g g g g g
ogical Nursing & HealthyAging 5th Edit
g g g g g
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ion by Theris A. Touhy and Kathleen F
g g g g g g g g
Jet Chapter 1-28.
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SoftwaregisgRequiredgtogopengthem
,Chapterg01:gIntroductiongtogHealthygAging
Touhyg&gJett:gEbersolegandgHess’gGerontologicalgNursingg&gHealthygAging,g5thgEditio
n
MULTIPLEgCHOICE
1. Agmangisgterminallygillgwithgend-
stagegprostategcancer.gWhichgisgthegbestgstatementgaboutgthisgman’sgwellness?
a. Wellnessgcangonlygbegachievedgwithgaggressivegmedicalginterventions.
b. Wellnessgisgnotgagrealgoptiongforgthisgclientgbecauseghegisgterminallygill.
c. Wellnessgisgdefinedgasgthegabsencegofgdisease.
d. Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelg
ofgwellness.
ANS:g D
Nursingginterventionsgcanghelpgempowergagclientgtogachievegaghigherglevelgofgwellness;gagnurs
egcangfostergwellnessginghisgorghergclients.gWellnessgisgdefinedgbygthegindividualgandgisgmultid
imensional.gItgisgnotgjustgthegabsencegofgdisease.gAgwellnessgperspectivegisgbasedgongthegbelie
fgthatgeverygpersonghasgangoptimalglevelgofghealthgindependentgofghisgorghergsituationgorgfunct
ionalglevel.gEvengingthegpresencegofgchronicgillnessgorgwhilegdying,gagmovementgtowardgwell
nessgisgpossiblegifgemphasisgofgcaregisgplacedgongthegpromotiongofgwell-
beinggingagsupportivegenvironment.
PTS:ggg 1 DIF: Apply REF:gggp.g7
TOP:gNursinggProcess:gDiagnosisgMSC:gHealthgPromotiongandgMaintenance
N R I G B.C M
2. IngdifferentiatinggbetweenghealU
th aS NellnTess in hOealthgcare,gwhichgofgthegfollowin
nd w
ggstatementsgisgtrue?
a. Healthgisgagbroadgtermgencompassinggattitudesgandgbehaviors.
b. Thegconceptgofgillnessgpreventiongwasgnevergconsideredgbygpreviousggenerations.
c. Wellnessgandgself-actualizationgdevelopgthroughglearninggandggrowth.
d. Wellnessgisgimpossiblegwhengone’sghealthgisgcompromised.
ANS:g A
Healthgisgagbroadgtermgthatgencompassesgattitudesgandgbehaviors;gholistically,ghealthgincludes
gwellness,gwhichginvolvesgone’sgwholegbeing.gThegconceptgofgillnessgpreventiongwasgnevergc
onsideredgbygpreviousggenerations;gthroughoutghistory,gbasicgself-
caregrequirementsghavegbeengrecognized.gWellnessgandgself-
actualizationgdevelopgthroughglearninggandggrowth—
asgbasicgneedsgaregmet,ghigherglevelgneedsgcangbegsatisfiedgingturn,gwithgever-
deepeninggrichnessgtoglife.gWellnessgisgpossiblegwhengone’sghealthgisgcompromised—
evengwithgchronicgillness,gwithgmultiplegdisabilities,gorgingdying,gmovementgtowardgaghighergl
evelgofgwellnessgisgpossible.
PTS:ggg 1 DIF: Understand REF:gggp.g7
TOP:gNursinggProcess:gEvaluationgMSC:gHealthgPromotiongandgMaintenance
3. WhichgracialgorgethnicggroupghasgtheghighestglifegexpectancygingthegUnitedgStates?
a. NativegAmericans
b. AfricangAmericans
c. HispanicgAmericans
d. AsiangandgPacificgIslandgAmericans
NURSINGTB.COM
, EbersolegandgHess'gGerontologicalgNursinggandgHealthygAgingg5thgEditiongTouhygTestgBan
k
Chapterg02:gCross-CulturalgCaringgandgAging
Touhyg&gJett:gEbersolegandgHess’gGerontologicalgNursingg&gHealthygAging,g5thgEditio
n
MULTIPLEgCHOICE
1. Whichgofgthegfollowinggisgagtruegstatementgaboutgdifferingghealthgbeliefgsystems?
a. PersonalisticgorgmagicoreligiousgbeliefsghavegbeengsupersededgingWesterngmindsgb
ygbiomedicalgprinciples.
