,TESTBANK for Caring for Older Adults Holistically
7th Edition Tamara R. Dahlkemper
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Chapter 1: Holistic Caring
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse incorporates the concepts of the Science of Human Caring when providing patient care. Which action should
the nurse avoid?
1. Implementing transpersonal approaches
2. Making eye contact while speaking softly
3. Listening to the patient during communication
4. Adhering to a strict schedule to complete morning care
Answer: _____
2. The nurse is planning care for a patient. Which action should the nurse implement that demonstrates holistic care?
1. Eliminating an order prescribed by the physician
2. Asking the family to leave the room during medication teaching
3. Listening to ways the patient has overcome a health problem in the past
4. Performing an action that may not necessarily be appropriate for the patient’s needs
Answer: _____
3. An older patient with a terminal illness and heart problems is angry and pushes away the breakfast meal tray. Which
response should the nurse make?
1. Call the supervisor.
2. Loudly tell the patient to stop screaming.
3. Take the meal tray away and silently leave the room.
4. Ask the patient to explain the reason for the outburst and listen to the response.
Answer: _____
4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an older patient. For which
statement should the nurse counsel UAP?
1. “Good morning, honey!”
Copyright © 2020 F. A. Davis Company
,2. “Can I help you with your breakfast?”
3. “Mr. Jones, can I bring you your dentures?”
4. “Please tell me when you want to have your shower.”
Answer: _____
5. The nurse is asked to explain the word gerontology. Which response should the nurse make?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means “related to old age.”
3. It focuses on the housing needs of people who are underserved.
4. It is a way of explaining health problems of people over age 50.
Answer: _____
6. The nurse is preparing a program on the health needs of older community members. For which reason should physical
activity and exercise be encouraged?
1. They want to prevent boredom.
2. They have more time to exercise.
3. They initiated the fitness movement.
4. They want to spend more time with grandchildren.
Answer: _____
7. During an employment interview, the nurse is asked to describe the purpose of a nursing philosophy. Which response
should the nurse make?
1. It is a personal concept.
2. It defines personal goals and aspirations.
3. It recognizes the importance of education.
4. It outlines the steps to take for a successful career.
Answer: _____
8. The nurse is providing patient care. Which behavior demonstrates that the nurse wants to develop a healing relationship
with this patient?
1. Answering the call light using the intercom system
2. Telling the patient that there is no time to try something new
Copyright © 2020 F. A. Davis Company
,3. Sitting down in the patient’s room to discuss the plan of care
4. Reminding the patient that other patients need attention at this time
Answer: _____
9. The nurse desires to improve the ability to provide holistic care. On which skill should the nurse focus to be successful?
1. Active listening
2. Critical thinking
3. Care coordination
4. Time management
Answer: _____
10. The nurse schedules an interdisciplinary team meeting to address an older patient’s care needs. Who should the nurse
include to ensure that the team provides holistic care?
1. The nurse, doctor, and pharmacist
2. The nurse, dietician, and discharge planner
3. Those who will help meet the patient’s needs
4. The social worker, physical therapist, and nurse
Answer: _____
11. The nurse attends an educational program on caring. Which action should the nurse take to become a more caring
nurse?
1. Become a caring person.
2. Ensure adequate daily rest.
3. Set aside time for personal activities.
4. Consume nutritious meals and exercise.
Answer: _____
12. During a home visit, an older patient reports planning to have dinner with a close friend and then see a movie. What
does this behavior indicate to the nurse?
1. Industry
2. Self-absorption
3. Identity diffusion
Copyright © 2020 F. A. Davis Company
,4. Gerotranscendence
Answer: _____
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
13. The home health nurse is completing an admission assessment of an older patient. Which health problems should the
nurse identify as being leading chronic diseases of older adults? Select all that apply.
1. Cancer
2. Diabetes
3. Heart disease
4. Hypertension
5. Multiple sclerosis
Answer: _____
14. The nurse is preparing a teaching tool for a community recreation center. Which should the nurse include that explains
the reason for the increased number of older adults in today’s society? Select all that apply.
1. Better nutrition
2. Earlier retirement
3. Increased exercise
4. Improved health care
5. Consistent sanitation
Answer: _____
15. The nurse is identifying characteristics to include in a personal philosophy of nursing. Which should the nurse include
as essential elements of this philosophy? Select all that apply.
