ss
s
s
s
TOUHY & JETT: EBERSOLE AND HESS’
s s s s s s
GERONTOLOGICAL NURSING & HEALT s s s
s
HY AGING, 5TH EDITION. s s s s
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontologi
s s s s s s s s s s s s
cal Nursing & Healthy Aging, 5th Edition
s s s s s s s
s
s s
MULTIPLEsCHOICEs
s
1. Asmansissterminallysillswithsend-
stagesprostatescancer.sWhichsissthesbestsstatementsaboutsthissman’sswellness?s
a. Wellnessscansonlysbesachievedswithsaggressivesmedicalsinterventions.s
b. Wellnesssissnotsasrealsoptionsforsthissclientsbecauseshesissterminallysill.s
c. Wellnesssissdefinedsassthesabsencesofsdisease.s
d. Nursingsinterventionsscanshelpsempowersasclientstosachievesashigherslevelsofswellness.s
ANS:sDs
Nursingsinterventionsscanshelpsempowersasclientstosachievesashigherslevelsofswellness;sasnursesca
nsfosterswellnesssinshissorshersclients.sWellnesssissdefinedsbysthesindividualsandsissmultidimensio
nal.sItsissnotsjuststhesabsencesofsdisease.sAswellnesssperspectivesissbasedsonsthesbeliefsthatseverysp
ersonshassansoptimalslevelsofshealthsindependentsofshissorsherssituationsorsfunctionalslevel.sEvensi
nsthespresencesofschronicsillnesssorswhilesdying,sasmovementstowardswellnesssisspossiblesifsemph
asissofscaresissplacedsonsthespromotionsofswell-beingsinsassupportivesenvironment.s
s
PTS:sss1s DIF:sApplys REF:sssp.s7s TOP:sNursingsProcess:sDiagnosiss
MSC:sHealthsPromotionsandsMaintenances
N R I
2. Insdifferentiatingsbetweenshe alUth aSnd wNe llTne ss i nsOhe althscare,swhichsofst
G B .C M
hesfollowingsstatementssisstrue?s
a. Healthsissasbroadstermsencompassingsattitudessandsbehaviors.s
b. Thesconceptsofsillnessspreventionswassneversconsideredsbysprevioussgenerations.s
c. Wellnesssandsself-actualizationsdevelopsthroughslearningsandsgrowth.s
d. Wellnesssissimpossibleswhensone’sshealthsisscompromised.s
ANS:sAs
Healthsissasbroadstermsthatsencompassessattitudessandsbehaviors;sholistically,shealthsincludesswel
lness,swhichsinvolvessone’sswholesbeing.sThesconceptsofsillnessspreventionswassneversconsidere
dsbysprevioussgenerations;sthroughoutshistory,sbasicsself-
caresrequirementsshavesbeensrecognized.sWellnesssandsself-
actualizationsdevelopsthroughslearningsandsgrowth—
assbasicsneedssaresmet,shigherslevelsneedsscansbessatisfiedsinsturn,swithsever-
deepeningsrichnessstoslife.sWellnesssisspossibleswhensone’sshealthsisscompromised—
s
NURSINGTB.COM s
, evenswithschronicsillness,swithsmultiplesdisabilities,sorsinsdying,smovementstowardsashigherslevel
sofswellnesssisspossible.s
s
PTS:sss1s DIF:sUnderstands REF:sssp.s7s TOP:sNursingsProcess:sEvaluations
MSC:sHealthsPromotionsandsMaintenances
s
TOUHYs&sJETT:sEBERSOLEsANDsHESS’sGERONTOLOGICALsNURSINGs&sHEALTHYsAGING,s5THsEDITION.s
ss
3.sWhichsracialsorsethnicsgroupshasstheshighestslifesexpectancysinsthesUnitedsStates?s
a. NativesAmericanss
b. AfricansAmericanss
c. HispanicsAmericanss
d. AsiansandsPacificsIslandsAmericanss
s
NURSINGTB.COM s
, EbersolesandsHess'sGerontologicalsNursingsandsHealthysAgings5thsEditionsTouhysTestsBanks
