EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
Chapter 01: Introduction to Healthy Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
n n n n n n n n n n n
Edition
MULTIPLEnCHOICE
1. Anmannisnterminallynillnwithnend-stagenprostatencancer.nWhichnisnthenbestnstatementnaboutnthis
man’snwellness?
a. Wellnessncannonlynbenachievednwithnaggressivenmedicalninterventions.
b. Wellnessnisnnotnanrealnoptionnfornthisnclientnbecausenhenisnterminallynill.
c. Wellnessnisndefinednasnthenabsencenofndisease.
d. Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofn
wellness.
ANS:n D
Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofnwellness;nannursenc
annfosternwellnessninnhisnornhernclients.nWellnessnisndefinednbynthenindividualnandnisnmultidimens
ional.nItnisnnotnjustnthenabsencenofndisease.nAnwellnessnperspectivenisnbasednonnthenbeliefnthatneve
rynpersonnhasnannoptimalnlevelnofnhealthnindependentnofnhisnornhernsituationnornfunctionalnlevel.nE
venninnthenpresencenofnchronicnillnessnornwhilendying,nanmovementntowardnwellnessnisnpossiblenif
nemphasisnofncarenisnplacednonnthenpromotionnofnwell-beingninnansupportivenenvironment.
PTS:nnn 1 DIF: Apply REF:nnn p.n7
TOP:n NursingnProcess:nDiagnosisnMSC:n HealthnPromotionnandnMaintenance
2. InndifferentiatingnbetweennhealU
N R I G B.C M
th aS NellT
nd w ness innO
healthncare,nwhichnofnthenfollowingn
statementsnisntrue?
a. Healthnisnanbroadntermnencompassingnattitudesnandnbehaviors.
b. Thenconceptnofnillnessnpreventionnwasnnevernconsiderednbynpreviousngenerations.
c. Wellnessnandnself-actualizationndevelopnthroughnlearningnandngrowth.
d. Wellnessnisnimpossiblenwhennone’snhealthnisncompromised.
ANS:n A
Healthnisnanbroadntermnthatnencompassesnattitudesnandnbehaviors;nholistically,nhealthnincludesn
wellness,nwhichninvolvesnone’snwholenbeing.nThenconceptnofnillnessnpreventionnwasnneverncon
siderednbynpreviousngenerations;nthroughoutnhistory,nbasicnself-
carenrequirementsnhavenbeennrecognized.nWellnessnandnself-
actualizationndevelopnthroughnlearningnandngrowth—
asnbasicnneedsnarenmet,nhighernlevelnneedsncannbensatisfiedninnturn,nwithnever-
deepeningnrichnessntonlife.nWellnessnisnpossiblenwhennone’snhealthnisncompromised—
evennwithnchronicnillness,
withnmultiplendisabilities,norninndying,nmovementntowardnanhighernlevelnofnwellnessnisnpossible.
PTS:nnn 1 DIF: Understand REF:nnn p.n7
TOP:n NursingnProcess:nEvaluationnMSC:n HealthnPromotionnandnMaintenance
3. WhichnracialnornethnicngroupnhasnthenhighestnlifenexpectancyninnthenUnitednStates?
a. NativenAmericans
b. AfricannAmericans
c. HispanicnAmericans
d. AsiannandnPacificnIslandnAmericans
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
Chapter 02: Cross-Cultural Caring and Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
n n n n n n n n n n n
Edition
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnisnantruenstatementnaboutndifferingnhealthnbeliefnsystems?
a. PersonalisticnornmagicoreligiousnbeliefsnhavenbeennsupersededninnWesternnmindsnbynb
iomedicalnprinciples.
b. Innmostncultures,noldernadultsnarenlikelyntontreatnthemselvesnusingntraditionaln
methodsnbeforenturningntonbiomedicalnprofessionals.
c. AyurvedicnmedicinenisnanothernnamenforntraditionalnChinesenmedicine.
d. Thenbeliefnthatnhealthndependsnonnmaintainingnanbalancenamongnoppositenqualitiesni
sncharacteristicnofnanmagicoreligiousnbeliefnsystem.
