Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition

TOUHY & JETT: EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY AGING, 5TH EDITION.
uh uh uh uh uh uh uh uh uh uh uh uh




TOUHY & JETT: EBERSOLE AND HESS’
GERONTOLOGICAL NURSING & HEALTHY
uh uh uh uh uh




AGING, 5TH EDITION.
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uh uh




Chapter 01: Introduction to Healthy Aging
uh uh uh uh uh




Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
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MULTIPLE CHOICE uh




1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




man’s wellness?
uh uh




a. Wellness can only be achieved with aggressive medical interventions. uh uh uh uh uh uh uh uh




b. Wellness is not a real option for this client because he is terminally ill. uh uh uh uh uh uh uh uh uh uh uh uh uh




c. Wellness is defined as the absence of disease. uh uh uh uh uh uh uh




d. Nursing interventions can help empower a client to achieve a higher level of uh uh uh uh uh uh uh uh uh uh uh uh




wellness. uh




ANS: D u h




Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




can foster wellness in his or her clients. Wellness is defined by the individual and is
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




multidimensional. It is not just the absence of disease. A wellness perspective is based on the
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




belief that every person has an optimal level of health independent of his or her situation or
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




functional level. Even in the presence of chronic illness or while dying, a movement toward
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




wellness is possible if emphasis of care is placed on the promotion of well-being in a
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




supportive environment.
uh uh




PTS: 1 DIF: Apply u REF:h u h p. 7 uh TOP: Nursing Process: Diagnosis u h uh uh




MSC: Health Promotion and Maintenance
uh u h uh uh uh




2. In differentiating between healU
uh th aS NellT
nd w ness in O
h e a l t h care, which of the following uh uh
N R I G B.C M uh uh uh uh uh uh




statements is true?
uh uh uh




a. Health is a broad term encompassing attitudes and behaviors. uh uh uh uh uh uh uh uh




b. The concept of illness prevention was never considered by previous generations.
uh uh uh uh uh uh uh uh uh uh




c. Wellness and self-actualization develop through learning and growth. uh uh uh uh uh uh uh




d. Wellness is impossible when one’s health is compromised. uh uh uh uh uh uh uh




ANS: A u h




Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
uh uh uh uh uh uh uh uh uh uh uh uh




wellness, which involves one’s whole being. The concept of illness prevention was never
uh uh uh uh uh uh uh uh uh uh uh uh uh




considered by previous generations; throughout history, basic self-care requirements have
uh uh uh uh uh uh uh uh uh uh




been recognized. Wellness and self-actualization develop through learning and growth—as
uh uh uh uh uh uh uh uh uh uh




basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




life. Wellness is possible when one’s health is compromised—even with chronic illness, with
uh uh uh uh uh uh uh uh uh uh uh uh uh




multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




PTS: 1 DIF: Understand REF:
u h u h p. 7 uh TOP: Nursing Process: Evaluation u h uh uh




MSC: Health Promotion and Maintenance
uh u h uh uh uh




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, TOUHY & JETT: EBERSOLE AND HESS’ GERONTOLOGICAL NURSING & HEALTHY AGING, 5TH EDITION.
uh uh uh uh uh uh uh uh uh uh uh uh




3. Which racial or ethnic group has the highest life expectancy in the United States?
uh uh uh uh uh uh uh uh uh uh uh uh uh




a. Native Americans uh




b. African Americans uh




c. Hispanic Americans uh




d. Asian and Pacific Island Americans
uh uh uh uh




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
uh uh uh uh uh uh uh uh uh uh uh uh




Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
uh uh uh uh uh uh uh uh uh uh uh uh




MULTIPLE CHOICE uh




1. Which of the following is a true statement about differing health belief systems?
uh uh uh uh uh uh uh uh uh uh uh uh




a. Personalistic or magicoreligious beliefs have been superseded in Western minds by uh uh uh uh uh uh uh uh uh uh




biomedical principles.uh uh




b. In most cultures, older adults are likely to treat themselves using traditional
uh uh uh uh uh uh uh uh uh uh uh




methods before turning to biomedical professionals.
uh uh uh uh uh uh




c. Ayurvedic medicine is another name for traditional Chinese medicine. uh uh uh uh uh uh uh uh




d. The belief that health depends on maintaining a balance among opposite qualities is
uh uh uh uh uh uh uh uh uh uh uh uh




characteristic of a magicoreligious belief system.
uh uh uh uh uh uh




ANS: B u h




Older adults in most cultures usually have had experience with traditional methods that have
uh uh uh uh uh uh uh uh uh uh uh uh uh




worked as well as expected. After these treatments fail, older adults turn to the formal health
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




care system. Even in the United States, it is common for older adults to pray for cures or
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




wonder what they did to incur an illness as punishment. The Ayurvedic system is a
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




naturalistic health belief system practiced in India and in some neighboring countries. This
uh uh uh uh uh uh uh uh uh uh uh uh uh




belief is characteristic of a holistic or naturalistic approach.
uh uh uh uh uh uh uh uh uh




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




TOP: u h Nursing Process: Assessment uh uh MSC: Health Promotion and Maintenance u h uh uh uh




