nn
n
n
n
TOUHY & JETT: EBERSOLE AND HESS’
n n n n n n
GERONTOLOGICAL NURSING & HEALT n n n
n
HY AGING, 5TH EDITION. n n n n
Chapter n01:nIntroductionntonHealthy nAging nTouhy n&nJett:nEbersole nandnHess’nGerontolo
gicalnNursing n&nHealthy nAging,n5thnEditionn
n
n n
MULTIPLEnCHOICEn
n
1. A n mann isn terminallyn illn withn end-
stagen prostaten cancer.n Whichn isn then bestn statementn aboutn thisn man’sn wellness?n
a. Wellnessn cann onlyn ben achievedn withn aggressiven medicaln interventions.n
b. Wellnessn isn notn an realn optionn forn thisn clientn becausen hen isn terminallyn ill.n
c. Wellnessn isn definedn asn then absencen ofn disease.n
d. Nursingn interventionsn cann helpn empowern an clientn ton achieven an highern leveln ofn wellness.n
ANS:n Dn
Nursingn interventionsn cann helpn empowern an clientn ton achieven an highern leveln ofn wellness;n an nursen
cann fostern wellnessn inn hisn orn hern clients.n Wellnessn isn definedn byn then individualn andn isn multidime
nsional.n Itn isn notn justn then absencen ofn disease.n An wellnessn perspectiven isn basedn onn then beliefn thatn e
veryn personn hasn ann optimaln leveln ofn healthn independentn ofn hisn orn hern situationn orn functionaln leve
l.n Evenn inn then presencen ofn chronicn illnessn orn whilen dying,n an movementn towardn wellnessn isn possib
len ifn emphasisn ofn caren isn placedn onn then promotionn ofn well-beingn inn an supportiven environment.n
n
PTS:nnn 1n DIF:n Applyn REF:nnnp.n 7n TOP:n Nursing n Process:n Diagnosisn
MSC:n Health n Promotion n and n Maintenance n
N R I G B .C
2. Inn differentiatingn betweenn he alUth aSnd wNe llTne ss i nn Ohe althn care,n whichn of
M
n then followingn statementsn isn true?n
a. Healthn isn an broadn termn encompassingn attitudesn andn behaviors.n
b. Then conceptn ofn illnessn preventionn wasn nevern consideredn byn previousn generations.n
c. Wellnessn andn self-actualizationn developn throughn learningn andn growth.n
d. Wellnessn isn impossiblen whenn one’sn healthn isn compromised.n
ANS:n An
Healthn isn an broadn termn thatn encompassesn attitudesn andn behaviors;n holistically,n healthn includesn w
ellness,n whichn involvesn one’sn wholen being.n Then conceptn ofn illnessn preventionn wasn nevern consid
eredn byn previousn generations;n throughoutn history,n basicn self-
caren requirementsn haven beenn recognized.n Wellnessn andn self-
actualizationn developn throughn learningn andn growth—
asn basicn needsn aren met,n highern leveln needsn cann ben satisfiedn inn turn,n withn ever-
deepeningn richnessn ton life.n Wellnessn isn possiblen whenn one’sn healthn isn compromised—
n NURSINGTB.COM n
, evenn withn chronicn illness,n withn multiplen disabilities,n orn inn dying,n movementn towardn an highern lev
eln ofn wellnessn isn possible.n
n
PTS:nnn 1n DIF:n Understandn REF:nnnp.n 7n TOP:n Nursing n Process:n Evaluation n
MSC:n Health n Promotion n and n Maintenance n
n
TOUHY n& nJETT: nEBERSOLE nAND nHESS’ nGERONTOLOGICAL nNURSING n& nHEALTHY nAGING, n5TH nEDITION. n
nn
3.nWhichn racialn orn ethnicn groupn hasn then highestn lifen expectancyn inn then Unitedn States?n
a. Nativen Americansn
b. Africann Americansn
c. Hispanicn Americansn
d. Asiann andn Pacificn Islandn Americansn
n NURSINGTB.COM n
