TEST BANK FOR EBERSOLE AND HESS' GERONTOLOGICAL NURSING & HEALTHY AGING 5TH EDITION BY THERIS A. TOUHY, AND KATHLEEN F JET CHAPTER 1-28.

TestBankEbersoleandHess’GerontologicalNursing&Healthy
b




Aging5thEditionbyTherisA.Touhy,andKathleenFJetChapter1-
f




f28.

,Chapter01:Introduction toHealthyAging f B f




Touhy&Jett:Ebersoleand Hess’GerontologicalNursing&HealthyAging,5thEdition
f B B f




MULTIPLECHOICE f




1. Amanisterminallyillwithend-stageprostatecancer.Whichisthebest statementaboutthis B B B




fman‘swellness? f




a. Wellnesscanonlybeachievedwithaggressivemedicalinterventions. B B




b. Wellness is notarealoptionforthisclient becauseheisterminallyill. B f f f B




c. Wellness isdefined astheabsenceofdisease. B B




d. Nursinginterventionscanhelpempoweraclienttoachieveahigherlevelof
wellness. f




ANS: D f f




Nursinginterventions canhelpempower aclient toachievea higherlevel ofwellness;anurse can f f f f f B f f




fosterwellnessinhisorherclients.Wellnessisdefinedbytheindividualandis multidimensional. It
f f f f f f f f f f f f f f f f f




is notjust theabsenceofdisease. Awellness perspectiveisbased onthe beliefthateverypersonhasan
f f f f f f f f f f f f f




optimallevelofhealthindependentofhisorhersituationor functionallevel.Eveninthepresenceof
f f f f f f f f f f f f f f f f f f




chronicillnessorwhiledying,amovementtoward wellnessispossibleifemphasisofcareisplaced
f f f f f f f f f f f f f f f f f




onthepromotionofwell-beinginasupportive environment.
f f f f f f f f f




PTS: 1 DIF: Apply REF: p.7 f TOP:NursingProcess:Diagnosis
MSC: Health Promotion and Maintenance
f f f f f




2. IndifferentiatingbetweenhealU
th anSd w
NellnTess in hOealthcare,whichofthefollowing N R I G B. C M f




B B




statementsistrue? f f




a. Healthisabroadterm encompassingattitudesandbehaviors. B B




b. Theconcept ofillnessprevention wasneverconsidered byprevious generations. B B B f




c. Wellness and self-actualizationdevelop throughlearningandgrowth. B f B




d. Wellness isimpossiblewhenone‘shealthis compromised. B B




ANS: A f f




Healthisabroadtermthatencompassesattitudesandbehaviors;holistically,healthincludes
f f f f f f f f f f f f




wellness,whichinvolvesone‘swholebeing.Theconceptofillnesspreventionwasnever considered
f f f f f f f f f f f f f f




bypreviousgenerations;throughouthistory,basicself-carerequirementshavebeen recognized.
f f f f f f f f f f f




Wellnessandself-actualizationdevelopthroughlearningandgrowth—asbasic needsaremet,
f f f f f f f f f f f




higherlevelneedscanbesatisfiedinturn,withever-deepeningrichness to life.
f f f f f f f f f f




Wellnessispossiblewhenone‘shealthiscompromised—evenwithchronicillness,with f f f f f f f f f f f




multipledisabilities,orindying,movementtowardahigherlevelofwellnessispossible.
f f




PTS: 1 DIF: Understand REF: p.7 f TOP:NursingProcess:Evaluation
MSC: Health Promotion and Maintenance
f f f f f




3. WhichracialorethnicgrouphasthehighestlifeexpectancyintheUnitedStates? B B




a. NativeAmericans
b. African Americans B




c. HispanicAmericans
d. Asianand PacificIslandAmericans B f f




NURSINGTB.COM

, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
f f f f f f f f f f f f




Chapter02:Cross-CulturalCaringandAging f




Touhy&Jett:EbersoleandHess’Gerontological Nursing&HealthyAging,5thEdition
f B f




MULTIPLECHOICE f




1. Whichoft hefollowingisatruestatement aboutdifferinghealthbeliefsystems? B f f B f




a. Personalisticormagicoreligiousbeliefshavebeen supersededinWesternmindsby B B




biomedicalprinciples.
f f




b. Inmostcultures,olderadultsarelikelytotreatthemselves usingtraditional f f f B




methods before turning to biomedical professionals.
f f f f f f




c. AyurvedicmedicineisanothernamefortraditionalChinesemedicine. B f




d. Thebeliefthat healthdepends onmaintainingabalanceamong oppositequalities is B f B f B




characteristic of a magicoreligious belief system.
f f f f f f




ANS: B f f




Olderadultsinmostculturesusuallyhavehadexperiencewithtraditionalmethodsthathaveworked B f




faswellasexpected.Afterthesetreatments fail,olderadultst urntotheformalhealth care system. f B f f f




EvenintheUnitedStates,itiscommonforolderadultstoprayforcuresorwonderwhattheydid toincur
f f f f f f f f f f f f f f f f f f f f f




anillnessaspunishment.TheAyurvedicsystemisanaturalistichealthbeliefsystem practicedin
f f f f f f f f f f f f f




