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