ANS:n B
Oldernadultsninnmostnculturesnusuallynhavenhadnexperiencenwithntraditionalnmethodsnthatnhaven
workednasnwellnasnexpected.nAfternthesentreatmentsnfail,noldernadultsnturnntonthenformalnhealthnc
arensystem.nEvenninnthenUnitednStates,nitnisncommonnfornoldernadultsntonpraynforncuresnornwond
ernwhatntheyndidntonincurnannillnessnasnpunishment.nThenAyurvedicnsystemnisnannaturalisticnheal
thnbeliefnsystemnpracticedninnIndianandninnsomenneighboringncountries.nThisnbeliefnisncharacteri
sticnofnanholisticnornnaturalisticnapproach.
PTS:nnn 1 DIF: Understand REF:n p.n16-17
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
2. WhichnofnthenfollowingnconsidU
eratS
N R I G B.C M
ionsNis m
TostnlikO
elyntonbentruenwhennworkingnwithnanni
nterpreter?
a. Anninterpreternisnnevernneedednifnthennursenspeaksnthensamenlanguagenasnthenpatient.
b. Whennworkingnwithninterpreters,nthennursencannusentechnicalntermsnornmetaphors.
c. Anpatient’snyoungngranddaughternwhonspeaksnfluentnEnglishnwouldnmakenthenbest
interpreternbecausenshenisnfamiliarnwithnandnlovesnthenpatient.
d. Thennursenshouldnfacenthenpatientnrathernthanntheninterpreter.
ANS:n D
Thennursenshouldnfacenthenpatientnrathernthanntheninterpreternisnantruenstatement;nthenintentnisntonc
onversenwithnthenpatient,nnotnwithnanthirdnpartynaboutnthenpatient.nManynreasonsnmaynpreventnthe
npatientnfromnspeakingndirectlyntonannurse.nTechnicalntermsnandnmetaphorsnmaynbendifficultnorni
mpossiblentontranslate.nCulturalnrestrictionsnmaynpreventnsomentopicsnfromnbeingnspokennofntonan
grandparentnornchild.
PTS:nnn 1 DIF:nnn Understandnnnn REF:nnnp.n18-19
TOP:n NursingnProcess:nImplementationnnnn MSC:n Safe,nEffectivenCarenEnvironment
3. AnnoldernadultnwhonisnantraditionalnChinesenmannhasnanbloodnpressurenofn80/54nmmnHgnandnrefus
esntonremainninnthenbed.nWhichninterventionnshouldnthennursenusentonpromotenandnmaintainnhisnhe
alth?
a. Haventhenhealthncarenprovidernspeakntonhim.
b. Usenprinciplesnofnthenholisticnhealthnsystem.
c. Asknaboutnhisnperceptionsnandntreatmentnideas.
NURSINGTB.COM
,EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
d. ConsultnwithnanpractitionernofnChinesenmedicine.
ANS:n C
UsingnthenLEARNnmodeln(listennwithnsympathyntonthenpatient’snperceptionnofnthenproblem,nexpl
ainnyournperceptionnofnthenproblem,nacknowledgenthendifferencesnandnsimilarities,nrecommendnt
reatment,nandnnegotiatenagreement),nthennursengathersninformationnfromnthenpatientnaboutncultur
alnbeliefsnconcerningnhealthncarenandnavoidsnstereotypingnthenpatient.nInnthenassessment,nthennurs
endeterminesnwhatnthenpatientnbelievesnaboutncaregiving,ndecisionnmaking,ntreatment,nandnothern
pertinentnhealth-
relatedninformation.nSpeakingnwithnthenhealthncarenprovidernisnprematurenuntilnthenassessmentnisn
complete.nUnlessnhenacceptsnthenbeliefs,nprinciplesnofnthenholisticnhealthnsystemncannbenpotential
lynunsuitablenandninsultingnfornthisnpatient.nUnlessnhenacceptsnthentreatments,nconsultingnwithnanp
ractitionernofnChinesenmedicinencannalsonbenunsuitablenandninsultingnfornthisnpatient.
PTS:nnn 1 DIF: Apply REF:n p.n18
TOP:n NursingnProcess:nImplementation MSC:n HealthnPromotionnandnMaintenance
4. Whichnactionnshouldnthennursentakenwhennaddressingnoldernadults?
a. Speakninnannexaggeratednpitch.
b. Usenanlowernqualitynofnspeech.
c. Usenendearingntermsnsuchnasn“honey.”
d. Speaknclearly.
