,Chapter 1: Holistic Caring
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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1. According to the 2010 U.S. Census, approximately how many Americans are older than age 65?
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1) 2% g g g g
2) 5% g g g g
3) 13% g g g g
4) 20% g g g g
2. What is the average life expectancy today?
gg gg gg gg gg gg
1) 70.2 years gg
2) 75 years gg
3) 81.1 years for women and 76.3 years for men
gg gg gg gg gg gg gg gg
4) Longer for men than for women gg gg gg gg gg
3. Which statement is NOT true about holistic nursing?
gg gg gg gg gg gg gg
1) Holistic nursing focuses on the specific disease or disorder a person has in order to
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
treat it effectively. gg gg gg
2) Holistic nursing aims to treat the whole person, not just a specific disease or
gg gg gg gg gg gg gg gg gg gg gg gg gg
disorder the person may have.
gg gg gg gg gg
3) Holistic nursing focuses on the individual patient and uses many techniques,
gg gg gg gg gg gg gg gg gg gg
such as empathetic listening, music, and imagery, as well as specific clinical
gg gg gg gg gg gg gg gg gg gg gg gg
skills. gg
4) Holistic nursing weaves the technical skills of nursing with the social science skills
gg gg gg gg gg gg gg gg gg gg gg gg
that enhance communication and rapport between the nurse and the person
gg gg gg gg gg gg gg gg gg gg gg
receiving care. gg gg
4. The Science of Human Caring theory was developed by
gg gg gg gg gg gg gg gg
1) Florence Nightingale gg
2) Clara Barton gg
3) Jean Watson gg
4) Savage and Money gg gg
5. Which is NOT emphasized in The Science of Human Caring?
gg gg gg gg gg gg gg gg gg
1) Providing transpersonal caring gg gg
2) Focusing on the person while you are with him or her gg gg gg gg gg gg gg gg gg gg
3) Ensuring that all nonessential tasks, such as bathing, are given according to a
gg gg gg gg gg gg gg gg gg gg gg gg
strict schedule gg gg
4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
gg gg gg gg gg gg gg gg gg gg gg gg
6. Which of the following is included as a basic concept of holistic nursing?
gg gg gg gg gg gg gg gg gg gg gg gg
1) Using your developed clinical expertise gg gg gg gg
2) Developing a close relationship with the patient’s family members and significant others
gg gg gg gg gg gg gg gg gg gg gg
3) Remembering the personal intuition and creativity of patients in your nursing plan gg gg gg gg gg gg gg gg gg gg gg
4) All of the above gg gg gg
7. Most elderly people having a heart attack have
gg gg gg gg gg gg gg
1) Pain diffused over the entire chest area gg gg gg gg gg gg
Copyright © 2016 F. A. Davis gg gg gg gg gg
Company
, 2) No pain gg
3) Crushing sternal pain ss gg
4) Pain on the left side of the chest and pain that radiates down the left arm
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
g g 8. Compared with the doses of medication given to a young adult, the doses given to an old-old
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
ggperson are usually gg gg
1) Smaller
2) Larger, because the old-old person is probably sicker
gg gg gg gg gg gg gg
3) The same gg
4) Minimal, because the person is very old and probably near death
gg gg gg gg gg gg gg gg gg gg
g g 9. What communication technique has been developed specifically for dealing with demented elderly persons?
gg gg gg gg gg gg gg gg gg gg gg gg
1) Cognitive therapy gg
2) Validation therapy gg
3) Geriatric Depression Scale gg gg
4) Mini-Mental Status Examination (MMSE) gg gg gg
10. An 82-year-old patient is diagnosed with liver cancer and has long-standing cardiovascular
gg gg gg gg gg gg gg gg gg gg gg
problems. The patient begins screaming and pushes his meal tray away. What would be an
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
appropriate response?
gg gg
1) Take the meal tray and leave the room without saying anything.
gg gg gg gg gg gg gg gg gg gg
2) Tell him to stop screaming in a loud voice.
gg gg gg gg gg gg gg gg
3) Calmly ask him what he is upset about and listen carefully to him.
gg gg gg gg gg gg gg gg gg gg gg gg
4) Call your supervisor.
