Gero test chapter 2 caring and aging

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.

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

Which health belief system uses treatments to repair a body part? a. Holistic b. Biomedicalc. c. Personalistic d. Magicoreligious

b. Biomedicalc.

Which factor(s) is/are associated with the provision of culturally competent care? (Select all that apply.) a. Cultural awareness b. Cultural knowledge c. Cultural skills d. Cultural connections e. Knowledge of specific details of traditions and practices of all the different cultures

a. Cultural awareness b. Cultural knowledge

A nurse caring for older adults must be aware of which consequences of ageism in language? (Select all that apply.) a. Reduced sense of self b. Poor nutritional intake c. Lowered sense of self-competence d. Decreased memory performance

a. Reduced sense of self c. Lowered sense of self-competence d. Decreased memory performance

A nurse completes a cultural assessment of an older adult who is being admitted to an assisted living facility. Reasons for completing a cultural assessment include (Select all that apply.) a. culture guides decision making about health, illness, and preventive care. b. culture provides direction for individuals on how to interact during health care encounters. c. culture impacts attitudes toward aging. d. all members of a culture react in the same way in similar situations. e. knowledge of culture eliminates health care disparities.

a. culture guides decision making about health, illness, and preventive care. b. culture provides direction for individuals on how to interact during health care encounters. c. culture impacts attitudes toward aging.

Which of the following is a true statement about differing health belief systems? a. Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles. b. In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals. c. Ayurvedic medicine is another name for traditional Chinese medicine. d. The belief that health depends on maintaining a balance among opposite qualities is characteristic of a magicoreligious belief system.

b. In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals.

An older patient learns that she has metastatic cancer. The patient states: "I must have angered God." This is an example of which type of belief? a. Biomedical b. Magicoreligious c. Naturalistic d. Ayurvedic

b. Magicoreligious

An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed. Which intervention should the nurse use to promote and maintain his health? a. Have the health care provider speak to him. b. Use principles of the holistic health system. c. Ask about his perceptions and treatment ideas. d. Consult with a practitioner of Chinese medicine.

c. Ask about his perceptions and treatment ideas.

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.

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

The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the explanatory model for culturally sensitive assessment. Which question(s) should the nurse ask to follow this model? (Select all that apply.) a. How can we negotiate to solve the problem? b. What treatment can improve your condition? c. Should we try my plan first to see if it helps? d. Can we discuss differences in our plans now? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?

b. What treatment can improve your condition? e. How long have you experienced the problem? f. Who, other than me, can make you feel better?

The term health disparity is defined as a. the systematic elimination of the culture of another resulting in decreased wellness. b. differences in health outcomes among groups. c. the difference between an expected incidence and prevalence and that which actually occurs in a comparison population group. d. the existence of more than one group with differing values and perspective.

b. differences in health outcomes among groups.

A nurse in the ambulatory care setting is preparing to do an interview with a non-English-speaking client. The nurse secures an interpreter. To have the most effective interview, the nurse should do which of the following? (Select all that apply.) a. Look and speak to the interpreter. b. Use technical terminology to ensure accuracy. c. Allow more time for the interview. d. Watch the client's nonverbal communication. e. Through the interpreter, check whether the client understands the communication.

c. Allow more time for the interview. d. Watch the client's nonverbal communication. e. Through the interpreter, check whether the client understands the communication.

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.

c. Maintain blood pressure below 120/70 mm Hg

A paper on culture and illness would be likely to include the statement that a. culture is the same as ethnicity. b. ethnic groups always share common geographic origin and religion. c. ethnicity involves recognized traditions, symbols, and literature. d. most members of an ethnic group exhibit identical cultural traits.

c. ethnicity involves recognized traditions, symbols, and literature.

A home care nurse is caring for an older patient from a different culture who is bedbound and high risk for development of a pressure ulcer. The nurse discusses the plan of care with the patient's daughter, emphasizing the importance of turning every 2 hours, and posts a turning clock on the wall. When the nurse returns later in the week, the turning clock has been removed, and the patient's daughter reports that she turns her mother occasionally. She states, "I am taking very good care of my mother. You just don't understand—our ways do not involve doing things on schedules." The best response by the nurse is: a. "You must follow my guidelines and turn her every 2 hours, or I will not be able to take care of her." b. "I understand that you value your culture, but culture cannot stop you from providing good care to your mother." c. 'I understand that you care very much for your mother. Perhaps caring for her is too much for you." d. "How can we best work together to provide the best care for your mother?"

d. "How can we best work together to provide the best care for your mother?"

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.

d. Speak clearly.

Which of the following considerations is most likely to be true when working with an interpreter? a. An interpreter is never needed if the nurse speaks the same language as the patient. b. When working with interpreters, the nurse can use technical terms or metaphors. c. A patient's young granddaughter who speaks fluent English would make the best interpreter because she is familiar with and loves the patient. d. The nurse should face the patient rather than the interpreter.

d. The nurse should face the patient rather than the interpreter.