Test Bank Ebersole and Hess’ Gerontological Nursing & Healthy
p p p p p p p p
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1
p
p
p p p p p p p p p p
28.
,Chapter 01: Introduction to Healthy Aging
p p p p p
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
p p p p p p p p p p p p
MULTIPLEpCHOICE
1. Apmanpispterminallypillpwithpend-
stagepprostatepcancer.pWhichpispthepbestpstatementpaboutpthispman’spwellness?
a. Wellnesspcanponlypbepachievedpwithpaggressivepmedicalpinterventions.
b. Wellnesspispnotpaprealpoptionpforpthispclientpbecausephepispterminallypill.
c. Wellnesspispdefinedpaspthepabsencepofpdisease.
d. Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofp
wellness.
ANS:p D
Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofpwellness;papnursepca
npfosterpwellnesspinphisporpherpclients.pWellnesspispdefinedpbypthepindividualpandpispmultidimensi
onal.pItpispnotpjustpthepabsencepofpdisease.pApwellnesspperspectivepispbasedponpthepbeliefpthatpever
yppersonphaspanpoptimalplevelpofphealthpindependentpofphisporpherpsituationporpfunctionalplevel.pE
venpinptheppresencepofpchronicpillnessporpwhilepdying,papmovementptowardpwellnesspisppossiblepif
pemphasispofpcarepispplacedponptheppromotionpofpwell-beingpinpapsupportivepenvironment.
PTS:ppp 1 DIF: Apply REF:pppp.p7
TOP:pNursingpProcess:pDiagnosispMSC:pHealthpPromotionpandpMaintenance
2. InpdifferentiatingpbetweenphealU
N R I G B.C M
th aS NellnTess in hOealthpcare,pwhichpofpthepfollowingp
nd w
statementspisptrue?
a. Healthpispapbroadptermpencompassingpattitudespandpbehaviors.
b. Thepconceptpofpillnessppreventionpwaspneverpconsideredpbyppreviouspgenerations.
c. Wellnesspandpself-actualizationpdeveloppthroughplearningpandpgrowth.
d. Wellnesspispimpossiblepwhenpone’sphealthpispcompromised.
ANS:p A
Healthpispapbroadptermpthatpencompassespattitudespandpbehaviors;pholistically,phealthpincludespw
ellness,pwhichpinvolvespone’spwholepbeing.pThepconceptpofpillnessppreventionpwaspneverpconsid
eredpbyppreviouspgenerations;pthroughoutphistory,pbasicpself-
careprequirementsphavepbeenprecognized.pWellnesspandpself-
actualizationpdeveloppthroughplearningpandpgrowth—
aspbasicpneedsparepmet,phigherplevelpneedspcanpbepsatisfiedpinpturn,pwithpever-
deepeningprichnessptoplife.pWellnesspisppossiblepwhenpone’sphealthpispcompromised—
evenpwithpchronicpillness,pwithpmultiplepdisabilities,porpinpdying,pmovementptowardpaphigherplev
elpofpwellnesspisppossible.
PTS:ppp 1 DIF: Understand REF:pppp.p7
TOP:pNursingpProcess:pEvaluationpMSC:pHealthpPromotionpandpMaintenance
3. WhichpracialporpethnicpgroupphaspthephighestplifepexpectancypinpthepUnitedpStates?
a. NativepAmericans
b. AfricanpAmericans
c. HispanicpAmericans
d. AsianpandpPacificpIslandpAmericans
NURSINGTB.COM
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBank
Chapter 02: Cross-Cultural Caring and Aging
p p p p p
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
p p p p p p p p p p p p
MULTIPLEpCHOICE
1. Whichpofpthepfollowingpispaptruepstatementpaboutpdifferingphealthpbeliefpsystems?
a. PersonalisticporpmagicoreligiouspbeliefsphavepbeenpsupersededpinpWesternpmindspbyp
biomedicalpprinciples.
b. Inpmostpcultures,polderpadultspareplikelyptoptreatpthemselvespusingptraditionalp
methodspbeforepturningptopbiomedicalpprofessionals.
c. AyurvedicpmedicinepispanotherpnamepforptraditionalpChinesepmedicine.
d. Thepbeliefpthatphealthpdependsponpmaintainingpapbalancepamongpoppositepqualitiespi
spcharacteristicpofpapmagicoreligiouspbeliefpsystem.
