,Chapter 1: Holistic Caring
j j j
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j 1.j Accordingjtojthej2010jU.S.jCensus,japproximatelyjhowjmanyjAmericansjarejolderjthanjagej65?
1) 2%
2) 5%
3) 13%
4) 20%
j 2.j Whatjisjthejaveragejlifejexpectancyjtoday?
1) 70.2jyears
2) 75jyears
3) 81.1jyearsjforjwomenjandj76.3jyearsjforjmen
4) Longerjforjmenjthanjforjwomen
j 3.j WhichjstatementjisjNOTjtruejaboutjholisticjnursing?
1) Holisticjnursingjfocusesjonjthejspecificjdiseasejorjdisorderjajpersonjhasjinjorderjtojtreatjitjeffec
tively.
2) Holisticjnursingjaimsjtojtreatjthejwholejperson,jnotjjustjajspecificjdiseasejorjdisorderjthejpers
onjmayjhave.
3) Holisticjnursingjfocusesjonjthejindividualjpatientjandjusesjmanyjtechniques,jsuchjasjem
patheticjlistening,jmusic,jandjimagery,jasjwelljasjspecificjclinicaljskills.
4) Holisticjnursingjweavesjthejtechnicaljskillsjofjnursingjwithjthejsocialjsciencejskillsjthatjenh
ancejcommunicationjandjrapportjbetweenjthejnursejandjthejpersonjreceivingjcare.
j 4.j ThejSciencejofjHumanjCaringjtheoryjwasjdevelopedjby
1) FlorencejNightingale
2) ClarajBarton
3) JeanjWatson
4) SavagejandjMoney
j 5.j WhichjisjNOTjemphasizedjinjThejSciencejofjHumanjCaring?
1) Providingjtranspersonaljcaring
2) Focusingjonjthejpersonjwhilejyoujarejwithjhimjorjher
3) Ensuringjthatjalljnonessentialjtasks,jsuchjasjbathing,jarejgivenjaccordingjtojajstrictjsch
edule
4) Reachingjoutjtojthejpatient,jmakingjeyejcontact,jtouchingjifjappropriate,jspeakingjsoftly
j 6.j Whichjofjthejfollowingjisjincludedjasjajbasicjconceptjofjholisticjnursing?
1) Usingjyourjdevelopedjclinicaljexpertise
2) Developingjajclosejrelationshipjwithjthejpatient’sjfamilyjmembersjandjsignificantjothers
3) Rememberingjthejpersonaljintuitionjandjcreativityjofjpatientsjinjyourjnursingjplan
4) Alljofjthejabove
j 7.j Mostjelderlyjpeoplejhavingjajheartjattackjhave
1) Painjdiffusedjoverjthejentirejchestjarea
Copyrightj©j2016jF.jA.jDavisjCompany
, 2) Nojpain
3) Crushingjsternaljpain
4) Painjonjthejleftjsidejofjthejchestjandjpainjthatjradiatesjdownjthejleftjarm
j 8.jComparedjwithjthejdosesjofjmedicationjgivenjtojajyoungjadult,jthejdosesjgivenjtojanjold-
oldjpersonjarejusually
1) Smaller
2) Larger,jbecausejthejold-oldjpersonjisjprobablyjsicker
3) Thejsame
4) Minimal,jbecausejthejpersonjisjveryjoldjandjprobablyjnearjdeath
j 9.j Whatjcommunicationjtechniquejhasjbeenjdevelopedjspecificallyjforjdealingjwithjdementedjelderlyjpersons?
1) Cognitivejtherapy
2) Validationjtherapy
3) GeriatricjDepressionjScale
4) Mini-MentaljStatusjExaminationj(MMSE)
j jj 10.j Anj82-year-oldjpatientjisjdiagnosedjwithjliverjcancerjandjhasjlong-
standingjcardiovascularjproblems.jThejpatientjbeginsjscreamingjandjpushesjhisjmealjtrayjaway.jWhatjwouldj
bejanjappropriatejresponse?
1) Takejthejmealjtrayjandjleavejthejroomjwithoutjsayingjanything.
2) Telljhimjtojstopjscreamingjinjajloudjvoice.
3) Calmlyjaskjhimjwhatjhejisjupsetjaboutjandjlistenjcarefullyjtojhim.
4) Calljyourjsupervisor.
j jjj 11.j Thejnursejisjoverheadjaddressingjanj87-year-oldjpatientjasj“honey.”jWhatjisjthisjanjexamplejof?
