gg
g
g
g
TOUHY & JETT: EBERSOLE AND HESS’
g g g g g g
GERONTOLOGICAL NURSING & HEALT g g g
g
HY AGING, 5TH EDITION. g g g g
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolo
g g g g g g g g g g g g
gical Nursing & Healthy Aging, 5th Edition
g g g g g g g
g
g g
MULTIPLEgCHOICEg
g
1. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgman’sgwellness?g
a. Wellnessgcangonlygbegachievedgwithgaggressivegmedicalginterventions.g
b. Wellnessgisgnotgagrealgoptiongforgthisgclientgbecauseghegisgterminallygill.g
c. Wellnessgisgdefinedgasgthegabsencegofgdisease.g
d. Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness.g
ANS:gDg
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagnurseg
cangfostergwellnessginghisgorghergclients.gWellnessgisgdefinedgbygthegindividualgandgisgmultidime
nsional.gItgisgnotgjustgthegabsencegofgdisease.gAgwellnessgperspectivegisgbasedgongthegbeliefgthatge
verygpersonghasgangoptimalglevelgofghealthgindependentgofghisgorghergsituationgorgfunctionalgleve
l.gEvengingthegpresencegofgchronicgillnessgorgwhilegdying,gagmovementgtowardgwellnessgisgpossib
legifgemphasisgofgcaregisgplacedgongthegpromotiongofgwell-beinggingagsupportivegenvironment.g
g
PTS:ggg1g DIF:gApplyg REF:gggp.g7g TOP:gNursinggProcess:gDiagnosisg
MSC:gHealthgPromotiongandgMaintenanceg
N R I
2. Ingdifferentiatinggbetweenghe alUth aSnd wNe llTne ss i ngOhe althgcare,gwhichgof
G B .C M
thegfollowinggstatementsgisgtrue?g
g
a. Healthgisgagbroadgtermgencompassinggattitudesgandgbehaviors.g
b. Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations.g
c. Wellnessgandgself-actualizationgdevelopgthroughglearninggandggrowth.g
d. Wellnessgisgimpossiblegwhengone’sghealthgisgcompromised.g
ANS:gAg
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludesgw
ellness,gwhichginvolvesgone’sgwholegbeing.gThegconceptgofgillnessgpreventiongwasgnevergconsid
eredgbygpreviousggenerations;gthroughoutghistory,gbasicgself-
caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowth—
asgbasicgneedsgaregmet,ghigherglevelgneedsgcangbegsatisfiedgingturn,gwithgever-
deepeninggrichnessgtoglife.gWellnessgisgpossiblegwhengone’sghealthgisgcompromised—
g
NURSINGTB.COM g
, evengwithgchronicgillness,gwithgmultiplegdisabilities,gorgingdying,gmovementgtowardgaghigherglev
elgofgwellnessgisgpossible.g
g
PTS:ggg1g DIF:gUnderstandg REF:gggp.g7g TOP:gNursinggProcess:gEvaluationg
MSC:gHealthgPromotiongandgMaintenanceg
g
TOUHYg&gJETT:gEBERSOLEgANDgHESS’gGERONTOLOGICALgNURSINGg&gHEALTHYgAGING,g5THgEDITION.g
gg
3.gWhichgracialgorgethnicggroupghasgtheghighestglifegexpectancygingthegUnitedgStates?g
a. NativegAmericansg
b. AfricangAmericansg
c. HispanicgAmericansg
d. AsiangandgPacificgIslandgAmericansg
g
NURSINGTB.COM g
, EbersolegandgHess'gGerontologicalgNursinggandgHealthygAgingg5thgEditiongTouhygTestgBankg
Chapter 02: Cross-
g g
