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,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%
2) 5%
3) 13%
4) 20%
2. What is the average life expectancy today?
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1) 70.2 years vv
2) 75 years vv
3) 81.1 years for women and 76.3 years for men
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4) Longer for men than for women vv vv vv vv vv
3. Which statement is NOT true about holistic nursing?
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1) Holistic nursing focuses on the specific disease or disorder a person has in order to treat
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it effectively.vv vv
2) Holistic nursing aims to treat the whole person, not just a specific disease or disorder
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the person may have.
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3) Holistic nursing focuses on the individual patient and uses many techniques, such
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as empathetic listening, music, and imagery, as well as specific clinical skills.
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4) Holistic nursing weaves the technical skills of nursing with the social science skills
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that enhance communication and rapport between the nurse and the person
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receiving care.vv vv
4. The Science of Human Caring theory was developed by
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1) Florence Nightingale vv
2) Clara Barton vv
3) Jean Watson vv
4) Savage and Money vv vv
5. Which is NOT emphasized in The Science of Human Caring?
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1) Providing transpersonal caring vv vv
2) Focusing on the person while you are with him or her vv vv vv vv vv vv vv vv vv vv
3) Ensuring that all nonessential tasks, such as bathing, are given according to a
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strict schedulevv vv
4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
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6. Which of the following is included as a basic concept of holistic nursing?
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1) Using your developed clinical expertise vv vv vv vv
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, 2) Developing a close relationship with the patient’s family members and significant others
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3) Remembering the personal intuition and creativity of patients in your nursing plan
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4) All of the above
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7. Most elderly people having a heart attack have
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1) Pain diffused over the entire chest area
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, 2) No pain vv
3) Crushing sternal pain vv vv
4) Pain on the left side of the chest and pain that radiates down the left arm
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8. v v Compared with the doses of medication given to a young adult, the doses given to an old-old
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person are usually
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1) Smaller
2) Larger, because the old-old person is probably sicker
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3) The same vv
4) Minimal, because the person is very old and probably near death vv vv vv vv vv vv vv vv vv vv
9. v v What communication technique has been developed specifically for dealing with demented elderly persons?
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1) Cognitive therapy vv
2) Validation therapy vv
3) Geriatric Depression Scale vv vv
4) Mini-Mental Status Examination (MMSE) vv vv vv
v v 10. An 82-year-old patient is diagnosed with liver cancer and has long-standing cardiovascular
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problems. The patient begins screaming and pushes his meal tray away. What would be an
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appropriate response?
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1) Take the meal tray and leave the room without saying anything.
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2) Tell him to stop screaming in a loud voice.
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3) Calmly ask him what he is upset about and listen carefully to him.
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4) Call your supervisor. vv vv
v v 11. v v The nurse is overhead addressing an 87-year-old patient as ―honey.‖ What is this an example of?
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1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
v v 12. v v 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 vv vv vv
v v 13. v v v v Which is a key concept in holistic nursing?
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1) Following physician instructions and follow-up with the physician
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2) Developing a relationship with family members of the patient vv vv vv vv vv vv vv vv
3) Using what you have learned—your clinical experience
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4) All of the above
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v v 14. v v v v How should the nursing instructor explain the term ―gerontology‖ to a new class of students?
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1) It means the use of older medications to treat illnesses.
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2) It comes from a Greek word that means ―related to old age.‖
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3) It focuses on the housing needs of people who are underserved.
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4) It is a way of explaining health problems of people over age 50.
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v v 15. Which term should the nurse use when explaining medical care that an older patient requires?
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1) Genetics
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