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