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
g g g g g g g g g g g g g
Healthy Aging, 5th Edition
g g g g g
g
MULTIPLEgCHOICEg
g
1. Whichgofgthegfollowinggisgagtruegstatementgaboutgdifferingghealthgbeliefgsystems?g
a. PersonalisticgorgmagicoreligiousgbeliefsghavegbeengsupersededgingWesterngmindsgby
gbiomedicalgprinciples.g
b. Ingmostgcultures,goldergadultsgareglikelygtogtreatgthemselvesgusinggtraditionalgmetho
dsgbeforegturninggtogbiomedicalgprofessionals.g
c. AyurvedicgmedicinegisganothergnamegforgtraditionalgChinesegmedicine.g
d. Thegbeliefgthatghealthgdependsgongmaintaininggagbalancegamonggoppositegqualitiesgi
sgcharacteristicgofgagmagicoreligiousgbeliefgsystem.g
ANS:gBg
Oldergadultsgingmostgculturesgusuallyghaveghadgexperiencegwithgtraditionalgmethodsgthatghavegw
orkedgasgwellgasgexpected.gAftergthesegtreatmentsgfail,goldergadultsgturngtogthegformalghealthgcare
gsystem.gEvengingthegUnitedgStates,gitgisgcommongforgoldergadultsgtogpraygforgcuresgorgwondergw
hatgtheygdidgtogincurgangillnessgasgpunishment.gThegAyurvedicgsystemgisgagnaturalisticghealthgbel
iefgsystemgpracticedgingIndiagandgingsomegneighboringgcountries.gThisgbeliefgisgcharacteristicgofg
agholisticgorgnaturalisticgapproach.g
g
PTS:ggg1gDIF:gUnderstandgREF:gp.g16-
17gTOP:gNursinggProcess:gAssessmentgMSC:gHealthgPromotiongandgMaintenanceg
N R I G B. C
2. Whichgofgthegfollowinggconsi dUer atSio nsNis mTo s tgl ikOel ygtogbegtruegwheng
M
workinggwithganginterpreter?g
a. Anginterpretergisgnevergneededgifgthegnursegspeaksgthegsameglanguagegasgthegpatient.g
b. Whengworkinggwithginterpreters,gthegnursegcangusegtechnicalgtermsgorgmetaphors.g
c. Agpatient’sgyoungggranddaughtergwhogspeaksgfluentgEnglishgwouldgmakegthegbestgi
nterpretergbecausegshegisgfamiliargwithgandglovesgthegpatient.g
d. Thegnursegshouldgfacegthegpatientgrathergthangtheginterpreter.g
ANS:gDg
Thegnursegshouldgfacegthegpatientgrathergthangtheginterpretergisgagtruegstatement;gthegintentgisgtogc
onversegwithgthegpatient,gnotgwithgagthirdgpartygaboutgthegpatient.gManygreasonsgmaygpreventgthe
gpatientgfromgspeakinggdirectlygtogagnurse.gTechnicalgtermsgandgmetaphorsgmaygbegdifficultgorgi
mpossiblegtogtranslate.gCulturalgrestrictionsgmaygpreventgsomegtopicsgfromgbeinggspokengofgtogag
grandparentgorgchild.g
g
PTS:ggg1g DIF:gggUnderstandggggREF:gggp.g18-19g
TOP:gNursinggProcess:gImplementationggggMSC:gSafe,gEffectivegCaregEnvironmentg
g
3. AngoldergadultgwhogisgagtraditionalgChinesegmanghasgagbloodgpressuregofg80/54gmmgHggandgrefus
esgtogremaingingthegbed.gWhichginterventiongshouldgthegnursegusegtogpromotegandgmaintainghisgh
ealth?g
a. Havegtheghealthgcaregprovidergspeakgtoghim.g
b. Usegprinciplesgofgthegholisticghealthgsystem.g
c. Askgaboutghisgperceptionsgandgtreatmentgideas.g
g
NURSINGTB.COM g
, EbersolegandgHess'gGerontologicalgNursinggandgHealthygAgingg5thgEditiongTouhygTestgBankg
