Test Bank Ebersole and Hess’ Gerontological Nursing & Health
x x x x x x x x
Aging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapte
x x
x
x x x x x x x x x
1-28. x
,Chapter 01: Introduction to Healthy Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
x x x x x x x x x x x x
MULTIPLE CHOICE x
1. A man is terminally ill with end-stage prostate cancer. Which is the best statement about this
x x x x x x x x x x x x x x x
man’s wellness?
x x
a. Wellness can only be achieved with aggressive medical interventions. x x x x x x x x
b. Wellness is not a real option for this client because he is terminally ill. x x x x x x x x x x x x x
c. Wellness is defined as the absence of disease. x x x x x x x
d. Nursing interventions can help empower a client to achieve a higher level of
x x x x x x x x x x x x
wellness. x
ANS: D x
Nursing interventions can help empower a client to achieve a higher level of wellness; a nurse
x x x x x x x x x x x x x x x
can foster wellness in his or her clients. Wellness is defined by the individual and is
x x x x x x x x x x x x x x x x
multidimensional. It is not just the absence of disease. A wellness perspective is based on the
x x x x x x x x x x x x x x x x
belief that every person has an optimal level of health independent of his or her situation or
x x x x x x x x x x x x x x x x x
functional level. Even in the presence of chronic illness or while dying, a movement toward
x x x x x x x x x x x x x x x
wellness is possible if emphasis of care is placed on the promotion of well-being in a
x x x x x x x x x x x x x x x x
supportive environment.
x x
PTS: 1 DIF: Apply
xx x REF: p. 7 xxx x TOP: Nursing Process: Diagnosis x x x
MSC: Health Promotion and Maintenance
x x x x x
2. In differentiating between healU
x th aS NellnTess in hOealth care, which of the following
nd w x x
N R I G B.C M x x x x x
statements is true?
x x x
a. Health is a broad term encompassing attitudes and behaviors.
x x x x x x x x
b. The concept of illness prevention was never considered by previous generations.
x x x x x x x x x x
c. Wellness and self-actualization develop through learning and growth. x x x x x x x
d. Wellness is impossible when one’s health is compromised. x x x x x x x
ANS: A x
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes
x x x x x x x x x x x x
wellness, which involves one’s whole being. The concept of illness prevention was never
x x x x x x x x x x x x x
considered by previous generations; throughout history, basic self-care requirements have
x x x x x x x x x x
been recognized. Wellness and self-actualization develop through learning and growth—as
x x x x x x x x x x
basic needs are met, higher level needs can be satisfied in turn, with ever-deepening richness
x x x x x x x x x x x x x x x
to life. Wellness is possible when one’s health is compromised—even with chronic illness,
x x x x x x x x x x x x x
with multiple disabilities, or in dying, movement toward a higher level of wellness is possible.
x x x x x x x x x x x x x x x
PTS: 1 DIF: Understand REF: p. 7
xx x xxx x TOP: Nursing Process: Evaluation x x x
MSC: Health Promotion and Maintenance
x x x x x
3. Which racial or ethnic group has the highest life expectancy in the United States?
x x x x x x x x x x x x x
a. Native Americans x
b. African Americans x
c. Hispanic Americans x
d. Asian and Pacific Island Americans x x x x
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
x x x x x x x x x x x x
Chapter 02: Cross-Cultural Caring and Aging
x x x x x
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
x x x x x x x x x x x x
MULTIPLE CHOICE x
1. Which of the following is a true statement about differing health belief systems?
x x x x x x x x x x x x
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by x x x x x x x x x x
biomedical principles.
x x
b. In most cultures, older adults are likely to treat themselves using traditional
x x x x x x x x x x x
methods before turning to biomedical professionals.
x x x x x x
c. Ayurvedic medicine is another name for traditional Chinese medicine. x x x x x x x x
d. The belief that health depends on maintaining a balance among opposite qualities
x x x x x x x x x x x
is characteristic of a magicoreligious belief system.
x x x x x x x
ANS: B x
Older adults in most cultures usually have had experience with traditional methods that have
x x x x x x x x x x x x x
worked as well as expected. After these treatments fail, older adults turn to the formal health
x x x x x x x x x x x x x x x x
care system. Even in the United States, it is common for older adults to pray for cures or
x x x x x x x x x x x x x x x x x x
wonder what they did to incur an illness as punishment. The Ayurvedic system is a
x x x x x x x x x x x x x x x
naturalistic health belief system practiced in India and in some neighboring countries. This
x x x x x x x x x x x x x
belief is characteristic of a holistic or naturalistic approach.
x x x x x x x x x
PTS: 1 DIF: Understand
xx x REF: p. 16-17 x x
TOP: Nursing Process: Assessmentx x x MSC: Health Promotion and Maintenance
x x x x
2. Which of the following consideUratiS
onsNis m
x
Tost likO
ely to be true when working with an
x x x
N R I G B.C M x x x x x x x
interpreter?