b. Ingmostgcultures,goldergadultsgareglikelygtogtreatgthemselvesgusinggtradition
algmethodsgbeforegturninggtogbiomedicalgprofessionals.
c. AyurvedicgmedicinegisganothergnamegforgtraditionalgChinesegmedicine.
d. Thegbeliefgthatghealthgdependsgongmaintaininggagbalancegamonggoppositegqualitie
sgisgcharacteristicgofgagmagicoreligiousgbeliefgsystem.
ANS:g B
Oldergadultsgingmostgculturesgusuallyghaveghadgexperiencegwithgtraditionalgmethodsgthatghav
egworkedgasgwellgasgexpected.gAftergthesegtreatmentsgfail,goldergadultsgturngtogthegformalgheal
thgcaregsystem.gEvengingthegUnitedgStates,gitgisgcommongforgoldergadultsgtogpraygforgcuresgorg
wondergwhatgtheygdidgtogincurgangillnessgasgpunishment.gThegAyurvedicgsystemgisgagnaturali
sticghealthgbeliefgsystemgpracticedgingIndiagandgingsomegneighboringgcountries.gThisgbeliefgis
gcharacteristicgofgagholisticgorgnaturalisticgapproach.
PTS:ggg 1 DIF: Understand REF:g p.g16-17
TOP:g NursinggProcess:gAssessment MSC:gHealthgPromotiongandgMaintenance
N R I G B.C M
2. WhichgofgthegfollowinggconsideUratiS
onsNis m
Tost likO
elygtogbegtruegwhengworkinggwithga
nginterpreter?
a. Anginterpretergisgnevergneededgifgthegnursegspeaksgthegsameglanguagegasgthegpatient.
b. Whengworkinggwithginterpreters,gthegnursegcangusegtechnicalgtermsgorgmetaphors.
c. Agpatient’sgyoungggranddaughtergwhogspeaksgfluentgEnglishgwouldgmakegthegbe
stginterpretergbecausegshegisgfamiliargwithgandglovesgthegpatient.
d. Thegnursegshouldgfacegthegpatientgrathergthangtheginterpreter.
ANS:g D
Thegnursegshouldgfacegthegpatientgrathergthangtheginterpretergisgagtruegstatement;gthegintentgisg
togconversegwithgthegpatient,gnotgwithgagthirdgpartygaboutgthegpatient.gManygreasonsgmaygprev
entgthegpatientgfromgspeakinggdirectlygtogagnurse.gTechnicalgtermsgandgmetaphorsgmaygbegdif
ficultgorgimpossiblegtogtranslate.gCulturalgrestrictionsgmaygpreventgsomegtopicsgfromgbeinggsp
okengofgtogaggrandparentgorgchild.
PTS:ggg 1 DIF:ggg Understandgggg REF:gggp.g18-19
TOP:g NursinggProcess:gImplementationgggg MSC:g Safe,gEffectivegCaregEnvironment
3. AngoldergadultgwhogisgagtraditionalgChinesegmanghasgagbloodgpressuregofg80/54gmmgHggandgr
efusesgtogremaingingthegbed.gWhichginterventiongshouldgthegnursegusegtogpromotegandgmaintai
nghisghealth?
a. Havegtheghealthgcaregprovidergspeakgtoghim.
b. Usegprinciplesgofgthegholisticghealthgsystem.
c. Askgaboutghisgperceptionsgandgtreatmentgideas.
NURSINGTB.COM
, EbersolegandgHess'gGerontologicalgNursinggandgHealthygAgingg5thgEditiongTouhygTestgBan
k
d. ConsultgwithgagpractitionergofgChinesegmedicine.