ANS:n D
Somenhealthnprofessionalsndemonstratenageism,ninnpartnbecausenprovidersntendntonseenmanynf
rail,noldernpersonsnandnfewernofnthosenwhonarenhealthynandnactive.nProvidersnshouldnnotnassu
menthatnallnoldernadultsnarenhearingnornmentallynimpaired.nThenmostnappropriatenaction
whennaddressingnannoldernaduNltUwRoS ulI
dNbeGtT
oBsp.eC
akOcM
learly.nExamplesnofnunintentionalnageismni
nnlanguagenarenannexaggeratednpitch,nandemeaningnemotionalntone,nandnanlowernqualitynof
speech.
PTS:nnn 1 DIF: Apply REF:n p.n15
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
5. Thennursenpreparesnannoldernwoman,nwhonisnPolish,nforndischargenthroughnanninterpreternandnn
otesnthatnshenbecomesntensenduringntheninstructionsnaboutnelimination.nWhichninterventionnsh
ouldnthennursenimplement?
a. Movenonntonthendiscussionnaboutnmedication.
b. Asknthenoldernwomannhownshenfeelsnaboutnthisntopic.
c. Instructntheninterpreterntonrepeatntheninstructions.
d. Haventhenoldernwomannrepeatntheninstructionsnfornclarity.
ANS:n B
Whennworkingnwithnanninterpreter,nthennursencloselynwatchesnthenoldernadultnfornnonverbalncom
municationnandnemotionnregardingnanspecificntopicnandnthereforenvalidatesnthenassessmentnaboutn
thenoldernadult’sntensionnbeforenproceeding.nBecausenthennursennoticesnherntension,nthennursente
mporarilynsuspendsnthenpreparationntonvalidatenhernassessment.nIfnthennursenproceedsnandnthenold
ernadultnisnuncomfortablendiscussingnelimination,nthennimportantninstructionsncannbenmissed,nlea
dingntonadverseneffectsnfornthenoldernadult.nRepeatingntheninstructionsncannaggravatenthenoldernad
ult’sndiscomfort.nInstructingnthenoldernadultntonrepeatnthennurse’sninstructionnignoresnhernneeds.
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
PTS:nnn 1 DIF: Apply REF:n p.n18-19
TOP:n CommunicationnandnDocumentationnMSC
:n Safe,nEffectivenCarenEnvironment
6. ThennursenplansncarenfornannoldernAfricannAmericannmannwhonisnfromnJamaicanandnresidesninnN
ewnYorknCity.nWhichnshouldnthennursenincludeninnplanningncare?
a. Attributenhisnillnessntonbreakingnanvoodoo.
b. Helpnhimnimprovensocialnrelationships.
c. Maintainnbloodnpressurenbelown120/70nmmnHg.
d. Reviewnthenprinciplesnofnthenmagicoreligiousnsystem.
ANS:n C
BecausenAfricannAmericansntendntonbenatnrisknforncardiovascularndiseasenandnhypertension,nthenn
ursenplansntonmaintainnthenpatient’snbloodnpressurenatnornbelownthencurrentnrecommendationnbynt
henAmericannHeartnAssociation.nThennursencannbenincorrectlynassumingnthatnhenpracticesnandnbe
lievesninnthenmagicoreligiousnsystem.nThennursenshouldnassessnhisnspiritualnbeliefsnandndetermin
enhownmuchntheyninfluencenhisnattitudesntowardnWesternnhealthncare.nThenmagicoreligiousnsyste
mnmaintainsnsocialnrelationshipsninngoodnconditionntonpreventnillness;nhowever,nifnthenoldernadul
tndoesnnotnfollownthisnculturalnpractice,nthennthisngoalncannbenunsuitable.nThenoldernadultnmaynno
tnbelieveninnthisnsystem;ntherefore,ntheninformationncannbenirrelevant.