gg gg
11. The nurse is overhead addressing an 87-year-old patient as ―honey.‖ What is this an example of?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
12. The term ―elite-old‖ is used for people
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1) 65 to 74 years old
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2) 75 to 84 years old
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3) 85 to 100 years old
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4) Older than 100 years gg gg gg
13. Which is a key concept in holistic nursing?
gg gg gg gg gg gg gg
1) Following physician instructions and follow-up with the physician
gg gg gg gg gg gg gg
2) Developing a relationship with family members of the patient
gg gg gg gg gg gg gg gg
3) Using what you have learned—your clinical experience
gg gg gg gg gg gg
4) All of the above
gg gg gg
14. How should the nursing instructor explain the term ―gerontology‖ to a new class of students?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1) It means the use of older medications to treat illnesses.
gg gg gg gg gg gg gg gg gg
2) It comes from a Greek word that means ―related to old age.‖
gg gg gg gg gg gg gg gg gg gg gg
3) It focuses on the housing needs of people who are underserved.
gg gg gg gg gg gg gg gg gg gg
4) It is a way of explaining health problems of people over age 50.
gg gg gg gg gg gg gg gg gg gg gg gg
15. Which term should the nurse use when explaining medical care that an older patient requires?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1) Genetics
Copyright © 2016 F. A. Davis
gg gg gg gg gg
Company
, 2) Geriatrics
3) Gerontology
4) Gentrification
16. During lunch a nursing colleague states that she never wants to be assigned to care for an older
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
patient.
gg
What behavior is this nurse demonstrating?
gg gg gg gg gg
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personal preference gg
gg 17. How should a nursing instructor explain the term ―baby boomers‖ to new students?
gg gg gg gg gg gg gg gg gg gg gg gg
1) People who have large families
gg gg gg gg
2) People who advocate for the care of infants
gg gg gg gg gg gg gg
3) People who have decided not to have large families
gg gg gg gg gg gg gg gg
4) People born between 1946 and 1965 after World War II
gg gg gg gg gg gg gg gg gg
gg 18. What explains the decline in the elderly black population since 1980?
gg gg gg gg gg gg gg gg gg gg
1) Diabetes
2) Homicides
3) Hypertension
4) Heart disease gg
gg 19. Why are older people more likely to participate in exercise programs?
gg gg gg gg gg gg gg gg gg gg
1) They have more time to exercise.
gg gg gg gg gg
2) They are trying to avoid boredom.
gg gg gg gg gg
3) They initiated the fitness movement.
gg gg gg gg
4) They want to spend time with their grandchildren.
gg gg gg gg gg gg gg
gg 20. What information would be helpful when explaining Social Security to a group of new nursing
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
ggstudents?
1) It is a federal and state supported process that provides health care to financially
gg gg gg gg gg gg gg gg gg gg gg gg gg
disadvantaged people. gg
2) It is federal regulation providing health care for individuals older than age 65 or
gg gg gg gg gg gg gg gg gg gg gg gg gg
individuals who are permanently disabled. gg gg gg gg
3) It is a federal benefit check paid to persons older than age 65 or persons with disabilities
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
who are unable to work. gg gg gg
4) It is a federal benefit check paid to retired workers of a specific age, disabled workers of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
any age, and spouses and minor children of deceased workers.
gg gg gg gg gg gg gg gg gg
gg 21. What should be used to describe a nursing philosophy to a new nursing student?
gg gg gg gg gg gg gg gg gg gg gg gg gg
1) It is a personal concept.
gg gg gg gg
2) It defines goals and aspirations.
gg gg gg gg
3) It outlines steps to a successful career.
gg gg gg gg gg gg
4) It recognizes the importance of education.
gg gg gg gg gg
gg 22. Which behavior demonstrates that a nurse is developing a healing relationship with a patient?
gg gg gg gg gg gg gg gg gg gg gg gg gg
1) Answering a call light using the intercom system
gg gg gg gg gg gg gg
2) Telling a patient that there is no time to try something new
gg gg gg gg gg gg gg gg gg gg gg
3) Sitting down in the patient’s room to discuss the plan of care
gg gg gg gg gg gg gg gg gg gg gg
Copyright © 2016 F. A. Davis
gg gg gg gg gg
Company
gg gg gg
Multiple Choice
gg
Identify the choice that best completes the statement or answers the question.
