Test Bank for Ebersole and Hess Gerontological Nursing and Healthy Aging 6th Edition Latest Update

d.      Consult with a practitioner of Chinese medicine.

ANS: C

Using the LEARN model (listen with sympathy to the patient’s perception of the problem, explain your perception of the problem, acknowledge the differences and similarities, recommend treatment, and negotiate agreement), the nurse gathers information from the patient about cultural beliefs concerning health care and avoids stereotyping the patient. In the assessment, the nurse determines what the patient believes about caregiving, decision making, treatment, and other pertinent health-related information. Speaking with the health care provider is premature until the assessment is complete. Unless he accepts the beliefs, principles of the holistic health system can be potentially unsuitable and insulting for this patient. Unless he accepts the treatments, consulting with a practitioner of Chinese medicine can also be unsuitable and insulting for this patient.

4.      Which action should the nurse take when addressing older adults?

a.       Speak in an exaggerated pitch.

b.      Use a lower quality of speech.

c.       Use endearing terms such as “honey.”

d.      Speak clearly.

ANS: D

Some health professionals demonstrate ageism, in part because providers tend to see many frail, older persons and fewer of those who are healthy and active. Providers should not assume that all older adults are hearing or mentally impaired. The most appropriate action

when addressing an older aduNltUwRoSulIdNbeGtTo Bsp.eaCkOcMlearly. Examples of unintentional ageism in language are an exaggerated pitch, a demeaning emotional tone, and a lower quality of

speech.

5.      The nurse prepares an older woman, who is Polish, for discharge through an interpreter and notes that she becomes tense during the instructions about elimination. Which intervention should the nurse implement?

a.       Move on to the discussion about medication.

b.      Ask the older woman how she feels about this topic.

c.       Instruct the interpreter to repeat the instructions.

d.      Have the older woman repeat the instructions for clarity.

ANS: B

When working with an interpreter, the nurse closely watches the older adult for nonverbal communication and emotion regarding a specific topic and therefore validates the assessment about the older adult’s tension before proceeding. Because the nurse notices her tension, the nurse temporarily suspends the preparation to validate her assessment. If the nurse proceeds and the older adult is uncomfortable discussing elimination, then important instructions can be missed, leading to adverse effects for the older adult. Repeating the instructions can aggravate the older adult’s discomfort. Instructing the older adult to repeat the nurse’s instruction ignores her needs.

6.      The nurse plans care for an older African American man who is from Jamaica and resides in New York City. Which should the nurse include in planning care?

a.       Attribute his illness to breaking a voodoo.

b.      Help him improve social relationships.

c.       Maintain blood pressure below 120/70 mm Hg.

d.      Review the principles of the magicoreligious system.

ANS: C

Because African Americans tend to be at risk for cardiovascular disease and hypertension, the nurse plans to maintain the patient’s blood pressure at or below the current recommendation by the American Heart Association. The nurse can be incorrectly assuming that he practices and believes in the magicoreligious system. The nurse should assess his spiritual beliefs and determine how much they influence his attitudes toward Western health care. The magicoreligious system maintains social relationships in good condition to prevent illness; however, if the older adult does not follow this cultural practice, then this goal can be unsuitable. The older adult may not believe in this system; therefore, the information can be irrelevant.

7.      Which health belief system uses treatments to repair a body part?

a.       Holistic

b.      Biomedical

c.       Personalistic

d.      Magicoreligious

ANS: B

Because dysfunction or a structural abnormality is thought to cause disease, the biomedical system believes in repairing the structural abnormality. The holistic system holds that health is attained through balance. The personalistic system uses treatments such as meditation, fasting, and praying. The magicoreligious system is the same as the personalistic system.

8.      A nurse is caring for a culturally diverse patient who has missed follow-up appointments with the primary care provider three times over the past year. The patient has a chronic illness that requires periodic monitoring of blood test values. The patient tells the nurse: “You don’t understand—in my culture, we don’t do things like that. I cannot be troubled with worrying about appointments in the future; I deal with each day as it comes.” The nurse understands which of the following about the patient’s culture?

a.       The culture does not value Western medicine.

b.      The culture has a different orientation to time than Western medicine.

c.       The culture is an interdependent culture.

d.      The culture does not believe in preventative care.