TESTBANK k
Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
k k k k k k k k k
Veronique Boscart
k
3RD Edition
k
TESTBANK k
,Chapter 01: Introduction to Healthy Aging
k k k k k
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
k k k k k k k k k k k k
MULTIPLE CHOICE k
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
k k k k k k k k k k k k k k k
man’s wellness?
k k
a. Wellness can only be achieved with aggressive medical interventions. k k k k k k k k
b. Wellness is not a real option for this client because he is terminally ill. k k k k k k k k k k k k k
c. Wellness is defined as the absence of disease. k k k k k k k
d. Nursing interventions can help empower a client to achieve a higher level of k k k k k k k k k k k k
wellness. k
ANS: D k
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
k k k k k k k k k k k k k k k k
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
k k k k k k k k k k k k k k k k
It is not just the absence of disease. A wellness perspective is based on the belief that every person
k k k k k k k k k k k k k k k k k k k
has an optimal level of health independent of his or her situation or functional level. Even in the
k k k k k k k k k k k k k k k k k k
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
k k k k k k k k k k k k k k k k
care is placed on the promotion of well-being in a supportive environment.
k k k k k k k k k k k k
PTS: 1 DIF: Apply
k REF: p. 7 k k TOP: Nursing Process: Diagnosis k k k
MSC: Health Promotion and Maintenance
k k k k k
2. In differentiating between health and wellness in health care, which of the following
k k k k k k k k k k k k
statements is true?
k k k
a. Health is a broad term encompassing attitudes and behaviors. k k k k k k k k
b. The concept of illness prevention was never considered by previous generations.
k k k k k k k k k k
c. Wellness and self-actualization develop through learning and growth. k k k k k k k
d. Wellness is impossible when one’s health is compromised. k k k k k k k
ANS: A k
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
k k k k k k k k k k k k
wellness, which involves one’s whole being. The concept of illness prevention was never
k k k k k k k k k k k k k
considered by previous generations; throughout history, basic self-care requirements have been
k k k k k k k k k k k
recognized. Wellness and self-actualization develop through learning and growth—as basic
k k k k k k k k k k
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
k k k k k k k k k k k k k k k k
Wellness is possible when one’s health is compromised—even with chronic illness, with multiple
k k k k k k k k k k k k k
disabilities, or in dying, movement toward a higher level of wellness is possible.
k k k k k k k k k k k k k
PTS: 1 DIF: Understand REF: p. 7
k k k TOP: Nursing Process: Evaluation k k k
MSC: Health Promotion and Maintenance
k k k k k
3. Which racial or ethnic group has the highest life expectancy in the United States?
k k k k k k k k k k k k k
a. Native Americans k
b. African Americans k
c. Hispanic Americans k
d. Asian and Pacific Island Americans k k k k
, Chapter 02: Cross-Cultural Caring and Aging
k k k k k
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
k k k k k k k k k k k k
MULTIPLE CHOICE k
1. Which of the following is a true statement about differing health belief systems?
k k k k k k k k k k k k
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by k k k k k k k k k k
biomedical principles.
k k
b. In most cultures, older adults are likely to treat themselves using traditional
k k k k k k k k k k k
methods before turning to biomedical professionals.
k k k k k k
c. Ayurvedic medicine is another name for traditional Chinese medicine. k k k k k k k k
d. The belief that health depends on maintaining a balance among opposite qualities is
k k k k k k k k k k k k
characteristic of a magicoreligious belief system.
k k k k k k
ANS: B k
Older adults in most cultures usually have had experience with traditional methods that have
k k k k k k k k k k k k k
worked as well as expected. After these treatments fail, older adults turn to the formal health care
k k k k k k k k k k k k k k k k k
system. Even in the United States, it is common for older adults to pray for cures or wonder what
k k k k k k k k k k k k k k k k k k k
they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
k k k k k k k k k k k k k k k k
system practiced in India and in some neighboring countries. This belief is characteristic of a
k k k k k k k k k k k k k k k
holistic or naturalistic approach.
k k k k
PTS: 1 DIF: Understand
k k REF: p. 16-17 k k
TOP: Nursing Process: Assessment k k k MSC: Health Promotion and Maintenance k k k k
2. Which of the following considU
eratiS
onsNis m
Tost likO
kely to be true when working with an
k k k
N R I G B.C M k k k k k k k
interpreter?