gg gg gg gg gg gg gg gg gg gg gg
1. According to the 2010 U.S. Census, approximately how many Americans are older than age 65?
gg gg gg gg gg gg gg gg g gg gg gg gg gg
1) 2% g g g g
2) 5% g g g g
3) 13% g g g g
4) 20% g g g g
2. What is the average life expectancy today?
gg gg gg gg gg gg
1) 70.2 years gg
2) 75 years gg
3) 81.1 years for women and 76.3 years for men
gg gg gg gg gg gg gg gg
4) Longer for men than for women gg gg gg gg gg
3. Which statement is NOT true about holistic nursing?
gg gg gg gg gg gg gg
1) Holistic nursing focuses on the specific disease or disorder a person has in order to
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
treat it effectively. gg gg gg
2) Holistic nursing aims to treat the whole person, not just a specific disease or
gg gg gg gg gg gg gg gg gg gg gg gg gg
disorder the person may have.
gg gg gg gg gg
3) Holistic nursing focuses on the individual patient and uses many techniques,
gg gg gg gg gg gg gg gg gg gg
such as empathetic listening, music, and imagery, as well as specific clinical
gg gg gg gg gg gg gg gg gg gg gg gg
skills. gg
4) Holistic nursing weaves the technical skills of nursing with the social science skills
gg gg gg gg gg gg gg gg gg gg gg gg
that enhance communication and rapport between the nurse and the person
gg gg gg gg gg gg gg gg gg gg gg
receiving care. gg gg
4. The Science of Human Caring theory was developed by
gg gg gg gg gg gg gg gg
1) Florence Nightingale gg
2) Clara Barton gg
3) Jean Watson gg
4) Savage and Money gg gg
5. Which is NOT emphasized in The Science of Human Caring?
gg gg gg gg gg gg gg gg gg
1) Providing transpersonal caring gg gg
2) Focusing on the person while you are with him or her gg gg gg gg gg gg gg gg gg gg
3) Ensuring that all nonessential tasks, such as bathing, are given according to a
gg gg gg gg gg gg gg gg gg gg gg gg
strict schedule gg gg
4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
gg gg gg gg gg gg gg gg gg gg gg gg
6. Which of the following is included as a basic concept of holistic nursing?
gg gg gg gg gg gg gg gg gg gg gg gg
1) Using your developed clinical expertise gg gg gg gg
2) Developing a close relationship with the patient’s family members and significant others
gg gg gg gg gg gg gg gg gg gg gg
3) Remembering the personal intuition and creativity of patients in your nursing plan gg gg gg gg gg gg gg gg gg gg gg
4) All of the above gg gg gg
7. Most elderly people having a heart attack have
gg gg gg gg gg gg gg
1) Pain diffused over the entire chest area gg gg gg gg gg gg
Copyright © 2016 F. A. Davis gg gg gg gg gg
Company
, 2) No pain gg
3) Crushing sternal pain ss gg
4) Pain on the left side of the chest and pain that radiates down the left arm
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
g g 8. Compared with the doses of medication given to a young adult, the doses given to an old-old
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
ggperson are usually gg gg
1) Smaller
2) Larger, because the old-old person is probably sicker
gg gg gg gg gg gg gg
3) The same gg
4) Minimal, because the person is very old and probably near death
gg gg gg gg gg gg gg gg gg gg
g g 9. What communication technique has been developed specifically for dealing with demented elderly persons?
gg gg gg gg gg gg gg gg gg gg gg gg
1) Cognitive therapy gg
2) Validation therapy gg
3) Geriatric Depression Scale gg gg
4) Mini-Mental Status Examination (MMSE) gg gg gg
10. An 82-year-old patient is diagnosed with liver cancer and has long-standing cardiovascular
gg gg gg gg gg gg gg gg gg gg gg
problems. The patient begins screaming and pushes his meal tray away. What would be an
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
appropriate response?
gg gg
1) Take the meal tray and leave the room without saying anything.
gg gg gg gg gg gg gg gg gg gg
2) Tell him to stop screaming in a loud voice.
gg gg gg gg gg gg gg gg
3) Calmly ask him what he is upset about and listen carefully to him.
gg gg gg gg gg gg gg gg gg gg gg gg
4) Call your supervisor.