ANS:g C
UsinggthegLEARNgmodelg(listengwithgsympathygtogthegpatient’sgperceptiongofgthegproblem,ge
xplaingyourgperceptiongofgthegproblem,gacknowledgegthegdifferencesgandgsimilarities,grecom
mendgtreatment,gandgnegotiategagreement),gthegnurseggathersginformationgfromgthegpatientgab
outgculturalgbeliefsgconcerningghealthgcaregandgavoidsgstereotypinggthegpatient.gIngthegassessm
ent,gthegnursegdeterminesgwhatgthegpatientgbelievesgaboutgcaregiving,gdecisiongmaking,gtreatm
ent,gandgothergpertinentghealth-
relatedginformation.gSpeakinggwithgtheghealthgcaregprovidergisgprematureguntilgthegassessment
gisgcomplete.gUnlessghegacceptsgthegbeliefs,gprinciplesgofgthegholisticghealthgsystemgcangbegpo
tentiallygunsuitablegandginsultinggforgthisgpatient.gUnlessghegacceptsgthegtreatments,gconsultin
ggwithgagpractitionergofgChinesegmedicinegcangalsogbegunsuitablegandginsultinggforgthisgpatient
.
PTS:ggg 1 DIF: Apply REF:g p.g18
TOP:g NursinggProcess:gImplementation MSC:gHealthgPromotiongandgMaintenance
4. Whichgactiongshouldgthegnursegtakegwhengaddressinggoldergadults?
a. Speakgingangexaggeratedgpitch.
b. Usegaglowergqualitygofgspeech.
c. Usegendearinggtermsgsuchgasg“honey.”
d. Speakgclearly.
ANS:g D
Someghealthgprofessionalsgdemonstrategageism,gingpartgbecausegprovidersgtendgtogseegmanygfr
ail,goldergpersonsgandgfewergofgthosegwhogareghealthygandgactive.gProvidersgshouldgnotgassu
megthatgallgoldergadultsgareghearinggorgmentallygimpaired.gThegmostgappropriategaction
whengaddressinggangoldergaduNltUwRoSulI
dNbeGtT
ogB
sp.
eaCkOcM
learly.gExamplesgofgunintentionalgageism
ginglanguagegaregangexaggeratedgpitch,gagdemeaninggemotionalgtone,gandgaglowergqualitygof
speech.
PTS:ggg 1 DIF: Apply REF:g p.g15
TOP:g NursinggProcess:gAssessment MSC:gHealthgPromotiongandgMaintenance
5. Thegnursegpreparesgangoldergwoman,gwhogisgPolish,gforgdischargegthroughganginterpreterga
ndgnotesgthatgshegbecomesgtensegduringgtheginstructionsgaboutgelimination.gWhichginterven
tiongshouldgthegnursegimplement?
a. Movegongtogthegdiscussiongaboutgmedication.
b. Askgthegoldergwomanghowgshegfeelsgaboutgthisgtopic.
c. Instructgtheginterpretergtogrepeatgtheginstructions.
d. Havegthegoldergwomangrepeatgtheginstructionsgforgclarity.
ANS:g B
Whengworkinggwithganginterpreter,gthegnursegcloselygwatchesgthegoldergadultgforgnonverbalgc
ommunicationgandgemotiongregardinggagspecificgtopicgandgthereforegvalidatesgthegassessmentg
aboutgthegoldergadult’sgtensiongbeforegproceeding.gBecausegthegnursegnoticesghergtension,gtheg
nursegtemporarilygsuspendsgthegpreparationgtogvalidateghergassessment.gIfgthegnursegproceedsg
andgthegoldergadultgisguncomfortablegdiscussinggelimination,gthengimportantginstructionsgcangb
egmissed,gleadinggtogadversegeffectsgforgthegoldergadult.gRepeatinggtheginstructionsgcangaggrav
ategthegoldergadult’sgdiscomfort.gInstructinggthegoldergadultgtogrepeatgthegnurse’sginstructiongig
noresghergneeds.
NURSINGTB.COM