PTS:nnn 1 DIF: Apply REF:nnn p.n18-19
TOP:n NursingnProcess:nPlanningnMSC:n Safe,nEffectivenCarenEnvironment
7. Whichnhealthnbeliefnsystemnusesntreatmentsntonrepairnanbodynpart?
a. Holistic NURSINGTB.COM
b. Biomedical
c. Personalistic
d. Magicoreligious
ANS:n B
Becausendysfunctionnornanstructuralnabnormalitynisnthoughtntoncausendisease,nthenbiomedicalnsyst
emnbelievesninnrepairingnthenstructuralnabnormality.nThenholisticnsystemnholdsnthatnhealthnisnattain
ednthroughnbalance.nThenpersonalisticnsystemnusesntreatmentsnsuchnasnmeditation,nfasting,nandnpr
aying.nThenmagicoreligiousnsystemnisnthensamenasnthenpersonalisticnsystem.
PTS:nnn 1 DIF: Understand REF:n p.n17
TOP:n NursingnProcess:nAssessment MSC:n Safe,nEffectivenCarenEnvironment
8. Annursenisncaringnfornanculturallyndiversenpatientnwhonhasnmissednfollow-
upnappointmentsnwithnthenprimaryncarenprovidernthreentimesnovernthenpastnyear.nThenpatientnhasna
nchronicnillnessnthatnrequiresnperiodicnmonitoringnofnbloodntestnvalues.nThenpatientntellsnthennurs
e:n“Youndon’tnunderstand—
innmynculture,nwendon’tndonthingsnlikenthat.nIncannotnbentroublednwithnworryingnaboutnappointme
ntsninnthenfuture;nIndealnwithneachndaynasnitncomes.”nThennursenunderstandsnwhichnofnthenfollowi
ngnaboutnthenpatient’snculture?
a. ThenculturendoesnnotnvaluenWesternnmedicine.
b. ThenculturenhasnandifferentnorientationntontimenthannWesternnmedicine.
c. Thenculturenisnanninterdependentnculture.
d. Thenculturendoesnnotnbelieveninnpreventativencare.
NURSINGTB.COM
Chapter 01: Introduction to Healthy Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
n n n n n n n n n n n
Edition
MULTIPLEnCHOICE
1. Anmannisnterminallynillnwithnend-stagenprostatencancer.nWhichnisnthenbestnstatementnaboutnthis
man’snwellness?
a. Wellnessncannonlynbenachievednwithnaggressivenmedicalninterventions.
b. Wellnessnisnnotnanrealnoptionnfornthisnclientnbecausenhenisnterminallynill.
c. Wellnessnisndefinednasnthenabsencenofndisease.
d. Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofn
wellness.
ANS:n D
Nursingninterventionsncannhelpnempowernanclientntonachievenanhighernlevelnofnwellness;nannursenc
annfosternwellnessninnhisnornhernclients.nWellnessnisndefinednbynthenindividualnandnisnmultidimens
ional.nItnisnnotnjustnthenabsencenofndisease.nAnwellnessnperspectivenisnbasednonnthenbeliefnthatneve
rynpersonnhasnannoptimalnlevelnofnhealthnindependentnofnhisnornhernsituationnornfunctionalnlevel.nE
venninnthenpresencenofnchronicnillnessnornwhilendying,nanmovementntowardnwellnessnisnpossiblenif
nemphasisnofncarenisnplacednonnthenpromotionnofnwell-beingninnansupportivenenvironment.
PTS:nnn 1 DIF: Apply REF:nnn p.n7
TOP:n NursingnProcess:nDiagnosisnMSC:n HealthnPromotionnandnMaintenance
2. InndifferentiatingnbetweennhealU
N R I G B.C M
th aS NellT
nd w ness innO
healthncare,nwhichnofnthenfollowingn
statementsnisntrue?
a. Healthnisnanbroadntermnencompassingnattitudesnandnbehaviors.
b. Thenconceptnofnillnessnpreventionnwasnnevernconsiderednbynpreviousngenerations.
c. Wellnessnandnself-actualizationndevelopnthroughnlearningnandngrowth.
d. Wellnessnisnimpossiblenwhennone’snhealthnisncompromised.
