Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
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Edition
MULTIPLE CHOICE b
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
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man’s wellness? b
a. Wellness can only be achieved with aggressive medical interventions. b b b b b b b b
b. Wellness is not a real option for this client because he is terminally ill. b b b b b b b b b b b b b
c. Wellness is defined as the absence of disease. b b b b b b b
d. Nursing interventions can help empower a client to achieve a higher level of
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wellness. b
ANS: D b
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
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can foster wellness in his or her clients. Wellness is defined by the individual and is
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multidimensional. It is not just the absence of disease. A wellness perspective is based on the
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belief that every person has an optimal level of health independent of his or her situation or
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functional level. Even in the presence of chronic illness or while dying, a movement toward
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wellness is possible if emphasis of care is placed on the promotion of well-being in a
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supportive environment.
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PTS: 1 DIF: Applyb REF: p. 7 b b TOP: Nursing Process: b b
Diagnosis MSC: Health Promotion and Maintenance
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2. In differentiating between healU
b th aS NellT
nd w ness in O
h e a l t h care, which of the following b b
N R I G B.C M b b b b b b
bstatements is true? b b
a. Health is a broad term encompassing attitudes and behaviors.
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b. The concept of illness prevention was never considered by previous generations.
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c. Wellness and self-actualization develop through learning and growth. b b b b b b b
d. Wellness is impossible when one’s health is compromised. b b b b b b b
ANS: A b
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
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wellness, which involves one’s whole being. The concept of illness prevention was never
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considered by previous generations; throughout history, basic self-care requirements have
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been recognized. Wellness and self-actualization develop through learning and growth—as
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basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
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to life. Wellness is possible when one’s health is compromised—even with chronic illness,
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with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
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PTS: 1 DIF: Understand REF: p. 7
b b b TOP: Nursing Process: b b
Evaluation MSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans b
b. African Americans b
c. Hispanic Americans b
d. Asian and Pacific Island Americans b b b b
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
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Edition
MULTIPLE CHOICE b
1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligious beliefs have been superseded in Western minds by b b b b b b b b b b
biomedical principles.
b b
b. In most cultures, older adults are likely to treat themselves using traditional
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methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. b b b b b b b b
d. The belief that health depends on maintaining a balance among opposite qualities
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is characteristic of a magicoreligious belief system.
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ANS: B b
Older adults in most cultures usually have had experience with traditional methods that have
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worked as well as expected. After these treatments fail, older adults turn to the formal health
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care system. Even in the United States, it is common for older adults to pray for cures or
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wonder what they did to incur an illness as punishment. The Ayurvedic system is a
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naturalistic health belief system practiced in India and in some neighboring countries. This
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belief is characteristic of a holistic or naturalistic approach.
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PTS: b b 1 DIF: Understand REF: p. 16-17 b b b
TOP: b Nursing Process: Assessment b b MSC: Health Promotion and Maintenance b b b b
2. Which of the following considU
eratiS
onsNis m
b
Tost likO
ely to be true when working with an
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N R I G B.C M b b b b b b b
b interpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient’s young granddaughter who speaks fluent English would make the best
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interpreter because she is familiar with and loves the patient. b b b b b b b b b
d. The nurse should face the patient rather than the interpreter.
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ANS: D b
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
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converse with the patient, not with a third party about the patient. Many reasons may prevent
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the patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
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or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
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to a grandparent or child.
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PTS: b b 1 DIF: Understand b b b b REF: p. 18-19 b b b
TOP: b Nursing Process: Implementation b b b b b MSC: Safe, Effective Care Environment b b b b
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
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refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
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his health?
b b
a. Have the health care provider speak to him. b b b b b b b
b. Use principles of the holistic health system.b b b b b b
c. Ask about his perceptions and treatment ideas.
b b b b b b
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,Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
b b b b b b b b b b b b
d. Consult with a practitioner of Chinese medicine. b b b b b b
ANS: C b
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
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explain your perception of the problem, acknowledge the differences and similarities,
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recommend treatment, and negotiate agreement), the nurse gathers information from the
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patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
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assessment, the nurse determines what the patient believes about caregiving, decision making,
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treatment, and other pertinent health-related information. Speaking with the health care
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provider is premature until the assessment is complete. Unless he accepts the beliefs,
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principles of the holistic health system can be potentially unsuitable and insulting for this
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patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
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can also be unsuitable and insulting for this patient.
