Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 1st Canadian Edition by Touhy Complete downloadable file at: https://testbankueu/Test!Bank!for!Ebersole!and!Hess!Gerontological!Nursing!and! Healthy!Aging!1st!Canadian!Edition!by!Touhy Chapter 1: "ntroduction to Healthy Aging
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1. A man is terminally ill with end-stage prostate cancer. What is the best statement about this man’s wellness? a. Wellness ellness is possible, possible, een if the the patient uses uses medication medication to assist assist in management management of his medical care. b. Wellness is unfortunately not a real option for the patient. c. Wellness ellness is the same same thing thing as faith faith healing, healing, and if the the patient were more more receptie, receptie, he could be bac! at wor! in a few wee!s. d. "ursing "ursing interentio interentions ns can help help empower a patient patient to to achiee a higher higher leel leel of wellness. A"#: $ Feedback A B
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%ncorrect. An indiidual must wor! hard to achiee wellness, &ust as in a &ob. %ncorrect. All persons, persons, regardless of age or life'health situation, can b e helped to achiee a higher leel of wellness. %ncorrect. (iomedical approaches and other treatments and techni)ues are used to achiee realistic improements in wellness. Correct. A nurse can foster wellness at all leels of the needs hierarchy.
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0. %n differ different entiat iating ing between between health and wellness in health care, which of the following statements is true? a. Health is a broad term encompassing attitudes a ttitudes and behaiours. b. he concept of wellness was rarely or neer considered by preious generations. c. Wellness ellness and self-ac self-actuali tuali6ation 6ation deelop through through learning learning and growth. growth. d. %t is impossi impossible ble to hae hae wellness wellness when one’ one’s health health is compromised compromised.. A"#: A Feedback A
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Correct. 3olistically, 3olistically, health includes wellness, which inoles one’s whole being. %ncorrect. hroughout history, history, basic self-care re)uirements hae ha e been
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recogni6ed. %ncorrect. As basic needs are met, higher leel needs can be satisfied in turn, with eer-deepening richness to life. %ncorrect. en with chronic illness, with multiple disabilities, or in dying, moement toward higher wellness is possible.
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<. Which proince proince or territo territory ry is predicted predicted to hae the fastest fastest growing growing older older adult populati population on in Canada between the years 088= and 08<1? a. ntario b. (ritish Columbia c. >u!on d. "ewf "ewfou ound ndlland and A"#: C Feedback A
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%ncorrect. As shown in *igure 1-1 in your tet, the older adult population of ntario does not rise aass rapidly as the older adult population of >u!on >u!on between 088= and 08<1. %ncorrect. As shown in *igure 1-1 in your tet, the older adult population of (ritish Columbia does not rise as rapidly as the older adult population of >u!on >u!on between 088= and 08<1. Correct. As shown in *igure 1-1 in your tet, the older adult population of o f >u!on >u!on rises faster than any of the other proinces and territories between 088= and 08<1. %ncorrect. As shown in *igure 1-1 in your tet, the older adult population of "ewfoundland does not rise as rapidly as the older adult population of >u!on >u!on between 088= and 08<1.
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. 3istorical 3istorical influen influences ces that hae hae shaped the lies lies of the ma&ority ma&ority of the middlemiddle-old old in Canada today today include which of the following? a. %nfl %nflue uen6 n6aa epid epidem emic ic of 11B 11B b. %mmigration from Communist urope c. ChildChild-rea rearin ring g during during the the $epr $epress ession ion d. Worl orld War War %% A"#: $ Feedback A
%ncorrect. A person who suried the influen6a epidemic ep idemic would be at least < years old in 0811 and therefore be considered o ld-old, or centenarian.
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%ncorrect. hose who are middle-old in 0811 were born between 108 and 1<8, before Communism swept urope. %ncorrect. Dost of those who are middle-old in 0811 had not reached childbearing age by the end of the $epression. Correct. hose who are middle-old in 0811 were in their teens and twenties during the warE in particular, the men were ery li!ely to hae fought in it.