k
a. An interpreter is never needed if the nurse speaks the same language as the patient.
k k k k k k k k k k k k k k
b. When working with interpreters, the nurse can use technical terms or metaphors.
k k k k k k k k k k k
c. A patient’s young granddaughter who speaks fluent English would make the best
k k k k k k k k k k k
interpreter because she is familiar with and loves the patient.
k k k k k k k k k k
d. The nurse should face the patient rather than the interpreter.
k k k k k k k k k
ANS: D k
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
k k k k k k k k k k k k k k k k k
converse with the patient, not with a third party about the patient. Many reasons may prevent the
k k k k k k k k k k k k k k k k k
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
k k k k k k k k k k k k k k k
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
k k k k k k k k k k k k k k k
grandparent or child.
k k k
PTS: 1 DIF: Understand
k k k k k kREF: p. 18-19 k k k
TOP: Nursing Process: Implementationk k k k k MSC: Safe, Effective Care Environment k k k k
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses
k k k k k k k k k k k k k k k k k k
to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
k k k k k k k k k k k k k k k k k
a. Have the health care provider speak to him. k k k k k k k
b. Use principles of the holistic health system. k k k k k k
c. Ask about his perceptions and treatment ideas. k k k k k k
, d. Consult with a practitioner of Chinese medicine. k k k k k k
ANS: C k
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
k k k k k k k k k k k k k k
your perception of the problem, acknowledge the differences and similarities, recommend
k k k k k k k k k k k
treatment, and negotiate agreement), the nurse gathers information from the patient about cultural
k k k k k k k k k k k k k
beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
k k k k k k k k k k k k k k
determines what the patient believes about caregiving, decision making, treatment, and other
k k k k k k k k k k k k
pertinent health-related information. Speaking with the health care provider is premature until the
k k k k k k k k k k k k k
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
k k k k k k k k k k k k k k k
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
k k k k k k k k k k k k k
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
k k k k k k k k k k k k k k k
patient.
k
PTS: 1 k DIF: Apply
k REF: p. 18 k k
TOP: Nursing Process: Implementation
k k k MSC: Health Promotion and Maintenance k k k k
4. Which action should the nurse take when addressing older adults?
k k k k k k k k k
a. Speak in an exaggerated pitch. k k k k
b. Use a lower quality of speech. k k k k k
c. Use endearing terms such as “honey.” k k k k k
d. Speak clearly. k
ANS: D k
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
k k k k k k k k k k k k k
older persons and fewer of those who are healthy and active. Providers should not
k k k k k k k k k k k k k k
assume that all older adults are hearing or mentally impaired. The most appropriate action when
k k k k k k k k k k k k k k
addressing an older aduNltUwRoS
k ulI beGtT
dN oBsp.eC
akOcM
learly. Examples of unintentional ageism in
k k k k k k k k
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
k k k k k k k k k k k k k k
speech.
PTS: 1 k DIF: Apply
k REF: p. 15 k k
TOP: Nursing Process: Assessment
k k k MSC: Health Promotion and Maintenance k k k k
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
k k k k k k k k k k k k k k
notes that she becomes tense during the instructions about elimination. Which intervention
k k k k k k k k k k k k
should the nurse implement?
k k k k
a. Move on to the discussion about medication. k k k k k k
b. Ask the older woman how she feels about this topic.
k k k k k k k k k
c. Instruct the interpreter to repeat the instructions. k k k k k k
d. Have the older woman repeat the instructions for clarity.
k k k k k k k k
ANS: B k
When working with an interpreter, the nurse closely watches the older adult for nonverbal
k k k k k k k k k k k k k
communication and emotion regarding a specific topic and therefore validates the assessment
k k k k k k k k k k k k
about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
k k k k k k k k k k k k k k k
temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
k k k k k k k k k k k k k k
older adult is uncomfortable discussing elimination, then important instructions can be missed,
k k k k k k k k k k k k
leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
k k k k k k k k k k k k k k k
adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
k k k k k k k k k k k k k k
Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
k k k k k k k k k
Veronique Boscart
k
3RD Edition
k
TESTBANK k
,Chapter 01: Introduction to Healthy Aging
k k k k k
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
k k k k k k k k k k k k
MULTIPLE CHOICE k
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
k k k k k k k k k k k k k k k
man’s wellness?
