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,1. A ilman ilis ilterminally ilill ilwith ilend-stage ilprostate ilcancer. ilWhich ilis ilthe ilbest ilstatement
ilabout ilthis
man‘s ilwellness?
a. Wellness ilcan ilonly ilbe ilachieved ilwith ilaggressive ilmedical ilinterventions.
b. Wellness ilis ilnot ila ilreal iloption ilfor ilthis ilclient ilbecause ilhe ilis ilterminally ilill.
c. Wellness ilis ildefined ilas ilthe ilabsence ilof ildisease.
d. Nursing ilinterventions ilcan ilhelp ilempower ila ilclient ilto ilachieve ila ilhigher
illevel ilofliwellness.
ANS: i l D
Nursing ilinterventions ilcan ilhelp ilempower ila ilclient ilto ilachieve ila ilhigher illevel ilof
ilwellness; ila ilnurselc
i an ilfoster ilwellness ilin ilhis ilor ilher ilclients. ilWellness ilis ildefined ilby
ilthe ilindividual iland ilis ilmultidimensional. ilIt ilis ilnot iljust ilthe ilabsence ilof ildisease. ilA
ilwellness ilperspective ilis ilbased ilon ilthe ilbelief ilthat ilevery ilperson ilhas ilan iloptimal illevel
ilof ilhealth ilindependent ilof ilhis ilor ilher ilsituation ilor ilfunctional illevel. ilEven ilin ilthe
ilpresence ilof ilchronic ilillness ilor ilwhile ildying, ila ilmovement iltoward ilwellness ilis ilpossible
ilif ilemphasis ilof ilcare ilis ilplaced ilon ilthe ilpromotion ilof ilwell-being ilin ila ilsupportive
ilenvironment.
PTS: il il i l 1 DIF: Apply REF: il il ilp. il7 TOP: i l Nursing ilProcess:
ilDiagnosisliMSC: i l Health ilPromotion iland ilMaintenance
2. In ildifferentiating ilbetween ilhealU
N R I G B.C M
th aS NellT
nd w ness in ilO
health ilcare, ilwhich ilof ilthe
ilfollowing ilstatements ilis iltrue?
a. Health ilis ila ilbroad ilterm ilencompassing ilattitudes iland ilbehaviors.
b. The ilconcept ilof ilillness ilprevention ilwas ilnever ilconsidered ilby ilprevious ilgenerations.
c. Wellness iland ilself-actualization ildevelop ilthrough illearning iland ilgrowth.
d. Wellness ilis ilimpossible ilwhen ilone‘s ilhealth ilis ilcompromised.
ANS: i l A
Health ilis ila ilbroad ilterm ilthat ilencompasses ilattitudes iland ilbehaviors; ilholistically, ilhealth
ilincludesliwellness, ilwhich ilinvolves ilone‘s ilwhole ilbeing. ilThe ilconcept ilof ilillness
ilprevention ilwas ilnever ilconsidered ilby ilprevious ilgenerations; ilthroughout ilhistory, ilbasic
ilself-care ilrequirements ilhave ilbeen ilrecognized. ilWellness iland ilself-actualization ildevelop
ilthrough illearning iland ilgrowth—as ilbasic ilneeds ilare ilmet, ilhigher illevel ilneeds ilcan ilbe
ilsatisfied ilin ilturn, ilwith ilever-deepening ilrichnesslito illife. ilWellness ilis ilpossible ilwhen
ilone‘s ilhealth ilis ilcompromised—even ilwith ilchronic ilillness,
with ilmultiple ildisabilities, ilor ilin ildying, ilmovement iltoward ila ilhigher illevel ilof ilwellness ilis
ilpossible.
PTS: il il i l 1 DIF: Understand REF: il il ilp. il7 TOP: i l Nursing ilProcess:
ilEvaluationliMSC: il Health ilPromotion iland ilMaintenance
3. Which ilracial ilor ilethnic ilgroup ilhas ilthe ilhighest illife ilexpectancy ilin ilthe ilUnited ilStates?
a. Native ilAmericans
b. African ilAmericans
c. Hispanic ilAmericans
d. Asian iland ilPacific ilIsland ilAmericans
NURSINGTB.COM
, Ebersole iland ilHess' ilGerontological ilNursing iland ilHealthy ilAging il5th ilEdition ilTouhy
ilTest ilBank
Chapter il02: ilCross-Cultural ilCaring iland ilAging
Touhy il& ilJett: ilEbersole iland ilHess’ ilGerontological ilNursing il& ilHealthy ilAging, il5th
Edition
MULTIPLE ilCHOICE
1. Which ilof ilthe ilfollowing ilis ila iltrue ilstatement ilabout ildiffering ilhealth ilbelief ilsystems?
a. Personalistic ilor ilmagicoreligious ilbeliefs ilhave ilbeen ilsuperseded ilin ilWestern
ilminds ilbylb
i iomedical ilprinciples.
b. In ilmost ilcultures, ilolder iladults ilare illikely ilto iltreat ilthemselves ilusing
iltraditionallm
i ethods ilbefore ilturning ilto ilbiomedical ilprofessionals.
c. Ayurvedic ilmedicine ilis ilanother ilname ilfor iltraditional ilChinese ilmedicine.
d. The ilbelief ilthat ilhealth ildepends ilon ilmaintaining ila ilbalance ilamong ilopposite
ilqualitieslii s ilcharacteristic ilof ila ilmagicoreligious ilbelief ilsystem.