Chapter 02: Cross-
s s
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & H
s s s s s s s s s s s s s
ealthy Aging, 5th Edition
s s s s s
s
MULTIPLEsCHOICEs
s
1. Whichsofsthesfollowingsissastruesstatementsaboutsdifferingshealthsbeliefssystems?s
a. PersonalisticsorsmagicoreligioussbeliefsshavesbeenssupersededsinsWesternsmindssbys
biomedicalsprinciples.s
b. Insmostscultures,soldersadultssareslikelystostreatsthemselvessusingstraditionalsmethods
sbeforesturningstosbiomedicalsprofessionals.s
c. AyurvedicsmedicinesissanothersnamesforstraditionalsChinesesmedicine.s
d. Thesbeliefsthatshealthsdependssonsmaintainingsasbalancesamongsoppositesqualitiessiss
characteristicsofsasmagicoreligioussbeliefssystem.s
ANS:sBs
Oldersadultssinsmostsculturessusuallyshaveshadsexperienceswithstraditionalsmethodssthatshaveswor
kedsasswellsassexpected.sAftersthesestreatmentssfail,soldersadultssturnstosthesformalshealthscaressys
tem.sEvensinsthesUnitedsStates,sitsisscommonsforsoldersadultsstospraysforscuressorswonderswhatsthe
ysdidstosincursansillnesssasspunishment.sThesAyurvedicssystemsissasnaturalisticshealthsbeliefssyste
mspracticedsinsIndiasandsinssomesneighboringscountries.sThissbeliefsisscharacteristicsofsasholistics
orsnaturalisticsapproach.s
s
PTS:sss1sDIF:sUnderstandsREF:sp.s16-
17sTOP:sNursingsProcess:sAssessmentsMSC:sHealthsPromotionsandsMaintenances
N R I G
2. Whichsofsthesfollowingsconsi dUer atSio nsNis mTo s tsl ikOel ystosbestrueswhensw
B. C M
orkingswithsansinterpreter?s
a. Ansinterpretersissneversneededsifsthesnursesspeakssthessameslanguagesassthespatient.s
b. Whensworkingswithsinterpreters,sthesnursescansusestechnicalstermssorsmetaphors.s
c. Aspatient’ssyoungsgranddaughterswhosspeakssfluentsEnglishswouldsmakesthesbestsint
erpretersbecausesshesissfamiliarswithsandslovessthespatient.s
d. Thesnursesshouldsfacesthespatientsrathersthansthesinterpreter.s
ANS:sDs
Thesnursesshouldsfacesthespatientsrathersthansthesinterpretersissastruesstatement;sthesintentsisstoscon
verseswithsthespatient,snotswithsasthirdspartysaboutsthespatient.sManysreasonssmayspreventsthespati
entsfromsspeakingsdirectlystosasnurse.sTechnicalstermssandsmetaphorssmaysbesdifficultsorsimpossi
blestostranslate.sCulturalsrestrictionssmayspreventssomestopicssfromsbeingsspokensofstosasgrandpa
rentsorschild.s
s
PTS:sss1s DIF:sssUnderstandssssREF:sssp.s18-19s
TOP:sNursingsProcess:sImplementationssssMSC:sSafe,sEffectivesCaresEnvironments
s
3. AnsoldersadultswhosissastraditionalsChinesesmanshassasbloodspressuresofs80/54smmsHgsandsrefuses
tosremainsinsthesbed.sWhichsinterventionsshouldsthesnursesusestospromotesandsmaintainshisshealth
s
?s
a. Havestheshealthscaresprovidersspeakstoshim.s
b. Usesprinciplessofsthesholisticshealthssystem.s
c. Asksaboutshissperceptionssandstreatmentsideas.s
s
NURSINGTB.COM s
, EbersolesandsHess'sGerontologicalsNursingsandsHealthysAgings5thsEditionsTouhysTestsBanks
d. ConsultswithsaspractitionersofsChinesesmedicine.s
