kk
k
k
k
TOUHY & JETT: EBERSOLE AND HESS’
k k k k k k
GERONTOLOGICAL NURSING & HEALT k k k
k
HY AGING, 5TH EDITION. k k k k
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolo
k k k k k k k k k k k k
gical Nursing & Healthy Aging, 5th Edition
k k k k k k k
k
k k
MULTIPLEkCHOICEk
k
1. Akmankiskterminallykillkwithkend-
stagekprostatekcancer.kWhichkiskthekbestkstatementkaboutkthiskman’skwellness?k
a. Wellnesskcankonlykbekachievedkwithkaggressivekmedicalkinterventions.k
b. Wellnesskisknotkakrealkoptionkforkthiskclientkbecausekhekiskterminallykill.k
c. Wellnesskiskdefinedkaskthekabsencekofkdisease.k
d. Nursingkinterventionskcankhelpkempowerkakclientktokachievekakhigherklevelkofkwellness.k
ANS:kDk
Nursingkinterventionskcankhelpkempowerkakclientktokachievekakhigherklevelkofkwellness;kaknursek
cankfosterkwellnesskinkhiskorkherkclients.kWellnesskiskdefinedkbykthekindividualkandkiskmultidime
nsional.kItkisknotkjustkthekabsencekofkdisease.kAkwellnesskperspectivekiskbasedkonkthekbeliefkthatke
verykpersonkhaskankoptimalklevelkofkhealthkindependentkofkhiskorkherksituationkorkfunctionalkleve
l.kEvenkinkthekpresencekofkchronickillnesskorkwhilekdying,kakmovementktowardkwellnesskiskpossib
lekifkemphasiskofkcarekiskplacedkonkthekpromotionkofkwell-beingkinkaksupportivekenvironment.k
k
PTS:kkk1k DIF:kApplyk REF:kkkp.k7k TOP:kNursingkProcess:kDiagnosisk
MSC:kHealthkPromotionkandkMaintenancek
N R I
2. Inkdifferentiatingkbetweenkhe alUth aSnd wNe llTne ss i nkOhe althkcare,kwhichkof
G B .C M
k thekfollowingkstatementskisktrue?k
a. Healthkiskakbroadktermkencompassingkattitudeskandkbehaviors.k
b. Thekconceptkofkillnesskpreventionkwaskneverkconsideredkbykpreviouskgenerations.k
c. Wellnesskandkself-actualizationkdevelopkthroughklearningkandkgrowth.k
d. Wellnesskiskimpossiblekwhenkone’skhealthkiskcompromised.k
ANS:kAk
Healthkiskakbroadktermkthatkencompasseskattitudeskandkbehaviors;kholistically,khealthkincludeskw
ellness,kwhichkinvolveskone’skwholekbeing.kThekconceptkofkillnesskpreventionkwaskneverkconsid
eredkbykpreviouskgenerations;kthroughoutkhistory,kbasickself-
carekrequirementskhavekbeenkrecognized.kWellnesskandkself-
actualizationkdevelopkthroughklearningkandkgrowth—
askbasickneedskarekmet,khigherklevelkneedskcankbeksatisfiedkinkturn,kwithkever-
deepeningkrichnessktoklife.kWellnesskiskpossiblekwhenkone’skhealthkiskcompromised—
k
NURSINGTB.COM k
, evenkwithkchronickillness,kwithkmultiplekdisabilities,korkinkdying,kmovementktowardkakhigherklev
elkofkwellnesskiskpossible.k
k
PTS:kkk1k DIF:kUnderstandk REF:kkkp.k7k TOP:kNursingkProcess:kEvaluationk
MSC:kHealthkPromotionkandkMaintenancek
k
TOUHYk&kJETT:kEBERSOLEkANDkHESS’kGERONTOLOGICALkNURSINGk&kHEALTHYkAGING,k5THkEDITION.k
kk
3.kWhichkracialkorkethnickgroupkhaskthekhighestklifekexpectancykinkthekUnitedkStates?k
a. NativekAmericansk
b. AfricankAmericansk
c. HispanickAmericansk
d. AsiankandkPacifickIslandkAmericansk
k