ANS:p B
Olderpadultspinpmostpculturespusuallyphavephadpexperiencepwithptraditionalpmethodspthatphavepw
orkedpaspwellpaspexpected.pAfterptheseptreatmentspfail,polderpadultspturnptopthepformalphealthpcare
psystem.pEvenpinpthepUnitedpStates,pitpispcommonpforpolderpadultsptoppraypforpcuresporpwonderpw
hatptheypdidptopincurpanpillnesspasppunishment.pThepAyurvedicpsystempispapnaturalisticphealthpbe
liefpsystemppracticedpinpIndiapandpinpsomepneighboringpcountries.pThispbeliefpispcharacteristicpo
fpapholisticporpnaturalisticpapproach.
PTS:ppp 1 DIF: Understand REF:p p.p16-17
TOP:p NursingpProcess:pAssessment MSC:p HealthpPromotionpandpMaintenance
N R I G B.C M
2. WhichpofpthepfollowingpconsideUratiS
onsNis m
Tost likO
elyptopbeptruepwhenpworkingpwithpanpi
nterpreter?
a. Anpinterpreterpispneverpneededpifpthepnursepspeakspthepsameplanguagepasptheppatient.
b. Whenpworkingpwithpinterpreters,pthepnursepcanpuseptechnicalptermsporpmetaphors.
c. Appatient’spyoungpgranddaughterpwhopspeakspfluentpEnglishpwouldpmakepthepbestpi
nterpreterpbecausepshepispfamiliarpwithpandplovesptheppatient.
d. Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreter.
ANS:p D
Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreterpispaptruepstatement;pthepintentpisptopc
onversepwithptheppatient,pnotpwithpapthirdppartypaboutptheppatient.pManypreasonspmayppreventpth
eppatientpfrompspeakingpdirectlyptopapnurse.pTechnicalptermspandpmetaphorspmaypbepdifficultporpi
mpossibleptoptranslate.pCulturalprestrictionspmayppreventpsomeptopicspfrompbeingpspokenpofptopap
grandparentporpchild.
PTS:ppp 1 DIF:ppp Understandpppp REF:pppp.p18-19
TOP:p NursingpProcess:pImplementationpppp MSC:p Safe,pEffectivepCarepEnvironment
3. AnpolderpadultpwhopispaptraditionalpChinesepmanphaspapbloodppressurepofp80/54pmmpHgpandprefus
esptopremainpinpthepbed.pWhichpinterventionpshouldpthepnursepuseptoppromotepandpmaintainphisphe
alth?
a. Havepthephealthpcarepproviderpspeakptophim.
b. Usepprinciplespofpthepholisticphealthpsystem.
c. Askpaboutphispperceptionspandptreatmentpideas.
NURSINGTB.COM
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBank
d. ConsultpwithpappractitionerpofpChinesepmedicine.
ANS:p C
UsingpthepLEARNpmodelp(listenpwithpsympathyptoptheppatient’spperceptionpofpthepproblem,pexpl
ainpyourpperceptionpofpthepproblem,packnowledgepthepdifferencespandpsimilarities,precommendpt
reatment,pandpnegotiatepagreement),pthepnursepgatherspinformationpfromptheppatientpaboutpcultur
alpbeliefspconcerningphealthpcarepandpavoidspstereotypingptheppatient.pInpthepassessment,pthepnurs
epdeterminespwhatptheppatientpbelievespaboutpcaregiving,pdecisionpmaking,ptreatment,pandpotherpp
ertinentphealth-
relatedpinformation.pSpeakingpwithpthephealthpcarepproviderpispprematurepuntilpthepassessmentpisp
complete.pUnlessphepacceptspthepbeliefs,pprinciplespofpthepholisticphealthpsystempcanpbeppotential
lypunsuitablepandpinsultingpforpthisppatient.pUnlessphepacceptsptheptreatments,pconsultingpwithpapp
ractitionerpofpChinesepmedicinepcanpalsopbepunsuitablepandpinsultingpforpthisppatient.
PTS:ppp 1 DIF: Apply REF:p p.p18
TOP:p NursingpProcess:pImplementation MSC:p HealthpPromotionpandpMaintenance
4. Whichpactionpshouldpthepnurseptakepwhenpaddressingpolderpadults?
a. Speakpinpanpexaggeratedppitch.
b. Usepaplowerpqualitypofpspeech.
c. Usependearingptermspsuchpasp“honey.”
d. Speakpclearly.