1. Make it simple.
2. Keep it inexpensive.
3. Identify specific actions.
4. Ensure that it is meaningful.
5. Incorporate popular approaches.
Answer: _____
Copyright © 2020 F. A. Davis Company
,Copyright © 2020 F. A. Davis Company
,Questions, Answers, and Rationales
MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.
1. The nurse incorporates the concepts of the Science of Human Caring when providing patient care. Which action should
the nurse avoid?
1. Implementing transpersonal approaches
2. Making eye contact while speaking softly
3. Listening to the patient during communication
4. Adhering to a strict schedule to complete morning care
ANS: 4
Page: 8
Feedback
1 Transpersonal caring is the human-to-human relationship, which is a part of the Science
of Human Caring.
2 The person is the focus in the Science of Human Caring.
3 Personal contact, eye contact, and speaking softly are parts of the Science of Human
Caring.
4 The nurse needs to treat the whole person, not view care as completing a checklist of
routine tasks.
2. The nurse is planning care for a patient. Which action should the nurse implement that demonstrates holistic care?
1. Eliminating an order prescribed by the physician
2. Asking the family to leave the room during medication teaching
3. Listening to ways the patient has overcome a health problem in the past
4. Performing an action that may not necessarily be appropriate for the patient’s needs
ANS: 3
Page: 6
Feedback
1 A basic concept of holistic nursing practice is to always follow the physician’s orders.
Eliminating an order is not a part of holistic care.
2 A close relationship is developed with family members and significant others in holistic
nursing.
Copyright © 2020 F. A. Davis Company
, 3 Holistic nursing draws on the intuition and creativity that patients have to resolve their
own health problems.
4 The practice of holistic nursing includes developing and using clinical expertise.
Performing an action that may not meet the patient’s needs is not a concept of holistic
nursing.
3. An older patient with a terminal illness and heart problems is angry and pushes away the breakfast meal tray. Which
response should the nurse make?
1. Call the supervisor.
2. Loudly tell the patient to stop screaming.
3. Take the meal tray away and silently leave the room.
4. Ask the patient to explain the reason for the outburst and listen to the response.
ANS: 4
Page: 10
Feedback
1 There is no reason to contact the supervisor. The reason for the patient’s outburst needs
to be determined and comfort provided.
2 Telling the patient to stop screaming in a loud voice is responding with anger and does
not determine the cause of the outburst.
3 Removing the meal try and leaving the room is uncaring and insulting to the patient.
4 The nurse should try to find out what is bothering the patient and ask specific questions.
Remember that the patient has a very serious and probably terminal diagnosis, and
anger is understandable. There is a reason for every behavior, and the nurse has the
responsibility to learn the reason before reacting.
4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an older patient. For which
statement should the nurse counsel UAP?
1. “Good morning, honey!”
2. “Can I help you with your breakfast?”
3. “Mr. Jones, can I bring you your dentures?”
4. “Please tell me when you want to have your shower.”
ANS: 1
Page: 10
Feedback
1 Speaking to patients as if they are children is a form of paternalism. Older people
should be addressed with respect, usually by Mr. or Mrs., unless they specifically say to
Copyright © 2020 F. A. Davis Company
, use their first name.
2 Offering help to an older patient is appropriate communication.
3 Using the older patient’s formal name is an appropriate way to address the patient.
4 Being polite by saying please and asking the patient to decide when care will be
provided is appropriate.
5. The nurse is asked to explain the word gerontology. Which response should the nurse make?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means “related to old age.”
3. It focuses on the housing needs of people who are underserved.
4. It is a way of explaining health problems of people over age 50.
ANS: 2
Page: 2
Feedback
1 Gerontology is not the use of older medications to treat illnesses.
2 Gerontology comes from a Greek word that means “related to old age.”
3 Gerontology does not focus on the housing needs of people who are underserved.
4 Gerontology is not a way of explaining health problems of people over age 50.
6. The nurse is preparing a program on the health needs of older community members. For which reason should physical
activity and exercise be encouraged?
1. They want to prevent boredom.
2. They have more time to exercise.
3. They initiated the fitness movement.
4. They want to spend more time with grandchildren.
ANS: 3
Page: 5
Feedback
1 Older people are not more likely to participate in exercise programs because they are
trying to avoid boredom.
2 Older people are not more likely to participate in exercise programs because they have
more time to exercise.
3 Older people are more likely to participate in exercise programs because they initiated
the fitness movement.
