TEST BANK
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart EXAM QUESTIONS WITH CORRECT ANSWERS
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
man’s wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level of
wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every person has an optimal level of health independent of his or her situation or
functional level. Even in the presence of chronic illness or while dying, a movement toward
wellness is possible if emphasis of care is placed on the promotion of well-being in a
supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations; throughout history, basic self-care requirements have
been recognized. Wellness and self-actualization develop through learning and growth—as
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
, Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. Which of the following is a true statement about differing health belief systems?
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by
biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional
methods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities
is characteristic of a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which of the following considU
N R I G B.C M
eratiS
onsNis m
Tost likO
ely to be true when working with an
interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
b. When working with interpreters, the nurse can use technical terms or metaphors.
c. A patient’s young granddaughter who speaks fluent English would make the best
interpreter because she is familiar with and loves the patient.
d. The nurse should face the patient rather than the interpreter.
ANS: D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
converse with the patient, not with a third party about the patient. Many reasons may prevent
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
to a grandparent or child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
a. Have the health care provider speak to him.
b. Use principles of the holistic health system.
c. Ask about his perceptions and treatment ideas.
, d. Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住んで
explain your perception of the problem, acknowledge the differences and similarities,
recommendいました。彼は毎朝、朝霧に包まれた森へ入り、木々の間から
treatment, and negotiate agreement), the nurse gathers information from the
差し込む光をキャンバスに描いていました。ある秋の日、太郎
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
は森の奥で古い祠を見つけました。中には埃をかぶった小さな
assessment, the nurse determines what the patient believes about caregiving, decision making,
鏡が置かれていました。鏡を手に取ると、突然、自分の姿が年
treatment, and other pertinent health-related information. Speaking with the health care
provider 老いた老人に変わっているのが映りました。驚いた太郎は鏡を
is premature until the assessment is complete. Unless he accepts the beliefs,
principles元に戻しましたが、その日から彼の絵は不思議な力を帯び始め
of the holistic health system can be potentially unsuitable and insulting for this
ました。描いた花は本当に香り、描いた川は本当に流れ、描い
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
can also た鳥は本当に飛び立つようになったのです。村人たちは太郎の
be unsuitable and insulting for this patient.
絵を「命を吹き込む絵」と呼び、遠くから多くの人が見に来る
PTS: 1 DIF: Apply REF: p. 18
ようになりました。しかし太郎は次第に疲れ、鏡の呪いだと気
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
づきました。ある晩、彼は最後の絵を描きました。それは自分
自身が若く笑っている姿でした。絵が完成した瞬間、鏡の中の
4. Which action should the nurse take when addressing older adults?
a. Speak 老人は消え、太郎は再び若返りました。それ以来、彼はただ自
in an exaggerated pitch.
b. Use a分の心のままに絵を描き続け、村は静かな幸福に包まれました
lower quality of speech.
c. Use endearing terms such as “honey.”
d. Speak clearly.
ANS: D
Some health professionals demonstrate ageism, in part because providers tend to see many
frail, older persons and fewer of those who are healthy and active. Providers should not
assume that all older adults are hearing or mentally impaired. The most appropriate action
when addressing an older aduNltUwRoSulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
speech.
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
а вязала
5. The nurse prepares тёплые
an older носки
woman, whoиisварежки для
Polish, for всех детей
discharge в округе.
through an interpreter and
notes that sheОднажды,
becomes tenseкогда метель
during особенно about
the instructions сильно завывала,
elimination. к еёintervention
Which
дому постучал незнакомец. Это был молодой волк с
should the nurse implement?
a. Move on раненой лапой.about
to the discussion Матрёна, не раздумывая, впустила его,
medication.
перевязала рану и дала миску
b. Ask the older woman how she feels about thisгорячего
topic. супа. Волк остался
у неё
c. Instruct the на несколько
interpreter to repeat дней. Когда рана зажила, он ушёл в лес,
the instructions.
d. Have the ноolderкаждую
womanночьrepeatприносил Матрёне
the instructions дичь — то зайца, то
for clarity.