ANS:sCs
UsingsthesLEARNsmodels(listenswithssympathystosthespatient’ssperceptionsofsthesproblem,sexplai
nsyoursperceptionsofsthesproblem,sacknowledgesthesdifferencessandssimilarities,srecommendstrea
tment,sandsnegotiatesagreement),sthesnursesgatherssinformationsfromsthespatientsaboutsculturalsbe
liefssconcerningshealthscaresandsavoidssstereotypingsthespatient.sInsthesassessment,sthesnursesdete
rminesswhatsthespatientsbelievessaboutscaregiving,sdecisionsmaking,streatment,sandsotherspertine
ntshealth-
relatedsinformation.sSpeakingswithstheshealthscaresprovidersissprematuresuntilsthesassessmentsissc
omplete.sUnlessshesacceptssthesbeliefs,sprinciplessofsthesholisticshealthssystemscansbespotentiallys
unsuitablesandsinsultingsforsthisspatient.sUnlessshesacceptssthestreatments,sconsultingswithsaspract
itionersofsChinesesmedicinescansalsosbesunsuitablesandsinsultingsforsthisspatient.s
s
PTS:sss1s DIF:sApplys REF:sp.s18s
TOP:sNursingsProcess:sImplementations MSC:sHealthsPromotionsandsMaintenances
s
4. Whichsactionsshouldsthesnursestakeswhensaddressingsoldersadults?s
a. Speaksinsansexaggeratedspitch.s
b. Usesaslowersqualitysofsspeech.s
c. Usesendearingstermsssuchsass“honey.”s
d. Speaksclearly.s
ANS:sDs
Someshealthsprofessionalssdemonstratesageism,sinspartsbecausesprovidersstendstosseesmanysfrail,s
olderspersonssandsfewersofsthoseswhosareshealthysandsactive.sProviderssshouldsnotsassumesthatsalls
oldersadultssareshearingsorsmentallysimpaired.sThesmostsappropriatesactionswhensaddressingsansol
dersaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.sExamplessofsunintentionalsageismsin
languagesaresansexaggeratedspitch,sasdemeaningsemotionalstone,sandsaslowersqualitysofsspeech.s
s
s
PTS:sss1s DIF:sApplys REF:sp.s15s
TOP:sNursingsProcess:sAssessments MSC:sHealthsPromotionsandsMaintenances
s
5. Thesnursespreparessansolderswoman,swhosissPolish,sforsdischargesthroughsansinterpretersandsnotess
thatsshesbecomesstensesduringsthesinstructionssaboutselimination.sWhichsinterventionsshouldsthes
nursesimplement?s
a. Movesonstosthesdiscussionsaboutsmedication.s
b. Asksthesolderswomanshowsshesfeelssaboutsthisstopic.s
c. Instructsthesinterpreterstosrepeatsthesinstructions.s
d. Havesthesolderswomansrepeatsthesinstructionssforsclarity.s
ANS:sBs
Whensworkingswithsansinterpreter,sthesnursescloselyswatchessthesoldersadultsforsnonverbalscomm
unicationsandsemotionsregardingsasspecificstopicsandsthereforesvalidatessthesassessmentsaboutsthe
soldersadult’sstensionsbeforesproceeding.sBecausesthesnursesnoticessherstension,sthesnursestempor
arilyssuspendssthespreparationstosvalidateshersassessment.sIfsthesnursesproceedssandsthesoldersadul
tsissuncomfortablesdiscussingselimination,sthensimportantsinstructionsscansbesmissed,sleadingstosa
dverseseffectssforsthesoldersadult.sRepeatingsthesinstructionsscansaggravatesthesoldersadult’ssdisco
mfort.sInstructingsthesoldersadultstosrepeatsthesnurse’ssinstructionsignoresshersneeds.s
s
NURSINGTB.COM s