d. ConsultgwithgagpractitionergofgChinesegmedicine.g
ANS:gCg
UsinggthegLEARNgmodelg(listengwithgsympathygtogthegpatient’sgperceptiongofgthegproblem,gexpl
aingyourgperceptiongofgthegproblem,gacknowledgegthegdifferencesgandgsimilarities,grecommendgt
reatment,gandgnegotiategagreement),gthegnurseggathersginformationgfromgthegpatientgaboutgcultur
algbeliefsgconcerningghealthgcaregandgavoidsgstereotypinggthegpatient.gIngthegassessment,gthegnurs
egdeterminesgwhatgthegpatientgbelievesgaboutgcaregiving,gdecisiongmaking,gtreatment,gandgotherg
pertinentghealth-
relatedginformation.gSpeakinggwithgtheghealthgcaregprovidergisgprematureguntilgthegassessmentgisg
complete.gUnlessghegacceptsgthegbeliefs,gprinciplesgofgthegholisticghealthgsystemgcangbegpotential
lygunsuitablegandginsultinggforgthisgpatient.gUnlessghegacceptsgthegtreatments,gconsultinggwithgagp
ractitionergofgChinesegmedicinegcangalsogbegunsuitablegandginsultinggforgthisgpatient.g
g
PTS:ggg1g DIF:gApplyg REF:gp.g18g
TOP:gNursinggProcess:gImplementationg MSC:gHealthgPromotiongandgMaintenanceg
g
4. Whichgactiongshouldgthegnursegtakegwhengaddressinggoldergadults?g
a. Speakgingangexaggeratedgpitch.g
b. Usegaglowergqualitygofgspeech.g
c. Usegendearinggtermsgsuchgasg“honey.”g
d. Speakgclearly.g
ANS:gDg
Someghealthgprofessionalsgdemonstrategageism,gingpartgbecausegprovidersgtendgtogseegmanygfrail
,goldergpersonsgandgfewergofgthosegwhogareghealthygandgactive.gProvidersgshouldgnotgassumegthat
gallgoldergadultsgareghearinggorgmentallygimpaired.gThegmostgappropriategactiongwhengaddressing
gangoldergaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.gExamplesgofgunintentionalgage
ismginglanguagegaregangexaggeratedgpitch,gagdemeaninggemotionalgtone,gandgaglowergqualitygofgs
peech.g
g
PTS:ggg1g DIF:gApplyg REF:gp.g15g
TOP:gNursinggProcess:gAssessmentg MSC:gHealthgPromotiongandgMaintenanceg
g
5. Thegnursegpreparesgangoldergwoman,gwhogisgPolish,gforgdischargegthroughganginterpretergandgnot
esgthatgshegbecomesgtensegduringgtheginstructionsgaboutgelimination.gWhichginterventiongshouldg
thegnursegimplement?g
a. Movegongtogthegdiscussiongaboutgmedication.g
b. Askgthegoldergwomanghowgshegfeelsgaboutgthisgtopic.g
c. Instructgtheginterpretergtogrepeatgtheginstructions.g
d. Havegthegoldergwomangrepeatgtheginstructionsgforgclarity.g
ANS:gBg
Whengworkinggwithganginterpreter,gthegnursegcloselygwatchesgthegoldergadultgforgnonverbalgcom
municationgandgemotiongregardinggagspecificgtopicgandgthereforegvalidatesgthegassessmentgabout
gthegoldergadult’sgtensiongbeforegproceeding.gBecausegthegnursegnoticesghergtension,gthegnursegte
mporarilygsuspendsgthegpreparationgtogvalidateghergassessment.gIfgthegnursegproceedsgandgthegold
ergadultgisguncomfortablegdiscussinggelimination,gthengimportantginstructionsgcangbegmissed,glea
g
NURSINGTB.COM g
g
g
g