NURSINGTB.COM k
, EbersolekandkHess'kGerontologicalkNursingkandkHealthykAgingk5thkEditionkTouhykTestkBankk
Chapter 02: Cross-
k k
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
k k k k k k k k k k k k
Healthy Aging, 5th Edition
k k k k k k
k
MULTIPLEkCHOICEk
k
1. Whichkofkthekfollowingkiskaktruekstatementkaboutkdifferingkhealthkbeliefksystems?k
a. PersonalistickorkmagicoreligiouskbeliefskhavekbeenksupersededkinkWesternkmindskby
kbiomedicalkprinciples.k
b. Inkmostkcultures,kolderkadultskareklikelyktoktreatkthemselveskusingktraditionalkmetho
dskbeforekturningktokbiomedicalkprofessionals.k
c. AyurvedickmedicinekiskanotherknamekforktraditionalkChinesekmedicine.k
d. Thekbeliefkthatkhealthkdependskonkmaintainingkakbalancekamongkoppositekqualitieski
skcharacteristickofkakmagicoreligiouskbeliefksystem.k
ANS:kBk
Olderkadultskinkmostkcultureskusuallykhavekhadkexperiencekwithktraditionalkmethodskthatkhavekw
orkedkaskwellkaskexpected.kAfterkthesektreatmentskfail,kolderkadultskturnktokthekformalkhealthkcare
ksystem.kEvenkinkthekUnitedkStates,kitkiskcommonkforkolderkadultsktokpraykforkcureskorkwonderkw
hatktheykdidktokincurkankillnesskaskpunishment.kThekAyurvedicksystemkiskaknaturalistickhealthkbel
iefksystemkpracticedkinkIndiakandkinksomekneighboringkcountries.kThiskbeliefkiskcharacteristickofk
akholistickorknaturalistickapproach.k
k
PTS:kkk1kDIF:kUnderstandkREF:kp.k16-
17kTOP:kNursingkProcess:kAssessmentkMSC:kHealthkPromotionkandkMaintenancek
N R I G B. C
2. Whichkofkthekfollowingkconsi dUer atSio nsNis mTo s tkl ikOel yktokbektruekwhenk
M
workingkwithkankinterpreter?k
a. Ankinterpreterkiskneverkneededkifktheknursekspeaksktheksameklanguagekaskthekpatient.k
b. Whenkworkingkwithkinterpreters,ktheknursekcankusektechnicalktermskorkmetaphors.k
c. Akpatient’skyoungkgranddaughterkwhokspeakskfluentkEnglishkwouldkmakekthekbestki
nterpreterkbecausekshekiskfamiliarkwithkandkloveskthekpatient.k
d. Theknursekshouldkfacekthekpatientkratherkthankthekinterpreter.k
ANS:kDk
Theknursekshouldkfacekthekpatientkratherkthankthekinterpreterkiskaktruekstatement;kthekintentkisktokc
onversekwithkthekpatient,knotkwithkakthirdkpartykaboutkthekpatient.kManykreasonskmaykpreventkthe
kpatientkfromkspeakingkdirectlyktokaknurse.kTechnicalktermskandkmetaphorskmaykbekdifficultkorki
mpossiblektoktranslate.kCulturalkrestrictionskmaykpreventksomektopicskfromkbeingkspokenkofktokak
grandparentkorkchild.k
k
PTS:kkk1k DIF:kkkUnderstandkkkkREF:kkkp.k18-19k
TOP:kNursingkProcess:kImplementationkkkkMSC:kSafe,kEffectivekCarekEnvironmentk
k
3. AnkolderkadultkwhokiskaktraditionalkChinesekmankhaskakbloodkpressurekofk80/54kmmkHgkandkrefus
esktokremainkinkthekbed.kWhichkinterventionkshouldktheknursekusektokpromotekandkmaintainkhiskh
ealth?k
a. Havekthekhealthkcarekproviderkspeakktokhim.k
b. Usekprincipleskofkthekholistickhealthksystem.k
c. Askkaboutkhiskperceptionskandktreatmentkideas.k
k
NURSINGTB.COM k
