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Voorbeeld van de inhoud

Test Bank Ebersole And Hess’ Gerontological Nursing
& Healthy Aging 5th Edition By Theris A. Touhy, And Kathlee
F Jet Chapter 1-28.

,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
n r i g b. c m
2. In Differentiating Between Healu
th as
nd wnellntess In hoealth 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




NURSINGTB.COM

, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank

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
n r i g b. c m
2. Which Of The Following Consideuratis
onsnis m
tost Liko
ely 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.
c. A Patient’s Young Granddaughter Who Speaks Fluent English Would Make The
Best Interpreter Because She Is Familiar With And Loves The Patient.
d. The Nurse Should Face The Patient Rather Than The Interpreter.
ANS: D
The Nurse Should Face The Patient Rather Than The Interpreter Is A True Statement; The
Intent Is To Converse With The Patient, Not With A Third Party About The Patient. Many
Reasons May Prevent The Patient From Speaking Directly To A Nurse. Technical Terms And
Metaphors May Be Difficult Or Impossible To Translate. Cultural Restrictions May Prevent
Some Topics From Being Spoken Of To A Grandparent Or Child.

PTS: 1 DIF: Understand REF: P. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment

3. An Older Adult Who Is A Traditional Chinese Man Has A Blood Pressure Of 80/54 Mm Hg
And Refuses To Remain In The Bed. Which Intervention Should The Nurse Use To Promote
And Maintain His Health?
a. Have The Health Care Provider Speak To Him.
b. Use Principles Of The Holistic Health System.
c. Ask About His Perceptions And Treatment Ideas.




NURSINGTB.COM

, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank

d. Consult With A Practitioner Of Chinese Medicine.
ANS: C
Using The LEARN Model (Listen With Sympathy To The Patient’s Perception Of The
Problem, Explain Your Perception Of The Problem, Acknowledge The Differences And
Similarities, Recommend Treatment, And Negotiate Agreement), The Nurse Gathers
Information From The Patient About Cultural Beliefs Concerning Health Care And Avoids
Stereotyping The Patient. In The Assessment, The Nurse Determines What The Patient
Believes About Caregiving, Decision Making, Treatment, And Other Pertinent Health-
Related Information. Speaking With The Health Care Provider Is Premature Until The
Assessment Is Complete. Unless He Accepts The Beliefs, Principles Of The Holistic Health
System Can Be Potentially Unsuitable And Insulting For This Patient. Unless He Accepts
The Treatments, Consulting With A Practitioner Of Chinese Medicine Can Also Be
Unsuitable And Insulting For This Patient.

PTS: 1 DIF: Apply REF: P. 18
TOP: Nursing Process: Implementation MSC: Health Promotion And Maintenance

4. Which Action Should The Nurse Take When Addressing Older Adults?
a. Speak In An Exaggerated Pitch.
b. Use A Lower Quality Of Speech.
c. Use Endearing Terms Such As “Honey.”
d. Speak Clearly.
ANS: D
Some Health Professionals Demonstrate Ageism, In Part Because Providers Tend To See
Many Frail, Older Persons And Fewer Of Those Who Are Healthy And Active. Providers
Should Not Assume That All Older Adults Are Hearing Or Mentally Impaired. The Most
Appropriate Action
When Addressing An Older Adunltuwros
uli
dnbegtt
o Bs p.E ackocm
l e a r l y . Examples Of Unintentional
Ageism In Language Are An Exaggerated Pitch, A Demeaning Emotional Tone, And A
Lower Quality Of
Speech.

PTS: 1 DIF: Apply REF: P. 15
TOP: Nursing Process: Assessment MSC: Health Promotion And Maintenance

5. The Nurse Prepares An Older Woman, Who Is Polish, For Discharge Through An
Interpreter And Notes That She Becomes Tense During The Instructions About
Elimination. Which Intervention Should The Nurse Implement?
a. Move On To The Discussion About Medication.
b. Ask The Older Woman How She Feels About This Topic.
c. Instruct The Interpreter To Repeat The Instructions.
d. Have The Older Woman Repeat The Instructions For Clarity.
ANS: B
When Working With An Interpreter, The Nurse Closely Watches The Older Adult For
Nonverbal Communication And Emotion Regarding A Specific Topic And Therefore
Validates The Assessment About The Older Adult’s Tension Before Proceeding. Because The
Nurse Notices Her Tension, The Nurse Temporarily Suspends The Preparation To Validate
Her Assessment. If The Nurse Proceeds And The Older Adult Is Uncomfortable Discussing
Elimination, Then Important Instructions Can Be Missed, Leading To Adverse Effects For
The Older Adult. Repeating The Instructions Can Aggravate The Older Adult’s Discomfort.
Instructing The Older Adult To Repeat The Nurse’s Instruction Ignores Her Needs.


NURSINGTB.COM

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