Caring for Older Adults Holistically 8th Edition Tamara R. Dahlkemper
Chapter 1-20
Chapter 1: Holistic Caring
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which action should the nurse avoid when incorporating the concepts of the Science of Human Caring into patient
care?
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. 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 yelling 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 adult patient. For which
statement should the nurse counsel the UAP?
1. ―Good morning, honey!‖
2. ―Can I help you with your breakfast?‖
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,3. ―Mr. Jones, can I bring you your dentures?‖
4. ―Please tell me when you want to have your shower.‖
Answer: _____
5. Which is the best response in explaining the word gerontology?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means ―the study 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. Which action involves transpersonal caring?
1. Keeping your distance from the patient
2. Engaging in discussion of your personal life
3. Administering the patient medications
4. Addressing the older adult by their first and last names
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 nursing goals and aspirations.
3. It recognizes the importance of education.
4. It outlines the steps to take for a successful career.
Answer: _____
8. Which behavior demonstrates that the nurse wants to develop a healing relationship with a patient?
1. Answering the call light using the intercom system
2. Telling the patient that there is no time to try something new
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. Which skill should the nurse focus on to be successful in providing holistic care?
1. Active listening
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,2. Critical judgment
3. Care coordination
4. Time management
Answer: _____
10. The nurse schedules an interdisciplinary team meeting to address an older adult’s care needs. Who should the nurse
include on the team to ensure that holistic care is provided?
1. The nurse and the older adult
2. The nurse, dietitian, and discharge planner
3. Those who will help meet the patient’s needs
4. The social worker, physical therapist, and nurse
Answer: _____
11. Which would be considered a social determinant of health (SDOH) for older adults?
1. Living with a spouse
2. Having access to nutritious foods
3. Living in an unsafe neighborhood
4. Having more than one chronic illness
Answer: _____
12. During a home visit, an older adult 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
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 adult 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
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, 4. Hypertension
5. Multiple sclerosis
Answer: _____
14. The nurse is preparing a teaching tool for a community recreation center. Which of the following should the nurse
include to explain 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: _____
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