x
a. An interpreter is never needed if the nurse speaks the same language as the patient.
x x x x x x x x x x x x x x
b. When working with interpreters, the nurse can use technical terms or metaphors.
x x x x x x x x x x x
c. A patient’s young granddaughter who speaks fluent English would make the best
x x x x x x x x x x x
interpreter because she is familiar with and loves the patient.
x x x x x x x x x x
d. The nurse should face the patient rather than the interpreter.
x x x x x x x x x
ANS: D x
The nurse should face the patient rather than the interpreter is a true statement; the intent is to
x x x x x x x x x x x x x x x x x
converse with the patient, not with a third party about the patient. Many reasons may prevent
x x x x x x x x x x x x x x x x
xthe patient from speaking directly to a nurse. Technical terms and metaphors may be difficult
x x x x x x x x x x x x x x
or impossible to translate. Cultural restrictions may prevent some topics from being spoken of
x x x x x x x x x x x x x x
to a grandparent or child.
x x x x x
PTS: 1 DIF: Understand
xx x xx x xxx x REF: p. 18-19 xxx x
TOP: Nursing Process: Implementation
x x x xxx x MSC: Safe, Effective Care Environment x x x x
3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and
x x x x x x x x x x x x x x x x x
refuses to remain in the bed. Which intervention should the nurse use to promote and maintain
x x x x x x x x x x x x x x x x
his health?
x x
a. Have the health care provider speak to him. x x x x x x x
b. Use principles of the holistic health system.
x x x x x x
c. Ask about his perceptions and treatment ideas.
x x x x x x
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
x x x x x x x x x x x x
d. Consult with a practitioner of Chinese medicine. x x x x x x
ANS: C x
Using the LEARN model (listen with sympathy to the patient’s perception of the problem,
x x x x x x x x x x x x x
xexplain your perception of the problem, acknowledge the differences and similarities,
x x x x x x x x x x
xrecommend treatment, and negotiate agreement), the nurse gathers information from the
x x x x x x x x x x
xpatient about cultural beliefs concerning health care and avoids stereotyping the patient. In the
x x x x x x x x x x x x x
assessment, the nurse determines what the patient believes about caregiving, decision making,
x x x x x x x x x x x x
treatment, and other pertinent health-related information. Speaking with the health care
x x x x x x x x x x x
xprovider is premature until the assessment is complete. Unless he accepts the beliefs,
x x x x x x x x x x x x
xprinciples of the holistic health system can be potentially unsuitable and insulting for this
x x x x x x x x x x x x x
xpatient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine
x x x x x x x x x x x x
xcan also be unsuitable and insulting for this patient.
x x x x x x x x
PTS: 1 DIF: Apply
xx x REF: p. 18 x x
TOP: Nursing Process: Implementation MSC: Health Promotion and Maintenance
x x x x x x x
4. Which action should the nurse take when addressing older adults?
x x x x x x x x x
a. Speak in an exaggerated pitch. x x x x
b. Use a lower quality of speech.
x x x x x
c. Use endearing terms such as “honey.”
x x x x x
d. Speak clearly. x
ANS: D x
Some health professionals demonstrate ageism, in part because providers tend to see many
x x x x x x x x x x x x
frail, older persons and fewer of those who are healthy and active. Providers should not
x x x x x x x x x x x x x x x
xassume that all older adults are hearing or mentally impaired. The most appropriate action
x x x x x x x x x x x x x
when addressing an older aduNltUwRoS
x ulI beGtT
dN oBsp.
eaCkOcM
learly. Examples of unintentional ageism x x x x x x x x
xin language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
x x x x x x x x x x x x x x
speech.
PTS: 1 DIF: Apply
xx x REF: p. 15 x x
TOP: Nursing Process: Assessment
x x x MSC: Health Promotion and Maintenance
x x x x
5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter and
x x x x x x x x x x x x x x
notes that she becomes tense during the instructions about elimination. Which intervention
x x x x x x x x x x x x
should the nurse implement?
x x x x
a. Move on to the discussion about medication. x x x x x x
b. Ask the older woman how she feels about this topic.
x x x x x x x x x
c. Instruct the interpreter to repeat the instructions. x x x x x x
d. Have the older woman repeat the instructions for clarity.
x x x x x x x x
ANS: B x
When working with an interpreter, the nurse closely watches the older adult for nonverbal
x x x x x x x x x x x x x
xcommunication and emotion regarding a specific topic and therefore validates the assessmentx x x x x x x x x x x
xabout the older adult’s tension before proceeding. Because the nurse notices her tension, the
x x x x x x x x x x x x x
xnurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds
x x x x x x x x x x x x
xand the older adult is uncomfortable discussing elimination, then important instructions can be
x x x x x x x x x x x x
missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate
x x x x x x x x x x x x x x
the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction
x x x x x x x x x x x x x
xignores her needs. x x
NURSINGTB.COM
