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