Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
1 1 1 1 1 1 1 1
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter
1
1
1 1 1 1 1 1 1 1 1
28.
,Chapter101:1Introduction1to1Healthy1Aging
Touhy1&1Jett:1Ebersole1and1Hess’1Gerontological1Nursing1&1Healthy1Aging,15th1Editio
n
MULTIPLE1CHOICE
1. A1man1is1terminally1ill1with1end-
stage1prostate1cancer.1Which1is1the1best1statement1about1this1man’s1wellness?
a. Wellness1can1only1be1achieved1with1aggressive1medical1interventions.
b. Wellness1is1not1a1real1option1for1this1client1because1he1is1terminally1ill.
c. Wellness1is1defined1as1the1absence1of1disease.
d. Nursing1interventions1can1help1empower1a1client1to1achieve1a1higher1level1of
1wellness.
ANS:1 D
Nursing1interventions1can1help1empower1a1client1to1achieve1a1higher1level1of1wellness;1a1nurse1
can1foster1wellness1in1his1or1her1clients.1Wellness1is1defined1by1the1individual1and1is1multidim
ensional.1It1is1not1just1the1absence1of1disease.1A1wellness1perspective1is1based1on1the1belief1tha
t1every1person1has1an1optimal1level1of1health1independent1of1his1or1her1situation1or1functional1l
evel.1Even1in1the1presence1of1chronic1illness1or1while1dying,1a1movement1toward1wellness1is1p
ossible1if1emphasis1of1care1is1placed1on1the1promotion1of1well-
being1in1a1supportive1environment.
PTS:1 1 DIF: Apply REF:1 p.17
TOP:1 Nursing1Process:1Diagnosis1MSC:1 Health1Promotion1and1Maintenance
N R I G B.C M
2. In1differentiating1between1healU
th aS
nd wNellnTess in hOealth1care,1which1of1the1following
1statements1is1true?
a. Health1is1a1broad1term1encompassing1attitudes1and1behaviors.
b. The1concept1of1illness1prevention1was1never1considered1by1previous1generations.
c. Wellness1and1self-actualization1develop1through1learning1and1growth.
d. Wellness1is1impossible1when1one’s1health1is1compromised.
ANS:1 A
Health1is1a1broad1term1that1encompasses1attitudes1and1behaviors;1holistically,1health1includes1
wellness,1which1involves1one’s1whole1being.1The1concept1of1illness1prevention1was1never1con
sidered1by1previous1generations;1throughout1history,1basic1self-
care1requirements1have1been1recognized.1Wellness1and1self-
actualization1develop1through1learning1and1growth—
as1basic1needs1are1met,1higher1level1needs1can1be1satisfied1in1turn,1with1ever-
deepening1richness1to1life.1Wellness1is1possible1when1one’s1health1is1compromised—
even1with1chronic1illness,1with1multiple1disabilities,1or1in1dying,1movement1toward1a1higher1le
vel1of1wellness1is1possible.
PTS:1 1 DIF: Understand REF:1 p.17
TOP:1 Nursing1Process:1Evaluation1MSC:1 Health1Promotion1and1Maintenance
3. Which1racial1or1ethnic1group1has1the1highest1life1expectancy1in1the1United1States?
a. Native1Americans
b. African1Americans
c. Hispanic1Americans
d. Asian1and1Pacific1Island1Americans
NURSINGTB.COM
, Ebersole1and1Hess'1Gerontological1Nursing1and1Healthy1Aging15th1Edition1Touhy1Test1Bank
Chapter102:1Cross-Cultural1Caring1and1Aging
Touhy1&1Jett:1Ebersole1and1Hess’1Gerontological1Nursing1&1Healthy1Aging,15th1Editio
n
MULTIPLE1CHOICE
1. Which1of1the1following1is1a1true1statement1about1differing1health1belief1systems?
a. Personalistic1or1magicoreligious1beliefs1have1been1superseded1in1Western1minds1by
1biomedical1principles.
b. In1most1cultures,1older1adults1are1likely1to1treat1themselves1using1traditional
1methods1before1turning1to1biomedical1professionals.
c. Ayurvedic1medicine1is1another1name1for1traditional1Chinese1medicine.
d. The1belief1that1health1depends1on1maintaining1a1balance1among1opposite1qualities
1is1characteristic1of1a1magicoreligious1belief1system.
ANS:1 B
Older1adults1in1most1cultures1usually1have1had1experience1with1traditional1methods1that1have1
worked1as1well1as1expected.1After1these1treatments1fail,1older1adults1turn1to1the1formal1health1
care1system.1Even1in1the1United1States,1it1is1common1for1older1adults1to1pray1for1cures1or1won
der1what1they1did1to1incur1an1illness1as1punishment.1The1Ayurvedic1system1is1a1naturalistic1h
ealth1belief1system1practiced1in1India1and1in1some1neighboring1countries.1This1belief1is1chara
cteristic1of1a1holistic1or1naturalistic1approach.
PTS:1 1 1 DIF: Understand REF:1 1 p.116-17
TOP:1 Nursing1Process:1Assessment MSC:1 Health1Promotion1and1Maintenance
N R I G B .C M
2. Which1of1the1following1consideUratiS
onsNis m
Tost likO
ely1to1be1true1when1working1with1an
1interpreter?
a. An1interpreter1is1never1needed1if1the1nurse1speaks1the1same1language1as1the1patient.
b. When1working1with1interpreters,1the1nurse1can1use1technical1terms1or1metaphors.
c. A1patient’s1young1granddaughter1who1speaks1fluent1English1would1make1the1best
1interpreter1because1she1is1familiar1with1and1loves1the1patient.
d. The1nurse1should1face1the1patient1rather1than1the1interpreter.