ANS:p D
Somephealthpprofessionalspdemonstratepageism,pinppartpbecausepprovidersptendptopseepmanypfrail
,polderppersonspandpfewerpofpthosepwhoparephealthypandpactive.pProviderspshouldpnotpassumeptha
tpallpolderpadultsparephearingporpmentallypimpaired.pThepmostpappropriatepaction
whenpaddressingpanpolderpaduNltUwRoS ulI
dNbeGtT
opB
sp.
eaCkOcM
learly.pExamplespofpunintentionalpageismpi
nplanguageparepanpexaggeratedppitch,papdemeaningpemotionalptone,pandpaplowerpqualitypof
speech.
PTS:ppp 1 DIF: Apply REF:p p.p15
TOP:p NursingpProcess:pAssessment MSC:p HealthpPromotionpandpMaintenance
5. Thepnurseppreparespanpolderpwoman,pwhopispPolish,pforpdischargepthroughpanpinterpreterpandpn
otespthatpshepbecomesptensepduringpthepinstructionspaboutpelimination.pWhichpinterventionpsh
ouldpthepnursepimplement?
a. Moveponptopthepdiscussionpaboutpmedication.
b. Askpthepolderpwomanphowpshepfeelspaboutpthisptopic.
c. Instructpthepinterpreterptoprepeatpthepinstructions.
d. Havepthepolderpwomanprepeatpthepinstructionspforpclarity.
ANS:p B
Whenpworkingpwithpanpinterpreter,pthepnursepcloselypwatchespthepolderpadultpforpnonverbalpcom
municationpandpemotionpregardingpapspecificptopicpandpthereforepvalidatespthepassessmentpabout
pthepolderpadult’sptensionpbeforepproceeding.pBecausepthepnursepnoticespherptension,pthepnursepte
mporarilypsuspendsptheppreparationptopvalidatepherpassessment.pIfpthepnursepproceedspandpthepold
erpadultpispuncomfortablepdiscussingpelimination,pthenpimportantpinstructionspcanpbepmissed,plead
ingptopadversepeffectspforpthepolderpadult.pRepeatingpthepinstructionspcanpaggravatepthepolderpadul
t’spdiscomfort.pInstructingpthepolderpadultptoprepeatpthepnurse’spinstructionpignorespherpneeds.
NURSINGTB.COM
p p p p p p p p
ging 5th Edition by Theris A. Touhy, and Kathleen F Jet Chapter 1
p
p
p p p p p p p p p p
28.
,Chapter 01: Introduction to Healthy Aging
p p p p p
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
p p p p p p p p p p p p
MULTIPLEpCHOICE
1. Apmanpispterminallypillpwithpend-
stagepprostatepcancer.pWhichpispthepbestpstatementpaboutpthispman’spwellness?
a. Wellnesspcanponlypbepachievedpwithpaggressivepmedicalpinterventions.
b. Wellnesspispnotpaprealpoptionpforpthispclientpbecausephepispterminallypill.
c. Wellnesspispdefinedpaspthepabsencepofpdisease.
d. Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofp
wellness.
ANS:p D
Nursingpinterventionspcanphelppempowerpapclientptopachievepaphigherplevelpofpwellness;papnursepca
npfosterpwellnesspinphisporpherpclients.pWellnesspispdefinedpbypthepindividualpandpispmultidimensi
onal.pItpispnotpjustpthepabsencepofpdisease.pApwellnesspperspectivepispbasedponpthepbeliefpthatpever
yppersonphaspanpoptimalplevelpofphealthpindependentpofphisporpherpsituationporpfunctionalplevel.pE
venpinptheppresencepofpchronicpillnessporpwhilepdying,papmovementptowardpwellnesspisppossiblepif
pemphasispofpcarepispplacedponptheppromotionpofpwell-beingpinpapsupportivepenvironment.
PTS:ppp 1 DIF: Apply REF:pppp.p7
TOP:pNursingpProcess:pDiagnosispMSC:pHealthpPromotionpandpMaintenance
2. InpdifferentiatingpbetweenphealU
N R I G B.C M
th aS NellnTess in hOealthpcare,pwhichpofpthepfollowingp
nd w
statementspisptrue?
a. Healthpispapbroadptermpencompassingpattitudespandpbehaviors.
b. Thepconceptpofpillnessppreventionpwaspneverpconsideredpbyppreviouspgenerations.
c. Wellnesspandpself-actualizationpdeveloppthroughplearningpandpgrowth.
d. Wellnesspispimpossiblepwhenpone’sphealthpispcompromised.