, Ebersolen andn Hess'n Gerontologicaln Nursingn andn Healthyn Agingn 5thn Editionn Touhyn Testn Bankn
Chapter n02:nCross-
CulturalnCaring nandnAging nTouhy n&nJett:nEbersole nandnHess’nGerontological nNursing n&
nHealthy nAging,n5thnEditionn n
n
MULTIPLEnCHOICEn
n
1. Whichn ofn then followingn isn an truen statementn aboutn differingn healthn beliefn systems?n
a. Personalisticn orn magicoreligiousn beliefsn haven beenn supersededn inn Westernn mindsn by
nbiomedicaln principles.n
b. Inn mostn cultures,n oldern adultsn aren likelyn ton treatn themselvesn usingn traditionaln metho
dsn beforen turningn ton biomedicaln professionals.n
c. Ayurvedicn medicinen isn anothern namen forn traditionaln Chinesen medicine.n
d. Then beliefn thatn healthn dependsn onn maintainingn an balancen amongn oppositen qualitiesn i
sn characteristicn ofn an magicoreligiousn beliefn system.n
ANS:n Bn
Oldern adultsn inn mostn culturesn usuallyn haven hadn experiencen withn traditionaln methodsn thatn haven w
orkedn asn welln asn expected.n Aftern thesen treatmentsn fail,n oldern adultsn turnn ton then formaln healthn care
n system.n Evenn inn then Unitedn States,n itn isn commonn forn oldern adultsn ton prayn forn curesn orn wondern w
hatn theyn didn ton incurn ann illnessn asn punishment.n Then Ayurvedicn systemn isn an naturalisticn healthn bel
iefn systemn practicedn inn Indian andn inn somen neighboringn countries.n Thisn beliefn isn characteristicn ofn
an holisticn orn naturalisticn approach.n
n
PTS:nnn 1 n DIF:n Understand n REF:n p.n 16-
17 n TOP:n Nursing n Process:n Assessmentn MSC:n Health n Promotion n and n Maintenance n
N R I G B. C
2. Whichn ofn then followingn consi dUer atSio nsNis mTo s tn l ikOel yn ton ben truen whenn
M
workingn withn ann interpreter?n
a. Ann interpretern isn nevern neededn ifn then nursen speaksn then samen languagen asn then patient.n
b. Whenn workingn withn interpreters,n then nursen cann usen technicaln termsn orn metaphors.n
c. An patient’sn youngn granddaughtern whon speaksn fluentn Englishn wouldn maken then bestn i
nterpretern becausen shen isn familiarn withn andn lovesn then patient.n
d. Then nursen shouldn facen then patientn rathern thann then interpreter.n
ANS:n Dn
Then nursen shouldn facen then patientn rathern thann then interpretern isn an truen statement;n then intentn isn ton c
onversen withn then patient,n notn withn an thirdn partyn aboutn then patient.n Manyn reasonsn mayn preventn the
n patientn fromn speakingn directlyn ton an nurse.n Technicaln termsn andn metaphorsn mayn ben difficultn orn i
mpossiblen ton translate.n Culturaln restrictionsn mayn preventn somen topicsn fromn beingn spokenn ofn ton an
grandparentn orn child.n
n
PTS:nnn 1n DIF:nnn Understand nnnn REF:nnn p.n 18-19 n
TOP:n Nursing n Process:n Implementation nnnn MSC:n Safe,n Effectiven Caren Environmentn
n
3. Ann oldern adultn whon isn an traditionaln Chinesen mann hasn an bloodn pressuren ofn 80/54n mmn Hgn andn refus
esn ton remainn inn then bed.n Whichn interventionn shouldn then nursen usen ton promoten andn maintainn hisn h
ealth?n
a. Haven then healthn caren providern speakn ton him.n
b. Usen principlesn ofn then holisticn healthn system.n
c. Askn aboutn hisn perceptionsn andn treatmentn ideas.n
n NURSINGTB.COM n
