Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
0 0 0 0 0 0 0 0
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter
0
0
0 0 0 0 0 0 0 0 0
28.
,Chapter001:0Introduction0to0Healthy0Aging
Touhy0&0Jett:0Ebersole0and0Hess’0Gerontological0Nursing0&0Healthy0Aging,05th0Editio
n
MULTIPLE0CHOICE
1. A0man0is0terminally0ill0with0end-
stage0prostate0cancer.0Which0is0the0best0statement0about0this0man’s0wellness?
a. Wellness0can0only0be0achieved0with0aggressive0medical0interventions.
b. Wellness0is0not0a0real0option0for0this0client0because0he0is0terminally0ill.
c. Wellness0is0defined0as0the0absence0of0disease.
d. Nursing0interventions0can0help0empower0a0client0to0achieve0a0higher0level0of
0wellness.
ANS:0 D
Nursing0interventions0can0help0empower0a0client0to0achieve0a0higher0level0of0wellness;0a0nurse0
can0foster0wellness0in0his0or0her0clients.0Wellness0is0defined0by0the0individual0and0is0multidim
ensional.0It0is0not0just0the0absence0of0disease.0A0wellness0perspective0is0based0on0the0belief0tha
t0every0person0has0an0optimal0level0of0health0independent0of0his0or0her0situation0or0functional0l
evel.0Even0in0the0presence0of0chronic0illness0or0while0dying,0a0movement0toward0wellness0is0p
ossible0if0emphasis0of0care0is0placed0on0the0promotion0of0well-
being0in0a0supportive0environment.
PTS:0 1 DIF: Apply REF:0 p.07
TOP:0 Nursing0Process:0Diagnosis0MSC:0 Health0Promotion0and0Maintenance
N R I G B.C M
2. In0differentiating0between0healU
th aS
nd wNellnTess in hOealth0care,0which0of0the0following
0statements0is0true?
a. Health0is0a0broad0term0encompassing0attitudes0and0behaviors.
b. The0concept0of0illness0prevention0was0never0considered0by0previous0generations.
c. Wellness0and0self-actualization0develop0through0learning0and0growth.
d. Wellness0is0impossible0when0one’s0health0is0compromised.
ANS:0 A
Health0is0a0broad0term0that0encompasses0attitudes0and0behaviors;0holistically,0health0includes0
wellness,0which0involves0one’s0whole0being.0The0concept0of0illness0prevention0was0never0con
sidered0by0previous0generations;0throughout0history,0basic0self-
care0requirements0have0been0recognized.0Wellness0and0self-
actualization0develop0through0learning0and0growth—
as0basic0needs0are0met,0higher0level0needs0can0be0satisfied0in0turn,0with0ever-
deepening0richness0to0life.0Wellness0is0possible0when0one’s0health0is0compromised—
even0with0chronic0illness,0with0multiple0disabilities,0or0in0dying,0movement0toward0a0higher0le
vel0of0wellness0is0possible.
PTS:0 1 DIF: Understand REF:0 p.07
TOP:0 Nursing0Process:0Evaluation0MSC:0 Health0Promotion0and0Maintenance
3. Which0racial0or0ethnic0group0has0the0highest0life0expectancy0in0the0United0States?
a. Native0Americans
b. African0Americans
c. Hispanic0Americans
d. Asian0and0Pacific0Island0Americans
NURSINGTB.COM
, Ebersole0and0Hess'0Gerontological0Nursing0and0Healthy0Aging05th0Edition0Touhy0Test0Bank
Chapter002:0Cross-Cultural0Caring0and0Aging
Touhy0&0Jett:0Ebersole0and0Hess’0Gerontological0Nursing0&0Healthy0Aging,05th0Editio
n
MULTIPLE0CHOICE
1. Which0of0the0following0is0a0true0statement0about0differing0health0belief0systems?
a. Personalistic0or0magicoreligious0beliefs0have0been0superseded0in0Western0minds0by
0biomedical0principles.
b. In0most0cultures,0older0adults0are0likely0to0treat0themselves0using0traditional
0methods0before0turning0to0biomedical0professionals.
c. Ayurvedic0medicine0is0another0name0for0traditional0Chinese0medicine.
d. The0belief0that0health0depends0on0maintaining0a0balance0among0opposite0qualities
0is0characteristic0of0a0magicoreligious0belief0system.
ANS:0 B
Older0adults0in0most0cultures0usually0have0had0experience0with0traditional0methods0that0have0
worked0as0well0as0expected.0After0these0treatments0fail,0older0adults0turn0to0the0formal0health0
care0system.0Even0in0the0United0States,0it0is0common0for0older0adults0to0pray0for0cures0or0won
der0what0they0did0to0incur0an0illness0as0punishment.0The0Ayurvedic0system0is0a0naturalistic0h
ealth0belief0system0practiced0in0India0and0in0some0neighboring0countries.0This0belief0is0chara
cteristic0of0a0holistic0or0naturalistic0approach.
PTS:0 0 1 DIF: Understand REF:0 0 p.016-17
TOP:0 Nursing0Process:0Assessment MSC:0 Health0Promotion0and0Maintenance
N R I G B .C M
2. Which0of0the0following0consideUratiS
onsNis m
Tost likO
ely0to0be0true0when0working0with0an
0interpreter?
a. An0interpreter0is0never0needed0if0the0nurse0speaks0the0same0language0as0the0patient.
b. When0working0with0interpreters,0the0nurse0can0use0technical0terms0or0metaphors.
c. A0patient’s0young0granddaughter0who0speaks0fluent0English0would0make0the0best
0interpreter0because0she0is0familiar0with0and0loves0the0patient.
d. The0nurse0should0face0the0patient0rather0than0the0interpreter.