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
j jj 12.j Thejtermj“elite-old”jisjusedjforjpeople
1) 65jtoj74jyearsjold
2) 75jtoj84jyearsjold
3) 85jtoj100jyearsjold
4) Olderjthanj100jyears
j jj 13.jjj Whichjisjajkeyjconceptjinjholisticjnursing?
1) Followingjphysicianjinstructionsjandjfollow-upjwithjthejphysician
2) Developingjajrelationshipjwithjfamilyjmembersjofjthejpatient
3) Usingjwhatjyoujhavejlearned—yourjclinicaljexperience
4) Alljofjthejabove
j jj 14.j Howjshouldjthejnursingjinstructorjexplainjthejtermj“gerontology”jtojajnewjclassjofjstudents?
1) Itjmeansjthejusejofjolderjmedicationsjtojtreatjillnesses.
2) ItjcomesjfromjajGreekjwordjthatjmeansj“relatedjtojoldjage.”
3) Itjfocusesjonjthejhousingjneedsjofjpeoplejwhojarejunderserved.
4) Itjisjajwayjofjexplainingjhealthjproblemsjofjpeoplejoverjagej50.
j jj 15.j Whichjtermjshouldjthejnursejusejwhenjexplainingjmedicaljcarejthatjanjolderjpatientjrequires?
1) Genetics
Copyrightj©j2016jF.jA.jDavisjCompany
, 2) Geriatrics
3) Gerontology
4) Gentrification
j
jj 16.jDuringjlunchjajnursingjcolleaguejstatesjthatjshejneverjwantsjtojbejassignedjtojcarejforjanjolderjpatient.jWh
atjbehaviorjisjthisjnursejdemonstrating?
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personaljpreference
j jj 17.j Howjshouldjajnursingjinstructorjexplainjthejtermj“babyjboomers”jtojnewjstudents?
1) Peoplejwhojhavejlargejfamilies
2) Peoplejwhojadvocatejforjthejcarejofjinfants
3) Peoplejwhojhavejdecidedjnotjtojhavejlargejfamilies
4) Peoplejbornjbetweenj1946jandj1965jafterjWorldjWarjII
j jj 18.j Whatjexplainsjthejdeclinejinjthejelderlyjblackjpopulationjsincej1980?
1) Diabetes
2) Homicides
3) Hypertension
4) Heartjdisease
j jj 19.j Whyjarejolderjpeoplejmorejlikelyjtojparticipatejinjexercisejprograms?
1) Theyjhavejmorejtimejtojexercise.
2) Theyjarejtryingjtojavoidjboredom.
3) Theyjinitiatedjthejfitnessjmovement.
4) Theyjwantjtojspendjtimejwithjtheirjgrandchildren.
j jj 20.j WhatjinformationjwouldjbejhelpfuljwhenjexplainingjSocialjSecurityjtojajgroupjofjnewjnursingjstudents?
1) Itjisjajfederaljandjstatejsupportedjprocessjthatjprovidesjhealthjcarejtojfinanciallyjdisa
dvantagedjpeople.
2) Itjisjfederaljregulationjprovidingjhealthjcarejforjindividualsjolderjthanjagej65jorjindi
vidualsjwhojarejpermanentlyjdisabled.
3) Itjisjajfederaljbenefitjcheckjpaidjtojpersonsjolderjthanjagej65jorjpersonsjwithjdisabilitiesjwhoj
arejunablejtojwork.
4) Itjisjajfederaljbenefitjcheckjpaidjtojretiredjworkersjofjajspecificjage,jdisabledjworkersjofjanyja
ge,jandjspousesjandjminorjchildrenjofjdeceasedjworkers.
j jj 21.j Whatjshouldjbejusedjtojdescribejajnursingjphilosophyjtojajnewjnursingjstudent?
1) Itjisjajpersonaljconcept.
2) Itjdefinesjgoalsjandjaspirations.
3) Itjoutlinesjstepsjtojajsuccessfuljcareer.
4) Itjrecognizesjthejimportancejofjeducation.
j jj 22.j Whichjbehaviorjdemonstratesjthatjajnursejisjdevelopingjajhealingjrelationshipjwithjajpatient?
1) Answeringjajcalljlightjusingjthejintercomjsystem
2) Tellingjajpatientjthatjtherejisjnojtimejtojtryjsomethingjnew
3) Sittingjdownjinjthejpatient’sjroomjtojdiscussjthejplanjofjcare
Copyrightj©j2016jF.jA.jDavisjCompany
j j j
MultiplejChoice
Identifyjthejchoicejthatjbestjcompletesjthejstatementjorjanswersjthejquestion.
j 1.j Accordingjtojthej2010jU.S.jCensus,japproximatelyjhowjmanyjAmericansjarejolderjthanjagej65?
