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ogical Nursing & HealthyAging 5th Edit
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ion by Theris A. Touhy and Kathleen F J
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et Chapter 1-28.
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,Chapter 01: Introduction to Healthy Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
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MULTIPLEdCHOICE
1. Admandisdterminallydilldwithdend-
stagedprostatedcancer.dWhichdisdthedbestdstatementdaboutdthisdman’sdwellness?
a. Wellnessdcandonlydbedachieveddwithdaggressivedmedicaldinterventions.
b. Wellnessdisdnotdadrealdoptiondfordthisdclientdbecausedhedisdterminallydill.
c. Wellnessdisddefineddasdthedabsencedofddisease.
d. Nursingdinterventionsdcandhelpdempowerdadclientdtodachievedadhigherdleveldofd
wellness.
ANS:d D
Nursingdinterventionsdcandhelpdempowerdadclientdtodachievedadhigherdleveldofdwellness;dadnursedca
ndfosterdwellnessdindhisdordherdclients.dWellnessdisddefineddbydthedindividualdanddisdmultidimensi
onal.dItdisdnotdjustdthedabsencedofddisease.dAdwellnessdperspectivedisdbaseddondthedbeliefdthatdever
ydpersondhasdandoptimaldleveldofdhealthdindependentdofdhisdordherdsituationdordfunctionaldlevel.dE
vendindthedpresencedofdchronicdillnessdordwhileddying,dadmovementdtowarddwellnessdisdpossibledif
demphasisdofdcaredisdplaceddondthedpromotiondofdwell-beingdindadsupportivedenvironment.
PTS:ddd 1 DIF: Apply REF:dddp.d7
TOP:dNursingdProcess:dDiagnosisdMSC:dHealthdPromotiondanddMaintenance
2. InddifferentiatingdbetweendhealU
N R I G B.C M
th aS NellnTess in hOealthdcare,dwhichdofdthedfollowingd
nd w
statementsdisdtrue?
a. Healthdisdadbroaddtermdencompassingdattitudesdanddbehaviors.
b. Thedconceptdofdillnessdpreventiondwasdneverdconsidereddbydpreviousdgenerations.
c. Wellnessdanddself-actualizationddevelopdthroughdlearningdanddgrowth.
d. Wellnessdisdimpossibledwhendone’sdhealthdisdcompromised.
ANS:d A
Healthdisdadbroaddtermdthatdencompassesdattitudesdanddbehaviors;dholistically,dhealthdincludesdw
ellness,dwhichdinvolvesdone’sdwholedbeing.dThedconceptdofdillnessdpreventiondwasdneverdconsid
ereddbydpreviousdgenerations;dthroughoutdhistory,dbasicdself-
caredrequirementsdhavedbeendrecognized.dWellnessdanddself-
actualizationddevelopdthroughdlearningdanddgrowth—
asdbasicdneedsdaredmet,dhigherdleveldneedsdcandbedsatisfieddindturn,dwithdever-
deepeningdrichnessdtodlife.dWellnessdisdpossibledwhendone’sdhealthdisdcompromised—
evendwithdchronicdillness,dwithdmultipleddisabilities,dordinddying,dmovementdtowarddadhigherdlev
eldofdwellnessdisdpossible.
PTS:ddd 1 DIF: Understand REF:dddp.d7
TOP:dNursingdProcess:dEvaluationdMSC:dHealthdPromotiondanddMaintenance
3. WhichdracialdordethnicdgroupdhasdthedhighestdlifedexpectancydindthedUniteddStates?
a. NativedAmericans
b. AfricandAmericans
c. HispanicdAmericans
d. AsiandanddPacificdIslanddAmericans
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, EbersoledanddHess'dGerontologicaldNursingdanddHealthydAgingd5thdEditiondTouhydTestdBank
Chapter 02: Cross-Cultural Caring and Aging
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Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
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MULTIPLEdCHOICE
1. Whichdofdthedfollowingdisdadtruedstatementdaboutddifferingdhealthdbeliefdsystems?
a. PersonalisticdordmagicoreligiousdbeliefsdhavedbeendsupersededdindWesterndmindsdbyd
biomedicaldprinciples.