ANS: i l B
Older iladults ilin ilmost ilcultures ilusually ilhave ilhad ilexperience ilwith iltraditional ilmethods
ilthat ilhavelwi orked ilas ilwell ilas ilexpected. ilAfter ilthese iltreatments ilfail, ilolder iladults ilturn
ilto ilthe ilformal ilhealthlicare ilsystem. ilEven ilin ilthe ilUnited ilStates, ilit ilis ilcommon ilfor ilolder
iladults ilto ilpray ilfor ilcures ilor ilwonder ilwhat ilthey ildid ilto ilincur ilan ilillness ilas
ilpunishment. ilThe ilAyurvedic ilsystem ilis ila ilnaturalistic ilhealth ilbelief ilsystem ilpracticed
ilin ilIndia iland ilin ilsome ilneighboring ilcountries. ilThis ilbelief ilis ilcharacteristic ilof ila
ilholistic ilor ilnaturalistic ilapproach.
PTS: il il i l 1 DIF: Understand REF: i l p. il16-17
TOP: i l Nursing ilProcess: ilAssessment MSC: i l Health ilPromotion iland ilMaintenance
2. Which ilof ilthe ilfollowing ilconsidU
N R I G B. C M
eratS
ionsNis m
Tost illikO
ely ilto ilbe iltrue ilwhen ilworking
ilwith ilan ilinterpreter?
a. An ilinterpreter ilis ilnever ilneeded ilif ilthe ilnurse ilspeaks ilthe ilsame illanguage ilas ilthe
ilpatient.
b. When ilworking ilwith ilinterpreters, ilthe ilnurse ilcan iluse iltechnical ilterms ilor ilmetaphors.
c. A ilpatient‘s ilyoung ilgranddaughter ilwho ilspeaks ilfluent ilEnglish ilwould ilmake ilthe ilbest
interpreter ilbecause ilshe ilis ilfamiliar ilwith iland illoves ilthe ilpatient.
d. The ilnurse ilshould ilface ilthe ilpatient ilrather ilthan ilthe
ilinterpreter.
ANS: i l D
The ilnurse ilshould ilface ilthe ilpatient ilrather ilthan ilthe ilinterpreter ilis ila iltrue ilstatement; ilthe
ilintent ilis ilto lc
i onverse ilwith ilthe ilpatient, ilnot ilwith ila ilthird ilparty ilabout ilthe ilpatient. ilMany
ilreasons ilmay ilprevent ilthe ilpatient ilfrom ilspeaking ildirectly ilto ila ilnurse. ilTechnical ilterms
iland ilmetaphors ilmay ilbe ildifficult ilor ilimpossible ilto iltranslate. ilCultural ilrestrictions ilmay
ilprevent ilsome iltopics ilfrom ilbeing ilspoken iloflito ila ilgrandparent ilor ilchild.
PTS: il il i l 1 DIF: il il i l Understand il il il i l REF: il il ilp. il18-19
TOP: i l Nursing ilProcess: ilImplementation il il il i l MSC: i l Safe, ilEffective ilCare ilEnvironment
3. An ilolder iladult ilwho ilis ila iltraditional ilChinese ilman ilhas ila ilblood ilpressure ilof il80/54 ilmm
ilHg iland ilrefuses ilto ilremain ilin ilthe ilbed. ilWhich ilintervention ilshould ilthe ilnurse iluse ilto
ilpromote iland ilmaintainlh
i is ilhealth?
a. Have ilthe ilhealth ilcare ilprovider ilspeak ilto ilhim.
b. Use ilprinciples ilof ilthe ilholistic ilhealth ilsystem.
c. Ask ilabout ilhis ilperceptions iland iltreatment ilideas.
NURSINGTB.COM
, Ebersole iland ilHess' ilGerontological ilNursing iland ilHealthy ilAging il5th ilEdition ilTouhy
ilTest ilBank
d. Consult ilwith ila ilpractitioner ilof ilChinese ilmedicine.