, Ebersolen andn Hess'n Gerontologicaln Nursingn andn Healthyn Agingn 5thn Editionn Touhyn Testn Bankn
d. Consultn withn an practitionern ofn Chinesen medicine.n
ANS:n Cn
Usingn then LEARN n modeln (listenn withn sympathyn ton then patient’sn perceptionn ofn then problem,n expl
ainn yourn perceptionn ofn then problem,n acknowledgen then differencesn andn similarities,n recommendn t
reatment,n andn negotiaten agreement),n then nursen gathersn informationn fromn then patientn aboutn cultur
aln beliefsn concerningn healthn caren andn avoidsn stereotypingn then patient.n Inn then assessment,n then nurs
en determinesn whatn then patientn believesn aboutn caregiving,n decisionn making,n treatment,n andn othern
pertinentn health-
relatedn information.n Speakingn withn then healthn caren providern isn prematuren untiln then assessmentn isn
complete.n Unlessn hen acceptsn then beliefs,n principlesn ofn then holisticn healthn systemn cann ben potential
lyn unsuitablen andn insultingn forn thisn patient.n Unlessn hen acceptsn then treatments,n consultingn withn an p
ractitionern ofn Chinesen medicinen cann alson ben unsuitablen andn insultingn forn thisn patient.n
n
PTS:nnn 1n DIF:n Applyn REF:n p.n 18 n
TOP:nNursingn Process:n Implementationn MSC:n Health n Promotion n and n Maintenance n
n
4. Whichn actionn shouldn then nursen taken whenn addressingn oldern adults?n
a. Speakn inn ann exaggeratedn pitch.n
b. Usen an lowern qualityn ofn speech.n
c. Usen endearingn termsn suchn asn “honey.”n
d. Speakn clearly.n
ANS:n Dn
Somen healthn professionalsn demonstraten ageism,n inn partn becausen providersn tendn ton seen manyn frail
,n oldern personsn andn fewern ofn thosen whon aren healthyn andn active.n Providersn shouldn notn assumen that
n alln oldern adultsn aren hearingn orn mentallyn impaired.n Then mostn appropriaten actionn whenn addressing
n ann oldern aduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.n Examplesn ofn unintentionaln age
ismn inn languagen aren ann exaggeratedn pitch,n an demeaningn emotionaln tone,n andn an lowern qualityn ofn s
peech.n
n
PTS:nnn 1n DIF:n Applyn REF:n p.n 15 n
TOP:nNursingn Process:nAssessmentn MSC:n Health n Promotion n and n Maintenance n
n
5. Then nursen preparesn ann oldern woman,n whon isn Polish,n forn dischargen throughn ann interpretern andn not
esn thatn shen becomesn tensen duringn then instructionsn aboutn elimination.n Whichn interventionn shouldn
then nursen implement?n
a. Moven onn ton then discussionn aboutn medication.n
b. Askn then oldern womann how n shen feelsn aboutn thisn topic.n
c. Instructn then interpretern ton repeatn then instructions.n
d. Haven then oldern womann repeatn then instructionsn forn clarity.n
ANS:n Bn
Whenn workingn withn ann interpreter,n then nursen closelyn watchesn then oldern adultn forn nonverbaln com
municationn andn emotionn regardingn an specificn topicn andn thereforen validatesn then assessmentn about
n then oldern adult’sn tensionn beforen proceeding.n Becausen then nursen noticesn hern tension,n then nursen te
mporarilyn suspendsn then preparationn ton validaten hern assessment.n Ifn then nursen proceedsn andn then old
ern adultn isn uncomfortablen discussingn elimination,n thenn importantn instructionsn cann ben missed,n lea
n NURSINGTB.COM n