TOUHY & JETT: EBERSOLE AND HESS’
g g g g g g
GERONTOLOGICAL NURSING & HEALT g g g
g
HY AGING, 5TH EDITION. g g g g
Chapter 01: Introduction to Healthy Aging Touhy & Jett: Ebersole and Hess’ Gerontolo
g g g g g g g g g g g g
gical Nursing & Healthy Aging, 5th Edition
g g g g g g g
g
g g
MULTIPLEgCHOICEg
g
1. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgman’sgwellness?g
a. Wellnessgcangonlygbegachievedgwithgaggressivegmedicalginterventions.g
b. Wellnessgisgnotgagrealgoptiongforgthisgclientgbecauseghegisgterminallygill.g
c. Wellnessgisgdefinedgasgthegabsencegofgdisease.g
d. Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness.g
ANS:gDg
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagnurseg
cangfostergwellnessginghisgorghergclients.gWellnessgisgdefinedgbygthegindividualgandgisgmultidime
nsional.gItgisgnotgjustgthegabsencegofgdisease.gAgwellnessgperspectivegisgbasedgongthegbeliefgthatge
verygpersonghasgangoptimalglevelgofghealthgindependentgofghisgorghergsituationgorgfunctionalgleve
l.gEvengingthegpresencegofgchronicgillnessgorgwhilegdying,gagmovementgtowardgwellnessgisgpossib
legifgemphasisgofgcaregisgplacedgongthegpromotiongofgwell-beinggingagsupportivegenvironment.g
g
PTS:ggg1g DIF:gApplyg REF:gggp.g7g TOP:gNursinggProcess:gDiagnosisg
MSC:gHealthgPromotiongandgMaintenanceg
N R I
2. Ingdifferentiatinggbetweenghe alUth aSnd wNe llTne ss i ngOhe althgcare,gwhichgof
G B .C M
thegfollowinggstatementsgisgtrue?g
g
a. Healthgisgagbroadgtermgencompassinggattitudesgandgbehaviors.g
b. Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations.g
c. Wellnessgandgself-actualizationgdevelopgthroughglearninggandggrowth.g
d. Wellnessgisgimpossiblegwhengone’sghealthgisgcompromised.g
ANS:gAg
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludesgw
ellness,gwhichginvolvesgone’sgwholegbeing.gThegconceptgofgillnessgpreventiongwasgnevergconsid
eredgbygpreviousggenerations;gthroughoutghistory,gbasicgself-
caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowth—
asgbasicgneedsgaregmet,ghigherglevelgneedsgcangbegsatisfiedgingturn,gwithgever-
deepeninggrichnessgtoglife.gWellnessgisgpossiblegwhengone’sghealthgisgcompromised—
g
NURSINGTB.COM g
, evengwithgchronicgillness,gwithgmultiplegdisabilities,gorgingdying,gmovementgtowardgaghigherglev
elgofgwellnessgisgpossible.g
g
PTS:ggg1g DIF:gUnderstandg REF:gggp.g7g TOP:gNursinggProcess:gEvaluationg
MSC:gHealthgPromotiongandgMaintenanceg
g
TOUHYg&gJETT:gEBERSOLEgANDgHESS’gGERONTOLOGICALgNURSINGg&gHEALTHYgAGING,g5THgEDITION.g
gg
3.gWhichgracialgorgethnicggroupghasgtheghighestglifegexpectancygingthegUnitedgStates?g
a. NativegAmericansg
b. AfricangAmericansg
c. HispanicgAmericansg
d. AsiangandgPacificgIslandgAmericansg
g
NURSINGTB.COM g
, EbersolegandgHess'gGerontologicalgNursinggandgHealthygAgingg5thgEditiongTouhygTestgBankg
Chapter 02: Cross-
g g
