Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
n n n n n n n n
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1
n
n
n n n n n n n n n n
28.
,Chapter 01: Introduction to Healthy Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
n n n n n n n n n n n n
MULTIPLEnCHOICE
1. Anmannisnterminallynillnwithnend-
stagenprostatencancer.nWhichnisnthenbestnstatementnaboutnthisnman’snwellness?
a. Wellnessncannonlynbenachievednwithnaggressivenmedicalninterventions.
b. Wellnessnisnnotnanrealnoptionnfornthisnclientnbecausenhenisnterminallynill.
c. Wellnessnisndefinednasnthenabsencenofndisease.
d. Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofn
wellness.
ANS:n D
Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofnwellness;nannursenca
nnfosternwellnessninnhisnornhernclients.nWellnessnisndefinednbynthenindividualnandnisnmultidimensi
onal.nItnisnnotnjustnthenabsencenofndisease.nAnwellnessnperspectivenisnbasednonnthenbeliefnthatnever
ynpersonnhasnannoptimalnlevelnofnhealthnindependentnofnhisnornhernsituationnornfunctionalnlevel.nE
venninnthenpresencenofnchronicnillnessnornwhilendying,nanmovementntowardnwellnessnisnpossiblenif
nemphasisnofncarenisnplacednonnthenpromotionnofnwell-beingninnansupportivenenvironment.
PTS:nnn 1 DIF: Apply REF:nnnp.n7
TOP:nNursingnProcess:nDiagnosisnMSC:nHealthnPromotionnandnMaintenance
2. InndifferentiatingnbetweennhealU
N R I G B.C M
th aS NellnTess in hOealthncare,nwhichnofnthenfollowingn
nd w
statementsnisntrue?
a. Healthnisnanbroadntermnencompassingnattitudesnandnbehaviors.
b. Thenconceptnofnillnessnpreventionnwasnnevernconsiderednbynpreviousngenerations.
c. Wellnessnandnself-actualizationndevelopnthroughnlearningnandngrowth.
d. Wellnessnisnimpossiblenwhennone’snhealthnisncompromised.
ANS:n A
Healthnisnanbroadntermnthatnencompassesnattitudesnandnbehaviors;nholistically,nhealthnincludesnw
ellness,nwhichninvolvesnone’snwholenbeing.nThenconceptnofnillnessnpreventionnwasnnevernconsid
erednbynpreviousngenerations;nthroughoutnhistory,nbasicnself-
carenrequirementsnhavenbeennrecognized.nWellnessnandnself-
actualizationndevelopnthroughnlearningnandngrowth—
asnbasicnneedsnarenmet,nhighernlevelnneedsncannbensatisfiedninnturn,nwithnever-
deepeningnrichnessntonlife.nWellnessnisnpossiblenwhennone’snhealthnisncompromised—
evennwithnchronicnillness,nwithnmultiplendisabilities,norninndying,nmovementntowardnanhighernlev
elnofnwellnessnisnpossible.
PTS:nnn 1 DIF: Understand REF:nnnp.n7
TOP:nNursingnProcess:nEvaluationnMSC:nHealthnPromotionnandnMaintenance
3. WhichnracialnornethnicngroupnhasnthenhighestnlifenexpectancyninnthenUnitednStates?
a. NativenAmericans
b. AfricannAmericans
c. HispanicnAmericans
d. AsiannandnPacificnIslandnAmericans
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
Chapter 02: Cross-Cultural Caring and Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
n n n n n n n n n n n n
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnisnantruenstatementnaboutndifferingnhealthnbeliefnsystems?
a. PersonalisticnornmagicoreligiousnbeliefsnhavenbeennsupersededninnWesternnmindsnbyn
biomedicalnprinciples.
b. Innmostncultures,noldernadultsnarenlikelyntontreatnthemselvesnusingntraditionaln
methodsnbeforenturningntonbiomedicalnprofessionals.
c. AyurvedicnmedicinenisnanothernnamenforntraditionalnChinesenmedicine.
d. Thenbeliefnthatnhealthndependsnonnmaintainingnanbalancenamongnoppositenqualitiesni
sncharacteristicnofnanmagicoreligiousnbeliefnsystem.
