TEST BANK
Anderson's Caring for Older Adults Holistically
Tamara R. Dahlkemper
6th Edition
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
Table of Contents
Unit One: Foundations of Care for the Older Adult
Chapter 1: Holistic Caring
Chapter 2: The Aging Experience
Chapter 3: Supporting Life Transitions and Spirituality in the Elderly
Chapter 4: The Use of the Nursing Process and Nursing Diagnosis in the Care of Older Adults
Chapter 5: Legal, Ethical, and Financial Considerations Regarding Older Adults
Chapter 6: Promoting Wellness
Chapter 7: Safety
Chapter 8: Nutrition for Older Adults
Chapter 9: Culturally Specific Care
Chapter 10: Activity, Rest, and Sleep as Criteria for Health
Chapter 11: End-of-Life Issues in Older Adults
Chapter 12: Environments of Care
Chapter 13: Management and Leadership Role of the Licensed Practical/Vocational Nurse
Unit Two: Clinical Practice
Chapter 14: Infection
Chapter 15: Common Medical Diagnoses
Chapter 16: Physiological Assessment
Chapter 17: Common Clinical Problems: Physiological
Chapter 18: Psychological Assessment
Chapter 19: Common Clinical Problems: Psychological
Chapter 20: Rehabilitation and Restorative Care
Chapter 21: Pharmacology and Its Significance for Older Adults
Chapter 22: Laboratory Values and Older Adults
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
Chapter 1: Holistic Caring
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. According to the 2010 U.S. Census, approximately how many Americans are older than age 65?
1) 2%
2) 5%
3) 13%
4) 20%
____ 2. What is the average life expectancy today?
1) 70.2 years
2) 75 years
3) 81.1 years for women and 76.3 years for men
4) Longer for men than for women
____ 3. Which statement is NOT true about holistic nursing?
1) Holistic nursing focuses on the specific disease or disorder a person has in order to treat it
effectively.
2) Holistic nursing aims to treat the whole person, not just a specific disease or disorder the
person may have.
3) Holistic nursing focuses on the individual patient and uses many techniques, such as
empathetic listening, music, and imagery, as well as specific clinical skills.
4) Holistic nursing weaves the technical skills of nursing with the social science skills that
enhance communication and rapport between the nurse and the person receiving care.
____ 4. The Science of Human Caring theory was developed by
1) Florence Nightingale
2) Clara Barton
3) Jean Watson
4) Savage and Money
____ 5. Which is NOT emphasized in The Science of Human Caring?
1) Providing transpersonal caring
2) Focusing on the person while you are with him or her
3) Ensuring that all nonessential tasks, such as bathing, are given according to a strict
schedule
4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
____ 6. Which of the following is included as a basic concept of holistic nursing?
1) Using your developed clinical expertise
2) Developing a close relationship with the patient’s family members and significant others
3) Remembering the personal intuition and creativity of patients in your nursing plan
4) All of the above
____ 7. Most elderly people having a heart attack have
1) Pain diffused over the entire chest area
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
2) No pain
3) Crushing sternal pain
4) Pain on the left side of the chest and pain that radiates down the left arm
____ 8. Compared with the doses of medication given to a young adult, the doses given to an old-old person are
usually
1) Smaller
2) Larger, because the old-old person is probably sicker
3) The same
4) Minimal, because the person is very old and probably near death
____ 9. What communication technique has been developed specifically for dealing with demented elderly persons?
1) Cognitive therapy
2) Validation therapy
3) Geriatric Depression Scale
4) Mini-Mental Status Examination (MMSE)
____ 10. An 82-year-old patient is diagnosed with liver cancer and has long-standing cardiovascular problems. The
patient begins screaming and pushes his meal tray away. What would be an appropriate response?
1) Take the meal tray and leave the room without saying anything.
2) Tell him to stop screaming in a loud voice.
3) Calmly ask him what he is upset about and listen carefully to him.
4) Call your supervisor.
____ 11. The nurse is overhead addressing an 87-year-old patient as “honey.” What is this an example of?
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
____ 12. The term “elite-old” is used for people
1) 65 to 74 years old
2) 75 to 84 years old
3) 85 to 100 years old
4) Older than 100 years
____ 13. Which is a key concept in holistic nursing?
1) Following physician instructions and follow-up with the physician
2) Developing a relationship with family members of the patient
3) Using what you have learned—your clinical experience
4) All of the above
____ 14. How should the nursing instructor explain the term “gerontology” to a new class of students?
1) It means the use of older medications to treat illnesses.
