EbersolekandkHess'kGerontologicalkNursingkandkHealthykAgingkinkCanada
VeroniquekBoscart
3RDkEdition
TEST BANK k
,Chapterk01:kIntroductionktokHealthykAging
Touhyk&kJett:kEbersolekandkHess’kGerontologicalkNursingk&kHealthykAging,k3rdkEd
ition
MULTIPLEkCHOICE
1. Akmankiskterminallykillkwithkend-
stagekprostatekcancer.kWhichkiskthekbestkstatementkaboutkthiskman’skwellness?
a. Wellnesskcankonlykbekachievedkwithkaggressivekmedicalkinterventions.
b. Wellnesskisknotkakrealkoptionkforkthiskclientkbecausekhekiskterminallykill.
c. Wellnesskiskdefinedkaskthekabsencekofkdisease.
d. Nursingkinterventionskcankhelpkempowerkakclientktokachievekakhigherklevelk
ofkwellness.
ANS:k D
Nursingkinterventionskcankhelpkempowerkakclientktokachievekakhigherklevelkofkwellness;kaknu
rsekcankfosterkwellnesskinkhiskorkherkclients.kWellnesskiskdefinedkbykthekindividualkandkiskm
ultidimensional.kItkisknotkjustkthekabsencekofkdisease.kAkwellnesskperspectivekiskbasedkonkth
ekbeliefkthatkeverykpersonkhaskankoptimalklevelkofkhealthkindependentkofkhiskorkherksituation
korkfunctionalklevel.kEvenkinkthekpresencekofkchronickillnesskorkwhilekdying,kakmovementkto
wardkwellnesskiskpossiblekifkemphasiskofkcarekiskplacedkonkthekpromotionkofkwell-
beingkinkaksupportivekenvironment.
PTS:k 1 DIF: Apply REF:k p.k7
TOP:k NursingkProcess:kDiagnosiskMSC:k HealthkPromotionkandkMaintenanc
e
2. Inkdifferentiatingkbetweenkhealthkandkwellnesskinkhealthkcare,kwhichkofkthekfollowi
ngkstatementskisktrue?
a. Healthkiskakbroadktermkencompassingkattitudeskandkbehaviors.
b. Thekconceptkofkillnesskpreventionkwaskneverkconsideredkbykpreviouskgenerations.
c. Wellnesskandkself-actualizationkdevelopkthroughklearningkandkgrowth.
d. Wellnesskiskimpossiblekwhenkone’skhealthkiskcompromised.
ANS:k A
Healthkiskakbroadktermkthatkencompasseskattitudeskandkbehaviors;kholistically,khealthkinclud
eskwellness,kwhichkinvolveskone’skwholekbeing.kThekconceptkofkillnesskpreventionkwaskneve
rkconsideredkbykpreviouskgenerations;kthroughoutkhistory,kbasickself-
carekrequirementskhavekbeenkrecognized.kWellnesskandkself-
actualizationkdevelopkthroughklearningkandkgrowth—
askbasickneedskarekmet,khigherklevelkneedskcankbeksatisfiedkinkturn,kwithkever-
deepeningkrichnessktoklife.kWellnesskiskpossiblekwhenkone’skhealthkiskcompromised—
evenkwithkchronickillness,kwithkmultiplekdisabilities,korkinkdying,kmovementktowardkakhigher
klevelkofkwellnesskiskpossible.
PTS:k 1 DIF: Understand REF:k p.k7
TOP:k NursingkProcess:kEvaluationkMSC:k HealthkPromotionkandkMaintenanc
e
3. WhichkracialkorkethnickgroupkhaskthekhighestklifekexpectancykinkthekUnitedkStates?
a. NativekAmericans
b. AfricankAmericans
c. HispanickAmericans
d. AsiankandkPacifickIslandkAmericans
, Chapterk02:kCross-CulturalkCaringkandkAging
Touhyk&kJett:kEbersolekandkHess’kGerontologicalkNursingk&kHealthykAging,k3rdkEd
ition
MULTIPLEkCHOICE
1. Whichkofkthekfollowingkiskaktruekstatementkaboutkdifferingkhealthkbeliefksystems?
a. PersonalistickorkmagicoreligiouskbeliefskhavekbeenksupersededkinkWesternkmindsk
bykbiomedicalkprinciples.
b. Inkmostkcultures,kolderkadultskareklikelyktoktreatkthemselveskusingktradition
alkmethodskbeforekturningktokbiomedicalkprofessionals.
c. AyurvedickmedicinekiskanotherknamekforktraditionalkChinesekmedicine.
d. Thekbeliefkthatkhealthkdependskonkmaintainingkakbalancekamongkoppositekqualiti
eskiskcharacteristickofkakmagicoreligiouskbeliefksystem.
ANS:k B
Olderkadultskinkmostkcultureskusuallykhavekhadkexperiencekwithktraditionalkmethodskthatkha
vekworkedkaskwellkaskexpected.kAfterkthesektreatmentskfail,kolderkadultskturnktokthekformalk
healthkcareksystem.kEvenkinkthekUnitedkStates,kitkiskcommonkforkolderkadultsktokpraykforkc
ureskorkwonderkwhatktheykdidktokincurkankillnesskaskpunishment.kThekAyurvedicksystemkis
kaknaturalistickhealthkbeliefksystemkpracticedkinkIndiakandkinksomekneighboringkcountries.k
Thiskbeliefkiskcharacteristickofkakholistickorknaturalistickapproach.