s
s
s
TOUHY & JETT: EBERSOLE AND HESS’
s s s s s s
GERONTOLOGICAL NURSING & HEALT s s s
s
HY AGING, 5TH EDITION. s s s s
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontologi
s s s s s s s s s s s s
cal Nursing & Healthy Aging, 5th Edition
s s s s s s s
s
s s
MULTIPLEsCHOICEs
s
1. Asmansissterminallysillswithsend-
stagesprostatescancer.sWhichsissthesbestsstatementsaboutsthissman’sswellness?s
a. Wellnessscansonlysbesachievedswithsaggressivesmedicalsinterventions.s
b. Wellnesssissnotsasrealsoptionsforsthissclientsbecauseshesissterminallysill.s
c. Wellnesssissdefinedsassthesabsencesofsdisease.s
d. Nursingsinterventionsscanshelpsempowersasclientstosachievesashigherslevelsofswellness.s
ANS:sDs
Nursingsinterventionsscanshelpsempowersasclientstosachievesashigherslevelsofswellness;sasnursesca
nsfosterswellnesssinshissorshersclients.sWellnesssissdefinedsbysthesindividualsandsissmultidimensio
nal.sItsissnotsjuststhesabsencesofsdisease.sAswellnesssperspectivesissbasedsonsthesbeliefsthatseverysp
ersonshassansoptimalslevelsofshealthsindependentsofshissorsherssituationsorsfunctionalslevel.sEvensi
nsthespresencesofschronicsillnesssorswhilesdying,sasmovementstowardswellnesssisspossiblesifsemph
asissofscaresissplacedsonsthespromotionsofswell-beingsinsassupportivesenvironment.s
s
PTS:sss1s DIF:sApplys REF:sssp.s7s TOP:sNursingsProcess:sDiagnosiss
MSC:sHealthsPromotionsandsMaintenances
N R I
2. Insdifferentiatingsbetweenshe alUth aSnd wNe llTne ss i nsOhe althscare,swhichsofst
G B .C M
hesfollowingsstatementssisstrue?s
a. Healthsissasbroadstermsencompassingsattitudessandsbehaviors.s
b. Thesconceptsofsillnessspreventionswassneversconsideredsbysprevioussgenerations.s
c. Wellnesssandsself-actualizationsdevelopsthroughslearningsandsgrowth.s
d. Wellnesssissimpossibleswhensone’sshealthsisscompromised.s
ANS:sAs
Healthsissasbroadstermsthatsencompassessattitudessandsbehaviors;sholistically,shealthsincludesswel
lness,swhichsinvolvessone’sswholesbeing.sThesconceptsofsillnessspreventionswassneversconsidere
dsbysprevioussgenerations;sthroughoutshistory,sbasicsself-
caresrequirementsshavesbeensrecognized.sWellnesssandsself-
actualizationsdevelopsthroughslearningsandsgrowth—
assbasicsneedssaresmet,shigherslevelsneedsscansbessatisfiedsinsturn,swithsever-
deepeningsrichnessstoslife.sWellnesssisspossibleswhensone’sshealthsisscompromised—
s
NURSINGTB.COM s
, evenswithschronicsillness,swithsmultiplesdisabilities,sorsinsdying,smovementstowardsashigherslevel
sofswellnesssisspossible.s
s
PTS:sss1s DIF:sUnderstands REF:sssp.s7s TOP:sNursingsProcess:sEvaluations
MSC:sHealthsPromotionsandsMaintenances
s
TOUHYs&sJETT:sEBERSOLEsANDsHESS’sGERONTOLOGICALsNURSINGs&sHEALTHYsAGING,s5THsEDITION.s
ss
3.sWhichsracialsorsethnicsgroupshasstheshighestslifesexpectancysinsthesUnitedsStates?s
a. NativesAmericanss
b. AfricansAmericanss
c. HispanicsAmericanss
d. AsiansandsPacificsIslandsAmericanss
s
NURSINGTB.COM s
, EbersolesandsHess'sGerontologicalsNursingsandsHealthysAgings5thsEditionsTouhysTestsBanks