ANS:n A
Healthnisnanbroadntermnthatnencompassesnattitudesnandnbehaviors;nholistically,nhealthnincludesn
wellness,nwhichninvolvesnone’snwholenbeing.nThenconceptnofnillnessnpreventionnwasnneverncon
siderednbynpreviousngenerations;nthroughoutnhistory,nbasicnself-
carenrequirementsnhavenbeennrecognized.nWellnessnandnself-
actualizationndevelopnthroughnlearningnandngrowth—
asnbasicnneedsnarenmet,nhighernlevelnneedsncannbensatisfiedninnturn,nwithnever-
deepeningnrichnessntonlife.nWellnessnisnpossiblenwhennone’snhealthnisncompromised—
evennwithnchronicnillness,
withnmultiplendisabilities,norninndying,nmovementntowardnanhighernlevelnofnwellnessnisnpossible.
PTS:nnn 1 DIF: Understand REF:nnn p.n7
TOP:n NursingnProcess:nEvaluationnMSC:n HealthnPromotionnandnMaintenance
3. WhichnracialnornethnicngroupnhasnthenhighestnlifenexpectancyninnthenUnitednStates?
a. NativenAmericans
b. AfricannAmericans
c. HispanicnAmericans
d. AsiannandnPacificnIslandnAmericans
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
Chapter 02: Cross-Cultural Caring and Aging
n n n n n
Touhy & Jett: Ebersole and Hess’ Gerontological Nursing & Healthy Aging, 5th
n n n n n n n n n n n
Edition
MULTIPLEnCHOICE
1. Whichnofnthenfollowingnisnantruenstatementnaboutndifferingnhealthnbeliefnsystems?
a. PersonalisticnornmagicoreligiousnbeliefsnhavenbeennsupersededninnWesternnmindsnbynb
iomedicalnprinciples.
b. Innmostncultures,noldernadultsnarenlikelyntontreatnthemselvesnusingntraditionaln
methodsnbeforenturningntonbiomedicalnprofessionals.
c. AyurvedicnmedicinenisnanothernnamenforntraditionalnChinesenmedicine.
d. Thenbeliefnthatnhealthndependsnonnmaintainingnanbalancenamongnoppositenqualitiesni
sncharacteristicnofnanmagicoreligiousnbeliefnsystem.
ANS:n B
Oldernadultsninnmostnculturesnusuallynhavenhadnexperiencenwithntraditionalnmethodsnthatnhaven
workednasnwellnasnexpected.nAfternthesentreatmentsnfail,noldernadultsnturnntonthenformalnhealthnc
arensystem.nEvenninnthenUnitednStates,nitnisncommonnfornoldernadultsntonpraynforncuresnornwond
ernwhatntheyndidntonincurnannillnessnasnpunishment.nThenAyurvedicnsystemnisnannaturalisticnheal
thnbeliefnsystemnpracticedninnIndianandninnsomenneighboringncountries.nThisnbeliefnisncharacteri
sticnofnanholisticnornnaturalisticnapproach.
PTS:nnn 1 DIF: Understand REF:n p.n16-17
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
2. WhichnofnthenfollowingnconsidU
eratS
N R I G B.C M
ionsNis m
TostnlikO
elyntonbentruenwhennworkingnwithnanni
nterpreter?
a. Anninterpreternisnnevernneedednifnthennursenspeaksnthensamenlanguagenasnthenpatient.
b. Whennworkingnwithninterpreters,nthennursencannusentechnicalntermsnornmetaphors.
c. Anpatient’snyoungngranddaughternwhonspeaksnfluentnEnglishnwouldnmakenthenbest
interpreternbecausenshenisnfamiliarnwithnandnlovesnthenpatient.
d. Thennursenshouldnfacenthenpatientnrathernthanntheninterpreter.
ANS:n D
Thennursenshouldnfacenthenpatientnrathernthanntheninterpreternisnantruenstatement;nthenintentnisntonc
onversenwithnthenpatient,nnotnwithnanthirdnpartynaboutnthenpatient.nManynreasonsnmaynpreventnthe
npatientnfromnspeakingndirectlyntonannurse.nTechnicalntermsnandnmetaphorsnmaynbendifficultnorni
mpossiblentontranslate.nCulturalnrestrictionsnmaynpreventnsomentopicsnfromnbeingnspokennofntonan
grandparentnornchild.
