Test Bank Complete_
Ebersole and Hess' Gerontological Nursing & Healthy Aging 5th Edition,
By Theris A. Touhy DNP CNS DPNAP (Author), Kathleen F Jett PhD GNP-BC DPNAP (Author)
All Chapters 1-28| Verified
,SECTION 1: FOUNDATIONS OF HEALTHY AGING-------------------------------------------------------- 3
Chapter 01: Introduction To Healthy Aging ---------------------------------------------------------------------- 3
Chapter 02: Cross-Cultural Caring And Aging ------------------------------------------------------------------- 10
Chapter 03: Biological Theories Of Aging And Age-Related Physical Changes ------------------------- 26
Chapter 04: Psychosocial, Spiritual, And Cognitive Aspects Of Aging ------------------------------------ 40
SECTION 2: FOUNDATIONS OF GERONTOLOGICAL NURSING -------------------------------------- 50
Chapter 05: Gerontological Nursing And Promotion Of Healthy Aging ---------------------------------- 50
Chapter 06: Gerontological Nursing Across The Continuum Of Care ------------------------------------- 61
Chapter 07: Economic And Legal Issues -------------------------------------------------------------------------- 72
SECTION 3: FUNDAMENTALS OF CARING --------------------------------------------------------------- 83
Chapter 08: Assessment and Documentation for Optimal Care ------------------------------------------- 83
Chapter 09: Safe Medication Use ---------------------------------------------------------------------------------- 94
Chapter 10: Nutrition ------------------------------------------------------------------------------------------------ 105
Chapter 11: Hydration And Oral Care --------------------------------------------------------------------------- 116
Chapter 12: Elimination --------------------------------------------------------------------------------------------- 126
Chapter 13: Rest, Sleep, And Activity --------------------------------------------------------------------------- 136
Chapter 14: Promoting Healthy Skin ---------------------------------------------------------------------------- 147
Chapter 15: Falls And Fall Risk Reduction ---------------------------------------------------------------------- 155
Chapter 16: Promoting Safety ------------------------------------------------------------------------------------- 196
SECTION 4: PROMOTING HEALTH IN CHRONIC ILLNESS ------------------------------------------- 205
Chapter 17: Living With Chronic Illness ------------------------------------------------------------------------- 205
Chapter 18: Pain And Comfort ------------------------------------------------------------------------------------ 222
Chapter 19: Diseases Affecting Vision And Hearing --------------------------------------------------------- 233
Chapter 20: Metabolic Disorders --------------------------------------------------------------------------------- 241
Chapter 21: Bone And Joint Problems -------------------------------------------------------------------------- 252
Chapter 22: Cardiovascular And Respiratory Disorders ---------------------------------------------------- 262
Chapter 23: Neurological Disorders ----------------------------------------------------------------------------- 275
Chapter 24: Mental Health ----------------------------------------------------------------------------------------- 281
SECTION 5: CARING FOR ELDERS AND THEIR CAREGIVERS---------------------------------------- 300
Chapter 25: Care Of Individuals With Neurocognitive Disorders ---------------------------------------- 300
Chapter 26: Relationships, Roles, And Transitions ---------------------------------------------------------- 308
Chapter 27: Caregiving ---------------------------------------------------------------------------------------------- 321
Chapter 28: Loss, Death, And Palliative Care ----------------------------------------------------------------- 333
,SECTION 1: FOUNDATIONS OF HEALTHY AGING
Chapter 01: Introduction To Healthy Aging
Touhy & Jett: Ebersole And Hess’ Gerontological Nursing & Healthy Aging 5th Edition
MULTIPLE CHOICE
1. A Man Is Terminally Ill With End-Stage Prostate Cancer. Which Is The Best
Statement About This Man’s Wellness?
A. Wellness Can Only Be Achieved With Aggressive Medical Interventions.
B. Wellness Is Not A Real Option For This Client Because He Is Terminally Ill.
C. Wellness Is Defined As The Absence Of Disease.
D. Nursing Interventions Can Help Empower A Client To Achieve A Higher Level Of
Wellness.
ANS: D
Nursing Interventions Can Help Empower A Client To Achieve A Higher Level Of
Wellness; A Nurse Can Foster Wellness In His Or Her Clients. Wellness Is Defined
By The Individual And Is Multidimensional. It Is Not Just The Absence Of Disease.
A Wellness Perspective Is Based On The Belief That Every Person Has An Optimal
Level Of Health Independent Of His Or Her Situation Or Functional Level. Even In
The Presence Of Chronic Illness Or While Dying, A Movement Toward Wellness Is
Possible If Emphasis Of Care Is Placed On The Promotion Of Well-Being In A
Supportive Environment.