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. A nurse nurse prepares prepares for the the arrial of of older adults adults eacuated eacuated from a forest forest fire fire in northern northern Danitoba Danitoba to a shelter for short-term care. Which of the following is the priority nursing interention? a. $emonstrat $emonstratee that the staf stafff is prepared prepared to meet their their needs. needs. b. Fse indiidual medical records to deelop a medication plan. c. 3elp older older adults adults to display display family family photos and memorabil memorabilia. ia. d. 3elp older older adults adults to teach teach one another another a new s!ill s!ill in in the shelter shelter.. A"#: ( Feedback A
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%ncorrect. 2roiding safety and security from the fire is eident and implied, as the older adults hae been eacuated from danger. he priority nursing interention is caring for any health concernsE e.g., medication or treatments that were left behind. Correct. he nurse prepares for short-term care by prioriti6ing the needs of the older adults, and this interention helps to maintain the therapeutic plan, thereby addressing the need for physiological integrity. *urthermore, the nurse maintains continuity of care by preparing a medication schedule to preent missed doses of medication. %ncorrect. %n emergency conditions, the nurse proides basic care relating to safety, safety, security, and physical well-being. Daintaining a sense of belonging is important, but not in emergency conditions. %ncorrect. A state of emergency is not the time to deelop self-esteem because meeting safety, safety, security, and physical needs is more important.
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=. According According to researcher researchers, s, which character characteristic istic will will most centenari centenarians ans share in in the future? future? a. (eing fe female b. 3aing dementia c. (ein (eing g mal malno nour uris ishe hed d d. (ein (eing g wheel wheelcha chair ir-b -bou ound nd A"#: A Feedback
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Correct. +esearchers epect women to comprise the ma&ority of c entenarians in the future. %ncorrect. Gerontologists epect dementia to be common among older adults, but they are not predicting most centenarians will hae dementia. %ncorrect. Dalnutrition is common among older adults, but researchers hae not predicted that most centenarians will be malnourished. %ncorrect. $ecreased mobility is common among older adults, but researchers hae not predicted that most centenarians will be confined to a wheelchair.
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H. Which statement statement describes describes aging in deelopi deeloping ng countrie countries? s? a. Aged Aged dependen dependence ce is li!el li!ely y to impro improee from from 1: to 1:0. 1:0. b. he biggest problem for older adults will be lac! of food. c. Dost of the world’ world’ss older adults adults are are li!ely li!ely to reside reside in deeloping deeloping countries countries.. d. 9i!e fertili fertility ty,, life epectancy epectancy is increasi increasing, ng, although although at a different different rate. rate. A"#: C Feedback A B
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%ncorrect. Aged dependence is li!ely to deteriorate from 1: to 1:0. %ncorrect. he biggest problem of the world’s oldest adults is most li!ely to be lac! of regular income. Correct. $eeloping countries contain =I of the world’s world’s older adults already. %ncorrect. 9ife epectancy is increasing, but fertility is decreasing worldwide.
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B. A female female older older adult tells tells the nurse nurse that she has eperienc eperienced ed increasing increasing fatigue fatigue and shortness shortness of breath oer the last two days. Which of the following goals is the the nurse’s nurse’s priority? a. 2romot 2romotee safet safety y to pre preent ent in&ury in&ury.. b. Complete a nutritional assessment. c. (alance (alance eerci eercise se and rest rest peri periods ods.. d. plor ploree the woman’ woman’ss compla complaint ints. s. A"#: $ Feedback A
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%ncorrect. 2romoting safety and preenting in&ury are reasonable goals to include for this older adult, but are not as important as inestigating the chief complaint, because breathing and circulation are two of the three most important physical needs. %ncorrect. Completing the nutritional assessment for this older adult is reasonable because the symptoms can be related to nutritional deficienciesE howeer, this should be a part of the eamination of the chief complaint.
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%ncorrect. (alancing rest and eercise is a reasonable approach to a complaint of fatigue and shortness of breath if the older adu lt is deconditionedE howeer, the nurse must inestigate the chief complaint to determine if deconditioning is a factor. Correct. %nestigating the complaint is the nurse’s priority because fatigue and shortness of breath can indicate cardiac disease, especially in women. Women with cardiac disease often manifest atypical symptoms, and since it tends to be treated less aggressiely in women, the nurse must be careful not to miss indicators of potential cardiac disease. %n addition, in inestigating the older adult’s adult’s chief complaint, the nurse inestigates all possible causes.
