TEST BANK Ebersole and Hess' Gerontological Nursing & Healthy Aging in Canada 3rd Edition by Veronique Boscart, Lynn McCleary, Linda S. Taucar . TEST BANK TAB LE OF CONTENT Chapter 01: Introduction to Healthy Aging ................................ ................................ ................................ ................ 3 Chapter 02: Gerontological Nursing History, Education, and Roles ................................ ................................ ........ 11 Chapter 03: Communicating with Older Adults ................................ ................................ ................................ ....... 17 Chapter 04: Culture, Ethnicity, Diversity, and Aging ................................ ................................ .............................. 25 Chapter 05: Nursing Documentation ................................ ................................ ................................ ........................ 32 Chapter 06: Biological Theories and Physical Changes of Aging ................................ ................................ ............ 38 Chapter 07: Social, Psychological, Spiritual, and Cognitive Aspects of Aging ................................ ....................... 45 Chapter 08: Nutritional Needs ................................ ................................ ................................ ................................ .. 51 Chapter 09: Hydration and Continence ................................ ................................ ................................ ..................... 58 Chapter 10: Rest, Sleep, and Activity ................................ ................................ ................................ ....................... 65 Chapter 11: Promoting Healthy Skin and Feet ................................ ................................ ................................ ......... 72 Chapter 12: Maintaining Mobility and Environmental Safety ................................ ................................ ................. 80 Chapter 13: Assessment Tools in Gerontological Nursing ................................ ................................ ....................... 87 Chapter 14: Safe Medication Use for Older Adults ................................ ................................ ................................ .. 94 Chapter 15: Living with Chronic Illness ................................ ................................ ................................ ................. 100 Chapter 16: Pain and Comfort ................................ ................................ ................................ ................................ 106 Chapter 17: Diabetes Mellitus ................................ ................................ ................................ ................................ 113 Chapter 18: Bone and Joint Health ................................ ................................ ................................ ......................... 119 Chapter 19: Visual and Auditory Changes ................................ ................................ ................................ ............. 127 Chapter 20: Cardiovascular and Respiratory Disorders ................................ ................................ .......................... 133 Chapter 21: Cognitive Impairment ................................ ................................ ................................ ......................... 141 Chapter 22: Neurological Disorders ................................ ................................ ................................ ....................... 147 Chapter 23: Mental Health and Wellness in Later Life ................................ ................................ .......................... 152 Chapter 24: Economic and Legal Issues ................................ ................................ ................................ ................. 160 Chapter 25: Relationships and Roles ................................ ................................ ................................ ...................... 167 Chapter 26: Sexual Health and Well -being ................................ ................................ ................................ ............ 174 Chapter 27: Comfort, Palliative Care, Death, and Loss ................................ ................................ .......................... 180 Chapter 28: Care Across the Continuum ................................ ................................ ................................ ................ 189 Chapter 01: Introduction to Healthy Aging Boscart: Ebersole and Hess' Gerontological Nursing & Healthy Aging in Canada, 3rd Edition MULTIPLE CHOICE 1. A man is terminally ill with end -stage prostate cancer. What is the best statement about this man’s wellness? a. Wellness is not possible, because the patient uses medication to assist in management of his medical care. b. Wellness is unfortunately not a real option for the patient. c. Wellness is the same thing as faith healing, and if the patient were more receptive, he could be back at work in a few weeks. d. Nursing interventions can help empower a patient to achieve a higher level of wellness. ANS: D Feedback A Incorrect. An individual can achieve wellness even if using medications. B Incorrect. All persons, regardless of age or life –health situation, can be helped to achieve a higher level of wellness. C Incorrect. Biomedical approaches and other treatments and techniques are used to achieve realistic improvements in wellness. D Correct. A nurse can foster wellness at all levels of the needs hierarchy. PTS: 1 DIF: Application OBJ: 2 TOP: NCLEX: 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 behaviours. b. The concept of wellness was rarely or never considered by previous generations. c. Wellness and self -actualization develop simultaneously through learning and compromise. d. It is impossible to have wellness when one’s health is compromised. ANS: A Feedback A Correct. Holistically, health includes wellness, which involves one’s whole being. B Incorrect. Throughout history, basic self -care requirements have been recognized. C Incorrect. As basic needs are met, higher level needs can be satisfied in turn, with ever -deepening richness to life. D Incorrect. Even with chronic illness, with multiple disabilities, or in dying, movement toward higher wellness is possible. 1 | P a g e 2 | P a g e PTS: 1 DIF: Comprehension OBJ: 2 TOP: NCLEX: Health Promotion and Maintenance 3. Which province or territory is predicted to have the fastest growing older -person population in Canada between the years 2006 and 2031? a. Ontario b. British Columbia c. Yukon d. Newfoundland ANS: C Feedback A Incorrect. As shown in Figure 1 -1 in your text, the older -person population of Ontario does not rise as rapidly as the older -person population of Yukon between 2006 and 2031. B Incorrect. As shown in Figure 1 -1 in your text, the older -person population of British Columbia does not rise as rapidly as the older -person population of Yukon between 2006 and 2031. C Correct. As shown in Figure 1 -1 in your text, the older -person population of Yukon rises faster than any of the other provinces and territories between 2006 and 2031. D Incorrect. As shown in Figure 1 -1 in your text, the older -person population of Newfoundland does not rise as rapidly as the older -person population of Yukon between 2006 and 2031. PTS: 1 DIF: Knowledge OBJ: 3 TOP: NCLEX: Health Promotion and Maintenance 4. Historical influences that have shaped the lives of the majority of the middle -old in Canada today include which of the following? a. Influenza epidemic of 1918 b. Immigration from Communist Europe c. Child -rearing during the Depression d. Post-World War II effects ANS: D Feedback A Incorrect. A person who survived the influenza epidemic would be at least 93 years old in 2011 and therefore be considered old -old, or centenarian. B Incorrect. Those who are middle -old in 2011 were born between 1920 and 1930, before Communism swept Europe. C Incorrect. Most of those who are middle -old in 2011 had not reached childbearing age by the end of the Depression. D Correct. Those who are middle -old in 2011 were in their teens and twenties during the war; in particular, the men were very likely to have fought in it. PTS: 1 DIF: Comprehension OBJ: 3