TEST BANK
Test Bank for Ebersole and Hess’ Gerontological Nursing &
Healthy Aging
5th Edition
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A
,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
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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 health and wellness in health care, which of the following
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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.
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c. Wellness and self-actualization develop through learning and growth.
d. Wellness is impossible when one’s health is compromised.
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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
,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
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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 considerations is most likely to be true when working with an
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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.
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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.
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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.
, 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.
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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 adult would be to speak clearly. Examples of unintentional ageism in
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language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
speech.
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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
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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.
, PTS: 1 DIF: Apply REF: p. 18-19
TOP: Communication and Documentation
MSC: Safe, Effective Care Environment
6. The nurse plans care for an older African American man who is from Jamaica and resides in
New York City. Which should the nurse include in planning care?
a. Attribute his illness to breaking a voodoo.
b. Help him improve social relationships.
c. Maintain blood pressure below 120/70 mm Hg.
d. Review the principles of the magicoreligious system.
ANS: C
Because African Americans tend to be at risk for cardiovascular disease and hypertension, the
nurse plans to maintain the patient’s blood pressure at or below the current recommendation
by the American Heart Association. The nurse can be incorrectly assuming that he practices
and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and
determine how much they influence his attitudes toward Western health care. The
magicoreligious system maintains social relationships in good condition to prevent illness;
however, if the older adult does not follow this cultural practice, then this goal can be
unsuitable. The older adult may not believe in this system; therefore, the information can be
irrelevant.
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PTS: 1 DIF: Apply REF: p. 18-19 TOP: Nursing Process: Planning
MSC: Safe, Effective Care Environment
7. Which health belief system uses treatments to repair a body part?
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a. Holistic
b. Biomedical
c. Personalistic
d. Magicoreligious
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ANS: 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
attained through balance. The personalistic system uses treatments such as meditation, fasting,
and praying. The magicoreligious system is the same as the personalistic system.
PTS: 1 DIF: Understand REF: p. 17
TOP: Nursing Process: Assessment MSC: Safe, Effective Care Environment
8. A nurse is caring for a culturally diverse patient who has missed follow-up appointments with
the primary care provider three times over the past year. The patient has a chronic illness that
requires periodic monitoring of blood test values. The patient tells the nurse: “You don’t
understand—in my culture, we don’t do things like that. I cannot be troubled with worrying
about appointments in the future; I deal with each day as it comes.” The nurse understands
which of the following about the patient’s culture?
a. The culture does not value Western medicine.
b. The culture has a different orientation to time than Western medicine.
c. The culture is an interdependent culture.
d. The culture does not believe in preventative care.
, ANS: B
Time orientation is a culturally constructed factor. Westernized medical care is future
oriented. Conflicts between future oriented Westernized medical care and those with a present
or past time orientation may arise. Patients are likely to be labeled as noncompliant for failing
to keep appointments.
PTS: 1 DIF: Understand REF: p. 15-17 TOP: Nursing Process: Planning
MSC: Safe, Effective Care Environment
9. A paper on culture and illness would be likely to include the statement that
a. culture is the same as ethnicity.
b. ethnic groups always share common geographic origin and religion.
c. ethnicity involves recognized traditions, symbols, and literature.
d. most members of an ethnic group exhibit identical cultural traits.
ANS: C
Ethnicity is a complex phenomenon that includes traditions, symbols, literature, folklore, food
preferences, and dress. It is a shared identity. Ethnicity is more than just culture. It is social
differentiation based on culture. Even within ethnic groups, there is considerable diversity.
PTS: 1 DIF: Remember REF: p. 12 TOP: Teaching and Learning
MSC: Psychosocial Integrity
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10. A home care nurse is caring for an older patient from a different culture who is bedbound and
high risk for development of a pressure ulcer. The nurse discusses the plan of care with the
patient’s daughter, emphasizing the importance of turning every 2 hours, and posts a turning
clock on the wall. When the nurse returns later in the week, the turning clock has been
removed, and the patient’s daughter report that she turns her mother occasionally. She states, “I am
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taking very good care of my mother. You just don’t understand—our ways do not
involve doing things on schedules.” The best response by the nurse is:
a. “You must follow my guidelines and turn her every 2 hours, or I will not be able to
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take care of her.”
b. “I understand that you value your culture, but culture cannot stop you from
providing good care to your mother.”
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c. ‘I understand that you care very much for your mother. Perhaps caring for her is
too much for you.”
d. “How can we best work together to provide the best care for your mother?”
ANS: D
In providing cross-cultural care, it is important that the nurse work with the patient and family
and listen carefully and find a way to include the values and beliefs of the patient in the plan
of care.
PTS: 1 DIF: Analyze REF: p. 15
TOP: Communication and Documentation MSC: Psychosocial Integrity
11. An older patient learns that she has metastatic cancer. The patient states: “I must have angered
God.” This is an example of which type of belief?
a. Biomedical
b. Magicoreligious
c. Naturalistic