, EbersolekandkHess'kGerontologicalkNursingkandkHealthykAgingk5thkEditionkTouhykTestkBankk
d. ConsultkwithkakpractitionerkofkChinesekmedicine.k
ANS:kCk
UsingkthekLEARNkmodelk(listenkwithksympathyktokthekpatient’skperceptionkofkthekproblem,kexpl
ainkyourkperceptionkofkthekproblem,kacknowledgekthekdifferenceskandksimilarities,krecommendkt
reatment,kandknegotiatekagreement),ktheknursekgatherskinformationkfromkthekpatientkaboutkcultur
alkbeliefskconcerningkhealthkcarekandkavoidskstereotypingkthekpatient.kInkthekassessment,ktheknurs
ekdetermineskwhatkthekpatientkbelieveskaboutkcaregiving,kdecisionkmaking,ktreatment,kandkotherk
pertinentkhealth-
relatedkinformation.kSpeakingkwithkthekhealthkcarekproviderkiskprematurekuntilkthekassessmentkisk
complete.kUnlesskhekacceptskthekbeliefs,kprincipleskofkthekholistickhealthksystemkcankbekpotential
lykunsuitablekandkinsultingkforkthiskpatient.kUnlesskhekacceptskthektreatments,kconsultingkwithkakp
ractitionerkofkChinesekmedicinekcankalsokbekunsuitablekandkinsultingkforkthiskpatient.k
k
PTS:kkk1k DIF:kApplyk REF:kp.k18k
TOP:kNursingkProcess:kImplementationk MSC:kHealthkPromotionkandkMaintenancek
k
4. Whichkactionkshouldktheknursektakekwhenkaddressingkolderkadults?k
a. Speakkinkankexaggeratedkpitch.k
b. Usekaklowerkqualitykofkspeech.k
c. Usekendearingktermsksuchkask“honey.”k
d. Speakkclearly.k
ANS:kDk
Somekhealthkprofessionalskdemonstratekageism,kinkpartkbecausekprovidersktendktokseekmanykfrail
,kolderkpersonskandkfewerkofkthosekwhokarekhealthykandkactive.kProviderskshouldknotkassumekthat
kallkolderkadultskarekhearingkorkmentallykimpaired.kThekmostkappropriatekactionkwhenkaddressing
kankolderkaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.kExampleskofkunintentionalkage
ismkinklanguagekarekankexaggeratedkpitch,kakdemeaningkemotionalktone,kandkaklowerkqualitykofks
peech.k
k
PTS:kkk1k DIF:kApplyk REF:kp.k15k
TOP:kNursingkProcess:kAssessmentk MSC:kHealthkPromotionkandkMaintenancek
k
5. Theknursekprepareskankolderkwoman,kwhokiskPolish,kforkdischargekthroughkankinterpreterkandknot
eskthatkshekbecomesktensekduringkthekinstructionskaboutkelimination.kWhichkinterventionkshouldk
theknursekimplement?k
a. Movekonktokthekdiscussionkaboutkmedication.k
b. Askkthekolderkwomankhowkshekfeelskaboutkthisktopic.k
c. Instructkthekinterpreterktokrepeatkthekinstructions.k
d. Havekthekolderkwomankrepeatkthekinstructionskforkclarity.k
ANS:kBk
Whenkworkingkwithkankinterpreter,ktheknursekcloselykwatcheskthekolderkadultkforknonverbalkcom
municationkandkemotionkregardingkakspecificktopickandkthereforekvalidateskthekassessmentkabout
kthekolderkadult’sktensionkbeforekproceeding.kBecausektheknurseknoticeskherktension,ktheknursekte
mporarilyksuspendskthekpreparationktokvalidatekherkassessment.kIfktheknursekproceedskandkthekold
erkadultkiskuncomfortablekdiscussingkelimination,kthenkimportantkinstructionskcankbekmissed,klea
k
NURSINGTB.COM k
