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