n
n
n
TOUHY & JETT: EBERSOLE AND HESS’
n n n n n n
GERONTOLOGICAL NURSING & HEALT n n n
n
HY AGING, 5TH EDITION. n n n n
Chapter n01:nIntroductionntonHealthy nAging nTouhy n&nJett:nEbersole nandnHess’nGerontolo
gicalnNursing n&nHealthy nAging,n5thnEditionn
n
n n
MULTIPLEnCHOICEn
n
1. A n mann isn terminallyn illn withn end-
stagen prostaten cancer.n Whichn isn then bestn statementn aboutn thisn man’sn wellness?n
a. Wellnessn cann onlyn ben achievedn withn aggressiven medicaln interventions.n
b. Wellnessn isn notn an realn optionn forn thisn clientn becausen hen isn terminallyn ill.n
c. Wellnessn isn definedn asn then absencen ofn disease.n
d. Nursingn interventionsn cann helpn empowern an clientn ton achieven an highern leveln ofn wellness.n
ANS:n Dn
Nursingn interventionsn cann helpn empowern an clientn ton achieven an highern leveln ofn wellness;n an nursen
cann fostern wellnessn inn hisn orn hern clients.n Wellnessn isn definedn byn then individualn andn isn multidime
nsional.n Itn isn notn justn then absencen ofn disease.n An wellnessn perspectiven isn basedn onn then beliefn thatn e
veryn personn hasn ann optimaln leveln ofn healthn independentn ofn hisn orn hern situationn orn functionaln leve
l.n Evenn inn then presencen ofn chronicn illnessn orn whilen dying,n an movementn towardn wellnessn isn possib
len ifn emphasisn ofn caren isn placedn onn then promotionn ofn well-beingn inn an supportiven environment.n
n
PTS:nnn 1n DIF:n Applyn REF:nnnp.n 7n TOP:n Nursing n Process:n Diagnosisn
MSC:n Health n Promotion n and n Maintenance n
N R I G B .C
2. Inn differentiatingn betweenn he alUth aSnd wNe llTne ss i nn Ohe althn care,n whichn of
M
n then followingn statementsn isn true?n
a. Healthn isn an broadn termn encompassingn attitudesn andn behaviors.n
b. Then conceptn ofn illnessn preventionn wasn nevern consideredn byn previousn generations.n
c. Wellnessn andn self-actualizationn developn throughn learningn andn growth.n
d. Wellnessn isn impossiblen whenn one’sn healthn isn compromised.n
ANS:n An
Healthn isn an broadn termn thatn encompassesn attitudesn andn behaviors;n holistically,n healthn includesn w
ellness,n whichn involvesn one’sn wholen being.n Then conceptn ofn illnessn preventionn wasn nevern consid
eredn byn previousn generations;n throughoutn history,n basicn self-
caren requirementsn haven beenn recognized.n Wellnessn andn self-
actualizationn developn throughn learningn andn growth—
asn basicn needsn aren met,n highern leveln needsn cann ben satisfiedn inn turn,n withn ever-
deepeningn richnessn ton life.n Wellnessn isn possiblen whenn one’sn healthn isn compromised—
n NURSINGTB.COM n
, evenn withn chronicn illness,n withn multiplen disabilities,n orn inn dying,n movementn towardn an highern lev
eln ofn wellnessn isn possible.n
n
PTS:nnn 1n DIF:n Understandn REF:nnnp.n 7n TOP:n Nursing n Process:n Evaluation n
MSC:n Health n Promotion n and n Maintenance n
n
TOUHY n& nJETT: nEBERSOLE nAND nHESS’ nGERONTOLOGICAL nNURSING n& nHEALTHY nAGING, n5TH nEDITION. n
nn
3.nWhichn racialn orn ethnicn groupn hasn then highestn lifen expectancyn inn then Unitedn States?n
a. Nativen Americansn
b. Africann Americansn
c. Hispanicn Americansn
d. Asiann andn Pacificn Islandn Americansn
n NURSINGTB.COM n