ANS:n B
Oldernadultsninnmostnculturesnusuallynhavenhadnexperiencenwithntraditionalnmethodsnthatnhavenw
orkednasnwellnasnexpected.nAfternthesentreatmentsnfail,noldernadultsnturnntonthenformalnhealthncare
nsystem.nEvenninnthenUnitednStates,nitnisncommonnfornoldernadultsntonpraynforncuresnornwondernw
hatntheyndidntonincurnannillnessnasnpunishment.nThenAyurvedicnsystemnisnannaturalisticnhealthnbe
liefnsystemnpracticedninnIndianandninnsomenneighboringncountries.nThisnbeliefnisncharacteristicno
fnanholisticnornnaturalisticnapproach.
PTS:nnn 1 DIF: Understand REF:n p.n16-17
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
N R I G B.C M
2. WhichnofnthenfollowingnconsideUratiS
onsNis m
Tost likO
elyntonbentruenwhennworkingnwithnanni
nterpreter?
a. Anninterpreternisnnevernneedednifnthennursenspeaksnthensamenlanguagenasnthenpatient.
b. Whennworkingnwithninterpreters,nthennursencannusentechnicalntermsnornmetaphors.
c. Anpatient’snyoungngranddaughternwhonspeaksnfluentnEnglishnwouldnmakenthenbestni
nterpreternbecausenshenisnfamiliarnwithnandnlovesnthenpatient.
d. Thennursenshouldnfacenthenpatientnrathernthanntheninterpreter.
ANS:n D
Thennursenshouldnfacenthenpatientnrathernthanntheninterpreternisnantruenstatement;nthenintentnisntonc
onversenwithnthenpatient,nnotnwithnanthirdnpartynaboutnthenpatient.nManynreasonsnmaynpreventnth
enpatientnfromnspeakingndirectlyntonannurse.nTechnicalntermsnandnmetaphorsnmaynbendifficultnorni
mpossiblentontranslate.nCulturalnrestrictionsnmaynpreventnsomentopicsnfromnbeingnspokennofntonan
grandparentnornchild.
PTS:nnn 1 DIF:nnn Understandnnnn REF:nnnp.n18-19
TOP:n NursingnProcess:nImplementationnnnn MSC:n Safe,nEffectivenCarenEnvironment
3. AnnoldernadultnwhonisnantraditionalnChinesenmannhasnanbloodnpressurenofn80/54nmmnHgnandnrefus
esntonremainninnthenbed.nWhichninterventionnshouldnthennursenusentonpromotenandnmaintainnhisnhe
alth?
a. Haventhenhealthncarenprovidernspeakntonhim.
b. Usenprinciplesnofnthenholisticnhealthnsystem.
c. Asknaboutnhisnperceptionsnandntreatmentnideas.
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
d. ConsultnwithnanpractitionernofnChinesenmedicine.
ANS:n C
UsingnthenLEARNnmodeln(listennwithnsympathyntonthenpatient’snperceptionnofnthenproblem,nexpl
ainnyournperceptionnofnthenproblem,nacknowledgenthendifferencesnandnsimilarities,nrecommendnt
reatment,nandnnegotiatenagreement),nthennursengathersninformationnfromnthenpatientnaboutncultur
alnbeliefsnconcerningnhealthncarenandnavoidsnstereotypingnthenpatient.nInnthenassessment,nthennurs
endeterminesnwhatnthenpatientnbelievesnaboutncaregiving,ndecisionnmaking,ntreatment,nandnothernp
ertinentnhealth-
relatedninformation.nSpeakingnwithnthenhealthncarenprovidernisnprematurenuntilnthenassessmentnisn
complete.nUnlessnhenacceptsnthenbeliefs,nprinciplesnofnthenholisticnhealthnsystemncannbenpotential
lynunsuitablenandninsultingnfornthisnpatient.nUnlessnhenacceptsnthentreatments,nconsultingnwithnanp
ractitionernofnChinesenmedicinencannalsonbenunsuitablenandninsultingnfornthisnpatient.
PTS:nnn 1 DIF: Apply REF:n p.n18
TOP:n NursingnProcess:nImplementation MSC:n HealthnPromotionnandnMaintenance
4. Whichnactionnshouldnthennursentakenwhennaddressingnoldernadults?
a. Speakninnannexaggeratednpitch.
b. Usenanlowernqualitynofnspeech.
c. Usenendearingntermsnsuchnasn“honey.”
d. Speaknclearly.