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PTS: b b 1 DIF: Apply REF: p. 18 b b b
TOP: b Nursing Process: Implementation b b MSC: Health Promotion and Maintenance b b b b
4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. b b b b
b. Use a lower quality of speech. b b b b b
c. Use endearing terms such as “honey.”
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d. Speak clearly. b
ANS: D b
Some health professionals demonstrate ageism, in part because providers tend to see many
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frail, older persons and fewer of those who are healthy and active. Providers should not
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assume that all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
b ulI
dNbeGtT
oBsp.eC
akOcM
learly. Examples of unintentional ageism b b b b b b b
in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.
PTS: b b 1 DIF: Apply REF: p. 15 b b b
TOP: b Nursing Process: Assessment b b MSC: Health Promotion and Maintenance b b b b
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
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notes that she becomes tense during the instructions about elimination. Which intervention
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should the nurse implement?
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a. Move on to the discussion about medication. b b b b b b
b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. b b b b b b
d. Have the older woman repeat the instructions for clarity.
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ANS: B b
When working with an interpreter, the nurse closely watches the older adult for nonverbal
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communication and emotion regarding a specific topic and therefore validates the assessment
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about the older adult’s tension before proceeding. Because the nurse notices her tension, the
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nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
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and the older adult is uncomfortable discussing elimination, then important instructions can be
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missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
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the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
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ignores her needs.
b b b
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, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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PTS: 1 DIF: Apply
b b REF: p. 18-19 b b b
TOP: Communication and Documentation
b b b
MSC: Safe, Effective Care Environment
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6. The nurse plans care for an older African American man who is from Jamaica and resides in
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New York City. Which should the nurse include in planning care?
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a. Attribute his illness to breaking a voodoo. b b b b b b
b. Help him improve social relationships.
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c. Maintain blood pressure below 120/70 mm Hg. b b b b b b
d. Review the principles of the magicoreligious system. b b b b b b
ANS: C b
Because African Americans tend to be at risk for cardiovascular disease and hypertension, the
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nurse plans to maintain the patient’s blood pressure at or below the current recommendation
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by the American Heart Association. The nurse can be incorrectly assuming that he practices
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and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and
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determine how much they influence his attitudes toward Western health care. The
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magicoreligious system maintains social relationships in good condition to prevent illness;
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however, if the older adult does not follow this cultural practice, then this goal can be
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unsuitable. The older adult may not believe in this system; therefore, the information can be
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irrelevant.
b
PTS: 1 DIF: Apply
b REF: p. 18-19 b b TOP: Nursing Process: b b
Planning MSC: Safe, Effective Care Environment
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7. Which health belief system uses treatments to repair a body part?
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a. Holistic NURSINGTB.COM
b. Biomedical
c. Personalistic
d. Magicoreligious
ANS: B b
Because dysfunction or a structural abnormality is thought to cause disease, the biomedical
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system believes in repairing the structural abnormality. The holistic system holds that health is
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attained through balance. The personalistic system uses treatments such as meditation, fasting,
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and praying. The magicoreligious system is the same as the personalistic system.
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PTS: b b 1 DIF: Understand REF: p. 17 b b b
TOP: b Nursing Process: Assessment b b MSC: Safe, Effective Care Environment b b b b
8. A nurse is caring for a culturally diverse patient who has missed follow-up appointments with
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the primary care provider three times over the past year. The patient has a chronic illness that
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requires periodic monitoring of blood test values. The patient tells the nurse: “You don’t
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understand—in my culture, we don’t do things like that. I cannot be troubled with worrying
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about appointments in the future; I deal with each day as it comes.” The nurse understands
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which of the following about the patient’s culture?
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a. The culture does not value Western medicine.
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b. The culture has a different orientation to time than Western medicine.
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c. The culture is an interdependent culture.
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d. The culture does not believe in preventative care.
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