4 Older people are not more likely to participate in exercise programs because they want
Copyright © 2020 F. A. Davis Company
7th Edition Tamara R. Dahlkemper
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Chapter 1: Holistic Caring
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The nurse incorporates the concepts of the Science of Human Caring when providing patient care. Which action should
the nurse avoid?
1. Implementing transpersonal approaches
2. Making eye contact while speaking softly
3. Listening to the patient during communication
4. Adhering to a strict schedule to complete morning care
Answer: _____
2. The nurse is planning care for a patient. Which action should the nurse implement that demonstrates holistic care?
1. Eliminating an order prescribed by the physician
2. Asking the family to leave the room during medication teaching
3. Listening to ways the patient has overcome a health problem in the past
4. Performing an action that may not necessarily be appropriate for the patient’s needs
Answer: _____
3. An older patient with a terminal illness and heart problems is angry and pushes away the breakfast meal tray. Which
response should the nurse make?
1. Call the supervisor.
2. Loudly tell the patient to stop screaming.
3. Take the meal tray away and silently leave the room.
4. Ask the patient to explain the reason for the outburst and listen to the response.
Answer: _____
4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an older patient. For which
statement should the nurse counsel UAP?
1. “Good morning, honey!”
Copyright © 2020 F. A. Davis Company
,2. “Can I help you with your breakfast?”
3. “Mr. Jones, can I bring you your dentures?”
4. “Please tell me when you want to have your shower.”
Answer: _____
5. The nurse is asked to explain the word gerontology. Which response should the nurse make?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means “related to old age.”
3. It focuses on the housing needs of people who are underserved.
4. It is a way of explaining health problems of people over age 50.
Answer: _____
6. The nurse is preparing a program on the health needs of older community members. For which reason should physical
activity and exercise be encouraged?
1. They want to prevent boredom.
2. They have more time to exercise.
3. They initiated the fitness movement.
4. They want to spend more time with grandchildren.
Answer: _____
7. During an employment interview, the nurse is asked to describe the purpose of a nursing philosophy. Which response
should the nurse make?
1. It is a personal concept.
2. It defines personal goals and aspirations.
3. It recognizes the importance of education.
4. It outlines the steps to take for a successful career.
Answer: _____
8. The nurse is providing patient care. Which behavior demonstrates that the nurse wants to develop a healing relationship
with this patient?
1. Answering the call light using the intercom system
2. Telling the patient that there is no time to try something new
Copyright © 2020 F. A. Davis Company
,3. Sitting down in the patient’s room to discuss the plan of care
4. Reminding the patient that other patients need attention at this time
Answer: _____
9. The nurse desires to improve the ability to provide holistic care. On which skill should the nurse focus to be successful?
1. Active listening
2. Critical thinking
3. Care coordination
4. Time management
Answer: _____
10. The nurse schedules an interdisciplinary team meeting to address an older patient’s care needs. Who should the nurse
include to ensure that the team provides holistic care?
1. The nurse, doctor, and pharmacist
2. The nurse, dietician, and discharge planner
3. Those who will help meet the patient’s needs
4. The social worker, physical therapist, and nurse
Answer: _____
11. The nurse attends an educational program on caring. Which action should the nurse take to become a more caring
nurse?
1. Become a caring person.
2. Ensure adequate daily rest.
3. Set aside time for personal activities.
4. Consume nutritious meals and exercise.
Answer: _____
12. During a home visit, an older patient reports planning to have dinner with a close friend and then see a movie. What
does this behavior indicate to the nurse?
1. Industry
2. Self-absorption
3. Identity diffusion
Copyright © 2020 F. A. Davis Company
,4. Gerotranscendence
Answer: _____
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
13. The home health nurse is completing an admission assessment of an older patient. Which health problems should the
nurse identify as being leading chronic diseases of older adults? Select all that apply.
1. Cancer
2. Diabetes
3. Heart disease
4. Hypertension
5. Multiple sclerosis
Answer: _____
14. The nurse is preparing a teaching tool for a community recreation center. Which should the nurse include that explains
the reason for the increased number of older adults in today’s society? Select all that apply.
1. Better nutrition
2. Earlier retirement
3. Increased exercise
4. Improved health care
5. Consistent sanitation
Answer: _____
15. The nurse is identifying characteristics to include in a personal philosophy of nursing. Which should the nurse include
as essential elements of this philosophy? Select all that apply.