1) 2%
2) 5%
3) 13%
4) 20%
j 2.j Whatjisjthejaveragejlifejexpectancyjtoday?
1) 70.2jyears
2) 75jyears
3) 81.1jyearsjforjwomenjandj76.3jyearsjforjmen
4) Longerjforjmenjthanjforjwomen
j 3.j WhichjstatementjisjNOTjtruejaboutjholisticjnursing?
1) Holisticjnursingjfocusesjonjthejspecificjdiseasejorjdisorderjajpersonjhasjinjorderjtojtreatjitjeffec
tively.
2) Holisticjnursingjaimsjtojtreatjthejwholejperson,jnotjjustjajspecificjdiseasejorjdisorderjthejpers
onjmayjhave.
3) Holisticjnursingjfocusesjonjthejindividualjpatientjandjusesjmanyjtechniques,jsuchjasjem
patheticjlistening,jmusic,jandjimagery,jasjwelljasjspecificjclinicaljskills.
4) Holisticjnursingjweavesjthejtechnicaljskillsjofjnursingjwithjthejsocialjsciencejskillsjthatjenh
ancejcommunicationjandjrapportjbetweenjthejnursejandjthejpersonjreceivingjcare.
j 4.j ThejSciencejofjHumanjCaringjtheoryjwasjdevelopedjby
1) FlorencejNightingale
2) ClarajBarton
3) JeanjWatson
4) SavagejandjMoney
j 5.j WhichjisjNOTjemphasizedjinjThejSciencejofjHumanjCaring?
1) Providingjtranspersonaljcaring
2) Focusingjonjthejpersonjwhilejyoujarejwithjhimjorjher
3) Ensuringjthatjalljnonessentialjtasks,jsuchjasjbathing,jarejgivenjaccordingjtojajstrictjsch
edule
4) Reachingjoutjtojthejpatient,jmakingjeyejcontact,jtouchingjifjappropriate,jspeakingjsoftly
j 6.j Whichjofjthejfollowingjisjincludedjasjajbasicjconceptjofjholisticjnursing?
1) Usingjyourjdevelopedjclinicaljexpertise
2) Developingjajclosejrelationshipjwithjthejpatient’sjfamilyjmembersjandjsignificantjothers
3) Rememberingjthejpersonaljintuitionjandjcreativityjofjpatientsjinjyourjnursingjplan
4) Alljofjthejabove
j 7.j Mostjelderlyjpeoplejhavingjajheartjattackjhave
1) Painjdiffusedjoverjthejentirejchestjarea
Copyrightj©j2016jF.jA.jDavisjCompany
, 2) Nojpain
3) Crushingjsternaljpain
4) Painjonjthejleftjsidejofjthejchestjandjpainjthatjradiatesjdownjthejleftjarm
j 8.jComparedjwithjthejdosesjofjmedicationjgivenjtojajyoungjadult,jthejdosesjgivenjtojanjold-
oldjpersonjarejusually
1) Smaller
2) Larger,jbecausejthejold-oldjpersonjisjprobablyjsicker
3) Thejsame
4) Minimal,jbecausejthejpersonjisjveryjoldjandjprobablyjnearjdeath
j 9.j Whatjcommunicationjtechniquejhasjbeenjdevelopedjspecificallyjforjdealingjwithjdementedjelderlyjpersons?
1) Cognitivejtherapy
2) Validationjtherapy
3) GeriatricjDepressionjScale
4) Mini-MentaljStatusjExaminationj(MMSE)
j jj 10.j Anj82-year-oldjpatientjisjdiagnosedjwithjliverjcancerjandjhasjlong-
standingjcardiovascularjproblems.jThejpatientjbeginsjscreamingjandjpushesjhisjmealjtrayjaway.jWhatjwouldj
bejanjappropriatejresponse?
1) Takejthejmealjtrayjandjleavejthejroomjwithoutjsayingjanything.
2) Telljhimjtojstopjscreamingjinjajloudjvoice.
3) Calmlyjaskjhimjwhatjhejisjupsetjaboutjandjlistenjcarefullyjtojhim.
4) Calljyourjsupervisor.
j jjj 11.j Thejnursejisjoverheadjaddressingjanj87-year-oldjpatientjasj“honey.”jWhatjisjthisjanjexamplejof?
