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