ANS:p A
Healthpispapbroadptermpthatpencompassespattitudespandpbehaviors;pholistically,phealthpincludespw
ellness,pwhichpinvolvespone’spwholepbeing.pThepconceptpofpillnessppreventionpwaspneverpconsid
eredpbyppreviouspgenerations;pthroughoutphistory,pbasicpself-
careprequirementsphavepbeenprecognized.pWellnesspandpself-
actualizationpdeveloppthroughplearningpandpgrowth—
aspbasicpneedsparepmet,phigherplevelpneedspcanpbepsatisfiedpinpturn,pwithpever-
deepeningprichnessptoplife.pWellnesspisppossiblepwhenpone’sphealthpispcompromised—
evenpwithpchronicpillness,pwithpmultiplepdisabilities,porpinpdying,pmovementptowardpaphigherplev
elpofpwellnesspisppossible.
PTS:ppp 1 DIF: Understand REF:pppp.p7
TOP:pNursingpProcess:pEvaluationpMSC:pHealthpPromotionpandpMaintenance
3. WhichpracialporpethnicpgroupphaspthephighestplifepexpectancypinpthepUnitedpStates?
a. NativepAmericans
b. AfricanpAmericans
c. HispanicpAmericans
d. AsianpandpPacificpIslandpAmericans
NURSINGTB.COM
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBank
Chapter 02: Cross-Cultural Caring and Aging
p p p p p
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5thEdition
p p p p p p p p p p p p
MULTIPLEpCHOICE
1. Whichpofpthepfollowingpispaptruepstatementpaboutpdifferingphealthpbeliefpsystems?
a. PersonalisticporpmagicoreligiouspbeliefsphavepbeenpsupersededpinpWesternpmindspbyp
biomedicalpprinciples.
b. Inpmostpcultures,polderpadultspareplikelyptoptreatpthemselvespusingptraditionalp
methodspbeforepturningptopbiomedicalpprofessionals.
c. AyurvedicpmedicinepispanotherpnamepforptraditionalpChinesepmedicine.
d. Thepbeliefpthatphealthpdependsponpmaintainingpapbalancepamongpoppositepqualitiespi
spcharacteristicpofpapmagicoreligiouspbeliefpsystem.
ANS:p B
Olderpadultspinpmostpculturespusuallyphavephadpexperiencepwithptraditionalpmethodspthatphavepw
orkedpaspwellpaspexpected.pAfterptheseptreatmentspfail,polderpadultspturnptopthepformalphealthpcare
psystem.pEvenpinpthepUnitedpStates,pitpispcommonpforpolderpadultsptoppraypforpcuresporpwonderpw
hatptheypdidptopincurpanpillnesspasppunishment.pThepAyurvedicpsystempispapnaturalisticphealthpbe
liefpsystemppracticedpinpIndiapandpinpsomepneighboringpcountries.pThispbeliefpispcharacteristicpo
fpapholisticporpnaturalisticpapproach.
PTS:ppp 1 DIF: Understand REF:p p.p16-17
TOP:p NursingpProcess:pAssessment MSC:p HealthpPromotionpandpMaintenance
N R I G B.C M
2. WhichpofpthepfollowingpconsideUratiS
onsNis m
Tost likO
elyptopbeptruepwhenpworkingpwithpanpi
nterpreter?
a. Anpinterpreterpispneverpneededpifpthepnursepspeakspthepsameplanguagepasptheppatient.
b. Whenpworkingpwithpinterpreters,pthepnursepcanpuseptechnicalptermsporpmetaphors.
c. Appatient’spyoungpgranddaughterpwhopspeakspfluentpEnglishpwouldpmakepthepbestpi
nterpreterpbecausepshepispfamiliarpwithpandplovesptheppatient.
d. Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreter.
ANS:p D
Thepnursepshouldpfaceptheppatientpratherpthanpthepinterpreterpispaptruepstatement;pthepintentpisptopc
onversepwithptheppatient,pnotpwithpapthirdppartypaboutptheppatient.pManypreasonspmayppreventpth
eppatientpfrompspeakingpdirectlyptopapnurse.pTechnicalptermspandpmetaphorspmaypbepdifficultporpi
mpossibleptoptranslate.pCulturalprestrictionspmayppreventpsomeptopicspfrompbeingpspokenpofptopap
grandparentporpchild.
