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ogical Nursing & HealthyAging 5th Editi
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on by Theris A. Touhy and Kathleen F Je
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t Chapter 1-28.
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This is a bank of tests (study questions) to help you prepare for the tests.
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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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MULTIPLE CHOICE u
1. A man is terminally ill with end-
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stage prostate cancer. Which is the best statement about thisman’s wellness?
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a. Wellness can only be achieved with aggressive medical interventions. u u u u u u u u
b. Wellness is not a real option for this client because he is terminally ill. u u u u u u u u u u u u u
c. Wellness is defined as the absence of disease. u u u u u u u
d. Nursing interventions can help empower a client to achieve a higher level ofwel u u u u u u u u u u u u u
lness.
ANS: D u
Nursing interventions can help empower a client to achieve a higher level of wellness; a nursecan f
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oster wellness in his or her clients. Wellness is defined by the individual and is multidimensional. I
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t is not just the absence of disease. A wellness perspective is based on the belief that every person h
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as an optimal level of health independent of his or her situation or functional level. Even in the pres
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ence of chronic illness or while dying, a movement toward wellness is possible if emphasis of care
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is placed on the promotion of well-being in a supportive environment.
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PTS: 1 uuu DIF: Apply REF: p. 7 uuu u
TOP: Nursing Process: DiagnosisMSC: Health Promotion and Maintenance
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2. In differentiating between healU
u th aS NellnTess in hOealth care, which of the following st
nd w u u
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atements is true? u u
a. Health is a broad term encompassing attitudes and behaviors. u u u u u u u u
b. The concept of illness prevention was never considered by previous generations.
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c. Wellness and self-actualization develop through learning and growth. u u u u u u u
d. Wellness is impossible when one’s health is compromised. u u u u u u u
ANS: A u
Health is a broad term that encompasses attitudes and behaviors; holistically, health includes well
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ness, which involves one’s whole being. The concept of illness prevention was never considered b
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y previous generations; throughout history, basic self-
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care requirements have been recognized. Wellness and self-
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actualization develop through learning and growth— u u u u u
as basic needs are met, higher level needs can be satisfied in turn, with ever-
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deepening richness to life. Wellness is possible when one’s health is compromised—
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even with chronic illness, with multiple disabilities, or in dying, movement toward a higher level o
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f wellness is possible.
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PTS: 1 uuu DIF: Understand REF: p. 7 uuu u
TOP: Nursing Process: EvaluationMSC: Health Promotion and Maintenance
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3. Which racial or ethnic group has the highest life expectancy in the United States?
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a. Native Americans u
b. African Americans u
c. Hispanic Americans u
d. Asian and Pacific Island Americans u u u u
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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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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MULTIPLE CHOICE u
1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligious beliefs have been superseded in Western minds bybio u u u u u u u u u u u
medical principles. u
b. In most cultures, older adults are likely to treat themselves using traditionalme
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thods before turning to biomedical professionals. u u u u u
c. Ayurvedic medicine is another name for traditional Chinese medicine. u u u u u u u u
d. The belief that health depends on maintaining a balance among opposite qualitiesis c
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haracteristic of a magicoreligious belief system. u u u u u
ANS: B u
Older adults in most cultures usually have had experience with traditional methods that havework
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ed as well as expected. After these treatments fail, older adults turn to the formal healthcare syste
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m. Even in the United States, it is common for older adults to pray for cures or wonder what they d
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id to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system pr
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acticed in India and in some neighboring countries. This belief is characteristic of a holistic or nat
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uralistic approach. u
PTS: 1 DIF: Understand
uuu REF: p. 16-17 u u
TOP: Nursing Process: Assessment u u u MSC: Health Promotion and Maintenance u u u u
2. Which of the following consideUratiS
onsNis m
Tost likO
uely to be true when working with an int
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N R I G B.C M u u u u u u u u
erpreter?
a. An interpreter is never needed if the nurse speaks the same language as the patient.
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b. When working with interpreters, the nurse can use technical terms or metaphors.
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c. A patient’s young granddaughter who speaks fluent English would make the bestint
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erpreter because she is familiar with and loves the patient. u u u u u u u u u
d. The nurse should face the patient rather than the interpreter.
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ANS: D u
The nurse should face the patient rather than the interpreter is a true statement; the intent is toconv
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erse with the patient, not with a third party about the patient. Many reasons may prevent the patien
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t from speaking directly to a nurse. Technical terms and metaphors may be difficultor impossible t
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o translate. Cultural restrictions may prevent some topics from being spoken ofto a grandparent or
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child.
PTS: 1 DIF: Understand REF: p. 18-19
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TOP: Nursing Process: Implementation MSC: Safe, Effective Care Environment
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses t
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o remain in the bed. Which intervention should the nurse use to promote and maintainhis health?
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a. Have the health care provider speak to him. u u u u u u u
b. Use principles of the holistic health system. u u u u u u
c. Ask about his perceptions and treatment ideas. u u u u u u
NURSINGTB.COM
, Ebersole and Hess' Gerontological Nursing and Healthy Aging 5th Edition Touhy Test Bank
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d. Consult with a practitioner of Chinese medicine. u u u u u u
ANS: C u
Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain
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your perception of the problem, acknowledge the differences and similarities, recommend treatm
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ent, and negotiate agreement), the nurse gathers information from the patient about cultural belief
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s concerning health care and avoids stereotyping the patient. In theassessment, the nurse determine
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s what the patient believes about caregiving, decision making,treatment, and other pertinent healt
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h-
related information. Speaking with the health care provider is premature until the assessment is co
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mplete. Unless he accepts the beliefs, principles of the holistic health system can be potentially un
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suitable and insulting for this patient. Unless he accepts the treatments, consulting with a practitio
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ner of Chinese medicine can also be unsuitable and insulting for this patient.
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PTS: 1 DIF: Apply
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TOP: Nursing Process: Implementation
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4. Which action should the nurse take when addressing older adults?
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a. Speak in an exaggerated pitch. u u u u
b. Use a lower quality of speech. u u u u u
c. Use endearing terms such as “honey.” u u u u u
d. Speak clearly. u
ANS: D u
Some health professionals demonstrate ageism, in part because providers tend to see manyfrail, o
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lder persons and fewer of those who are healthy and active. Providers should not assume that all o
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lder adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
u ulI
dNbeGtT
oBsp.
eaCkOcM
learly. Examples of unintentional ageism in l u u u u u u u u u u
anguage are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.
PTS: 1 DIF: Apply
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TOP: Nursing Process: Assessment
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5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter andnote
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s that she becomes tense during the instructions about elimination. Which interventionshould t
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he nurse implement?
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a. Move on to the discussion about medication. u u u u u u
b. Ask the older woman how she feels about this topic.
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c. Instruct the interpreter to repeat the instructions. u u u u u u
d. Have the older woman repeat the instructions for clarity.
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ANS: B u
When working with an interpreter, the nurse closely watches the older adult for nonverbal commu
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nication and emotion regarding a specific topic and therefore validates the assessment about the ol
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der adult’s tension before proceeding. Because the nurse notices her tension, the nurse temporaril
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y suspends the preparation to validate her assessment. If the nurse proceeds and the older adult is u
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ncomfortable discussing elimination, then important instructions can bemissed, leading to advers
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e effects for the older adult. Repeating the instructions can aggravatethe older adult’s discomfort. I
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nstructing the older adult to repeat the nurse’s instruction ignores her needs.
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