TEST BANK - Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 6th Edition by Theris A. Touhy, and Kathleen F Jet, Chapter 1 - 28 | Newest Version

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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 ss




1. A man isnterminally ill with end-
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stage prostate cancer. Which isnthenbest statement about thisman‘s wellness?
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a. Wellnessncan only be achieved with aggressive medical interventions. ss ss ss ss ss ss ss


b. Wellness is not a real option for thisnclient because he is terminally ill.
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c. Wellness is defined as the absence of disease. ss ss ss ss ss ss ss


d. Nursing interventions can help empower a client to achieve a higher level of
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wellness. ss




ANS: D s s


Nursing interventions can help empower a client to achieve a higher level of wellness; a nurseca
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n foster wellness in hisnor her clients. Wellness is defined by the individual and is
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multidimensi onal. It is not just the absence of disease. A wellness perspective is based on the
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belief that ever y person has an optimal level of health independent of his or her situation or
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functional level. E ven in the presence of chronic illness or while dying, a movement toward
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wellness is possible if emphasis of care is placed on the promotion of well-being in a
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supportive environment.
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PTS: 1 DIF: Apply REF: p. 7 s s s s ss


TOP: Nursing Process: DiagnosisMSC: Health Promotion and Maintenance
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2. In differentiating b et w een n he altUh anSd wNe llnTe ss in hOe alt h care, which of the
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following statements is true?
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a. Health isna broad termnencompassing attitudes and behaviors.
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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. ss ss ss ss ss ss ss


d. Wellness is impossible when one‘s health is compromised. ss ss ss ss ss ss ss




ANS: A s s


Health isna broad termnthat encompasses attitudes and behaviors; holistically, health includes w
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ellness, which involves one‘s whole being. The concept of illness prevention wasnnever
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consid ered by 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 learningnand growth—
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as basic needs arenmet, higher level needs can be satisfied in turn, with ever-
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deepening richnessnto 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
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lev el of wellness isnpossible.
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PTS: 1 DIF: Understand REF: p. 7 s s s s ss


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 ss


b. African Americans ss


c. Hispanic Americans ss


d. Asian and Pacific Island Americans ss ss ss ss




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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 ss




1. Which of the following is a true statement about differing health belief systems?
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a. Personalistic or magicoreligiousnbeliefs have been superseded in Western minds by ss ss ss ss ss ss ss ss ss


biomedical principles.
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b. In most cultures, older adults are likely to treat themselves using
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traditional methods before turning to biomedical professionals.
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c. Ayurvedic medicine is another name for traditional Chinese medicine. ss ss ss ss ss ss ss ss


d. The belief that health depends on maintaining a balance among opposite qualitiesi
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s characteristic of a magicoreligious belief system.
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ANS: B s s


Older adults in most cultures usually have had experience with traditional methods that
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havew orked as wellnas expected. After these treatments fail, older adults turn to the formal
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healthcare system. Even in thenUnited States, itnis common for older adults to pray for cures
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or wonder w hat they did to incur an illness as punishment. The Ayurvedic system is a
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naturalistic health be lief systemnpracticed in India and innsome neighboring countries. This
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belief is characteristic o f a holistic or naturalistic approach.
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PTS: 1 DIF: Understand REF: s s p. 16-17 ss


TOP: Nursing Process: Assessment
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2. Which of the following consideUratiS
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Tost likeOly to be true when working with an
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i nterpreter?
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a. An interpreter is never needed if the nurse speaks the same language as thenpatient.
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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
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besti nterpreter because shenis familiar with and loves the patient.
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d. The nurse should face the patient rather than the interpreter.
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ANS: D s s


The nurse should face the patient rather than the interpreter is a true statement; thenintent is
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toc onverse with the patient, notnwith a third party about the patient. Many reasons may
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prevent th e patient fromnspeaking directly to a nurse. Technical terms and metaphors may
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be difficultor i mpossible to translate. Cultural restrictions may prevent some topics from
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being spoken ofto a grandparent or child.
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PTS: 1 DIF: Understand REF: s s s s p. 18-19 ss


TOP: Nursing Process: Implementation
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3. An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg
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andnrefus es to remain in thenbed. Which intervention should the nurse use to promote and
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maintainhis he alth?
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a. Have the health care provider speaknto him. ss ss ss ss ss ss


b. Use principles of the holistic healthnsystem.
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c. Ask about his perceptions and treatment ideas.
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d. Consult with a practitioner of Chinese medicine. ss ss ss ss ss ss




ANS: C s s


Using the LEARN model (listen with sympathy to the patient‘s perception of the problem,
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expl ain your perception of thenproblem, acknowledge the differences and similarities,
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recommend t reatment, and negotiate agreement), the nurse gathers information from
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thenpatient about cultur al beliefs concerning health care and avoids stereotyping the patient.
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In theassessment, the nurs e determines what the patient believesnabout caregiving, decision
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making,treatment, andnother p ertinent health-
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related information. Speaking with the health care provider is premature until the assessment isn
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complete. Unlessnhe accepts the beliefs, principles of the holistic health system can be
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potential ly unsuitable and insulting for this patient. Unless he accepts the treatments,
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consulting with anp ractitioner of Chinese medicine can also be unsuitable and insulting for
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this patient.
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PTS: 1 DIF: Apply REF: p. 18 s s ss


TOP: Nursing Process: Implementation
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4. Which action should the nurse takenwhen addressing older adults?
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a. Speak in an exaggerated pitch. ss ss ss ss


b. Usena lower quality of speech. ss ss ss ss


c. Use endearing terms such asn―honey.‖ ss ss ss ss


d. Speak clearly. ss




ANS: D s s


Some health professionals demonstratenageism, in part because providers tend to see manyfrail
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, older personsnand fewer of those who are healthy and active. Providers should notnassume tha
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t all older adults are hearing or mentally impaired. The most appropriate action
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when addressing an older aduNltUwRoS
ulI
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learly. Examples of unintentionalnageismni ss ss ss s ss ss ss


n language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of
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speech.

PTS: 1 DIF: Apply REF: p. 15 s s ss


TOP: Nursing Process: Assessment s s s s ss ss MSC: Health Promotion and Maintenance ss ss ss ss




5. The nurse prepares an older woman, who is Polish, for discharge through an interpreter andn
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otes that she becomes tense during the instructions about elimination. Which
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interventionsh ould thennurse implement?
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a. Movenon to the discussion about medication. ss ss ss ss ss


b. Ask the older woman how she feelsnabout this topic.
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c. Instruct the interpreter to repeat the instructions. ss ss ss ss ss ss


d. Have the older woman repeat theninstructions for clarity.
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ANS: B s s


When working with an interpreter, thennurse closely watches the older adult for nonverbal
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com munication and emotion regarding a specific topic and therefore validates the assessment
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about the older adult‘s tension before proceeding. Because the nurse notices her tension,
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thennurse te mporarily suspends the preparation to validate her assessment. If the nurse
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proceeds and the old er adult is uncomfortable discussingnelimination, then important
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instructions can bemissed, lead ing to adverse effects for the older adult. Repeating the
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instructions can aggravatethenoldernadul t‘s discomfort. Instructing the older adult to repeat
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the nurse‘s instruction ignores her needs.
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