ANS:0 D
The0nurse0should0face0the0patient0rather0than0the0interpreter0is0a0true0statement;0the0intent0is0to
0converse0with0the0patient,0not0with0a0third0party0about0the0patient.0Many0reasons0may0prevent
0the0patient0from0speaking0directly0to0a0nurse.0Technical0terms0and0metaphors0may0be0difficul
t0or0impossible0to0translate.0Cultural0restrictions0may0prevent0some0topics0from0being0spoken0
of0to0a0grandparent0or0child.
PTS:0 0 1 DIF:0 0 Understand0 0 REF:0 0 p.018-19
TOP:0 Nursing0Process:0Implementation0 0 MSC:0 Safe,0Effective0Care0Environment
3. An0older0adult0who0is0a0traditional0Chinese0man0has0a0blood0pressure0of080/540mm0Hg0and0ref
uses0to0remain0in0the0bed.0Which0intervention0should0the0nurse0use0to0promote0and0maintain0hi
s0health?
a. Have0the0health0care0provider0speak0to0him.
b. Use0principles0of0the0holistic0health0system.
c. Ask0about0his0perceptions0and0treatment0ideas.
NURSINGTB.COM
, Ebersole0and0Hess'0Gerontological0Nursing0and0Healthy0Aging05th0Edition0Touhy0Test0Bank
d. Consult0with0a0practitioner0of0Chinese0medicine.
ANS:0 C
Using0the0LEARN0model0(listen0with0sympathy0to0the0patient’s0perception0of0the0problem,0ex
plain0your0perception0of0the0problem,0acknowledge0the0differences0and0similarities,0recomme
nd0treatment,0and0negotiate0agreement),0the0nurse0gathers0information0from0the0patient0about0
cultural0beliefs0concerning0health0care0and0avoids0stereotyping0the0patient.0In0the0assessment,0t
he0nurse0determines0what0the0patient0believes0about0caregiving,0decision0making,0treatment,0a
nd0other0pertinent0health-
related0information.0Speaking0with0the0health0care0provider0is0premature0until0the0assessment0
is0complete.0Unless0he0accepts0the0beliefs,0principles0of0the0holistic0health0system0can0be0pote
ntially0unsuitable0and0insulting0for0this0patient.0Unless0he0accepts0the0treatments,0consulting0w
ith0a0practitioner0of0Chinese0medicine0can0also0be0unsuitable0and0insulting0for0this0patient.
PTS:0 0 1 DIF: Apply REF:0 0 p.018
TOP:0 Nursing0Process:0Implementation MSC:0 Health0Promotion0and0Maintenance
4. Which0action0should0the0nurse0take0when0addressing0older0adults?
a. Speak0in0an0exaggerated0pitch.
b. Use0a0lower0quality0of0speech.
c. Use0endearing0terms0such0as0“honey.”
d. Speak0clearly.
ANS:0 D
Some0health0professionals0demonstrate0ageism,0in0part0because0providers0tend0to0see0many0fra
il,0older0persons0and0fewer0of0those0who0are0healthy0and0active.0Providers0should0not0assume0
that0all0older0adults0are0hearing0or0mentally0impaired.0The0most0appropriate0action
when0addressing0an0older0aduNltUwRoS
ulI
dNbeGtT
o0Bs p.e aCkOcM
l e a r l y . 0Examples0of0unintentional0ageism0
in0language0are0an0exaggerated0pitch,0a0demeaning0emotional0tone,0and0a0lower0quality0of
speech.
PTS:0 0 1 DIF: Apply REF:0 0 p.015
TOP:0 Nursing0Process:0Assessment MSC:0 Health0Promotion0and0Maintenance
5. The0nurse0prepares0an0older0woman,0who0is0Polish,0for0discharge0through0an0interpreter0and
0notes0that0she0becomes0tense0during0the0instructions0about0elimination.0Which0interventio
n0should0the0nurse0implement?
a. Move0on0to0the0discussion0about0medication.
b. Ask0the0older0woman0how0she0feels0about0this0topic.
c. Instruct0the0interpreter0to0repeat0the0instructions.
d. Have0the0older0woman0repeat0the0instructions0for0clarity.
ANS:0 B
When0working0with0an0interpreter,0the0nurse0closely0watches0the0older0adult0for0nonverbal0co
mmunication0and0emotion0regarding0a0specific0topic0and0therefore0validates0the0assessment0ab
out0the0older0adult’s0tension0before0proceeding.0Because0the0nurse0notices0her0tension,0the0nur
se0temporarily0suspends0the0preparation0to0validate0her0assessment.0If0the0nurse0proceeds0and0t
he0older0adult0is0uncomfortable0discussing0elimination,0then0important0instructions0can0be0miss
ed,0leading0to0adverse0effects0for0the0older0adult.0Repeating0the0instructions0can0aggravate0the0
older0adult’s0discomfort.0Instructing0the0older0adult0to0repeat0the0nurse’s0instruction0ignores0he
r0needs.
NURSINGTB.COM