2) It comes from a Greek word that means “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.
____ 15. Which term should the nurse use when explaining medical care that an older patient requires?
1) Genetics
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
2) Geriatrics
3) Gerontology
4) Gentrification
____ 16. During lunch a nursing colleague states that she never wants to be assigned to care for an older patient. What
behavior is this nurse demonstrating?
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personal preference
____ 17. How should a nursing instructor explain the term “baby boomers” to new students?
1) People who have large families
2) People who advocate for the care of infants
3) People who have decided not to have large families
4) People born between 1946 and 1965 after World War II
____ 18. What explains the decline in the elderly black population since 1980?
1) Diabetes
2) Homicides
3) Hypertension
4) Heart disease
____ 19. Why are older people more likely to participate in exercise programs?
1) They have more time to exercise.
2) They are trying to avoid boredom.
3) They initiated the fitness movement.
4) They want to spend time with their grandchildren.
____ 20. What information would be helpful when explaining Social Security to a group of new nursing students?
1) It is a federal and state supported process that provides health care to financially
disadvantaged people.
2) It is federal regulation providing health care for individuals older than age 65 or
individuals who are permanently disabled.
3) It is a federal benefit check paid to persons older than age 65 or persons with disabilities
who are unable to work.
4) It is a federal benefit check paid to retired workers of a specific age, disabled workers of
any age, and spouses and minor children of deceased workers.
____ 21. What should be used to describe a nursing philosophy to a new nursing student?
1) It is a personal concept.
2) It defines goals and aspirations.
3) It outlines steps to a successful career.
4) It recognizes the importance of education.
____ 22. Which behavior demonstrates that a nurse is developing a healing relationship with a patient?
1) Answering a call light using the intercom system
2) Telling a patient that there is no time to try something new
3) Sitting down in the patient’s room to discuss the plan of care
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
4) Reminding a patient that other patients are waiting for the nurse
____ 23. Which skill is essential to promote holistic nursing?
1) Critical thinking
2) Active listening
3) Time management
4) Care coordination
____ 24. Who should the nurse identify as being members of the holistic health-care team for an older patient?
1) The nurse, doctor, and pharmacist
2) The nurse, dietician, and discharge planner
3) Those who will help meet the patient’s needs
4) The social worker, physical therapist, and nurse
____ 25. Which action demonstrates a safe environment?
1) Telephoning a patient prior to arriving for a home visit
2) Mounting grab bars near the commode and in the shower
3) Ensuring that a patient receives a requested daily newspaper
4) Making sure that the television in the room has adequate volume
____ 26. What action should a nurse take who desires to become a more caring nurse?
1) Become a caring person.
2) Ensure adequate daily rest.
3) Set aside time for personal activities.
4) Consume nutritious meals and exercise.
____ 27. An older patient with heart failure refuses any diagnostic tests and does not want to take any medication
because of having limited health insurance. Which action should the nurse take that demonstrates caring?
1) Recommend that the patient be discharged home as soon as possible.
2) Ask family members if they are willing to help pay for the patient’s care.
3) Contact a social worker to talk with the patient about health insurance coverage.
4) Find out if the patient has any resources that can be liquidated to pay for the care.
____ 28. During a home visit, an older patient is 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
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 29. The home health nurse is completing an admission assessment of an older 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
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
4) Hypertension
5) Multiple sclerosis
____ 30. What should be identified as reasons 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
____ 31. What should the instructor emphasize as being essential elements of a nursing philosophy with beginning
students? Select all that apply.
1) Simple
2) Popular
3) Specific
4) Meaningful
5) Inexpensive
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
Chapter 1: Holistic Caring
Answer Section
MULTIPLE CHOICE
1. ANS: 3
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years.
Chapter page reference: 7
Heading: Demographics of Aging
Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Economics
Difficulty: Easy
Feedback
1 Individuals 65 years of age or older make up more than 2% of the population.
2 Individuals 65 years of age or older make up more than 5% of the population.
3 Based on the most recent U.S. census completed in 2010, individuals 65 years of age
and older make up 13% of the population. There were 23 million women and 17 million
men older than age 65.