k
k
k
TOUHY & JETT: EBERSOLE AND HESS’
k k k k k k
GERONTOLOGICAL NURSING & HEALT k k k
k
HY AGING, 5TH EDITION. k k k k
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolo
k k k k k k k k k k k k
gical Nursing & Healthy Aging, 5th Edition
k k k k k k k
k
k k
MULTIPLEkCHOICEk
k
1. Akmankiskterminallykillkwithkend-
stagekprostatekcancer.kWhichkiskthekbestkstatementkaboutkthiskman’skwellness?k
a. Wellnesskcankonlykbekachievedkwithkaggressivekmedicalkinterventions.k
b. Wellnesskisknotkakrealkoptionkforkthiskclientkbecausekhekiskterminallykill.k
c. Wellnesskiskdefinedkaskthekabsencekofkdisease.k
d. Nursingkinterventionskcankhelpkempowerkakclientktokachievekakhigherklevelkofkwellness.k
ANS:kDk
Nursingkinterventionskcankhelpkempowerkakclientktokachievekakhigherklevelkofkwellness;kaknursek
cankfosterkwellnesskinkhiskorkherkclients.kWellnesskiskdefinedkbykthekindividualkandkiskmultidime
nsional.kItkisknotkjustkthekabsencekofkdisease.kAkwellnesskperspectivekiskbasedkonkthekbeliefkthatke
verykpersonkhaskankoptimalklevelkofkhealthkindependentkofkhiskorkherksituationkorkfunctionalkleve
l.kEvenkinkthekpresencekofkchronickillnesskorkwhilekdying,kakmovementktowardkwellnesskiskpossib
lekifkemphasiskofkcarekiskplacedkonkthekpromotionkofkwell-beingkinkaksupportivekenvironment.k
k
PTS:kkk1k DIF:kApplyk REF:kkkp.k7k TOP:kNursingkProcess:kDiagnosisk
MSC:kHealthkPromotionkandkMaintenancek
N R I
2. Inkdifferentiatingkbetweenkhe alUth aSnd wNe llTne ss i nkOhe althkcare,kwhichkof
G B .C M
k thekfollowingkstatementskisktrue?k
a. Healthkiskakbroadktermkencompassingkattitudeskandkbehaviors.k
b. Thekconceptkofkillnesskpreventionkwaskneverkconsideredkbykpreviouskgenerations.k
c. Wellnesskandkself-actualizationkdevelopkthroughklearningkandkgrowth.k
d. Wellnesskiskimpossiblekwhenkone’skhealthkiskcompromised.k
ANS:kAk
Healthkiskakbroadktermkthatkencompasseskattitudeskandkbehaviors;kholistically,khealthkincludeskw
ellness,kwhichkinvolveskone’skwholekbeing.kThekconceptkofkillnesskpreventionkwaskneverkconsid
eredkbykpreviouskgenerations;kthroughoutkhistory,kbasickself-
carekrequirementskhavekbeenkrecognized.kWellnesskandkself-
actualizationkdevelopkthroughklearningkandkgrowth—
askbasickneedskarekmet,khigherklevelkneedskcankbeksatisfiedkinkturn,kwithkever-
deepeningkrichnessktoklife.kWellnesskiskpossiblekwhenkone’skhealthkiskcompromised—
k
NURSINGTB.COM k
, evenkwithkchronickillness,kwithkmultiplekdisabilities,korkinkdying,kmovementktowardkakhigherklev
elkofkwellnesskiskpossible.k
k
PTS:kkk1k DIF:kUnderstandk REF:kkkp.k7k TOP:kNursingkProcess:kEvaluationk
MSC:kHealthkPromotionkandkMaintenancek
k
TOUHYk&kJETT:kEBERSOLEkANDkHESS’kGERONTOLOGICALkNURSINGk&kHEALTHYkAGING,k5THkEDITION.k
kk
3.kWhichkracialkorkethnickgroupkhaskthekhighestklifekexpectancykinkthekUnitedkStates?k
a. NativekAmericansk
b. AfricankAmericansk
c. HispanickAmericansk
d. AsiankandkPacifickIslandkAmericansk
k