Cultural Caring and Aging Touhy & Jett: Ebersole and Hess’ Gerontological Nursing &
g g g g g g g g g g g g g
Healthy Aging, 5th Edition
g g g g g
g
MULTIPLEgCHOICEg
g
1. Whichgofgthegfollowinggisgagtruegstatementgaboutgdifferingghealthgbeliefgsystems?g
a. PersonalisticgorgmagicoreligiousgbeliefsghavegbeengsupersededgingWesterngmindsgby
gbiomedicalgprinciples.g
b. Ingmostgcultures,goldergadultsgareglikelygtogtreatgthemselvesgusinggtraditionalgmetho
dsgbeforegturninggtogbiomedicalgprofessionals.g
c. AyurvedicgmedicinegisganothergnamegforgtraditionalgChinesegmedicine.g
d. Thegbeliefgthatghealthgdependsgongmaintaininggagbalancegamonggoppositegqualitiesgi
sgcharacteristicgofgagmagicoreligiousgbeliefgsystem.g
ANS:gBg
Oldergadultsgingmostgculturesgusuallyghaveghadgexperiencegwithgtraditionalgmethodsgthatghavegw
orkedgasgwellgasgexpected.gAftergthesegtreatmentsgfail,goldergadultsgturngtogthegformalghealthgcare
gsystem.gEvengingthegUnitedgStates,gitgisgcommongforgoldergadultsgtogpraygforgcuresgorgwondergw
hatgtheygdidgtogincurgangillnessgasgpunishment.gThegAyurvedicgsystemgisgagnaturalisticghealthgbel
iefgsystemgpracticedgingIndiagandgingsomegneighboringgcountries.gThisgbeliefgisgcharacteristicgofg
agholisticgorgnaturalisticgapproach.g
g
PTS:ggg1gDIF:gUnderstandgREF:gp.g16-
17gTOP:gNursinggProcess:gAssessmentgMSC:gHealthgPromotiongandgMaintenanceg
N R I G B. C
2. Whichgofgthegfollowinggconsi dUer atSio nsNis mTo s tgl ikOel ygtogbegtruegwheng
M
workinggwithganginterpreter?g
a. Anginterpretergisgnevergneededgifgthegnursegspeaksgthegsameglanguagegasgthegpatient.g
b. Whengworkinggwithginterpreters,gthegnursegcangusegtechnicalgtermsgorgmetaphors.g
c. Agpatient’sgyoungggranddaughtergwhogspeaksgfluentgEnglishgwouldgmakegthegbestgi
nterpretergbecausegshegisgfamiliargwithgandglovesgthegpatient.g
d. Thegnursegshouldgfacegthegpatientgrathergthangtheginterpreter.g
ANS:gDg
Thegnursegshouldgfacegthegpatientgrathergthangtheginterpretergisgagtruegstatement;gthegintentgisgtogc
onversegwithgthegpatient,gnotgwithgagthirdgpartygaboutgthegpatient.gManygreasonsgmaygpreventgthe
gpatientgfromgspeakinggdirectlygtogagnurse.gTechnicalgtermsgandgmetaphorsgmaygbegdifficultgorgi
mpossiblegtogtranslate.gCulturalgrestrictionsgmaygpreventgsomegtopicsgfromgbeinggspokengofgtogag
grandparentgorgchild.g
g
PTS:ggg1g DIF:gggUnderstandggggREF:gggp.g18-19g
TOP:gNursinggProcess:gImplementationggggMSC:gSafe,gEffectivegCaregEnvironmentg
g
3. AngoldergadultgwhogisgagtraditionalgChinesegmanghasgagbloodgpressuregofg80/54gmmgHggandgrefus
esgtogremaingingthegbed.gWhichginterventiongshouldgthegnursegusegtogpromotegandgmaintainghisgh
ealth?g
a. Havegtheghealthgcaregprovidergspeakgtoghim.g
b. Usegprinciplesgofgthegholisticghealthgsystem.g
c. Askgaboutghisgperceptionsgandgtreatmentgideas.g
g
NURSINGTB.COM g
, EbersolegandgHess'gGerontologicalgNursinggandgHealthygAgingg5thgEditiongTouhygTestgBankg