2. Which of the following consideUratiS
onsNis m
Tost likO
ely to be true when working with an
uh uh uh uh
N R I G B.C M uh uh uh uh uh uh uh




interpreter?
uh




a. An interpreter is never needed if the nurse speaks the same language as the patient.
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




b. When working with interpreters, the nurse can use technical terms or metaphors.
uh uh uh uh uh uh uh uh uh uh uh




c. A patient’s young granddaughter who speaks fluent English would make the best
uh uh uh uh uh uh uh uh uh uh uh




interpreter because she is familiar with and loves the patient.
uh uh uh uh uh uh uh uh uh uh




d. The nurse should face the patient rather than the interpreter.
uh uh uh uh uh uh uh uh uh




ANS: D u h




The nurse should face the patient rather than the interpreter is a true statement; the intent is to
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




converse with the patient, not with a third party about the patient. Many reasons may prevent
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




or impossible to translate. Cultural restrictions may prevent some topics from being spoken of to
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




a grandparent or child.
uh uh uh uh




PTS: u h u h 1 DIF: Understand u h u h u h u REF: p. 18-19
h u h u h uh




TOP: u h Nursing Process: Implementation uh uh u h u h MSC: Safe, Effective Care Environment u h uh uh uh




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




his health?
uh uh




a. Have the health care provider speak to him. uh uh uh uh uh uh uh




b. Use principles of the holistic health system. uh uh uh uh uh uh




c. Ask about his perceptions and treatment ideas. uh uh uh uh uh uh




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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
uh uh uh uh uh uh uh uh uh uh uh uh




d. Consult with a practitioner of Chinese medicine. uh uh uh uh uh uh




ANS: C u h




Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
uh uh uh uh uh uh uh uh uh uh uh uh uh




explain your perception of the problem, acknowledge the differences and similarities,
uh uh uh uh uh uh uh uh uh uh uh




recommend treatment, and negotiate agreement), the nurse gathers information from the
uh uh uh uh uh uh uh uh uh uh uh




patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




assessment, the nurse determines what the patient believes about caregiving, decision making,
uh uh uh uh uh uh uh uh uh uh uh uh




treatment, and other pertinent health-related information. Speaking with the health care
uh uh uh uh uh uh uh uh uh uh uh




provider is premature until the assessment is complete. Unless he accepts the beliefs,
uh uh uh uh uh uh uh uh uh uh uh uh uh




principles of the holistic health system can be potentially unsuitable and insulting for this
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
uh uh uh uh uh uh uh uh uh uh uh uh uh




can also be unsuitable and insulting for this patient.
uh uh uh uh uh uh uh uh uh




PTS: u h u h 1 DIF: Apply REF: p. 18 u h uh




TOP: u h Nursing Process: Implementation uh uh MSC: Health Promotion and Maintenance u h uh uh uh




4. Which action should the nurse take when addressing older adults?
uh uh uh uh uh uh uh uh uh




a. Speak in an exaggerated pitch. uh uh uh uh




b. Use a lower quality of speech. uh uh uh uh uh




c. Use endearing terms such as “honey.” uh uh uh uh uh




d. Speak clearly. uh




ANS: D u h




Some health professionals demonstrate ageism, in part because providers tend to see many
uh uh uh uh uh uh uh uh uh uh uh uh




frail, older persons and fewer of those who are healthy and active. Providers should not
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




assume that all older adults are hearing or mentally impaired. The most appropriate action
uh uh uh uh uh uh uh uh uh uh uh uh uh




when addressing an older aduNltUwRoS
uh uh ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism uh uh uh uh uh uh uh




in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
uh uh uh uh uh uh uh uh uh uh uh uh uh uh uh




speech.

PTS: u h u h 1 DIF: Apply REF: p. 15 u h uh




TOP: u h Nursing Process: Assessment uh uh MSC: Health Promotion and Maintenance u h uh uh uh




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




notes that she becomes tense during the instructions about elimination. Which intervention
uh uh uh uh uh uh uh uh uh uh uh uh




should the nurse implement?
uh uh uh uh




a. Move on to the discussion about medication. uh uh uh uh uh uh




b. Ask the older woman how she feels about this topic.
uh uh uh uh uh uh uh uh uh




c. Instruct the interpreter to repeat the instructions. uh uh uh uh uh uh




d. Have the older woman repeat the instructions for clarity. uh uh uh uh uh uh uh uh




ANS: B u h




When working with an interpreter, the nurse closely watches the older adult for nonverbal
uh uh uh uh uh uh uh uh uh uh uh uh uh




communication and emotion regarding a specific topic and therefore validates the assessment
uh uh uh uh uh uh uh uh uh uh uh uh




about the older adult’s tension before proceeding. Because the nurse notices her tension, the
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
uh uh uh uh uh uh uh uh uh uh uh uh uh




and the older adult is uncomfortable discussing elimination, then important instructions can be
uh uh uh uh uh uh uh uh uh uh uh uh uh




missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores
uh uh uh uh uh uh uh uh uh uh uh uh uh uh




her needs.
uh uh




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