TEST BANK
EbersoleD and Hess' Ger
= = =
ontological Nursing and
= = =
= Healthy Aging in Canada
= = =
Veronique Boscart
=
3RD=Edition
TESTBANK
=
,Chapter=01:=Introduction=to=Healthy=Aging
Touhy=&=Jett:=Ebersole=and=Hess’=Gerontological=Nursing=&=Healthy=Aging,=3rd=Editio
n
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=multidime
nsional.=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=le
vel.=Even=in=the=presence=of=chronic=illness=or=while=dying,=a=movement=toward=wellness=is=po
ssible=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=
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.
c. Wellness=and=self-actualization=develop=through=learning=and=growth.
d. Wellness=is=impossible=when=one’s=health=is=compromised.
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=cons
idered=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=lev
el=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, 3rd Editio
= = = = = = = = = = = =
n
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=wo
nder=what=they=did=to=incur=an=illness=as=punishment.=The=Ayurvedic=system=is=a=naturalistic=
health=belief=system=practiced=in=India=and=in=some=neighboring=countries.=This=belief=is=char
acteristic=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=considU
eratiS
N R I G B.C M
onsNis m
Tost likO
ely=to=be=true=when=working=with=an=
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.
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.
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=t
he=patient=from=speaking=directly=to=a=nurse.=Technical=terms=and=metaphors=may=be=difficult=o
r=impossible=to=translate.=Cultural=restrictions=may=prevent=some=topics=from=being=spoken=of=t
o=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=refu
ses=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,=exp
lain=your=perception=of=the=problem,=acknowledge=the=differences=and=similarities,=recommen
d=treatment,=and=negotiate=agreement),=the=nurse=gathers=information=from=the=patient=about=cu
ltural=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=o
ther=pertinent=health-
related=information.=Speaking=with=the=health=care=provider=is=premature=until=the=assessment=i
s=complete.=Unless=he=accepts=the=beliefs,=principles=of=the=holistic=health=system=can=be=potent
ially=unsuitable=and=insulting=for=this=patient.=Unless=he=accepts=the=treatments,=consulting=wit
h=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.
ANS:= D
Some=health=professionals=demonstrate=ageism,=in=part=because=providers=tend=to=see=many=frai
l,=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=w
hen=addressing=an=older=aduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.=Examples=of=unintentional=ageism=in
=language=are=an=exaggerated=pitch,=a=demeaning=emotional=tone,=and=a=lower=quality=of
speech.
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=
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=com
munication=and=emotion=regarding=a=specific=topic=and=therefore=validates=the=assessment=abou
t=the=older=adult’s=tension=before=proceeding.=Because=the=nurse=notices=her=tension,=the=nurse=t
emporarily=suspends=the=preparation=to=validate=her=assessment.=If=the=nurse=proceeds=and=the=o
lder=adult=is=uncomfortable=discussing=elimination,=then=important=instructions=can=be=missed,=l
eading=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=nee
ds.
EbersoleD and Hess' Ger
= = =
ontological Nursing and
= = =
= Healthy Aging in Canada
= = =
Veronique Boscart
=
3RD=Edition
TESTBANK
=
,Chapter=01:=Introduction=to=Healthy=Aging
Touhy=&=Jett:=Ebersole=and=Hess’=Gerontological=Nursing=&=Healthy=Aging,=3rd=Editio
n
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=multidime
nsional.=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=le
vel.=Even=in=the=presence=of=chronic=illness=or=while=dying,=a=movement=toward=wellness=is=po
ssible=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=
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.
c. Wellness=and=self-actualization=develop=through=learning=and=growth.
d. Wellness=is=impossible=when=one’s=health=is=compromised.
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=cons
idered=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=lev
el=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, 3rd Editio
= = = = = = = = = = = =
n
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=wo
nder=what=they=did=to=incur=an=illness=as=punishment.=The=Ayurvedic=system=is=a=naturalistic=
health=belief=system=practiced=in=India=and=in=some=neighboring=countries.=This=belief=is=char
acteristic=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=considU
eratiS
N R I G B.C M
onsNis m
Tost likO
ely=to=be=true=when=working=with=an=
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.
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.
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=t
he=patient=from=speaking=directly=to=a=nurse.=Technical=terms=and=metaphors=may=be=difficult=o
r=impossible=to=translate.=Cultural=restrictions=may=prevent=some=topics=from=being=spoken=of=t
o=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=refu
ses=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,=exp
lain=your=perception=of=the=problem,=acknowledge=the=differences=and=similarities,=recommen
d=treatment,=and=negotiate=agreement),=the=nurse=gathers=information=from=the=patient=about=cu
ltural=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=o
ther=pertinent=health-
related=information.=Speaking=with=the=health=care=provider=is=premature=until=the=assessment=i
s=complete.=Unless=he=accepts=the=beliefs,=principles=of=the=holistic=health=system=can=be=potent
ially=unsuitable=and=insulting=for=this=patient.=Unless=he=accepts=the=treatments,=consulting=wit
h=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.
ANS:= D
Some=health=professionals=demonstrate=ageism,=in=part=because=providers=tend=to=see=many=frai
l,=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=w
hen=addressing=an=older=aduNltUwRoS
ulI
dNbeGtT
oBsp.eC
akOcM
learly.=Examples=of=unintentional=ageism=in
=language=are=an=exaggerated=pitch,=a=demeaning=emotional=tone,=and=a=lower=quality=of
speech.
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=
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=com
munication=and=emotion=regarding=a=specific=topic=and=therefore=validates=the=assessment=abou
t=the=older=adult’s=tension=before=proceeding.=Because=the=nurse=notices=her=tension,=the=nurse=t
emporarily=suspends=the=preparation=to=validate=her=assessment.=If=the=nurse=proceeds=and=the=o
lder=adult=is=uncomfortable=discussing=elimination,=then=important=instructions=can=be=missed,=l
eading=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=nee
ds.