gg gg
11. The nurse is overhead addressing an 87-year-old patient as ―honey.‖ What is this an example of?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
12. The term ―elite-old‖ is used for people
gg gg gg gg gg gg
1) 65 to 74 years old
gg gg gg gg
2) 75 to 84 years old
gg gg gg gg
3) 85 to 100 years old
gg gg gg gg
4) Older than 100 years gg gg gg
13. Which is a key concept in holistic nursing?
gg gg gg gg gg gg gg
1) Following physician instructions and follow-up with the physician
gg gg gg gg gg gg gg
2) Developing a relationship with family members of the patient
gg gg gg gg gg gg gg gg
3) Using what you have learned—your clinical experience
gg gg gg gg gg gg
4) All of the above
gg gg gg
14. How should the nursing instructor explain the term ―gerontology‖ to a new class of students?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1) It means the use of older medications to treat illnesses.
gg gg gg gg gg gg gg gg gg
2) It comes from a Greek word that means ―related to old age.‖
gg gg gg gg gg gg gg gg gg gg gg
3) It focuses on the housing needs of people who are underserved.
gg gg gg gg gg gg gg gg gg gg
4) It is a way of explaining health problems of people over age 50.
gg gg gg gg gg gg gg gg gg gg gg gg
15. Which term should the nurse use when explaining medical care that an older patient requires?
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
1) Genetics
Copyright © 2016 F. A. Davis
gg gg gg gg gg
Company
, 2) Geriatrics
3) Gerontology
4) Gentrification
16. During lunch a nursing colleague states that she never wants to be assigned to care for an older
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
patient.
gg
What behavior is this nurse demonstrating?
gg gg gg gg gg
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personal preference gg
gg 17. How should a nursing instructor explain the term ―baby boomers‖ to new students?
gg gg gg gg gg gg gg gg gg gg gg gg
1) People who have large families
gg gg gg gg
2) People who advocate for the care of infants
gg gg gg gg gg gg gg
3) People who have decided not to have large families
gg gg gg gg gg gg gg gg
4) People born between 1946 and 1965 after World War II
gg gg gg gg gg gg gg gg gg
gg 18. What explains the decline in the elderly black population since 1980?
gg gg gg gg gg gg gg gg gg gg
1) Diabetes
2) Homicides
3) Hypertension
4) Heart disease gg
gg 19. Why are older people more likely to participate in exercise programs?
gg gg gg gg gg gg gg gg gg gg
1) They have more time to exercise.
gg gg gg gg gg
2) They are trying to avoid boredom.
gg gg gg gg gg
3) They initiated the fitness movement.
gg gg gg gg
4) They want to spend time with their grandchildren.
gg gg gg gg gg gg gg
gg 20. What information would be helpful when explaining Social Security to a group of new nursing
gg gg gg gg gg gg gg gg gg gg gg gg gg gg
ggstudents?
1) It is a federal and state supported process that provides health care to financially
gg gg gg gg gg gg gg gg gg gg gg gg gg
disadvantaged people. gg
2) It is federal regulation providing health care for individuals older than age 65 or
gg gg gg gg gg gg gg gg gg gg gg gg gg
individuals who are permanently disabled. gg gg gg gg
3) It is a federal benefit check paid to persons older than age 65 or persons with disabilities
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
who are unable to work. gg gg gg
4) It is a federal benefit check paid to retired workers of a specific age, disabled workers of
gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg gg
any age, and spouses and minor children of deceased workers.
gg gg gg gg gg gg gg gg gg
gg 21. What should be used to describe a nursing philosophy to a new nursing student?
gg gg gg gg gg gg gg gg gg gg gg gg gg
1) It is a personal concept.
gg gg gg gg
2) It defines goals and aspirations.
gg gg gg gg
3) It outlines steps to a successful career.
gg gg gg gg gg gg
4) It recognizes the importance of education.
gg gg gg gg gg
gg 22. Which behavior demonstrates that a nurse is developing a healing relationship with a patient?
gg gg gg gg gg gg gg gg gg gg gg gg gg
1) Answering a call light using the intercom system
gg gg gg gg gg gg gg
2) Telling a patient that there is no time to try something new
gg gg gg gg gg gg gg gg gg gg gg
3) Sitting down in the patient’s room to discuss the plan of care
gg gg gg gg gg gg gg gg gg gg gg
Copyright © 2016 F. A. Davis
gg gg gg gg gg
Company