NURSINGTB.COM k
, EbersolekandkHess'kGerontologicalkNursingkandkHealthykAgingk5thkEditionkTouhykTestkBankk
Chapter 02: Cross-
k k
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
k k k k k k k k k k k k
Healthy Aging, 5th Edition
k k k k k k
k
MULTIPLEkCHOICEk
k
1. Whichkofkthekfollowingkiskaktruekstatementkaboutkdifferingkhealthkbeliefksystems?k
a. PersonalistickorkmagicoreligiouskbeliefskhavekbeenksupersededkinkWesternkmindskby
kbiomedicalkprinciples.k
b. Inkmostkcultures,kolderkadultskareklikelyktoktreatkthemselveskusingktraditionalkmetho
dskbeforekturningktokbiomedicalkprofessionals.k
c. AyurvedickmedicinekiskanotherknamekforktraditionalkChinesekmedicine.k
d. Thekbeliefkthatkhealthkdependskonkmaintainingkakbalancekamongkoppositekqualitieski
skcharacteristickofkakmagicoreligiouskbeliefksystem.k
ANS:kBk
Olderkadultskinkmostkcultureskusuallykhavekhadkexperiencekwithktraditionalkmethodskthatkhavekw
orkedkaskwellkaskexpected.kAfterkthesektreatmentskfail,kolderkadultskturnktokthekformalkhealthkcare
ksystem.kEvenkinkthekUnitedkStates,kitkiskcommonkforkolderkadultsktokpraykforkcureskorkwonderkw
hatktheykdidktokincurkankillnesskaskpunishment.kThekAyurvedicksystemkiskaknaturalistickhealthkbel
iefksystemkpracticedkinkIndiakandkinksomekneighboringkcountries.kThiskbeliefkiskcharacteristickofk
akholistickorknaturalistickapproach.k
k
PTS:kkk1kDIF:kUnderstandkREF:kp.k16-
17kTOP:kNursingkProcess:kAssessmentkMSC:kHealthkPromotionkandkMaintenancek
N R I G B. C
2. Whichkofkthekfollowingkconsi dUer atSio nsNis mTo s tkl ikOel yktokbektruekwhenk
M
workingkwithkankinterpreter?k
a. Ankinterpreterkiskneverkneededkifktheknursekspeaksktheksameklanguagekaskthekpatient.k
b. Whenkworkingkwithkinterpreters,ktheknursekcankusektechnicalktermskorkmetaphors.k
c. Akpatient’skyoungkgranddaughterkwhokspeakskfluentkEnglishkwouldkmakekthekbestki
nterpreterkbecausekshekiskfamiliarkwithkandkloveskthekpatient.k
d. Theknursekshouldkfacekthekpatientkratherkthankthekinterpreter.k
ANS:kDk
Theknursekshouldkfacekthekpatientkratherkthankthekinterpreterkiskaktruekstatement;kthekintentkisktokc
onversekwithkthekpatient,knotkwithkakthirdkpartykaboutkthekpatient.kManykreasonskmaykpreventkthe
kpatientkfromkspeakingkdirectlyktokaknurse.kTechnicalktermskandkmetaphorskmaykbekdifficultkorki
mpossiblektoktranslate.kCulturalkrestrictionskmaykpreventksomektopicskfromkbeingkspokenkofktokak
grandparentkorkchild.k
k
PTS:kkk1k DIF:kkkUnderstandkkkkREF:kkkp.k18-19k
TOP:kNursingkProcess:kImplementationkkkkMSC:kSafe,kEffectivekCarekEnvironmentk
k
3. AnkolderkadultkwhokiskaktraditionalkChinesekmankhaskakbloodkpressurekofk80/54kmmkHgkandkrefus
esktokremainkinkthekbed.kWhichkinterventionkshouldktheknursekusektokpromotekandkmaintainkhiskh
ealth?k
a. Havekthekhealthkcarekproviderkspeakktokhim.k
b. Usekprincipleskofkthekholistickhealthksystem.k
c. Askkaboutkhiskperceptionskandktreatmentkideas.k
k
NURSINGTB.COM k