ANS: i l C
Using ilthe ilLEARN ilmodel il(listen ilwith ilsympathy ilto ilthe ilpatient‘s ilperception ilof ilthe
ilproblem, ilexplain ilyour ilperception ilof ilthe ilproblem, ilacknowledge ilthe ildifferences iland
ilsimilarities, ilrecommend iltreatment, iland ilnegotiate ilagreement), ilthe ilnurse ilgathers
ilinformation ilfrom ilthe ilpatient ilabout ilcultural ilbeliefs ilconcerning ilhealth ilcare iland ilavoids
ilstereotyping ilthe ilpatient. ilIn iltheliassessment, ilthe ilnurse ildetermines ilwhat ilthe ilpatient
ilbelieves ilabout ilcaregiving, ildecision ilmaking,litreatment, iland ilother ilpertinent ilhealth-
related ilinformation. ilSpeaking ilwith ilthe ilhealth ilcare ilprovider ilis ilpremature iluntil ilthe
ilassessment ilis ilcomplete. ilUnless ilhe ilaccepts ilthe ilbeliefs, ilprinciples ilof ilthe ilholistic
ilhealth ilsystem ilcan ilbe ilpotentially ilunsuitable iland ilinsulting ilfor ilthis ilpatient. ilUnless ilhe
ilaccepts ilthe iltreatments, ilconsulting ilwith ila ilpractitioner ilof ilChinese ilmedicine ilcan ilalso
ilbe ilunsuitable iland ilinsulting ilfor ilthis ilpatient.
PTS: il il i l 1 DIF: Apply REF: i l p. il18
TOP: i l Nursing ilProcess: ilImplementation MSC: i l Health ilPromotion iland ilMaintenance
4. Which ilaction ilshould ilthe ilnurse iltake ilwhen iladdressing ilolder iladults?
a. Speak ilin ilan ilexaggerated ilpitch.
b. Use ila illower ilquality ilof ilspeech.
c. Use ilendearing ilterms ilsuch ilas il―honey.‖
d. Speak ilclearly.
ANS: i l D
Some ilhealth ilprofessionals ildemonstrate ilageism, ilin ilpart ilbecause ilproviders iltend ilto
ilsee ilmanylifrail, ilolder ilpersons iland ilfewer ilof ilthose ilwho ilare ilhealthy iland ilactive.
ilProviders ilshould ilnot ilassume ilthat ilall ilolder iladults ilare ilhearing ilor ilmentally
ilimpaired. ilThe ilmost ilappropriate ilaction
when iladdressing ilan ilolder iladuNltUwRoS ulI
dNbeGtT
oB sp.eC
akOcMlearly. ilExamples ilof ilunintentional
ilageism ilin illanguage ilare ilan ilexaggerated ilpitch, ila ildemeaning ilemotional iltone, iland ila
illower ilquality ilof
speech.
PTS: il il i l 1 DIF: Apply REF: i l p. il15
TOP: i l Nursing ilProcess: ilAssessment MSC: i l Health ilPromotion iland ilMaintenance
5. The ilnurse ilprepares ilan ilolder ilwoman, ilwho ilis ilPolish, ilfor ildischarge ilthrough ilan
ilinterpreter ilandln
i otes ilthat ilshe ilbecomes iltense ilduring ilthe ilinstructions ilabout
ilelimination. ilWhich ilintervention ilshould ilthe ilnurse ilimplement?
a. Move ilon ilto ilthe ildiscussion ilabout ilmedication.
b. Ask ilthe ilolder ilwoman ilhow ilshe ilfeels ilabout ilthis iltopic.
c. Instruct ilthe ilinterpreter ilto ilrepeat ilthe ilinstructions.
d. Have ilthe ilolder ilwoman ilrepeat ilthe ilinstructions ilfor ilclarity.
ANS: i l B
When ilworking ilwith ilan ilinterpreter, ilthe ilnurse ilclosely ilwatches ilthe ilolder iladult ilfor
ilnonverbal ilcommunication iland ilemotion ilregarding ila ilspecific iltopic iland iltherefore
ilvalidates ilthe ilassessment ilabout ilthe ilolder iladult‘s iltension ilbefore ilproceeding. ilBecause
ilthe ilnurse ilnotices ilher iltension, ilthe ilnurse iltemporarily ilsuspends ilthe ilpreparation ilto
ilvalidate ilher ilassessment. ilIf ilthe ilnurse ilproceeds iland ilthe ilolder iladult ilis iluncomfortable
ildiscussing ilelimination, ilthen ilimportant ilinstructions ilcan ilbelimissed, illeading ilto iladverse
ileffects ilfor ilthe ilolder iladult. ilRepeating ilthe ilinstructions ilcan ilaggravatelithe ilolder iladult‘s
ildiscomfort. ilInstructing ilthe ilolder iladult ilto ilrepeat ilthe ilnurse‘s ilinstruction ilignores ilher
ilneeds.
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