b. Indmostdcultures,dolderdadultsdaredlikelydtodtreatdthemselvesdusingdtraditionald
methodsdbeforedturningdtodbiomedicaldprofessionals.
c. AyurvedicdmedicinedisdanotherdnamedfordtraditionaldChinesedmedicine.
d. Thedbeliefdthatdhealthddependsdondmaintainingdadbalancedamongdoppositedqualitiesdi
sdcharacteristicdofdadmagicoreligiousdbeliefdsystem.
ANS:d B
Olderdadultsdindmostdculturesdusuallydhavedhaddexperiencedwithdtraditionaldmethodsdthatdhavedw
orkeddasdwelldasdexpected.dAfterdthesedtreatmentsdfail,dolderdadultsdturndtodthedformaldhealthdcare
dsystem.dEvendindthedUniteddStates,ditdisdcommondfordolderdadultsdtodpraydfordcuresdordwonderdw
hatdtheyddiddtodincurdandillnessdasdpunishment.dThedAyurvedicdsystemdisdadnaturalisticdhealthdbe
liefdsystemdpracticeddindIndiadanddindsomedneighboringdcountries.dThisdbeliefdisdcharacteristicdo
fdadholisticdordnaturalisticdapproach.
PTS:ddd 1 DIF: Understand REF:d p.d16-17
TOP:d NursingdProcess:dAssessment MSC:d HealthdPromotiondanddMaintenance
N R I G B.C M
2. WhichdofdthedfollowingdconsideUratiS
onsNis m
Tost likO
elydtodbedtruedwhendworkingdwithdandi
nterpreter?
a. Andinterpreterdisdneverdneededdifdthednursedspeaksdthedsamedlanguagedasdthedpatient.
b. Whendworkingdwithdinterpreters,dthednursedcandusedtechnicaldtermsdordmetaphors.
c. Adpatient’sdyoungdgranddaughterdwhodspeaksdfluentdEnglishdwoulddmakedthedbestdi
nterpreterdbecausedshedisdfamiliardwithdanddlovesdthedpatient.
d. Thednursedshoulddfacedthedpatientdratherdthandthedinterpreter.
ANS:d D
Thednursedshoulddfacedthedpatientdratherdthandthedinterpreterdisdadtruedstatement;dthedintentdisdtodc
onversedwithdthedpatient,dnotdwithdadthirddpartydaboutdthedpatient.dManydreasonsdmaydpreventdth
edpatientdfromdspeakingddirectlydtodadnurse.dTechnicaldtermsdanddmetaphorsdmaydbeddifficultdordi
mpossibledtodtranslate.dCulturaldrestrictionsdmaydpreventdsomedtopicsdfromdbeingdspokendofdtodad
grandparentdordchild.
PTS:ddd 1 DIF:ddd Understanddddd REF:dddp.d18-19
TOP:d NursingdProcess:dImplementationdddd MSC:d Safe,dEffectivedCaredEnvironment
3. AndolderdadultdwhodisdadtraditionaldChinesedmandhasdadblooddpressuredofd80/54dmmdHgdanddrefus
esdtodremaindindthedbed.dWhichdinterventiondshoulddthednursedusedtodpromotedanddmaintaindhisdhe
alth?
a. Havedthedhealthdcaredproviderdspeakdtodhim.
b. Usedprinciplesdofdthedholisticdhealthdsystem.
c. Askdaboutdhisdperceptionsdanddtreatmentdideas.
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, EbersoledanddHess'dGerontologicaldNursingdanddHealthydAgingd5thdEditiondTouhydTestdBank
d. ConsultdwithdadpractitionerdofdChinesedmedicine.