ANS: B рябчика. Так прошла зима. Весной, когда снег растаял, волк
When working пришёл
with anвinterpreter,
последний theраз
nurseи положил к порогу
closely watches старый
the older adult for nonverbal
communication медный браслет
and emotion с выгравированным
regarding a specific topic and волчьим
thereforeследом.
validates the assessment
Матрёна
about the older надела
adult’s tension его иproceeding.
before с тех порBecause
никогдаthe неnurse
мёрзла, даже
notices в
her tension, the
самые
nurse temporarily лютыеthe
suspends морозы.
preparationДетиto выросли,
validate herно каждый год
assessment. наnurse proceeds
If the
and the older Рождество приносили
adult is uncomfortable ей своиelimination,
discussing рисунки иthen рассказывали, как
important instructions can be
тёплые
missed, leading носки
to adverse Матрёны
effects for theспасали
older adult.ихRepeating
от холода. theАinstructions
в деревнеcan aggravate
говорили,
the older adult’s чтоInstructing
discomfort. тот, кто делает
the olderдобро без
adult to ожидания
repeat награды,
the nurse’s instruction
всегда получает самую верную
ignores her needs.
Ebersole and Hess' Gerontological Nursing and Healthy Aging in Canada
Veronique Boscart EXAM QUESTIONS WITH CORRECT ANSWERS
3RD Edition
TEST BANK
,Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
man’s wellness?
a. Wellness can only be achieved with aggressive medical interventions.
b. Wellness is not a real option for this client because he is terminally ill.
c. Wellness is defined as the absence of disease.
d. Nursing interventions can help empower a client to achieve a higher level of
wellness.
ANS: D
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
can foster wellness in his or her clients. Wellness is defined by the individual and is
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
belief that every person has an optimal level of health independent of his or her situation or
functional level. Even in the presence of chronic illness or while dying, a movement toward
wellness is possible if emphasis of care is placed on the promotion of well-being in a
supportive environment.
PTS: 1 DIF: Apply REF: p. 7 TOP: Nursing Process: Diagnosis
MSC: Health Promotion and Maintenance
2. In differentiating between health and wellness in health care, which of the following
statements is true?
a. Health is a broad term encompassing attitudes and behaviors.
b. The concept of illness prevention was never considered by previous generations.
c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised.
ANS: A
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
wellness, which involves one’s whole being. The concept of illness prevention was never
considered by previous generations; throughout history, basic self-care requirements have
been recognized. Wellness and self-actualization develop through learning and growth—as
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP: Nursing Process: Evaluation
MSC: Health Promotion and Maintenance
3. Which racial or ethnic group has the highest life expectancy in the United States?
a. Native Americans
b. African Americans
c. Hispanic Americans
d. Asian and Pacific Island Americans
, Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 3rd
Edition
MULTIPLE CHOICE
1. Which of the following is a true statement about differing health belief systems?
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by
biomedical principles.
b. In most cultures, older adults are likely to treat themselves using traditional
methods before turning to biomedical professionals.
c. Ayurvedic medicine is another name for traditional Chinese medicine.
d. The belief that health depends on maintaining a balance among opposite qualities
is characteristic of a magicoreligious belief system.
ANS: B
Older adults in most cultures usually have had experience with traditional methods that have
worked as well as expected. After these treatments fail, older adults turn to the formal health
care system. Even in the United States, it is common for older adults to pray for cures or
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
naturalistic health belief system practiced in India and in some neighboring countries. This
belief is characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
2. Which of the following considU
N R I G B.C M
eratiS
onsNis m
Tost likO
ely to be true when working with an
interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
b. When working with interpreters, the nurse can use technical terms or metaphors.
c. A patient’s young granddaughter who speaks fluent English would make the best
interpreter because she is familiar with and loves the patient.
d. The nurse should face the patient rather than the interpreter.
ANS: D
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
converse with the patient, not with a third party about the patient. Many reasons may prevent
the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
to a grandparent or child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
his health?
a. Have the health care provider speak to him.
b. Use principles of the holistic health system.
c. Ask about his perceptions and treatment ideas.