PTS: 1 DIF: Apply REF: P. 7
TOP: Nursing Process: Diagnosis MSC: Health Promotion And Maintenance
2. In Differentiating Between Henaluthrasndiwneglltnebss.Icn Ohemalth Care, Which
Of The Following Statements Is True?
A. Health Is A Broad Term Encompassing Attitudes And Behaviors.
B. The Concept Of Illness Prevention Was Never Considered By Previous
Generations.
C. Wellness And Self-Actualization Develop Through Learning And Growth.
,D. Wellness Is Impossible When One’s Health Is Compromised.
ANS: A
Health Is A Broad Term That Encompasses Attitudes And Behaviors; Holistically,
Health Includes Wellness, Which Involves One’s Whole Being. The Concept Of
Illness Prevention Was Never Considered By Previous Generations; Throughout
History, Basic Self-Care Requirements Have Been Recognized. Wellness And Self-
Actualization Develop Through Learning And Growth—As Basic Needs Are Met,
Higher Level Needs Can Be Satisfied In Turn, With Ever-Deepening Richness To
Life. Wellness Is Possible When One’s Health Is Compromised—Even With Chronic
Illness, With Multiple Disabilities, Or In Dying, Movement Toward A Higher Level
Of Wellness Is Possible.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
3. Which Racial Or Ethnic Group Has The Highest Life Expectancy In The United
States?
A. Native Americans
B. African Americans
C. Hispanic Americans
D. Asian And Pacific Island Americans
ANS: D
Asian And Pacific Island Americans Generally Have The Highest Life Expectancy In
The United States. This Can Be Attributed To A Combination Of Factors, Including
Cultural Practices, Diet, Lower Rates Of Certain Chronic Diseases, And Access To
Healthcare.
In Contrast, Native Americans And African Americans Often Experience Lower Life
Expectancies Due To Socioeconomic Factors, Health Disparities, And Access To
Healthcare Services. Hispanic Americans Also Have Relatively High Life
Expectancy, But It Is Typically Lower Than That Of Asian And Pacific Island
Americans.
,Overall, Life Expectancy Can Be Influenced By A Variety Of Social, Economic, And
Environmental Factors, Making It A Complex Issue That Reflects The Health And
Well-Being Of Different Communities.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
4. A 70-Year-Old Woman Is Concerned About Her Memory Loss. Which Response
By The Nurse Is Most Appropriate?
A. "Memory Loss Is A Normal Part Of Aging."
B. "You Should Avoid Any Mental Activities To Prevent Strain."
C. "There Are Many Strategies To Improve Memory Function."
D. "Memory Problems At Your Age Are Usually Irreversible."
ANS: C
There Are Many Strategies To Improve Memory Function, Such As Mental
Exercises, A Healthy Diet, And Social Engagement. While Some Memory Decline
Can Be Part Of Aging, It Is Not Inevitable, And Various Interventions Can Help
Enhance Cognitive Health.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
5. Which Of The Following Best Describes The Role Of Social Connections In
Healthy Aging?
A. They Are Less Important Than Physical Health.
B. They Contribute To Emotional Well-Being And Can Enhance Longevity.
C. They Only Matter In Younger Adults.
D. They Are Beneficial Only If They Are Familial.
ANS: B
Social Connections Are Crucial For Emotional Well-Being And Have Been Shown
To Enhance Longevity. Strong Social Networks Can Help Reduce Feelings Of
Isolation And Promote A Sense Of Belonging, Which Is Essential For Mental Health.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
,6. An Older Adult Expresses Feelings Of Loneliness. What Is The Most Appropriate
Nursing Intervention?
A. Suggesting They Stay Home More Often.
B. Encouraging Participation In Community Activities.
C. Advising Them To Limit Interactions With Others.
D. Reassuring Them That Loneliness Is Normal.
ANS: B
Encouraging Participation In Community Activities Can Help Alleviate Feelings Of
Loneliness By Promoting Social Interactions And Engagement. Active Participation
In Community Life Is Vital For Emotional And Mental Health.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
7. Which Of The Following Factors Is Most Closely Associated With Healthy Aging?
A. Genetic Predisposition
B. Lifestyle Choices
C. Access To Healthcare
D. All Of The Above
ANS: D
All Of The Above Factors Contribute To Healthy Aging. Genetic Predisposition Can
Influence Health Outcomes, But Lifestyle Choices (Such As Diet And Exercise) And
Access To Healthcare Services Are Critical For Maintaining Health And Well-Being
As One Ages.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
8. A Nurse Is Educating A Group Of Older Adults About The Importance Of
Nutrition. Which Statement Is Most Accurate?
A. Older Adults Need Fewer Nutrients Than Younger Adults.
B. Nutritional Needs Change With Age And Can Increase For Certain Nutrients.
,C. All Older Adults Should Follow The Same Diet Regardless Of Health Conditions.