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
j jj 12.j Thejtermj“elite-old”jisjusedjforjpeople
1) 65jtoj74jyearsjold
2) 75jtoj84jyearsjold
3) 85jtoj100jyearsjold
4) Olderjthanj100jyears
j jj 13.jjj Whichjisjajkeyjconceptjinjholisticjnursing?
1) Followingjphysicianjinstructionsjandjfollow-upjwithjthejphysician
2) Developingjajrelationshipjwithjfamilyjmembersjofjthejpatient
3) Usingjwhatjyoujhavejlearned—yourjclinicaljexperience
4) Alljofjthejabove
j jj 14.j Howjshouldjthejnursingjinstructorjexplainjthejtermj“gerontology”jtojajnewjclassjofjstudents?
1) Itjmeansjthejusejofjolderjmedicationsjtojtreatjillnesses.
2) ItjcomesjfromjajGreekjwordjthatjmeansj“relatedjtojoldjage.”
3) Itjfocusesjonjthejhousingjneedsjofjpeoplejwhojarejunderserved.
4) Itjisjajwayjofjexplainingjhealthjproblemsjofjpeoplejoverjagej50.
j jj 15.j Whichjtermjshouldjthejnursejusejwhenjexplainingjmedicaljcarejthatjanjolderjpatientjrequires?
1) Genetics
Copyrightj©j2016jF.jA.jDavisjCompany
, 2) Geriatrics
3) Gerontology
4) Gentrification
j
jj 16.jDuringjlunchjajnursingjcolleaguejstatesjthatjshejneverjwantsjtojbejassignedjtojcarejforjanjolderjpatient.jWh
atjbehaviorjisjthisjnursejdemonstrating?
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personaljpreference
j jj 17.j Howjshouldjajnursingjinstructorjexplainjthejtermj“babyjboomers”jtojnewjstudents?
1) Peoplejwhojhavejlargejfamilies
2) Peoplejwhojadvocatejforjthejcarejofjinfants
3) Peoplejwhojhavejdecidedjnotjtojhavejlargejfamilies
4) Peoplejbornjbetweenj1946jandj1965jafterjWorldjWarjII
j jj 18.j Whatjexplainsjthejdeclinejinjthejelderlyjblackjpopulationjsincej1980?
1) Diabetes
2) Homicides
3) Hypertension
4) Heartjdisease
j jj 19.j Whyjarejolderjpeoplejmorejlikelyjtojparticipatejinjexercisejprograms?
1) Theyjhavejmorejtimejtojexercise.
2) Theyjarejtryingjtojavoidjboredom.
3) Theyjinitiatedjthejfitnessjmovement.
4) Theyjwantjtojspendjtimejwithjtheirjgrandchildren.
j jj 20.j WhatjinformationjwouldjbejhelpfuljwhenjexplainingjSocialjSecurityjtojajgroupjofjnewjnursingjstudents?
1) Itjisjajfederaljandjstatejsupportedjprocessjthatjprovidesjhealthjcarejtojfinanciallyjdisa
dvantagedjpeople.
2) Itjisjfederaljregulationjprovidingjhealthjcarejforjindividualsjolderjthanjagej65jorjindi
vidualsjwhojarejpermanentlyjdisabled.
3) Itjisjajfederaljbenefitjcheckjpaidjtojpersonsjolderjthanjagej65jorjpersonsjwithjdisabilitiesjwhoj
arejunablejtojwork.
4) Itjisjajfederaljbenefitjcheckjpaidjtojretiredjworkersjofjajspecificjage,jdisabledjworkersjofjanyja
ge,jandjspousesjandjminorjchildrenjofjdeceasedjworkers.
j jj 21.j Whatjshouldjbejusedjtojdescribejajnursingjphilosophyjtojajnewjnursingjstudent?
1) Itjisjajpersonaljconcept.
2) Itjdefinesjgoalsjandjaspirations.
3) Itjoutlinesjstepsjtojajsuccessfuljcareer.
4) Itjrecognizesjthejimportancejofjeducation.
j jj 22.j Whichjbehaviorjdemonstratesjthatjajnursejisjdevelopingjajhealingjrelationshipjwithjajpatient?
1) Answeringjajcalljlightjusingjthejintercomjsystem
2) Tellingjajpatientjthatjtherejisjnojtimejtojtryjsomethingjnew
3) Sittingjdownjinjthejpatient’sjroomjtojdiscussjthejplanjofjcare
Copyrightj©j2016jF.jA.jDavisjCompany