TEST BANK FOR
EBERSOLE AND HESS'
GERONTOLOGICAL
NURSING & HEALTHY
AGING 5TH EDITION BY
THERIS A. TOUHY, AND
KATHLEEN F JET
CHAPTER 1-28.
Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
Healthy Aging, 5th Edition
MULTIPLE CHOICE
• A man is terminally ill with end-stage prostate cancer. Which is
the best statement about this man’s wellness?
• Wellness can only be achieved with aggressive medical interventions.
• Wellness is not a real option for this client because he is terminally ill.
• Wellness is defined as the absence of disease.
• 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 patients.
Wellness is defined by the individual and is multidimensional. 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 level. Even in the
presence of chronic illness or while dying, a movement toward
wellness is possible 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
• N
alt hRaS
In differentiating between he U ndIwNeG
llnTeB
ss.inChOeM
alth
care, which of the following statements is true?
• Health is a broad term encompassing attitudes and behaviors.
• The concept of illness prevention was never considered by previous
generations.
• Wellness and self-actualization develop through learning and growth.
• 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 considered 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 level of
wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP:
Nursing Process: Evaluation MSC: Health Promotion and Maintenance
• Which racial or ethnic group has the highest life expectancy in the United
States?
• Native Americans
• African Americans
• Hispanic Americans
• Asian and Pacific Island Americans
Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
Healthy Aging, 5th Edition
,MULTIPLE CHOICE
• Which of the following is a true statement about differing health belief
systems?
• Personalistic or magicoreligious beliefs have been
superseded in Western minds by biomedical principles.
• In most cultures, older adults are likely to treat
themselves using traditional methods before
turning to biomedical professionals.
• Ayurvedic medicine is another name for traditional Chinese medicine.
• 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 wonder 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 characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and
Maintenance
• Nde R
ationIsNisGm
Which of the following consi Ur S ToBst.liCkO
elM
y to be
true when working with an interpreter?
• An interpreter is never needed if the nurse speaks the same language as
the patient.
• When working with interpreters, the nurse can use technical terms or
metaphors.
• A patient’s young granddaughter who speaks fluent
English would make the best interpreter because she is
familiar with and loves the patient.
• 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 the patient
from speaking directly to a nurse. Technical terms and metaphors
may be difficult or impossible to translate. Cultural restrictions
, may prevent some topics from being spoken of to a grandparent or
child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care
Environment
• An older adult who is a traditional Chinese man has a blood
pressure of 80/54 mm Hg and refuses to remain in the bed. Which
intervention should the nurse use to promote and maintain his
health?
• Have the health care provider speak to him.
• Use principles of the holistic health system.
• Ask about his perceptions and treatment ideas.
• Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s
perception of the problem, explain your perception of the problem,
acknowledge the differences and similarities, recommend
treatment, and negotiate agreement), the nurse gathers information
from the patient about cultural 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 other pertinent health-related information.
Speaking with the health care provider is premature until the
assessment is complete. Unless he accepts the beliefs, principles of
the holistic health system can be potentially unsuitable and
insulting for this patient. Unless he accepts the treatments,
consulting with 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
• Which action should the nurse take when addressing older adults?
• Speak in an exaggerated pitch.
• Use a lower quality of speech.
• Use endearing terms such as “honey.”
• Speak clearly.
ANS: D
Some health professionals demonstrate ageism, in part because
providers tend to see many frail, older persons and fewer of those
EBERSOLE AND HESS'
GERONTOLOGICAL
NURSING & HEALTHY
AGING 5TH EDITION BY
THERIS A. TOUHY, AND
KATHLEEN F JET
CHAPTER 1-28.
Chapter 01: Introduction to Healthy Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
Healthy Aging, 5th Edition
MULTIPLE CHOICE
• A man is terminally ill with end-stage prostate cancer. Which is
the best statement about this man’s wellness?
• Wellness can only be achieved with aggressive medical interventions.
• Wellness is not a real option for this client because he is terminally ill.
• Wellness is defined as the absence of disease.
• 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 patients.
Wellness is defined by the individual and is multidimensional. 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 level. Even in the
presence of chronic illness or while dying, a movement toward
wellness is possible 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
• N
alt hRaS
In differentiating between he U ndIwNeG
llnTeB
ss.inChOeM
alth
care, which of the following statements is true?
• Health is a broad term encompassing attitudes and behaviors.
• The concept of illness prevention was never considered by previous
generations.
• Wellness and self-actualization develop through learning and growth.
• 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 considered 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 level of
wellness is possible.
PTS: 1 DIF: Understand REF: p. 7 TOP:
Nursing Process: Evaluation MSC: Health Promotion and Maintenance
• Which racial or ethnic group has the highest life expectancy in the United
States?
• Native Americans
• African Americans
• Hispanic Americans
• Asian and Pacific Island Americans
Chapter 02: Cross-Cultural Caring and Aging
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
Healthy Aging, 5th Edition
,MULTIPLE CHOICE
• Which of the following is a true statement about differing health belief
systems?
• Personalistic or magicoreligious beliefs have been
superseded in Western minds by biomedical principles.
• In most cultures, older adults are likely to treat
themselves using traditional methods before
turning to biomedical professionals.
• Ayurvedic medicine is another name for traditional Chinese medicine.
• 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 wonder 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 characteristic of a holistic or naturalistic approach.
PTS: 1 DIF: Understand REF: p. 16-17
TOP: Nursing Process: Assessment MSC: Health Promotion and
Maintenance
• Nde R
ationIsNisGm
Which of the following consi Ur S ToBst.liCkO
elM
y to be
true when working with an interpreter?
• An interpreter is never needed if the nurse speaks the same language as
the patient.
• When working with interpreters, the nurse can use technical terms or
metaphors.
• A patient’s young granddaughter who speaks fluent
English would make the best interpreter because she is
familiar with and loves the patient.
• 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 the patient
from speaking directly to a nurse. Technical terms and metaphors
may be difficult or impossible to translate. Cultural restrictions
, may prevent some topics from being spoken of to a grandparent or
child.
PTS: 1 DIF: Understand REF: p. 18-19
TOP: Nursing Process: Implementation MSC: Safe, Effective Care
Environment
• An older adult who is a traditional Chinese man has a blood
pressure of 80/54 mm Hg and refuses to remain in the bed. Which
intervention should the nurse use to promote and maintain his
health?
• Have the health care provider speak to him.
• Use principles of the holistic health system.
• Ask about his perceptions and treatment ideas.
• Consult with a practitioner of Chinese medicine.
ANS: C
Using the LEARN model (listen with sympathy to the patient’s
perception of the problem, explain your perception of the problem,
acknowledge the differences and similarities, recommend
treatment, and negotiate agreement), the nurse gathers information
from the patient about cultural 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 other pertinent health-related information.
Speaking with the health care provider is premature until the
assessment is complete. Unless he accepts the beliefs, principles of
the holistic health system can be potentially unsuitable and
insulting for this patient. Unless he accepts the treatments,
consulting with 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
• Which action should the nurse take when addressing older adults?
• Speak in an exaggerated pitch.
• Use a lower quality of speech.
• Use endearing terms such as “honey.”
• Speak clearly.
ANS: D
Some health professionals demonstrate ageism, in part because
providers tend to see many frail, older persons and fewer of those