, Ebersolen andn Hess'n Gerontologicaln Nursingn andn Healthyn Agingn 5thn Editionn Touhyn Testn Bankn
Chapter n02:nCross-
CulturalnCaring nandnAging nTouhy n&nJett:nEbersole nandnHess’nGerontological nNursing n&
nHealthy nAging,n5thnEditionn n
n
MULTIPLEnCHOICEn
n
1. Whichn ofn then followingn isn an truen statementn aboutn differingn healthn beliefn systems?n
a. Personalisticn orn magicoreligiousn beliefsn haven beenn supersededn inn Westernn mindsn by
nbiomedicaln principles.n
b. Inn mostn cultures,n oldern adultsn aren likelyn ton treatn themselvesn usingn traditionaln metho
dsn beforen turningn ton biomedicaln professionals.n
c. Ayurvedicn medicinen isn anothern namen forn traditionaln Chinesen medicine.n
d. Then beliefn thatn healthn dependsn onn maintainingn an balancen amongn oppositen qualitiesn i
sn characteristicn ofn an magicoreligiousn beliefn system.n
ANS:n Bn
Oldern adultsn inn mostn culturesn usuallyn haven hadn experiencen withn traditionaln methodsn thatn haven w
orkedn asn welln asn expected.n Aftern thesen treatmentsn fail,n oldern adultsn turnn ton then formaln healthn care
n system.n Evenn inn then Unitedn States,n itn isn commonn forn oldern adultsn ton prayn forn curesn orn wondern w
hatn theyn didn ton incurn ann illnessn asn punishment.n Then Ayurvedicn systemn isn an naturalisticn healthn bel
iefn systemn practicedn inn Indian andn inn somen neighboringn countries.n Thisn beliefn isn characteristicn ofn
an holisticn orn naturalisticn approach.n
n
PTS:nnn 1 n DIF:n Understand n REF:n p.n 16-
17 n TOP:n Nursing n Process:n Assessmentn MSC:n Health n Promotion n and n Maintenance n
N R I G B. C
2. Whichn ofn then followingn consi dUer atSio nsNis mTo s tn l ikOel yn ton ben truen whenn
M
workingn withn ann interpreter?n
a. Ann interpretern isn nevern neededn ifn then nursen speaksn then samen languagen asn then patient.n
b. Whenn workingn withn interpreters,n then nursen cann usen technicaln termsn orn metaphors.n
c. An patient’sn youngn granddaughtern whon speaksn fluentn Englishn wouldn maken then bestn i
nterpretern becausen shen isn familiarn withn andn lovesn then patient.n
d. Then nursen shouldn facen then patientn rathern thann then interpreter.n
ANS:n Dn
Then nursen shouldn facen then patientn rathern thann then interpretern isn an truen statement;n then intentn isn ton c
onversen withn then patient,n notn withn an thirdn partyn aboutn then patient.n Manyn reasonsn mayn preventn the
n patientn fromn speakingn directlyn ton an nurse.n Technicaln termsn andn metaphorsn mayn ben difficultn orn i
mpossiblen ton translate.n Culturaln restrictionsn mayn preventn somen topicsn fromn beingn spokenn ofn ton an
grandparentn orn child.n
n
PTS:nnn 1n DIF:nnn Understand nnnn REF:nnn p.n 18-19 n
TOP:n Nursing n Process:n Implementation nnnn MSC:n Safe,n Effectiven Caren Environmentn
n
3. Ann oldern adultn whon isn an traditionaln Chinesen mann hasn an bloodn pressuren ofn 80/54n mmn Hgn andn refus
esn ton remainn inn then bed.n Whichn interventionn shouldn then nursen usen ton promoten andn maintainn hisn h
ealth?n
a. Haven then healthn caren providern speakn ton him.n
b. Usen principlesn ofn then holisticn healthn system.n
c. Askn aboutn hisn perceptionsn andn treatmentn ideas.n
n NURSINGTB.COM n
