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