d. ConsultgwithgagpractitionergofgChinesegmedicine.g
ANS:gCg
UsinggthegLEARNgmodelg(listengwithgsympathygtogthegpatient’sgperceptiongofgthegproblem,gexpl
aingyourgperceptiongofgthegproblem,gacknowledgegthegdifferencesgandgsimilarities,grecommendgt
reatment,gandgnegotiategagreement),gthegnurseggathersginformationgfromgthegpatientgaboutgcultur
algbeliefsgconcerningghealthgcaregandgavoidsgstereotypinggthegpatient.gIngthegassessment,gthegnurs
egdeterminesgwhatgthegpatientgbelievesgaboutgcaregiving,gdecisiongmaking,gtreatment,gandgotherg
pertinentghealth-
relatedginformation.gSpeakinggwithgtheghealthgcaregprovidergisgprematureguntilgthegassessmentgisg
complete.gUnlessghegacceptsgthegbeliefs,gprinciplesgofgthegholisticghealthgsystemgcangbegpotential
lygunsuitablegandginsultinggforgthisgpatient.gUnlessghegacceptsgthegtreatments,gconsultinggwithgagp
ractitionergofgChinesegmedicinegcangalsogbegunsuitablegandginsultinggforgthisgpatient.g
g
PTS:ggg1g DIF:gApplyg REF:gp.g18g
TOP:gNursinggProcess:gImplementationg MSC:gHealthgPromotiongandgMaintenanceg
g
4. Whichgactiongshouldgthegnursegtakegwhengaddressinggoldergadults?g
a. Speakgingangexaggeratedgpitch.g
b. Usegaglowergqualitygofgspeech.g
c. Usegendearinggtermsgsuchgasg“honey.”g
d. Speakgclearly.g
ANS:gDg
Someghealthgprofessionalsgdemonstrategageism,gingpartgbecausegprovidersgtendgtogseegmanygfrail
,goldergpersonsgandgfewergofgthosegwhogareghealthygandgactive.gProvidersgshouldgnotgassumegthat
gallgoldergadultsgareghearinggorgmentallygimpaired.gThegmostgappropriategactiongwhengaddressing
gangoldergaduNltUwRoSulIdNbeGtToBsp.eCakOcMlearly.gExamplesgofgunintentionalgage
ismginglanguagegaregangexaggeratedgpitch,gagdemeaninggemotionalgtone,gandgaglowergqualitygofgs
peech.g
g
PTS:ggg1g DIF:gApplyg REF:gp.g15g
TOP:gNursinggProcess:gAssessmentg MSC:gHealthgPromotiongandgMaintenanceg
g
5. Thegnursegpreparesgangoldergwoman,gwhogisgPolish,gforgdischargegthroughganginterpretergandgnot
esgthatgshegbecomesgtensegduringgtheginstructionsgaboutgelimination.gWhichginterventiongshouldg
thegnursegimplement?g
a. Movegongtogthegdiscussiongaboutgmedication.g
b. Askgthegoldergwomanghowgshegfeelsgaboutgthisgtopic.g
c. Instructgtheginterpretergtogrepeatgtheginstructions.g
d. Havegthegoldergwomangrepeatgtheginstructionsgforgclarity.g
ANS:gBg
Whengworkinggwithganginterpreter,gthegnursegcloselygwatchesgthegoldergadultgforgnonverbalgcom
municationgandgemotiongregardinggagspecificgtopicgandgthereforegvalidatesgthegassessmentgabout
gthegoldergadult’sgtensiongbeforegproceeding.gBecausegthegnursegnoticesghergtension,gthegnursegte
mporarilygsuspendsgthegpreparationgtogvalidateghergassessment.gIfgthegnursegproceedsgandgthegold
ergadultgisguncomfortablegdiscussinggelimination,gthengimportantginstructionsgcangbegmissed,glea
g
NURSINGTB.COM g