k k
a. Wellness can only be achieved with aggressive medical interventions. k k k k k k k k
b. Wellness is not a real option for this client because he is terminally ill. k k k k k k k k k k k k k
c. Wellness is defined as the absence of disease. k k k k k k k
d. Nursing interventions can help empower a client to achieve a higher level of k k k k k k k k k k k k
wellness. k
ANS: D k
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse can
k k k k k k k k k k k k k k k k
foster wellness in his or her clients. Wellness is defined by the individual and is multidimensional.
k k k k k k k k k k k k k k k k
It is not just the absence of disease. A wellness perspective is based on the belief that every person
k k k k k k k k k k k k k k k k k k k
has an optimal level of health independent of his or her situation or functional level. Even in the
k k k k k k k k k k k k k k k k k k
presence of chronic illness or while dying, a movement toward wellness is possible if emphasis of
k k k k k k k k k k k k k k k k
care is placed on the promotion of well-being in a supportive environment.
k k k k k k k k k k k k
PTS: 1 DIF: Apply
k REF: p. 7 k k TOP: Nursing Process: Diagnosis k k k
MSC: Health Promotion and Maintenance
k k k k k
2. In differentiating between health and wellness in health care, which of the following
k k k k k k k k k k k k
statements is true?
k k k
a. Health is a broad term encompassing attitudes and behaviors. k k k k k k k k
b. The concept of illness prevention was never considered by previous generations.
k k k k k k k k k k
c. Wellness and self-actualization develop through learning and growth. k k k k k k k
d. Wellness is impossible when one’s health is compromised. k k k k k k k
ANS: A k
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
k k k k k k k k k k k k
wellness, which involves one’s whole being. The concept of illness prevention was never
k k k k k k k k k k k k k
considered by previous generations; throughout history, basic self-care requirements have been
k k k k k k k k k k k
recognized. Wellness and self-actualization develop through learning and growth—as basic
k k k k k k k k k k
needs are met, higher level needs can be satisfied in turn, with ever-deepening richness to life.
k k k k k k k k k k k k k k k k
Wellness is possible when one’s health is compromised—even with chronic illness, with multiple
k k k k k k k k k k k k k
disabilities, or in dying, movement toward a higher level of wellness is possible.
k k k k k k k k k k k k k
PTS: 1 DIF: Understand REF: p. 7
k k k TOP: Nursing Process: Evaluation k k k
MSC: Health Promotion and Maintenance
k k k k k
3. Which racial or ethnic group has the highest life expectancy in the United States?
k k k k k k k k k k k k k
a. Native Americans k
b. African Americans k
c. Hispanic Americans k
d. Asian and Pacific Island Americans k k k k
, Chapter 02: Cross-Cultural Caring and Aging
k k k k k
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
k k k k k k k k k k k k
MULTIPLE CHOICE k
1. Which of the following is a true statement about differing health belief systems?
k k k k k k k k k k k k
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by k k k k k k k k k k
biomedical principles.
k k
b. In most cultures, older adults are likely to treat themselves using traditional
k k k k k k k k k k k
methods before turning to biomedical professionals.
k k k k k k
c. Ayurvedic medicine is another name for traditional Chinese medicine. k k k k k k k k
d. The belief that health depends on maintaining a balance among opposite qualities is
k k k k k k k k k k k k
characteristic of a magicoreligious belief system.
k k k k k k
ANS: B k
Older adults in most cultures usually have had experience with traditional methods that have
k k k k k k k k k k k k k
worked as well as expected. After these treatments fail, older adults turn to the formal health care
k k k k k k k k k k k k k k k k k
system. Even in the United States, it is common for older adults to pray for cures or wonder what
k k k k k k k k k k k k k k k k k k k
they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
k k k k k k k k k k k k k k k k
system practiced in India and in some neighboring countries. This belief is characteristic of a
k k k k k k k k k k k k k k k
holistic or naturalistic approach.
k k k k
PTS: 1 DIF: Understand
k k REF: p. 16-17 k k
TOP: Nursing Process: Assessment k k k MSC: Health Promotion and Maintenance k k k k
2. Which of the following considU
eratiS
onsNis m
Tost likO
kely to be true when working with an
k k k
N R I G B.C M k k k k k k k
interpreter?