Chapter 02: Cross-
s s
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & H
s s s s s s s s s s s s s
ealthy Aging, 5th Edition
s s s s s
s
MULTIPLEsCHOICEs
s
1. Whichsofsthesfollowingsissastruesstatementsaboutsdifferingshealthsbeliefssystems?s
a. PersonalisticsorsmagicoreligioussbeliefsshavesbeenssupersededsinsWesternsmindssbys
biomedicalsprinciples.s
b. Insmostscultures,soldersadultssareslikelystostreatsthemselvessusingstraditionalsmethods
sbeforesturningstosbiomedicalsprofessionals.s
c. AyurvedicsmedicinesissanothersnamesforstraditionalsChinesesmedicine.s
d. Thesbeliefsthatshealthsdependssonsmaintainingsasbalancesamongsoppositesqualitiessiss
characteristicsofsasmagicoreligioussbeliefssystem.s
ANS:sBs
Oldersadultssinsmostsculturessusuallyshaveshadsexperienceswithstraditionalsmethodssthatshaveswor
kedsasswellsassexpected.sAftersthesestreatmentssfail,soldersadultssturnstosthesformalshealthscaressys
tem.sEvensinsthesUnitedsStates,sitsisscommonsforsoldersadultsstospraysforscuressorswonderswhatsthe
ysdidstosincursansillnesssasspunishment.sThesAyurvedicssystemsissasnaturalisticshealthsbeliefssyste
mspracticedsinsIndiasandsinssomesneighboringscountries.sThissbeliefsisscharacteristicsofsasholistics
orsnaturalisticsapproach.s
s
PTS:sss1sDIF:sUnderstandsREF:sp.s16-
17sTOP:sNursingsProcess:sAssessmentsMSC:sHealthsPromotionsandsMaintenances
N R I G
2. Whichsofsthesfollowingsconsi dUer atSio nsNis mTo s tsl ikOel ystosbestrueswhensw
B. C M
orkingswithsansinterpreter?s
a. Ansinterpretersissneversneededsifsthesnursesspeakssthessameslanguagesassthespatient.s
b. Whensworkingswithsinterpreters,sthesnursescansusestechnicalstermssorsmetaphors.s
c. Aspatient’ssyoungsgranddaughterswhosspeakssfluentsEnglishswouldsmakesthesbestsint
erpretersbecausesshesissfamiliarswithsandslovessthespatient.s
d. Thesnursesshouldsfacesthespatientsrathersthansthesinterpreter.s
ANS:sDs
Thesnursesshouldsfacesthespatientsrathersthansthesinterpretersissastruesstatement;sthesintentsisstoscon
verseswithsthespatient,snotswithsasthirdspartysaboutsthespatient.sManysreasonssmayspreventsthespati
entsfromsspeakingsdirectlystosasnurse.sTechnicalstermssandsmetaphorssmaysbesdifficultsorsimpossi
blestostranslate.sCulturalsrestrictionssmayspreventssomestopicssfromsbeingsspokensofstosasgrandpa
rentsorschild.s
s
PTS:sss1s DIF:sssUnderstandssssREF:sssp.s18-19s
TOP:sNursingsProcess:sImplementationssssMSC:sSafe,sEffectivesCaresEnvironments
s
3. AnsoldersadultswhosissastraditionalsChinesesmanshassasbloodspressuresofs80/54smmsHgsandsrefuses
tosremainsinsthesbed.sWhichsinterventionsshouldsthesnursesusestospromotesandsmaintainshisshealth
s
?s
a. Havestheshealthscaresprovidersspeakstoshim.s
b. Usesprinciplessofsthesholisticshealthssystem.s
c. Asksaboutshissperceptionssandstreatmentsideas.s
s
NURSINGTB.COM s
, EbersolesandsHess'sGerontologicalsNursingsandsHealthysAgings5thsEditionsTouhysTestsBanks
d. ConsultswithsaspractitionersofsChinesesmedicine.s