D. Supplements Can Replace A Balanced Diet For Older Adults.
ANS: B
Nutritional Needs Do Change With Age, And Some Nutrients (Like Calcium And
Vitamin D) May Be Needed In Greater Amounts. Individualized Nutrition Based On
Health Conditions Is Essential For Optimal Health In Older Adults.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
9. Which Of The Following Is A Common Misconception About Aging?
A. Older Adults Are Less Adaptable To Change.
B. Aging Is Associated With A Decline In Cognitive Abilities For Everyone.
C. Most Older Adults Are Satisfied With Their Lives.
D. Older Adults Can Learn New Skills.
ANS: B
While Some Cognitive Decline May Occur With Aging, It Is Not Universal, And
Many Older Adults Maintain Or Even Improve Their Cognitive Abilities Through
Lifelong Learning And Mental Engagement.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
10. In Promoting Physical Activity Among Older Adults, Which Strategy Is The Most
Effective?
A. Encourage Participation In High-Intensity Sports.
B. Suggest Activities That Are Enjoyable And Socially Engaging.
C. Recommend Isolation During Exercise To Focus Better.
D. Discourage Any Physical Activity To Prevent Injuries.
ANS: B
Encouraging Enjoyable And Socially Engaging Activities Increases Adherence To
Physical Activity Among Older Adults. Enjoyable Activities Improve Motivation And
Overall Quality Of Life.
,PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
11. Which Statement About Elder Abuse Is True?
A. It Is Uncommon In Elder Populations.
B. It Can Be Physical, Emotional, Financial, Or Neglectful.
C. Only Family Members Are Perpetrators.
D. It Only Occurs In Nursing Homes.
ANS: B
Elder Abuse Can Take Various Forms, Including Physical, Emotional, Financial
Abuse, And Neglect, And Can Occur In Various Settings, Not Just Nursing Homes.
Awareness Is Crucial For Prevention And Intervention.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
12. Which Assessment Tool Is Commonly Used To Evaluate The Nutritional Status
Of Older Adults?
A. Barthel Index
B. Mini Nutritional Assessment (MNA)
C. Montreal Cognitive Assessment (Moca)
D. Geriatric Depression Scale (GDS)
ANS: B
The Mini Nutritional Assessment (MNA) Is Specifically Designed To Evaluate The
Nutritional Status Of Older Adults, Helping To Identify Those At Risk Of
Malnutrition.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
13. An Older Adult Wishes To Maintain Independence. Which Factor Is Most
Important For Fostering Independence In Aging?
A. Dependence On Family For All Care Needs.
B. A Safe And Supportive Living Environment.
,C. Complete Isolation From Community Activities.
D. Avoiding All Forms Of Physical Activity.
ANS: B
A Safe And Supportive Living Environment Enables Older Adults To Maintain
Independence. It Provides The Necessary Resources And Safety Measures While
Encouraging Active Engagement In Life.
PTS: 1 DIF: Understand REF: P. 7
TOP: Nursing Process: Evaluation MSC: Health Promotion And Maintenance
, Chapter 02: Cross-Cultural Caring And Aging
Touhy & Jett: Ebersole And Hess’ Gerontological Nursing & Healthy Aging, 5th Edition
MULTIPLE CHOICE
1. Which Of The Following Is A True Statement About Differing Health Belief
Systems?
A. Personalistic Or Magicoreligious Beliefs Have Been Superseded In Western Minds
By Biomedical Principles.
B. In Most Cultures, Older Adults Are Likely To Treat Themselves Using Traditional
Methods Before Turning To Biomedical Professionals.
C. Ayurvedic Medicine Is Another Name For Traditional Chinese Medicine.
D. The Belief That Health Depends On Maintaining A Balance Among Opposite
Qualities Is Characteristic Of A Magicoreligious Belief System.
ANS: B
Older Adults In Most Cultures Usually Have Had Experience With Traditional
Methods That Have Worked As Well As Expected. After These Treatments Fail,
Older Adults Turn To The Formal Health Care System. Even In The United States, It
Is Common For Older Adults To Pray For Cures Or Wonder What They Did To Incur
An Illness As Punishment. The Ayurvedic System Is A Naturalistic Health Belief
System Practiced In India And In Some Neighboring Countries. This Belief Is
Characteristic Of A Holistic Or Naturalistic Approach.
PTS: 1 DIF: Understand REF: P. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion And Maintenance
2. Which Of The Following Consinduerratisoinsnisgmtobst.Lcikoelmy To Be True
When Working With An Interpreter?
A. An Interpreter Is Never Needed If The Nurse Speaks The Same Language As The
Patient.
B. When Working With Interpreters, The Nurse Can Use Technical Terms Or
Metaphors.