PTS:ppp 1 DIF:ppp Understandpppp REF:pppp.p18-19
TOP:p NursingpProcess:pImplementationpppp MSC:p Safe,pEffectivepCarepEnvironment
3. AnpolderpadultpwhopispaptraditionalpChinesepmanphaspapbloodppressurepofp80/54pmmpHgpandprefus
esptopremainpinpthepbed.pWhichpinterventionpshouldpthepnursepuseptoppromotepandpmaintainphisphe
alth?
a. Havepthephealthpcarepproviderpspeakptophim.
b. Usepprinciplespofpthepholisticphealthpsystem.
c. Askpaboutphispperceptionspandptreatmentpideas.
NURSINGTB.COM
, EbersolepandpHess'pGerontologicalpNursingpandpHealthypAgingp5thpEditionpTouhypTestpBank
d. ConsultpwithpappractitionerpofpChinesepmedicine.
ANS:p C
UsingpthepLEARNpmodelp(listenpwithpsympathyptoptheppatient’spperceptionpofpthepproblem,pexpl
ainpyourpperceptionpofpthepproblem,packnowledgepthepdifferencespandpsimilarities,precommendpt
reatment,pandpnegotiatepagreement),pthepnursepgatherspinformationpfromptheppatientpaboutpcultur
alpbeliefspconcerningphealthpcarepandpavoidspstereotypingptheppatient.pInpthepassessment,pthepnurs
epdeterminespwhatptheppatientpbelievespaboutpcaregiving,pdecisionpmaking,ptreatment,pandpotherpp
ertinentphealth-
relatedpinformation.pSpeakingpwithpthephealthpcarepproviderpispprematurepuntilpthepassessmentpisp
complete.pUnlessphepacceptspthepbeliefs,pprinciplespofpthepholisticphealthpsystempcanpbeppotential
lypunsuitablepandpinsultingpforpthisppatient.pUnlessphepacceptsptheptreatments,pconsultingpwithpapp
ractitionerpofpChinesepmedicinepcanpalsopbepunsuitablepandpinsultingpforpthisppatient.
PTS:ppp 1 DIF: Apply REF:p p.p18
TOP:p NursingpProcess:pImplementation MSC:p HealthpPromotionpandpMaintenance
4. Whichpactionpshouldpthepnurseptakepwhenpaddressingpolderpadults?
a. Speakpinpanpexaggeratedppitch.
b. Usepaplowerpqualitypofpspeech.
c. Usependearingptermspsuchpasp“honey.”
d. Speakpclearly.
ANS:p D
Somephealthpprofessionalspdemonstratepageism,pinppartpbecausepprovidersptendptopseepmanypfrail
,polderppersonspandpfewerpofpthosepwhoparephealthypandpactive.pProviderspshouldpnotpassumeptha
tpallpolderpadultsparephearingporpmentallypimpaired.pThepmostpappropriatepaction
whenpaddressingpanpolderpaduNltUwRoS ulI
dNbeGtT
opB
sp.
eaCkOcM
learly.pExamplespofpunintentionalpageismpi
nplanguageparepanpexaggeratedppitch,papdemeaningpemotionalptone,pandpaplowerpqualitypof
speech.
PTS:ppp 1 DIF: Apply REF:p p.p15
TOP:p NursingpProcess:pAssessment MSC:p HealthpPromotionpandpMaintenance
5. Thepnurseppreparespanpolderpwoman,pwhopispPolish,pforpdischargepthroughpanpinterpreterpandpn
otespthatpshepbecomesptensepduringpthepinstructionspaboutpelimination.pWhichpinterventionpsh
ouldpthepnursepimplement?
a. Moveponptopthepdiscussionpaboutpmedication.
b. Askpthepolderpwomanphowpshepfeelspaboutpthisptopic.
c. Instructpthepinterpreterptoprepeatpthepinstructions.
d. Havepthepolderpwomanprepeatpthepinstructionspforpclarity.
ANS:p B
Whenpworkingpwithpanpinterpreter,pthepnursepcloselypwatchespthepolderpadultpforpnonverbalpcom
municationpandpemotionpregardingpapspecificptopicpandpthereforepvalidatespthepassessmentpabout
pthepolderpadult’sptensionpbeforepproceeding.pBecausepthepnursepnoticespherptension,pthepnursepte
mporarilypsuspendsptheppreparationptopvalidatepherpassessment.pIfpthepnursepproceedspandpthepold
erpadultpispuncomfortablepdiscussingpelimination,pthenpimportantpinstructionspcanpbepmissed,plead
ingptopadversepeffectspforpthepolderpadult.pRepeatingpthepinstructionspcanpaggravatepthepolderpadul
t’spdiscomfort.pInstructingpthepolderpadultptoprepeatpthepnurse’spinstructionpignorespherpneeds.
NURSINGTB.COM