ANS:n D
Somenhealthnprofessionalsndemonstratenageism,ninnpartnbecausenprovidersntendntonseenmanynfrail
,noldernpersonsnandnfewernofnthosenwhonarenhealthynandnactive.nProvidersnshouldnnotnassumentha
tnallnoldernadultsnarenhearingnornmentallynimpaired.nThenmostnappropriatenaction
whennaddressingnannoldernaduNltUwRoSulIdNbeGtT
onB
sp.
eaCkOcM
learly.nExamplesnofnunintentionalnageismni
nnlanguagenarenannexaggeratednpitch,nandemeaningnemotionalntone,nandnanlowernqualitynof
speech.
PTS:nnn 1 DIF: Apply REF:n p.n15
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
5. Thennursenpreparesnannoldernwoman,nwhonisnPolish,nforndischargenthroughnanninterpreternandnn
otesnthatnshenbecomesntensenduringntheninstructionsnaboutnelimination.nWhichninterventionnsh
ouldnthennursenimplement?
a. Movenonntonthendiscussionnaboutnmedication.
b. Asknthenoldernwomannhownshenfeelsnaboutnthisntopic.
c. Instructntheninterpreterntonrepeatntheninstructions.
d. Haventhenoldernwomannrepeatntheninstructionsnfornclarity.
ANS:n B
Whennworkingnwithnanninterpreter,nthennursencloselynwatchesnthenoldernadultnfornnonverbalncom
municationnandnemotionnregardingnanspecificntopicnandnthereforenvalidatesnthenassessmentnabout
nthenoldernadult’sntensionnbeforenproceeding.nBecausenthennursennoticesnherntension,nthennursente
mporarilynsuspendsnthenpreparationntonvalidatenhernassessment.nIfnthennursenproceedsnandnthenold
ernadultnisnuncomfortablendiscussingnelimination,nthennimportantninstructionsncannbenmissed,nlead
ingntonadverseneffectsnfornthenoldernadult.nRepeatingntheninstructionsncannaggravatenthenoldernadul
t’sndiscomfort.nInstructingnthenoldernadultntonrepeatnthennurse’sninstructionnignoresnhernneeds.
NURSINGTB.COM
n n n n n n n n
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1
n
n
n n n n n n n n n n
28.
,Chapter 01: Introduction to Healthy Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
n n n n n n n n n n n n
MULTIPLEnCHOICE
1. Anmannisnterminallynillnwithnend-
stagenprostatencancer.nWhichnisnthenbestnstatementnaboutnthisnman’snwellness?
a. Wellnessncannonlynbenachievednwithnaggressivenmedicalninterventions.
b. Wellnessnisnnotnanrealnoptionnfornthisnclientnbecausenhenisnterminallynill.
c. Wellnessnisndefinednasnthenabsencenofndisease.
d. Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofn
wellness.
ANS:n D
Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofnwellness;nannursenca
nnfosternwellnessninnhisnornhernclients.nWellnessnisndefinednbynthenindividualnandnisnmultidimensi
onal.nItnisnnotnjustnthenabsencenofndisease.nAnwellnessnperspectivenisnbasednonnthenbeliefnthatnever
ynpersonnhasnannoptimalnlevelnofnhealthnindependentnofnhisnornhernsituationnornfunctionalnlevel.nE
venninnthenpresencenofnchronicnillnessnornwhilendying,nanmovementntowardnwellnessnisnpossiblenif
nemphasisnofncarenisnplacednonnthenpromotionnofnwell-beingninnansupportivenenvironment.
PTS:nnn 1 DIF: Apply REF:nnnp.n7
TOP:nNursingnProcess:nDiagnosisnMSC:nHealthnPromotionnandnMaintenance
2. InndifferentiatingnbetweennhealU
N R I G B.C M
th aS NellnTess in hOealthncare,nwhichnofnthenfollowingn
nd w
statementsnisntrue?
a. Healthnisnanbroadntermnencompassingnattitudesnandnbehaviors.
b. Thenconceptnofnillnessnpreventionnwasnnevernconsiderednbynpreviousngenerations.
c. Wellnessnandnself-actualizationndevelopnthroughnlearningnandngrowth.
d. Wellnessnisnimpossiblenwhennone’snhealthnisncompromised.
