based on the belief that every person
f f f f f f f f f f f f f f f f f f f
has an optimal level of health independent of his or her situation or functional level. Even in the
f f f f f f f f f f f f f f f f f f
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
f f f f f f f f f f f f f f f f
care is placed on the promotion of well-being in a supportive environment.
f f f f f f f f f f f f
PTS: 1 DIF: Apply f REF: p. 7 f f TOP: NursingProcess:Diagnosis f f f
MSC: Health Promotion and Maintenance
f f f f f
2. In differentiating between healU
f th anSd wNellnTess in hOealth care, which of the following f f
N R I G B.C M f f f f f
statements is true?
f f f
a. Health is a broad term encompassing attitudes and behaviors. f f f f f f f f
b. Theconcept of illness prevention was never considered byprevious generations.
f f f f f f f f f f
c. Wellnessand self-actualization develop through learning and growth. f f f f f f f
d. Wellness is impossible when one‘s health is compromised. f f f f f f f
ANS: A f
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
f f f f f f f f f f f f
wellness, which involves one‘s whole being. The concept of illness prevention was never
f f f f f f f f f f f f f
considered by previous generations; throughout history, basic self-care requirements have been
f f f f f f f f f f f
recognized. Wellness and self-actualization develop through learning and growth—as basic
f f f f f f f f f f
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
f f f f f f f f f f f f f f f f
Wellness is possible when one‘s health is compromised—even with chronic illness, withmultiple
f f f f f f f f f f f f f
disabilities, or in dying, movement toward a higher level of wellness is possible.
f f f f f f f f f f f f f
PTS: 1 DIF: Understand f REF: p. 7 f f TOP: NursingProcess:Evaluation f f f
MSC: Health Promotion and Maintenance
f f f f f
3. Whichracial or ethnic group has the highest life expectancyin the United States?
f f f f f f f f f f f f f
a. Native Americans f
b. AfricanAmericans f
c. HispanicAmericans f
d. Asian and Pacific Island Americans f f f f
, https://www.stuvia.com/user/Smartscroll
Chapter02:Cross-CulturalCaringandAging
f f f f f
Touhy&Jett:EbersoleandHess’GerontologicalNursing&HealthyAging,5th Edition
f f f f f f f f f f f f
MULTIPLE CHOICE f
1. Whichof the following is a true statement about differing health belief systems?
f f f f f f f f f f f f
a. PersonalisticormagicoreligiousbeliefshavebeensupersededinWestern mindsby f f f f f f f f f f
biomedical principles.
f f
b. In most cultures,olderadults arelikelytotreat themselves usingtraditional
f f f f f f f f f f f
methods before turning to biomedical professionals.
f f f f f f
c. Ayurvedicmedicine is anothername for traditional Chinese medicine. f f f f f f f f
d. Thebeliefthat healthdepends onmaintainingabalanceamongoppositequalities is
f f f f f f f f f f f f
characteristic of a magicoreligious belief system.
f f f f f f
ANS: B f
Olderadults inmost culturesusuallyhavehad experiencewith traditional methodsthathave worked
f f f f f f f f f f f f f f
as well as expected. After these treatments fail,older adultsturn to theformal health care system.
f f f f f f f f f f f f f f f f f
Even in the United States, it is common for older adults to pray for cures or wonder what they did to
f f f f f f f f f f f f f f f f f f f f f
incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system
f f f f f f f f f f f f f f
practiced in India and in some neighboring countries. This belief is characteristic of a holistic or
f f f f f f f f f f f f f f f f
naturalistic approach.
f f
PTS: 1 DIF: Understand
f f REF: p. 16-17 f f f
TOP: Nursing Process: Assessment f f f MSC: Health Promotion and Maintenance f f f f
2. Which of the following consideUratiS
onsNis m
Tost likO
f elyto be true when working with an
f f f
N R I G B.C M f f f f f f f
f interpreter?
a. Aninterpreter is never needed if the nurse speaks the same language as the patient.
f f f f f f f f f f f f f f
b. Whenworking with interpreters, the nurse can use technical terms or metaphors. f f f f f f f f f f f
c. Apatient‘s younggranddaughterwhospeaks fluentEnglishwouldmakethebest
f f f f f f f f f f f
f interpreter because she is familiar with and loves the patient. f f f f f f f f f
d. Thenurse should face the patient rather than the interpreter.