PTS:nnn 1 DIF:nnn Understandnnnn REF:nnnp.n18-19
TOP:n NursingnProcess:nImplementationnnnn MSC:n Safe,nEffectivenCarenEnvironment
3. AnnoldernadultnwhonisnantraditionalnChinesenmannhasnanbloodnpressurenofn80/54nmmnHgnandnrefus
esntonremainninnthenbed.nWhichninterventionnshouldnthennursenusentonpromotenandnmaintainnhisnhe
alth?
a. Haventhenhealthncarenprovidernspeakntonhim.
b. Usenprinciplesnofnthenholisticnhealthnsystem.
c. Asknaboutnhisnperceptionsnandntreatmentnideas.
NURSINGTB.COM
,EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
d. ConsultnwithnanpractitionernofnChinesenmedicine.
ANS:n C
UsingnthenLEARNnmodeln(listennwithnsympathyntonthenpatient’snperceptionnofnthenproblem,nexpl
ainnyournperceptionnofnthenproblem,nacknowledgenthendifferencesnandnsimilarities,nrecommendnt
reatment,nandnnegotiatenagreement),nthennursengathersninformationnfromnthenpatientnaboutncultur
alnbeliefsnconcerningnhealthncarenandnavoidsnstereotypingnthenpatient.nInnthenassessment,nthennurs
endeterminesnwhatnthenpatientnbelievesnaboutncaregiving,ndecisionnmaking,ntreatment,nandnothern
pertinentnhealth-
relatedninformation.nSpeakingnwithnthenhealthncarenprovidernisnprematurenuntilnthenassessmentnisn
complete.nUnlessnhenacceptsnthenbeliefs,nprinciplesnofnthenholisticnhealthnsystemncannbenpotential
lynunsuitablenandninsultingnfornthisnpatient.nUnlessnhenacceptsnthentreatments,nconsultingnwithnanp
ractitionernofnChinesenmedicinencannalsonbenunsuitablenandninsultingnfornthisnpatient.
PTS:nnn 1 DIF: Apply REF:n p.n18
TOP:n NursingnProcess:nImplementation MSC:n HealthnPromotionnandnMaintenance
4. Whichnactionnshouldnthennursentakenwhennaddressingnoldernadults?
a. Speakninnannexaggeratednpitch.
b. Usenanlowernqualitynofnspeech.
c. Usenendearingntermsnsuchnasn“honey.”
d. Speaknclearly.
ANS:n D
Somenhealthnprofessionalsndemonstratenageism,ninnpartnbecausenprovidersntendntonseenmanynf
rail,noldernpersonsnandnfewernofnthosenwhonarenhealthynandnactive.nProvidersnshouldnnotnassu
menthatnallnoldernadultsnarenhearingnornmentallynimpaired.nThenmostnappropriatenaction
whennaddressingnannoldernaduNltUwRoS ulI
dNbeGtT
oBsp.eC
akOcM
learly.nExamplesnofnunintentionalnageismni
nnlanguagenarenannexaggeratednpitch,nandemeaningnemotionalntone,nandnanlowernqualitynof
speech.
PTS:nnn 1 DIF: Apply REF:n p.n15
TOP:n NursingnProcess:nAssessment MSC:n HealthnPromotionnandnMaintenance
5. Thennursenpreparesnannoldernwoman,nwhonisnPolish,nforndischargenthroughnanninterpreternandnn
otesnthatnshenbecomesntensenduringntheninstructionsnaboutnelimination.nWhichninterventionnsh
ouldnthennursenimplement?
a. Movenonntonthendiscussionnaboutnmedication.
b. Asknthenoldernwomannhownshenfeelsnaboutnthisntopic.
c. Instructntheninterpreterntonrepeatntheninstructions.
d. Haventhenoldernwomannrepeatntheninstructionsnfornclarity.
ANS:n B
Whennworkingnwithnanninterpreter,nthennursencloselynwatchesnthenoldernadultnfornnonverbalncom
municationnandnemotionnregardingnanspecificntopicnandnthereforenvalidatesnthenassessmentnaboutn
thenoldernadult’sntensionnbeforenproceeding.nBecausenthennursennoticesnherntension,nthennursente
mporarilynsuspendsnthenpreparationntonvalidatenhernassessment.nIfnthennursenproceedsnandnthenold
ernadultnisnuncomfortablendiscussingnelimination,nthennimportantninstructionsncannbenmissed,nlea
dingntonadverseneffectsnfornthenoldernadult.nRepeatingntheninstructionsncannaggravatenthenoldernad
ult’sndiscomfort.nInstructingnthenoldernadultntonrepeatnthennurse’sninstructionnignoresnhernneeds.