ANS:d C
UsingdthedLEARNdmodeld(listendwithdsympathydtodthedpatient’sdperceptiondofdthedproblem,dexpl
aindyourdperceptiondofdthedproblem,dacknowledgedtheddifferencesdanddsimilarities,drecommenddt
reatment,danddnegotiatedagreement),dthednursedgathersdinformationdfromdthedpatientdaboutdcultur
aldbeliefsdconcerningdhealthdcaredanddavoidsdstereotypingdthedpatient.dIndthedassessment,dthednurs
eddeterminesdwhatdthedpatientdbelievesdaboutdcaregiving,ddecisiondmaking,dtreatment,danddotherdp
ertinentdhealth-
relateddinformation.dSpeakingdwithdthedhealthdcaredproviderdisdprematureduntildthedassessmentdisd
complete.dUnlessdhedacceptsdthedbeliefs,dprinciplesdofdthedholisticdhealthdsystemdcandbedpotential
lydunsuitabledanddinsultingdfordthisdpatient.dUnlessdhedacceptsdthedtreatments,dconsultingdwithdadp
ractitionerdofdChinesedmedicinedcandalsodbedunsuitabledanddinsultingdfordthisdpatient.
PTS:ddd 1 DIF: Apply REF:d p.d18
TOP:d NursingdProcess:dImplementation MSC:d HealthdPromotiondanddMaintenance
4. Whichdactiondshoulddthednursedtakedwhendaddressingdolderdadults?
a. Speakdindandexaggerateddpitch.
b. Usedadlowerdqualitydofdspeech.
c. Usedendearingdtermsdsuchdasd“honey.”
d. Speakdclearly.
ANS:d D
Somedhealthdprofessionalsddemonstratedageism,dindpartdbecausedprovidersdtenddtodseedmanydfrail
,dolderdpersonsdanddfewerdofdthosedwhodaredhealthydanddactive.dProvidersdshoulddnotdassumedtha
tdalldolderdadultsdaredhearingdordmentallydimpaired.dThedmostdappropriatedaction
whendaddressingdandolderdaduNltUwRoS ulI
dNbeGtT
odB
sp.
eaCkOcM
learly.dExamplesdofdunintentionaldageismdi
ndlanguagedaredandexaggerateddpitch,daddemeaningdemotionaldtone,danddadlowerdqualitydof
speech.
PTS:ddd 1 DIF: Apply REF:d p.d15
TOP:d NursingdProcess:dAssessment MSC:d HealthdPromotiondanddMaintenance
5. Thednursedpreparesdandolderdwoman,dwhodisdPolish,dforddischargedthroughdandinterpreterdanddn
otesdthatdshedbecomesdtensedduringdthedinstructionsdaboutdelimination.dWhichdinterventiondsh
oulddthednursedimplement?
a. Movedondtodtheddiscussiondaboutdmedication.
b. Askdthedolderdwomandhowdshedfeelsdaboutdthisdtopic.
c. Instructdthedinterpreterdtodrepeatdthedinstructions.
d. Havedthedolderdwomandrepeatdthedinstructionsdfordclarity.
ANS:d B
Whendworkingdwithdandinterpreter,dthednursedcloselydwatchesdthedolderdadultdfordnonverbaldcom
municationdanddemotiondregardingdadspecificdtopicdanddthereforedvalidatesdthedassessmentdabout
dthedolderdadult’sdtensiondbeforedproceeding.dBecausedthednursednoticesdherdtension,dthednursedte
mporarilydsuspendsdthedpreparationdtodvalidatedherdassessment.dIfdthednursedproceedsdanddthedold
erdadultdisduncomfortableddiscussingdelimination,dthendimportantdinstructionsdcandbedmissed,dlead
ingdtodadversedeffectsdfordthedolderdadult.dRepeatingdthedinstructionsdcandaggravatedthedolderdadul
t’sddiscomfort.dInstructingdthedolderdadultdtodrepeatdthednurse’sdinstructiondignoresdherdneeds.
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