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