ANS:n A
Healthnisnanbroadntermnthatnencompassesnattitudesnandnbehaviors;nholistically,nhealthnincludesnw
ellness,nwhichninvolvesnone’snwholenbeing.nThenconceptnofnillnessnpreventionnwasnnevernconsid
erednbynpreviousngenerations;nthroughoutnhistory,nbasicnself-
carenrequirementsnhavenbeennrecognized.nWellnessnandnself-
actualizationndevelopnthroughnlearningnandngrowth—
asnbasicnneedsnarenmet,nhighernlevelnneedsncannbensatisfiedninnturn,nwithnever-
deepeningnrichnessntonlife.nWellnessnisnpossiblenwhennone’snhealthnisncompromised—
evennwithnchronicnillness,nwithnmultiplendisabilities,norninndying,nmovementntowardnanhighernlev
elnofnwellnessnisnpossible.
PTS:nnn 1 DIF: Understand REF:nnnp.n7
TOP:nNursingnProcess:nEvaluationnMSC:nHealthnPromotionnandnMaintenance
3. WhichnracialnornethnicngroupnhasnthenhighestnlifenexpectancyninnthenUnitednStates?
a. NativenAmericans
b. AfricannAmericans
c. HispanicnAmericans
d. AsiannandnPacificnIslandnAmericans
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
Chapter 02: Cross-Cultural Caring and Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
n n n n n n n n n n n n
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnisnantruenstatementnaboutndifferingnhealthnbeliefnsystems?
a. PersonalisticnornmagicoreligiousnbeliefsnhavenbeennsupersededninnWesternnmindsnbyn
biomedicalnprinciples.
b. Innmostncultures,noldernadultsnarenlikelyntontreatnthemselvesnusingntraditionaln
methodsnbeforenturningntonbiomedicalnprofessionals.
c. AyurvedicnmedicinenisnanothernnamenforntraditionalnChinesenmedicine.
d. Thenbeliefnthatnhealthndependsnonnmaintainingnanbalancenamongnoppositenqualitiesni
sncharacteristicnofnanmagicoreligiousnbeliefnsystem.
ANS:n B
Oldernadultsninnmostnculturesnusuallynhavenhadnexperiencenwithntraditionalnmethodsnthatnhavenw
orkednasnwellnasnexpected.nAfternthesentreatmentsnfail,noldernadultsnturnntonthenformalnhealthncare
nsystem.nEvenninnthenUnitednStates,nitnisncommonnfornoldernadultsntonpraynforncuresnornwondernw
hatntheyndidntonincurnannillnessnasnpunishment.nThenAyurvedicnsystemnisnannaturalisticnhealthnbe
liefnsystemnpracticedninnIndianandninnsomenneighboringncountries.nThisnbeliefnisncharacteristicno
fnanholisticnornnaturalisticnapproach.
PTS:nnn 1 DIF: Understand REF:n p.n16-17
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
N R I G B.C M
2. WhichnofnthenfollowingnconsideUratiS
onsNis m
Tost likO
elyntonbentruenwhennworkingnwithnanni
nterpreter?
a. Anninterpreternisnnevernneedednifnthennursenspeaksnthensamenlanguagenasnthenpatient.
b. Whennworkingnwithninterpreters,nthennursencannusentechnicalntermsnornmetaphors.
c. Anpatient’snyoungngranddaughternwhonspeaksnfluentnEnglishnwouldnmakenthenbestni
nterpreternbecausenshenisnfamiliarnwithnandnlovesnthenpatient.
d. Thennursenshouldnfacenthenpatientnrathernthanntheninterpreter.
ANS:n D
Thennursenshouldnfacenthenpatientnrathernthanntheninterpreternisnantruenstatement;nthenintentnisntonc
onversenwithnthenpatient,nnotnwithnanthirdnpartynaboutnthenpatient.nManynreasonsnmaynpreventnth
enpatientnfromnspeakingndirectlyntonannurse.nTechnicalntermsnandnmetaphorsnmaynbendifficultnorni
mpossiblentontranslate.nCulturalnrestrictionsnmaynpreventnsomentopicsnfromnbeingnspokennofntonan
grandparentnornchild.