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. he nurse deelops deelops a community community program program to promote promote eercise eercise for older older persons. persons. Which Which of the following should the nurse include in the eercise program? a. +einfo +einforce rce the the ease ease of eerci eercisin sing g eery eery day. day. b. Fse eercise to rela any dietary restrictions. c. $escri $escribe be ways ways to resume resume eerc eercise ise after after laps lapses. es. d. each partici participants pants that eercise eercise achiees achiees wellness. wellness. A"#: C Feedback A
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%ncorrect. he nurse tells the participants that achieing wellness ta!es wor! and regular effort. %nstead of offering false hope, the nurse shares practical adice about how to incorporate eercise into eeryday e eryday life. %ncorrect. he nurse aoids suggesting that older adults can loo! forward to relaing dietary or medical restrictions by using a single method bec ause it is unethical to offer false hope, the plan can be ineffectie, and the plan can hae aderse effects. Correct. (ecause the path to wellness includes progression as well a s regression, the nurse shares information to help participants anticipate these eents. he nurse encourages participants by telling them to epect periods of regression, that progress made up to that point is not lost, and how to approach resumption in progress toward wellness with eercise. %ncorrect. he nurse aoids instructing older adults to rely on one method of achieing wellness because wellness is achieed by balancing emotional, spiritual, social, cultural, and physical processes.
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18. $eterminant $eterminantss of health health are the underlying underlying causes causes of illness illness and wellness. wellness. Which Which of the followin following g describes the older adult who is li!ely to e perience the best oerall health and well-being? a. +esides +esides in assisted-li assisted-liing ing facility facility,, watches teleisi teleision on alone, uses herbal herbal remedies, remedies,
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is underweight b. +esides alone, was moed to a new city recently by the family for their conenience, has osteoarthritis c. 3as prostate prostate cancer cancer with metastas metastasis is to the lungs, lungs, is receiing receiing radiation radiation therapy therapy,, is wealthy, wealthy, has a large family d. Fses a wheelchair wheelchair,, has peripheral peripheral arterial arterial disease, disease, attends attends wee!ly wee!ly baseball baseball games with three friends A"#: $ Feedback A
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%ncorrect. his older adult is not no t thriing in an assisted-liing facility, facility, despite haing other people in the facility, facility, as eidenced by teleision iewing habits and weight, both potential indicators of depression. Jarious Jarious aspects of this person’s life are unbalanced, thus inhibiting progress on the path to optimal health and wellness. %n addition, the use of herbal remedies can be aggraating or precipitating the problems. %ncorrect. After a moe to a new region, an older adult, especially one who lies alone and is moed to a new area for the family’s conenience, is li!ely to eperience loneliness and isolation until a new social n etwor! is established. hus, although this person has a less-acute health problem, the social isolation is li!ely to create significant disruption on the path to health and wellness. %ncorrect. Although this older adult’s financial resources are plentiful, the eistence of a large family does not ensure any type of psychosocial support. Dost li!ely, li!ely, this person faces a grim prognosis because the prostate cancer has crossed the diaphragm, thus reducing the li!elihood of a prolonged life. Correct. $espite a serious chronic illness and mobility restrictions, this person has a social networ! and planned actiities with friends. *urther, *urther, this older adult oercomes mobility issues to pursue personal interestsE thus, this person is most li!ely to eperience the best health and well-being because of an optimal functional status.
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11. 11. Which of the the following following nursing nursing interention interentionss represent represent a holistic holistic approach approach to caring for for an older adult? a. 2erforms 2erforms glucose glucose testing testing during during the the wee!ly wee!ly worshi worship p serice serice b. Wheels ambulatory adults to eercise when running late c. Assigns Assigns female female nurses nurses to older older female female adults adults who are are Duslim Duslim d. Allows Allows older older adults adults in a nursing nursing home home to eat meals meals alone alone A"#: C Feedback A
%ncorrect. %nterrupting an older adult’s worship with glucose testing can be interpreted as a lac! of respect for spiritual needs. he nurse can proide for and
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respect the physical and spiritual aspects of the older adult’s adult’s life by testing for glucose before the serice begins. %ncorrect. %n transporting the older adults to the eercise program in a wheelchair to sae time, the nurse disregards the need for self-esteem and eercise, important aspects of physical well-being. Ambulatory older adults can wal!, with assistance if needed, to eercise programs and ben efit from the additional actiity and independence. Correct. he nurse uses a holistic approach to the care of an older female adult who is Duslim because the woman and her family are more li!ely to be willing participants in a therapeutic regimen that respects a tenet of their culture. culture. %ncorrect. he nurse can be tempted to allow an older adult to eat meals alone in his or her room if this will motiate the person to eat or if the older adult has dysphagia and is embarrassed. 3oweer, while focusing on physical needs, the nurse ignores psychosocial and other aspects of health and well-being.