Indiaandinsomeneighboringcountries.Thisbeliefischaracteristicofaholisticor naturalistic
f f f f f f f f f f f f




approach.
f




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




TOP: NursingProcess:Assessment f f MSC: HealthPromotionandMaintenance f f f f




2.
N R onIsNisGmToBst.liCkO
WhichofthefollowingconsideUratiS
M
elytobetruewhenworkingwithan f




B B




interpreter?
a. Aninterpreterisneverneededifthenursespeaksthesamelanguageas the patient. B B f f




b. Whenworkingwithinterpreters,thenursecan usetechnicaltermsormetaphors. B B B




c. Apatient‘s younggranddaughterwhospeaksfluentEnglishwould makethebest B B




interpreterbecausesheisfamiliarwithandlovesthepatient.
f f f f f f f f f f




d. Thenurseshouldfacethepatient ratherthantheinterpreter. f




ANS: D f f




The nurseshould face the patient rather than the interpreter is a true statement; the intent is to converse
f f f f f f f f f f f f f f f f f f




with the patient, not with a third party about the patient. Many reasons may prevent the patient from
f f f f f f f f f f f f f f f f f f




speaking directly to a nurse. Technical terms and metaphors may be difficult or impossible to
f f f f f f f f f f f f f f f




translate.Culturalrestrictionsmaypreventsometopicsfrom being spokenofto agrandparentorchild.
f f f f f f f f f f f f f f f f




PTS: f f 1 DIF: Understand f f f f f f REF: p. 18-19 f f f




TOP: f f fNursingProcess: Implementation f f f f f MSC: Safe,Effective CareEnvironment
f f f f f f




3. AnolderadultwhoisatraditionalChinesemanhasabloodpressureof80/54mmHgand refusesto
f f f f f f f f f f f f f f f f f f




remaininthebed.Whichintervention should thenurseusetopromoteandmaintainhis health?
f B B B f f




a. Havethehealth careproviderspeaktohim. B




b. Useprinciplesoftheholistichealthsystem.
c. Askabouthisperceptionsandtreatmentideas. B




NURSINGTB.COM

, EbersoleandHess'GerontologicalNursingandHealthyAging5thEditionTouhyTestBank
f f f f f f f f f f f f




d. ConsultwithapractitionerofChinesemedicine. f




ANS: C f f




UsingtheLEARNmodel(listenwithsympathytothepatient‘sperceptionoftheproblem, explain
f f f f f f f f f f f f f f




yourperceptionoftheproblem,acknowledgethedifferencesandsimilarities, recommend
f f f f f f f f f f f




treatment,andnegotiateagreement),thenursegathersinformationfromthepatient
f f f f f f f f f f f




aboutculturalbeliefsconcerning healthcareand avoidsstereotypingthepatient.Intheassessment,
f B B f f




thenursedetermineswhatthepatientbelievesaboutcaregiving,decisionmaking,treatment, and
f B f f f




otherpertinenthealth-relatedinformation.Speakingwiththehealthcareproviderispremature until
f f f f f f f f f f f f f




theassessmentiscomplete.Unlessheacceptsthebeliefs,principlesoftheholistichealth systemcan
f f f f f f f f f f f f f f f f




bepotentiallyunsuitableandinsultingforthispatient.Unlessheacceptsthe treatments,consulting
f f f f f f f f f f f f f f




withapractitionerofChinesemedicinecanalsobeunsuitableand insultingforthis patient.
f f f f f f f f f f f f f f f




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




TOP: NursingProcess: Implementation f f MSC: HealthPromotionandMaintenance f f f f




4. Whichactionshouldthenursetakewhenaddressing olderadults? f B




a. Speak inanexaggeratedpitch. B f




b. Useal owerqualityofspeech. B f




c. Useendearingtermssuchas―honey.‖ B




d. Speak clearly. B




ANS: D f f




Somehealth professionalsdemonstrateageism, inpartbecause providerstendtoseemany frail, f f f f f f




olderpersonsandfewerofthosewhoarehealthyandactive.Providersshouldnot assumethatall
f f f f f f f f f f f f f f f f f




olderadultsarehearingormentallyimpaired.Themostappropriateaction
f f f f f f f f f f




whenaddressing anolderaduNltUwRoS
f ulI
dNbeGtT
oB sp.eaCkOcM
learly. Examplesofunintentionalageismin B f f




languageareanexaggeratedpitch,ademeaningemotionaltone,andalowerqualityofspeech. f f f f f f f f f f f f f f




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




TOP: NursingProcess:Assessment f f MSC: HealthPromotionandMaintenance f f f f




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




that she becomes tense during the instructions about elimination. Whichintervention should the
f f f f f f f f f f f f f




nurseimplement?
f f




a. Moveontothediscussion about medication. f f




b. Asktheolderwomanhowshefeels aboutthistopic. B f f




c. Instructtheinterpretertorepeattheinstructions. B




d. Havetheolderwomanrepeattheinstructionsforclarity.
ANS: B f f




Whenworkingwithaninterpreter,thenursecloselywatchestheolderadultfornonverbal
f f f f f f f f f f f f f




communication andemotion regardingaspecifictopicandthereforevalidates theassessment about
f f f f f f f f f




theolderadult‘stensionbeforeproceeding.Becausethenursenoticeshertension,the nurse
f f f f f f f f f f f f f f




temporarilysuspendsthepreparationtovalidateherassessment.Ifthenurseproceedsand
f f f f f f f f f f f f f




theolderadultis uncomfortablediscussingelimination,thenimportantinstructionscan bemissed,
f f B B f




leadingtoadverseeffectsfortheolderadult.Repeating theinstructions canaggravate the older
f f f B f f f f




adult‘sdiscomfort.Instructingtheolderadulttorepeatthenurse‘sinstructionignoresherneeds.
f f f f f f f f f f f f f




NURSINGTB.COM