, Ebersolen andn Hess'n Gerontologicaln Nursingn andn Healthyn Agingn 5thn Editionn Touhyn Testn Bankn
d. Consultn withn an practitionern ofn Chinesen medicine.n
ANS:n Cn
Usingn then LEARN n modeln (listenn withn sympathyn ton then patient’sn perceptionn ofn then problem,n expl
ainn yourn perceptionn ofn then problem,n acknowledgen then differencesn andn similarities,n recommendn t
reatment,n andn negotiaten agreement),n then nursen gathersn informationn fromn then patientn aboutn cultur
aln beliefsn concerningn healthn caren andn avoidsn stereotypingn then patient.n Inn then assessment,n then nurs
en determinesn whatn then patientn believesn aboutn caregiving,n decisionn making,n treatment,n andn othern
pertinentn health-
relatedn information.n Speakingn withn then healthn caren providern isn prematuren untiln then assessmentn isn
complete.n Unlessn hen acceptsn then beliefs,n principlesn ofn then holisticn healthn systemn cann ben potential
lyn unsuitablen andn insultingn forn thisn patient.n Unlessn hen acceptsn then treatments,n consultingn withn an p
ractitionern ofn Chinesen medicinen cann alson ben unsuitablen andn insultingn forn thisn patient.n
n
PTS:nnn 1n DIF:n Applyn REF:n p.n 18 n
TOP:nNursingn Process:n Implementationn MSC:n Health n Promotion n and n Maintenance n
n
4. Whichn actionn shouldn then nursen taken whenn addressingn oldern adults?n
a. Speakn inn ann exaggeratedn pitch.n
b. Usen an lowern qualityn ofn speech.n
c. Usen endearingn termsn suchn asn “honey.”n
d. Speakn clearly.n
ANS:n Dn
Somen healthn professionalsn demonstraten ageism,n inn partn becausen providersn tendn ton seen manyn frail
,n oldern personsn andn fewern ofn thosen whon aren healthyn andn active.n Providersn shouldn notn assumen that
n alln oldern adultsn aren hearingn orn mentallyn impaired.n Then mostn appropriaten actionn whenn addressing
n ann oldern aduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.n Examplesn ofn unintentionaln age
ismn inn languagen aren ann exaggeratedn pitch,n an demeaningn emotionaln tone,n andn an lowern qualityn ofn s
peech.n
n
PTS:nnn 1n DIF:n Applyn REF:n p.n 15 n
TOP:nNursingn Process:nAssessmentn MSC:n Health n Promotion n and n Maintenance n
n
5. Then nursen preparesn ann oldern woman,n whon isn Polish,n forn dischargen throughn ann interpretern andn not
esn thatn shen becomesn tensen duringn then instructionsn aboutn elimination.n Whichn interventionn shouldn
then nursen implement?n
a. Moven onn ton then discussionn aboutn medication.n
b. Askn then oldern womann how n shen feelsn aboutn thisn topic.n
c. Instructn then interpretern ton repeatn then instructions.n
d. Haven then oldern womann repeatn then instructionsn forn clarity.n
ANS:n Bn
Whenn workingn withn ann interpreter,n then nursen closelyn watchesn then oldern adultn forn nonverbaln com
municationn andn emotionn regardingn an specificn topicn andn thereforen validatesn then assessmentn about
n then oldern adult’sn tensionn beforen proceeding.n Becausen then nursen noticesn hern tension,n then nursen te
mporarilyn suspendsn then preparationn ton validaten hern assessment.n Ifn then nursen proceedsn andn then old
ern adultn isn uncomfortablen discussingn elimination,n thenn importantn instructionsn cann ben missed,n lea
n NURSINGTB.COM n
