***instant download***Test Bank for Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada 3rd Edition by Veronique Boscart ISBN 9780323778749, All Chapters | Complete Guide A+| BEST COPY

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Ebersole and Hess' Gerontological Nursing and HealthyAging in Canada
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Veronique Boscart
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3RD Edition
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TESTBANK b

,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
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MULTIPLE CHOICE b




1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
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man’s wellness?
b b




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




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




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




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




wellness. b




ANS: D b




Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse 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 the absence of disease. A wellness perspective is based on the belief that every person
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has 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.
b b b b b b b b b b b b




PTS: 1 DIF: Apply
b REF: p. 7 b b TOP: Nursing Process: Diagnosis b b b




MSC: Health Promotion and Maintenance
b b b b b




2. In differentiating between health and wellness in health care, which of the following
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statements is true?
b b b




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




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




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




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




ANS: A b




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, with multiple
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disabilities, or in dying, movement toward a higher level of wellness is possible.
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PTS: 1 DIF: Understand REF: p. 7
b b b TOP: Nursing Process: Evaluation b b b




MSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans b




b. African Americans b




c. Hispanic Americans b




d. Asian and Pacific Island Americans b b b b

, Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd Edition
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MULTIPLE CHOICE b




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




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




biomedical principles.
b b




b. In most cultures, older adults are likely to treat themselves using traditional
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methods before turning to biomedical professionals.
b b b b b b




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




d. The belief that health depends on maintaining a balance among opposite qualities is
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characteristic of a magicoreligious belief system.
b b b b b b




ANS: B b




Older adults in most cultures usually have had experience with traditional methods that have
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worked as well as expected. After these treatments fail, older adults turn to the formal health care
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system. Even in the United States, it is common for older adults to pray for cures or wonder what
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they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief
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system practiced in India and in some neighboring countries. This belief is characteristic of a
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holistic or naturalistic approach.
b b b b




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




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




2. Which of the following considU
eratiS
onsNis m
Tost likO
bely to be true when working with an
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N R I G B.C M b b b b b b b




interpreter?
b




a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient’s young granddaughter who speaks fluent English would make the best
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interpreter because she is familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: D b




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.
b b b




PTS: 1 DIF: Understand
b b b b b bREF: p. 18-19 b b b




TOP: Nursing Process: Implementationb b b b b MSC: Safe, Effective Care Environment b b b b




3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses
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to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
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a. Have the health care provider speak to him. b b b b b b b




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




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

, d. Consult with a practitioner of Chinese medicine. b b b b b b




ANS: C b




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 patient about cultural
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beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse
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determines what the patient believes about caregiving, decision making, 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,
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consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this
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patient.
b




PTS: 1 b DIF: Apply
b REF: p. 18 b b




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




4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. b b b b




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




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




d. Speak clearly. b




ANS: D b




Some health professionals demonstrate ageism, in part because providers tend to see many 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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addressing an older aduNltUwRoS
b ulI beGtT
dN oBsp.eC
akOcM
learly. Examples of unintentional ageism in
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language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.

PTS: 1 b DIF: Apply
b REF: p. 15 b b




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




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
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notes that she becomes tense during the instructions about elimination. Which intervention
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should the nurse implement?
b b b b




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




b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. b b b b b b




d. Have the older woman repeat the instructions for clarity.
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ANS: B b




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 and the
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older adult is uncomfortable discussing elimination, then important instructions can be missed,
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leading to adverse effects for the older adult. Repeating the instructions can aggravate the older
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adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.
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