ANS:sCs
UsingsthesLEARNsmodels(listenswithssympathystosthespatient’ssperceptionsofsthesproblem,sexplai
nsyoursperceptionsofsthesproblem,sacknowledgesthesdifferencessandssimilarities,srecommendstrea
tment,sandsnegotiatesagreement),sthesnursesgatherssinformationsfromsthespatientsaboutsculturalsbe
liefssconcerningshealthscaresandsavoidssstereotypingsthespatient.sInsthesassessment,sthesnursesdete
rminesswhatsthespatientsbelievessaboutscaregiving,sdecisionsmaking,streatment,sandsotherspertine
ntshealth-
relatedsinformation.sSpeakingswithstheshealthscaresprovidersissprematuresuntilsthesassessmentsissc
omplete.sUnlessshesacceptssthesbeliefs,sprinciplessofsthesholisticshealthssystemscansbespotentiallys
unsuitablesandsinsultingsforsthisspatient.sUnlessshesacceptssthestreatments,sconsultingswithsaspract
itionersofsChinesesmedicinescansalsosbesunsuitablesandsinsultingsforsthisspatient.s
s
PTS:sss1s DIF:sApplys REF:sp.s18s
TOP:sNursingsProcess:sImplementations MSC:sHealthsPromotionsandsMaintenances
s
4. Whichsactionsshouldsthesnursestakeswhensaddressingsoldersadults?s
a. Speaksinsansexaggeratedspitch.s
b. Usesaslowersqualitysofsspeech.s
c. Usesendearingstermsssuchsass“honey.”s
d. Speaksclearly.s
ANS:sDs
Someshealthsprofessionalssdemonstratesageism,sinspartsbecausesprovidersstendstosseesmanysfrail,s
olderspersonssandsfewersofsthoseswhosareshealthysandsactive.sProviderssshouldsnotsassumesthatsalls
oldersadultssareshearingsorsmentallysimpaired.sThesmostsappropriatesactionswhensaddressingsansol
dersaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.sExamplessofsunintentionalsageismsin
languagesaresansexaggeratedspitch,sasdemeaningsemotionalstone,sandsaslowersqualitysofsspeech.s
s
s
PTS:sss1s DIF:sApplys REF:sp.s15s
TOP:sNursingsProcess:sAssessments MSC:sHealthsPromotionsandsMaintenances
s
5. Thesnursespreparessansolderswoman,swhosissPolish,sforsdischargesthroughsansinterpretersandsnotess
thatsshesbecomesstensesduringsthesinstructionssaboutselimination.sWhichsinterventionsshouldsthes
nursesimplement?s
a. Movesonstosthesdiscussionsaboutsmedication.s
b. Asksthesolderswomanshowsshesfeelssaboutsthisstopic.s
c. Instructsthesinterpreterstosrepeatsthesinstructions.s
d. Havesthesolderswomansrepeatsthesinstructionssforsclarity.s
ANS:sBs
Whensworkingswithsansinterpreter,sthesnursescloselyswatchessthesoldersadultsforsnonverbalscomm
unicationsandsemotionsregardingsasspecificstopicsandsthereforesvalidatessthesassessmentsaboutsthe
soldersadult’sstensionsbeforesproceeding.sBecausesthesnursesnoticessherstension,sthesnursestempor
arilyssuspendssthespreparationstosvalidateshersassessment.sIfsthesnursesproceedssandsthesoldersadul
tsissuncomfortablesdiscussingselimination,sthensimportantsinstructionsscansbesmissed,sleadingstosa
dverseseffectssforsthesoldersadult.sRepeatingsthesinstructionsscansaggravatesthesoldersadult’ssdisco
mfort.sInstructingsthesoldersadultstosrepeatsthesnurse’ssinstructionsignoresshersneeds.s
s
NURSINGTB.COM s