1. Make it simple.
2. Keep it inexpensive.
3. Identify specific actions.
4. Ensure that it is meaningful.
5. Incorporate popular approaches.
Answer: _____
Copyright © 2020 F. A. Davis Company
,Copyright © 2020 F. A. Davis Company
,Questions, Answers, and Rationales
MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.
1. The nurse incorporates the concepts of the Science of Human Caring when providing patient care. Which action should
the nurse avoid?
1. Implementing transpersonal approaches
2. Making eye contact while speaking softly
3. Listening to the patient during communication
4. Adhering to a strict schedule to complete morning care
ANS: 4
Page: 8
Feedback
1 Transpersonal caring is the human-to-human relationship, which is a part of the Science
of Human Caring.
2 The person is the focus in the Science of Human Caring.
3 Personal contact, eye contact, and speaking softly are parts of the Science of Human
Caring.
4 The nurse needs to treat the whole person, not view care as completing a checklist of
routine tasks.
2. The nurse is planning care for a patient. Which action should the nurse implement that demonstrates holistic care?
1. Eliminating an order prescribed by the physician
2. Asking the family to leave the room during medication teaching
3. Listening to ways the patient has overcome a health problem in the past
4. Performing an action that may not necessarily be appropriate for the patient’s needs
ANS: 3
Page: 6
Feedback
1 A basic concept of holistic nursing practice is to always follow the physician’s orders.
Eliminating an order is not a part of holistic care.
2 A close relationship is developed with family members and significant others in holistic
nursing.
Copyright © 2020 F. A. Davis Company
, 3 Holistic nursing draws on the intuition and creativity that patients have to resolve their
own health problems.
4 The practice of holistic nursing includes developing and using clinical expertise.
Performing an action that may not meet the patient’s needs is not a concept of holistic
nursing.
3. An older patient with a terminal illness and heart problems is angry and pushes away the breakfast meal tray. Which
response should the nurse make?
1. Call the supervisor.
2. Loudly tell the patient to stop screaming.
3. Take the meal tray away and silently leave the room.
4. Ask the patient to explain the reason for the outburst and listen to the response.
ANS: 4
Page: 10
Feedback
1 There is no reason to contact the supervisor. The reason for the patient’s outburst needs
to be determined and comfort provided.
2 Telling the patient to stop screaming in a loud voice is responding with anger and does
not determine the cause of the outburst.
3 Removing the meal try and leaving the room is uncaring and insulting to the patient.
4 The nurse should try to find out what is bothering the patient and ask specific questions.
Remember that the patient has a very serious and probably terminal diagnosis, and
anger is understandable. There is a reason for every behavior, and the nurse has the
responsibility to learn the reason before reacting.
4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an older patient. For which
statement should the nurse counsel UAP?
1. “Good morning, honey!”
2. “Can I help you with your breakfast?”
3. “Mr. Jones, can I bring you your dentures?”
4. “Please tell me when you want to have your shower.”
ANS: 1
Page: 10
Feedback
1 Speaking to patients as if they are children is a form of paternalism. Older people
should be addressed with respect, usually by Mr. or Mrs., unless they specifically say to
Copyright © 2020 F. A. Davis Company
, use their first name.
2 Offering help to an older patient is appropriate communication.
3 Using the older patient’s formal name is an appropriate way to address the patient.
4 Being polite by saying please and asking the patient to decide when care will be
provided is appropriate.
5. The nurse is asked to explain the word gerontology. Which response should the nurse make?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means “related to old age.”
3. It focuses on the housing needs of people who are underserved.
4. It is a way of explaining health problems of people over age 50.
ANS: 2
Page: 2
Feedback
1 Gerontology is not the use of older medications to treat illnesses.
2 Gerontology comes from a Greek word that means “related to old age.”
3 Gerontology does not focus on the housing needs of people who are underserved.
4 Gerontology is not a way of explaining health problems of people over age 50.
6. The nurse is preparing a program on the health needs of older community members. For which reason should physical
activity and exercise be encouraged?
1. They want to prevent boredom.
2. They have more time to exercise.
3. They initiated the fitness movement.
4. They want to spend more time with grandchildren.
ANS: 3
Page: 5
Feedback
1 Older people are not more likely to participate in exercise programs because they are
trying to avoid boredom.
2 Older people are not more likely to participate in exercise programs because they have
more time to exercise.
3 Older people are more likely to participate in exercise programs because they initiated
the fitness movement.
4 Older people are not more likely to participate in exercise programs because they want
Copyright © 2020 F. A. Davis Company