PTS:k k 1 DIF: Understand REF:k p.k16-17
TOP:k NursingkProcess:kAssessment MSC:k HealthkPromotionkandkMaintenance
N R I G B.C M
2. WhichkofkthekfollowingkconsidU
eratiS
onsNis m
Tost likO
elyktokbektruekwhenkworkingkwithk
ankinterpreter?
a. Ankinterpreterkiskneverkneededkifktheknursekspeaksktheksameklanguagekaskthekpatient.
b. Whenkworkingkwithkinterpreters,ktheknursekcankusektechnicalktermskorkmetaphors.
c. Akpatient’skyoungkgranddaughterkwhokspeakskfluentkEnglishkwouldkmakekthekb
estkinterpreterkbecausekshekiskfamiliarkwithkandkloveskthekpatient.
d. Theknursekshouldkfacekthekpatientkratherkthankthekinterpreter.
ANS:k D
Theknursekshouldkfacekthekpatientkratherkthankthekinterpreterkiskaktruekstatement;kthekintentki
sktokconversekwithkthekpatient,knotkwithkakthirdkpartykaboutkthekpatient.kManykreasonskmayk
preventkthekpatientkfromkspeakingkdirectlyktokaknurse.kTechnicalktermskandkmetaphorskmayk
bekdifficultkorkimpossiblektoktranslate.kCulturalkrestrictionskmaykpreventksomektopicskfromkb
eingkspokenkofktokakgrandparentkorkchild.
PTS:k k 1 DIF:k k Understandk k REF:k k p.k18-19
TOP:k NursingkProcess:kImplementationk k MSC:k Safe,kEffectivekCarekEnvironment
3. AnkolderkadultkwhokiskaktraditionalkChinesekmankhaskakbloodkpressurekofk80/54kmmkHgkand
krefusesktokremainkinkthekbed.kWhichkinterventionkshouldktheknursekusektokpromotekandkmain
tainkhiskhealth?
a. Havekthekhealthkcarekproviderkspeakktokhim.
b. Usekprincipleskofkthekholistickhealthksystem.
c. Askkaboutkhiskperceptionskandktreatmentkideas.
, d. ConsultkwithkakpractitionerkofkChinesekmedicine.
ANS:k C
UsingkthekLEARNkmodelk(listenkwithksympathyktokthekpatient’skperceptionkofkthekproblem,k
explainkyourkperceptionkofkthekproblem,kacknowledgekthekdifferenceskandksimilarities,kreco
mmendktreatment,kandknegotiatekagreement),ktheknursekgatherskinformationkfromkthekpatient
kaboutkculturalkbeliefskconcerningkhealthkcarekandkavoidskstereotypingkthekpatient.kInkthekass
essment,ktheknursekdetermineskwhatkthekpatientkbelieveskaboutkcaregiving,kdecisionkmaking,k
treatment,kandkotherkpertinentkhealth-
relatedkinformation.kSpeakingkwithkthekhealthkcarekproviderkiskprematurekuntilkthekassessme
ntkiskcomplete.kUnlesskhekacceptskthekbeliefs,kprincipleskofkthekholistickhealthksystemkcankbe
kpotentiallykunsuitablekandkinsultingkforkthiskpatient.kUnlesskhekacceptskthektreatments,kcons
ultingkwithkakpractitionerkofkChinesekmedicinekcankalsokbekunsuitablekandkinsultingkforkthisk
patient.
PTS:k k 1 DIF: Apply REF:k p.k18
TOP:k NursingkProcess:kImplementation MSC:k HealthkPromotionkandkMaintenance
4. Whichkactionkshouldktheknursektakekwhenkaddressingkolderkadults?
a. Speakkinkankexaggeratedkpitch.
b. Usekaklowerkqualitykofkspeech.
c. Usekendearingktermsksuchkask“honey.”
d. Speakkclearly.
ANS:k D
Somekhealthkprofessionalskdemonstratekageism,kinkpartkbecausekprovidersktendktokseekmanyk
frail,kolderkpersonskandkfewerkofkthosekwhokarekhealthykandkactive.kProviderskshouldknot
assumekthatkallkolderkadultskarekhearingkorkmentallykimpaired.kThekmostkappropriatekactio
nkwhenkaddressingkankolderkaduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.kExampleskofkunintentionalkage
ismkinklanguagekarekankexaggeratedkpitch,kakdemeaningkemotionalktone,kandkaklowerkqualit
ykof
speech.
PTS:k k 1 DIF: Apply REF:k p.k15
TOP:k NursingkProcess:kAssessment MSC:k HealthkPromotionkandkMaintenance
5. Theknursekprepareskankolderkwoman,kwhokiskPolish,kforkdischargekthroughkankinterpreterka
ndknoteskthatkshekbecomesktensekduringkthekinstructionskaboutkelimination.kWhichkinterve
ntionkshouldktheknursekimplement?
a. Movekonktokthekdiscussionkaboutkmedication.
b. Askkthekolderkwomankhowkshekfeelskaboutkthisktopic.
c. Instructkthekinterpreterktokrepeatkthekinstructions.
d. Havekthekolderkwomankrepeatkthekinstructionskforkclarity.
ANS:k B
Whenkworkingkwithkankinterpreter,ktheknursekcloselykwatcheskthekolderkadultkforknonverbalk
communicationkandkemotionkregardingkakspecificktopickandkthereforekvalidateskthekassessme
ntkaboutkthekolderkadult’sktensionkbeforekproceeding.kBecausektheknurseknoticeskherktension,k
theknursektemporarilyksuspendskthekpreparationktokvalidatekherkassessment.kIfktheknursekproc
eedskandkthekolderkadultkiskuncomfortablekdiscussingkelimination,kthenkimportantkinstructions
kcankbekmissed,kleadingktokadversekeffectskforkthekolderkadult.kRepeatingkthekinstructionskcan
kaggravatekthekolderkadult’skdiscomfort.kInstructingkthekolderkadultktokrepeatktheknurse’skinst
ructionkignoreskherkneeds.