PTS:nnn 1 DIF:nnn Understandnnnn REF:nnnp.n18-19
TOP:n NursingnProcess:nImplementationnnnn MSC:n Safe,nEffectivenCarenEnvironment
3. AnnoldernadultnwhonisnantraditionalnChinesenmannhasnanbloodnpressurenofn80/54nmmnHgnandnrefus
esntonremainninnthenbed.nWhichninterventionnshouldnthennursenusentonpromotenandnmaintainnhisnhe
alth?
a. Haventhenhealthncarenprovidernspeakntonhim.
b. Usenprinciplesnofnthenholisticnhealthnsystem.
c. Asknaboutnhisnperceptionsnandntreatmentnideas.
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
d. ConsultnwithnanpractitionernofnChinesenmedicine.
ANS:n C
UsingnthenLEARNnmodeln(listennwithnsympathyntonthenpatient’snperceptionnofnthenproblem,nexpl
ainnyournperceptionnofnthenproblem,nacknowledgenthendifferencesnandnsimilarities,nrecommendnt
reatment,nandnnegotiatenagreement),nthennursengathersninformationnfromnthenpatientnaboutncultur
alnbeliefsnconcerningnhealthncarenandnavoidsnstereotypingnthenpatient.nInnthenassessment,nthennurs
endeterminesnwhatnthenpatientnbelievesnaboutncaregiving,ndecisionnmaking,ntreatment,nandnothernp
ertinentnhealth-
relatedninformation.nSpeakingnwithnthenhealthncarenprovidernisnprematurenuntilnthenassessmentnisn
complete.nUnlessnhenacceptsnthenbeliefs,nprinciplesnofnthenholisticnhealthnsystemncannbenpotential
lynunsuitablenandninsultingnfornthisnpatient.nUnlessnhenacceptsnthentreatments,nconsultingnwithnanp
ractitionernofnChinesenmedicinencannalsonbenunsuitablenandninsultingnfornthisnpatient.
PTS:nnn 1 DIF: Apply REF:n p.n18
TOP:n NursingnProcess:nImplementation MSC:n HealthnPromotionnandnMaintenance
4. Whichnactionnshouldnthennursentakenwhennaddressingnoldernadults?
a. Speakninnannexaggeratednpitch.
b. Usenanlowernqualitynofnspeech.
c. Usenendearingntermsnsuchnasn“honey.”
d. Speaknclearly.
ANS:n D
Somenhealthnprofessionalsndemonstratenageism,ninnpartnbecausenprovidersntendntonseenmanynfrail
,noldernpersonsnandnfewernofnthosenwhonarenhealthynandnactive.nProvidersnshouldnnotnassumentha
tnallnoldernadultsnarenhearingnornmentallynimpaired.nThenmostnappropriatenaction
whennaddressingnannoldernaduNltUwRoSulIdNbeGtT
onB
sp.
eaCkOcM
learly.nExamplesnofnunintentionalnageismni
nnlanguagenarenannexaggeratednpitch,nandemeaningnemotionalntone,nandnanlowernqualitynof
speech.
PTS:nnn 1 DIF: Apply REF:n p.n15
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
5. Thennursenpreparesnannoldernwoman,nwhonisnPolish,nforndischargenthroughnanninterpreternandnn
otesnthatnshenbecomesntensenduringntheninstructionsnaboutnelimination.nWhichninterventionnsh
ouldnthennursenimplement?
a. Movenonntonthendiscussionnaboutnmedication.
b. Asknthenoldernwomannhownshenfeelsnaboutnthisntopic.
c. Instructntheninterpreterntonrepeatntheninstructions.
d. Haventhenoldernwomannrepeatntheninstructionsnfornclarity.
ANS:n B
Whennworkingnwithnanninterpreter,nthennursencloselynwatchesnthenoldernadultnfornnonverbalncom
municationnandnemotionnregardingnanspecificntopicnandnthereforenvalidatesnthenassessmentnabout
nthenoldernadult’sntensionnbeforenproceeding.nBecausenthennursennoticesnherntension,nthennursente
mporarilynsuspendsnthenpreparationntonvalidatenhernassessment.nIfnthennursenproceedsnandnthenold
ernadultnisnuncomfortablendiscussingnelimination,nthennimportantninstructionsncannbenmissed,nlead
ingntonadverseneffectsnfornthenoldernadult.nRepeatingntheninstructionsncannaggravatenthenoldernadul
t’sndiscomfort.nInstructingnthenoldernadultntonrepeatnthennurse’sninstructionnignoresnhernneeds.
NURSINGTB.COM