ANS:1 D
The1nurse1should1face1the1patient1rather1than1the1interpreter1is1a1true1statement;1the1intent1is1to
1converse1with1the1patient,1not1with1a1third1party1about1the1patient.1Many1reasons1may1prevent
1the1patient1from1speaking1directly1to1a1nurse.1Technical1terms1and1metaphors1may1be1difficul
t1or1impossible1to1translate.1Cultural1restrictions1may1prevent1some1topics1from1being1spoken1
of1to1a1grandparent1or1child.
PTS:1 1 1 DIF:1 1 Understand1 1 REF:1 1 p.118-19
TOP:1 Nursing1Process:1Implementation1 1 MSC:1 Safe,1Effective1Care1Environment
3. An1older1adult1who1is1a1traditional1Chinese1man1has1a1blood1pressure1of180/541mm1Hg1and1ref
uses1to1remain1in1the1bed.1Which1intervention1should1the1nurse1use1to1promote1and1maintain1hi
s1health?
a. Have1the1health1care1provider1speak1to1him.
b. Use1principles1of1the1holistic1health1system.
c. Ask1about1his1perceptions1and1treatment1ideas.
NURSINGTB.COM
, Ebersole1and1Hess'1Gerontological1Nursing1and1Healthy1Aging15th1Edition1Touhy1Test1Bank
d. Consult1with1a1practitioner1of1Chinese1medicine.
ANS:1 C
Using1the1LEARN1model1(listen1with1sympathy1to1the1patient’s1perception1of1the1problem,1ex
plain1your1perception1of1the1problem,1acknowledge1the1differences1and1similarities,1recomme
nd1treatment,1and1negotiate1agreement),1the1nurse1gathers1information1from1the1patient1about1
cultural1beliefs1concerning1health1care1and1avoids1stereotyping1the1patient.1In1the1assessment,1t
he1nurse1determines1what1the1patient1believes1about1caregiving,1decision1making,1treatment,1a
nd1other1pertinent1health-
related1information.1Speaking1with1the1health1care1provider1is1premature1until1the1assessment1
is1complete.1Unless1he1accepts1the1beliefs,1principles1of1the1holistic1health1system1can1be1pote
ntially1unsuitable1and1insulting1for1this1patient.1Unless1he1accepts1the1treatments,1consulting1w
ith1a1practitioner1of1Chinese1medicine1can1also1be1unsuitable1and1insulting1for1this1patient.
PTS:1 1 1 DIF: Apply REF:1 1 p.118
TOP:1 Nursing1Process:1Implementation MSC:1 Health1Promotion1and1Maintenance
4. Which1action1should1the1nurse1take1when1addressing1older1adults?
a. Speak1in1an1exaggerated1pitch.
b. Use1a1lower1quality1of1speech.
c. Use1endearing1terms1such1as1“honey.”
d. Speak1clearly.
ANS:1 D
Some1health1professionals1demonstrate1ageism,1in1part1because1providers1tend1to1see1many1fra
il,1older1persons1and1fewer1of1those1who1are1healthy1and1active.1Providers1should1not1assume1
that1all1older1adults1are1hearing1or1mentally1impaired.1The1most1appropriate1action
when1addressing1an1older1aduNltUwRoS
ulI
dNbeGtT
o1Bs p.e aCkOcM
l e a r l y . 1Examples1of1unintentional1ageism1
in1language1are1an1exaggerated1pitch,1a1demeaning1emotional1tone,1and1a1lower1quality1of
speech.
PTS:1 1 1 DIF: Apply REF:1 1 p.115
TOP:1 Nursing1Process:1Assessment MSC:1 Health1Promotion1and1Maintenance
5. The1nurse1prepares1an1older1woman,1who1is1Polish,1for1discharge1through1an1interpreter1and
1notes1that1she1becomes1tense1during1the1instructions1about1elimination.1Which1interventio
n1should1the1nurse1implement?
a. Move1on1to1the1discussion1about1medication.
b. Ask1the1older1woman1how1she1feels1about1this1topic.
c. Instruct1the1interpreter1to1repeat1the1instructions.
d. Have1the1older1woman1repeat1the1instructions1for1clarity.
ANS:1 B
When1working1with1an1interpreter,1the1nurse1closely1watches1the1older1adult1for1nonverbal1co
mmunication1and1emotion1regarding1a1specific1topic1and1therefore1validates1the1assessment1ab
out1the1older1adult’s1tension1before1proceeding.1Because1the1nurse1notices1her1tension,1the1nur
se1temporarily1suspends1the1preparation1to1validate1her1assessment.1If1the1nurse1proceeds1and1t
he1older1adult1is1uncomfortable1discussing1elimination,1then1important1instructions1can1be1miss
ed,1leading1to1adverse1effects1for1the1older1adult.1Repeating1the1instructions1can1aggravate1the1
older1adult’s1discomfort.1Instructing1the1older1adult1to1repeat1the1nurse’s1instruction1ignores1he
r1needs.
NURSINGTB.COM