k
a. An interpreter is never needed if the nurse speaks the same language as the patient.
k k k k k k k k k k k k k k
b. When working with interpreters, the nurse can use technical terms or metaphors.
k k k k k k k k k k k
c. A patient’s young granddaughter who speaks fluent English would make the best
k k k k k k k k k k k
interpreter because she is familiar with and loves the patient.
k k k k k k k k k k
d. The nurse should face the patient rather than the interpreter.
k k k k k k k k k
ANS: D k
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
k k k k k k k k k k k k k k k k k
converse with the patient, not with a third party about the patient. Many reasons may prevent the
k k k k k k k k k k k k k k k k k
patient from speaking directly to a nurse. Technical terms and metaphors may be difficult or
k k k k k k k k k k k k k k k
impossible to translate. Cultural restrictions may prevent some topics from being spoken of to a
k k k k k k k k k k k k k k k
grandparent or child.
k k k
PTS: 1 DIF: Understand
k k k k k kREF: p. 18-19 k k k
TOP: Nursing Process: Implementationk k k k k MSC: Safe, Effective Care Environment k k k k
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses
k k k k k k k k k k k k k k k k k k
to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
k k k k k k k k k k k k k k k k k
a. Have the health care provider speak to him. k k k k k k k
b. Use principles of the holistic health system. k k k k k k
c. Ask about his perceptions and treatment ideas. k k k k k k
, d. Consult with a practitioner of Chinese medicine. k k k k k k
ANS: C k
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
k k k k k k k k k k k k k k
your perception of the problem, acknowledge the differences and similarities, recommend
k k k k k k k k k k k
treatment, and negotiate agreement), the nurse gathers information from the patient about cultural
k k k k k k k k k k k k k
beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
k k k k k k k k k k k k k k
determines what the patient believes about caregiving, decision making, treatment, and other
k k k k k k k k k k k k
pertinent health-related information. Speaking with the health care provider is premature until the
k k k k k k k k k k k k k
assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can
k k k k k k k k k k k k k k k
be potentially unsuitable and insulting for this patient. Unless he accepts the treatments,
k k k k k k k k k k k k k
consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
k k k k k k k k k k k k k k k
patient.
k
PTS: 1 k DIF: Apply
k REF: p. 18 k k
TOP: Nursing Process: Implementation
k k k MSC: Health Promotion and Maintenance k k k k
4. Which action should the nurse take when addressing older adults?
k k k k k k k k k
a. Speak in an exaggerated pitch. k k k k
b. Use a lower quality of speech. k k k k k
c. Use endearing terms such as “honey.” k k k k k
d. Speak clearly. k
ANS: D k
Some health professionals demonstrate ageism, in part because providers tend to see many frail,
k k k k k k k k k k k k k
older persons and fewer of those who are healthy and active. Providers should not
k k k k k k k k k k k k k k
assume that all older adults are hearing or mentally impaired. The most appropriate action when
k k k k k k k k k k k k k k
addressing an older aduNltUwRoS
k ulI beGtT
dN oBsp.eC
akOcM
learly. Examples of unintentional ageism in
k k k k k k k k
language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
k k k k k k k k k k k k k k
speech.
PTS: 1 k DIF: Apply
k REF: p. 15 k k
TOP: Nursing Process: Assessment
k k k MSC: Health Promotion and Maintenance k k k k
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
k k k k k k k k k k k k k k
notes that she becomes tense during the instructions about elimination. Which intervention
k k k k k k k k k k k k
should the nurse implement?
k k k k
a. Move on to the discussion about medication. k k k k k k
b. Ask the older woman how she feels about this topic.
k k k k k k k k k
c. Instruct the interpreter to repeat the instructions. k k k k k k
d. Have the older woman repeat the instructions for clarity.
k k k k k k k k
ANS: B k
When working with an interpreter, the nurse closely watches the older adult for nonverbal
k k k k k k k k k k k k k
communication and emotion regarding a specific topic and therefore validates the assessment
k k k k k k k k k k k k
about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse
k k k k k k k k k k k k k k k
temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the
k k k k k k k k k k k k k k
older adult is uncomfortable discussing elimination, then important instructions can be missed,
k k k k k k k k k k k k
leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
k k k k k k k k k k k k k k k
adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
k k k k k k k k k k k k k k