f f f f f f f f f
ANS: D f
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
f f f f f f f f f f f f f f f f f
converse with the patient, not with a third party about the patient. Many reasons may prevent the
f f f f f f f f f f f f f f f f f
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
f f f f f f f f f f f f f f f
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
f f f f f f f f f f f f f f f
grandparent or child.
f f f
PTS: 1 DIF: Understand
f f f f f REF: p. 18-19
f f f f
TOP: Nursing Process: Implementation f f f f f MSC: Safe, Effective Care Environment f f f f
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to
f f f f f f f f f f f f f f f f f f f
remain inthebed. Which interventionshould thenurseuseto promote and maintain his health?
f f f f f f f f f f f f f f f f
a. Have the health care provider speak to him. f f f f f f f
b. Use principles of the holistic health system. f f f f f f
c. Askabout his perceptions and treatment ideas. f f f f f f
NURSINGTB.COM
, https://www.stuvia.com/user/Smartscroll
d. Consult with a practitioner of Chinese medicine. f f f f f f
ANS: C f
Using the LEARN model (listen with sympathy to the patient‘s perception of the problem, explain
f f f f f f f f f f f f f f
your perception of the problem, acknowledge the differences and similarities, recommend
f f f f f f f f f f f
treatment, and negotiate agreement), the nurse gathers information from the patient aboutcultural
f f f f f f f f f f f f f
beliefs concerninghealth careand avoids stereotypingthepatient. Inthe assessment,thenurse
f f f f f f f f f f f f f f
determines whatthepatient believes about caregiving,decisionmaking, treatment, and other
f f f f f f f f f f f f
pertinent health-related information. Speaking with the health care provider is premature until the
f f f f f f f f f f f f f
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
f f f f f f f f f f f f f f f
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
f f f f f f f f f f f f f
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
f f f f f f f f f f f f f f f
patient.
f
PTS: 1 f DIF: Apply f REF: p. 18 f f f
TOP: Nursing Process: Implementation
f f f MSC: Health Promotion and Maintenance f f f f
4. Whichaction should the nurse take when addressing older adults?
f f f f f f f f f
a. Speakin an exaggerated pitch. f f f f
b. Use a lower quality of speech. f f f f f
c. Use endearing terms such as ―honey.‖ f f f f f
d. Speakclearly. f
ANS: D f
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
f f f f f f f f f f f f f
older persons and fewer of those who are healthy and active. Providers should not assume that all
f f f f f f f f f f f f f f f f f
older adults are hearing or mentally impaired. The most appropriate action
f f f f f f f f f f f
whenaddressinganolderaduNltUwRoS
f ulI
dNbeGtT
oBsp.eaCk Oc Ml early. Examplesofunintentionalageismin f f f f f f f f f f f f f f f f
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
f f f f f f f f f f f f f f
speech.
PTS: 1 f DIF: Apply f REF: p. 15 f f f
TOP: Nursing Process: Assessment
f f f MSC: Health Promotion and Maintenance 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. Which intervention should the
f f f f f f f f f f f f f
nurse implement?
f f
a. Move on to the discussion about medication. f f f f f f
b. Ask the older woman how she feels about this topic.
f f f f f f f f f
c. Instruct the interpreter to repeat the instructions. f f f f f f
d. Have the older woman repeat the instructions for clarity.
f f f f f f f f
ANS: B f
When working with an interpreter, the nurse closely watches the older adult for nonverbal
f f f f f f f f f f f f f
communication and emotion regarding a specific topic and therefore validates the assessment
f f f f f f f f f f f f
about the older adult‘s tension before proceeding. Because the nurse notices her tension, the nurse
f f f f f f f f f f f f f f f
temporarily suspends the preparation to validate her assessment. If the nurse proceeds andtheolder
f f f f f f f f f f f f f f f
adult is uncomfortablediscussingelimination,thenimportant instructions canbe missed, leading to
f f f f f f f f f f f f f
adverseeffects for the older adult. Repeating the instructions can aggravate the older adult‘s
f f f f f f f f f f f f f f
discomfort. Instructing the older adult to repeat the nurse‘s instruction ignores her needs.
f f f f f f f f f f f f f
NURSINGTB.COM