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10. An older adult adult male male who resides resides in a nursing nursing home has has ery high high cholesterol cholesterol leels. leels. Which nursing interention is most li!ely to assist this man in achieing his highest leel of wellness? a. %nstru %nstruct ct him abou aboutt increas increasing ing dieta dietary ry fibre fibre.. b. As! the health care proider for a low-fat diet. c. #chedule #chedule a consultatio consultation n for for him him with with the dietit dietitian. ian. d. +eiew +eiew a menu menu with with him to choos choosee suitab suitable le foods. foods. A"#: $ Feedback A
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%ncorrect. %nforming the older adult about dietary fibre offers no control to the older adult because he is not part of the decision. "ursing interentions deeloped with the older adult’s collaboration are most li!ely to help him achiee health and wellness. %ncorrect. Collaborating with the health care proider for a low-fat diet is a reasonable approach to help this man with dyslipidemia achiee health and wellness. 3oweer, the older adult is more li!ely to hae motiation and enthusiasm for a therapeutic regimen oer which he has some control. %ncorrect. his is a reasonable approach for an older adult with dyslipidemia and is a part of a multifaceted approach to optimi6ing his health. 3oweer, he is more li!ely to engage in a regimen oer which he has input. Correct. he nurse collaborates with the older adult to choose suitable foods. his is li!ely to be an effectie nursing interention to help an older adult with dyslipidemia achiee optimal health and well-being because it gies him some control oer the regimen and thus engages eng ages him in the process of lowering serum cholesterol.
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2: 2: C+": C+": "C2 "C2 4"ur 4"urse' se'Cli Client ent 2art 2artner nershi ship5 p5 1<. An older adult adult male male liing liing in an adult communi community ty becomes becomes a widower widower one month month after retirement. wo wo months later, he has not resumed a wee!ly outing with his fishing club. Which of the following should the nurse implement? a. As! the the older older adult adult why he he is not not fish fishing ing.. b. 3ae club members isit him at home. c. Deet Deet with with him him to ass assess ess his his inte interes rests. ts. d. nroll nroll him in a wee!ly wee!ly card card game. game. A"#: C Feedback A
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%ncorrect. he nurse aoids confronting the older adult, een in a gentle manner. KWhyL )uestions can be interpreted as confrontational, and the man may be unable or unwilling to articulate a reason. %ncorrect. he nurse aoids as!ing club members to isit him because it remoes the older adult from the decision ma!ing. Although this effort can be wellmeaning, it can be misinterpreted as an inasion of priacy. Correct. he nurse meets with the older adult to determine how and when to establish new relationships and social actiities in light of his wife’s wife’s death. en though the man engaged in fishing beforehand, the nurse respects the older adult’s adult’s wishes and needs as he transitions to a different life. %ncorrect. he older adult is much more li!ely to participate in an actiity in which he has input. %n addition, the nurse’s action can be misinterpreted as disrespectful because an adult has the right to control his own life.
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1. he nurse nurse plans actiit actiities ies for for female female older adults adults born born between between 108 and 1<8 who who reside reside in an assisted-liing facility. facility. Which is the best interention for the nurse n urse to implement? a. 3ae them them ba!e ba!e coo!i coo!ies es twic twicee a wee! wee!.. b. Conduct interiews for specific interests. c. Arrang Arrangee dog and and cat isit isitss from from olunt olunteer eers. s. d. a!e them them to the librar library y for guest spea!ers. spea!ers. A"#: ( Feedback A
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%ncorrect. he nurse incorrectly presumes to !now what actiities they will en&oy because most of these women are in their B8s, and women born between 108 and 1<8 generally spent their lies as homema!ers. Correct. he nurse conducts indiidual interiews with the older adults to determine their interests and aoids generali6ing, because as people lie longer, they become more and more uni)ue. %ncorrect. he nurse should aoid arranging group actiities until indiidual
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interests are determined. %n addition, the nurse must assess for allergies and indiidual fears of animals before eposing an older adult to a pet isit. %ncorrect. Fnless it is done on a oluntary basis, the nurse should aoid arranging isits by guest spea!ers. %n addition, the nurse assesses each o lder adult before outside isits, to aoid embarrassing eents related to incontinence and hearing and ision problems.