NURSINGTB.COM
, EbersolenandnHess'nGerontologicalnNursingnandnHealthynAgingn5thnEditionnTouhynTestnBank
PTS:nnn 1 DIF: Apply REF:n p.n18-19
TOP:n CommunicationnandnDocumentationnMSC
:n Safe,nEffectivenCarenEnvironment
6. ThennursenplansncarenfornannoldernAfricannAmericannmannwhonisnfromnJamaicanandnresidesninnN
ewnYorknCity.nWhichnshouldnthennursenincludeninnplanningncare?
a. Attributenhisnillnessntonbreakingnanvoodoo.
b. Helpnhimnimprovensocialnrelationships.
c. Maintainnbloodnpressurenbelown120/70nmmnHg.
d. Reviewnthenprinciplesnofnthenmagicoreligiousnsystem.
ANS:n C
BecausenAfricannAmericansntendntonbenatnrisknforncardiovascularndiseasenandnhypertension,nthenn
ursenplansntonmaintainnthenpatient’snbloodnpressurenatnornbelownthencurrentnrecommendationnbynt
henAmericannHeartnAssociation.nThennursencannbenincorrectlynassumingnthatnhenpracticesnandnbe
lievesninnthenmagicoreligiousnsystem.nThennursenshouldnassessnhisnspiritualnbeliefsnandndetermin
enhownmuchntheyninfluencenhisnattitudesntowardnWesternnhealthncare.nThenmagicoreligiousnsyste
mnmaintainsnsocialnrelationshipsninngoodnconditionntonpreventnillness;nhowever,nifnthenoldernadul
tndoesnnotnfollownthisnculturalnpractice,nthennthisngoalncannbenunsuitable.nThenoldernadultnmaynno
tnbelieveninnthisnsystem;ntherefore,ntheninformationncannbenirrelevant.
PTS:nnn 1 DIF: Apply REF:nnn p.n18-19
TOP:n NursingnProcess:nPlanningnMSC:n Safe,nEffectivenCarenEnvironment
7. Whichnhealthnbeliefnsystemnusesntreatmentsntonrepairnanbodynpart?
a. Holistic NURSINGTB.COM
b. Biomedical
c. Personalistic
d. Magicoreligious
ANS:n B
Becausendysfunctionnornanstructuralnabnormalitynisnthoughtntoncausendisease,nthenbiomedicalnsyst
emnbelievesninnrepairingnthenstructuralnabnormality.nThenholisticnsystemnholdsnthatnhealthnisnattain
ednthroughnbalance.nThenpersonalisticnsystemnusesntreatmentsnsuchnasnmeditation,nfasting,nandnpr
aying.nThenmagicoreligiousnsystemnisnthensamenasnthenpersonalisticnsystem.
PTS:nnn 1 DIF: Understand REF:n p.n17
TOP:n NursingnProcess:nAssessment MSC:n Safe,nEffectivenCarenEnvironment
8. Annursenisncaringnfornanculturallyndiversenpatientnwhonhasnmissednfollow-
upnappointmentsnwithnthenprimaryncarenprovidernthreentimesnovernthenpastnyear.nThenpatientnhasna
nchronicnillnessnthatnrequiresnperiodicnmonitoringnofnbloodntestnvalues.nThenpatientntellsnthennurs
e:n“Youndon’tnunderstand—
innmynculture,nwendon’tndonthingsnlikenthat.nIncannotnbentroublednwithnworryingnaboutnappointme
ntsninnthenfuture;nIndealnwithneachndaynasnitncomes.”nThennursenunderstandsnwhichnofnthenfollowi
ngnaboutnthenpatient’snculture?
a. ThenculturendoesnnotnvaluenWesternnmedicine.
b. ThenculturenhasnandifferentnorientationntontimenthannWesternnmedicine.
c. Thenculturenisnanninterdependentnculture.
d. Thenculturendoesnnotnbelieveninnpreventativencare.
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