4 Individuals 65 years of age or older do not make up 20% of the population.
PTS: 1 CON: Economics
2. ANS: 3
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 2. Discuss the current demographics of people older than age 65 years.
Chapter page reference: 7
Heading: Point of Interest
Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Economics
Difficulty: Easy
Feedback
1 The average life expectancy is greater than 70.2 years.
2 The average life expectancy is greater than 75 years.
3 The average life expectancy has increased dramatically in the last 75 years—from 59.7
years in 1930 to 81.1 years for women and 76.3 years for men, according to the latest
census information.
4 Women live longer than men.
PTS: 1 CON: Economics
3. ANS: 1
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing.
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
Chapter page reference: 9
Heading: Holistic Nursing
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Comprehension [Understanding]
Concept: Nursing Roles
Difficulty: Moderate
Feedback
1 The word “holism” is derived from the Anglo-Saxon root “hal,” which means “whole”
or “to heal.” Holistic nursing focuses on the whole person, not the person’s specific
disease or disorder.
2 Holistic nursing treats the whole person and not just a disease or disorder.
3 Holistic nursing uses techniques such as empathetic listening, music, and imagery, as
well as specific clinical skills.
4 Holistic nursing uses technical skills in combination with those that enhance
communication and rapport.
PTS: 1 CON: Nursing Roles
4. ANS: 3
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 5. Discuss the theory “The Science of Human Caring” by Dr. Jean Watson as it
relates to clinical practice.
Chapter page reference: 11
Heading: Human Caring
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Nursing Roles
Difficulty: Easy
Feedback
1 Florence Nightingale, known as the Mother of Modern Nursing, practiced holistic
nursing long before the term was even used.
2 Clara Barton served as an exemplary nurse during the Civil War.
3 The Science of Human Caring is a nursing philosophy developed by Dr. Jean Watson of
the University of Colorado. This philosophy is taught worldwide and serves as the basis
for teaching and caregiving.
4 Savage and Money have written on the concepts of holistic nursing.
PTS: 1 CON: Nursing Roles
5. ANS: 3
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 5. Discuss the theory “The Science of Human Caring” by Dr. Jean Watson as it
relates to clinical practice.
Chapter page reference: 12
Heading: Human Caring
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Coordinated Care
, Test Bank - Anderson's Caring for Older Adults Holistically 6th Edition (Dahlkemper, 2020)
Cognitive level: Comprehension [Understanding]
Concept: Nursing Roles
Difficulty: Moderate
Feedback
1 Transpersonal caring is the human-to-human relationship, which is a part of The
Science of Human Caring.
2 The person is the focus in The Science of Human Caring.
3 It is important that essential tasks, such as giving medications, be done according to
schedule, but if a patient is in distress, needs to talk, or needs answers, there should be
some flexibility for nonessential tasks. The nurse needs to treat the whole person, not
just give out drugs and see to it that certain grooming tasks are performed routinely.
4 Personal contact, eye contact, and speaking softly are parts of The Science of Human
Caring.
PTS: 1 CON: Nursing Roles
6. ANS: 4
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing.
Chapter page reference: 12
Heading: Basic Concepts of Holistic Care
Integrated Processes: Caring
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Nursing Roles
Difficulty: Easy
Feedback
1 The practice of holistic nursing uses clinical expertise.
2 A close relationship is developed with family members and significant others in holistic
nursing.
3 Holistic nursing uses personal intuition and creativity when planning patient care.
4 The practice of holistic nursing includes following physicians’ orders, using your
clinical expertise, respecting and drawing on a person’s knowledge of and intuition of
his or her own body, and integrating significant others in the patient’s life into his or her
care.
PTS: 1 CON: Nursing Roles
7. ANS: 2
Chapter number and title: Chapter 1 Holistic Care
Chapter/learning objective: 4. Define the word holism as it relates to gerontological nursing.
Chapter page reference: 6
Heading: Gerontological Nursing
Integrated Processes: Nursing Process: Assessment
Client Need: Safe and Effective Care Environment: Coordinated Care
Cognitive level: Knowledge [Remembering]
Concept: Comfort; Perfusion; Nursing
Difficulty: Easy