, EbersolekandkHess'kGerontologicalkNursingkandkHealthykAgingk5thkEditionkTouhykTestkBankk
d. ConsultkwithkakpractitionerkofkChinesekmedicine.k
ANS:kCk
UsingkthekLEARNkmodelk(listenkwithksympathyktokthekpatient’skperceptionkofkthekproblem,kexpl
ainkyourkperceptionkofkthekproblem,kacknowledgekthekdifferenceskandksimilarities,krecommendkt
reatment,kandknegotiatekagreement),ktheknursekgatherskinformationkfromkthekpatientkaboutkcultur
alkbeliefskconcerningkhealthkcarekandkavoidskstereotypingkthekpatient.kInkthekassessment,ktheknurs
ekdetermineskwhatkthekpatientkbelieveskaboutkcaregiving,kdecisionkmaking,ktreatment,kandkotherk
pertinentkhealth-
relatedkinformation.kSpeakingkwithkthekhealthkcarekproviderkiskprematurekuntilkthekassessmentkisk
complete.kUnlesskhekacceptskthekbeliefs,kprincipleskofkthekholistickhealthksystemkcankbekpotential
lykunsuitablekandkinsultingkforkthiskpatient.kUnlesskhekacceptskthektreatments,kconsultingkwithkakp
ractitionerkofkChinesekmedicinekcankalsokbekunsuitablekandkinsultingkforkthiskpatient.k
k
PTS:kkk1k DIF:kApplyk REF:kp.k18k
TOP:kNursingkProcess:kImplementationk MSC:kHealthkPromotionkandkMaintenancek
k
4. Whichkactionkshouldktheknursektakekwhenkaddressingkolderkadults?k
a. Speakkinkankexaggeratedkpitch.k
b. Usekaklowerkqualitykofkspeech.k
c. Usekendearingktermsksuchkask“honey.”k
d. Speakkclearly.k
ANS:kDk
Somekhealthkprofessionalskdemonstratekageism,kinkpartkbecausekprovidersktendktokseekmanykfrail
,kolderkpersonskandkfewerkofkthosekwhokarekhealthykandkactive.kProviderskshouldknotkassumekthat
kallkolderkadultskarekhearingkorkmentallykimpaired.kThekmostkappropriatekactionkwhenkaddressing
kankolderkaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.kExampleskofkunintentionalkage
ismkinklanguagekarekankexaggeratedkpitch,kakdemeaningkemotionalktone,kandkaklowerkqualitykofks
peech.k
k
PTS:kkk1k DIF:kApplyk REF:kp.k15k
TOP:kNursingkProcess:kAssessmentk MSC:kHealthkPromotionkandkMaintenancek
k
5. Theknursekprepareskankolderkwoman,kwhokiskPolish,kforkdischargekthroughkankinterpreterkandknot
eskthatkshekbecomesktensekduringkthekinstructionskaboutkelimination.kWhichkinterventionkshouldk
theknursekimplement?k
a. Movekonktokthekdiscussionkaboutkmedication.k
b. Askkthekolderkwomankhowkshekfeelskaboutkthisktopic.k
c. Instructkthekinterpreterktokrepeatkthekinstructions.k
d. Havekthekolderkwomankrepeatkthekinstructionskforkclarity.k
ANS:kBk
Whenkworkingkwithkankinterpreter,ktheknursekcloselykwatcheskthekolderkadultkforknonverbalkcom
municationkandkemotionkregardingkakspecificktopickandkthereforekvalidateskthekassessmentkabout
kthekolderkadult’sktensionkbeforekproceeding.kBecausektheknurseknoticeskherktension,ktheknursekte
mporarilyksuspendskthekpreparationktokvalidatekherkassessment.kIfktheknursekproceedskandkthekold
erkadultkiskuncomfortablekdiscussingkelimination,kthenkimportantkinstructionskcankbekmissed,klea
k
NURSINGTB.COM k