, d. Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住んで
explain your perception of the problem, acknowledge the differences and similarities,
recommendいました。彼は毎朝、朝霧に包まれた森へ入り、木々の間から
treatment, and negotiate agreement), the nurse gathers information from the
差し込む光をキャンバスに描いていました。ある秋の日、太郎
patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
は森の奥で古い祠を見つけました。中には埃をかぶった小さな
assessment, the nurse determines what the patient believes about caregiving, decision making,
鏡が置かれていました。鏡を手に取ると、突然、自分の姿が年
treatment, and other pertinent health-related information. Speaking with the health care
provider 老いた老人に変わっているのが映りました。驚いた太郎は鏡を
is premature until the assessment is complete. Unless he accepts the beliefs,
principles元に戻しましたが、その日から彼の絵は不思議な力を帯び始め
of the holistic health system can be potentially unsuitable and insulting for this
ました。描いた花は本当に香り、描いた川は本当に流れ、描い
patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
can also た鳥は本当に飛び立つようになったのです。村人たちは太郎の
be unsuitable and insulting for this patient.
絵を「命を吹き込む絵」と呼び、遠くから多くの人が見に来る
PTS: 1 DIF: Apply REF: p. 18
ようになりました。しかし太郎は次第に疲れ、鏡の呪いだと気
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
づきました。ある晩、彼は最後の絵を描きました。それは自分
自身が若く笑っている姿でした。絵が完成した瞬間、鏡の中の
4. Which action should the nurse take when addressing older adults?
a. Speak 老人は消え、太郎は再び若返りました。それ以来、彼はただ自
in an exaggerated pitch.
b. Use a分の心のままに絵を描き続け、村は静かな幸福に包まれました
lower quality of speech.
c. Use endearing terms such as “honey.”
d. Speak clearly.
ANS: D
Some health professionals demonstrate ageism, in part because providers tend to see many
frail, older persons and fewer of those who are healthy and active. Providers should not
assume that all older adults are hearing or mentally impaired. The most appropriate action
when addressing an older aduNltUwRoSulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
speech.
PTS: 1 DIF: Apply REF: p. 15
TOP: Nursing Process: Assessment MSC: Health Promotion and Maintenance
а вязала
5. The nurse prepares тёплые
an older носки
woman, whoиisварежки для
Polish, for всех детей
discharge в округе.
through an interpreter and
notes that sheОднажды,
becomes tenseкогда метель
during особенно about
the instructions сильно завывала,
elimination. к еёintervention
Which
дому постучал незнакомец. Это был молодой волк с
should the nurse implement?
a. Move on раненой лапой.about
to the discussion Матрёна, не раздумывая, впустила его,
medication.
перевязала рану и дала миску
b. Ask the older woman how she feels about thisгорячего
topic. супа. Волк остался
у неё
c. Instruct the на несколько
interpreter to repeat дней. Когда рана зажила, он ушёл в лес,
the instructions.
d. Have the ноolderкаждую
womanночьrepeatприносил Матрёне
the instructions дичь — то зайца, то
for clarity.
ANS: B рябчика. Так прошла зима. Весной, когда снег растаял, волк
When working пришёл
with anвinterpreter,
последний theраз
nurseи положил к порогу
closely watches старый
the older adult for nonverbal
communication медный браслет
and emotion с выгравированным
regarding a specific topic and волчьим
thereforeследом.
validates the assessment
Матрёна
about the older надела
adult’s tension его иproceeding.
before с тех порBecause
никогдаthe неnurse
мёрзла, даже
notices в
her tension, the
самые
nurse temporarily лютыеthe
suspends морозы.
preparationДетиto выросли,
validate herно каждый год
assessment. наnurse proceeds
If the
and the older Рождество приносили
adult is uncomfortable ей своиelimination,
discussing рисунки иthen рассказывали, как
important instructions can be
тёплые
missed, leading носки
to adverse Матрёны
effects for theспасали
older adult.ихRepeating
от холода. theАinstructions
в деревнеcan aggravate
говорили,
the older adult’s чтоInstructing
discomfort. тот, кто делает
the olderдобро без
adult to ожидания
repeat награды,
the nurse’s instruction
всегда получает самую верную
ignores her needs.