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1. he nurse nurse plans care care for an older older male adult adult who lies lies on ld ld Age Age #ecurity #ecurity pension pension and a small small pension after retirement, and has type 0 diabetes mellitus. Which Which aspect of this man’s man’s life should the nurse integrate into a positie approach to his health and well-being? a. 3e pract practise isess effec effecti tiee glucose glucose cont control rol.. b. 3e lies alone in a high-rise apartment. c. 3e lac!s lac!s low-co low-cost, st, relia reliable ble trans transpor portat tation ion.. d. 3e attends attends wee!l wee!ly y lunches lunches at his his local local diner diner.. A"#: A Feedback A
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Correct. 2ractising effectie glucose control demonstrates this man’s man’s resilience and capacity to effectiely manage the challenges associated with a chronic illness, and thus is a strength the nurse uses in a positie approach toward his health and well-being. %ncorrect. 9iing alone is not ideal for an older adult, especially one with diabetes, because of the potential for loneliness and complications from diabetes such as hypoglycemia. his is a negatie aspect of this man’s life and one which has to be resoled for his safety and well-being. %ncorrect. he nurse cannot include this man’s transportation issues into a positie plan because it is a problem to oercome, not a strength on which to capitali6e. %ncorrect. Going out to lunch is a positie approach to maintaining good mental health, although eating at a local diner may not be the best approach for controlling his diabetes mellitus.
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1=. Drs. DcCloud, DcCloud, H8 years years old, lies lies in Attawap Attawapis!at is!at and spea!s spea!s mostly mostly Cree. Cree. #he is transferr transferred ed to a hospital in a larger city in ntario for hemodialysis. While Drs. D. is in hospital, what should the nurse ta!e into account when deeloping nursing interentions based on health promotion? a. %nstruct %nstruct the the older adult to to monitor monitor her fluid fluid inta!e inta!e on an an hourly hourly basis. basis. b. $emonstrate, through pictures, how to eat a healthy, healthy, well-balanced diet. c. As! the the older older adult adult about about her home and and how she she accesses accesses health health care. d. As! the older older adult why she did did not see! help help sooner, sooner, to to preent the need for
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%ncorrect. he nurse aoids instructing older adults to monitor their own health, because patients are more li!ely to engage if they are as!ed if they are able or want to do so. %ncorrect. en though pictures might be a creatie way to engage someone who spea!s another language, in isolated communities it is often challenging and epensie to eat a healthy, well-balanced diet. Correct. When the nurse as!s the older adult about her home, the nurse creates a personal connection with the older adult. *inding out about accessibility to health care is important, because serices for older persons are limited in rural and remote regions. %ncorrect. As!ing clients KwhyL )uestions can be construed as measuring, ealuating, or confronting, and the older adult may not be able to articulate a reason.
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1H. Dr. Dr. 9ees)ue, 9ees)ue, = years old, has has been liing liing in homeless homeless shelters shelters for the the last three three years after after haing lost his &ob as a maintenance attendant at a local store. 3e suffers from alcoholism and appears malnourished upon arrial at the hospital, after falling on the sidewal! and in&uring his left shoulder. shoulder. When implementing a primary health care approach, app roach, what is the main principle the nurse should consider with this older adult? a. 3eal 3ealth th prom promot otio ion n b. Accessibility c. 2ri 2rimary ca care d. 2ubli 2ublicc part partic icip ipat atio ion n A"#: A Feedback A
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Correct. 3ealth promotion is the process of enabling people to increase control oer and improe their health. 3ealth promotion addresses the determinants of health. %t includes health education, public education, nutrition, sanitation, and preention and control of diseases. %ncorrect. Accessibility Accessibility loo!s solely at access to health care serices and how they can be made more accessibleE arriing at hospital indicates that accessibility is not necessarily an issue for Dr. 9ees)ue. %ncorrect. 2rimary care is not a principle of primary health care. 2rimary care is the first contact people hae with the health care system. 2rinciples of primary health care include accessibility, accessibility, public participation, health promotion, appropriate technology, and intersectoral collaboration. %ncorrect. 2ublic participation implies that older persons are actie partners in
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